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Methamphetamine Use Disorder and Inflammation: A Case-Control Study 甲基苯丙胺使用障碍与炎症:病例对照研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0199
Nilifer Gürbüzer, Mustafa Can Güler, I·brahim Hakkı Tör
Objective Methamphetamine use disorder (MUD) is a global health condition that impairs a person’s health which may result in morbidity and mortality. Inflammation is a crucial process playing a vital role in MUD. For this reason, it is necessary to examine biochemical parameters for follow-up and treatment alternatives.Methods We aimed to reveal the relationship between inflammatory response and MUD by evaluating peripheral hemogram parameters, leukocyte count, subtypes, and their ratios to each other, systemic immune inflammation index (SII), monocyte/high-density lipoprotein (HDL) ratio, and human C-reactive protein (CRP) in adult men with MUD. We included 76 adult male participants in the patient group and 70 adult male participants in the control group. We calculated the neutrophil/lymphocyte rate (NLR), monocyte/lymphocyte rate (MLR), platelet/lymphocyte rate (PLR), and basophil/lymphocyte rate (BLR). In addition, we obtained the SII and the monocyte/HDL rate.Results The patients’ leukocyte (p<0.001), platelet (p<0.001), plateletcrit (PCT) (p=0.002), neutrophil (p<0.001), monocyte (p=0.002), CRP (p<0.001), NLR (p=0.001), PLR (p=0.004), MLR (p=0.009), SII (p<0.001) and monocyte/HDL ratio (p<0.001) were higher than the control group. We observed a significant and positive relationship between the daily methamphetamine intake, and methamphetamine use duration (p=0.002), PCT (p=0.044), neutrophil (p=0.021), NLR (p=0.001), PLR (p=0.004), MLR (p=0.029), and SII (p<0.001). Daily methamphetamine intake had a significant and positive effect on SII. A one-unit increase in daily methamphetamine intake elevated SII by 165.53 units.Conclusion The results confirm the presence of peripheral subclinical inflammation and systemic immune inflammation in adult men with MUD.
甲基苯丙胺使用障碍(MUD)是一种全球性的健康问题,它损害人的健康,可能导致发病和死亡。炎症是在甲基苯丙胺使用障碍中起重要作用的一个关键过程。方法 我们的目的是通过评估 MUD 成年男性患者的外周血象参数、白细胞计数、亚型及其相互之间的比率、全身免疫炎症指数(SII)、单核细胞/高密度脂蛋白(HDL)比率和人类 C 反应蛋白(CRP),揭示炎症反应与 MUD 之间的关系。我们在患者组中纳入了 76 名成年男性参与者,在对照组中纳入了 70 名成年男性参与者。我们计算了中性粒细胞/淋巴细胞比率(NLR)、单核细胞/淋巴细胞比率(MLR)、血小板/淋巴细胞比率(PLR)和嗜碱性粒细胞/淋巴细胞比率(BLR)。结果 患者的白细胞(P<0.001)、血小板(P<0.001)、血小板比容(PCT)(P=0.002)、中性粒细胞(P<0.001)、单核细胞(p=0.002)、CRP(p<0.001)、NLR(p=0.001)、PLR(p=0.004)、MLR(p=0.009)、SII(p<0.001)和单核细胞/高密度脂蛋白比(p<0.001)均高于对照组。我们观察到,每日甲基苯丙胺摄入量与甲基苯丙胺吸食时间(p=0.002)、PCT(p=0.044)、中性粒细胞(p=0.021)、NLR(p=0.001)、PLR(p=0.004)、MLR(p=0.029)和SII(p<0.001)之间存在明显的正相关关系。每日甲基苯丙胺摄入量对 SII 有显著的积极影响。结果证实,在患有 MUD 的成年男性中,存在外周亚临床炎症和全身免疫炎症。
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引用次数: 0
A Study on the Screening of Children at Risk for Developmental Disabilities Using Facial Landmarks Derived From a Mobile-Based Application 利用基于移动应用程序的面部标志筛查发育障碍高危儿童的研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0315
Sang Ho Hwang, Y. Yu, Jichul Kim, Taeyeop Lee, Y. Park, Hyo-Won Kim
