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The Age of Increasing Anxiety 焦虑加剧的时代
Pub Date : 2019-04-30 DOI: 10.46527/2582-3264.114
M. Shaughnessy, Aaron Johnson
Researchers have long reviewed various treatments for anxiety, considerations, co-morbidity, as well as types of anxiety that we should be aware of. This literature review will investigate various forms of anxiety, perceptions of students with test anxiety while ending with the diagnosis and treatment of anxiety disorders. We believe these articles give insight into working with individuals with anxious feelings that tend to persist over a period.
长期以来,研究人员回顾了各种治疗焦虑的方法,考虑因素,合并症,以及我们应该注意的焦虑类型。本文献综述将调查各种形式的焦虑,学生对考试焦虑的看法,同时以焦虑障碍的诊断和治疗结束。我们相信这些文章能让我们深入了解如何与焦虑情绪持续一段时间的人打交道。
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引用次数: 0
Examination of Well-being in Patients with Type II Diabetes 2型糖尿病患者幸福感的研究
Pub Date : 2019-04-07 DOI: 10.46527/2582-3264.112
B. Kayaaslan, N. Lok
This research is intended to examine the mental well-being of patients with type 2 diabetes mellitus and to examine whether mental well-being differs according to the socio-demographic, health and disease characteristics of patients hospitalized in the state hospital. The study group of the study group consisted of individuals who were diagnosed with Type 2 diabetes mellitus (DM) at Çumra State Hospital in Çumra, Konya province, between February 2018 and April 2018. Random sampling method is used in sample selection. In the calculation of the sample, the number of samples was calculated as 123 individuals. In the collection of research data; a questionnaire form prepared by their searcher and the Warwick Edinburgh Mental well Being Scale (WEMIO) were used. The data were collected by their searcher using the hospitalized questionnaire in the internal medicine service, based on self-report by the participants, and in a portion of the questionnaires, interviewed faceto-face with patients with difficulties in reading. Data were summarized as number, percentage, and mean ± Standard deviation. In the analyzes, student t test and one way analysis of variance were used in independent groups of parametric tests. In all statistical analyzes, p <0.05 was considered significant. It was found that 58.5% of the participants had female gender, 69.1% were 65 years and below, 61.0% had education at primary and lower education, 90.2%-49.6% of the respondents considered the economic situation as moderate, 81.3% were married, 94.3% were health insurance, 88.6% were living in the core family, 52.0% were interested in home care 92.2% of these caregivers are first degree relative. The mean score of the individuals who participated in the study was 45, 98 ± 10,52 points on the Mental Well-Being Scale. Patients with low educational level, unemployed and poor economic status, single, needing caregivers and seeking psychiatric support should be evaluated form mental well-being and should be considered as a risk group. It may be advisable for researchers to conduct studies on the causes affecting mental well-being and to contribute to the development of the literature on this subject, to work with illustrates with different socio economic characteristics and with larger samples.
