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Cariprazine-Induced Extrapyramidal Symptoms and a Rare Downward Eye Deviation in Oculogyric Crisis: A Case Series 卡里普嗪诱发的锥体外系症状和眼球危机中罕见的眼球向下偏斜:病例系列
IF 2.8 Q2 Psychology Pub Date : 2024-05-27 DOI: 10.1177/02537176241252710
Devendra Singh Basera, Roshan F. Sutar, Gurveen Kaur, Tamonud Modak
Cariprazine is one of the newer generation antipsychotics with dopamine receptor partial agonist activity which has been approved for management of schizophrenia and bipolar affective disorder. It is known to have lesser propensity to cause extrapyramidal adverse effects due to D2 and D3 partial agonism. We intend to disseminate our newly acquired experience regarding tolerability and the adverse effect profile of cariprazine. In this case series, we describe three cases with different symptom profiles who had experienced significant adverse drug reaction with cariprazine. We also describe a unique presentation of oculogyric crisis in the form of downward fixation of eyes as well the use of amantadine as an alternative option for the management of extrapyramidal adverse effects.
卡哌嗪是新一代抗精神病药物之一,具有多巴胺受体部分激动活性,已被批准用于治疗精神分裂症和双相情感障碍。众所周知,由于 D2 和 D3 部分激动作用,该药较少引起锥体外系不良反应。我们打算将新近获得的有关卡培拉嗪耐受性和不良反应特征的经验进行推广。在本病例系列中,我们描述了三个症状各异的病例,他们在使用卡哌嗪后出现了明显的药物不良反应。我们还描述了一种独特的眼球下视危象,以及使用金刚烷胺作为治疗锥体外系不良反应的替代方案。
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引用次数: 0
Complex Trauma and Mentalizing Ability in College Students With or Without Borderline Personality Disorder: A Mixed Method Approach 有或没有边缘型人格障碍的大学生的复杂心理创伤和心理化能力:混合方法
IF 2.8 Q2 Psychology Pub Date : 2024-05-27 DOI: 10.1177/02537176241246078
Ishita Lamba, Shweta Rai, Samir Kumar Praharaj, Sumita Rege
Background:Exposure to complex trauma in early childhood can undermine the development of mentalization capacity. Complex trauma has also been causally linked to borderline personality disorder (BPD). The inclusion of complex post-traumatic stress disorder in ICD-11 has made it imperative to have an in-depth understanding of complex trauma.Methods:This study used an explanatory sequential mixed method approach to assess the complex trauma and mentalizing ability in college students with BPD ( N = 62) in comparison to non-BPD students ( N = 60) and to explore the subjective experiences of complex trauma in students with BPD ( n = 10). Participants in both groups were assessed on the Childhood Experience of Care and Abuse Questionnaire and the Reading the Mind in the Eyes Test to assess complex trauma and mentalizing ability, respectively. Qualitative data were collected through focused interviews using a phenomenological approach.Results:Those with BPD had significantly higher rates of six types of complex trauma as compared to those without BPD; additionally, participants who had experienced sexual abuse performed better on mentalizing tasks than those who had not. The focused interviews revealed several themes, including “perpetrator,” “impact,” “symptoms,” and “strengths,” which indicated intergenerational trauma and hope for post-traumatic growth.Conclusion:Although participants with BPD experienced higher complex trauma, they also had better mentalizing capacities.
