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Psychological Interventions for Post-traumatic Stress Disorder as a Primary Diagnosis Among Adolescents: A Meta-analysis 创伤后应激障碍作为青少年原发性诊断的心理干预:元分析
IF 2.8 Q2 Psychology Pub Date : 2024-06-13 DOI: 10.1177/02537176241255643
Silky Arora, Sujata Satapathy
The objective of this study was to do a meta-analysis focusing on the efficacy of psychological intervention for the adolescent population and PTSD as a primary outcome variable. An electronic search was conducted on PubMed, Science Direct, PsycINFO, and Cochrane Library databases from January 1, 1990, to March 31, 2023. Original studies and systematic reviews/meta-analyses were segregated. In the first study, 129 meta-analyses (MAs) were screened and 8 MAs were analyzed. In the second study, six RCTs and five non-RCTs exclusively including adolescents with a primary diagnosis of PTSD were analyzed. The MA revealed the average sample size to be 243.33 (SD = 372.94) with 63.98% female participants in RCTs and 153 (SD = 237.17) with 56.99% female participants in non-RCTs. A total of 13 different interventions were analyzed. Cognitive-behavioral intervention had a large effect size of 1.63 for PTSD. Cochrane’s Q test and I2 index revealed considerable heterogeneity among groups. There was no significant difference between RCTs and non-RCTs in the total number and duration of intervention sessions and the duration of each session. However, the average follow-up time points varied significantly between RCTs and non-RCTs. RCTs followed random sequence generation and, hence, had a low risk of selection bias. Although the CBT framework with a focus on trauma and traumatic emotions was at the core of treatment efficacy, the type of trauma was the key consideration. Further studies of treatment efficacy moderated by specific trauma characteristics are required to advance the knowledge base in the treatment of PTSD in adolescents.
本研究的目的是进行一项荟萃分析,重点研究针对青少年群体的心理干预的有效性,并将创伤后应激障碍作为主要结果变量。研究人员在 PubMed、Science Direct、PsycINFO 和 Cochrane Library 数据库中进行了电子检索,检索时间为 1990 年 1 月 1 日至 2023 年 3 月 31 日。对原始研究和系统综述/荟萃分析进行了分类。在第一项研究中,筛选了 129 项元分析(MA),并对 8 项元分析进行了分析。在第二项研究中,分析了 6 项研究性对照研究和 5 项非研究性对照研究,这些研究专门包括了主要诊断为创伤后应激障碍的青少年。MA显示,研究性试验的平均样本量为243.33(标准差=372.94),其中女性参与者占63.98%;非研究性试验的平均样本量为153(标准差=237.17),其中女性参与者占56.99%。共分析了 13 种不同的干预措施。认知行为干预对创伤后应激障碍的影响较大,达到 1.63。Cochrane's Q 检验和 I2 指数显示各组之间存在相当大的异质性。在干预疗程的总数和持续时间以及每个疗程的持续时间方面,研究性治疗方案与非研究性治疗方案之间没有明显差异。然而,RCT 和非 RCT 之间的平均随访时间点差异很大。RCT 遵循随机序列生成,因此选择偏差风险较低。虽然以创伤和创伤情绪为重点的 CBT 框架是疗效的核心,但创伤类型是关键因素。我们需要进一步研究特定创伤特征对治疗效果的调节作用,以促进青少年创伤后应激障碍治疗知识库的发展。
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引用次数: 0
An Integrated Therapeutic Application Using Elements of Cognitive Behavioral Therapy and Mindfulness-based Cognitive Therapy in Treatment of Panic Disorder 运用认知行为疗法和正念认知疗法的综合治疗方法治疗恐慌症
IF 2.8 Q2 Psychology Pub Date : 2024-06-09 DOI: 10.1177/02537176241256304
Noopur Anand Gawankar, Smita Pandey
The commonly used protocol for the treatment of panic disorder has been the application of cognitive behavioral therapy (CBT). With the advent of third-wave psychotherapies such as acceptance and commitment therapy, dialectical behavioral therapy, and mindfulness-based cognitive therapy (MBCT), which focuses on experiential acceptance, there have been variations in the treatment of panic disorder. However, no case report has adopted an integrated treatment protocol using elements of CBT and MBCT. Here, we have presented a practical psychotherapy report of a 31-year-old woman who was treated over 16 sessions using such an integrated treatment protocol based on her personality and clinical profile. During the first phase of treatment, components of CBT were introduced to help her obtain firsthand evidence of her catastrophic misinterpretation of bodily sensations and to change her underlying threat schemas related to physical sensations. Aspects of MBCT were implemented in the intermediate phase to allow awareness and observation of her anxiety sensitivity, discourage immediate reactivity, and reduce overall catastrophizing tendencies. Moreover, MBCT also served to prevent relapse by enriching her overall quality of life by cultivating present-moment awareness through encouraging full engagement in experiences rather than being consumed by future-oriented concerns.
