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Attempted suicide through eating Ampullarium canaliculatus: A case report of a patient with depression 企图吃壶腹小管自杀:一例抑郁症患者报告
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_7_22
Szu-Yi Chiang, J. Lin
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引用次数: 0
Prevalence and correlates of negative disposition to marital homogamy among a sample of psychiatric outpatients in Nigeria 尼日利亚精神科门诊病人对婚姻同性婚姻的消极倾向的患病率及其相关因素
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_2_22
S. Osasona
Objective: Persons with mental illness (PWMI) have reduced chances of getting married to individuals without mental illness, yet, so much controversy surrounds the propriety or otherwise of a psychiatric patient marrying another psychiatric patient (marital homogamy). The factors that are associated with patients' disposition towards homogamy have received little attention from researchers, creating a gap in literature. In this study, I intended to examine the proportion of psychiatric patients that are negatively disposed towards marrying another psychiatric patient and to find the factors that are associated with their disposition. Methods: A descriptive cross-sectional design was used, and participants included 208 consecutive attendees at the psychiatric outpatient clinic of a tertiary hospital in Benin City, Nigeria. Data were collected from the participants using a sociodemographic data collection sheet and three standard instruments - the Bogardus Social Distance Scale, the World Psychiatric Association Stigma Questionnaire, and the Brief Psychiatric Rating Scale. Results: About two-thirds of the patients (67.3%) were not willing to marry a psychiatric patient, citing concerns about heredity of mental illness; potential financial difficulty and lack of social/spousal support; and perceived dangerousness of psychiatric patients as the reasons. About two-thirds of them desired moderate to high social distance from another psychiatric patient. Three factors - the desire for low social distance (p < 0.001), belief that marriage is a necessity in life (p < 0.001), and belief that people with mental illness who recovered are eligible to marry (p < 0.001) - significantly differentiated between patients who were willing to marry a psychiatric patient and those not willing. Conclusion: Many patients in this study expressed a negative disposition toward marrying a psychiatric patient, yet previous researchers reported that they have reduced chances of marrying persons without mental illness. Appropriate intervention to address the factors that are related to their negative disposition may change their disposition and increase their chances of getting married, either to a nonmentally ill individual or a PWMI if they must not remain single all their life.
目的:精神病患者(PWMI)与非精神病患者结婚的机会减少,然而,围绕着精神病患者与另一精神病患者结婚(婚姻同性婚姻)的适当与否有很多争议。与患者同性婚姻倾向相关的因素很少受到研究人员的关注,造成文献空白。在这项研究中,我打算检查精神病患者对与另一名精神病患者结婚有负面倾向的比例,并找到与他们的倾向相关的因素。方法:采用描述性横断面设计,参与者包括在尼日利亚贝宁市一家三级医院精神病门诊连续就诊的208名患者。使用社会人口统计数据收集表和三种标准工具——Bogardus社会距离量表、世界精神病学协会耻辱问卷和简短精神病学评定量表——从参与者那里收集数据。结果:约三分之二(67.3%)的患者不愿意与精神病患者结婚,理由是担心精神疾病的遗传;潜在的经济困难和缺乏社会/配偶支持;以及对精神病患者危险性的认知。大约三分之二的人希望与其他精神病患者保持中等到较高的社交距离。三个因素-渴望低社会距离(p < 0.001),相信婚姻是生活的必需品(p < 0.001),以及相信精神疾病患者康复后有资格结婚(p < 0.001) -在愿意与精神病患者结婚的患者和不愿意与精神病患者结婚的患者之间存在显著差异。结论:在这项研究中,许多患者对与精神病患者结婚表现出消极的态度,然而以前的研究人员报告说,他们与非精神病患者结婚的机会减少了。采取适当的干预措施,解决与他们的消极性格有关的因素,可能会改变他们的性格,增加他们结婚的机会,无论是与非精神病患者还是精神病患者,如果他们不能终生单身的话。
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引用次数: 0
Lessons learned from COVID-19 pandemic: Indonesia's perspective 从2019冠状病毒病大流行中吸取的教训:印度尼西亚的视角
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_10_22
A. Tanra, Musfiqoh Tusholehah
