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Anxiety and its Components and Treatment: Concerns as We Approach 2020 焦虑及其组成部分和治疗:我们接近2020年的担忧
Pub Date : 2018-12-10 DOI: 10.46527/2582-3264.109
M. Shaughnessy, Aaron Johnson
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引用次数: 1
Combat Exposure and Peritraumatic Factors Predicting PTSD among Military Personnel Fighting Insurgency in Nigeria 战斗暴露和创伤周围因素预测在尼日利亚打击叛乱的军事人员创伤后应激障碍
Pub Date : 2018-12-05 DOI: 10.46527/2582-3264.108
James Abel, Fredrick Sonter Anongo, Binan Evans Dami, Aboh James Ogbole, A. Abel, Z. Dagona
Previous studies indicate that posttraumatic stress disorder is one of the major mental health challenges that affect military personnel who have experienced combat situations. However, there is still paucity of research on the factors that predict PTSD in Nigerian military setting despite increasing rate of Boko-Haram exposure. This study therefore examined the predictive influence of peritraumatic factors (combat exposure, number of deployments, duration of deployments and substance use) among Nigerian military personnel exposed to Boko-Haram insurgency in North-eastern Nigeria. Data were collected using standardized questionnaires on a sample of 715 participants. Two hypotheses were tested using Pearson correlation and hierarchical multiple regression, and results revealed a significant positive relationship between combat exposure (r= .36; p<.05), substance use coping (r= .14; p<.01) and PTSD. However, number (r= .07; p>.05) and duration of deployments (r= .04; p>.05) were found to have no significant relationship with PTSD. Additional findings indicated that combat exposure (β= .32, t= 9.10; p<.05) and using substance to cope with the experience of combat (β= -.11, t= 3.14; p<.05) independently and jointly [R= .36, F(4,707)= 15.13, P<.05] predicted PTSD, while the influence of duration and multiple deployments were statistically insignificant. Findings imply that Nigerian military personnel who experience combat and resort to substance use to cope stand a higher risk of developing PTSD. Thus, Military authority should give adequate attention on training to restrain its personnel from substance use coping during stressful encounters to prevent the development of posttraumatic stress disorder.
以往的研究表明,创伤后应激障碍是影响经历过战斗情况的军人的主要心理健康挑战之一。然而,尽管博科圣地暴露率不断上升,但尼日利亚军事环境中PTSD的预测因素研究仍然缺乏。因此,本研究审查了创伤周围因素(战斗暴露、部署次数、部署持续时间和药物使用)对尼日利亚东北部博科-哈拉姆叛乱暴露的尼日利亚军事人员的预测影响。数据收集采用标准化问卷调查715名参与者的样本。使用Pearson相关和层次多元回归对两个假设进行检验,结果显示战斗暴露与健康水平之间存在显著的正相关关系(r= 0.36;P.05)和部署时间(r= .04;p < 0.05)与PTSD无显著关系。其他研究结果表明,战斗暴露(β= 0.32, t= 9.10;P < 0.05)和使用物质应付战斗经验(β= -)。11, t= 3.14;p< 0.05)独立和联合[R= 0.36, F(4,707)= 15.13, p< 0.05]。[05]预测创伤后应激障碍,而持续时间和多次部署的影响在统计学上不显著。研究结果表明,经历过战斗并求助于药物使用来应对的尼日利亚军人患PTSD的风险更高。因此,军事当局应充分重视训练,以限制其人员在紧张遭遇中使用药物应对,以防止创伤后应激障碍的发展。
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引用次数: 2
Mediatory Role of Substance Use Coping in the Relationship between Combat Exposure and PTSD among Nigerian Police Exposed to Boko-Haram Insurgency 物质使用应对在博科圣地暴乱事件中尼日利亚警察战斗暴露与创伤后应激障碍关系中的中介作用
Pub Date : 2018-12-01 DOI: 10.46527/2582-3264.107
Fredrick Sonter Anongo, James Abel, Akuraga Simeon Kum
Over the years, studies have identified posttraumatic stress disorder as one of the greatest problems in military and police population worldwide. Apparently, extant literature have associated this problem with combat exposure; however, what is still unclear is whether adopting certain coping strategies like substance use after homecoming from combat deployment could increase vulnerability to combat-related PTSD especially among Nigerian police population that has been associated with high substance use coping. This study therefore examined the mediatory role of substance use coping in the relationship between combat exposure and posttraumatic stress disorder among Nigerian mobile police personnel exposed to BokoHaram insurgency in the North-eastern, Nigeria. Data were collected using standardized questionnaires on a sample of 630 participants. Two hypotheses were stated and analysed using Pearson correlation, linear and hierarchical multiple regression, and results revealed a significant positive relationship between combat exposure (r= .36; p<.01), substance use coping (r=.28; p<.01) and PTSD; as well as combat exposure and substance use(r= .19; p<.05). Additional findings indicated that combat exposure (β=.09, t= 2.2; p<.05) and substance use coping strategy (β= .26, t= 6.74; p<.01) independently and jointly [F(1,622)= 29.05; R.29, R2=.09; p<.01] influenced PTSD, and that substance use coping significantly mediated the relationship between combat exposure (β1= .136**, β2= .85*) as indicated by a significant reduction in the beta values. This shows that police personnel who experience combat and resort to substance use to cope are more vulnerable to PTSD. Thus, police authorities must restrain use of substance coping to reduce vulnerability to combat-related PTSD.