背景:幼年时期遭受的复杂创伤可能会损害心智能力的发展。复杂创伤与边缘型人格障碍(BPD)也有因果关系。方法:本研究采用解释性顺序混合方法,评估患有边缘型人格障碍的大学生(62人)与非边缘型人格障碍大学生(60人)的复杂创伤和心智化能力,并探讨患有边缘型人格障碍的大学生(10人)对复杂创伤的主观体验。两组参与者均接受了童年关爱与虐待经历问卷和读心测试的评估,以分别评估复杂创伤和心智化能力。采用现象学方法,通过集中访谈收集定性数据。结果:与无 BPD 的人相比,有 BPD 的人在六种类型的复杂创伤中的比例明显更高;此外,经历过性虐待的参与者在心智化任务中的表现要好于没有经历过性虐待的人。集中访谈揭示了几个主题,包括 "施暴者"、"影响"、"症状 "和 "优势",这表明了代际创伤和创伤后成长的希望。
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引用次数: 0
Insulin Resistance: Understanding the Cognitive Implications 胰岛素抵抗:了解认知影响
IF 2.8 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1177/02537176241253678
Anjana J. Menon, Monisha Selva, Thomas Gregor Issac
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引用次数: 0
Development of a Ramayana-based Counseling Module for Persons with Common Mental Health Disorders 为常见精神疾病患者开发基于罗摩衍那的咨询模块
IF 2.8 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1177/02537176241245073
C. Kurhade, A. Jagannathan, S. Varambally, Sushrutha Shivana, Paulomi M. Sudhir, B. Gangadhar
Common mental health disorders (CMDs) affect nearly 10% of the population, with the majority (80%) remaining untreated. Culturally relevant counseling approaches can be a means to reach many untreated persons. We describe the development and validation of a socioculturally relevant counseling module based on the Ramayana for persons with CMDs. The study employed an exploratory research framework to design the counseling module. The module underwent a comprehensive review of the Valmiki Ramayana to ensure its cultural relevance. Content validation was performed by mental health professionals from the field of Indian psychology. Concurrently, a panel of 15 experts from diverse backgrounds in Indian psychology validated the counseling module based on the Ramayana. Based on the results of expert interviews ( n = 15), the counseling techniques, encompassing concepts, anecdotes, and narratives, were finalized. These interviews also contributed to the refinement of the counseling module. The primary objective of the content validation process was to systematically assess the appropriateness, accuracy, and practicality of the various components within the module. The content validation demonstrated that all items contained within the module exceeded the established threshold of p = .59. The developed counseling module based on the Ramayana is feasible to be implemented as a sociocultural intervention for persons with CMDs. By assisting persons to enhance coping abilities and improve overall well-being, this module offers a valuable resource for mental health intervention in the Indian sociocultural context. It fosters a culturally sensitive and practical approach to address the diverse mental health needs of the population.
常见的精神障碍(CMDs)影响着近 10%的人口,其中大多数(80%)仍未得到治疗。与文化相关的咨询方法可以帮助许多未接受治疗的人。我们介绍了基于《罗摩衍那》的社会文化相关咨询模块的开发和验证情况,该模块适用于 CMD 患者。该研究采用探索性研究框架来设计咨询模块。该模块对《瓦尔米基罗摩衍那》进行了全面审查,以确保其文化相关性。印度心理学领域的心理健康专业人士对内容进行了验证。同时,由 15 位来自不同背景的印度心理学专家组成的专家小组对基于《罗摩衍那》的咨询模块进行了验证。根据专家访谈的结果(n = 15),最终确定了包括概念、轶事和叙事在内的咨询技术。这些访谈也有助于完善咨询模块。内容验证过程的主要目的是系统地评估模块中各个组成部分的适当性、准确性和实用性。内容验证结果表明,模块中包含的所有项目都超过了 p = .59 的既定临界值。以《罗摩衍那》为基础开发的咨询模块是可行的,可作为对患有慢性阻塞性肺病者的社会文化干预措施。通过帮助患者提高应对能力和改善整体福祉,该模块为印度社会文化背景下的心理健康干预提供了宝贵的资源。它促进了一种具有文化敏感性和实用性的方法,以满足人们多样化的心理健康需求。
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引用次数: 0
Exploring the Use of the Therapist’s Self in Therapy: A Systematic Review 探索治疗师自我在治疗中的应用:系统回顾
IF 2.8 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1177/02537176241252363
Meera H. Alva, Sherin P. Antony, Kanak Kataria
This systematic qualitative review explored how psychotherapists use their self in therapy within the psychotherapy literature. It sought to examine the key documented ways through which the therapist’s self is intentionally used in therapy and the process of using the therapist’s self. Following PRISMA guidelines, databases including PubMed, ProQuest, APA PsycArticles, and APA PsycINFO were searched. The review question “How do therapists use their self in therapy?” guided the search using derivative keywords. Of the 149 screened articles, 20 underwent full-text review, and only four studies met inclusion criteria. All studies that met the inclusion criteria were from the West. Therapeutic self-disclosure (TSD) emerged as the primary way through which therapists used their self in therapy—notably, the only way documented in the studies reviewed. Studies discussed the nature, rationale, influencing factors, and effectiveness of TSD. This article elaborates upon the themes from the reviewed studies. It critically examines existing literature, lists avenues for future research, and discusses implications for psychotherapy practice. The review underscores a significant gap in empirical qualitative research regarding therapists’ use of their self beyond TSD in therapy. There is an urgent need for further exploration in this domain.
