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Reply to Barbara Schildkraut, MD. 回复医学博士 Barbara Schildkraut。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-08-01 DOI: 10.1097/NMD.0000000000001733
James Phillips, Michael A Norko
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引用次数: 0
The Importance of Knowledge on Dementia Risk Factors in the General Public: A Cross-Sectional Study. 公众对痴呆症风险因素了解的重要性:一项横断面研究。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2024-07-01 DOI: 10.1097/NMD.0000000000001785
Xiangfei Meng, Yueyang Dong, Tianbao Gao, Jianping Su, Yanjie Zhao, Xiangning Zhu, Meng He, Tingmeng Zhang, Jiao Sun

Abstract: The purpose of this study was to determine the influence of knowledge and beliefs on beneficial behaviors and dementia risk scores. A online survey was conducted among Chinese community residents over 18 years old. Multivariate logistic regression was used to identify the impact of knowledge and beliefs on dementia risk scores and beneficial behaviors. The respondents were 760 adults (mean age = 47.6 years, 60.8% female). Knowledge and beliefs were associated with cognitive activities (knowledge, odds ratio [OR] = 1.04; beliefs, OR = 1.17) and dementia risk scores (knowledge, OR = 0.95; beliefs, OR = 0.82). Additionally, lower perceived susceptibility (OR = 1.68; 95% CI, 1.04 to 2.72) and higher perceived benefits (OR = 0.68; 95% CI, 0.57 to 0.80) were associated with lower dementia risk scores. Knowledge and beliefs can promote beneficial behaviors and reduce dementia risk. In particular, perceptions of dementia susceptibility and benefits should be enhanced, which will greatly reduce dementia risk in the general public.

摘要:本研究旨在确定知识和信念对有益行为和痴呆风险评分的影响。研究对 18 岁以上的华人社区居民进行了在线调查。采用多变量逻辑回归法来确定知识和信念对痴呆症风险评分和有益行为的影响。受访者为 760 名成年人(平均年龄为 47.6 岁,60.8% 为女性)。知识和信念与认知活动(知识,几率比 [OR] = 1.04;信念,几率比 = 1.17)和痴呆症风险评分(知识,几率比 = 0.95;信念,几率比 = 0.82)相关。此外,较低的感知易感性(OR = 1.68;95% CI,1.04 至 2.72)和较高的感知益处(OR = 0.68;95% CI,0.57 至 0.80)与较低的痴呆症风险评分相关。知识和信念可以促进有益的行为并降低痴呆症风险。特别是,应加强对痴呆症易感性和益处的认知,这将大大降低大众患痴呆症的风险。
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引用次数: 0
Randomized Controlled Trial Evaluating the Effectiveness of a Direct-to-Consumer Marketing Video About Patients' Right to Evidence-Based Mental Health Care. 随机对照试验:评估关于患者有权获得循证心理健康护理的直面消费者营销视频的效果》(Randomized Controlled Trial Evaluating the Effectiveness of a Direct-to-Consumer Marketing Video concerning Patients's Right to Evidence-Based Mental Health Care)。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2024-07-15 DOI: 10.1097/NMD.0000000000001786
Alexandra L Silverman, Alexandra Werntz, Casey Schofield, Mitchell J Prinstein, Dean McKay, Bethany A Teachman

Abstract: This study evaluated the impact of a direct-to-consumer (DTC) marketing video designed to educate the public about patients' rights to evidence-based mental health care (EBMHC). Participants ( N = 632) were randomly assigned to an active DTC video condition, a control video condition, or a control condition without a video. Participants who watched the DTC video ( vs . both control conditions) had significantly greater knowledge of patients' rights to EBMHC. Further, individuals who watched the DTC ( vs . control) video reported significantly greater comfort with accessing care and perceived their assigned video as significantly more culturally sensitive. However, participants who watched the DTC video were not significantly different from both control conditions on self-report measures of self-efficacy in working with a provider, likelihood of asking a provider about one's rights, treatment-seeking intentions, and self-stigma. Findings suggest the potential for a DTC video to promote knowledge of EBMHC, though its impact on help-seeking perceptions and intentions was less promising.

