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Thoughts about dropping out of studies as warning sign for suicidal ideation and mental health problems in male university students 男性大学生自杀意念和心理健康问题的预警信号——辍学的想法
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.072
Despite increasing rates for suicidal ideation in university students, male students remain reluctant in reporting such thoughts. It is thus paramount to establish more easily detectable risk factors for male students. The present study examines study dropout thoughts as potential low-treshold risk factor as well as gender-differences in established risk patterns. A total of N = 4894 German university students (24.6% men) completed a cross-sectional online survey on their mental health at the University of Cologne. In addition to sociodemographic and questions related to university studies (e.g., dropping out of studies), the Patient Health Questionnaire D (PHQ-D) was used to assess psychological syndromes (any psychological syndrome, depressive syndrome, alcohol syndrome), life stressors and suicidal ideation. Study dropout thoughts were more prevalent among male students, while being associated with increased suicidal ideation for both genders assessed. For all outcomes, significant gender-differences were observed with financial stress and a recent bad experience being risk factors for suicidal ideation in men but not women. Relationship problems, problems at work and current psychotherapy use were positively associated with suicidal ideation in women but not in men. Thus, study dropout thoughts were associated with suicidal ideation in university students and there were male-specific risk patterns for suicidal ideation and associated mental health problems. Consequently, male university students reporting study dropout thoughts or financial stress should be screened for suicidality and mental health problems. Future prevention measures in the University context should consider study dropout thoughts and male-specific risk-patterns to increase the chances to detect male student’s suicidality and to improve the effectiveness of suicide prevention programs for men.
尽管大学生自杀意念的比例不断上升,但男生仍然不愿意报告自己的想法。因此,为男学生建立更容易检测的危险因素是至关重要的。目前的研究考察了辍学思想作为潜在的低阈值风险因素,以及在既定风险模式中的性别差异。共有4894名德国大学生(24.6%为男性)在科隆大学完成了一项关于他们心理健康的横断面在线调查。除了社会人口学和与大学学习相关的问题(例如,辍学)外,还使用患者健康问卷D (PHQ-D)来评估心理综合征(任何心理综合征、抑郁综合征、酒精综合征)、生活压力源和自杀念头。辍学的想法在男生中更为普遍,而在被评估的男女学生中都与自杀意念的增加有关。在所有结果中,显著的性别差异被观察到,经济压力和最近的不良经历是男性自杀念头的危险因素,而不是女性。女性的关系问题、工作问题和目前的心理治疗使用与自杀意念呈正相关,而男性则不然。因此,辍学的想法与大学生的自杀意念有关,自杀意念和相关心理健康问题存在男性特有的风险模式。因此,报告有辍学想法或经济压力的男大学生应该接受自杀和心理健康问题的筛查。未来在大学背景下的预防措施应该考虑研究辍学的想法和男性特定的风险模式,以增加发现男性学生自杀的机会,并提高男性自杀预防计划的有效性。
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引用次数: 0
Test-retest reliability of power, pinch, and tripod grip strengths in male baseball players: a preliminary study 男棒球运动员握力、捏握力和三脚架握力的重测信度:初步研究
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.065
Since baseball players must grip and pinch the ball, grip strength is paramount. However, current assessments on various grip types need to be more comprehensive. This study aimed to determine the test-retest reliability of different handgrip strengths measured by a dynamometer connected to a player’s smartphone. Sixty male baseball players sponsored by secondary schools (middle- and high-schools) or colleges varying in age (12–22 years) were selected as participants. For male baseball players, three types of grip strengths were evaluated using a dynamometer and smartphone application: power, pinch, and tripod grip. The test was conducted thrice for each grip. Overall grip strength measurements showed slight decreases across tests and tended to increase with academic grade level. Tests 1 and 2 indicated good-to-excellent retest reliability for three grip strength positions by determining their intraclass correlation coefficients (ICCs) (middle-school power grip: 0.917 (0.644–0.973); collegiate pinch grip: 0.920 (0.770–0.970); high-school tripod grip: 0.929 (0.728–0.976)). In addition, these results determined moderate reliability compared to other grip strengths in the three groups (middle-school tripod grip from Tests 1 and 2: 0.779 (0.428–0.914); collegiate power grip from Tests 2 and 3: 0.738 (0.360–0.895)). This study concluded that the studied grip strength tests are reliable measurements, with an acceptable margin of error, for male baseball players from childhood to adulthood. Therefore, these handgrip strengths may be used as preliminary values to help discipline and rehabilitate baseball players and other athletes.
