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Classification of recovery states in U15, U17, and U19 sub-elite football players: a machine learning approach. U15、U17 和 U19 亚精英足球运动员恢复状态的分类:一种机器学习方法。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1447968
José E Teixeira, Samuel Encarnação, Luís Branquinho, Ricardo Ferraz, Daniel L Portella, Diogo Monteiro, Ryland Morgans, Tiago M Barbosa, António M Monteiro, Pedro Forte

Introduction: A promising approach to optimizing recovery in youth football has been the use of machine learning (ML) models to predict recovery states and prevent mental fatigue. This research investigates the application of ML models in classifying male young football players aged under (U)15, U17, and U19 according to their recovery state. Weekly training load data were systematically monitored across three age groups throughout the initial month of the 2019-2020 competitive season, covering 18 training sessions and 120 observation instances. Outfield players were tracked using portable 18-Hz global positioning system (GPS) devices, while heart rate (HR) was measured using 1 Hz telemetry HR bands. The rating of perceived exertion (RPE 6-20) and total quality recovery (TQR 6-20) scores were employed to evaluate perceived exertion, internal training load, and recovery state, respectively. Data preprocessing involved handling missing values, normalization, and feature selection using correlation coefficients and a random forest (RF) classifier. Five ML algorithms [K-nearest neighbors (KNN), extreme gradient boosting (XGBoost), support vector machine (SVM), RF, and decision tree (DT)] were assessed for classification performance. The K-fold method was employed to cross-validate the ML outputs.

Results: A high accuracy for this ML classification model (73-100%) was verified. The feature selection highlighted critical variables, and we implemented the ML algorithms considering a panel of 9 variables (U15, U19, body mass, accelerations, decelerations, training weeks, sprint distance, and RPE). These features were included according to their percentage of importance (3-18%). The results were cross-validated with good accuracy across 5-fold (79%).

Conclusion: The five ML models, in combination with weekly data, demonstrated the efficacy of wearable device-collected features as an efficient combination in predicting football players' recovery states.

导言:在青少年足球运动中,使用机器学习(ML)模型预测恢复状态和防止精神疲劳是一种很有前景的优化恢复方法。本研究调查了机器学习模型在根据恢复状态对 15 岁以下、17 岁以下和 19 岁以下男性青少年足球运动员进行分类时的应用情况。在 2019-2020 赛季的最初一个月,对三个年龄组的每周训练负荷数据进行了系统监测,涵盖 18 节训练课和 120 个观察实例。外场球员使用便携式 18 赫兹全球定位系统(GPS)设备进行跟踪,心率(HR)则使用 1 赫兹遥测心率带进行测量。感知消耗量评分(RPE 6-20)和总体恢复质量评分(TQR 6-20)分别用于评估感知消耗量、内部训练负荷和恢复状态。数据预处理包括处理缺失值、归一化以及使用相关系数和随机森林(RF)分类器进行特征选择。对五种 ML 算法(K-近邻(KNN)、极梯度提升(XGBoost)、支持向量机(SVM)、RF 和决策树(DT))的分类性能进行了评估。采用 K-fold 方法对 ML 输出进行交叉验证:结果:验证了这一 ML 分类模型的高准确率(73%-100%)。特征选择突出了关键变量,我们考虑了 9 个变量(U15、U19、体重、加速度、减速度、训练周数、短跑距离和 RPE),实施了 ML 算法。这些特征是根据其重要性百分比(3%-18%)纳入的。结果经过交叉验证,5 倍精度(79%)良好:五个 ML 模型与每周数据相结合,证明了可穿戴设备收集的特征作为预测足球运动员恢复状态的有效组合的功效。
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引用次数: 0
Chinese heritage language motivation: a study of motivation development in a multicultural context. 汉语遗产语言动机:多元文化背景下的动机发展研究。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1452547
Xiaohong Wen

This study investigated motivation of Chinese heritage language (CHL) learners with diverse Chinese language backgrounds at an American university. Using a mixed-methods design, it examined the factors that motivated CHL learners to enroll in Chinese courses and continue their studies. The Study explored interactions that enhanced the learning experience and self identity development. A survey was conducted, followed by individual interviews. The results identified five motivation factors significantly correlated to the ideal L2 self, which functions as an anchor. The ideal L2 self was the strongest predictor of intended effort via positive attitude. The classroom-related experience was another significant predictor of intended effort. Interview data highlighted the dynamic interplay between sociocultural contexts and learner-environment interactions which provokes motivation development and strengthens identity reconstruction and future self-guides. In the process, the learner continuously constructs and consolidates the identity as "Chinese" relating to family and culture. Lastly, the anti-ought-to L2 self, characterized by reactions to "others," emerged in dynamic interactions between learners and contexts. This motive inspired the learner to continuously develop the possible self and gain positive learning experiences.