摘要:本研究评估了直接面向消费者(DTC)的营销视频的影响,该视频旨在向公众宣传患者享有循证心理保健(EBMHC)的权利。参与者(632 人)被随机分配到积极的 DTC 视频条件、对照视频条件或无视频的对照条件中。观看了 DTC 视频的参与者(与两个对照条件相比)对患者享有 EBMHC 权利的了解程度明显提高。此外,观看了 DTC(与对照组)视频的人对获得护理的舒适度明显提高,并认为其指定视频的文化敏感度明显提高。然而,在与医疗服务提供者合作的自我效能、向医疗服务提供者询问自身权利的可能性、寻求治疗的意愿以及自我耻辱感等自我报告指标上,观看 DTC 视频的参与者与对照组相比并无明显差异。研究结果表明,尽管 DTC 视频对寻求帮助的看法和意向的影响不太乐观,但它有可能促进人们对 EBMHC 的了解。
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引用次数: 0
Sexual Disorders in Men: The Main Factors of Occurrence and Their Correction. 男性性功能障碍:发生的主要因素及其纠正。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2024-07-01 DOI: 10.1097/NMD.0000000000001787
Liana Spytska

Abstract: The aim is to identify the causes of physical and emotional health disorders in men in terms of intimate interaction with partners, as well as how they can be prevented. The research used comparison, analysis, statistical methods, and surveys. The need for people to discover and study sexual health issues in the modern world in order to support not only the physical, but also the psychological aspects of their body, as well as the impact of lifestyle on this process, is shown. The research was conducted to better understand all diseases that are based on the deterioration of the psycho-emotional state of men, which leads to sexual disorders. A more detailed study of this topic will allow to better select treatment for patients and find different approaches to the problem in the future.

摘要:目的是从与伴侣的亲密互动方面找出导致男性生理和情感健康失调的原因,以及如何预防这些失调。研究采用了对比、分析、统计和调查等方法。研究表明,在现代社会中,人们需要发现和研究性健康问题,以便不仅从生理上,而且从心理上支持自己的身体,以及生活方式对这一过程的影响。开展这项研究是为了更好地了解所有基于男性心理情感状态恶化而导致性障碍的疾病。对这一课题进行更详细的研究将有助于更好地为患者选择治疗方法,并在未来找到解决这一问题的不同方法。
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引用次数: 0
Can Patients With Narcissistic Personality Disorder Change? A Case Series. 自恋型人格障碍患者能否改变?病例系列。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-07-01 DOI: 10.1097/NMD.0000000000001777
Igor Weinberg, Elsa Ronningstam, Caitlin Ravichandran, John G Gunderson

Abstract: The study was set out to establish the potential for psychotherapy to effect improvements in patients with narcissistic personality disorder (NPD). Eight patients with NPD who improved in treatment were identified. Consensus clinician/investigator diagnostic scores from before and after the psychotherapies were retroactively established on the Diagnostic Interview for Narcissism (DIN) and the Diagnostic Statistic Manual for Psychiatric Disorders, 5th Edition (DSM-5) Personality Disorder Section II criteria. Psychosocial functioning (work or school, romantic relationships) before and after the psychotherapies was retroactively evaluated as well. At the completion of the therapies after 2.5 to 5 years, all patients had improved, no longer met DIN or DSM-5 criteria for NPD, and showed better psychosocial functioning. Symptomatic improvements were associated with large effect sizes. In conclusion, changes in NPD can occur in treatment after 2.5 to 5 years. Future research should identify patient characteristics, interventions, and common processes in such improved cases that could help with development of treatments.

摘要:这项研究旨在确定心理疗法对自恋型人格障碍(NPD)患者的潜在改善效果。研究确定了八名在治疗中有所改善的 NPD 患者。根据自恋诊断访谈(DIN)和《精神障碍诊断统计手册》第五版(DSM-5)人格障碍第二部分标准,对心理治疗前后的临床医生/调查员诊断评分进行了追溯。此外,还对心理治疗前后的社会心理功能(工作或学习、恋爱关系)进行了追溯评估。在 2.5 至 5 年的治疗结束后,所有患者的病情都有所改善,不再符合 DIN 或 DSM-5 NPD 标准,社会心理功能也有所改善。症状的改善与较大的效应大小有关。总之,经过 2.5 至 5 年的治疗,NPD 可以发生变化。未来的研究应确定患者的特征、干预措施以及此类改善病例的共同过程,这将有助于治疗方法的开发。
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引用次数: 0
Campbell's 1953 Book on "Manic-Depressive Disease": A Counter-Factual History of the DSM Symptomatic "A Criteria" for Major Depression. 坎贝尔 1953 年关于 "躁狂抑郁症 "的著作:DSM 重度抑郁症症状 "A 标准 "的反事实史。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-07-01 DOI: 10.1097/NMD.0000000000001778
Kenneth S Kendler