Background: Coronavirus disease in 2019 (COVID-19) pandemic caused by severe acute respiratory coronavirus-2 started in Wuhan and caused a global outbreak, including Indonesia. Indonesia is ranked fourth as the most populous country globally, with disparities in health, socioeconomic, and education. In this review, the authors intend to report the COVID-19 pandemic situation in Indonesia. Methods: We collect the relevant information from various resources such as government official data and press releases news outlets, as well as COVID-related studies based in Indonesia. Results: Indonesia does not have a uniform and one-way disaster preparedness system; this problem can be seen at the beginning of the pandemic where policy changes often occur and confuse the public. This situation has an impact on the high rate of transmission and death due to COVID-19. In addition, the pandemic is forcing people to implement social restrictions that affect people's income. Various efforts have been made by the government to deal with COVID-19, but the results are still not satisfactory. Conclusion: The pandemic of COVID-19 affects all Indonesians, physically, mentally, and economically. Fighting the pandemic is not one man's job; the Indonesian government is required to collaborate with the citizens to conquer the disaster of COVID-19 pandemic.
背景:由严重急性呼吸道冠状病毒-2引起的2019年冠状病毒病(COVID-19)大流行始于武汉,并引起包括印度尼西亚在内的全球疫情。印度尼西亚在全球人口最多的国家中排名第四,在健康、社会经济和教育方面存在差距。在这篇综述中,作者打算报告2019冠状病毒病在印度尼西亚的大流行情况。方法:我们从各种资源收集相关信息,如政府官方数据、新闻稿、新闻媒体以及在印度尼西亚进行的与新冠病毒相关的研究。结果:印度尼西亚没有统一的单向备灾系统;这一问题可以在大流行开始时看到,政策经常发生变化并使公众感到困惑。这种情况对COVID-19的高传播率和死亡率产生了影响。此外,大流行迫使人们实施影响人们收入的社会限制。虽然政府为应对新冠疫情做出了各种努力,但效果仍不理想。结论:COVID-19大流行影响到所有印度尼西亚人的身体、精神和经济。抗击疫情不是一个人的工作;印尼政府必须与国民合作,共同战胜新冠疫情的灾难。
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引用次数: 2
Obesity, sarcopenia, and depressive symptoms in patients with alzheimer's disease 阿尔茨海默病患者的肥胖、肌肉减少和抑郁症状
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_3_22
Yu Chang, C. Wu, C. Wang, H. Lee, Y. Wu
Objective: In this study, we intended to study the association between depressive symptoms and the status of sarcopenia or obesity in patients with mild-to-moderate Alzheimer's disease (AD). Methods: We enrolled 176 outpatients aged 65 to 89 years with mild-to-moderate AD. The study participants were divided into four groups according to the presence or absence of sarcopenia and obesity. We analyzed differences among the four groups and used multiple logistic regression to examine associations with depressive symptoms. Results: Most of the patients were obese without sarcopenia (n [%] = 94 [53.5%]). The patients with sarcopenia either with or without obesity were significantly more male, compared to those without sarcopenia (p < 0.001). The obese patients either with or without sarcopenia tended to be significantly older (p < 0.01), and to have significantly higher prevalence of depressive symptoms (p < 0.05), and significantly more receiving antidepressant therapy (p < 0.05), compared to those in the nonobesity groups. After adjusting for covariates, we further found that the obese patients either with or without sarcopenia were significantly positively associated with depressive symptoms compared to the nonsarcopenia/nonobesity group (odds ratio [OR] [95% confidence interval (CI)] = 6.88 [1.11–42.71], p < 0.05; OR [95% CI] = 5.95 [1.82–19.43], p < 0.01), respectively, and those patients with sarcopenia without obesity did not have any significant depressive symptoms. Conclusion: Obesity could be a potential confounder for the association between sarcopenia and depressive symptoms in patients with AD. Future studies suggest that depression interventions using reducing adiposity or increasing muscle mass need to be considered.
