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Sociodemographic Characteristics, Anxiety, Depression Levels, and Emotional and Behavioral Problems in Hospitalized COVID-19-Positive Children and Adolescents. 住院的 COVID-19 阳性儿童和青少年的社会人口特征、焦虑、抑郁水平以及情绪和行为问题。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1097/NMD.0000000000001794
Eda Kizilyaprak, Semiha Comertoglu Arslan, Hatice Altun, Hatice Gunes, Serpil Dincer

Abstract: This study aimed to investigate anxiety, depression levels, and emotional/behavioral problems of children and adolescents while being treated in the COVID-19 unit. The present study included 50 children who were COVID-19 positive, aged 7-18 years, and 50 age- and gender-matched healthy controls. The sociodemographic data form and Revised Child Anxiety and Depression Scale-Child Version (RCADS-C) were applied to all children, and all families were asked sociodemographic data form, Revised Child Anxiety and Depression Scale-Parent Version (RCADS-P), and Strengths and Difficulties Questionnaire (SDQ). There was no significant difference between the patient and control groups in terms of anxiety, depression levels, and emotional/behavioral problems. The conduct problems subscale score of SDQ in the patient group was found to be significantly lower than the control group (p = 0.037). Separation anxiety subscale scores of RCADS (p = 0.034) and the rate of accompanying companions (p = 0.01) in the patient group were found to be significantly higher in preadolescents than in adolescents. In conclusion, this study demonstrated that children and adolescents who were COVID-19 positive were not different from healthy children in terms of anxiety and depression levels, and emotional and behavioral problems in the acute period during inpatient treatment.

摘要:本研究旨在调查儿童和青少年在接受 COVID-19 治疗时的焦虑、抑郁水平以及情绪/行为问题。本研究包括 50 名 COVID-19 阳性的 7-18 岁儿童和 50 名年龄和性别匹配的健康对照组。所有儿童均接受了社会人口学数据表和修订版儿童焦虑抑郁量表-儿童版(RCADS-C)的测试,所有家庭均接受了社会人口学数据表、修订版儿童焦虑抑郁量表-家长版(RCADS-P)和优势与困难问卷(SDQ)的测试。患者组和对照组在焦虑、抑郁水平和情绪/行为问题方面没有明显差异。患者组的 SDQ 行为问题分量表得分明显低于对照组(p = 0.037)。研究发现,患者组的 RCADS 分离焦虑分量表得分(p = 0.034)和陪伴率(p = 0.01)明显高于青少年组。总之,本研究表明,在住院治疗的急性期,COVID-19 阳性的儿童和青少年在焦虑和抑郁水平以及情绪和行为问题方面与健康儿童没有差异。
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引用次数: 0
The Mediating Role of Trauma Centrality in the Correlation Between Coping Self-Efficacy and Posttraumatic Growth Level of Disaster Volunteers. 创伤中心性在灾难志愿者的应对自我效能与创伤后成长水平之间的中介作用。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1097/NMD.0000000000001798
Rabia Arpacı, Duygu Ayar, Fatma Karasu

Abstract: Volunteers who respond to disasters play a crucial role in disaster management. However, their indirect exposure to traumatic events during their duties can adversely affect their mental health. The aim of the study was to determine the correlation among trauma centrality, coping self-efficacy, and posttraumatic growth and trauma centrality as possible mediator role in this relationship. A total of 112 disaster volunteers participated. The data were collected with a Demographic Form, the Centrality of Events Scale, the Post-Traumatic Growth Scale, and the Coping Self-Efficacy Scale. Disaster volunteers exhibited above average event centrality, high levels of posttraumatic growth, and coping self-efficacy. A positive correlation was identified among trauma centrality, posttraumatic growth, and coping self-efficacy, with trauma centrality playing a full mediating role. This study will be instrumental in better understanding the posttraumatic processes of disaster volunteers and in strengthening coping capacities, guiding the implementation of preventive and protective psychosocial interventions.