因为棒球运动员必须抓住并捏住球,所以握力是最重要的。然而,目前对各种握把类型的评估需要更加全面。这项研究旨在确定不同握力的测试重测可靠性,该测试由连接到玩家智能手机的测力计测量。由中学(初中、高中)或大学(12 ~ 22岁)赞助的60名男子棒球运动员被选为参加者。对于男性棒球运动员,使用测力计和智能手机应用程序评估了三种握力:力量、捏握和三脚架握力。每次抓握都要进行三次测试。整体握力测量显示,在测试中略有下降,并倾向于随着学术等级水平的提高而增加。检验1和检验2通过确定三个握力姿势的班级内相关系数(ICCs)(中学强力握力:0.917(0.644-0.973);大学捏握:0.920(0.770-0.970);高中三脚架握力:0.929(0.728-0.976)),表明三种握力姿势的重测信度从优到优。此外,与其他握力相比,这些结果确定了三组的中等信度(测试1和2的中学三脚架握力:0.779(0.428-0.914);测试2和3的大学握力:0.738(0.360-0.895))。这项研究的结论是,所研究的握力测试是可靠的测量,具有可接受的误差范围,从童年到成年的男性棒球运动员。因此,这些握力可以作为初步值,以帮助纪律和康复棒球运动员和其他运动员。
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引用次数: 0
Low-frequency neuromuscular electrical stimulation as a treatment for anejaculation caused by iatrogenic injury of the abdominal aorta: a case study 低频神经肌肉电刺激治疗医源性腹主动脉损伤引起的射精:个案研究
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.107
Anejaculation is the inability to ejaculate during sexual activity, either in an antegrade or retrograde fashion. Both anejaculation following an iatrogenic injury of the abdominal aorta and the efficacy of low-frequency neuromuscular electrical stimulation (NMES) in treating anejaculation have been reported rarely. In this case report, we describe a patient who experienced anejaculation following an iatrogenic injury to the abdominal aorta and eventually regained normal ejaculation ability following treatment with NMES. The patient, a 23-year-old Chinese man, underwent laparoscopic varicocele ligation on both sides, during which he sustained a ruptured wound in the abdominal aorta from a 10-mm trocar. To stop the bleeding, he underwent abdominal aortic balloon catheter dilatation combined with covered stent implantation. However, 10 days after the endovascular interventions, the patient developed hemorrhagic shock and underwent emergency exploratory laparotomy and adventitial suture of the abdominal aorta. Despite normal erectile function since a week after the last surgery, the patient complained of aejaculation for a year during intercourse or masturbation. After receiving NMES treatment for over two months, the patient reported successful intravaginal ejaculation during intercourse, and the improvement persisted for a month after treatment. Altogether, these findings suggest that NMES could be a feasible, safe, and cost-effective treatment method for improving anejaculation and provides a novel option for patients with this condition.