治疗惊恐障碍的常用方法是认知行为疗法(CBT)。随着第三波心理疗法的出现,如接受与承诺疗法、辩证行为疗法和以体验接受为重点的正念认知疗法(MBCT),惊恐障碍的治疗方法也出现了变化。然而,还没有案例报告采用 CBT 和 MBCT 的综合治疗方案。在此,我们提交了一份关于一名 31 岁女性的实际心理治疗报告,根据她的性格和临床特征,我们采用了这种综合治疗方案,对她进行了 16 次治疗。在治疗的第一阶段,我们引入了 CBT 的内容,以帮助她获得对身体感觉灾难性误读的第一手证据,并改变她与身体感觉相关的潜在威胁图式。在中间阶段实施了 MBCT 的某些方面,以允许意识到并观察她的焦虑敏感性,阻止即时反应,并减少整体灾难化倾向。此外,MBCT 还通过鼓励患者全身心地投入到体验中,而不是沉浸于对未来的担忧中,从而培养她的当下意识,丰富她的整体生活质量,从而起到预防复发的作用。
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引用次数: 0
Juvenile-onset Parkinson’s Disease With Psychosis: Diagnostic and Therapeutic Challenges 伴有精神病的青少年帕金森病:诊断和治疗难题
IF 2.8 Q2 Psychology Pub Date : 2024-06-06 DOI: 10.1177/02537176241256310
Bannupriya Selvaraj, Parthasarathy Ramamurthy, Shobana Sundaram, Pradeep Thilakan
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引用次数: 0
Post-COVID Neurocognitive Disorder and Its Relation with Interleukin: A Hospital-based Cross-sectional Study COVID 后神经认知障碍及其与白细胞介素的关系:一项基于医院的横断面研究
IF 2.8 Q2 Psychology Pub Date : 2024-06-05 DOI: 10.1177/02537176241249373
Ajmal Anjum, Arshad Hussain
The aim of this study was to determine the relationship between post-COVID neurocognitive symptoms and interleukin-6 levels. This was a hospital-based cross-sectional study wherein patients complaining of forgetfulness post-infection with coronavirus disease-2019 (COVID-19) were taken up for study ( n = 53) from February 2023 to June 2023. The forgetfulness was characterized using the memory subscale of Postgraduate Institute-Battery of Brain Dysfunction (PGI-BBD). In addition, sociodemographic data were collected from patients. After obtaining written informed consent, 3 mL of peripheral venous blood was collected from patients, and interleukin-6 levels were measured. Other inflammatory markers, like C-reactive protein (CRP), were also measured. The mean age of participants was 46.11 ± 8.58 years. Twenty-nine (54.72%) respondents were female, and 24 (45.28%) were male. Most (62.2%) of the patients in the study suffered from mild-to-moderate severity of COVID-19 infection. Among these patients, 43.3% had impairment in recent memory, 32 patients (60.3%) had impairment in attention and concentration, 54.7% had impairment in delayed recall, and 33.9% had impairment in immediate recall. Impairment in delayed recall was associated with a raised level of interleukin-6 ( P = .0048 [ P < .05]). Patients with impaired recall on PGI-BBD post-infection with COVID-19 have raised levels of interleukin-6, suggesting the role of neuroinflammation in post-COVID neurocognitive symptoms. Interleukin-6 is a marker of neuroinflammation that has been linked to cognitive decline in various studies. It can be used to predict cognitive decline and also aid in diagnosis.