目的:在本研究中,我们旨在研究轻至中度阿尔茨海默病(AD)患者抑郁症状与肌肉减少或肥胖状态之间的关系。方法:我们招募了176例年龄在65至89岁的轻中度AD门诊患者。研究参与者根据是否存在肌肉减少症和肥胖被分为四组。我们分析了四组之间的差异,并使用多元逻辑回归来检查与抑郁症状的关联。结果:患者以肥胖为主,无肌肉减少症(n[%] = 94[53.5%])。与没有肌肉减少症的患者相比,伴有或不伴有肥胖的肌肉减少症患者中男性明显更多(p < 0.001)。与非肥胖组相比,伴有或不伴有肌肉减少症的肥胖患者的年龄明显增加(p < 0.01),抑郁症状的患病率明显增加(p < 0.05),接受抗抑郁治疗的人数明显增加(p < 0.05)。校正协变量后,我们进一步发现,与非肌肉减少/非肥胖组相比,伴有或不伴有肌肉减少的肥胖患者与抑郁症状显著正相关(优势比[or][95%可信区间(CI)] = 6.88 [1.11-42.71], p < 0.05;OR [95% CI] = 5.95 [1.82-19.43], p < 0.01),伴有肌肉减少症但无肥胖的患者无明显抑郁症状。结论:肥胖可能是阿尔茨海默病患者肌肉减少症和抑郁症状之间关联的潜在混杂因素。未来的研究表明,需要考虑通过减少脂肪或增加肌肉质量来干预抑郁症。
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引用次数: 1
Childhood trauma and sleep-related daytime dysfunction in patients with bipolar II disorder: Is social support a factor? 双相情感障碍患者的童年创伤和与睡眠相关的日间功能障碍:社会支持是一个因素吗?
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_4_22
Tsung-Hua Lu, Y. Hsieh, Shih-Hsien Lin, Yen Kuang Yang, P. Chen
Background: Sleep quality is an important predictor for prognosis of bipolar disorder (BD). Factors associated with sleep quality in BD such as childhood trauma experience merit investigation. Methods: We used the Pittsburgh Sleep Quality Index (PSQI), Childhood Trauma Questionnaire (CTQ), and Measurement of Support Functions (MSF) to access patients with BD-I (n = 31), and those with BD-II (n = 34). Results: We found that 71.4% of patients with BD-I and 90.9% of those with BD-II had poor sleep quality. Significantly higher CTQ physical abuse score and poor life quality were found among patients with BD-II (b = −0.008, Wald χ2 (1) = 5.024, p < 0.05). This effect remained robust (b = −0.012, Wald χ2 (1) = 8.150, p < 0.01) after controlling the use of drug (sedative, benzodiazepine, antipsychotic, and antidepressant). Moreover, the experience of childhood trauma was associated with poor sleep quality among patients with BD-II. A buffer effect of social support between physical abuse and daytime dysfunction, as measured by PSQI, was found in patients with BD-II, but not in those with BD-I. Conclusion: Social adversity and support were associated with sleep quality in patients with BD-II. This finding implied a stress-buffering model in patients with BD-II. But the underlying biological mechanism remains unclear.