射精是指在性活动中不能射精,无论是顺行还是逆行。医源性腹主动脉损伤后的射精和低频神经肌肉电刺激(NMES)治疗射精的疗效都很少报道。在本病例报告中,我们描述了一位在医源性腹主动脉损伤后经历射精的患者,并最终在NMES治疗后恢复了正常射精能力。该患者是一名23岁的中国男子,他接受了腹腔镜下双侧精索静脉曲张结扎术,在此过程中,他的腹主动脉被一个10毫米的套管针扎破。为了止血,他接受了腹主动脉球囊导管扩张联合覆膜支架植入术。然而,在血管内干预10天后,患者发生失血性休克,并接受了紧急剖腹探查和腹主动脉外膜缝合。尽管自上次手术后一周勃起功能正常,但患者在性交或手淫时抱怨射精一年。在接受NMES治疗两个多月后,患者报告性交时阴道内射精成功,治疗后改善持续了一个月。总之,这些发现表明,NMES可能是一种可行、安全、经济的治疗方法,可以改善射精,为这种疾病的患者提供了一种新的选择。
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引用次数: 0
Prevalence of sexual dysfunction risk in cocaine users in a sample of Spanish men 西班牙男性可卡因使用者性功能障碍风险的流行程度
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.108
Sexuality should be able to be experienced in a healthy way. This can be affected by drug use in general and cocaine use in particular. Other aspects that can influence sexuality are anxiety and sexual attitudes. The main aim of this work is to explore and analyse how cocaine use affects men’s sexual response. In the present study, the GRISS (Golombok Rust Inventory of Sexual Satisfaction) questionnaire was used to assess sexual function, the SOS (Sexual Opinion Survey) questionnaire to evaluate sexual attitudes, and the STAI (State-Trait Anxiety Inventory) questionnaire to measure sexual anxiety. The sample consisted of 471 male cocaine users and 82 male non-users. The sampling was carried out in different treatment centres throughout Spain. The results indicate that male cocaine users score worse on the GRISS questionnaire, indicating a higher likelihood of sexual dysfunction, worse scores on the SOS questionnaire and higher anxiety levels. It is also observed that scores on the GRISS questionnaire did not improve over time. The differences were statistically significant and the initial study hypotheses were confirmed. The practical utility of this research lies in the applicability of these data in addiction treatment centres, and the potential for these centres to enhance specific interventions that promote healthy sexuality.
性应该以一种健康的方式来体验。这可能受到一般药物使用,特别是可卡因使用的影响。其他影响性行为的因素还有焦虑和性态度。这项工作的主要目的是探索和分析可卡因的使用如何影响男性的性反应。本研究采用GRISS (Golombok Rust Inventory of Sexual Satisfaction)量表评估性功能,SOS (Sexual Opinion Survey)量表评估性态度,STAI (State-Trait Anxiety Inventory)量表评估性焦虑。样本包括471名男性可卡因使用者和82名男性非可卡因使用者。抽样是在西班牙各地不同的治疗中心进行的。结果表明,男性可卡因使用者在GRISS问卷上得分较低,表明性功能障碍的可能性较高,SOS问卷得分较低,焦虑水平较高。我们还观察到,GRISS问卷的得分并没有随着时间的推移而提高。差异具有统计学意义,初步研究假设得到证实。这项研究的实际效用在于这些数据在成瘾治疗中心的适用性,以及这些中心加强促进健康性行为的具体干预措施的潜力。
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引用次数: 0
Testosterone promotes human foreskin fibroblast growth through miR-143-3p targeting IGFBP-3 睾酮通过miR-143-3p靶向IGFBP-3促进人包皮成纤维细胞生长
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.082
Testosterone is an important male hormone, which could improve the maintenance and recovery of gonadal function in males as well as the repair of human hypospadias and cell fibrosis. Our study focused on investigating the regulatory effect of testosterone in human foreskin fibroblasts (HFF-1) and regulatory mechanisms involved. In this study, HFF-1 cells were treated with testosterone, and cell viability and migration were assessed by cell counting kit-8 (CCK8) and Transwell assays. The expression levels of androgen receptor (AR), miR-143-3p and insulin-like growth factor binding protein-3 (IGFBP-3) were measured by quantitative real-time PCR (qRT-PCR), Western blotting, and immunofluorescence. In addition, a potential binding site for miR-143-3p on IGFBP-3 was predicted and its direct binding was further confirmed by a dual luciferase reporter assay. These results showed that testosterone increased the viability and migration of HFF-1 cells. Testosterone could down-regulate miR-143-3p and up-regulate IGFBP-3 and AR. Overexpression of miR-143-3p hindered HFF-1 cell viability and negatively regulated IGFBP-3, whereas inhibition of IGFBP-3 impeded cell viability and migration. Furthermore, miR-143-3p was found to directly bind to IGFBP-3. Overexpression of IGFBP-3 countered the regulation of HFF-1 cells by miR-143-3p mimics. In conclusion, this study showed that testosterone promoted the proliferation and migration of HFF-1 cells and AR signaling, at least via the miR-143-3p/IGFBP-3 axis. This discovery presents a novel insight for testosterone application in male disorders like hypospadias.