Abstract: The DSM-III symptomatic criteria for major depression (MD) were derived from those proposed by Feighner and colleagues in 1972, which closely resembled those published by Cassidy in 1957. I here present a counter-factual history in which Feighner carefully read a key reference in Cassidy, a large 1953 follow-up study by Campbell of depressed patients with detailed tables of depressive signs and symptoms. In this alternative timeline, the Feighner criteria for MD were modified by Campbell's results, which then changed DSM-III and subsequent MD criteria sets. The historical pathway to the current DSM MD criteria was contingent on a range of historical events and could easily have been different. This story is not meant to criticize DSM MD criteria that perform well. Rather, it suggests that these criteria represent a useful but fallible set of symptoms/signs that index but do not constitute MD and therefore are not to be reified.

摘要:DSM-III 重度抑郁症(MD)的症状标准源自费格纳及其同事于 1972 年提出的标准,这些标准与卡西迪于 1957 年发表的标准非常相似。我在此提出一个反事实的历史,在这个历史中,费格纳仔细阅读了卡西迪的一个关键参考文献,即坎贝尔在 1953 年对抑郁症患者进行的一项大型随访研究,其中包含详细的抑郁症体征和症状表格。在这一替代时间线中,费格纳的抑郁症标准根据坎贝尔的研究结果进行了修改,从而改变了 DSM-III 及其后的抑郁症标准集。通往当前 DSM MD 标准的历史路径取决于一系列历史事件,很容易出现不同的情况。这个故事并不是要批评表现良好的 DSM MD 标准。相反,它表明这些标准代表了一套有用但易错的症状/体征,这些症状/体征可作为 MD 的指标,但并不构成 MD,因此不应被重新定义。
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引用次数: 0
Sequential Presentation of Obsessive-Compulsive Disorder and Narcolepsy in a 10-Year-Old Girl With Wolfram Syndrome 1. 一名患有沃尔夫拉姆综合征的 10 岁女孩相继出现强迫症和嗜睡症 1.
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-07-01 DOI: 10.1097/NMD.0000000000001784
Rajith K Ravindren, Rajesh Thaliyil Veettil, Shibila Athimannil, Neetha Balaram, Prasad Thotton Veedu, Sajin Appadam Veetil, Arun Kumar Ayoor, Suja Mathew, Krishnakumar Padinharath, Shabeesh Balan

Abstract: Wolfram syndrome 1 (WS1) is a rare, autosomal recessive neurodegenerative disorder characterized by diabetes insipidus, insulin-dependent diabetes mellitus, optic atrophy, and deafness resulting from loss-of-function genetic variants in the WFS1 gene. Individuals with WS1 manifest a spectrum of neuropsychiatric disorders. Here, we report a pediatric case of WS1, which stemmed from a novel biallelic WFS1 loss-of-function genetic variant. The individual initially presented with obsessive-compulsive disorder, which was successfully managed by fluvoxamine. After 2 months, the child manifested excessive daytime sleepiness. Clinical evaluation and sleep recordings revealed a diagnosis of narcolepsy type 2. Excessive daytime sleepiness was improved with methylphenidate. To the best of our knowledge, this is the first report of narcolepsy in WS1, which possibly arose during a progressive neurodegenerative process. We emphasize the need for in-depth screening for neuropsychiatric phenotypes and sleep-related disorders in WS1, for clinical management, which significantly improves the quality of life.