Objective Early detection and intervention of developmental disabilities (DDs) are critical to improving the long-term outcomes of afflicted children. In this study, our objective was to utilize facial landmark features from mobile application to distinguish between children with DDs and typically developing (TD) children.Methods The present study recruited 89 children, including 33 diagnosed with DD, and 56 TD children. The aim was to examine the effectiveness of a deep learning classification model using facial video collected from children through mobile-based application. The study participants underwent comprehensive developmental assessments, which included the child completion of the Korean Psychoeducational Profile-Revised and caregiver completing the Korean versions of Vineland Adaptive Behavior Scale, Korean version of the Childhood Autism Rating Scale, Social Responsiveness Scale, and Child Behavior Checklist. We extracted facial landmarks from recorded videos using mobile application and performed DDs classification using long short-term memory with stratified 5-fold cross-validation.Results The classification model shows an average accuracy of 0.88 (range: 0.78–1.00), an average precision of 0.91 (range: 0.75–1.00), and an average F1-score of 0.80 (range: 0.60–1.00). Upon interpreting prediction results using SHapley Additive exPlanations (SHAP), we verified that the most crucial variable was the nodding head angle variable, with a median SHAP score of 2.6. All the top 10 contributing variables exhibited significant differences in distribution between children with DD and TD (p<0.05).Conclusion The results of this study provide evidence that facial landmarks, utilizing readily available mobile-based video data, can be used to detect DD at an early stage.
目标 发育障碍(DDs)的早期发现和干预对于改善患儿的长期预后至关重要。在本研究中,我们的目标是利用移动应用程序中的面部地标特征来区分发育障碍儿童和发育正常(TD)儿童。方法 本研究招募了 89 名儿童,包括 33 名被诊断为发育障碍的儿童和 56 名发育正常的儿童。本研究招募了 89 名儿童,包括 33 名确诊为 DD 的儿童和 56 名 TD 儿童,目的是利用通过移动应用程序收集的儿童面部视频,检验深度学习分类模型的有效性。研究参与者接受了全面的发育评估,包括由儿童填写《韩国心理教育档案-修订版》,由照顾者填写韩文版《文兰适应行为量表》、韩文版《儿童自闭症评级量表》、《社交反应能力量表》和《儿童行为检查表》。我们使用移动应用程序从录制的视频中提取了面部地标,并使用长时短记忆对 DDs 进行了分类,同时进行了分层 5 倍交叉验证。结果 分类模型的平均准确率为 0.88(范围:0.78-1.00),平均精确度为 0.91(范围:0.75-1.00),平均 F1 分数为 0.80(范围:0.60-1.00)。在使用 SHapley Additive exPlanations(SHAP)解释预测结果时,我们发现最关键的变量是点头角度变量,SHAP 的中位数为 2.6。结论 本研究的结果提供了证据,证明利用随时可用的移动视频数据,面部地标可用于早期检测 DD。
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引用次数: 0
Characteristics and Effectiveness of Individual Psychotherapy for Palliative and End-of-Life Care: A Literature Review for Randomized Controlled Trials 姑息治疗和临终关怀中个体心理治疗的特点和有效性:随机对照试验文献综述
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0357
Kyungmin Kim, Jungmin Woo
Objective The introduction of psychotherapy in palliative and end-of-life care settings has become increasingly common and is effective in decreasing many psychological problems. This review reports the characteristics and effectiveness of individual psychotherapeutic interventions for patients receiving palliative and end-of-life care. In addition, the review reports the effectiveness of psychotherapies considering the expected life expectancy.Methods The PubMed, Google Scholar, and Cochrane Library databases were searched for English-language articles published between January 2000 to May 2023.Results Twenty-six studies were included and classified into a total of nine types of psychotherapies, namely, dignity therapy (DT), life review therapy, narrative therapy, managing cancer and living meaningfully (CALM), individual meaning-centered psychotherapy, meaning and purpose therapy, meaning-making therapy, meaning-of-life therapy, and cognitive therapy.Conclusion Most of the psychotherapies provided to patients receiving palliative and end-of-life care showed effectiveness in the reduction of negative emotions and positive factors related to end-of-life issues. Most studies targeted patients with advanced cancer; however, studies on DT did not limit the target group to patients with cancer. Considering the expected life expectancy, CALM was found to be suitable for patients receiving early palliative care.
