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Navigating a world in conflict: The mental health implications of contemporary geopolitical crises 驾驭冲突中的世界:当代地缘政治危机对心理健康的影响
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_46_24
Antonio Ventriglio, F. Ricci, J. Torales, J. Castaldelli-Maia, Abdulbari Bener, Alexander Smith, M. Liebrenz
Throughout history, armed conflicts have profoundly affected individuals and societies, with recent events in Ukraine, the Middle East, and beyond bringing into sharp focus the severe mental health and humanitarian consequences of geopolitical crises. Such situations often result in mass fatalities, destruction, displacement, forced migration, and other critical life events. Amid these scenarios, the adverse outcomes for mental health and well-being in both the short and long term must be emphasized. As a conceivable example of the latter, the proposed concept of intergenerational trauma could have far-reaching implications. In particular, in certain regions, civilians have repeatedly experienced instances of violence and may have continually been exposed to critical life events and traumatic stress. In this context, the consequences of these events for individual well-being and global mental health will likely be registered for years to come. Accordingly, urgent help and actions to address the mental health burdens within contemporary conflicts should be accentuated in humanitarian, political, and diplomatic interventions. Equally, health policies must adopt a long-term approach to support initiatives under the purview of global and public mental health objectives.
纵观历史,武装冲突对个人和社会都产生了深远的影响,最近在乌克兰、中东等地发生的事件使人们更加关注地缘政治危机对心理健康和人道主义造成的严重后果。这种局势往往导致大规模死亡、破坏、流离失所、被迫迁徙以及其他关键的生活事件。在这种情况下,必须强调短期和长期对心理健康和福祉的不利影响。作为后者的一个可以想象的例子,所提出的代际创伤概念可能会产生深远的影响。特别是,在某些地区,平民屡次经历暴力事件,并可能不断遭受重大生活事件和创伤压力。在这种情况下,这些事件对个人福祉和全球心理健康造成的后果很可能在未来数年内都会记录在案。因此,在人道主义、政治和外交干预措施中,应强调紧急帮助和行动,以解决当代冲突中的心理健康负担。同样,卫生政策必须采取长期方法,支持全球和公共心理健康目标范围内的举措。
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引用次数: 0
Social media use and emerging mental health issues 社交媒体的使用和新出现的心理健康问题
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_45_24
Antonio Ventriglio, F. Ricci, J. Torales, J. Castaldelli-Maia, Abdulbari Bener, Alexander Smith, M. Liebrenz
Since its inception, social media has brought about numerous benefits, including higher levels of social connectedness, potential positive interactions, and greater access to information. Nonetheless, the excessive use of social media can lead to negative health outcomes, such as social anxiety, depression, low self-esteem, reduced sleep quality, and higher perceived stress. It has been argued that boredom and loneliness may be mediating factors between social media misuse and negative mental health effects, above all among youth and adolescents. Likewise, exposure to graphic imagery or misinformation on social media may also have deleterious implications for mental health. Taken together, this suggests a need for targeted studies on the relationship between social media and mental health, as well as the development of educational interventions for adolescents to share knowledge about the safe use of such tools. Mental health professionals should be adequately trained in identifying risk factors and treating the negative health outcomes that may result from social media. Specific strategies and guidelines should be adopted by social media companies aligned with international evidence from health agencies and experts in e-mental health.
自诞生以来,社交媒体带来了许多好处,包括更高水平的社会联系、潜在的积极互动和更多的信息获取途径。然而,过度使用社交媒体可能会导致负面的健康后果,如社交焦虑、抑郁、自卑、睡眠质量下降和感知压力增大。有观点认为,无聊和孤独可能是社交媒体滥用与负面心理健康影响之间的中介因素,尤其是对青少年而言。同样,社交媒体上的图片或错误信息也可能对心理健康产生有害影响。综上所述,有必要对社交媒体与心理健康之间的关系进行有针对性的研究,并为青少年制定教育干预措施,分享安全使用此类工具的知识。应充分培训心理健康专业人员,以识别风险因素并治疗社交媒体可能导致的不良健康后果。社交媒体公司应采用与卫生机构和电子心理健康专家提供的国际证据相一致的具体战略和准则。
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引用次数: 0
Factors associated with integration of people recovering from alcohol dependence syndrome with their family: An exploratory study 酒精依赖综合征康复者与家庭融合的相关因素:探索性研究
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_344_23
Anjali Rathee, Yumnam Surbala Devi, Sandhya Gupta, Piyali Mandal
Alcohol is the most commonly consumed psycho-active substance in India. People who use substances and are in recovery often face societal discrimination and rejection, such as difficulty in obtaining employment, poor support for treatment, and inter-personal rejection. To find out the factors affecting the integration of people recovering from alcohol dependence syndrome with their families. A cross-sectional observational study was conducted using a purposive sampling technique among 50 pairs of alcohol-dependent people and their family members. Data were collected using self-administered Family Adaptability and Cohesion Evaluation Scale (FACES IV package), Substance Abuse Self-Stigma Scale, Affiliate Stigma scale, and A Social Support Inventory for Successful Transition. Appropriate statistical tests were used to identify correlations. A negative correlation (r = -0.313, P < 0.05) was found between affiliate stigma and integration, and a positive correlation (P < 0.05) was found between social support and integration. Alcohol-dependent people from Alcoholics Anonymous reported higher levels of perceived social support than those from a tertiary hospital (mean = 47.68 vs. 39.84, P < 0.05). Affiliate stigma negatively impacts people with alcohol dependence and contributes to increased opportunities for interventions to address stigma. Social support has a positive impact on family integration of alcohol-dependent people with Alcoholics Anonymous participants reporting higher levels of social support compared to tertiary hospital participants. Therefore, the findings of this study highlight the need to involve families more intensively to reduce affiliate stigma.