本研究调查了美国一所大学中具有不同汉语背景的中国传统语言(CHL)学习者的学习动机。本研究采用混合方法设计,考察了促使中国传统语言学习者选修中文课程并继续学习的因素。该研究探讨了能增强学习体验和自我认同发展的互动。研究先进行了一项调查,然后进行了个别访谈。结果发现,有五个动机因素与作为锚的理想的第二语言自我有显著相关。通过积极的态度,理想的 L2 自我是预期努力的最强预测因素。与课堂相关的经历是另一个重要的预期努力预测因素。访谈数据强调了社会文化背景与学习者-环境互动之间的动态相互作用,这种相互作用激发了学习动机的发展,并加强了身份重建和未来的自我指导。在此过程中,学习者不断建构和巩固与家庭和文化相关的 "中国人 "身份。最后,在学习者与语境的动态互动中,出现了以对 "他人 "的反应为特征的 "反求诸己 "的 L2 自我。这种动机激励学习者不断发展可能的自我,获得积极的学习体验。
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引用次数: 0
Axial rotation affects the cognitive characteristics of spatial ability. 轴向旋转影响空间能力的认知特征。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1396441
Tian Feng, Fuchun Zhang, Jinzhao Liu, Manqi Liang, Yawei Li

Purpose: To test spatial ability in athletes with different axial rotation experience and analyze their behavioral data to explain the cognitive mechanisms of spatial ability in athletes.

Methods: Experiment 1: A total of 147 athletes were selected for the paper-and-pencil mental rotation test (MRT). The athletes were separated according to three sport types: open high-spatial (OH) sport, closed high-spatial (CH) sport, closed low-spatial (CL) sport. Spatial ability testing with a two-factor mixed experimental design of 3 (sport type) × 2 (stimulus type). Experiment 2: In this study, 47 players were selected for computerized mental rotation test, with a three-factor mixed experimental design of 3 (sport type) × 2 (angle: 45°, 90°) × 3 (rotational axis: left-right axis, up-down axis, and front-back axis). Repeated-measures ANOVA was performed to evaluate the data.

Results: (1) The CH group and OH group outperformed the CL group in the non-embodied task (all ps < 0.003) and the CH group was better than the other groups in the embodied and tasks (all ps < 0.008). (2) Under 45° rotational conditions, the reaction time (RT) for the left-right (LR) and up-down (UD) axes were shorter than that for the front-back (FB) axis (all ps < 0.026). However, under 90° conditions, the RT for FB < LR < UD, with superior accuracy and rotational speed for the FB axis than for the LR and UD axes (all ps < 0.034). (3) Male players from the CH and CL groups had shorter RTs than did those from the OH group at both angles (all ps < 0.047). For female players, the CH group presented a shorter RT than the OH and CL groups did at 90° (all ps < 0.006). (4) No sex difference was found for paper and pencil MRTs, but a male advantage existed only in the CL group for computerized MRTs (p = 0.005).

Conclusion: The motor skills associated with axial rotation could promote mental rotation performance and compensate for sex differences in mental rotation ability.

目的:测试不同轴向旋转经验的运动员的空间能力,并分析其行为数据,以解释运动员空间能力的认知机制:实验 1:选取 147 名运动员进行纸笔心理旋转测试(MRT)。运动员被分为三种运动类型:开放式高空间运动(OH)、封闭式高空间运动(CH)和封闭式低空间运动(CL)。空间能力测试采用 3(运动类型)×2(刺激类型)的双因素混合实验设计。实验 2:本研究选取了 47 名运动员进行计算机心理旋转测试,采用 3(运动类型)×2(角度:45°、90°)×3(旋转轴:左右轴、上下轴和前后轴)的三因素混合实验设计。结果:(1)CH 组和 OH 组在非嵌入式任务中的表现优于 CL 组(所有 ps ps ps ps ps ps ps = 0.005):结论:与轴向旋转相关的运动技能可促进心智旋转表现,并弥补心智旋转能力的性别差异。
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引用次数: 0
Did internet usage reduce the impact of COVID-19 on the mental health of middle-aged and older adults? A difference-in-differences study based on CFPS data. 互联网的使用是否减少了 COVID-19 对中老年人心理健康的影响?基于 CFPS 数据的差异研究。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1462398
Bo Yang, Xiaofeng Wang, Yuan Zhao

Introduction: Mental health is the cornerstone of public health, especially where middle-aged and older adults during the COVID-19 pandemic were concerned. The impact of Internet usage on mental health in the time of the crisis still presents a mixed picture.

