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Psychotropic medication use in children and adolescents: review of outpatient treatments 儿童和青少年使用精神药物:门诊治疗回顾
Pub Date : 2018-03-30 DOI: 10.5350/DAJPN2018310107
M. Usta, Yusuf Yasin Gumus, Armagan Aral, G. N. Say, K. Karabekiroğlu
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引用次数: 1
The effect of body mass index on the sexual functions of morbidly obese female patients 体重指数对病态肥胖女性患者性功能的影响
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300408
L. Erbay, M. Ozlu, I. Sahin, B. Evren, C. Kayaalp, R. Karlıdağ
The effect of body mass index on the sexual functions of morbidly obese female patients Objective: The aim of this study is to investigate whether morbidly obese female patients are suffering sexual dysfunction, in addition to analyzing the effect of body mass index (BMI) on sexual functions. Method: A total of 72 morbidly obese women admitted to the Endocrinology Department, whose BMI scores were 40 or over, and 28 healthy women age-matched with the morbidly obese group, whose BMI scores were under 30 were included in this study. Considering the effects on sexual functioning, the patients and the control group were evaluated by a psychiatric specialist. women with a psychiatric disorder according to DSM-5, taking medicines that could affect sexual functions, and those with a chronic physical or any neurological disease or being pregnant or breastfeeding were excluded from the study. A sociodemographic data form and the Arizona Sexual Experiences Scale (ASEX) were administered to both the treatment and control group. Results: Statistical analyses revealed that morbidly obese female patients more frequently suffered from sexual dysfunction compared to the control group. The Arizona Sexual Experiences Scale (ASEX) and all subscale scores except the sexual satisfaction rate were significantly higher in morbidly obese female patients than in the control group. There was no correlation found between the BMI and sexual function in the analyses conducted. Conclusion: In our study, morbidly obese female patients were found to show more impairments in all areas of sexual functions except sexual satisfaction rate when compared to the control group. Previous studies have suggested that obesity is the cause of sexual dysfunction in men; however, the same relationship could not be demonstrated in women. In a limited study of female patients, conflicting results were attributed to the inability to control variables. The fact that variables such as depression, anxiety, and chronic physical illness, which may affect sexual function, had been assessed in our study is important for accurately interpreting the findings. The data in our study reveals the importance of investigating sexual functions in morbidly obese female patients.
体重指数对病态肥胖女性患者性功能的影响目的:探讨病态肥胖女性患者是否存在性功能障碍,并分析体重指数(BMI)对性功能的影响。方法:选取在内分泌科就诊的BMI≥40的病态肥胖女性72例,以及BMI≤30的与病态肥胖组年龄匹配的健康女性28例。考虑到对性功能的影响,患者和对照组由精神病专家评估。根据DSM-5,患有精神疾病的女性、服用可能影响性功能的药物的女性、患有慢性身体疾病或任何神经疾病的女性、怀孕或哺乳的女性都被排除在研究之外。治疗组和对照组分别使用社会人口学数据表和亚利桑那性经验量表(ASEX)。结果:统计分析显示,与对照组相比,病态肥胖女性患者出现性功能障碍的频率更高。病态肥胖女性患者的亚利桑那性体验量表(ASEX)及除性满意度外的所有子量表得分均显著高于对照组。在进行的分析中,没有发现BMI和性功能之间的相关性。结论:在我们的研究中,除了性满意度外,病态肥胖女性患者在性功能的各个方面都表现出比对照组更多的损伤。先前的研究表明,肥胖是男性性功能障碍的原因;然而,同样的关系在女性身上并没有得到证实。在一项有限的女性患者研究中,由于无法控制变量,结果相互矛盾。事实上,在我们的研究中已经评估了可能影响性功能的变量,如抑郁、焦虑和慢性身体疾病,这对于准确解释研究结果很重要。我们研究的数据揭示了调查病态肥胖女性患者性功能的重要性。
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引用次数: 6
The effects of computer-based rehabilitation on the cognitive functions of epilepsy patients 计算机康复对癫痫患者认知功能的影响
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300410
S. Icellioglu, Ayhan Bingol, E. Kurt, S. Yeni