在印度,酒精是最常消费的精神活性物质。使用药物的康复者往往面临社会的歧视和排斥,如就业困难、对治疗的支持不足以及人际排斥。 为了找出影响酒精依赖综合症康复者与其家庭融合的因素。 我们采用目的性抽样技术,对 50 对酒精依赖者及其家庭成员进行了横断面观察研究。研究使用自编的家庭适应性和凝聚力评估量表(FACES IV 套件)、药物滥用自我耻辱量表、附属耻辱量表和成功过渡社会支持量表收集数据。使用适当的统计检验来确定相关性。 结果发现,附属耻辱感与融入之间存在负相关(r = -0.313,P < 0.05),而社会支持与融入之间存在正相关(P < 0.05)。来自匿名戒酒机构的酒精依赖者比来自三甲医院的酒精依赖者感知到的社会支持水平更高(平均值 = 47.68 vs. 39.84,P < 0.05)。 附属成见对酒精依赖者产生了负面影响,有助于增加采取干预措施解决成见问题的机会。社会支持对酒精依赖者的家庭融合有积极影响,匿名戒酒会参与者的社会支持水平高于三级医院参与者。因此,本研究的结果突出表明,有必要让家庭更深入地参与进来,以减少附属机构的污名化。
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引用次数: 0
Nightmare of publishing hard worked research in predatory journal 在掠夺性期刊上发表辛勤研究成果的噩梦
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_351_23
G. G. Maindad, Sudhanshu A. Mahajan, Pravin Baravkar, M. Padwal
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引用次数: 0
A comparative analysis of burden of care and coping styles between wives of monosubstance- and polysubstance-dependent men 单一药物依赖男性和多重药物依赖男性妻子的护理负担和应对方式比较分析
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_350_23
Poornima Khadanga, Gomati Nadadgalli, Gaurav Pawar
Polysubstance dependence has emerged as a clinically distinct entity from monosubstance dependence, yet its impact on patients’ wives is understudied. Wives of substance-dependent men face a tremendous burden in their social lives, leading to faulty coping and burden of care. Comparative studies between monosubstances and polysubstances are lacking. This study compared the burden of care and coping styles between wives of monosubstance- and polysubstance-dependent men. A comparative analysis was performed between wives of 70 monosubstance-dependent and 70 polysubstance-dependent patients. The burden of care was assessed by the Burden Assessment Schedule (BAS), whereas coping styles were assessed using the Brief Coping Orientation to Problems Experienced (Brief COPE) Inventory. Both groups faced a moderate burden of care, which was significantly higher in wives of polysubstance abusers as compared to monosubstance abusers (U = 366.50, P < 0.01). The difference was mainly seen in their impact on well-being and relationships with others. Avoidant coping was significantly higher in wives of polysubstance abusers (U = 341.00, P < 0.01), whereas emotion-focused and problem-solving coping styles were equally represented. Avoidant and problem-solving coping styles positively correlated with the burden of care (P < 0.01). The burden of care and avoidant coping strategies are higher in wives of polysubstance-dependent men. An increased burden of care is associated with increased use of both avoidant coping and problem-solving coping.
