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Social Anxiety Disorder among Undergraduate Students: Exploring Association with Self-esteem and Personality Traits 大学生社交焦虑障碍与自尊、人格特质的关系
Pub Date : 2022-01-01 DOI: 10.4103/wsp.wsp_3_22
A. Obadeji, Banji F. Kumolalo
Background: Social phobia impacts negatively on the social and academic life of students and exerts a detrimental effect on the quality of life of the bearer. The study examined the burden of social anxiety disorder (SAD), the relationship of SAD with sociodemographic variables and self-esteem, and the big five personality traits correlates of both SAD and self-esteem among undergraduate students. Methods: Participants completed the Social Phobia Inventory (SPIN), the Big Five Personality Trait Inventory (BFPI), Rosenberg Self-Esteem Scale, and a sociodemographic questionnaire. The relationships between variables were explored using bivariate and multivariate statistics. Results: Two hundred and eighty (62.5%) participants reported significant SAD, mostly in the mild form (50.9%). There was a significant negative correlation between the SPIN scores and the total score on BFPI, extraversion, agreeableness, conscientiousness, openness, and self-esteem and a positive correlation with the neuroticism subscale. Similarly, a significant positive correlation with self-esteem and agreeableness, extraversion and conscientiousness, and a negative correlation between neuroticism subscale of BFPI were noted. Younger age also significantly increased the risk of social anxiety among the participants. Conclusions: The burden of social phobia among the undergraduate students was high, and highly correlated with personality traits and self-esteem. The study underscores the need to consider several factors in reducing social performance anxiety among undergraduate students with central effort geared toward reducing neuroticism and promotion of positive self-imagery and appraisal.
背景:社交恐惧症对学生的社交和学业生活产生负面影响,对携带者的生活质量产生不利影响。本研究考察了大学生社交焦虑障碍负担、社交焦虑障碍与社会人口学变量和自尊的关系,以及与社交焦虑障碍和自尊相关的五大人格特征。方法:参与者完成社交恐惧症量表(SPIN)、大五人格特质量表(BFPI)、Rosenberg自尊量表和社会人口学问卷。使用双变量和多变量统计来探讨变量之间的关系。结果:280名(62.5%)参与者报告了显著的SAD,大多数是轻度的(50.9%)。自旋得分与BFPI总分、外向性总分、宜人性总分、尽责性总分、开放性总分、自尊总分呈显著负相关,与神经质总分呈显著正相关。自尊与宜人性、外向性与尽责性存在显著正相关,神经质与情绪指数存在显著负相关。年龄越小,社交焦虑的风险也越高。结论:大学生社交恐惧负担较高,且与人格特质和自尊高度相关。该研究强调,在减少大学生的社会表现焦虑方面,需要考虑几个因素,重点是减少神经质,促进积极的自我意象和评价。
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引用次数: 1
The Impact of Coronavirus Disease 2019 on People with and without Severe Mental Illness in Tamil Nadu, India 2019年冠状病毒病对印度泰米尔纳德邦患有和不患有严重精神疾病的人的影响
Pub Date : 2022-01-01 DOI: 10.4103/wsp.wsp_11_21
Joseph Lam, S. John, T. Roberts, A. Kulandesu, Karthick Samikannu, Kruthika Devanathan, T. Kumar, R. Padmavati, J. Aynkaran, G. Esponda, C. Morgan, Thara Rangawsamy
Background/Objectives: People living with severe mental illness may be more susceptible to infection and stress, leading to relapses or worsening of their mental health. The experiences of people with severe mental illness during the coronavirus disease 2019 (COVID-19) pandemic have seldom been captured. This study set to describe the experience of people with severe mental illness in Tamil Nadu, India, during the COVID-19 pandemic. Methods: Between July and December 2020, 158 age-, gender-, neighborhood-matched case − control pairs from the INTREPID II study completed a survey regarding their experience, worries, and behavioral changes during the pandemic. Their responses were collected by phone during six-monthly check-ins, or in-person at 24-month follow-up appointments. Only the first response for each participant is included in this report. Results: None of our participants reported knowingly having been infected with COVID-19 by the time of the survey. There is no evidence that people with psychoses were disproportionately affected by the pandemic. Unemployment and financial hardship were highly prevalent in both cases and controls. Job-related anxiety and stress were the largest source of worry, followed by worries regarding government decisions and access to mobile phones. Conclusions: The pandemic placed great strain on participants both with and without severe mental illness. The impact of unemployment and financial hardship as a result of COVID-19 requires urgent attention.