Objective: The aim of this study was to examine the effects of computerized cognitive rehabilitation programs conducted with the purpose of slowing down cognitive losses and developing coping strategies in patients diagnosed with cryptogenic and symptomatic focal epilepsy, with participants’ cognitive functions being evaluated through neuropsychological tests prior to and after rehabilitation. Methods: Of 32 patients who were receiving treatment at the Istanbul University, Cerrahpasa Faculty of Medicine Hospital, Department of Neurology Epilepsy Clinic, 9 patients who met the inclusion criteria underwent an 8-consecutive-week computer-assisted cognitive rehabilitation program conducted by a psychologist once a week. The effectiveness of the program was tested with a comprehensive neuropsychological assessment both before the rehabilitation program and 3 months after its completion. Results: Test scores of patients before and after the rehabilitation were found as follows: Stroop-1 12.22±2.72; 11.55±4.36, Stroop-2 14.55±4.95; 15.55±9.20, Stroop-3 34.11±15.59; 26.44±12.25, Spatial Recall Test-1 14.22±5.99; 15.88±6.79, Spatial Recall Test-2 4.22±2.94; 6.88±2.93, Selective Reminding Test-1 55.88±11.95; 56.0±7.0, Selective Reminding Test-2 8.77±3.83; 8.77±2.72, Digit Symbol Substitution Test 38.33±19.31; 37.66±24.35, Lexical Verbal Fluency Test 25.77±11.3; 33.66±14.47, Semantic Verbal Fluency Test 15.77±4.52; 17.88±5.88. The pre- and post-rehabilitation scores of Stroop-3, Spatial Recall Test (SRT)-2 and Lexical Verbal Fluency tests were significantly different (p
目的:本研究的目的是检查计算机化认知康复计划的效果,该计划旨在减缓诊断为隐源性和症状性局灶性癫痫的患者的认知丧失和制定应对策略,通过康复前后的神经心理测试评估参与者的认知功能。方法:在伊斯坦布尔大学Cerrahpasa医学院附属医院神经内科癫痫诊所接受治疗的32例患者中,9例符合纳入标准的患者接受了由心理学家每周一次的连续8周的计算机辅助认知康复计划。在康复计划开始前和完成后3个月,对该计划的有效性进行了全面的神经心理学评估。结果:患者康复前后的测试得分如下:Stroop-1 12.22±2.72;11.55±4.36,Stroop-2 14.55±4.95;15.55±9.20,Stroop-3 34.11±15.59;26.44±12.25,空间回忆测验-1 14.22±5.99;15.88±6.79,空间回忆测验-2 4.22±2.94;6.88±2.93,选择性提醒测试-1 55.88±11.95;56.0±7.0,选择性提醒测试-2 8.77±3.83;8.77±2.72,数字符号替换试验38.33±19.31;词汇语言流畅性测试25.77±11.3;37.66±24.35;语义语言流畅性测试15.77±4.52;17.88±5.88。康复前和康复后Stroop-3、空间回忆测验(SRT)-2和词汇语言流畅性测验的得分差异有统计学意义(p
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引用次数: 1
The relationship of the type of alleged crime with self-esteem and depressive symptoms in juvenile delinquents - 青少年犯罪嫌疑人犯罪类型与自尊、抑郁症状的关系
Pub Date : 2017-12-27 DOI: 10.5350/dajpn2017300407
S. Hesapçıoğlu
Objective: Stemmed from the idea of “there is no juvenile delinquent, but rather there are juveniles draged to crime”; the children and adolescents who have been referred to Mus State Hospital Child and Adolescent Psychiatric outpatient clinic with different alleged crime types were examined retrospectively, in terms of depression, self-esteem, and various socio-demographic factors. Methods: The study was conducted retrospectively on children and adolescents who were referred to Mus State Hospital between February 2012 and February 2013 for the purpose of forensic psychiatric examination to assess their criminal responsibility regarding the alleged crimes. The children formed three groups of alleged crime types; theft, malicious wounding and terrorist propaganda. Child Depression Inventory (CDI) and Coopersmith Self-Esteem Scale (CSEI) scores were compared. Results: There was a difference between the CDI and CSEI scores of the groups. In post hoc comparisons, the CDI score of the alleged malicious wounding group was lower than the other two groups. CSEI score was significantly higher than the alleged theft group, and almost significantly higher than the alleged terrorist propaganda group. Discussion: It is observed that there is a difference in terms of CDI and CSEI scores between the groups of alleged crime type. In particular, the CDI scores of the alleged malicious wounding group were lower and their self-esteem was higher than the other two groups. This finding suggests that diverse etiologies may have been effective in directing different crime types in juvenile delinquency.