多重物质依赖在临床上已与单一物质依赖截然不同,但其对患者妻子的影响却未得到充分研究。药物依赖男性的妻子在社交生活中面临着巨大的负担,从而导致应对失误和护理负担。目前还缺乏对单一物质和多种物质的比较研究。 本研究比较了单一药物依赖男性和多重药物依赖男性妻子的护理负担和应对方式。 对 70 名单一药物依赖患者和 70 名多重药物依赖患者的妻子进行了比较分析。护理负担通过负担评估表(BAS)进行评估,而应对方式则通过简明问题应对取向(简明 COPE)量表进行评估。 两组患者都面临中等程度的护理负担,与单一药物滥用者相比,多重药物滥用者妻子的护理负担明显更高(U = 366.50,P < 0.01)。这种差异主要体现在对幸福感和与他人关系的影响上。在多重药物滥用者的妻子中,回避型应对方式的比例明显较高(U = 341.00,P < 0.01),而情感型应对方式和问题解决型应对方式的比例相当。回避型和问题解决型应对方式与护理负担呈正相关(P < 0.01)。 多重药物依赖男性的妻子护理负担和回避型应对策略较重。护理负担的增加与回避型应对方式和问题解决型应对方式的使用增加有关。
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引用次数: 0
Lessons of COVID-19 pandemic COVID-19 大流行的教训
Pub Date : 2024-05-23 DOI: 10.4103/ipj.ipj_347_23
Harish Gupta
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引用次数: 0
Analysis of the quality information provided by “Dr. YouTube™” on premature ejaculation 对 "YouTube™博士 "提供的早泄优质信息的分析
Pub Date : 2024-03-11 DOI: 10.4103/ipj.ipj_333_23
Swarndeep Singh, Bastabika Neupane, Omkar Dhungel, Pawan Sharma
YouTube™ is an important online resource to access health-related online information by the public worldwide. However, the quality of information available on it has not been adequately characterized. To assess the quality and reliability of information available on the treatment of premature ejaculation (PME) on YouTube™ in the Hindi and English language videos. A total of 151 (Hindi: 109, English: 42) YouTube videos were selected for assessment. The quality was evaluated using structured tools: Patient Education Materials Assessment Tool (PEMAT); and a 5-point modified DISCERN questionnaire (Range: 1-serious shortcomings; 5-minimal shortcomings). PEMAT assesses the understandability and actionability of video as separate percentages. Three most common treatments suggested for PME were Kegel exercise (22.5%), start–stop technique (21.9%), and antidepressant medications (20.5%). Antidepressant medications, stop-squeeze techniques, and psychotherapy were more frequently suggested in English videos, whereas ayurvedic or herbal medicines were more frequently suggested in Hindi videos. About two-thirds of videos presented information in an easy-to-understand and actionable manner (PEMAT scores ≥70%). Only 6% of videos had a DISCERN score of ≥4, indicating good overall quality of information presented in them. People likely to encounter poor-quality information when seeking information for PME treatment on YouTube. A large number of videos suggested ineffective or unproven treatment strategies for PME. Healthcare professionals need to be mindful of this while counselling patients, and guide them regarding useful and reliable sources of health information available online.
YouTube™ 是全球公众获取健康相关在线信息的重要网络资源。然而,YouTube™上所提供信息的质量尚未得到充分描述。 目的是评估 YouTube™ 上印地语和英语视频中有关早泄(PME)治疗信息的质量和可靠性。 共选择了 151 个(印地语:109 个,英语:42 个)YouTube 视频进行评估。质量评估采用结构化工具进行:患者教育材料评估工具 (PEMAT);以及经修改的 5 点 DISCERN 问卷(范围:1-严重缺陷;5-轻微缺陷)。PEMAT 以不同的百分比评估视频的可理解性和可操作性。 针对 PME 最常见的三种治疗方法是凯格尔运动(22.5%)、起停技术(21.9%)和抗抑郁药物(20.5%)。英语视频中更多地建议使用抗抑郁药物、起停技巧和心理疗法,而印地语视频中更多地建议使用阿育吠陀或草药。约三分之二的视频以通俗易懂和可操作的方式介绍信息(PEMAT 分数≥70%)。只有 6% 的视频的 DISCERN 分值≥4,这表明视频中提供的信息总体质量良好。 人们在YouTube上寻求PME治疗信息时可能会遇到质量较差的信息。大量视频提出了无效或未经证实的 PME 治疗策略。医护人员在为患者提供咨询时需要注意这一点,并指导他们从网上获取有用、可靠的健康信息。
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引用次数: 0
The pandemic in retrospect: Sigmund Freud and Spanish influenza 大流行的回顾:西格蒙德-弗洛伊德与西班牙流感
Pub Date : 2024-03-11 DOI: 10.4103/ipj.ipj_300_23
Amvrine Ganguly
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引用次数: 0
Socio-demographic correlates of autism spectrum disorder: A study in Odisha 自闭症谱系障碍的社会人口学相关因素:奥迪沙邦研究
Pub Date : 2024-03-11 DOI: 10.4103/ipj.ipj_57_23
Asmita Nayak, R. Khuntia
There is very little data available on socio-demographic factors associated with the early detection of autism spectrum disorder (ASD). This study sought to investigate the socio-demographic correlates of ASD. A cross-sectional study of 201 first-time reported cases of ASD using a semi-structured socio-demographic datasheet was conducted to understand the socio-demographic correlates. The Statistical Package for the Social Sciences (SPSS) software (version 26) was used to calculate frequencies, percentages, and Chi-square values. Descriptive analysis revealed an upward trend in the number of reported cases among both genders. Most cases were five years old or above, from middle socioeconomic background, with parents who had studied above matriculation, and lived in an urban area. Chi-square test results revealed a significant relationship between the number of first-time reported cases of ASD and that of parental education, socioeconomic status (SES), and living conditions. A prominent finding of this study was parents’ lack of awareness regarding their child’s condition. Measures for awareness and early detection have been recommended.