背景:睡眠质量是双相情感障碍(BD)预后的重要预测因子。儿童创伤经历等与双相障碍患者睡眠质量相关的因素值得研究。方法:采用匹兹堡睡眠质量指数(PSQI)、儿童创伤问卷(CTQ)和支持功能测量量表(MSF)对BD-I (n = 31)和BD-II (n = 34)患者进行调查。结果:我们发现71.4%的BD-I患者和90.9%的BD-II患者睡眠质量较差。BD-II患者CTQ身体虐待评分较高,生活质量较差(b = - 0.008, Wald χ2 (1) = 5.024, p < 0.05)。在控制镇静药、苯二氮卓类药物、抗精神病药和抗抑郁药的使用后,这种效果仍然很明显(b = - 0.012, Wald χ2 (1) = 8.150, p < 0.01)。此外,童年创伤经历与BD-II患者的睡眠质量差有关。社会支持在身体虐待和日间功能障碍之间的缓冲作用,如PSQI测量,在BD-II患者中发现,但在BD-I患者中没有。结论:社会逆境和社会支持与BD-II患者睡眠质量相关。这一发现暗示了BD-II患者的应激缓冲模型。但其潜在的生物学机制尚不清楚。
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引用次数: 0
Psychiatric evaluations in offenders with mental illness: A case series 有精神疾病的罪犯之精神评估:个案系列
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_5_22
Chia-Heng Lin, W. Hsieh, He-Xie Liu, Chia- Chan
Background: The relation between mental illness and criminal offenses is controversial. In Taiwan, offenders with mental illness may be sentenced to custodial protection. Nevertheless, the recidivism rates remain high in such populations. Factors associated with recidivism among those offenders warrant further exploration. Methods: We retrospectively identified five persons with mental illness who had repeated forensic psychiatric evaluation for at least three times through reviewing forensic psychiatry records over the past decade at a psychiatric center. The related sociodemographic characteristics and psychiatric profiles in the 22 offenses were also collected and correlated with verdicts. Results: Those five offenders had family and personal histories of mental illnesses. They were relatively young at the first offense and unemployed, unmarried during the period of committing the offenses. Some offenders had a history of substance use, self-harm attempts, other criminal behaviors, and poor adherence to treatments before the offense. All the concluded characteristics of forensic psychiatric evaluations were consistent with the court judgments. Conclusion: Social dysfunction, poor adherence to treatments, history of substance use, and previous criminal records were prominent among those five repeated offenders.
背景:精神疾病与刑事犯罪的关系一直存在争议。在台湾,有精神疾病的罪犯可能会被判处监禁保护。然而,在这些人口中,再犯率仍然很高。这些罪犯中与再犯有关的因素值得进一步探讨。方法:通过回顾某精神科中心近十年的法医精神病学记录,对5名精神疾病患者进行了至少3次的法医精神病学评估。收集了22种犯罪的相关社会人口学特征和精神病学特征,并将其与判决结果相关联。结果:这5名罪犯有精神疾病的家庭和个人病史。初犯年龄较轻,犯罪期间失业、未婚。一些罪犯有药物使用史,自残企图,其他犯罪行为,以及犯罪前对治疗的依从性差。法医精神病学评价的所有结论特征都与法院判决一致。结论:社会功能障碍、治疗依从性差、药物使用史和既往犯罪记录是这5例惯犯的突出特征。
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引用次数: 0
Chance and responsibility for the Taiwanese Journal of Psychiatry 台湾精神病学杂志的机遇与责任
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_1_22
W. Shen
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引用次数: 0
Performances of depression detection through deep learning-based natural language processing to mandarin chinese medical records: Comparison between civilian and military populations 基于深度学习的自然语言处理对中文病历的抑郁检测性能:平民和军人的比较
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_9_22
Tai- Chen, Hsuan-Te Chu, Y. Tai, Szu-Tung Yang
Objective: A certain portion of patients with depression is under-diagnosed and has attracted the attention in the field of natural language processing (NLP). In this study, we intended to explore the feasibility of transferring unstructured textual records into a screening tool to early detect depression. Methods: We recruited 22,355 medical records in Mandarin traditional Chinese from the psychiatry emergency department of a military psychiatry center from 2004 to 2019. We preprocessed all the context of present illness histories as corpus and the presence of clinical diagnoses of depression as an outcome. A state-of-the-art NLP model was developed based on a pretrained bidirectional encoder representation from transformers (BERT) model along with several convolutional neural network (CNN) and trained by the training set (80% of original data) of total samples (BERTgeneral) and of civilian samples (BERTcivilian) and of military samples (BERTmilitary) independently. The receiver operating characteristic (ROC) and area under curve (AUC) of three trained models were compared for predicting depression for the test dataset (20% of original data) of general and specific samples. Results: The experimental results demonstrated excellent performance of BERTgeneral for general samples (AUC = 0.93, sensitivity = 0.817, specificity = 0.920 for optimal cut-off point) and civilian sample (AUC = 0.91, sensitivity = 0.851, specificity = 0.851 for optimal cut-off point). BERTgeneral showed a significant underperformance of for military samples (AUC = 0.79, sensitivity = 0.712, specificity = 0.732, p < 0.05 for optimal cut-off point). That of BERTmilitary was slight higher (AUC = 0.82, sensitivity = 0.708, specificity = 0.786 for optimal cut-off point) for military samples. Conclusion: This study showed the feasibility of applying deep learning technique as a depression-detection assistant tool in Mandarin Chinese medical records. However, the subjects' specific situation, e.g., military status, is warranted for further investigation.