多年来,研究已经确定创伤后应激障碍是世界范围内军队和警察人口中最大的问题之一。显然,现存文献将这一问题与战斗暴露联系在一起;然而,目前尚不清楚的是,从战斗部署回国后采取某些应对策略,如药物使用,是否会增加患与战斗相关的创伤后应激障碍的脆弱性,特别是在尼日利亚警察人群中,他们与高药物使用应对有关。因此,本研究考察了物质使用应对在尼日利亚东北部博科哈拉姆叛乱中暴露的尼日利亚机动警察人员的战斗暴露与创伤后应激障碍之间的关系中的中介作用。数据是通过对630名参与者的标准化问卷收集的。使用Pearson相关、线性和层次多元回归对两个假设进行了陈述和分析,结果显示,战斗暴露与健康水平之间存在显著的正相关关系(r= 0.36;P < 0.01),物质使用应对(r= 0.28;p< 0.01)和PTSD;以及战斗暴露和物质使用(r= 0.19;p < . 05)。其他研究结果表明,战斗暴露(β=。09, t= 2.2;P < 0.05)和物质使用应对策略(β= 0.26, t= 6.74;p< 0.01)独立和联合[F(1,622)= 29.05;R.29, R2 = .09点;p <。[01]影响创伤后应激障碍,物质使用应对显著介导战斗暴露之间的关系(β1= .136**, β2= .85*), β值显著降低。这表明,经历过战斗并求助于药物使用的警察人员更容易患创伤后应激障碍。因此,警察当局必须限制物质应对的使用,以减少与战斗有关的创伤后应激障碍的脆弱性。
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引用次数: 0
Learning Spiritual Behaviours as a Means to Reverse Harmful Epigenetic Changes Resulting from Domestic Violence 学习精神行为是扭转家庭暴力造成的有害表观遗传变化的一种手段
Pub Date : 2018-11-03 DOI: 10.46527/2582-3264.105
Maysar Sarieddine
1. The Epigenetic Effects of Stress The term “epigenetic” refers to an effect or condition that arises from non-genetic influences on gene expression. Those influences can include environmental conditions, stress, a person’s emotional state, or physical trauma. Specifically, these effects are heritable, but that heritability does not occur through the normal mechanisms by which genotypes are passed from one generation to the next--hence the prefix "epi-" which means "on, upon, or above.”
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引用次数: 0
Effect of Mental Illness on the Primary Care Givers: A Case Study of Mathari Hospital, Kenya 精神疾病对初级保健人员的影响:以肯尼亚Mathari医院为例
Pub Date : 2018-10-21 DOI: 10.46527/2582-3264.104
R. Songole, Joy Muhia, Linda W Karanja
The study explored the effect of primary care giving (PCG) to mentally ill on family stability (FS) in Mathari hospital, Kenya given the fact that increasing PCG to mentally ill is gradually translating into FS. The study was based on two specific objectives: to examine the effects of Mental illness on the primary care givers and to establish the effects of the forms of PCG. Two hypotheses were tested; H1: PCG to mentally ill have a significant positive effect on FS; H2: PCG to the mentally ill has a negative effect on FS. This was a cross section study design. A sample of 260 from 800 care-givers was obtained using Krejce and Morgan table guide. Questionnaires with close ended questions were distributed to care-givers to obtain results that were later screened for accuracy and entered into SPSS (Version 22). A 25-item care-giver self-report used to assess stresslevels of family caregivers for chronically ill older adult patients, with co-efficient Alpha reliability values of .7804, and .98 from two studies by Epstein-Lubow was used to measure FS. Besides, a 14-items care-giver questionnaire adopted from Lifetime resources was adopted to measure care-giving as approved by Benedict & Dillsboro. The effect of PCG giving to mentally ill on FS was established using paired T-test. Findings showed that; transportation, meal preparations, medication, walking assistance, walking patients and toilet services were given to the mentally ill in Kenya and several factors explained FS: taking care of their mentally ill in Kenya; balance of time, share of resources, discrimination of mentally ill people, stigma as a community and family affair, lack of privacy and too much responsibilities. The study established a positive relationship between PCG to mentally ill and FS in Kenya. Besides, ANOVA results showed a statistically positive significant effect of PH giving on FS in Kenya.
