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Evidence Based Mental Health最新文献

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Evidence-Based Assessment and Management of Somatoform Disorders 躯体形式疾病的循证评估与管理
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0006
M. Dell, J. Campo, P. Lusk
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引用次数: 0
Sexuality
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0014
D. Morrison-Beedy
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引用次数: 0
Diagnosing, Managing, and Preventing Mental Health Disorders in Children and Adolescents 诊断、管理和预防儿童和青少年的精神健康障碍
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0002
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引用次数: 0
Evidence-Based Assessment and Management of Depressive Disorders 抑郁症的循证评估和管理
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0004
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引用次数: 0
Evidence-Based Assessment and Management of Autism and Pervasive Developmental Disorder 自闭症与广泛性发育障碍的循证评估与管理
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0009
V. Knapp, Deborah A. Napolitano, Holly E. Brown
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引用次数: 0
Evidence-Based Assessment and Management of Trauma, Stressor-Related Disorders, Other Adverse Childhood Events, Bullying, and Violence 创伤、压力相关障碍、其他不良儿童事件、欺凌和暴力的循证评估和管理
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0013
Jessica Kozlowski, P. Lusk
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引用次数: 0
Evidence-Based Assessment and Management of Overweight and Obesity 超重和肥胖的循证评估和管理
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1891/9780826167279.0015
D. Jacobson, L. Small, B. Melnyk
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引用次数: 0
IF. IF.
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-07-20 DOI: 10.1136/ebmental-2021-300301
Andrea Cipriani, Samuele Cortese, Toshi A Furukawa
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引用次数: 0
COVID-19 vaccines, hesitancy and mental health. COVID-19疫苗、犹豫和心理健康。
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-05-01 DOI: 10.1136/ebmental-2021-300266
Katharine Smith, Sinéad Lambe, Daniel Freeman, Andrea Cipriani
Factors involved include confidence (trusting or not the vaccine or provider), complacency (seeing the need or value of a vaccine) and convenience (easy, convenient access to the vaccine) 3 4 Importantly, attitudes to vaccination can change and people who are initially hesitant can still come to see a vaccine’s safety, efficacy and necessity 5 Developing strategies to address hesitancy is key 6 The expedited development and relative novelty of the COVID-19 vaccines have led to public uncertainty 4 In addition, efforts to explain the mode of action of these vaccines involve a degree of complexity (eg, immune response and genetic mechanisms), which is difficult to communicate quickly and simply Suggestions for change include offering specific discussions from mental health professionals and peer workers, vaccine education and awareness focused for those with SMI, vaccination programmes within mental health services (with coexistent organisational change to facilitate this), alignment with other preventative health strategies (such as influenza vaccination, smoking cessation, metabolic monitoring), focused outreach and monitoring uptake 13 Monitoring of vulnerable groups vaccine uptake itself presents problems In the case of mental illness, multiple long-term conditions across mental and physical health domains as well as socio-economic factors means that both vulnerability and inequality are likely to be additive 11 However, vaccine impact may be greater among the most vulnerable despite lower vaccine uptake because the baseline absolute risk is so high 15 Therefore, in the context of a COVID-19 vaccine programme, even if vaccine uptake falls short in some high-risk groups, even small increases in vaccine uptake will still have significant health benefits 14 Uptake of vaccination is crucial both for the individual and protection of others
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引用次数: 28
Vital exhaustion in women with chest pain and no obstructive coronary artery disease: the iPOWER study. 胸痛且无阻塞性冠状动脉疾病的女性生命衰竭:iPOWER研究
IF 5.2 2区 医学 Q1 PSYCHIATRY Pub Date : 2021-05-01 DOI: 10.1136/ebmental-2020-300175
Daria Frestad Bechsgaard, Ida Gustafsson, Marie Mide Michelsen, Naja Dam Mygind, Adam Pena, Hannah Elena Suhrs, Kira Bove, Jens Dahlgaard Hove, Eva Prescott

Background: More than half of women with symptoms suggestive of myocardial ischaemia have no obstructive coronary artery disease (CAD), yet they face a higher risk of cardiovascular mortality and morbidity. Both vital exhaustion (VE) and depression have been linked to adverse cardiovascular prognosis in patients with CAD. We aimed to assess whether symptomatic women with no obstructive CAD are more vitally exhausted compared with asymptomatic women. Furthermore, we investigated the overlap between the constructs of VE and depression.

Methods: Prevalence and burden of VE was assessed in symptomatic women with no obstructive CAD (n=1.266) and asymptomatic women (n=2.390). Among symptomatic women, we also assessed chest pain characteristics and symptoms of Hospital Anxiety and Depression Questionnaire.

Findings: Median (IQR) VE score was 4 (1-9) and 2 (0-5) in symptomatic and asymptomatic women, respectively (age adjusted, p<0.001). The risk of severe VE was significantly higher in symptomatic women compared with asymptomatic women (OR 3.3, 95% CI 2.5 to 4.4), independent of age and risk factors, and was associated with symptom severity. VE and depression scores were correlated but principal component cluster analysis (PCCA) showed clear distinctiveness between the two constructs.

Conclusions: Women with chest pain and no obstructive CAD are more vitally exhausted compared with asymptomatic women. PCCA showed that VE is distinct from depression in symptomatic women.

Clinical implications: Mental health screening focusing on depressive symptomatology in women with chest pain presenting with symptoms of mental and physical exhaustion may overlook VE in these patients.

背景:超过一半的有心肌缺血症状的女性没有阻塞性冠状动脉疾病(CAD),但她们面临着更高的心血管死亡率和发病率风险。肺活量衰竭(VE)和抑郁与冠心病患者不良心血管预后有关。我们的目的是评估无阻塞性CAD的有症状女性是否比无症状女性更有生命衰竭。此外,我们还研究了VE和抑郁的结构之间的重叠。方法:对无梗阻性CAD的有症状女性(n=1.266)和无症状女性(n=2.390)进行VE患病率和负担评估。在有症状的女性中,我们还评估了胸痛特征和医院焦虑抑郁问卷的症状。结果:有症状和无症状女性的中位(IQR) VE评分分别为4(1-9)和2(0-5)(年龄调整后)。结论:与无症状女性相比,胸痛且无阻塞性CAD的女性更有生命衰竭。PCCA显示VE不同于有症状女性的抑郁。临床意义:在以精神和身体疲惫为症状的胸痛女性中,关注抑郁症状的心理健康筛查可能会忽略这些患者的VE。
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引用次数: 3
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Evidence Based Mental Health
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