本研究旨在研究2型糖尿病患者的心理健康状况,并研究在公立医院住院的患者的心理健康状况是否因其社会人口统计学、健康和疾病特征而有所不同。该研究组的研究组由2018年2月至2018年4月期间在科尼亚省Çumra的Çumra州立医院被诊断为2型糖尿病(DM)的个体组成。样本选择采用随机抽样方法。在样本计算中,样本数量计算为123人。在收集研究数据方面;使用研究者准备的调查问卷和华威爱丁堡心理健康量表(WEMIO)。研究人员根据参与者的自我报告,利用内科服务的住院调查问卷收集数据,并在部分调查问卷中面对面采访有阅读困难的患者。数据汇总为数字、百分比和平均值±标准差。在分析中,独立组参数检验采用学生t检验和单向方差分析。在所有的统计分析中,p <0.05被认为是显著的。研究发现,58.5%的被调查者为女性,69.1%的人年龄在65岁及以下,61.0%的人受教育程度为小学及以下,90.2%-49.6%的人认为经济状况中等,81.3%的人已婚,94.3%的人有医疗保险,88.6%的人生活在核心家庭,52.0%的人对家庭护理感兴趣,92.2%的人是第一级亲属。参与研究的个体心理健康量表平均得分为45,98±10,52分。对受教育程度低、失业、经济状况不佳、单身、需要照顾者、寻求精神支持的患者应进行心理健康评估,并将其视为高危人群。研究人员对影响心理健康的原因进行研究,并为这一主题的文献发展做出贡献,以不同的社会经济特征和更大的样本进行说明,这可能是明智的。
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引用次数: 0
Assessing Levels of Loneliness among Elderly People Residing in the Nursing Homes of Baghdad City 评估居住在巴格达市养老院的老年人的孤独水平
Pub Date : 2019-01-01 DOI: 10.4172/2167-1044.1000337
M. H. I. Al-Ameri
Background: In the course of aging, elderly people experience declining physical and psychological function and deteriorated general health. One of the psychological deteriorations is the feeling of loneliness which may contribute to major health problems among the elderly people and its connections are still in argument. Objectives: To assess levels of loneliness among the elderly and to find out the relationship between these levels and some demographic characteristics. Methodology: A descriptive design study has been conducted from March 10th, 2017 to the July 10th, 2017. A non-probability sample of 52 elderly people was recruited, and a questionnaire was constructed which has two parts: five demographic characteristics of elderly people: gender, age, level of education, marital status and previous occupation; and 20 items represent UCLA loneliness scale. Results: 69.2% of elderly people are 60 years old and more; about half of them are married; 33% have secondary level of education and more; and 51.9% are retired. Half of elderly people have high and extremely high levels of loneliness. There is a significant relationship between the levels of loneliness and gender and age of elderly people. Conclusion: More than half of elderly people were with the levels of loneliness ranged between high to extremely high level. Women are with more levels of loneliness than men are. Recommendations: Elderly-related special services should be provided aiming at decreasing levels of loneliness and social isolation. These can be considered largely into one-to-one interventions.
背景:随着年龄的增长,老年人的身心功能不断下降,总体健康状况不断恶化。其中一种心理恶化是孤独感,孤独感可能会导致老年人的主要健康问题,其联系仍在争论中。目的:评估老年人的孤独水平,并找出这些水平与一些人口统计学特征之间的关系。方法:描述性设计研究于2017年3月10日至2017年7月10日进行。选取非概率样本52名老年人,构建问卷,问卷包含两部分:老年人的5个人口学特征:性别、年龄、教育程度、婚姻状况和以前的职业;20项为UCLA孤独感量表。结果:60岁及以上的老年人占69.2%;其中大约一半的人已经结婚;33%的人受过中等及以上教育;51.9%的人退休了。一半的老年人有很高或非常高的孤独感。老年人的孤独感水平与性别、年龄有显著关系。结论:半数以上老年人的孤独感处于高至极高水平。女性的孤独程度比男性高。建议:应提供与老年人有关的特别服务,旨在降低孤独和社会孤立的程度。这些可以被认为是一对一的干预。
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引用次数: 1
A Novel Medical Device that Relieves Anxiety, Depression and Pain While Improving Sleep in a Population of Teachers 一种新型医疗设备,可以缓解教师群体的焦虑、抑郁和疼痛,同时改善睡眠
Pub Date : 2019-01-01 DOI: 10.4172/2167-1044.1000334
L. Price, T. Kirsch, J. Kuhn, J. Marksberry, Steve Haltiwanger
Objectives: This study was conducted to confirm the benefits of Alpha-Stim® cranial electrotherapy stimulation (CES) technology as an effective non-drug treatment for anxiety, mood, sleep, and pain in teachers following a successful pilot study at the Leigh Academy, Dartford, United Kingdom. The second objective was to determine whether the new smartphone app was a reliable method of evaluating the effectiveness, based on the pilot study in the UK, other prior surveys, and more than 100 prospective research studies conducted on Alpha-Stim technology conducted from 1981 through 2019. Methods: Thirty-five teachers (29 females and 6 males) in the Mineral Wells, Texas Independent School District, volunteered to participate in a study to reduce anxiety, depression, insomnia, and pain by passing a mild electric current with specific waveform characteristics through their brains via electrodes that clip on their ears. It was a sixweek open-label design where participants tracked their progress using a new smartphone app to record their symptoms at least five days per week. The subjects were encouraged to use the device for 20-60 minutes any time of day and for any indication. Results: The statistical analyses revealed highly significant (p values <0.001) for anxiety, depression, insomnia, and pain. The effect size Cohen's d values from a total of 237 treatments were greater than two standard deviations for all outcome measures indicating a high level of practical change from baseline to posttest supporting the capability of Alpha-Stim CES technology in reducing self-perceived symptoms and the ability to monitor progress on the Alpha-Stim app. Conclusion: This treatment effect with Alpha-Stim cranial electrotherapy stimulation on anxiety, insomnia, depression, and pain was consistent with prior surveys and confirmed the precision of the new app in determining progress from a single treatment and a series of treatments.