目的:源于观念的€œthere不是少年犯罪,而是有少年被拖去犯罪的€”;对被转介到Mus州立医院儿童和青少年精神病门诊的不同犯罪类型的儿童和青少年进行了回顾性检查,包括抑郁、自尊和各种社会人口因素。方法:对2012年2月至2013年2月期间转诊至Mus State医院的儿童和青少年进行回顾性研究,目的是进行法医精神病学检查,以评估他们对所指控罪行的刑事责任。这些孩子组成了三组被指控的犯罪类型;盗窃,恶意伤害和恐怖主义宣传。比较儿童抑郁量表(CDI)和库珀史密斯自尊量表(CSEI)得分。结果:两组患者CDI、CSEI评分均有差异。在事后比较中,所谓恶意伤害组的CDI得分低于其他两组。CSEI得分显著高于涉嫌盗窃组,几乎显著高于涉嫌恐怖宣传组。讨论:可以观察到,在被指控犯罪类型的群体之间,CDI和CSEI得分存在差异。特别是,所谓恶意伤害组的CDI得分比其他两组低,而他们的自尊心则更高。这一发现表明,不同的病因可能有效地指导了青少年犯罪的不同犯罪类型。
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引用次数: 0
Diagnostic confounding: is it absence epilepsy or ADHD? 诊断困惑:是癫痫缺失还是ADHD?
Pub Date : 2017-12-27 DOI: 10.5350/dajpn2017300414
Serkan Gunes
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引用次数: 0
ECT practices in a psychiatry clinic at a training and research hospital 在一家培训和研究医院的精神病学诊所进行电痉挛疗法的实践
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300406
M. Eroğlu, S. Kiraz, A. Yaşar, Tuğrul Doğan
ECT practices in a psychiatry clinic at a training and research hospital Objective: Electroconvulsive therapy (ECT) is an effective method of somatic therapy used in the treatment of many psychiatric disorders. Studies conducted in Turkey indicate that the frequency of ECT use varies over quite a wide range (2.2-16.3%). This study aims to investigate the diagnostic distributions in patients who were treated with ECT at a psychiatric clinic of a training and research hospital. Method: The health records of inpatients treated in our clinic between the dates of Jan 1, 2007 and June 30, 2016 were evaluated retrospectively. Results: A total of 174 patients underwent ECT within the specified time period. Of the total patients, 65.5% were female (n=114) and 34.5% were male (n=60). The average total number of ECT sessions was 7.7±4.4. The average number of ECT sessions in women was 7.2±1.9, while the average number in men was 8.6±7.1 (p=0.044). The diagnostic distributions of ECT patients were unipolar depression (63.8%), bipolar depression (18.4%), psychosis (14.9%) and bipolar mania (2.9%). Conclusion: The frequency of ECT practice in our clinic was 6.13%. Our study showed that although ECT is known as an effective and reliable method, it is not applied in our clinic at the frequency that we expected. We believe that shedding light on the effectiveness of the ECT mechanism will render it less enigmatic and increase the scope and frequency of its use.