目的 在姑息关怀和临终关怀中引入心理疗法已变得越来越普遍,并能有效减少许多心理问题。本综述报告了针对接受姑息治疗和临终关怀患者的个别心理治疗干预措施的特点和有效性。方法 在 PubMed、Google Scholar 和 Cochrane Library 数据库中检索 2000 年 1 月至 2023 年 5 月间发表的英文文章。结果 共纳入26项研究,并将其分为9种心理疗法,即尊严疗法(DT)、生命回顾疗法、叙事疗法、管理癌症和有意义地生活(CALM)、以个人意义为中心的心理疗法、意义和目的疗法、意义塑造疗法、生命意义疗法和认知疗法。大多数研究以晚期癌症患者为目标群体;然而,有关 DT 的研究并未将目标群体局限于癌症患者。考虑到预期寿命,研究发现CALM适用于接受早期姑息治疗的患者。
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引用次数: 0
Stress, Mental Health, Sleep, and Healthy Habits in Spanish Healthcare Professionals Along the Pandemic: A Case-Control, and Follow-Up Study 大流行期间西班牙医护人员的压力、心理健康、睡眠和健康习惯:病例对照和随访研究
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0368
M. Moraleda-Cibrián, I. Palomares-Gonell, J. Albares-Tendero, Seockhoon Chung
Objective The aim of this study was to assess short and medium-term impact of the coronavirus disease-2019 (COVID-19) pandemic on stress, mental health, and sleep in Spanish healthcare professionals (HCP), and analyze the association between healthy habits, anxiety, and depression during the same period.Methods An online survey including five validated scales (the Perceived Stress Scale, the Goldberg Anxiety and Depression Scales, the Pre-Sleep Arousal Scale, and the Pittsburgh Sleep Quality Index), and some questions about healthy habits were completed by HCP in charge of patients without and with coronavirus. Once for the control group (baseline), and twice for the case group (baseline and follow-up).Results Overall 563 questionnaires were included. Moderate-severe stress was reported by 98.1% of subjects, anxiety and depression by 55.1% and 78.7% respectively, and poor sleep quality by 96.6%. Anxiety was reported more frequently by females and singles. HCP in charge of COVID-19 patients showed, in the baseline, a higher frequency of anxiety compared to controls (58.9% vs. 42.8%, p=0.002), and of depression (82.1% vs. 67.6%, p=0.001), that persisted in the follow-up assessment. Furthermore, HCP in charge of COVID-19 patients also exhibited more elevated mean scores for stress (p=0.005) and poor sleep (p=0.019). A decrease of sunlight exposure was associated with an increase of anxiety and depression symptoms, and less physical activity with depression.Conclusion Stress, sleep, and mental problems were common in Spanish HCP, especially in those in charge of COVID patients. These findings persisted throughout the pandemic, and may impact in the post-pandemic mental health of HCP.
目的 本研究旨在评估冠状病毒病-2019(COVID-19)大流行对西班牙医疗保健专业人员(HCP)的压力、心理健康和睡眠的短期和中期影响,并分析同期健康习惯、焦虑和抑郁之间的关联。方法 由负责无冠状病毒和有冠状病毒患者的医护人员完成一项在线调查,调查内容包括五个经过验证的量表(感知压力量表、戈德堡焦虑和抑郁量表、睡前唤醒量表和匹兹堡睡眠质量指数)以及一些有关健康习惯的问题。对照组填写一次(基线),病例组填写两次(基线和随访)。98.1%的受试者报告了中度-重度压力,55.1%的受试者报告了焦虑,78.7%的受试者报告了抑郁,96.6%的受试者报告了睡眠质量差。女性和单身者报告焦虑的比例更高。与对照组相比,负责 COVID-19 患者的保健医生在基线上显示出更高的焦虑频率(58.9% 对 42.8%,p=0.002)和抑郁频率(82.1% 对 67.6%,p=0.001),这种情况在随访评估中持续存在。此外,负责 COVID-19 患者的医护人员在压力(p=0.005)和睡眠不佳(p=0.019)方面的平均得分也更高。结论 压力、睡眠和精神问题在西班牙卫生保健人员中很常见,尤其是在负责 COVID 患者的卫生保健人员中。这些发现在整个大流行期间持续存在,可能会影响大流行后卫生保健人员的心理健康。
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引用次数: 0
Age-Specific Changes in the Effects of Social Connectedness and Loneliness on Depressive Symptoms: Evidence From the Korean Longitudinal Study of Ageing Before and During the COVID-19 Pandemic 社会联系和孤独感对抑郁症状影响的年龄特异性变化:COVID-19 大流行之前和期间韩国老龄化纵向研究的证据
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0268
Juyeon Kim, Jungtaek Lee