Methods: This study employs the PSM-DID method according to longitudinal data (CFPS) to explore whether Internet usage reduced the impact of COVID-19 on the mental health of middle-aged and older adults.

Results: The results reveal that Internet use improves the mental health of middle-aged and older adults during the pandemic in China, but that the impact varies between urban and rural residents. Furthermore, the moderator effects model shows that people's perceptions of the Internet have an impact upon the length of time spent online and its consequent effect on mental health.

Discussion: These findings suggested that Internet use had a significant effect on alleviating the levels of depression in middle-aged and older adults. Greater marginal gains may be realized by enhancing the digital capacity of and narrowing the digital divide that exists among rural residents. The enhancement of digital capacity and proper guidance in digital education should be taken into consideration where the mental health of middle-aged and older adults is at issue.

导言:心理健康是公共卫生的基石,尤其是在 COVID-19 大流行期间的中老年人。在危机时期,互联网的使用对心理健康的影响仍然是喜忧参半:本研究根据纵向数据(CFPS)采用 PSM-DID 方法,探讨互联网的使用是否减少了 COVID-19 对中老年人心理健康的影响:结果:研究结果表明,在中国大流行期间,互联网的使用改善了中老年人的心理健康,但这种影响在城市居民和农村居民之间存在差异。此外,调节效应模型显示,人们对互联网的认知会影响上网时间的长短,进而影响心理健康:讨论:这些研究结果表明,互联网的使用对缓解中老年人的抑郁程度有显著作用。通过提高农村居民的数字能力和缩小他们之间存在的数字鸿沟,可以实现更大的边际收益。在涉及中老年人心理健康问题时,应考虑提高数字能力和正确引导数字教育。
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引用次数: 0
Enhancing nurse faculty resilience through self-leadership: guidelines for resource mobilization in dynamic academic environments. 通过自我领导增强护士教员的应变能力:动态学术环境中的资源调动指南。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1280561
Vhothusa Edward Matahela, Gisela Hildegard van Rensburg

The purpose of the study was to develop guidelines for the facilitation of self-leadership in nurse faculty. Of the 12 guidelines developed, this paper discusses the two related to resilience through self-leadership practices, namely: encouraging reliance on internal sources for self-preservation; and strengthening the positive self-image of nurse faculty through management and peer support. An exploratory, sequential mixed-methods design was used to guide the development of guidelines. Enhancing nurse faculty resilience can be achieved by promoting engagement in self-leadership activities. These activities contribute to faculty members' profound satisfaction, confidence in their knowledge, and overall competence. Resilience is enriched through practicing self-leadership in a supportive work environment and plays a crucial role in adapting to significant changes in the work environment. It has been identified as a key factor that facilitates the ability to persist against struggles and challenges in the workplace. The implementation of higher education reforms in South Africa has brought about increased workload, stress, and uncertainties to an already overwhelmed nurse faculty workforce, consisting of mainly female faculty. It is prudent that a supportive environment that empowers nurse faculty well-being and resilience be facilitated to ensure adaptation to a dynamic and competitive nursing education environment.

这项研究的目的是制定促进护理教师自我领导的指导方针。在所制定的 12 项指导方针中,本文讨论了与通过自我领导实践提高复原力有关的两项,即:鼓励依靠内部资源进行自我保护;以及通过管理和同伴支持加强护理教师的积极自我形象。我们采用了探索性、顺序性混合方法设计来指导指导方针的制定。通过促进参与自我领导活动,可以增强护理专业教师的应变能力。这些活动有助于提高教师的深度满意度、对自身知识的信心以及整体能力。在支持性的工作环境中实践自我领导,可以增强应变能力,并在适应工作环境的重大变化方面发挥关键作用。它已被确定为一个关键因素,有助于提高在工作场所坚持抗争和应对挑战的能力。南非高等教育改革的实施给已经不堪重负的以女教师为主的护士队伍带来了更大的工作量、压力和不确定性。为确保适应充满活力和竞争的护理教育环境,必须营造一个支持性环境,增强护理教师的幸福感和复原力。
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引用次数: 0
Does ChatGPT have a typical or atypical theory of mind? ChatGPT 的思维理论是典型的还是非典型的?
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1488172
Margherita Attanasio, Monica Mazza, Ilenia Le Donne, Francesco Masedu, Maria Paola Greco, Marco Valenti