关于与早期发现自闭症谱系障碍(ASD)相关的社会人口因素的数据很少。 本研究旨在调查自闭症谱系障碍的社会人口学相关因素。 为了了解自闭症谱系障碍的社会人口学相关因素,我们使用半结构化社会人口学数据表对 201 个首次报告的自闭症谱系障碍病例进行了横断面研究。研究使用社会科学统计软件包(SPSS)软件(26 版)计算频率、百分比和卡方值。 描述性分析显示,男女报告病例数均呈上升趋势。大多数病例年龄在 5 岁或以上,来自中等社会经济背景,父母受过大学预科以上教育,居住在城市地区。卡方检验结果显示,首次报告的 ASD 个案数与父母的教育程度、社会经济地位(SES)和生活条件之间存在显著关系。 本研究的一个突出发现是家长对其子女的病情缺乏认识。建议采取提高认识和早期发现的措施。
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引用次数: 0
Uniqueness of auditory hallucinations in patients with schizophrenia and depressive disorder 精神分裂症和抑郁症患者幻听的独特性
Pub Date : 2024-02-16 DOI: 10.4103/ipj.ipj_175_23
Tahoora Ali, Santosh Kumar, Bhushan Chaudhary, Suprakash Chaudhury, P. K. Verma
While over three-quarters of those suffering from schizophrenia and schizophrenia-like illnesses experience auditory hallucinations, 6% of individuals with depressive disorder report the same. Differentiating between auditory hallucinations in these two illnesses is important both diagnostically and prognostically. To compare the characteristics of auditory hallucinations in patients with schizophrenia and depressive disorder. For both schizophrenia and depressive disorder, 110 patients were selected from inpatients of a tertiary care psychiatric center by purposive sampling. They were assessed with a specially designed proforma containing sociodemographic information, information about clinical features, and characteristics of the Auditory Hallucination Scale. Schizophrenia and depressive disorder patients were matched on age, education, occupation, and socioeconomic status. The patients with schizophrenia rated significantly higher on frequency, clarity, tone, intensity, distractibility, self-control, and distress dimensions of auditory hallucinations as compared to patients with depressive disorder. The characteristics of auditory hallucinations in schizophrenia differ significantly than those in depressive disorder, which bears significant transdiagnostic importance. Clinical evaluation of these differentiating characteristics of auditory hallucinations may aid in diagnostic workup in patients.
超过四分之三的精神分裂症和精神分裂症样疾病患者会出现幻听,而 6% 的抑郁症患者也会出现幻听。区分这两种疾病的幻听在诊断和预后方面都很重要。 比较精神分裂症患者和抑郁症患者的幻听特征。 研究人员从一家三级精神病治疗中心的住院病人中,有目的性地抽取了 110 名精神分裂症和抑郁症患者。他们接受了专门设计的问卷调查,其中包括社会人口学信息、临床特征信息和听觉幻觉量表的特征。 精神分裂症患者和抑郁症患者在年龄、教育程度、职业和社会经济地位方面是匹配的。与抑郁症患者相比,精神分裂症患者在幻听的频率、清晰度、音调、强度、分心程度、自我控制能力和痛苦程度方面的评分明显更高。 精神分裂症患者的幻听特征与抑郁障碍患者的幻听特征明显不同,这对跨诊断具有重要意义。对幻听的这些区别特征进行临床评估有助于对患者进行诊断。
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引用次数: 0
期刊
Industrial Psychiatry Journal
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