摘要:救灾志愿者在灾害管理中发挥着至关重要的作用。然而,他们在执行任务期间间接接触创伤事件会对其心理健康产生不利影响。本研究旨在确定创伤中心性、应对自我效能感和创伤后成长之间的相关性,以及创伤中心性在这一关系中可能扮演的中介角色。共有 112 名灾难志愿者参与了研究。数据收集包括人口统计学表格、事件中心性量表、创伤后成长量表和应对自我效能量表。灾难志愿者表现出高于平均水平的事件中心性、高水平的创伤后成长和应对自我效能。研究发现,创伤中心性、创伤后成长和应对自我效能感之间存在正相关,而创伤中心性起着完全的中介作用。这项研究将有助于更好地了解灾难志愿者的创伤后过程,加强应对能力,指导实施预防性和保护性社会心理干预措施。
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引用次数: 0
PSTD Treatment of Joint Forces Operation Combatants: A Case Study. 联合部队作战人员的 PSTD 治疗:案例研究。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1097/NMD.0000000000001801
Oleh Semenenko, Uzef Dobrovolskyi, Mariia Yarmolchyk, Serhii Stolinets, Oleh Tarasov

Abstract: The participation of military personnel in operations like the Anti-Terrorist Operation (ATO)/Joint Forces Operations (JFO) can lead to significant psychological trauma, potentially resulting in posttraumatic stress disorder (PTSD). Understanding the effectiveness of psychotherapy in treating PTSD among ATO/JFO participants is crucial given its profound impact on personal relationships, life scenarios, and overall well-being. This study evaluates how acceptance and commitment therapy can alleviate PTSD symptoms and enhance well-being in Ukrainian military personnel with combat-related PTSD. The main research method was a psychological experiment, and the case study method was used as an auxiliary research method. The study revealed the following: combatants in the ATO/JFO who have been diagnosed with PTSD should be classified as persons with disabilities due to certain limitations in their life activities, namely, the inability to control their behavior, and difficulties in work and communication. This study proves that cognitive-behavioral psychotherapy has a clear advantage in overcoming PTSD in the military, as it allows transforming psychological trauma into posttraumatic growth. Attachment and acceptance therapy, a form of behavioral therapy, has emerged as one of the most effective treatments for PTSD. It focuses on diagnosing and addressing the psychological consequences of war by analyzing the connections among cognition, affect, and behavior. Given the protracted nature of PTSD, the practical significance of the study is to develop effective psychotherapeutic interventions for the expected recovery of ATO/JFO participants affected by combat operations.

摘要:军事人员参与反恐行动(ATO)/联合部队行动(JFO)等行动可能会导致严重的心理创伤,有可能导致创伤后应激障碍(PTSD)。鉴于创伤后应激障碍对人际关系、生活场景和整体健康的深远影响,了解心理疗法在治疗 ATO/JFO 参与者创伤后应激障碍方面的有效性至关重要。本研究评估了接纳与承诺疗法如何减轻患有战斗相关创伤后应激障碍的乌克兰军人的创伤后应激障碍症状并提高其幸福感。主要研究方法是心理实验,案例研究法作为辅助研究方法。研究结果表明:被诊断患有创伤后应激障碍的 ATO/JFO 战斗人员应被归类为残疾人,因为他们的生活活动受到一定限制,即无法控制自己的行为,在工作和交流方面存在困难。这项研究证明,认知行为心理疗法在克服军人创伤后应激障碍方面具有明显的优势,因为它可以将心理创伤转化为创伤后成长。依恋和接受疗法是一种行为疗法,已成为治疗创伤后应激障碍最有效的方法之一。它通过分析认知、情感和行为之间的联系,重点诊断和解决战争造成的心理后果。鉴于创伤后应激障碍的长期性,本研究的实际意义在于为受作战行动影响的 ATO/JFO 参与者的预期康复制定有效的心理治疗干预措施。
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引用次数: 0
Prevalence and Risk Factors of PTSD, Depression, and Grief Among Survivors of 2023 Türkiye Earthquake. 2023 年土耳其地震幸存者中创伤后应激障碍、抑郁和悲伤的患病率和风险因素。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-10-01 DOI: 10.1097/NMD.0000000000001803
Sevinc Ulusoy, Zulal Celik, Aleyna Guleryuz, Havva Ceren Esgibag, Kaasim Fatih Yavuz

Abstract: This study investigated the prevalence and risk factors of probable posttraumatic stress disorder (PTSD), depression, and complicated grief among 529 adults residing in a container city, 4 months after the 2023 earthquakes in Türkiye. Participants were assessed using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the Hamilton Depression Scale, and the Inventory of Complicated Grief. The prevalence rates of probable PTSD, depression, and complicated grief were 21.4%, 15.9%, and 64.7%, respectively. Logistic regression analyses indicated that PTSD was significantly associated with the loss of a loved one, fear of future earthquakes, and decreased perceived life control. Similarly, depression was associated with being trapped under debris, experiencing fear during the earthquake, and reduced perceived life control. These findings suggest that individuals presenting these risk factors warrant closer follow-up for potential psychological issues. Additionally, the impact of fear related to the earthquake and the role of perceived life control emerge as crucial considerations for psychological interventions.