Objective This study investigates the longitudinal effects of changes in the associations between two distinct aspects of social connections—i.e., social connectedness and loneliness—on depressive symptoms among community-dwelling Korean adults. This study also examines whether these associations vary across three age groups (45–64, 65–74, and 75 or above).Methods Using data from the Korean Longitudinal Study of Ageing collected between 2014 and 2020 (n=3,642 individuals), fixed effects models were used to examine the age-specific associations between the two distinct aspects of social connections and depressive symptoms (Center for Epidemiologic Studies-Depression Scale) while, accounting for time-invariant individual heterogeneity. Social connectedness is measured by asking the frequency of interactions with friends, relatives, or neighbors.Results The findings indicate that the impact of loneliness on depressive symptoms outweighs that of social disconnectedness. Notably, this study unveils age-specific patterns concerning the impact of the coronavirus disease-2019 pandemic on depressive symptoms and changes in the association between loneliness and depressive symptoms. Specifically, middle-aged individuals reported higher levels of depressive symptoms and loneliness along with a heightened impact of loneliness on depressive symptoms, despite maintaining stable social connections. Conversely, the oldest adults experienced reductions in both depressive symptoms and loneliness, despite a significant decrease in socializing.Conclusion These findings shed light on the differential effects of loneliness on depressive symptoms within distinct age groups before and during the pandemic. The implications of these findings are discussed with a focus on informing the development of targeted policy interventions tailored to the specific needs of different age groups.
本研究调查了社会联系的两个不同方面(即社会联系性和孤独感)的变化对居住在社区的韩国成年人抑郁症状的纵向影响。本研究还考察了这些关联在三个年龄组(45-64 岁、65-74 岁和 75 岁或以上)之间是否存在差异。方法 使用韩国老龄化纵向研究(Korean Longitudinal Study of Ageing)在 2014 年至 2020 年间收集的数据(n=3,642 人),采用固定效应模型考察了社会联系的两个不同方面与抑郁症状(流行病学研究中心-抑郁量表)之间的特定年龄关联,同时考虑了时间不变的个体异质性。社会联系度是通过询问与朋友、亲戚或邻居的互动频率来衡量的。值得注意的是,本研究揭示了冠状病毒病-2019 大流行对抑郁症状影响的特定年龄模式,以及孤独感与抑郁症状之间关联的变化。具体来说,中年人尽管保持着稳定的社会关系,但他们的抑郁症状和孤独感水平较高,孤独感对抑郁症状的影响也更大。结论 这些发现揭示了大流行之前和期间孤独感对不同年龄组抑郁症状的不同影响。讨论了这些发现的意义,重点是为制定针对不同年龄组特定需求的有针对性的政策干预措施提供信息。
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引用次数: 0
Informational Analysis and Prediction of Obsessive-Compulsive Disorder Pathogenesis 强迫症发病机制的信息分析与预测
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0149
Yanrong Wang, Yuan Wang, Manxue Zhang, Doudou Liu, Jianqun Fang
Objective We aimed to predict the possible mechanism of obsessive-compulsive disorder (OCD) by integrating and analyzing mRNA sequencing results from two datasets and to provide direction for future studies into the pathogenesis of OCD.Methods Two OCD datasets, GSE78104 and GSE60190, were obtained, and the intersection of the two gene sets with differential expression in OCD samples was selected. Kyoto Encyclopedia of Genes and Genomes (KEGG) signal pathway enrichment and Gene Ontology (GO) analyses were performed using the Database for Annotation, Visualization, and Integrated Discovery (DAVID) online analysis website for the genes at the intersection, and the data were mapped using http://www.bioinformatics.com.cn. After genes with p≤0.05 had been screened out, protein-protein interaction (PPI) interaction analysis was conducted using Metascape to screen the key Molecular Complex Detection (MCODE) genes. MCODE genes were then enriched using the KEGG signaling pathway and GO classification.Results A total of 3,449 differentially expressed genes (DEGs) were obtained from the GSE78104 and GSE60190 datasets. KEGG, GO, and Gene Set Enrichment Analysis analyses of DEGs showed that the onset of OCD was related to oxidative phosphorylation and other metabolic processes, which may have a similar pathogenesis to other neurodegenerative diseases. Single-gene PPI analysis of SAPAP3 revealed that the mechanism by which SAPAP3 knockout induces OCD may also be caused by affecting oxidative phosphorylation.Conclusion The mechanism of SAPAP3 knockout-induced OCD in mice may be due to the oxidative phosphorylation process in the body. Future studies on the neural circuit mechanism of OCD should be conducted.