背景/目的:患有严重精神疾病的人可能更容易受到感染和压力,导致他们的精神健康复发或恶化。在2019冠状病毒病(COVID-19)大流行期间,严重精神疾病患者的经历很少被捕捉到。本研究旨在描述2019冠状病毒病大流行期间印度泰米尔纳德邦严重精神疾病患者的经历。方法:2020年7月至12月期间,来自INTREPID II研究的158名年龄、性别、社区匹配的病例对照对完成了一项关于他们在大流行期间的经历、担忧和行为变化的调查。他们的回答在六个月的检查期间通过电话收集,或在24个月的随访预约中亲自收集。本报告只包括每个参与者的第一个响应。结果:在调查时,没有参与者报告故意感染了COVID-19。没有证据表明精神病患者受到大流行的影响不成比例。失业和财政困难在两种情况下都非常普遍。与工作相关的焦虑和压力是最大的担忧来源,其次是对政府决策和手机使用的担忧。结论:大流行给有或没有严重精神疾病的参与者带来了巨大的压力。COVID-19造成的失业和经济困难的影响需要紧急关注。
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引用次数: 0
The Culture of Bullying in Medical Training Must Stop 医疗培训中的欺凌文化必须停止
Pub Date : 2022-01-01 DOI: 10.4103/wsp.wsp_30_21
Migita Dcruz
Among the Science, Technology, Engineering, and Mathematics professions, medical training continues to carry remnants of the medieval concept of apprenticeship. A lingering hangover of apprenticeship in medicine is the culture of teaching through shame, embarrassment, and humiliation that has persisted over the years. Estimates of the prevalence of bullying in medicine vary from as little as 13% to as high as 81%, with considerable reason to suspect under-reporting. The consequences of bullying approximate that of abuse in early childhood and are often long-lasting. Burnout, a decline in performance as a resident doctor, and depression are commonly reported consequences of bullying and abuse on medical students. Only a minority of medical students ever report abuse due to trust deficit and fear of retribution. Most medical program directors appear to be unaware of the scope and extent of abuse occurring under their watch. Most victims of bullying appear to become bullies themselves, perpetuating the bully-victim cycle of abuse. Traditional power hierarchies play a role in bullying in the medical profession, as in other professions. The cost of bullying and abuse to the health and welfare of medical students is considerable. There is a strong case to be made for compassion in medicine and for bringing back humanity into the medical humanities. Medical training must not a barrier to medical learning. The safety of survivors of abuse must also be addressed while reporting to protect them from repercussions. We must work to make training spaces safe for medical students.
在科学、技术、工程和数学专业中,医学培训仍然带有中世纪学徒制概念的残余。学徒工在医学领域留下的一个挥之不去的后遗症是,多年来一直存在的羞愧、尴尬和羞辱的教学文化。对医学界欺凌盛行率的估计从低至13%到高达81%不等,有充分理由怀疑报告不足。欺凌的后果与儿童早期的虐待差不多,而且往往是持久的。职业倦怠、住院医生表现下降和抑郁是医学生受到欺凌和虐待的常见后果。由于信任缺失和害怕报复,只有少数医学生报告过虐待行为。大多数医疗项目主任似乎没有意识到在他们的监督下发生的虐待的范围和程度。大多数欺凌的受害者似乎自己也成为欺凌者,使欺凌者-受害者的虐待循环永久化。与其他行业一样,传统的权力等级制度在医疗行业的欺凌行为中发挥了作用。欺凌和虐待对医学生的健康和福利造成的损失是相当大的。我们有充分的理由支持医学中的同情心,并将人性带回医学人文学科。医学培训不应成为医学学习的障碍。虐待幸存者的安全也必须在报告时得到解决,以保护他们免受影响。我们必须努力为医学生提供安全的训练场所。
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引用次数: 0
The Need to Improve Resources for the Prevention and Treatment of Gambling-Related Mental Health Issues in Italy 需要改善意大利预防和治疗与赌博有关的心理健康问题的资源
Pub Date : 2022-01-01 DOI: 10.4103/wsp.wsp_44_21
C. Okechukwu
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引用次数: 0
Innovations in Social Psychiatry across the World – India 世界各地社会精神病学的革新-印度
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_58_21
D. Basu
India is a large country with a huge population, high mental illness burden, and a substantive treatment gap, with inadequate infrastructure, human resources, and funding related to mental health care. Given this challenging scenario, innovations utilizing social psychiatric principles have come from the government sector, nongovernmental organizations, and like-minded professional associations. The focus has been on integrating mental health care with primary health care, reducing stigma, early detection, enhancing access to affordable care, continuity of care, and promoting recovery and social integration. Digital technology is being increasingly explored to partly further these goals. Although there have been appreciable improvements, there is a long way to go!