摘要:本研究调查了 2023 年土耳其地震发生 4 个月后,居住在集装箱城市的 529 名成年人中可能出现的创伤后应激障碍(PTSD)、抑郁和复杂悲伤的患病率和风险因素。研究人员使用《精神疾病诊断与统计手册》第五版创伤后应激障碍核对表、汉密尔顿抑郁量表和复杂悲伤量表对参与者进行了评估。可能患有创伤后应激障碍、抑郁和复杂悲伤的比例分别为 21.4%、15.9% 和 64.7%。逻辑回归分析表明,创伤后应激障碍与失去亲人、对未来地震的恐惧和对生活控制感的下降有显著关联。同样,抑郁症也与被困在废墟下、在地震中感到恐惧和生活控制感降低有关。这些研究结果表明,出现这些风险因素的人需要更密切地跟踪潜在的心理问题。此外,与地震有关的恐惧的影响和感知到的生活控制力的作用也成为心理干预的重要考虑因素。
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引用次数: 0
Baduanjin Exercise Improves Cognitive Function in Older Adults With Mild Cognitive Impairment: A Systematic Review and Meta-analysis. 八段锦运动可改善轻度认知障碍老年人的认知功能:系统回顾与元分析》。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 DOI: 10.1097/NMD.0000000000001796
Liang Li, Wenlong Li, Tonggang Fan

Abstract: As a nonpharmacological method for cognitive rehabilitation, older adults with mild cognitive impairment (MCI) may benefit from Baduanjin exercise (BE), a moderate-intensity aerobic exercise. This meta-analysis was conducted to determine if BE is effective in enhancing cognitive performance in older adults with MCI. Using a combination of topic phrases and free words, systematic searches were executed in nine databases. Review Manager 5.4 was used to retrieve and statistically evaluate the data. Fourteen randomized controlled studies comprising 994 individuals aged ≥60 years were included in the meta-analysis. BE enhanced the general cognitive performance in individuals with MCI as measured by the Montreal Cognitive Assessment (standardized mean difference [SMD] = 2.56; 95% confidence interval [CI], 2.17, 2.96; p < 0.001). The level of memory decline (Wechsler Memory Scale; SMD = 12.46; 95% CI, 8.36, 16.57; p < 0.001), executive function (Trail Making Test; SMD = -7.08; 95% CI, -11.21, -2.94; p < 0.001), and frailty (Edmonton Frailty Scale; SMD = -0.97; 95% CI, -1.30, -0.64; p < 0.001) were all improved with BE for older adults with MCI. This study presented a therapeutic practice guide for using BE for cognitive rehabilitation in older adults. BE notably improves cognitive function in older adults with MCI and can be an excellent nonpharmaceutical therapy option.

摘要:作为一种非药物认知康复方法,患有轻度认知障碍(MCI)的老年人可能会从中等强度的有氧运动--八段锦运动(BE)中获益。本荟萃分析旨在确定八段锦运动是否能有效提高患有 MCI 的老年人的认知能力。利用主题短语和自由词的组合,在九个数据库中进行了系统检索。使用 Review Manager 5.4 对数据进行检索和统计评估。14项随机对照研究纳入了荟萃分析,这些研究包括994名年龄≥60岁的患者。通过蒙特利尔认知评估(Montreal Cognitive Assessment),BE 提高了 MCI 患者的一般认知能力(标准化平均差 [SMD] = 2.56;95% 置信区间 [CI],2.17, 2.96;P < 0.001)。对于患有 MCI 的老年人,BE 可改善记忆力衰退程度(韦氏记忆量表;SMD = 12.46;95% CI,8.36,16.57;p <0.001)、执行功能(路径制作测试;SMD = -7.08;95% CI,-11.21,-2.94;p <0.001)和虚弱程度(埃德蒙顿虚弱量表;SMD = -0.97;95% CI,-1.30,-0.64;p <0.001)。这项研究为使用 BE 进行老年人认知康复提供了治疗实践指南。BE 能显著改善患有 MCI 的老年人的认知功能,是一种很好的非药物疗法选择。
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引用次数: 0
The Resurgence of Exogenous Psychosis: A Phenomenological Examination of Substance-Induced Psychopathology. 外源性精神病卷土重来:对药物诱发精神病理学的现象学研究。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 DOI: 10.1097/NMD.0000000000001800
Valerio Ricci, Giuseppe Maina, Gilberto Di Petta, Giovanni Martinotti