本研究旨在确定COVID后神经认知症状与白细胞介素-6水平之间的关系。这是一项基于医院的横断面研究,从2023年2月至2023年6月,对感染冠状病毒病-2019(COVID-19)后出现健忘症状的患者(n = 53)进行了研究。遗忘的特征采用了研究生院-脑功能障碍电池(PGI-BBD)的记忆分量表。此外,还收集了患者的社会人口学数据。在获得书面知情同意后,采集患者 3 毫升外周静脉血,测量白细胞介素-6 水平。此外,还测量了其他炎症指标,如 C 反应蛋白(CRP)。参与者的平均年龄为(46.11 ± 8.58)岁。29名受访者(54.72%)为女性,24名受访者(45.28%)为男性。大部分患者(62.2%)感染了轻度至中度的 COVID-19。在这些患者中,43.3%有近期记忆障碍,32 名患者(60.3%)有注意力和集中力障碍,54.7%有延迟回忆障碍,33.9%有即时回忆障碍。延迟回忆能力受损与白细胞介素-6水平升高有关(P = .0048 [ P < .05])。感染 COVID-19 后 PGI-BBD 回忆能力受损的患者白细胞介素-6 水平升高,这表明神经炎症在 COVID 后神经认知症状中的作用。白细胞介素-6是神经炎症的标志物,在多项研究中与认知能力下降有关。它可用于预测认知能力下降,也有助于诊断。
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引用次数: 0
Curiosities in a Table: Learning Points for Responsible Clinical Rating 表中的奇闻异事负责任的临床评级学习要点
IF 2.8 Q2 Psychology Pub Date : 2024-06-05 DOI: 10.1177/02537176241256736
Chittaranjan Andrade
This article presents a table containing redacted data from a real study. The table contains three curiosities: statistical significance in the absence of clinical significance, narrow standard deviations, and the absence of a placebo effect. The data in the table had been obtained by an inexperienced rater; how the inexperience compromised the data is explained. Action points for rater experience, rater training, and rating procedures are suggested.
本文介绍了一张表格,其中包含一项真实研究中经过编辑的数据。该表包含三个奇特之处:无临床意义的统计学意义、标准偏差小以及无安慰剂效应。表格中的数据是由一名缺乏经验的评分者获得的;我们将解释缺乏经验是如何影响数据的。对评分者经验、评分者培训和评分程序提出了行动要点。
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引用次数: 0
Social-cognitive Skills Training on Interpersonal Understanding of Social Norms During Adolescence 社会认知技能培训对青春期人际交往中理解社会规范的影响
IF 2.8 Q2 Psychology Pub Date : 2024-06-05 DOI: 10.1177/02537176241255052
Leema Jacob, K. J. Reddy
Social-cognitive skills training (SCST) in a therapeutic setup can result in more positive outcomes when incorporated with psychotherapy, especially among adolescents with minor social-cognitive impairments in their social interactions. It may result in multifarious benefits to mitigate their social-cognitive dysfunction. This study aimed to identify the effects of SCST on interpersonal understanding of social norms in adolescents with low social cognition. In this quasi-experimental research, 80 adolescents (10–19 years) with low social cognition, no previous experience of skills training, and absence of any psychological disorders, especially those that affect their social-cognitive functioning, with assent from the participants and written informed consent from the parents/guardian and a score below 58 on the Need For Social-Cognition Scale, were included. They were randomly allocated into SCST or waitlist control group. SCST consists of 20 sessions with indoor activities, games, and discussions, and it has been arranged for 1 hour per 3 days a week for 3 months. Edinburgh social cognition test (ESCoT) was used to assess the degree of interpersonal understanding of social norms among adolescents as part of pre and posttests. The Wilcoxon Sign Ranked Test showed that the interpersonal understanding of social norms after SCST is significantly higher than the interpersonal understanding of social norms SCST with a large effect size. The mean (standard deviation) scores in the ESCoT test improved significantly ( P < 0 .001) following [ W = 0.001, P < .001, r = –1.000]. SCST effectively improves the interpersonal understanding of social norms, an essential developmental milestone during adolescence. It highlights the importance of focusing on mental health as a developmental asset that can influence social-cognitive development in the future.