摘要:沃尔夫拉姆综合征 1(WS1)是一种罕见的常染色体隐性神经退行性疾病,其特征是由 WFS1 基因的功能缺失遗传变异引起的糖尿病、胰岛素依赖型糖尿病、视神经萎缩和耳聋。WS1患者表现出一系列神经精神障碍。在此,我们报告了一例儿科 WS1 病例,该病例源于 WFS1 基因的一种新型双侧功能缺失遗传变异。患儿最初表现为强迫症,氟伏沙明治疗成功。两个月后,患儿出现白天过度嗜睡的症状。临床评估和睡眠记录显示,该患儿被诊断为嗜睡症 2 型。使用哌醋甲酯后,白天过度嗜睡的情况有所改善。据我们所知,这是第一例关于 WS1 型嗜睡症的报告,这种病可能是在进行性神经退行性过程中出现的。我们强调有必要对 WS1 患者的神经精神表型和睡眠相关障碍进行深入筛查,以便进行临床治疗,从而显著改善患者的生活质量。
{"title":"Sequential Presentation of Obsessive-Compulsive Disorder and Narcolepsy in a 10-Year-Old Girl With Wolfram Syndrome 1.","authors":"Rajith K Ravindren, Rajesh Thaliyil Veettil, Shibila Athimannil, Neetha Balaram, Prasad Thotton Veedu, Sajin Appadam Veetil, Arun Kumar Ayoor, Suja Mathew, Krishnakumar Padinharath, Shabeesh Balan","doi":"10.1097/NMD.0000000000001784","DOIUrl":"10.1097/NMD.0000000000001784","url":null,"abstract":"<p><strong>Abstract: </strong>Wolfram syndrome 1 (WS1) is a rare, autosomal recessive neurodegenerative disorder characterized by diabetes insipidus, insulin-dependent diabetes mellitus, optic atrophy, and deafness resulting from loss-of-function genetic variants in the WFS1 gene. Individuals with WS1 manifest a spectrum of neuropsychiatric disorders. Here, we report a pediatric case of WS1, which stemmed from a novel biallelic WFS1 loss-of-function genetic variant. The individual initially presented with obsessive-compulsive disorder, which was successfully managed by fluvoxamine. After 2 months, the child manifested excessive daytime sleepiness. Clinical evaluation and sleep recordings revealed a diagnosis of narcolepsy type 2. Excessive daytime sleepiness was improved with methylphenidate. To the best of our knowledge, this is the first report of narcolepsy in WS1, which possibly arose during a progressive neurodegenerative process. We emphasize the need for in-depth screening for neuropsychiatric phenotypes and sleep-related disorders in WS1, for clinical management, which significantly improves the quality of life.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141468711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are There Differences Among Evidence-Based Psychotherapies for Treating Different DSM-5 PTSD Symptom Clusters? A Systematic Review and Meta-analysis of Controlled Clinical Trials. 基于证据的心理疗法在治疗不同的 DSM-5 PTSD 症状群方面存在差异吗?对照临床试验的系统回顾和元分析》。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-06-01 DOI: 10.1097/NMD.0000000000001769
Marina S Melani, Jéssica M Paiva, Mauro V Mendlowicz, Liliane Vilete, Mariana P Luz, Paula Rui Ventura, Roberta Benitez Freitas Passos, William Berger

Abstract: Posttraumatic stress disorder (PTSD) is a heterogeneous disease defined by four Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) symptom clusters: reexperiencing, avoidance, negative alterations in cognitions and mood, and hyperarousal. There are effective evidence-based psychotherapies (EBPs) for PTSD. However, given the variety of PTSD clinical presentations, we conducted the first meta-analysis investigating whether DSM-5 PTSD symptom clusters show different responses to EBPs. We systematically reviewed the literature for controlled clinical trials in five databases, performed a meta-analysis, and evaluated the methodological quality of the studies. We screened 633 studies and included seven. Three showed high risk, two showed some concerns, and one showed a low risk of bias. The symptom clusters do not seem to respond differently to EBPs (SMD cluster B: -0.40; 95% confidence interval [CI], -0.87 to 0.08; cluster C: -0.49; 95% CI, -0.90 to -0.08; cluster D: -0.44; 95% CI, -0.94 to 0.05; cluster E: -0.54; 95% CI, -1.07 to -0.0), even when analyzed by the therapeutic focuses. The findings dovetail nicely with the network theory of PTSD symptom, as although it is a heterogeneous disorder, the EBPs seem to promote a kind of cascade of symptom improvement.