睾酮是一种重要的男性激素,可以促进男性性腺功能的维持和恢复,以及人类尿道下裂和细胞纤维化的修复。本研究主要探讨睾酮对人包皮成纤维细胞(HFF-1)的调控作用及其调控机制。在本研究中,HFF-1细胞用睾酮处理,通过细胞计数试剂盒-8 (CCK8)和Transwell检测评估细胞活力和迁移。采用实时荧光定量PCR (qRT-PCR)、Western blotting和免疫荧光检测雄激素受体(AR)、miR-143-3p和胰岛素样生长因子结合蛋白-3 (IGFBP-3)的表达水平。此外,预测了miR-143-3p在IGFBP-3上的潜在结合位点,并通过双荧光素酶报告基因实验进一步证实了其直接结合。这些结果表明,睾酮增加了HFF-1细胞的活力和迁移。睾酮可下调miR-143-3p,上调IGFBP-3和AR,过表达miR-143-3p可抑制HFF-1细胞活力,负调控IGFBP-3,抑制IGFBP-3可抑制细胞活力和迁移。此外,miR-143-3p被发现直接结合IGFBP-3。IGFBP-3的过表达抵消了miR-143-3p模拟物对HFF-1细胞的调节。总之,本研究表明睾酮至少通过miR-143-3p/IGFBP-3轴促进HFF-1细胞的增殖和迁移以及AR信号传导。这一发现为睾酮在尿道下裂等男性疾病中的应用提供了新的见解。
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引用次数: 0
Causal associations between erectile dysfunction and high blood pressure, negative psychology: a Mendelian randomization study 勃起功能障碍与高血压、消极心理之间的因果关系:一项孟德尔随机研究
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.084
Erectile dysfunction (ED) has been closely associated with both high blood pressure (HBP) and psychological traits, but the causal relationship between them remains unclear. Herein, we aimed to identify the causal risk factors for ED. We conducted univariable and multivariable Mendelian randomization (MR) analyses using genetic variants associated with metabolic syndrome and psychology traits at the genome-wide significance (p < 5 × 10−8) level obtained from corresponding genome-wide association studies. We used summary-level statistical data for ED from the European Bioinformatics Institute (EBI) database of complete Genome-Wide Association Studies (GWAS) summary data. We also conducted reverse causality and performed power calculations for MR. Our results showed that HBP was associated with increased odds of ED (odds ratio (OR) = 1.66 (95% confidence interval (CI), 1.13–2.45), a p-value for the inverse variance-weighted method (PIVW ) = 1.06 × 10−2, Power = 100%), as were myocardial infarction (OR = 1.09 (95% CI, 1.02–1.17), PIVW = 1.18 × 10−2, Power = 56%) and ischemic stroke (OR = 1.21 (95% CI, 1.02–1.43), PIVW = 2.87 × 10−2, Power = 10%). In terms of psychological traits, irritable mood (OR = 1.86 (95% CI, 1.14–3.02), PIVW = 1.30 × 10−2, Power = 96%) and neuroticism (OR = 1.36 (95% CI, 1.04–1.79), PIVW = 2.66 × 10−2, Power = 80%) were associated with increased odds of ED. Mendelian randomization pleiotropy residual sum and outlier (MR-PRESSO) showed no evidence of pleiotropic bias, and sensitivity analyses confirmed the robustness of our results. We have established a causal link between HBP and ED, and we have also found evidence suggesting a causal relationship between irritable mood and ED.