In recent years, the capabilities of Large Language Models (LLMs), such as ChatGPT, to imitate human behavioral patterns have been attracting growing interest from experimental psychology. Although ChatGPT can successfully generate accurate theoretical and inferential information in several fields, its ability to exhibit a Theory of Mind (ToM) is a topic of debate and interest in literature. Impairments in ToM are considered responsible for social difficulties in many clinical conditions, such as Autism Spectrum Disorder (ASD). Some studies showed that ChatGPT can successfully pass classical ToM tasks, however, the response style used by LLMs to solve advanced ToM tasks, comparing their abilities with those of typical development (TD) individuals and clinical populations, has not been explored. In this preliminary study, we administered the Advanced ToM Test and the Emotion Attribution Task to ChatGPT 3.5 and ChatGPT-4 and compared their responses with those of an ASD and TD group. Our results showed that the two LLMs had higher accuracy in understanding mental states, although ChatGPT-3.5 failed with more complex mental states. In understanding emotional states, ChatGPT-3.5 performed significantly worse than TDs but did not differ from ASDs, showing difficulty with negative emotions. ChatGPT-4 achieved higher accuracy, but difficulties with recognizing sadness and anger persisted. The style adopted by both LLMs appeared verbose, and repetitive, tending to violate Grice's maxims. This conversational style seems similar to that adopted by high-functioning ASDs. Clinical implications and potential applications are discussed.

近年来,大型语言模型(LLM)(如 ChatGPT)模仿人类行为模式的能力越来越受到实验心理学的关注。虽然 ChatGPT 能在多个领域成功生成准确的理论和推理信息,但它是否能表现出心智理论(ToM)却是文献中争论和关注的话题。心智理论(ToM)的缺陷被认为是自闭症(ASD)等许多临床疾病造成社交障碍的原因。一些研究表明,ChatGPT 可以成功地通过经典 ToM 任务,然而,LLMs 在解决高级 ToM 任务时所使用的反应方式,以及将其与典型发育(TD)个体和临床人群的能力进行比较,尚未得到探讨。在这项初步研究中,我们对 ChatGPT 3.5 和 ChatGPT-4 进行了高级 ToM 测试和情感归因任务,并将他们的反应与 ASD 和 TD 组的反应进行了比较。我们的结果表明,虽然 ChatGPT-3.5 在理解更复杂的心理状态时失败了,但这两种 LLM 在理解心理状态方面具有更高的准确性。在理解情绪状态方面,ChatGPT-3.5 的表现明显比 TD 差,但与 ASD 没有区别,在负面情绪方面表现出了困难。ChatGPT-4 的准确率较高,但在识别悲伤和愤怒方面仍然存在困难。这两种 LLM 所采用的风格都显得冗长、重复,有违反格莱斯格言的倾向。这种会话风格似乎与高功能自闭症患者所采用的风格相似。本文讨论了其临床意义和潜在应用。
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引用次数: 0
What is in a look? The accountability of gaze in trajectories to conflict. 一个眼神代表什么?冲突轨迹中凝视的责任。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1436191
Rebecca Clift

This study investigates the role of gaze in initiating episodes of conflict by examining, using multimodal conversation analysis, a set of cases in which a recipient is prompted to speak by another's extended gaze. In these cases, this recipient response may be, e.g., "What," or a more elaborate demand for an account, such as "Why are you looking at me like that for?" Here we investigate the characteristics of the gaze that prompts such responses, and what actions such responses constitute. While "What" compositionally resembles other-initiated repair, its sequential position characterizes it as a so-called "go-ahead" action. In these cases, the sequential positioning of such gazes, constituting it structurally as a so-called "pre," alongside its durational characteristics and facial expression, are examined to identify the normative associations of gaze and subsequent conduct that make such gazes accountable.