摘要:创伤后应激障碍(PTSD)是一种异质性疾病,由《精神疾病诊断与统计手册》第五版(DSM-5)的四个症状群定义:再体验、回避、认知和情绪的负面改变以及过度虑惊。创伤后应激障碍有有效的循证心理疗法(EBPs)。然而,鉴于创伤后应激障碍的临床表现多种多样,我们首次进行了荟萃分析,研究 DSM-5 PTSD 症状群是否对 EBPs 表现出不同的反应。我们系统地查阅了五个数据库中的对照临床试验文献,进行了荟萃分析,并对研究的方法学质量进行了评估。我们筛选了 633 项研究,并纳入了 7 项研究。其中三项存在高风险,两项存在一些问题,一项存在低偏倚风险。即使按治疗重点进行分析,症状群组似乎对 EBPs 的反应也不尽相同(SMD 群组 B:-0.40;95% 置信区间 [CI],-0.87 至 0.08;群组 C:-0.49;95% CI,-0.90 至 -0.08;群组 D:-0.44;95% CI,-0.94 至 0.05;群组 E:-0.54;95% CI,-1.07 至 -0.0)。这些发现与创伤后应激障碍症状的网络理论非常吻合,因为尽管创伤后应激障碍是一种异质性疾病,但 EBPs 似乎促进了一种症状改善的连带效应。
{"title":"Are There Differences Among Evidence-Based Psychotherapies for Treating Different DSM-5 PTSD Symptom Clusters? A Systematic Review and Meta-analysis of Controlled Clinical Trials.","authors":"Marina S Melani, Jéssica M Paiva, Mauro V Mendlowicz, Liliane Vilete, Mariana P Luz, Paula Rui Ventura, Roberta Benitez Freitas Passos, William Berger","doi":"10.1097/NMD.0000000000001769","DOIUrl":"10.1097/NMD.0000000000001769","url":null,"abstract":"<p><strong>Abstract: </strong>Posttraumatic stress disorder (PTSD) is a heterogeneous disease defined by four Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) symptom clusters: reexperiencing, avoidance, negative alterations in cognitions and mood, and hyperarousal. There are effective evidence-based psychotherapies (EBPs) for PTSD. However, given the variety of PTSD clinical presentations, we conducted the first meta-analysis investigating whether DSM-5 PTSD symptom clusters show different responses to EBPs. We systematically reviewed the literature for controlled clinical trials in five databases, performed a meta-analysis, and evaluated the methodological quality of the studies. We screened 633 studies and included seven. Three showed high risk, two showed some concerns, and one showed a low risk of bias. The symptom clusters do not seem to respond differently to EBPs (SMD cluster B: -0.40; 95% confidence interval [CI], -0.87 to 0.08; cluster C: -0.49; 95% CI, -0.90 to -0.08; cluster D: -0.44; 95% CI, -0.94 to 0.05; cluster E: -0.54; 95% CI, -1.07 to -0.0), even when analyzed by the therapeutic focuses. The findings dovetail nicely with the network theory of PTSD symptom, as although it is a heterogeneous disorder, the EBPs seem to promote a kind of cascade of symptom improvement.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychiatric Comorbidities of Incarceration in a Patient With Gender Dysphoria: A Case Report and Literature Review. 一名性别焦虑症患者的监禁精神并发症:病例报告与文献综述
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-06-01 DOI: 10.1097/NMD.0000000000001766
Gurtej Gill, Yarden Segal, Sushma Srinivas, Anish Laul, Garima Yadav, Zachary McMahon, Panagiota Korenis

Abstract: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition defines gender identity disorder (GID) as a strong and persistent identification with the opposite sex and the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender. The onset of GID commonly begins early in childhood. Gender dysphoria has a higher prevalence of other comorbid psychiatric illnesses, such as mood, anxiety, and adjustment disorders, with increased suicide incidence and self-harming behaviors than the general population. Studies show that some temperamental, environmental, genetic, and psychological factors play a role in developing GID. Approximately 16% of transgender people and 21% of transgender women get incarcerated compared with the general US population. During incarceration, they face many issues, such as victimization, severe verbal harassment, purposeful humiliation, unwanted sexual advances, physical assault, forcible sex, and unwanted strip searches. There is a need for a better understanding of the issues and needs of this population to promote positive outcomes.