Abstract: The psychopathological manifestations associated with substance use, including induced psychotic experiences, are increasingly relevant but not well-understood within the medical community. Novel psychoactive substances and potentiated old compounds like cannabis and cocaine have emerged as a global concern, especially among adolescents and young adults. Transition rates from substance-induced psychosis (SIP) to persistent psychosis are significant, particularly in cases of cannabis-induced psychosis. Scientific inquiry into induced psychotic phenomena has revealed differences between SIP and primary psychotic disorders, highlighting the risk factors associated with each. The concept of exogenous psychosis, including its toxic variant known as lysergic psychoma, provides valuable insights into the role of external factors in psychosis development. A phenomenological approach characterizes this disruption in perception as a shift in temporal and spatial dimensions, leading to auditory and visual hallucinations. The "twilight state" of consciousness plays a crucial role in the transition from substance use to psychosis, with implications for spatiality, intersubjectivity, and temporality. This complex path to psychosis challenges traditional diagnostic models and underscores the need for a more nuanced understanding of substance-induced psychopathological experiences.

摘要:与药物使用相关的精神病理学表现,包括诱发精神病的经历,越来越受到医学界的关注,但却没有得到很好的理解。大麻和可卡因等新型精神活性物质和旧化合物的增效作用已成为全球关注的问题,尤其是在青少年和年轻成年人中。从药物诱发的精神病(SIP)到持续性精神病的转变率很高,尤其是在大麻诱发的精神病中。对诱发精神病现象的科学研究揭示了 SIP 与原发性精神病之间的差异,并强调了与两者相关的风险因素。外源性精神病的概念,包括被称为麦角酰精神瘤的毒性变体,为了解外部因素在精神病发展中的作用提供了宝贵的见解。现象学方法将这种感知中断描述为时空维度的转移,导致听觉和视觉幻觉。意识的 "黄昏状态 "在从药物使用到精神病的转变过程中起着至关重要的作用,对空间性、主体间性和时间性都有影响。通往精神病的这一复杂路径挑战了传统的诊断模型,强调了对药物诱发的精神病理体验进行更细致入微的理解的必要性。
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引用次数: 0
Manifestations of Paranoid Personality in Workaholic Middle Managers. 工作狂中层管理人员的偏执人格表现。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1097/NMD.0000000000001797
Liana Spytska

Abstract: The problem of paranoid disorders is widespread and difficult to diagnose due to the many mental symptoms that a person often perceives as character traits. Passion for work, the so-called pathological workaholism, harms not only the suffering person but also all the people around them, affecting their quality of life and disrupting social and family ties. The purpose of study was to determine the level of pathological workaholism and its main symptoms. The objectives of the study included interviewing respondents and identifying the correlation between the level of workaholism and mental manifestations, and finding differences in the manifestations of workaholism in men and women. For this purpose, 78 people were examined, including 38 women and 40 men. All participants worked as middle managers in multinational companies. The aim was to identify people with pathological workaholism among the participants using the "Work Addiction Risk Test" questionnaire. Among managers, a high degree of predisposition to workaholism was diagnosed. We found that women have a strong tendency to be fixated on work, and as a result, they have increased rumination anxiety. Regardless of gender, managers who took part in the study showed a pronounced manifestation of paranoid and obsessive-phobic disorders, depression, and asthenic manifestations. Regarding the relationship between neurotic symptoms and a tendency to workaholism, a high correlation was observed ( p < 0.05). The results of this study may be useful for specialists to develop means of preventing and effectively treating paranoid workaholism, as a disease that is increasingly having a negative impact on society.