本研究探讨了肯尼亚Mathari医院对精神病患者的初级保健(PCG)对家庭稳定(FS)的影响,因为增加对精神病患者的初级保健(PCG)逐渐转化为家庭稳定(FS)。该研究基于两个具体目标:检查精神疾病对初级保健提供者的影响,并确定PCG形式的影响。我们检验了两个假设;H1: PCG对精神疾病患者的FS有显著的正向影响;H2:对精神病患者的PCG对FS有负向影响。这是一个横断面研究设计。使用Krejce和Morgan表格指南从800名护理人员中抽取260名样本。问卷与封闭的问题被分发给照顾者,以获得结果,后来筛选的准确性,并进入SPSS(版本22)。一份25项的照顾者自我报告用于评估慢性老年患者家庭照顾者的压力水平,采用Epstein-Lubow的两项研究的协效α信度值为0.7804和0.98来测量FS。此外,本研究采用本笃和迪尔斯伯勒(Benedict & Dillsboro)认可的14项照护者问卷对照护行为进行测量。采用配对t检验确定精神病人给予PCG对FS的影响。研究结果表明;向肯尼亚的精神病患者提供交通、膳食准备、药物、步行协助、步行病人和厕所服务,有几个因素解释了FS:在肯尼亚照顾他们的精神病患者;时间的平衡、资源的分配、对精神病患者的歧视、作为社区和家庭事务的耻辱、缺乏隐私和过多的责任。本研究在肯尼亚建立了PCG与精神疾病和FS之间的正相关关系。此外,方差分析结果显示,PH给予对肯尼亚FS的影响具有统计学意义的正显著性。
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引用次数: 0
Biofeedback treatment of Mixed Anxiety Depressive disorder: A case report 生物反馈治疗混合性焦虑抑郁障碍1例
Pub Date : 2018-10-19 DOI: 10.46527/2582-3264.103
R. Priyamvada, Rupesh Ranjan, S. Chaudhury
Biofeedback is a treatment used for training patients to improve their health by using signals from their own body. It helps those patients who are tense and anxious and makes them relax. Research has shown that biofeedback, alone and in combination with other behavioral therapies, is effective for treating a variety of medical and psychological disorders, ranging from headache to hypertension to attentional disorders. It guides the individuals to facilitate the learning of voluntary control over body and mind, and take a more active role in maintaining personal health and higher level mind-body wellness. Biofeedback is based on the recognition that changes in the mind and emotions affect the body, and changes in the body also influence the mind and emotions. Biofeedback underscores educating individuals to become aware and increase control over their nervous system, brain, and body, and improve flexibility in physiologic responding. Feedback training has the positive effect of improving performance, learning and health.
生物反馈是一种治疗方法,用于训练患者通过使用自己身体的信号来改善他们的健康状况。它可以帮助那些紧张和焦虑的病人,使他们放松。研究表明,生物反馈,单独或与其他行为疗法相结合,对治疗从头痛到高血压到注意力障碍等各种医学和心理障碍都是有效的。它引导个体促进自主控制身心的学习,在维护个人健康和更高层次的身心健康方面发挥更积极的作用。生物反馈基于这样一种认识,即思想和情绪的变化会影响身体,而身体的变化也会影响思想和情绪。生物反馈强调教育个体意识到并加强对神经系统、大脑和身体的控制,提高生理反应的灵活性。反馈训练对提高绩效、学习和健康有积极作用。
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引用次数: 0
Paternal Prenatal, Perinatal and Postpartum Depression: A narrative review 父亲产前,围产期和产后抑郁症:叙述回顾
Pub Date : 2018-10-18 DOI: 10.46527/2582-3264.102
T. Field
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引用次数: 21
Geriatric Depression and its Correlates among South Indian Urbans 南印度城市老年人抑郁症及其相关因素
Pub Date : 2018-08-14 DOI: 10.4172/2167-1044.1000314
P. R. Konda, P. Sharma, A. R. Gandhi, E. Ganguly
Background: Geriatric depression is a growing global problem, expected to be the leading cause of mortality in the next decade. We attempted to explore the previously unidentified burden of depression and its correlates amongst South Indian elderly residing in an urban area. Methods: A cross sectional study including 100 community dwelling urban elders aged 60 years and older was conducted. A predesigned questionnaire was used to collect data on sociodemographic variables, chronic health conditions, changes in vision and cognition, addictions, and medication usage. Depression was assessed using Geriatric Depression Scale. Other measurements included anthropometry and blood pressure. Logistic regression was done to identify the independently associated correlates of depression. Results: The prevalence of geriatric depression was 23%. 15.4% men and 31.2% women had depression. On logistic regression, the independent correlates of depression were living single (OR:4.26; 95% CI:1.06–17.09), poor self-rated health (OR:12.09; 95% CI:1.41–103.14), bedridden (OR:5.29; 95% CI:1.21–23.04) and osteoarthritis (OR: 4.91; 95% CI:1.39–17.28). Conclusion: The burden of depression in our urban geriatric population was moderate. Several correlates were positively associated. While addressing geriatric morbidity, screening for elderly depression, as well as exploration and management of related factors would be of significance.