摘要:《精神障碍诊断与统计手册》第五版将性别认同障碍(GID)定义为对异性强烈而持久的认同,以及可能伴随着个人经历或表达的性别与分配的性别不一致而产生的困扰。性别认同障碍通常在儿童早期发病。与普通人相比,性别焦虑症合并其他精神疾病(如情绪、焦虑和适应障碍)的发病率更高,自杀率和自残行为也更高。研究表明,一些气质、环境、遗传和心理因素在 GID 的形成中起着一定的作用。与美国普通人群相比,约有 16% 的变性人和 21% 的变性妇女被监禁。在监禁期间,他们面临着许多问题,如受害、严重的言语骚扰、故意羞辱、不受欢迎的性挑逗、人身攻击、强迫性行为和不受欢迎的脱衣搜身。有必要更好地了解这类人群的问题和需求,以促进取得积极成果。
{"title":"Psychiatric Comorbidities of Incarceration in a Patient With Gender Dysphoria: A Case Report and Literature Review.","authors":"Gurtej Gill, Yarden Segal, Sushma Srinivas, Anish Laul, Garima Yadav, Zachary McMahon, Panagiota Korenis","doi":"10.1097/NMD.0000000000001766","DOIUrl":"10.1097/NMD.0000000000001766","url":null,"abstract":"<p><strong>Abstract: </strong>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition defines gender identity disorder (GID) as a strong and persistent identification with the opposite sex and the distress that may accompany the incongruence between one's experienced or expressed gender and one's assigned gender. The onset of GID commonly begins early in childhood. Gender dysphoria has a higher prevalence of other comorbid psychiatric illnesses, such as mood, anxiety, and adjustment disorders, with increased suicide incidence and self-harming behaviors than the general population. Studies show that some temperamental, environmental, genetic, and psychological factors play a role in developing GID. Approximately 16% of transgender people and 21% of transgender women get incarcerated compared with the general US population. During incarceration, they face many issues, such as victimization, severe verbal harassment, purposeful humiliation, unwanted sexual advances, physical assault, forcible sex, and unwanted strip searches. There is a need for a better understanding of the issues and needs of this population to promote positive outcomes.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Well-Being Therapy for Fibromyalgia: A Case Report. 纤维肌痛的幸福疗法:病例报告。
IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2024-06-01 DOI: 10.1097/NMD.0000000000001773
Alberto Olivero, Francesco Cuniberti, Paolo Leombruni

Abstract: Fibromyalgia syndrome (FMS) is characterized by chronic widespread pain, fatigue, anxiety, depression, and sleep disturbances, significantly impairing quality of life and psychological well-being. Well-being therapy (WBT) is a brief psychotherapeutic intervention aimed at increasing well-being and optimizing functioning, which has proven effective in treating various conditions involving pain and psychological or psychiatric symptoms. We describe a case study of a 22-year-old university student experiencing FMS, highlighting the far-reaching effects of the condition on her quality of life. After eight sessions of WBT, there was a marked improvement in subjective well-being and euthymia, as well as a decrease in pain perception, improved ability to manage stress, reduced allostatic overload despite the presence of stressors, improved social relationships, and increased self-efficacy. The positive effects of WBT continued at 3-month follow-up, suggesting that WBT may represent a short-term effective intervention for patients with FMS.

摘要:纤维肌痛综合征(FMS)以慢性广泛性疼痛、疲劳、焦虑、抑郁和睡眠障碍为特征,严重影响生活质量和心理健康。幸福疗法(WBT)是一种简短的心理治疗干预方法,旨在提高幸福感和优化功能,已被证明对治疗各种涉及疼痛和心理或精神症状的疾病有效。我们描述了一个关于 22 岁大学生经前期综合征的病例研究,强调了该病症对其生活质量的深远影响。在接受了八次 WBT 治疗后,她的主观幸福感和愉悦感得到了明显改善,疼痛感也有所减轻,管理压力的能力得到了提高,尽管存在压力因素,但静力超载现象却有所减轻,社会关系得到了改善,自我效能感也得到了提高。WBT的积极效果在3个月的随访中仍在持续,这表明WBT对FMS患者可能是一种短期有效的干预措施。
{"title":"Well-Being Therapy for Fibromyalgia: A Case Report.","authors":"Alberto Olivero, Francesco Cuniberti, Paolo Leombruni","doi":"10.1097/NMD.0000000000001773","DOIUrl":"10.1097/NMD.0000000000001773","url":null,"abstract":"<p><strong>Abstract: </strong>Fibromyalgia syndrome (FMS) is characterized by chronic widespread pain, fatigue, anxiety, depression, and sleep disturbances, significantly impairing quality of life and psychological well-being. Well-being therapy (WBT) is a brief psychotherapeutic intervention aimed at increasing well-being and optimizing functioning, which has proven effective in treating various conditions involving pain and psychological or psychiatric symptoms. We describe a case study of a 22-year-old university student experiencing FMS, highlighting the far-reaching effects of the condition on her quality of life. After eight sessions of WBT, there was a marked improvement in subjective well-being and euthymia, as well as a decrease in pain perception, improved ability to manage stress, reduced allostatic overload despite the presence of stressors, improved social relationships, and increased self-efficacy. The positive effects of WBT continued at 3-month follow-up, suggesting that WBT may represent a short-term effective intervention for patients with FMS.</p>","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Nervous and Mental Disease
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