目的 通过整合分析两个数据集的mRNA测序结果,预测强迫症(OCD)的可能发病机制,为今后研究强迫症的发病机制提供方向。方法 获得两个强迫症数据集GSE78104和GSE60190,选择两个基因集的交叉点在强迫症样本中的差异表达。利用注释、可视化和综合发现数据库(DAVID)在线分析网站对交集处的基因进行了京都基因组百科全书(KEGG)信号通路富集和基因本体(GO)分析,并利用 http://www.bioinformatics.com.cn 对数据进行了映射。在筛选出p≤0.05的基因后,利用Metascape进行了蛋白质-蛋白质相互作用(PPI)分析,筛选出关键的分子复合体检测(MCODE)基因。结果 从 GSE78104 和 GSE60190 数据集中共获得 3,449 个差异表达基因(DEGs)。DEGs的KEGG、GO和基因组富集分析表明,强迫症的发病与氧化磷酸化和其他代谢过程有关,其发病机制可能与其他神经退行性疾病类似。SAPAP3的单基因PPI分析表明,SAPAP3基因敲除诱导强迫症的机制也可能是通过影响氧化磷酸化过程引起的。今后应继续对强迫症的神经回路机制进行研究。
{"title":"Informational Analysis and Prediction of Obsessive-Compulsive Disorder Pathogenesis","authors":"Yanrong Wang, Yuan Wang, Manxue Zhang, Doudou Liu, Jianqun Fang","doi":"10.30773/pi.2023.0149","DOIUrl":"https://doi.org/10.30773/pi.2023.0149","url":null,"abstract":"Objective We aimed to predict the possible mechanism of obsessive-compulsive disorder (OCD) by integrating and analyzing mRNA sequencing results from two datasets and to provide direction for future studies into the pathogenesis of OCD.Methods Two OCD datasets, GSE78104 and GSE60190, were obtained, and the intersection of the two gene sets with differential expression in OCD samples was selected. Kyoto Encyclopedia of Genes and Genomes (KEGG) signal pathway enrichment and Gene Ontology (GO) analyses were performed using the Database for Annotation, Visualization, and Integrated Discovery (DAVID) online analysis website for the genes at the intersection, and the data were mapped using http://www.bioinformatics.com.cn. After genes with p≤0.05 had been screened out, protein-protein interaction (PPI) interaction analysis was conducted using Metascape to screen the key Molecular Complex Detection (MCODE) genes. MCODE genes were then enriched using the KEGG signaling pathway and GO classification.Results A total of 3,449 differentially expressed genes (DEGs) were obtained from the GSE78104 and GSE60190 datasets. KEGG, GO, and Gene Set Enrichment Analysis analyses of DEGs showed that the onset of OCD was related to oxidative phosphorylation and other metabolic processes, which may have a similar pathogenesis to other neurodegenerative diseases. Single-gene PPI analysis of SAPAP3 revealed that the mechanism by which SAPAP3 knockout induces OCD may also be caused by affecting oxidative phosphorylation.Conclusion The mechanism of SAPAP3 knockout-induced OCD in mice may be due to the oxidative phosphorylation process in the body. Future studies on the neural circuit mechanism of OCD should be conducted.","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141098406","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
Psychometric Properties of the Patient Health Questionnaire-9in Patients With Breast Cancer 患者健康问卷-9 在乳腺癌患者中的心理测量特性
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0285
Heeseung Park, Kyungwon Kim, Eunsoo Moon, Hyunju Lim, H. Suh, Taewoo Kang
Objective Due to the high frequency of depressive symptoms associated with breast cancer, it is crucial to screen for depression in breast cancer patients. While numerous screening tools are available for depression in this population, there is a need for a brief and convenient tool to enhance clinical use. This study aims to investigate the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9) in patients with breast cancer.Methods Patients with breast cancer (n=327) who visited the Breast Cancer Clinic were included in this study. The reliability of the PHQ-9 