本系统性定性综述探讨了心理治疗师如何在心理治疗文献中使用自我进行治疗。它试图研究治疗师在治疗中有意使用自我的主要文献方式,以及治疗师使用自我的过程。按照 PRISMA 准则,我们检索了包括 PubMed、ProQuest、APA PsycArticles 和 APA PsycINFO 在内的数据库。以 "治疗师如何在治疗中使用自我?"这一综述问题为导向,使用衍生关键词进行检索。在筛选出的 149 篇文章中,有 20 篇进行了全文审阅,只有 4 项研究符合纳入标准。所有符合纳入标准的研究均来自西方。治疗性自我披露(TSD)是治疗师在治疗中使用自我的主要方式--值得注意的是,这也是所审查的研究中唯一记录在案的方式。研究讨论了 TSD 的性质、原理、影响因素和有效性。本文阐述了综述研究的主题。它批判性地审视了现有文献,列出了未来研究的途径,并讨论了对心理治疗实践的影响。本综述强调了实证定性研究在治疗师在治疗中使用 TSD 以外的自我方面存在的巨大差距。在这一领域急需进一步探索。
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引用次数: 0
Rare Presentation of Schizophrenia in a Patient with Congenital Right Lung Agenesis: A Case Report 先天性右肺发育不全患者罕见的精神分裂症表现:病例报告
IF 2.8 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1177/02537176241245794
M. Spoorthy, S. Tikka, B. Malathesh, Syed Ahmed Zaki
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引用次数: 0
Gambling Risk Potential of Fantasy Sports: Observations from an Exploratory Study Among Treatment-seeking Patients with Substance Use Disorders with Engagement in Gambling 梦幻体育的赌博风险潜力:对参与赌博的药物使用障碍求治患者的探索性研究观察
IF 2.8 Q2 Psychology Pub Date : 2024-05-21 DOI: 10.1177/02537176241252362
Y. Balhara, Sarthak Kukreja, Akanksha Jayant Rajguru
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引用次数: 0
DOLPHIN: A Mixed-Methods Study of a Parenting App to Nurture the First Two Years of Life in the Indian Context DOLPHIN:在印度背景下对育儿应用程序进行混合方法研究,以培养生命最初两年的儿童
IF 2.8 Q2 Psychology Pub Date : 2024-05-19 DOI: 10.1177/02537176241253346
L. Sravanti, Nandini Mundkur
The first two years of life are critical for brain development. Experiences and exposures during this period can have long-term effects on an individual’s health. Therefore, we aim to develop a program for new parents in the Indian context to help them understand their developing infant’s needs and provide the best possible care grounded in traditional practices to ensure healthy developmental outcomes. The program was developed using the exploratory–confirmatory framework grounded in qualitative methods—(a) collection of empiric evidence base by conducting a thorough literature review, (b) tacit experience, and (c) focus group discussions with relevant stakeholders. Picture-based content (one picture per day for two years) was created, and the program was expert-validated. A web-based application was developed to make it available to parents, and the program was translated into three regional languages to improve its reach. A telephonic user feedback survey was carried out, and descriptive statistics were used to present the findings from the survey. DOLPHIN stands for “Developing Opportunities of Learning for Parents to Help Infant Nurture.” Over 600 parents accessed the program. Feedback is positive in the domains of parental satisfaction and user-friendliness. The program primarily focuses on ensuring appropriate sensorimotor stimulation and meeting the socioemotional needs of the growing infant through the first two years, emphasizing healthy nutrition and hygiene to ensure holistic development. Therefore, its approach is health-promotive and disease-preventive. It incorporates traditional child-rearing practices of India rich in stimulation, promoting secure attachment, and incidental learning: “readiness.” The DOLPHIN program demonstrates a promising approach to supporting new parents in nurturing their infants during the critical first two years of life. With positive feedback and a focus on traditional practices and evidence-based content, it holds potential as a health-promotive and preventive intervention for holistic child development in the Indian context.