目的:本研究是在英国达特福德的Leigh学院进行的一项成功的试点研究后,证实Alpha-Stim®颅电刺激(CES)技术作为一种有效的非药物治疗教师焦虑、情绪、睡眠和疼痛的益处。第二个目标是确定新的智能手机应用程序是否是评估有效性的可靠方法,基于英国的试点研究,其他先前的调查,以及1981年至2019年对Alpha-Stim技术进行的100多项前瞻性研究。方法:德克萨斯州独立学区的35名教师(29名女性和6名男性)自愿参加了一项研究,通过夹在他们耳朵上的电极将具有特定波形特征的温和电流通过他们的大脑,以减少焦虑、抑郁、失眠和疼痛。这是一个为期六周的开放标签设计,参与者使用一款新的智能手机应用程序跟踪他们的进展,每周至少五天记录他们的症状。受试者被鼓励在一天中的任何时间和任何适应症下使用该设备20-60分钟。结果:统计分析显示焦虑、抑郁、失眠和疼痛有显著性差异(p值<0.001)。总共237个治疗的效应量Cohen’s d值对于所有结果测量值都大于两个标准差,表明从基线到测试后的实际变化水平很高,支持Alpha-Stim CES技术在减少自我感知症状和监测Alpha-Stim应用程序进展的能力。Alpha-Stim颅电刺激对焦虑、失眠、抑郁和疼痛的治疗效果与之前的调查一致,并证实了新应用程序在确定单一治疗和一系列治疗进展方面的准确性。
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引用次数: 4
Seven-Year Outcome of Two Cases of Depression in Elderly High-Altitude Residents in Ladakh, India 印度拉达克高海拔地区老年居民2例抑郁症的7年预后分析
Pub Date : 2019-01-01 DOI: 10.4172/2167-1044.1000336
Motonao Ishikawa, G. Yamanaka, M. Takaoka, Ayana Sakurai, T. Ogasawara, Shoko Marshall, H. Sakura
Studies have reported a positive association between suicide rate and altitude, suggesting a relationship between hypoxia and depression. Previously we reported that a high frequency of depression is not universal at high altitudes and that the prevalence of depression in Ladakh was low. This study aimed to analyze the clinical course of residents diagnosed with depression during our previous health checkup. The participants were two residents diagnosed with depression during our health checkup of 114 residents in Domkhar, Ladakh in 2009. Their 7-year outcome was analyzed through home visits. The Geriatric Depression Scale-15 as an index of depression, the Religious Commitment Inventory-10 as an index of religious devotion, and the Multidimensional Scale of Perceived Social Support as an index of social support were administered. The two residents diagnosed with depression achieved spontaneous remission without treatment. Both residents had strong religious devotion and were satisfied with their relationship with other residents. They reported that praying, listening to a priest’s lecture, and visiting a religious facility made them feel better. The results suggest that social support and religious beliefs may not only protect against the development of depression but also have a positive effect on the clinical course of depression in high-altitude communities.