本研究采用多模态对话分析法,研究了一组受话者在他人的延伸凝视下开口说话的案例,从而探讨了凝视在引发冲突事件中的作用。在这些案例中,受话者的反应可能是 "什么",也可能是要求对方做出更详细的解释,比如 "你为什么这样看着我?在此,我们将研究引发此类反应的凝视特征,以及此类反应构成了哪些行为。虽然 "什么 "在构成上类似于他人发起的修复,但它的顺序位置使其具有所谓 "先行 "行动的特征。在这些案例中,这种凝视的顺序定位(在结构上构成了所谓的 "预先"),连同其持续时间特征和面部表情,都要加以研究,以确定使这种凝视负责的凝视和随后行为的规范性关联。
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引用次数: 0
Factors associated with the permanence of doctoral students. A scoping review. 与博士生永久居留相关的因素。范围审查。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1390784
Edna Hurtado, Esther Rosado, Martin Aoiz, Soledad Quero, Elkin O Luis

The permanence of students in doctoral programs is a multi-causal phenomenon, which makes it difficult to address and leads to an isolated investigation of its causes, being necessary a joint understanding. The aim is to investigate, through a scoping review of quantitative studies published between 2015 and 2021, the influence of individual, academic, socioeconomic and institutional factors on retention, attrition and dropout. The 32 included studies evidenced a predominance of research focused on individual factors versus few that combined all possibly relevant factors. The present study provides evidence for the emergence of several subfactors: female students, self-efficacy and motivation (individual); the relationship with the supervisor (academic); support for psychological needs (institutional); and migratory status (socioeconomic). This article highlights the need for research that understands this problem with a multifactor approach and an impact on permanence.

博士生的长期就读是一个多因现象,因此很难解决,也导致了对其原因的孤立调查,因此有必要共同理解。本研究旨在通过对 2015 至 2021 年间发表的定量研究进行范围界定,调查个人、学术、社会经济和机构因素对留级、减员和辍学的影响。纳入的 32 项研究表明,侧重于个人因素的研究占多数,而综合所有可能相关因素的研究则很少。本研究为以下几个子因素的出现提供了证据:女生、自我效能感和动机(个人因素);与导师的关系(学术因素);对心理需求的支持(制度因素);以及移民身份(社会经济因素)。这篇文章强调了研究的必要性,即通过多因素方法了解这一问题,并对持久性产生影响。
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引用次数: 0
Exploring the relationship between psychological capital, emotional intelligence, psychological safety, and knowledge sharing among E-commerce practitioners. 探讨电子商务从业人员的心理资本、情绪智力、心理安全和知识共享之间的关系。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1472527
Xuan Zhang, Ziqing Xu

Introduction: This study explores the intricate relationships among psychological capital, emotional intelligence, psychological safety, and knowledge sharing among e-commerce practitioners. Grounded in social exchange theory, the research aims to fill a gap in the literature by focusing on the psychological and emotional factors influencing knowledge sharing in a fast-paced and highly competitive industry.

Methods: This study used snowball and purposive sampling to collect 439 valid online questionnaires from e-commerce professionals in Guangdong, Zhejiang, and Jiangsu, China. The survey, conducted from October to November 2023, explored the relationships between psychological capital, emotional intelligence, psychological safety, and knowledge sharing. Data were analyzed using structural equation modeling (SEM) with AMOS 26.0.

Results: The structural path model revealed significant positive correlations between psychological capital and both emotional intelligence (β = 0.494, p < 0.001) and psychological safety (β = 0.297, p < 0.001). Emotional intelligence was significantly positively related to psychological safety (β = 0.513, p < 0.001) and knowledge sharing (β = 0.452, p < 0.001). Psychological safety was also positively correlated with knowledge sharing (β = 0.311, p < 0.001). Bootstrap analysis indicated that emotional intelligence and psychological safety significantly mediate the relationship between psychological capital and knowledge sharing (standardized indirect effect = 0.394, p < 0.01).

Discussion: Based on the significant findings of this study, a key recommendation is to implement targeted interventions aimed at enhancing psychological capital, emotional intelligence, and psychological safety among e-commerce practitioners. Specifically, developing training programs focused on building resilience, self-efficacy, hope, and optimism can improve employees' psychological capital. Additionally, workshops designed to enhance emotional intelligence and create a culture of psychological safety can encourage open communication and trust, thereby promoting knowledge sharing.