目的:部分抑郁症患者诊断不足,引起了自然语言处理(NLP)领域的关注。在本研究中,我们打算探索将非结构化文本记录转换为早期检测抑郁症的筛选工具的可行性。方法:选取2004 - 2019年某军事精神病学中心精神急诊科的普通话病历22355份。我们将所有当前病史作为语料库进行预处理,并将抑郁症的临床诊断作为结果。基于变压器(BERT)模型和几个卷积神经网络(CNN)的预训练双向编码器表示,开发了一个最先进的NLP模型,并由总样本(BERTgeneral)、民用样本(BERTcivilian)和军事样本(BERTmilitary)的训练集(原始数据的80%)独立训练。比较三种训练模型的受试者工作特征(ROC)和曲线下面积(AUC)对一般样本和特定样本的测试数据集(原始数据的20%)的抑郁预测效果。结果:BERTgeneral对普通样品(AUC = 0.93,灵敏度= 0.817,最佳截止点特异性= 0.920)和民用样品(AUC = 0.91,灵敏度= 0.851,最佳截止点特异性= 0.851)均具有良好的检测效果。BERTgeneral在军事样本中表现出明显的不佳表现(AUC = 0.79,灵敏度= 0.712,特异性= 0.732,最佳截止点p < 0.05)。对于军用样品,BERTmilitary的AUC略高(AUC = 0.82,灵敏度= 0.708,最佳截断点特异性= 0.786)。结论:本研究显示了深度学习技术作为汉语病历抑郁检测辅助工具的可行性。然而,受试者的具体情况,如军事身份,值得进一步调查。
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引用次数: 0
Post-acute delirium of COVID-19 infection: Report of two cases COVID-19感染后急性谵妄2例报告
Pub Date : 2022-01-01 DOI: 10.4103/tpsy.tpsy_6_22
Dai- Chi, Chih-Pang Chu, Tien-Wei Yang, Huming Chang
{"title":"Post-acute delirium of COVID-19 infection: Report of two cases","authors":"Dai- Chi, Chih-Pang Chu, Tien-Wei Yang, Huming Chang","doi":"10.4103/tpsy.tpsy_6_22","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_6_22","url":null,"abstract":"","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85312851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tetrabenazine for treating neuroleptic-induced tardive dyskinesia: A case report of a patient with chronic schizophrenia 丁苯那嗪治疗抗精神病药引起的迟发性运动障碍:慢性精神分裂症1例报告
Pub Date : 2021-10-01 DOI: 10.4103/tpsy.tpsy_40_21
Pao- Ching, Chih-Yuan Pan, Cheng- Chang
{"title":"Tetrabenazine for treating neuroleptic-induced tardive dyskinesia: A case report of a patient with chronic schizophrenia","authors":"Pao- Ching, Chih-Yuan Pan, Cheng- Chang","doi":"10.4103/tpsy.tpsy_40_21","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_40_21","url":null,"abstract":"","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86265344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Taiwanese Journal of Psychiatry
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