was analyzed by Cronbach’s α, and the construct validity of the PHQ-9 was explored by factor analysis. The concurrent validity of the PHQ-9 was evaluated by Pearson correlation analysis with the Hospital Anxiety and Depression Scale (HADS) and Perceived Stress Scale (PSS).Results The values of Cronbach’s α ranged from 0.800 to 0.879 was acceptable. The exploratory factor analysis revealed that the one-factor model and two-factor model of the PHQ-9 explained 46% and 57% of the variance, respectively. The PHQ-9 were significantly correlated with those of HADS (r=0.702, p<0.001) and PSS (r=0.466, p<0.001). Consequently, the PHQ-9 demonstrated acceptable reliability and validity in breast cancer patients.Conclusion The findings of this study indicate that the PHQ-9 exhibits acceptable reliability and validity in patients with breast cancer. The convenience of this brief self-report questionnaire suggests its potential as a reliable and valid tool for assessing depression in breast cancer clinics.
目标 由于与乳腺癌相关的抑郁症状发生率很高,因此对乳腺癌患者进行抑郁症筛查至关重要。虽然目前已有许多针对乳腺癌患者抑郁症的筛查工具,但仍需要一种简短、方便的工具来提高临床使用率。本研究旨在调查患者健康问卷-9(Patient Health Questionnaire-9,PHQ-9)在乳腺癌患者中的心理测量特性。采用 Cronbach's α 分析了 PHQ-9 的信度,并通过因子分析探讨了 PHQ-9 的构建效度。PHQ-9与医院焦虑抑郁量表(HADS)和感知压力量表(PSS)的皮尔逊相关分析评估了PHQ-9的并发效度。探索性因素分析显示,PHQ-9 的单因素模型和双因素模型分别解释了 46% 和 57% 的方差。PHQ-9 与 HADS(r=0.702,p<0.001)和 PSS(r=0.466,p<0.001)有明显相关。结论 本研究结果表明,PHQ-9 在乳腺癌患者中具有可接受的可靠性和有效性。这份简短的自我报告问卷的便利性表明,它有可能成为乳腺癌诊所评估抑郁的可靠有效的工具。
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引用次数: 0
Clinical Implication of Maumgyeol Basic Biotypes–Electroencephalography- and Photoplethysmogram-Based Bwave State Inventory 基于 Maumgyeol 基本生物类型--脑电图和人像图的 B 波状态清单的临床意义
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-25 DOI: 10.30773/pi.2023.0381
Yunsu Kim, Junseok Hwang, Jaehyung Lee, Seongwon Jang, Yumi Im, Sunkyung Yoon, Seung-Hwan Lee
Objective The development of individual subtypes based on biomarkers offers a cost-effective and timely avenue to comprehending individual differences pertaining to mental health, independent from individuals’ subjective insights. Incorporating 2-channel electroencephalography (EEG) and photoplethysmogram (PPG), we sought to establish a subtype classification system with clinical relevance.Methods One hundred healthy participants and 99 patients with psychiatric disorders were recruited. Classification thresholds were determined using the EEG and PPG data from 2,278 individuals without mental disorders, serving to classify subtypes in our sample of 199 participants. Multivariate analysis of variance was applied to examine psychological distinctions among these subtypes. K-means clustering was employed to verify the classification system.Results The distribution of subtypes differed between healthy participants and those with psychiatric disorders. Cognitive abilities were contingent upon brain subtypes, while mind subtypes exhibited significant differences in symptom severity, overall health, and cognitive stress. K-means clustering revealed that the results of our theory-based classification and data-driven classification are comparable. The synergistic assessment of both brain and mind subtypes was also explored.Conclusion Our subtype classification system offers a concise means to access individuals’ mental health. The utilization of EEG and PPG signals for subtype classification offers potential for the future of digital mental healthcare.