印度是一个人口众多、精神疾病负担高、治疗差距大的大国,与精神卫生保健相关的基础设施、人力资源和资金不足。鉴于这种具有挑战性的情况,利用社会精神病学原理的创新来自政府部门、非政府组织和志同道合的专业协会。重点是将精神卫生保健与初级卫生保健结合起来,减少耻辱,早期发现,增加获得负担得起的保健的机会,保健的连续性,以及促进康复和社会融合。人们正在越来越多地探索数字技术,以在一定程度上促进这些目标的实现。虽然已经有了明显的改进,但还有很长的路要走!
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引用次数: 0
Challenges in Conducting Mental Health Research during the Coronavirus Disease 2019 Pandemic and Approaches to Handle Them 2019冠状病毒病大流行期间开展心理健康研究的挑战及其应对方法
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_68_21
M. Sood, Nishtha Chawla, T. Shukla, Rekha Patel, J. Bhogal, R. Chadda
Coronavirus disease 2019 (COVID-19) disease led to the disruption of many nonessential activities in health care across the globe including various non-COVID-19-related research activities. Various issues need to be addressed while conducting research during the pandemic. It is important to ensure the social and scientific value of research while ensuring to maintain ethical standards of the research. Taking the informed consent is of utmost priority irrespective of the platform of research. Any deviations from the protocol must be informed to the ethics committee. The confidentiality and privacy concerns should also be maintained higher up in the priority. Other concerns include regular audits with the management of the data, managing the workforce while ensuring their safety, handling administrative issues, and addressing researchers' burnout. During the pandemic, the research could either be conducted online or offline with both researchers and participants following covid-related protocol such as wearing mask, maintaining safe social distance, and maintaining hand hygiene. During the pandemic, authors were working on three funded research projects. The pandemic period can be divided into two phases in India: March 2020 to February 2021 and April 2021 to August 2021. During the first phase, our research activities proceeded in three stages. First stage (March 2020–May 2020) was characterized by uncertainty and complete stoppage of work. In second stage (Jun 2020–Sep 2020), work was done in online mode with recalibration of goals. In third stage (October 2020–March 2021), physical working had started with certain restrictions. During the second phase, all stages were shorter.
2019冠状病毒病(COVID-19)导致全球许多非必要的卫生保健活动中断,包括各种与COVID-19无关的研究活动。在大流行期间进行研究时,需要解决各种问题。重要的是要确保研究的社会和科学价值,同时确保维持研究的道德标准。无论研究平台如何,获得知情同意都是重中之重。任何与方案的偏差都必须通知伦理委员会。保密和隐私问题也应保持较高的优先地位。其他问题包括定期审计数据管理,管理员工,同时确保他们的安全,处理行政问题,并解决研究人员的倦怠。在大流行期间,研究可以在线进行,也可以离线进行,研究人员和参与者都遵循戴口罩、保持安全社交距离、保持手卫生等与新冠病毒相关的协议。在大流行期间,作者正在进行三个资助的研究项目。在印度,大流行期可分为两个阶段:2020年3月至2021年2月和2021年4月至2021年8月。在第一阶段,我们的研究活动分三个阶段进行。第一阶段(2020年3月至2020年5月)的特点是不确定和完全停工。第二阶段(2020年6月- 2020年9月),以在线模式完成工作,重新校准目标。第三阶段(2020年10月至2021年3月),体力劳动已经开始,但有一定的限制。在第二阶段,所有阶段都缩短了。
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引用次数: 0
Psychiatric and Substance Use Comorbidities among People who Inject Drugs in India: A Cross-Sectional, Community-Based Study 印度注射毒品人群的精神病学和物质使用合并症:一项基于社区的横断面研究
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_56_21
Romil Saini, A. Parmar, R. Rao, A. Mishra, A. Ambekar, A. Agrawal
Background: People who Inject Drugs (PWID) show higher rates of comorbid psychiatric illnesses than the general population. We aimed to assess the rates of different psychiatric disorders and substance dependence among PWID in the state of Delhi, India. Methods: We conducted a community-based, cross-sectional study interviewing 104 adult male participants receiving various harm reduction and HIV prevention services. A semi-structured questionnaire assessed socio-demographics, drug use and injecting patterns, and opioid overdose experience. Mini-International