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From Entheogens to Evangelicalism: Spiritual Practices Among Hispanic/Latin Americans 从迷幻药到福音派:西班牙裔/拉美裔美国人的精神习俗
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/00485713-20231109-01
Fernando Espi Forcen
Hispanic and Latinx people practice spirituality in a wide array of forms. Whereas Catholicism has been the dominant religion for centuries, a re-birth of Native American and African spirituality has taken place over the last few decades. In parallel, the influence of the United States in the Latin world is reflected in the rapidly growing popularity of Evangelical Christianity. In order to better understand and study spiritual practices in Latin America, one must understand the historical vicissitudes that led to the formation of these religions and the context in which they became ingrained in these territories. [ Psychiatr Ann . 2023;53(12):545–549.]
西班牙裔和拉美裔人的精神信仰形式多种多样。几个世纪以来,天主教一直是占主导地位的宗教,而在过去的几十年里,美洲原住民和非洲人的精神信仰得到了重生。与此同时,美国对拉丁世界的影响也反映在福音派基督教的迅速流行上。为了更好地了解和研究拉丁美洲的精神习俗,我们必须了解导致这些宗教形成的历史变迁以及它们在这些地区根深蒂固的背景。 [ Psychiatr Ann .
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引用次数: 1
Spirituality and Mental Health Among South Asians in the United States 美国南亚人的精神信仰与心理健康
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/00485713-20231108-01
Prakamya Singal, Amit Chopra
Spirituality and psychiatry have had a complex relationship, with much debate on the inclusion of spiritual and religious concepts in guiding psychiatric care. South Asians in the United States (US) are the largest growing immigrant population with a heterogeneous mix of many religions including Hinduism, Buddhism, Islam, Jainism, Sikhism, and Christianity. South Asians are more vulnerable to mental health disorders compared to the US general population in general, yet have much lower health care utilization rates. This article aims to address the unmet needs in mental health care for South Asians and address the knowledge gap among mental health care practitioners, to enable spiritually integrated care. [ Psychiatr Ann . 2023;53(12):550–555.]
灵性与精神病学之间的关系错综复杂,关于将灵性和宗教概念纳入精神病学护理指导的争论不绝于耳。在美国,南亚人是增长最快的移民群体,他们混合信奉多种宗教,包括印度教、佛教、伊斯兰教、耆那教、锡克教和基督教。与美国普通人相比,南亚人更容易患精神疾病,但其医疗保健利用率却低得多。本文旨在解决南亚人在心理健康护理方面未得到满足的需求,并弥补心理健康护理从业人员的知识空白,从而实现精神上的综合护理。 [ Psychiatr Ann .
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引用次数: 1
Nurses' Opinions About Patient Restraint Methods in a Psychiatric Hospital and Their Ethical Sensitivity 精神病院护士对病人约束方法的看法及其伦理敏感性
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/00485713-20231025-01
Y. Ç. Durmaz, Filiz Ersöğütçü
Methods of restraint can be used to prevent hospitalized psychiatric patients from injuring themselves or others, but use of restraints causes various ethical problems in psychiatric nursing. This study examined the relationship between nurses' sociodemographic characteristics, types of restraint methods used, nurses' opinions about those methods, and their level of ethical sensitivity toward their use. We found the moral sensitivity of our participants to be moderate, and statistically significant differences were found related to marital status, shift type, and restraint method used. Based on our results, we recommend improving nurses' working conditions, increasing their level of ethical knowledge, and expanding the number of studies on these issues. [ Psychiatr Ann. 2023;53(12):559–569.]