目的 基于生物标志物的个体亚型的开发为了解与心理健康有关的个体差异提供了一种独立于个体主观见解的经济、及时的途径。结合双通道脑电图(EEG)和光电搏动图(PPG),我们试图建立一个具有临床意义的亚型分类系统。我们使用来自 2,278 名无精神障碍患者的脑电图和 PPG 数据确定了分类阈值,用于对我们的 199 名参与者样本进行亚型分类。我们采用多变量方差分析来研究这些亚型之间的心理差异。结果 健康参与者和精神障碍患者的亚型分布不同。认知能力取决于大脑亚型,而心理亚型在症状严重程度、总体健康状况和认知压力方面表现出显著差异。K均值聚类显示,我们基于理论的分类结果与数据驱动的分类结果具有可比性。结论 我们的亚型分类系统为了解个人心理健康提供了一种简明的方法。利用脑电图和 PPG 信号进行亚型分类为未来的数字心理保健提供了潜力。
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引用次数: 0
Corrigendum: "The Relationship of Smartphone Addiction and Alexithymia". 更正:"智能手机成瘾与 Alexithymia 的关系"。
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-05-01 Epub Date: 2024-05-23 DOI: 10.30773/pi.2021.0072e
İbrahim Gündog Mus, Mehmet Sinan Aydın, Ayhan Algül
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引用次数: 0
The Mediating Role of Anxiety/Depression Between Auditory Verbal Hallucinations and the Level of Insight in Schizophrenia 焦虑/抑郁在听觉幻觉与精神分裂症患者洞察力之间的中介作用
IF 2.7 4区 医学 Q2 Medicine Pub Date : 2024-04-25 DOI: 10.30773/pi.2023.0396
Sang Won Park, Nam Young Lee, Hee Yeon Jeong, In Won Chung, Yong Sik Kim, Seong Hoon Jeong
Objective Auditory verbal hallucination (AVH) is a prominent symptom of schizophrenia causing profound distress. The influence of AVHs on insight appears to be intricate and contingent on other accompanying symptoms. This study investigated the relationship and possible mediators between AVHs and the degree of insight.Methods One hundred patients with schizophrenia participated in the study. Scales were used to evaluate the hallucinatory experience, the level of insight and other psychopathology. Complex relationships between variables were envisaged as a path model, whose initial structure was constructed via Gaussian Graphical Model. The validity of the final model was verified by Structural Equation Modeling. Separate analyses were performed for self-reported and clinician-rated data to enhance the model’s robustness.Results The greater the severity of the physical aspects of AVHs, the lower the level of insight observed. Conversely, higher emotional distress was associated with increased insight. These relationships were only evident in the self-reported results and were not reflected in the clinician-rated results. The path model suggested that the Positive and Negative Syndrome Scale (PANSS) anxiety/depression factor was an important mediator that linked the found association. Notably, the PANSS negative symptom had the opposite effect on the PANSS anxiety/depression factor and insight, making it difficult to define its overall effect.Conclusion The findings of this study provided one possible route for the positive influence of AVH experience in gaining insight. The mediating role of anxiety/depression modified by negative symptoms emerged as a valuable concept for clarifying this intricate relationship.
目的 听觉言语幻觉(AVH)是精神分裂症的一个突出症状,会给患者带来极大的痛苦。幻听对洞察力的影响似乎错综复杂,并取决于其他伴随症状。本研究调查了 AVH 与洞察力之间的关系和可能的中介因素。研究使用量表对幻觉体验、洞察力水平和其他精神病理学进行评估。变量之间的复杂关系被设想为一个路径模型,其初始结构是通过高斯图形模型构建的。结构方程模型验证了最终模型的有效性。为了增强模型的稳健性,对自我报告数据和临床医生评分数据分别进行了分析。相反,情绪困扰越严重,洞察力越强。这些关系仅在自我报告的结果中表现明显,并没有反映在临床医生评定的结果中。路径模型表明,积极与消极综合征量表(PANSS)的焦虑/抑郁因子是连接所发现的关联的重要中介。值得注意的是,PANSS 阴性症状对 PANSS 焦虑/抑郁因子和洞察力的影响恰恰相反,因此很难界定其总体影响。负性症状对焦虑/抑郁所起的中介作用是澄清这种错综复杂关系的一个有价值的概念。
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引用次数: 0
期刊
Psychiatry Investigation
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