引言本研究探讨了电子商务从业人员的心理资本、情绪智力、心理安全和知识共享之间错综复杂的关系。研究以社会交换理论为基础,旨在通过关注影响快节奏和高度竞争行业中知识共享的心理和情感因素,填补文献空白:本研究采用 "滚雪球 "和目的取样法,从中国广东、浙江和江苏的电子商务从业人员中收集了 439 份有效的在线问卷。调查于 2023 年 10 月至 11 月进行,探讨了心理资本、情绪智力、心理安全和知识共享之间的关系。数据采用 AMOS 26.0 的结构方程模型(SEM)进行分析:结构路径模型显示心理资本与情绪智力之间存在显著正相关(β = 0.494,p β = 0.297,p β = 0.513,p β = 0.452,p β = 0.311,p p 讨论:基于本研究的重要发现,一项重要建议是实施有针对性的干预措施,以增强电子商务从业人员的心理资本、情绪智力和心理安全。具体来说,制定以培养抗压能力、自我效能感、希望和乐观主义为重点的培训计划,可以提高员工的心理资本。此外,旨在提高情商和创建心理安全文化的研讨会可以鼓励开放式交流和信任,从而促进知识共享。
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引用次数: 0
Effectiveness of psychological interventions in endometriosis: a systematic review with meta-analysis. 子宫内膜异位症心理干预的有效性:系统回顾与荟萃分析。
IF 2.6 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyg.2024.1457842
Tasmania Del Pino-Sedeño, María Cabrera-Maroto, Alejandra Abrante-Luis, Yadira González-Hernández, M Caridad Ortíz Herrera

Introduction: Endometriosis is a chronic gynecological disease associated with chronic debilitating pain, poor mental health and quality of life. The objective of this paper is to evaluate the effectiveness of psychological interventions aimed at improving the pain, quality of life and mental health of women with endometriosis.

Methods: A systematic review (SR) of the literature with meta-analysis (MA) was carried out. MEDLINE, Embase, PsycINFO and CENTRAL were searched to locate Randomized Controlled Trials (RCTs). The risk of bias assessment of each study was conducted using the Cochrane Collaboration's RoB 2.0 tool.

Results: Seven RCTs were included (N = 757). The data obtained suggest that psychological interventions reduce dyspareunia [standardized mean difference (SMD): -0.54, 95% CI: -0.86, -0.22] and dyschezia [mean difference (MD): -2.90, 95% CI: -4.55, -1.26] and increase mental health levels (SMD: 0.70, 95% CI: 0. 42, 0.99); they also point to a large reduction in levels of trait anxiety (MD: -6.63, 95% CI: -8.27, -4.99) and depression (MD: -2.49, 95% CI: -3.20, -1.79), and a likely reduction in state anxiety (MD: -9.72, 95% CI: -13.11, -6.33) experienced by women with endometriosis. It was also identified that psychological interventions probably slightly reduce pelvic pain and may increase physical health. However, most of the included studies have a high overall risk of bias or have certain concerns, which limit conclusions about the certainty of the evidence.

Discussion: The available evidence indicates that psychological interventions are effective in improving the pain, quality of life and mental health variables of women with endometriosis.

Systematic review registration: https://www.crd.york.ac.uk/prospero/, CRD42024516100.

简介子宫内膜异位症是一种慢性妇科疾病,与慢性疼痛、心理健康和生活质量低下有关。本文旨在评估旨在改善子宫内膜异位症妇女疼痛、生活质量和心理健康的心理干预措施的有效性:方法:对文献进行了系统回顾(SR)和荟萃分析(MA)。检索了 MEDLINE、Embase、PsycINFO 和 CENTRAL,以查找随机对照试验 (RCT)。使用 Cochrane 协作组织的 RoB 2.0 工具对每项研究进行了偏倚风险评估:结果:共纳入七项随机对照试验(N = 757)。获得的数据表明,心理干预可减少排便困难[标准化平均差(SMD):-0.54,95% CI:-0.86,-0.22]和排便困难[平均差(MD):-2.90,95% CI:-4.55,-1.26],并提高心理健康水平(SMD:0.70,95% CI:0.42,0.99)。99);他们还指出,患有子宫内膜异位症的妇女所经历的特质焦虑(MD:-6.63,95% CI:-8.27,-4.99)和抑郁(MD:-2.49,95% CI:-3.20,-1.79)水平大幅降低,状态焦虑(MD:-9.72,95% CI:-13.11,-6.33)也可能降低。研究还发现,心理干预可能会略微减轻盆腔疼痛,并可能增加身体健康。然而,纳入的大多数研究总体偏倚风险较高,或存在某些问题,从而限制了对证据确定性的结论:现有证据表明,心理干预能有效改善子宫内膜异位症妇女的疼痛、生活质量和心理健康变量。系统综述注册:https://www.crd.york.ac.uk/prospero/,CRD42024516100。
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Frontiers in Psychology
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