约束方法可用于防止住院精神病患者伤害自己或他人,但在精神科护理工作中,使用约束方法会引发各种伦理问题。本研究探讨了护士的社会人口学特征、使用的约束方法类型、护士对这些方法的看法以及护士对使用这些方法的道德敏感度之间的关系。我们发现,参与者的道德敏感度处于中等水平,而婚姻状况、轮班类型和所使用的约束方法在统计学上存在显著差异。基于我们的研究结果,我们建议改善护士的工作条件,提高他们的道德知识水平,并扩大对这些问题的研究数量。 [精神病学年鉴》,2023;53(12):559-569。]
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引用次数: 0
Spirituality and Mental Health in US Minority Populations 美国少数民族人口的精神与心理健康
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/00485713-20231115-01
Albert Yeung
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引用次数: 0
Neurological Underpinnings of Psychological Factors Distinguishing Obsessive-Compulsive Disorder From Misophonia 区分强迫症和失音症的心理因素的神经学基础
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/23258160-20231106-02
Simona Iskander, U. Barahmand, Monica Soni, Ravinder Kaur, Dylan Arnero
Several studies have suggested that misophonia should be categorized as an obsessive-compulsive disorder (OCD) due to similar neural manifestations, such as impairments in limbic structures, and psychological features, such as perfectionism and disgust sensitivity. However, the two disorders may differ in the domains of disgust sensitivity. In OCD, the domain of pathogen disgust has been studied extensively as per the contamination subtype. In misophonia, pathogen disgust has not been reported. We hypothesized that moral disgust may better characterize individuals with misophonia, as studies indicate that people with misophonia view their triggers as morally unacceptable. Furthermore, neuroimaging has shown anterior cingulate cortex (ACC) activation particularly during exposure to misophonic triggers, which is an area associated with moral assessment of stimuli. Another psychological factor that may point to the two disorders being discrete is intolerance of uncertainty (IU), an aversion to undetermined events. IU has been well documented in OCD: It has been found to be positively associated with striatal volume and dysfunction in the ACC—both of which are common findings in OCD. We expected people with misophonia not to exhibit IU since they experience distress in response to specific triggers and, unlike individuals with OCD, do not experience preemptive anxiety. Multivariate logistic regression analysis run on survey-gathered data revealed IU as a significant predictor of OCD symptoms and moral disgust as a significant predictor of misophonia. Consistent with our hypotheses, our findings suggest that IU and moral disgust and the associated neural underpinnings differentiate misophonia from OCD. [ Psychiatr Ann . 2023;53(12):570–580.]
一些研究认为,由于存在类似的神经表现(如边缘结构受损)和心理特征(如完美主义和厌恶敏感性),厌恶症应被归类为强迫症(OCD)。然而,这两种疾病在厌恶敏感领域可能有所不同。在强迫症中,病原体厌恶领域已根据污染亚型进行了广泛研究。在厌恶症中,病原体厌恶尚未见报道。我们推测,道德厌恶可能会更好地描述厌食症患者的特征,因为研究表明厌食症患者认为他们的诱因在道德上是不可接受的。此外,神经影像学研究表明,前扣带回皮层(ACC)在接触误听诱因时会被激活,而这一区域与刺激物的道德评估有关。另一个可能导致这两种疾病相互分离的心理因素是对不确定性的不容忍(IU),即对不确定事件的厌恶。IU 在强迫症中得到了充分的证实:它与纹状体体积和 ACC 功能障碍呈正相关,而这两者都是强迫症的常见症状。我们预计失音症患者不会表现出 IU,因为他们会对特定的触发因素产生困扰,而且与强迫症患者不同,他们不会出现先发制人的焦虑。对调查收集的数据进行的多变量逻辑回归分析表明,IU 是强迫症症状的重要预测因素,而道德厌恶则是厌恶症的重要预测因素。与我们的假设一致,我们的研究结果表明,IU 和道德厌恶以及相关的神经基础将厌食症与强迫症区分开来。 [精神病学年鉴》,2023 年;53(12):570-580。]
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引用次数: 0
Black People, Spirituality, and Mental Health 黑人、精神和心理健康
IF 0.5 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-12-01 DOI: 10.3928/00485713-20231108-02
A. Pederson, Nathan Pederson
The influence of spirituality and religiosity in the Black community has historically been significant. While spirituality and religiosity are important for the majority of Americans, compared to other races/ethnicities, Black people report the highest valuation for religion in their individual lives. Spirituality and religiosity have known protective effects on health, although, compared to the general relationship between these factors and general health care, the role of spirituality and religiosity within the mental health system is not well characterized. In significant ways for the Black community, while serving a protective and positive function, spirituality and religiosity can also create tensions for patients within mainstream mental health care systems that emphasize a biopsychosocial framework, leaving out key dimensions of spiritual well-being and formation. The complexity of the relationship between Black people's mental health and their religion and spirituality also has roots in a history of colonialism and racism. In this article, we describe some ways in which religion and spirituality have been important to the health and well-being of the Black community, as well as certain ways these factors have created tension within the community. [ Psychiatr Ann . 2023;53(12):540–544.]