背景:老年抑郁症是一个日益严重的全球性问题,预计将成为未来十年死亡的主要原因。我们试图探索以前未确定的抑郁负担及其在居住在城市地区的南印度老年人中的相关性。方法:对100名60岁及以上的城市社区老年人进行横断面研究。使用预先设计的问卷收集有关社会人口变量、慢性健康状况、视力和认知变化、成瘾和药物使用的数据。采用老年抑郁量表对抑郁症进行评估。其他测量包括人体测量和血压。进行逻辑回归以确定抑郁症的独立相关因素。结果:老年抑郁症患病率为23%。15.4%的男性和31.2%的女性患有抑郁症。经logistic回归分析,抑郁的独立相关因素为单身(OR:4.26;95% CI: 1.06-17.09),自评健康状况差(OR:12.09;95% CI: 1.41-103.14),卧床不起(OR:5.29;95% CI: 1.21-23.04)和骨关节炎(OR: 4.91;95%置信区间:1.39—-17.28)。结论:我国城市老年人群抑郁负担适中。一些相关因素呈正相关。在解决老年发病问题的同时,对老年抑郁症进行筛查,并对相关因素进行探讨和管理具有重要意义。
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引用次数: 18
The Ashworth-Dutton neurobiological model of psychological trauma: Including the da Vinci gaze resolution method 心理创伤的Ashworth-Dutton神经生物学模型:包括达芬奇凝视分辨法
Pub Date : 2018-05-22 DOI: 10.4172/2155-6105-C2-038
A. Ashworth
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引用次数: 0
Assessment of Self-Esteem and Depression in Burn Afflicted Women 烧伤妇女自尊与抑郁的评估
Pub Date : 2018-03-16 DOI: 10.4172/2167-1044.1000307
S. Rubab, Kalsoom Ac
Burn is a severe trauma and affected the lives of many. Burn is twice as likely to affect the women as compared to men. Burn afflicted women not only suffer from psychological as well as physical problems. This study is conducted to examine the frequency of burns, level of self-esteem and depression among burn afflicted women and to identify the effects of burns on the lives of burn victims. A cross-sectional study is conducted among 105 young women of age 18 and above, assessment instruments included Beck Depression Inventory (BDI) and Rosenberg Self-Esteem Scale (RSE). Variables were analyzed using descriptive statistics whereas the relationships between different variables were observed using spearman rank correlation and chi square test respectively. Regression analysis is also applied to predict the factors affecting self-esteem and depression among burn afflicted women. The study depicted that majority of women were of age more than 32 years, majority has reported that they have received help and support from their families. This study revealed that majority of the burn victims were burnt accidentally whereas it was explored that 35% women have low, 63% women have moderate and only about 2% women have high self-esteem. It was also observed that 20% women have minimal, 36% women have mild, 29% have moderate and only 15% women have severe depression. It is concluded that self-esteem is associated with family support and type of burn whereas there is a significant relationship between depression, age, family support and type of burn respectively. The results concluded that depression is dependent on burn status, religion, age and marital status whereas self-esteem is dependent on burn status.
烧伤是一种严重的创伤,影响了许多人的生活。烧伤对女性的影响是男性的两倍。患烧伤的妇女不仅遭受心理和身体上的问题。本研究旨在调查烧伤女性的烧伤频率、自尊水平和抑郁程度,并确定烧伤对受害者生活的影响。对105名18岁及以上的年轻女性进行横断面研究,评估工具包括Beck抑郁量表(BDI)和Rosenberg自尊量表(RSE)。变量分析采用描述性统计,变量间关系分别采用spearman秩相关和卡方检验。运用回归分析预测烧伤妇女自尊和抑郁的影响因素。该研究表明,大多数妇女的年龄超过32岁,大多数人报告说她们得到了家庭的帮助和支持。这项研究表明,大多数烧伤受害者是意外烧伤,而研究发现,35%的女性自尊心低,63%的女性有中度自尊,只有约2%的女性有高度自尊。还观察到,20%的女性有轻微抑郁症,36%的女性有轻度抑郁症,29%的女性有中度抑郁症,只有15%的女性有重度抑郁症。结果表明,自尊与家庭支持和烧伤类型相关,抑郁与年龄、家庭支持和烧伤类型相关。结果表明,抑郁与烧伤状况、宗教信仰、年龄和婚姻状况有关,自尊与烧伤状况有关。
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引用次数: 6
期刊
Journal of depression & anxiety
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