在治疗过程中进行社会认知技能训练(SCST),并将其与心理治疗相结合,可以取得更积极的效果,尤其是对在社会交往中存在轻微社会认知障碍的青少年而言。这可能会为缓解他们的社会认知功能障碍带来多方面的益处。本研究旨在确定 SCST 对社会认知能力低的青少年在人际交往中理解社会规范的影响。在这项准实验研究中,80 名青少年(10-19 岁)被纳入其中,他们社会认知能力低下,以前没有技能培训的经验,没有任何心理障碍,尤其是那些影响他们社会认知功能的心理障碍,并且得到了参与者的同意和家长/监护人的书面知情同意,社会认知需要量表得分低于 58 分。他们被随机分配到 SCST 或候补对照组。SCST包括20节室内活动、游戏和讨论课,每周3天,每次1小时,为期3个月。爱丁堡社会认知测试(ESCoT)作为前测和后测的一部分,用于评估青少年对社会规范的人际理解程度。Wilcoxon 符号排序检验表明,SCST 后对社会规范的人际理解程度明显高于 SCST 后对社会规范的人际理解程度,且效应大小较大。经过 SCST 后,ESCoT 测试的平均分(标准差)明显提高(P < 0 .001)[W = 0.001,P < .001,r =-1.000]。SCST 能有效提高人际交往中对社会规范的理解,而这正是青春期的一个重要发展里程碑。它强调了关注心理健康的重要性,因为心理健康是一种能够影响未来社会认知发展的发展资产。
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引用次数: 0
Family Intervention Models for Young Adults with Substance Abuse: A Systematic Review 针对药物滥用青少年的家庭干预模式:系统回顾
IF 2.8 Q2 Psychology Pub Date : 2024-06-05 DOI: 10.1177/02537176241246042
Kodikuthiyel Vijayan Binumon, S. Ezhumalai, Navaneetham Janardhana, Prabhat Kumar Chand
Substance abuse among young adults is a significant public health concern with detrimental consequences for individuals, families, and society. Family interventions have emerged as promising treatment approaches for addressing substance abuse in this population. This systematic review aims to synthesize the existing evidence on the efficacy of family interventions for young adults with substance abuse. A comprehensive search of electronic databases (PubMed, EBSCOhost, and Scopus) was conducted to identify relevant studies published between 2000 and 2023. Studies were included if they met the following criteria: (a) focused on family intervention for young adults (aged 10–25) with substance abuse; (b) employed a randomized controlled trial (RCT) or quasi-experimental design; and (c) reported on substance use outcomes. A total of 41 studies were included in the review. The findings suggest that family interventions are effective in reducing substance use among young adults. Specifically, family interventions were associated with significant reductions in behavioural problems and improvements in family functioning.
青壮年滥用药物是一个重大的公共卫生问题,对个人、家庭和社会都有不利影响。家庭干预已成为解决这一人群药物滥用问题的一种很有前景的治疗方法。本系统性综述旨在综合现有证据,说明家庭干预对药物滥用青壮年的疗效。我们对电子数据库(PubMed、EBSCOhost 和 Scopus)进行了全面检索,以确定 2000 年至 2023 年间发表的相关研究。符合以下标准的研究均被纳入:(a) 侧重于对药物滥用的年轻成人(10-25 岁)进行家庭干预;(b) 采用随机对照试验 (RCT) 或准实验设计;以及 (c) 报告药物使用结果。共有 41 项研究被纳入审查范围。研究结果表明,家庭干预能有效减少年轻成年人的药物使用。具体而言,家庭干预与行为问题的显著减少和家庭功能的改善有关。
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引用次数: 0
Phonological Awareness and Word Decoding Skills in the Early Readers of Kannada 卡纳达语早期读者的语音意识和单词解码技能
IF 2.8 Q2 Psychology Pub Date : 2024-06-05 DOI: 10.1177/02537176241252704
Shwetha Prabhu, Vangmayee Venkatasubban, J. Bhat, Haralakatta Shivananjappa Somashekara
Phonological awareness has been recognized as a significant predictor of word-decoding skills in alphabetical languages. These languages differ in phonology, orthography, and how they are mapped for word decoding. However, the literature has debated its role in orthographically consistent languages. The present research aims to explore phonological awareness and its contribution to word decoding for early readers of Kannada. The study included 50 typically developing Grade I children learning to read Kannada from schools with Kannada as a medium of instruction. Phonological awareness skills were assessed using developmentally appropriate tasks at different linguistic grain sizes and varied linguistic operations. Word-level reading abilities were evaluated using a pseudoword decoding task. The results indicated that the children were sensitive to syllables but not to rhymes and phonemes. A one-way repeated measure of analysis of variance demonstrated a significant main effect of task complexity on the performance across phonological awareness tasks. Pearson’s correlation coefficient revealed a significant positive correlation between the performance on phonological awareness and pseudoword reading. The regression analysis indicated that phonological awareness tasks contributed significantly to word decoding. However, initial and medial syllable stripping evolved as independent and significant contributors to pseudoword decoding in Kannada. The present study concludes that phonological awareness at the syllable level emerges early and significantly contributes to word decoding in early readers of Kannada.