精神信仰和宗教信仰对黑人社区的影响历来很大。虽然精神信仰和宗教信仰对大多数美国人来说都很重要,但与其他种族/族裔相比,黑人在个人生活中对宗教的重视程度最高。众所周知,灵性和宗教信仰对健康具有保护作用,不过,与这些因素与一般医疗保健之间的一般关系相比,灵性和宗教信仰在心理健康系统中的作用还没有得到很好的体现。对于黑人社区来说,灵性和宗教信仰在起到保护和积极作用的同时,也会给主流心理健康医疗系统中的病人造成紧张,因为主流心理健康医疗系统强调生物-心理-社会框架,忽略了精神健康和形成的关键因素。黑人心理健康与其宗教和灵性之间关系的复杂性还源于殖民主义和种族主义的历史。在本文中,我们描述了宗教和灵性对黑人社区的健康和福祉具有重要意义的一些方式,以及这些因素在社区内部造成紧张关系的某些方式。 [ Psychiatr Ann .
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引用次数: 1
Leveraging Contemporary Digital Technologies to Monitor and Treat Sleep Difficulties in Bipolar Disorder: A Review 利用当代数字技术监测和治疗双相情感障碍患者的睡眠困难:综述
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.3928/00485713-20231018-01
Chelsea Boccagno, Alexandra K. Gold, Christina M. Temes, Antonietta Alvarez-Hernandez, Louisa G. Sylvia
Sleep disturbances (eg, insomnia, hypersomnia, poor sleep quality) are a prominent feature of bipolar disorder (BD). Furthermore, sleep difficulties are present across all phases of BD, including euthymia, and these difficulties contribute to the risk and maintenance of depressive and (hypo)manic episodes. Although existing pharmacological and psychosocial treatments offer hope for ameliorating sleep difficulties in BD, conventional treatments are limited in their ability to accurately capture detailed sleep patterns, detect early onset of sleep difficulties, and deliver personalized interventions. Widely accessible contemporary digital technologies show promise for mitigating these limitations and advancing sleep treatment for individuals with BD. We summarize and synthesize research examining the use of three digital tools for sleep assessment and intervention in BD: smartphone applications, ecological momentary assessment, and actigraphy. We also discuss the benefits, risks, and limitations of these technologies. [ Psychiatr Ann . 2023;53(11):496–501.]
睡眠障碍(如失眠、嗜睡、睡眠质量差)是双相情感障碍(BD)的一个显著特征。此外,睡眠困难存在于双相障碍的所有阶段,包括精神状态,这些困难增加了抑郁和(轻度)躁狂发作的风险和维持。尽管现有的药理学和社会心理治疗为改善双相障碍患者的睡眠困难提供了希望,但传统治疗方法在准确捕捉详细睡眠模式、发现早期睡眠困难和提供个性化干预方面的能力有限。广泛使用的现代数字技术有望缓解这些限制,并推进双相障碍患者的睡眠治疗。我们总结并综合了三种数字工具用于双相障碍睡眠评估和干预的研究:智能手机应用程序、生态瞬时评估和活动记录仪。我们还讨论了这些技术的好处、风险和局限性。[精神病医生安。]2023; 53(11): 496 - 501。)
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引用次数: 1
Effect of Negative Automatic Thoughts on Medication Adherence in Individuals With Schizophrenia 消极自动思维对精神分裂症患者药物依从性的影响
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.3928/00485713-20230912-01
Tülay Yıldırım Üşenmez, Mehmet Emin Şanli
This study aimed to determine the effect of negative automatic thoughts on medication adherence in individuals with schizophrenia. This was a cross-sectional study carried out in a community mental health center between October 2022 and December 2022. The study included 102 individuals with schizophrenia. Data was collected using the Descriptive Characteristics Form, Negative Automatic Thoughts Questionnaire (NAT-Q), and Morisky Medication Adherence Scale (MMAS). The individuals' total mean NAT-Q score was 106.34 ± 27.32. There was a strong negative correlation between NAT-Q and MMAS scores ( r = −0.822, P < 0.05). The study found that negative automatic thoughts predicted medication adherence by 67%. The negative automatic thoughts of the individuals were high and the medication adherence of half of the individuals was low. It was determined that the level of negative automatic thoughts of individuals with schizophrenia may negatively affect their medication adherence. [ Psychiatr Ann . 2023;53(11):518–524.]