目的:电痉挛疗法(ECT)是一种有效的躯体疗法,用于治疗许多精神疾病。在土耳其进行的研究表明,ECT的使用频率在相当大的范围内变化(2.2-16.3%)。本研究旨在探讨某培训研究医院精神科门诊接受电痉挛治疗患者的诊断分布。方法:对我院2007年1月1日至2016年6月30日住院患者的健康记录进行回顾性分析。结果:174例患者在规定时间内接受了ECT治疗。其中女性114例(65.5%),男性60例(34.5%)。ECT的平均总次数为7.7±4.4次。女性平均电痉挛次数为7.2±1.9次,男性平均电痉挛次数为8.6±7.1次(p=0.044)。ECT患者的诊断分布为单相抑郁症(63.8%)、双相抑郁症(18.4%)、精神病(14.9%)和双相躁狂症(2.9%)。结论:本院施行电痉挛的频率为6.13%。我们的研究表明,虽然电痉挛疗法被认为是一种有效可靠的方法,但它在我们诊所的应用频率并没有达到我们的预期。我们认为,揭示电休克机制的有效性将使其不再那么神秘,并增加其使用的范围和频率。
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引用次数: 1
A Case of Type II Citrullinemia Misdiagnosed as Conversion Disorder II型瓜氨酸血症误诊为转化障碍1例
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300411
Seda Aybuke Sari, E. Özatalay
A case of type II citrullinemia misdiagnosed as conversion disorder Conversion disorder (CD) is a psychiatric disorder which can mimic organic disorders due to symptom similarities. It is characterized by the presence of one or more neurologic or vegetative symptoms that are usually triggered by stress. Therefore, medical diseases, neurological and psychiatric disorders should be considered in the differential diagnosis. We describe a case of a 12 year-old girl with type II citrullinemia that has been initially misdiagnosed as CD because of family attitude, secondary gains, and presence of symptoms such as clouding of consciousness and irritability. She has had no abnormal organic findings in previous exams. Metabolic disorders should also be considered in differential diagnosis of CD, even though they may be seen rarely.
II型瓜氨酸血症误诊为转换障碍1例转换障碍是一种精神障碍,由于症状相似,可以模仿器质性疾病。它的特点是出现一种或多种神经或植物症状,通常由压力引起。因此,在鉴别诊断时应考虑内科疾病、神经和精神疾病。我们描述了一个12岁的女孩II型瓜氨酸血症,最初被误诊为乳糜泻,因为家庭态度,继发性增加,以及意识模糊和烦躁等症状的存在。在之前的检查中,她没有发现异常的器官。代谢紊乱在乳糜泻的鉴别诊断中也应予以考虑,尽管它们可能很少见。
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引用次数: 0
Assessment of pain symptoms experienced in major depressive disorder and anxiety disorder 重度抑郁症和焦虑症患者疼痛症状的评估
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300401
Ramazan Koksal, Eda Aslan, M. Yazıcı
Objective: Ever since the important role serotonin plays in the mechanism of pain emergence became known, there has been a heightened interest in examining the pain that accompanies psychiatric disorders. However, the relationship between pain and psychiatric disorders remains unclear. In this study, we aimed to obtain information about the frequency and characteristics of pain seen in patients diagnosed with major depressive disorder (MDD) and anxiety disorder (AD). Method: The Hamilton Rating Scale for Depression (HAM-D), the Hamilton Anxiety Rating Scale (HAM-A), and the “Brief Pain Inventory” (BPI) were administered to 94 patients diagnosed with MDD and 94 patients diagnosed with AD, respectively. Comparisons between the diagnosed groups, pain characteristics and socio-demographic variables were examined using the Chi-square and Mann-Whitney U tests in the statistical software package SPSS 11.0. Spearman’s rho test was utilized in order to examine correlation. Results: Pain complaints in the MDD group were found in 55.3% (n=52), while this figure was 52.1% (n=49) in the AD group. There was no difference in the frequency of experiencing pain between the two groups (p>0.05). Variations of age, gender, and employment status did not correlate to differences in the presence of pain in MDD (p>0.05). In the AD group however, while there were no differences in age and gender regarding the presence of pain, complaints were more frequent in patients who did not work (p