摘要:偏执性障碍的问题很普遍,而且很难诊断,因为患者往往将许多精神症状视为性格特征。对工作的热情,也就是所谓的病态工作狂,不仅会伤害患者本人,还会伤害他们周围的所有人,影响他们的生活质量,破坏社会和家庭关系。本研究旨在确定病态工作狂的程度及其主要症状。研究目标包括对受访者进行访谈,确定工作狂程度与精神表现之间的相关性,并发现男女工作狂表现的差异。为此,对 78 人进行了调查,其中包括 38 名女性和 40 名男性。所有参与者都在跨国公司担任中层管理人员。研究的目的是利用 "工作成瘾风险测试 "问卷在参与者中找出病态工作狂。在管理人员中,被诊断出有高度的工作狂倾向。我们发现,女性有强烈的专注于工作的倾向,因此,她们的反刍焦虑会增加。无论性别如何,参与研究的管理人员都表现出明显的偏执狂和强迫恐惧症、抑郁症和虚弱表现。关于神经质症状与工作狂倾向之间的关系,研究发现两者之间存在高度相关性(p < 0.05)。工作狂是一种对社会产生越来越大负面影响的疾病,这项研究的结果可能有助于专家制定预防和有效治疗工作狂偏执狂的方法。
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引用次数: 0
Psychological Factors of Overcoming Nonchemical Addictions. 克服非化学成瘾的心理因素。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1097/NMD.0000000000001795
Nataliia Maksymova, Antonina Hrys, Mykola Maksymov, Yuliia Krasilova, Julia Udovenko

Abstract: This comprehensive study delves into the escalating issue of nonchemical addictions, spurred by technological advancements. It thoroughly examines psychological factors and intervention strategies for these addictions, focusing on their development, influence on human behavior, and psychocorrection processes. Aiming to discover effective methods for correcting and preventing addictive behavior, the study incorporates a theoretical analysis of existing scientific approaches, characterizing various nonchemical addictions such as Internet and gadget use, gambling, and others. It scrutinizes the origins, proliferation, and interplay of these addictions with an individual's psychoemotional state, lifestyle, and external environment, underscoring the destructive nature of addiction on physiological, emotional, and social levels. A key component of the research is an empirical investigation among teenagers, a highly susceptible group, to assess gadget addiction levels, causative factors, and impacts. This research not only elucidates the essence and variety of nonchemical addictions and their correlation with mental health but also provides valuable insights into prevention and overcoming strategies. The practical significance of this study lies in its potential application for recognizing addiction signs and formulating effective management programs.

摘要:这本综合性研究报告深入探讨了在科技进步的推动下,非化学成瘾这一日益严重的问题。它深入研究了这些成瘾的心理因素和干预策略,重点关注其发展、对人类行为的影响以及心理矫正过程。为了发现纠正和预防成瘾行为的有效方法,该研究结合了对现有科学方法的理论分析,对各种非化学成瘾行为,如使用互联网和小工具、赌博等进行了描述。它仔细研究了这些成瘾的起源、扩散以及与个人心理情绪状态、生活方式和外部环境的相互作用,强调了成瘾在生理、情感和社会层面的破坏性。研究的一个关键组成部分是对青少年这一极易上瘾的群体进行实证调查,以评估小工具成瘾的程度、致因和影响。这项研究不仅阐明了非化学成瘾的本质和种类及其与心理健康的相关性,还为预防和克服策略提供了宝贵的见解。这项研究的实际意义在于,它有可能被应用于识别成瘾迹象和制定有效的管理方案。
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引用次数: 0
The Impact of Childhood Trauma on the Negative Symptoms of Schizophrenia. 童年创伤对精神分裂症阴性症状的影响》(The Impact of Childhood Trauma on the Negative Symptoms of Schizophrenia)。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1097/NMD.0000000000001788
Katelyn Ware, Blazej Misiak, Eid Abo Hamza, Shahad Nalla, Ahmed A Moustafa