本研究旨在确定消极自动思维对精神分裂症患者药物依从性的影响。这是一项横断面研究,于2022年10月至2022年12月在一家社区精神卫生中心进行。这项研究包括102名精神分裂症患者。采用描述性特征表、消极自动思维问卷(NAT-Q)和Morisky药物依从性量表(MMAS)收集数据。个体的总平均NAT-Q得分为106.34±27.32。NAT-Q与MMAS评分呈显著负相关(r = - 0.822, P <0.05)。研究发现,消极的自动思维预示着67%的药物依从性。这些人的消极自动思维很高,一半的人的药物依从性很低。确定了精神分裂症患者的消极自动思维水平可能对他们的药物依从性产生负面影响。[精神病医生安。]2023; 53(11): 518 - 524。)
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引用次数: 0
Substance Use Disorders and Sleep 物质使用障碍与睡眠
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.3928/00485713-20231019-01
David C. Fipps, Shirshendu Sinha
There appears to be a significant bidirectional relationship between substance use and sleep disturbances. Sleep disturbances with or without a primary psychiatric disorder can increase the risk of emergence or relapse of substance use disorder. Conversely, both short-and long-term use of substances could lead to acute and chronic disturbances in sleep. This narrative review describes the existing literature on the bidirectional relationships between sleep disturbances and substance use in the context of alcohol, opioid, cannabis, tobacco, methamphetamine, and cocaine use. [ Psychiatr Ann . 2023;53(11):508–513.]
药物使用和睡眠障碍之间似乎存在显著的双向关系。伴有或不伴有原发性精神障碍的睡眠障碍可增加物质使用障碍出现或复发的风险。相反,短期和长期使用这些物质都可能导致急性和慢性睡眠障碍。这篇叙述性综述描述了在酒精、阿片类药物、大麻、烟草、甲基苯丙胺和可卡因使用的背景下,关于睡眠障碍和物质使用之间的双向关系的现有文献。[精神病医生安。]2023; 53(11): 508 - 513。)
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引用次数: 1
Sleep Disturbances Associated With Posttraumatic Stress Disorder 与创伤后应激障碍相关的睡眠障碍
4区 医学 Q4 PSYCHIATRY Pub Date : 2023-11-01 DOI: 10.3928/00485713-20231012-01
Christine J. So, Katherine E. Miller, Philip R. Gehrman
Sleep disturbances, namely insomnia and recurrent nightmares, are ubiquitous following trauma exposure and are considered hallmarks of posttraumatic stress disorder (PTSD). Other sleep disorders frequently co-occur with PTSD. This article describes research examining sleep problems most common in PTSD, including prevalence and clinical characteristics. Sleep disturbances are often robust to trauma-focused treatment; thus, evidence for psychological and pharmacological interventions for insomnia and nightmares in PTSD are discussed. Given the high prevalence of sleep problems in PTSD, more work is needed to empirically study putative mechanisms linking trauma exposure and sleep, as well as how to best target these symptoms in patients with PTSD. [ Psychiatr Ann . 2023;53(11):491–495.]
睡眠障碍,即失眠和反复的噩梦,是创伤暴露后普遍存在的,被认为是创伤后应激障碍(PTSD)的标志。其他睡眠障碍经常与创伤后应激障碍同时发生。这篇文章描述了对PTSD中最常见的睡眠问题的研究,包括患病率和临床特征。以创伤为重点的治疗往往对睡眠障碍有效;因此,对PTSD患者失眠和噩梦的心理和药物干预证据进行了讨论。鉴于创伤后应激障碍中睡眠问题的高患病率,需要更多的工作来实证研究创伤暴露和睡眠之间的假定机制,以及如何最好地针对创伤后应激障碍患者的这些症状。[精神病医生安。]2023; 53(11): 491 - 495。)
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引用次数: 1
期刊
Psychiatric Annals
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