目的:自从5 -羟色胺在疼痛出现机制中的重要作用为人所知以来,人们对检查伴随精神疾病的疼痛产生了浓厚的兴趣。然而,疼痛和精神疾病之间的关系尚不清楚。在这项研究中,我们旨在获得诊断为重度抑郁症(MDD)和焦虑症(AD)的患者疼痛的频率和特征的信息。方法:对94例重度抑郁症患者和94例AD患者分别采用汉密尔顿抑郁量表(HAM-D)、汉密尔顿焦虑量表(HAM-A)和“简短疼痛量表”(BPI)。诊断组、疼痛特征和社会人口学变量之间的比较采用统计学软件包SPSS 11.0中的卡方检验和Mann-Whitney U检验。使用Spearman 's rho检验来检验相关性。结果:MDD组疼痛主诉发生率为55.3% (n=52), AD组为52.1% (n=49)。两组患者疼痛频次比较差异无统计学意义(p>0.05)。年龄、性别和就业状况的变化与MDD中疼痛存在的差异无关(p>0.05)。然而,在AD组中,虽然疼痛的存在在年龄和性别上没有差异,但不工作的患者的抱怨更频繁
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引用次数: 0
The psychometric properties of the Turkish version of the Internet Gaming Disorder Scale 土耳其版网络游戏障碍量表的心理测量特征
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300405
C. Evren, E. Dalbudak, M. Topçu, N. Kutlu, B. Evren
The psychometric properties of the Turkish version of the Internet Gaming Disorder Scale Objective: The main aim of the current study was to test the psychometric properties of the Internet Gaming Disorder Scale (IGDS), both the long (27-item) and short (9-item) polytomous versions, which are survey instruments that measure Internet gaming disorder (IGD) on the basis of the 9 criteria from the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Method: Participants were evaluated by applying the 27-item IGDS and the Young’s Internet Addiction TestShort Form (YIAT-SF). The psychometric properties of the IGDS were tested through an online survey completed by volunteers who are university students in Ankara, active Internet game players, as well as individuals who are in the e-mail database of an Istanbul-based company which organizes e-sports tournaments. Results: A single component on the nine-item IGDS reached the criterion of an Eigenvalue greater than one (5.926), and the variance accounted for by this component was 65.85%. Confirmatory factor analyses demonstrated that the structural validity (i.e., the dimensional structure) of the nine-item IGDS was satisfactory. This short version of the scale was also reliable (i.e., internally consistent with Cronbach’s α of 0.931) demonstrating good criterion-related validity, as indicated by positive correlations with time spent playing games, and the YIATSF score. Correlation between the 27-item IGDS and the nine-item IGDS was very high (n=457; r=0.988, p<0.001). Test-retest correlation for both the 27-item IGDS (n=261, r=0.759) and nine-item IGDS (n=261, r=0.756) were high. When the DSM-5 threshold for diagnosis (experiencing 5 or more criteria) was applied, the prevalence of disordered gamers ranged between 3.9% and 9.2%, according to the cutoff point chosen for each item. Conclusion: The results of the validity and reliability testing of the Turkish version of the nine-item IGDS were found to be similar to the findings of the original scale. These findings support the Turkish versions of the nineitem IGDS, which measure a unidimensional construct as being valid and reliable IGD screening instrument in determining IGD which can become problematic among young adults and also for the purposes of early diagnosis and use in other relevant research.