语音意识被认为是字母语言中单词解码能力的重要预测因素。这些语言在语音、正字法以及如何映射进行单词解码方面存在差异。然而,文献对其在正字法一致的语言中的作用却存在争议。本研究旨在探讨语音意识及其对早期卡纳达语读者单词解码的贡献。研究对象包括 50 名以卡纳达语为教学语言的学校中学习阅读卡纳达语的发育典型的一年级儿童。语音意识技能通过不同语言粒度和不同语言操作的适合发展的任务进行评估。单词层面的阅读能力则通过伪单词解码任务进行评估。结果表明,儿童对音节敏感,但对韵母和音素不敏感。单向重复测量方差分析表明,任务复杂程度对语音认知任务的成绩有显著的主效应。皮尔逊相关系数显示,语音意识和假词阅读的成绩之间存在显著的正相关。回归分析表明,语音意识任务对单词解码有很大帮助。然而,在卡纳达语中,首音节和中间音节剥离对假词解码有独立而重要的贡献。本研究的结论是,音节层面的语音意识出现较早,对早期卡纳达语阅读者的单词解码有很大帮助。
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引用次数: 0
Profiling of Graphophonological Semantic Flexibility in Typical Readers: A Cross-sectional Study 典型读者的图形语音语义灵活性剖析:横断面研究
IF 2.8 Q2 Psychology Pub Date : 2024-06-02 DOI: 10.1177/02537176241252411
Sneha Mareen Varghese, Jayashree C. Shanbal
Background:Graphophonological semantic flexibility (GSF) is a reading-specific cognitive flexibility that allows an individual to process a print’s phonological and semantic elements simultaneously. The study aimed to explore the developmental profile of GSF in typical readers.Method:Ninety typically developing children, ages 8 to 11 years, were recruited and divided into three age groups: 8, 9, and 10. They were given a web-based GSF task that required them to arrange 12-word cards in a 2 × 2 matrix according to their initial phoneme and meaning. Several GSF components were computed, such as sorting speed, accuracy, and index. Furthermore, word reading, non-word reading, and passage comprehension were used to assess their reading profile.Results:The Kruskal-Wallis analysis revealed significant differences in sorting accuracy (H (2) = 32.67, p < .001), speed (H (2) = 20.25, p < .001), and index (H (2) = 26.97, p < .001) across all ages. According to Dunn’s post hoc analysis, accuracy improved across all age groups (p < .01) and in the index between 8 and 10 ( p < .001). The Mann–Whitney U test showed gender differences in sorting speed (U = 717, p = .03). Additionally, Spearman’s rank correlation showed a significant positive association between GSF and word reading ( r = 0.47, p < .001) and text comprehension ( r = 0.55, p < .001).Conclusion:The findings demonstrated that GSF components are developmental and do not significantly impact gender other than sorting speed. Furthermore, a relationship between GSF and word reading and passage comprehension emerged.
背景:图形语义灵活性(GSF)是一种阅读特有的认知灵活性,它允许个体同时处理印刷品的语音和语义元素。方法:研究人员招募了 90 名发育正常的 8-11 岁儿童,将他们分为 8、9 和 10 三个年龄组。他们接受了一项基于网络的GSF任务,该任务要求他们将12张单词卡片按照其初始音素和含义排列在一个2 × 2的矩阵中。该任务计算了几项 GSF 要素,如排序速度、准确性和指数。结果:Kruskal-Wallis分析显示,所有年龄组的学生在排序准确性(H (2) = 32.67,p <.001)、速度(H (2) = 20.25,p <.001)和指数(H (2) = 26.97,p <.001)方面都存在显著差异。根据邓恩事后分析,所有年龄组的准确度都有所提高(p <.01),8 至 10 岁年龄组的指数也有所提高(p <.001)。Mann-Whitney U 检验显示了分类速度的性别差异(U = 717,p = .03)。此外,斯皮尔曼等级相关表明,GSF 与单词阅读(r = 0.47,p <.001)和文本理解(r = 0.55,p <.001)之间存在显著的正相关。此外,GSF 与单词阅读和段落理解之间也存在关系。
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引用次数: 0
Oral Microbiome and Treatment Resistance Status in Schizophrenia: A Cross-sectional Study 精神分裂症患者的口腔微生物组和耐药性状况:横断面研究
IF 2.8 Q2 Psychology Pub Date : 2024-06-01 DOI: 10.1177/02537176241255725
Anoop Sankaranarayanan, Preethi Ramanathan, Martha Zakrzewski, Deepali Vasani, Ramanathan Ganapathy, Vlasios Brakoulias, Mark W. Douglas
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引用次数: 0
期刊
Indian Journal of Psychological Medicine
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