生命的头两年对大脑发育至关重要。这一时期的经历和接触会对个人健康产生长期影响。因此,我们旨在为印度的新手父母制定一项计划,帮助他们了解婴儿发育的需求,并根据传统习俗提供尽可能好的护理,以确保婴儿健康成长。该计划的开发采用了以定性方法为基础的探索-确认框架--(a)通过全面的文献回顾收集经验证据基础,(b)隐性经验,以及(c)与相关利益方进行焦点小组讨论。创建了以图片为基础的内容(两年内每天一张图片),该计划得到了专家的认可。开发了一个网络应用程序,供家长使用,并将该程序翻译成三种地区语言,以扩大其覆盖范围。此外,还开展了电话用户反馈调查,并使用描述性统计来呈现调查结果。DOLPHIN 是 "Developing Opportunities of Learning for Parents to Help Infant Nurture" 的缩写。有 600 多名家长使用了该计划。在家长满意度和用户友好性方面,反馈都是积极的。该计划的主要重点是确保对婴儿进行适当的感官运动刺激,满足婴儿在头两年成长过程中的社会情感需求,强调健康营养和卫生,以确保婴儿的全面发展。因此,其方法是促进健康和预防疾病。它融合了印度传统的育儿方法,富于刺激,促进安全依恋和偶然学习:"准备"。DOLPHIN 计划展示了一种很有前景的方法,可帮助新手父母在婴儿出生后关键的头两年对其进行养育。该计划反馈积极,注重传统做法和以证据为基础的内容,有望成为印度儿童全面发展的健康促进和预防干预措施。
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引用次数: 0
Psychosis Precipitated by Mephentermine Use in An Adult Male 一名成年男性因使用美芬特明而诱发精神病
IF 2.8 Q2 Psychology Pub Date : 2024-05-19 DOI: 10.1177/02537176241249541
PN Suresh Kumar, Rohith Suresh, V. Menon
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引用次数: 0
Development and Validation of an Android-based Trail Making Test Application (TMT App) for Cognitive Evaluation in Healthy and Depressed Individuals 开发并验证基于安卓系统的寻路测试应用程序(TMT 应用程序),用于对健康人和抑郁症患者进行认知评估
IF 2.8 Q2 Psychology Pub Date : 2024-05-11 DOI: 10.1177/02537176241247789
Rohit Verma, Ishita Dhyani
Background:The Trail Making Test (TMT) is a famous neuropsychological test that is frequently used. The structure of a paper-and-pencil-based TMT is highly likely to be adapted to a mobile app.Objective:The current study aimed to develop and validate an Android-based tablet version of TMT.Methods:The application (TMT App) was developed using an Android-based platform. Healthy and depressed individuals ( n = 133) were assessed on both the TMT versions (paper-based version and app-based version) in a random cross-over design. The device’s usability was ascertained using the system usability scale (SUS) in a subset of individuals ( n = 65).Results:There was a significant positive correlation between the individual processing times for the paper-based TMT-A and the app-based TMT-A in both healthy and depression groups [r(63) = 0.55, p < .001; and r(66) = 0.77, p < .001, respectively]. The individual processing times of the paper-based TMT-B and the app-based TMT-B also showed a significant positive correlation in both healthy control and depression groups [r(63) = 0.67, p < .001; and r(66) = 0.89, p < .001, respectively]. There was a positive correlation of age with TMT-A and TMT-B for either version. Both groups had similar positive responses to the usability of the TMT App.Conclusion:The preliminary validation results for the TMT App suggest that it is significantly correlated with existing paper-and-pencil methods, and that it is user friendly.
背景:TMT(Trail Making Test)是一种著名的神经心理测验,经常被使用。本研究旨在开发并验证基于安卓系统的平板电脑版TMT。在随机交叉设计中,健康和抑郁个体(n = 133)均接受了两种 TMT 版本(纸质版和应用程序版)的评估。结果:在健康组和抑郁组中,纸质版TMT-A和应用程序版TMT-A的个体处理时间之间存在显著的正相关[r(63) = 0.55, p < .001;r(66) = 0.77, p < .001]。在健康对照组和抑郁组中,纸质 TMT-B 和应用程序 TMT-B 的个体处理时间也显示出显著的正相关性[r(63) = 0.67,p <.001;r(66) = 0.89,p <.001]。无论哪个版本,年龄都与 TMT-A 和 TMT-B 呈正相关。结论:TMT 应用程序的初步验证结果表明,它与现有的纸笔方法有显著的相关性,而且用户界面友好。
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引用次数: 0
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Indian Journal of Psychological Medicine
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