目的:当前研究的主要目的是测试网络游戏障碍量表(IGDS)的心理测量特性,包括长(27项)和短(9项)多分式版本,这是根据《精神障碍诊断与统计手册》(DSM-5)第5版的9个标准测量网络游戏障碍(IGD)的调查工具。方法:采用青少年网络成瘾量表(IGDS)和青少年网络成瘾量表(yat - sf)对被试进行评估。IGDS的心理测量特性是通过一项在线调查来测试的,调查对象包括安卡拉的大学生、活跃的网络游戏玩家,以及伊斯坦布尔一家组织电子竞技比赛的公司的电子邮件数据库中的个人。结果:9项IGDS的单分量达到特征值大于1的标准(5.926),该分量占方差为65.85%。验证性因子分析表明,九项IGDS的结构效度(即维度结构)是令人满意的。这个简短版本的量表也是可靠的(即,内部与Cronbach 's α 0.931一致),显示出良好的标准相关效度,与玩游戏的时间和YIATSF分数呈正相关。27项IGDS与9项IGDS的相关性非常高(n=457;r = 0.988, p < 0.001)。27项IGDS (n=261, r=0.759)和9项IGDS (n=261, r=0.756)的重测相关性均较高。当应用DSM-5的诊断阈值(经历5个或更多标准)时,根据每个项目选择的截止点,紊乱游戏玩家的患病率在3.9%至9.2%之间。结论:土耳其版九项IGDS量表的效度和信度检验结果与原量表相似。这些发现支持了土耳其版本的9项IGDS,它测量了一个单维结构,作为有效和可靠的IGD筛查工具,用于确定年轻人中可能出现问题的IGD,也用于早期诊断和其他相关研究。
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引用次数: 11
Prevalence of risky behaviors and relationship of risky behaviors with substance use among university students 大学生危险行为的流行及危险行为与药物使用的关系
Pub Date : 2017-12-27 DOI: 10.5350/DAJPN2017300402
Demet Atlam, E. Aldemir, A. E. Altıntoprak
Prevalence of risky behaviors and relationship of risky behaviors with substance use among university students Objective: This study aims to evaluate the prevalence of risky behaviors, frequently encountered in young adulthood, and the relationship between such behaviors and substance use in the university population. Method: This cross sectional, web-based, self-report study was carried out in a state university with 53,003 students. The power analysis was conducted according to the lowest prevalence (0.01%-0.6%) of substance use in universities in Turkey. A sample of 3,184 people was found to be sufficient for the research. The data of 2,973 individuals who completed the Addiction Profile Index was evaluated. Frequency tests, Pearson chi-square and logistic regression were used in the statistical analysis. Results: As participants 1,629 (54.8%) females and 1,344 (45.2%) males were included in the study. Suicidal plans or attempts and self-harming behaviors were significantly more prevalent among female students; carrying a weapon (penknife/knife/gun), engaging in physical fights, sustaining injuries in physical fights, early sexual relation experiences, condom usage, cigarette, alcohol, energy drink and substance consumption were significantly more prevalent among male students (p<0.001). Frequent suicidal plans or attempts (11.3 times) and early sexual experiences, before the age of 15 (16.6 times) were found to be riskier behaviors with regard to substance use; as the consumption of cigarettes, alcohol and energy drink increased, so did the risk of substance use. Conclusion: Gender is a distinctive characteristic with regard to risky behaviors among young people. The relationship between risky behaviors and substance use suggests that one risky behavior may lead to another. As such, it is necessary to evaluate the substance use among young people with risky behaviors and to examine other risky behaviors which accompany the substance use problems.
目的:本研究旨在评估大学生青少年危险行为的流行程度,以及这些行为与物质使用之间的关系。方法:本研究采用横断面、基于网络、自我报告的方法,在一所州立大学53,003名学生中进行。功率分析是根据土耳其大学中最低的药物使用率(0.01%-0.6%)进行的。3184人的样本被认为足以进行这项研究。2973名完成成瘾概况指数的个体的数据被评估。统计分析采用频率检验、Pearson卡方检验和logistic回归。结果:1629名(54.8%)女性和1344名(45.2%)男性被纳入研究。自杀计划或企图和自残行为在女生中更为普遍;携带武器(铅笔刀/刀/枪),参与身体打架,在身体打架中受伤,早期性关系经历,使用安全套,吸烟,酒精,能量饮料和物质消费在男生中更为普遍(p<0.001)。频繁的自杀计划或企图(11.3次)和15岁之前的早期性经历(16.6次)被认为是药物使用方面的危险行为;随着香烟、酒精和能量饮料消费量的增加,物质使用的风险也在增加。结论:性别是青少年危险行为的显著特征。危险行为和物质使用之间的关系表明,一种危险行为可能导致另一种危险行为。因此,有必要评估有危险行为的年轻人的物质使用情况,并检查伴随物质使用问题的其他危险行为。
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引用次数: 8
期刊
Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
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