研究报告了自杀率和海拔高度之间的正相关,这表明缺氧和抑郁之间存在关系。以前我们报道过,抑郁症的高频率在高海拔地区并不普遍,拉达克的抑郁症患病率很低。本研究旨在分析以往健康检查中诊断为抑郁症的住院医师的临床病程。2009年,我们对拉达克多姆哈尔的114名居民进行了健康检查,其中两名居民被诊断出患有抑郁症。通过家访分析他们7年的结果。采用老年抑郁量表-15作为抑郁指数,宗教承诺量表-10作为宗教奉献指数,多维感知社会支持量表作为社会支持指数。两名被诊断为抑郁症的居民在未经治疗的情况下自行缓解。两名居民都有强烈的宗教信仰,并对他们与其他居民的关系感到满意。他们报告说,祈祷、听牧师的演讲和参观宗教设施让他们感觉好多了。研究结果表明,社会支持和宗教信仰不仅可以预防抑郁症的发展,而且对高海拔地区抑郁症的临床病程有积极的影响。
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引用次数: 0
The Legacy of Inherited Trauma: Case Studies 遗传创伤的遗产:案例研究
Pub Date : 2019-01-01 DOI: 10.46527/2582-3264.113
N. Beckerman, Michele Sarracco
Both of these clients can be understood as suffering the legacy of inherited trauma from their respective parents. The social work field has long recognized through both clinical experience and empirical studies, that traumatic events affect not only the individual who experience the trauma, but also others who have significant relationships with the traumatized individual [1]. Figley [1] defined secondary traumatic stress as the experiencing of emotional duress in persons who have had close contact with a trauma survivor, which may include family members as well as therapists [2-5]. These case analyses are a Abstract
这两个客户都可以被理解为遭受来自各自父母的遗传创伤的遗产。社会工作领域早就通过临床经验和实证研究认识到,创伤性事件不仅会影响经历创伤的个体,还会影响与创伤个体有重要关系的其他人[1]。Figley[1]将继发性创伤应激定义为与创伤幸存者有过密切接触的人所经历的情感胁迫,其中可能包括家庭成员和治疗师[2-5]。这些案例分析是一个摘要
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引用次数: 1
Lifestyle, Depression and Metabolic/ Bariatric Surgery 生活方式,抑郁和代谢/减肥手术
Pub Date : 2019-01-01 DOI: 10.35248/2167-1044.19.S13.001
S. Polovina, D. Micić
Obesity alters brain structure and disturbs mood and cognition. Increase in BMI was associated with changes in white matter structures which may accelerate cognitive decline among obese individuals. Metabolic/bariatric surgery may be the last chance for good long-term weight-loss when conservative therapy did not produce results. Weight loss after metabolic surgery causes changes in self-perception and possible in inter-personal relationships. These changes may be mediators of different mental health outcomes such as depression. Different mental problems, mild, moderate or severe depressive symptoms and increase in self-harm are more prevalent in patients undergoing metabolic surgery in comparison with the general population. Some studies indicated that bariatric surgery is associated with long-term reductions in depression and anxiety, while the other studies have found elevated risk of major depression disorders. Increased risk for suicide after metabolic surgery may be explained by insufficient weight loss, weight regain, recurrence of obesity-related comorbidities or non-achieved life-changing effects after weight loss. Another issue is the five times higher risk of alcohol abuse after some types of the metabolic surgery.