Abstract: Schizophrenia is a debilitating mental health disorder that imposes profound economic, societal, and personal burdens. The negative symptoms of schizophrenia ( i.e. , blunted affect, alogia, anhedonia, asociality, and avolition) are highly prevalent and pervasive in the psychotic disorder and pose significant resistance to available treatment options. Traumatic childhood experiences are strongly linked with the risk of developing schizophrenia. Most prior studies have primarily focused on positive symptoms of schizophrenia ( e.g. , hallucinations and delusions), whereas less attention has been given to negative symptoms. The current study investigated the relationship between childhood trauma ( i.e. , physical abuse, sexual abuse, and emotional abuse and neglect) and negative symptoms in a sample of schizophrenia outpatients and healthy controls ( n = 159 participants, including 99 patients with schizophrenia). The observations from the current study revealed that schizophrenia patients experienced a significantly greater degree of childhood trauma and negative symptoms than the control individuals. The results of the current study also indicated that more severe experiences of total childhood trauma ( i.e. , summation of all trauma types), physical abuse, and emotional neglect may increase the risk of schizophrenia patients reporting negative symptoms. However, childhood sexual and emotional abuse was found to have no impact on the degree of negative symptoms experienced by schizophrenia patients. Implications and limitations of the current study are discussed. In conclusion, we found that the severity of overall childhood trauma, physical abuse, and emotional neglect may play an important role in increasing the likelihood of schizophrenia patients reporting negative symptoms.

摘要:精神分裂症是一种使人衰弱的精神疾病,给经济、社会和个人带来沉重负担。精神分裂症的阴性症状(即情感迟钝、失眠、失张力、不合群和逃避现实)在精神障碍中非常普遍和常见,对现有的治疗方案造成了巨大的阻力。童年的创伤经历与患精神分裂症的风险密切相关。之前的大多数研究主要关注精神分裂症的阳性症状(如幻觉和妄想),而对阴性症状关注较少。本研究调查了精神分裂症门诊患者和健康对照组样本(n = 159 人,其中包括 99 名精神分裂症患者)中童年创伤(即身体虐待、性虐待、情感虐待和忽视)与阴性症状之间的关系。本次研究的观察结果显示,精神分裂症患者经历的童年创伤和阴性症状程度明显高于对照组。本次研究的结果还表明,童年总体创伤(即所有创伤类型的总和)、身体虐待和情感忽视的经历越严重,精神分裂症患者出现阴性症状的风险就越高。然而,研究发现童年性虐待和情感虐待对精神分裂症患者阴性症状的程度没有影响。本文讨论了本研究的意义和局限性。总之,我们发现童年时期的整体创伤、身体虐待和情感忽视的严重程度可能会在增加精神分裂症患者出现阴性症状的可能性方面发挥重要作用。
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引用次数: 0
The Mediating Role of Insomnia Severity in the Relationship Between Anxiety Symptoms and Suicidal Ideation: A Real-World Study in a Psychiatric Inpatient Setting. 失眠严重程度在焦虑症状与自杀意念之间关系中的中介作用:精神病住院患者的真实世界研究
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1097/NMD.0000000000001793
Isabella Berardelli, Salvatore Sarubbi, Maria Anna Trocchia, Ludovica Longhini, Antonella Moschillo, Elena Rogante, Mariarosaria Cifrodelli, Denise Erbuto, Marco Innamorati, Maurizio Pompili

Abstract: Insomnia and anxiety symptoms are independent clinical variables involved in suicidal ideation in psychiatric inpatients. In this article, we investigated the relationship among insomnia severity, severity of anxiety symptoms, and suicidal ideation in a sample of psychiatric inpatients with severe mental disorders. We used a mediation model considering insomnia severity as the possible mediator of the relationship between anxiety severity and suicidal ideation. We administered the Columbia Suicide Severity Rating Scale, the Insomnia Severity Index, and the Hamilton Anxiety Rating Scale to 116 consecutive inpatients to the psychiatric unit of Sant'Andrea Hospital in Rome. The effect of anxiety symptoms was mediated by insomnia severity; patients who perceive higher anxiety symptoms were more likely to experience higher levels of insomnia and, thus, higher suicidal ideation intensity. Results showed the importance of assessing and treating both insomnia and anxiety in clinical practice.

摘要:失眠和焦虑症状是导致精神病住院患者产生自杀意念的独立临床变量。本文以严重精神障碍的精神病住院患者为样本,研究了失眠严重程度、焦虑症状严重程度和自杀意念之间的关系。我们使用了一个中介模型,将失眠严重程度视为焦虑严重程度与自杀意念之间关系的可能中介。我们对罗马圣安德烈医院精神科的 116 名连续住院病人实施了哥伦比亚自杀严重程度评定量表、失眠严重程度指数和汉密尔顿焦虑评定量表。焦虑症状的影响受失眠严重程度的影响;焦虑症状较重的患者更有可能出现较严重的失眠,因此自杀意念强度也更高。研究结果表明,在临床实践中同时评估和治疗失眠和焦虑的重要性。
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引用次数: 0
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