勃起功能障碍(ED)与高血压(HBP)和心理特征密切相关,但两者之间的因果关系尚不清楚。在此,我们旨在确定ED的因果危险因素。我们使用与代谢综合征和心理特征相关的遗传变异进行了单变量和多变量孟德尔随机化(MR)分析,具有全基因组意义(p <从相应的全基因组关联研究中获得的5 × 10−8)水平。我们使用了欧洲生物信息学研究所(EBI)全基因组关联研究(GWAS)汇总数据数据库中ED的汇总统计数据。我们也进行了反向因果关系和权力执行计算,我们的结果表明,HBP增加的几率ED(优势比(或)= 1.66(95%可信区间(CI), 1.13 - -2.45),假定值的加权方差倒数法(PIVW) = 1.06×10−2,功率= 100%),和心肌梗死(或= 1.09 (95% CI, 1.02 - -1.17), PIVW = 1.18×10−2,功率= 56%)和缺血性中风(或= 1.21 (95% CI, 1.02 - -1.43), PIVW = 2.87×10−2,功率= 10%)。在心理特征方面,易怒情绪(OR = 1.86 (95% CI, 1.14-3.02), PIVW = 1.30 × 10−2,Power = 96%)和神经质(OR = 1.36 (95% CI, 1.04-1.79), PIVW = 2.66 × 10−2,Power = 80%)与ED的几率增加有关。孟德尔随机化多效性残差和异常值(MR-PRESSO)未显示多效性偏倚的证据,敏感性分析证实了我们结果的稳健性。我们已经建立了高血压和ED之间的因果关系,我们也发现了易怒情绪和ED之间存在因果关系的证据。
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引用次数: 0
Correlation between muscle mass reduction and serum uric acid and urinary albumin in middle-aged and elderly type 2 diabetes men 中老年2型糖尿病男性肌肉量减少与血清尿酸和尿白蛋白的相关性
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.089
This cross-sectional study correlated the muscle mass reduction with serum uric acid and urinary albumin in middle-aged and elderly men having type 2 diabetes. The study subjects were 288 middle-aged and elderly male patients with type 2 diabetes (T2DM) admitted to our hospital. They were divided into sarcopenia (n = 95) and non-sarcopenia (n = 193) groups based on whether diagnosed with sarcopenia or not. The relevant clinical information of patients was collected. Single factor analysis and multiple factor regression analysis were employed to explore the influencing factors of sarcopenia. A binary logistic regression analysis model was established for the sarcopenia probability in middle-aged and elderly men with T2DM. Hosmer and Lemeshow test evaluated the Goodness of fit of probability model. ROC (Receiver Operating Characteristic) curve was drawn by SPSS and the predictive value of prediction model was evaluated. The univariate analysis depicted that the patients in sarcopenia group compared to those in non-sarcopenia were older with lower BMI (Body Mass Index), lower UA (Uric Acid) and higher CRP (C-reactive Protein). The differences were statistically significant (p < 0.05). The binary logistic regression analysis exhibited that the age and UACR (Urine Albumin-to-Creatinine Ratio) were the risk factors, while BMI and UA were the protective factors for sarcopenia in middle-aged and elderly men with T2DM. For middle-aged and elderly male patients with T2DM, age and UACR were the risk factors, and BMI and UA were the protective factors for sarcopenia. The changes in above-stated indicators of patients with T2DM should be clinically monitored, and early and active intervention be given to high-risk groups for minimizing the sarcopenia occurrence.