肥胖会改变大脑结构,扰乱情绪和认知。体重指数的增加与白质结构的变化有关,这可能会加速肥胖者的认知能力下降。当保守疗法没有效果时,代谢/减肥手术可能是长期减肥的最后机会。代谢手术后的体重减轻会导致自我认知的改变,并可能影响人际关系。这些变化可能是抑郁症等不同心理健康结果的中介。与一般人群相比,在接受代谢手术的患者中,不同的精神问题、轻度、中度或重度抑郁症状和自我伤害的增加更为普遍。一些研究表明,减肥手术与抑郁和焦虑的长期减少有关,而另一些研究则发现重度抑郁症的风险增加。代谢手术后自杀风险的增加可能是由于减肥不足、体重反弹、肥胖相关合并症的复发或减肥后未达到改变生活的效果。另一个问题是,在某些类型的代谢手术后,酒精滥用的风险增加了五倍。
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引用次数: 1
The Role of Perceived Social Support in the Group Cognitive Behavioral Therapy for Mild Depressive Disorder, Dysthymia and Minor Depression: A Two-Year Follow-Up Study 感知社会支持在团体认知行为治疗中对轻度抑郁障碍、心境恶劣和轻度抑郁的作用:一项为期两年的随访研究
Pub Date : 2019-01-01 DOI: 10.35248/2167-1044.19.8.345
Yu Wang, C. Yuan, Ruijun Song, K. Gao, D. Peng, Jun Chen, Zhi-guo Wu, W. Hong, Xia Sun, L. Cao, Wei-hong Lu, Chenyu Ye, Hua Chen, Lili Xue, Ya Zhang, Yi-ru Fang
Objective: In clinical work, patients with mild depressive disorder, dysthymia and minor depression share similar depressive symptoms. According to our previous study, most of these patients could benefit from the manual-based group cognitive behavioral therapy (GCBT). The current study was a post hoc analysis to explore whether perceived social support might influence the efficacy of GCBT for patients with mild depressive disorder, dysthymia and minor depression in two-year follow-up period. Methods: Patients with mild depressive disorder, dysthymia and minor depression were treated with GCBT. Multidimensional Scale of Perceived Social Support (MSPSS) and the 17-item Hamilton Rating Scale for Depression (HRSD-17) were assessed at baseline, week 4, week 8, week 12, week 24, week 36, week 48 and two years. Data was analyzed based on the intention-to-treat group. Results: One hundred participants were divided into High-perceived social support group and Low-perceived social support group according to the mean score of MSPSS at baseline. The total scores of HRSD-17 were declined significantly from baseline to the end of GCBT in both groups and differed significantly from each other at week 4, week 8 and week 12 (P<0.05). There were no significant differences of the total scores of HRSD-17 between two groups at different follow-up points (P>0.05). Conclusion: The present research suggested perceived social support played a considerable role when patients received GCBT. Patients with high-perceived social support would benefit more and faster from GCBT than those with low-perceived social support. Increasing perceived social support might be helpful for those patients who want to benefit more from GCBT.
目的:在临床工作中,轻度抑郁症、心境恶劣和轻度抑郁症患者具有相似的抑郁症状。根据我们之前的研究,大多数患者可以从基于手册的群体认知行为治疗(GCBT)中获益。本研究是一项事后分析,旨在探讨感知社会支持是否会影响GCBT对轻度抑郁症、心境恶劣和轻度抑郁症患者的疗效。方法:采用GCBT治疗轻度抑郁、心境恶劣、轻度抑郁患者。在基线、第4周、第8周、第12周、第24周、第36周、第48周和第2年分别评估多维感知社会支持量表(MSPSS)和17项汉密尔顿抑郁评定量表(HRSD-17)。数据根据意向治疗组进行分析。结果:100名被试按MSPSS基线均分分为高感知社会支持组和低感知社会支持组。两组患者HRSD-17总分自基线至GCBT结束时均显著下降,且在第4周、第8周、第12周差异均有统计学意义(P0.05)。结论:本研究提示感知社会支持对GCBT患者的行为有重要影响。高感知社会支持的患者比低感知社会支持的患者从GCBT中获益更多、更快。增加感知到的社会支持可能对那些希望从GCBT中获益更多的患者有所帮助。
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引用次数: 0
African American Child Suicides: A Vulnerable Population 非裔美国儿童自杀:弱势群体
Pub Date : 2019-01-01 DOI: 10.46527/2582-3264.111
Jennifer Weniger, S. Young, C. Hernandez
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引用次数: 0
Domestic Violence Shelter Counselors: Implications for Clinical Supervision 家庭暴力庇护所辅导员:对临床监督的启示
Pub Date : 2018-12-30 DOI: 10.46527/2582-3264.110
N. Beckerman
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引用次数: 1
期刊
Journal of depression & anxiety
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