本横断面研究将2型糖尿病中老年男性的肌肉量减少与血清尿酸和尿白蛋白联系起来。研究对象为288例我院住院的中老年男性2型糖尿病患者。根据是否诊断为肌肉减少症,将患者分为肌肉减少症组(n = 95)和非肌肉减少症组(n = 193)。收集患者的相关临床资料。采用单因素分析和多因素回归分析探讨肌肉减少症的影响因素。建立中老年男性2型糖尿病患者肌肉减少概率的二元logistic回归分析模型。Hosmer和Lemeshow检验评价了概率模型的拟合优度。采用SPSS软件绘制受试者工作特征(ROC)曲线,并对预测模型的预测值进行评价。单因素分析显示,与非肌少症患者相比,肌少症患者年龄较大,BMI(身体质量指数)较低,尿酸(UA)较低,CRP (c反应蛋白)较高。差异有统计学意义(p <0.05)。二元logistic回归分析显示,年龄和UACR(尿白蛋白与肌酐比值)是中老年男性2型糖尿病患者肌肉减少症的危险因素,而BMI和UA是保护因素。对于中老年男性T2DM患者,年龄和UACR是肌少症的危险因素,BMI和UA是肌少症的保护因素。对T2DM患者上述指标的变化应进行临床监测,并对高危人群进行早期积极干预,减少肌肉减少症的发生。
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引用次数: 0
Application effect of a Donabedian three-dimensional quality evaluation model in perioperative nursing of early gastric cancer male patients undergoing endoscopic mucosal dissection Donabedian三维质量评价模型在男性早期胃癌患者内镜下粘膜剥离围手术期护理中的应用效果
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.078
The effect of Donabedian three-dimensional quality evaluation model is explored for the high-quality nursing during perioperative period of endoscopic mucosal dissection in early gastric cancer male patients. Seventy-eight early gastric cancer male patients were randomly grouped as 39 cases in control having received routine care, while 39 in the intervention group having received routine care combined with the three-dimensional quality evaluation model. Clinical recovery indicators including anxiety, depression, pain, life quality and complications were compared for the two groups. The intervention group’s clinical nursing recovery indicator scored higher than that of the control. The scores of each the short-form 36 item health survey questionnaire (SF-36) dimension were better than those of control, and the differences were statistically significant (p < 0.05). The incidence of complications in intervention group was 5.12%, and that in the control was 20.5%. The intervention group experienced less complications than the control, and the difference was statistically significant (p < 0.05). Treating early gastric cancer male patients with endoscopic mucosal dissection using three-dimensional quality evaluation model can improve clinical recovery and life quality, and reduce anxiety, depression, pain and complications.
探讨Donabedian三维质量评价模型对早期男性胃癌患者内镜下粘膜剥离围手术期高质量护理的效果。78例男性早期胃癌患者随机分组,对照组39例接受常规护理,干预组39例接受常规护理并结合三维质量评价模型。比较两组患者的焦虑、抑郁、疼痛、生活质量及并发症等临床康复指标。干预组临床护理恢复指标得分高于对照组。两组健康调查问卷(SF-36)各维度得分均优于对照组,差异有统计学意义(p <0.05)。干预组并发症发生率为5.12%,对照组为20.5%。干预组并发症发生率低于对照组,差异有统计学意义(p <0.05)。应用三维质量评价模型治疗早期胃癌男性患者行内镜下粘膜剥离术,可提高临床恢复和生活质量,减少焦虑、抑郁、疼痛和并发症。
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引用次数: 0
Engagement with engager: what factors are associated with attendance in a complex intervention for men with common mental health problems, near to and after release from prison 与接触者的接触:哪些因素与在出狱前后参加针对有常见精神健康问题的男子的复杂干预有关
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.102
Engager is a complex, collaborative, but flexible intervention providing psychological and practical support to male prison leavers with sentences of two years or less. Engager was not shown to be effective from an evaluation of standard outcome measures, although full delivery of the intervention was also not achieved. The success of interventions relies partly on how able individuals are to attend, so we used an exploratory analysis of the Engager evaluation data to investigate what factors impacted on the extent to which participants attended Engager sessions. The results showed that problems with alcohol at baseline have a positive relationship with subsequent attendance (i.e., predict greater engagement). This finding was somewhat unexpected. Several other factors were found not to be predictive of either increased or decreased attendance, including depression, anxiety and psychological distress. This is a potentially positive finding, in that Engager appears to overcome some barriers to engagement in those with more severe common mental health issues, rather than them engaging less. This is despite previous evidence of these factors reducing attendance for mental health and psychological support. Potential reasons for these findings and implications for future research are discussed.
engage是一项复杂、协作但灵活的干预措施,为刑期为两年或两年以下的男性出狱者提供心理和实际支持。从对标准结果措施的评估来看,尽管干预措施也没有完全实施,但engage并没有显示出其有效性。干预的成功在一定程度上取决于个人参加的能力,因此我们对参与评估数据进行了探索性分析,以调查影响参与者参加参与程度的因素。结果表明,基线时的酒精问题与随后的出勤率呈正相关(即预测更大的参与度)。这个发现有些出乎意料。研究发现,其他几个因素并不能预测出勤率的增加或减少,包括抑郁、焦虑和心理困扰。这是一个潜在的积极发现,因为对于那些有更严重的常见心理健康问题的人来说,Engager似乎克服了一些参与障碍,而不是减少了参与。尽管先前有证据表明这些因素减少了心理健康和心理支持的出勤率。讨论了这些发现的潜在原因和对未来研究的影响。
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引用次数: 0
A service evaluation on the impact of brain injury linkworker (BIL) interventions on the anxiety and depression of men in prison and on probation 脑损伤联系工作者(BIL)干预对服刑和缓刑男性焦虑和抑郁影响的服务评价
4区 医学 Q4 Medicine Pub Date : 2023-01-01 DOI: 10.22514/jomh.2023.109
It is well established that the prevalence of Traumatic Brain Injury (TBI) is higher in offender populations than the general population. Men in prison and probation services also have many of the risk factors that place them at higher risk of developing neuropsychiatric complications following a TBI (e.g., low socioeconomic backgrounds, previous history of substance misuse). The BIL service, developed in 2013 by Brainkind (formally The Disabilities Trust) delivers brain injury rehabilitation to men engaged with South Wales (United Kingdom) Prison and Probation Services. As part of a wider service evaluation, we reviewed the levels of anxiety (Generalised Anxiety Disorder assessment, GAD-7) and depression (Patient Health Questionnaire, PHQ-9) of 50 men in prison or on probation pre- and post-BIL intervention. Results showed a significant decrease in the scores reported on the GAD-7 between the start (Mean—M = 15.38, Standard Deviation—SD = 4.64) and end (M = 11.84, SD = 5.15) of the intervention (t (49) = 2.01, p = 0.00000733). Additionally, there was a significant decrease in self-reported depression symptoms as observed by the scores on the PHQ-9 between the start (M = 17.08, SD = 5.55) and end (M = 12.42, SD = 6.55) of the intervention (t (49) = 2.01, p = 0.0000125). These results indicate that overall there was an improvement in the men’s levels of anxiety and depression following the BIL intervention. This service evaluation provides a clear rationale for the development of a more rigorous research protocol to explore the relationship between brain injury interventions and the impact on mental health in this population.
创伤性脑损伤(TBI)在罪犯群体中的患病率高于一般人群。在监狱和缓刑服务中的男性也有许多风险因素,使他们在创伤性脑损伤后出现神经精神并发症的风险更高(例如,低社会经济背景,以前滥用药物的历史)。脑损伤康复服务于2013年由Brainkind(前身为残疾信托基金)开发,为在南威尔士(英国)监狱和缓刑服务部门工作的男性提供脑损伤康复服务。作为更广泛的服务评估的一部分,我们审查了50名在监狱或缓刑的男子在bil干预前后的焦虑水平(广泛性焦虑障碍评估,GAD-7)和抑郁水平(患者健康问卷,PHQ-9)。结果显示,干预开始时(Mean-M = 15.38,标准差- SD = 4.64)和结束时(M = 11.84, SD = 5.15)的GAD-7评分显著下降(t (49) = 2.01, p = 0.00000733)。此外,在干预开始(M = 17.08, SD = 5.55)和结束(M = 12.42, SD = 6.55)期间,通过PHQ-9分数观察到自我报告的抑郁症状显著减少(t (49) = 2.01, p = 0.0000125)。这些结果表明,在BIL干预后,男性的焦虑和抑郁水平总体上有所改善。这项服务评估为制定更严格的研究方案提供了明确的依据,以探索脑损伤干预措施与对这一人群心理健康的影响之间的关系。
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引用次数: 0
期刊
Journal of Men's Health
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