Neuropsychiatric Interview Version 7.0.2 (for screening and diagnosing major psychiatric disorders), World Health Organization-Alcohol, Smoking, and Substance Involvement Screening Test for the pattern of other psychoactive substance use were used. Results: The mean age of participants was 27.9 years. The predominant opioid injected in the last 1 year was heroin. About 52% of participants had at least one psychiatric illness during their lifetime. Antisocial personality disorder (25%) was the most common psychiatric illness followed by suicidality (23.1%). About 23.1% had more than one psychiatric comorbidity other than substance use disorder. Being unskilled (χ2 = 11.39; P = 0.03), having early mean age of tobacco onset (t = −2.416; P = 0.02), longer duration of tobacco (t = 2.033; P = 0.04), alcohol (t = 2.204; P = 0.03) use, less abstinent attempts for opioid use (χ2 = 5.003; P = 0.03), longer duration of injecting drug use (t-test = 2.437; P = 0.02), higher vein-related complications (χ2 = 9.27; P = 0.02), high HIV positivity rate (χ2 = 8.54; P = 0.01), and high rates of nonfatal opioid overdose over lifetime (χ2 = 4.87; P = 0.03) were significantly associated with having lifetime psychiatric illness. Conclusion: Our study found high rates of psychiatric illnesses and the use of other psychoactive substances among PWID from India. There is an urgent need to incorporate mental health services into the existing HIV prevention services directed at PWID in India.
背景:注射吸毒者(PWID)的精神疾病共病率高于一般人群。我们的目的是评估印度德里州PWID中不同精神障碍和物质依赖的比率。方法:我们进行了一项以社区为基础的横断面研究,采访了104名接受各种减少危害和预防艾滋病毒服务的成年男性。一份半结构化问卷评估了社会人口统计学、药物使用和注射模式以及阿片类药物过量的经历。迷你国际神经精神病学访谈版本7.0.2(用于筛查和诊断主要精神疾病),世界卫生组织-酒精,吸烟和物质介入筛查测试用于其他精神活性物质使用模式。结果:参与者平均年龄27.9岁。近1年注射的主要阿片类药物是海洛因。约52%的参与者一生中至少患有一种精神疾病。反社会人格障碍(25%)是最常见的精神疾病,其次是自杀(23.1%)。除物质使用障碍外,约23.1%有一种以上精神共病。不熟练(χ2 = 11.39;P = 0.03),平均开始吸烟年龄早(t = - 2.416;P = 0.02),烟草持续时间较长(t = 2.033;P = 0.04),酒精(t = 2.204;P = 0.03)使用阿片类药物,戒断尝试较少(χ2 = 5.003;P = 0.03),注射用药时间较长(t检验= 2.437;P = 0.02),较高的静脉相关并发症(χ2 = 9.27;P = 0.02), HIV阳性率高(χ2 = 8.54;P = 0.01),非致死性阿片类药物终生过量发生率高(χ2 = 4.87;P = 0.03)与终生精神疾病显著相关。结论:我们的研究发现,精神疾病和其他精神活性物质的使用率在印度的PWID中很高。在印度,迫切需要将心理健康服务纳入针对艾滋病患者的现有艾滋病毒预防服务。
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引用次数: 0
Medical Learners' Wellness: Systemic Perspective 医学学习者的健康:系统视角
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_65_21
P. Sharan, Pooja Sakhya
Health and well-being of medical learners' is important in itself and is a necessary precondition to good patient care. Medical learners suffer from high levels of mental illhealth due to challenging demands and pressurized learning/ work environments. These factors are aggravated by learners' tendency to avoid seeking help and support when unwell or under pressure and by a perceived stigma among them about mental illness. Many pressures that threaten learners' well-being as well as the health and effectiveness of the organisations in which they learn are systemic. While certain initiatives have been implemented to improve the ability of medical learners' to withstand pressure, fundamentally many of the modifiable risk factors for poor mental health and wellbeing have not been addressed. It is becoming increasingly clear that successful interventions to tackle learners' mental ill-health would have to be multidimensional, aimed at multiple levels and involve multiple stakeholders. Leaders of organizations designing interventions must improve learning/ work cultures to emphasize the importance of looking after one's own health, to normalize discussions of struggle in the context of educational/ work challenges, and to understand how and when to seek help. Finally, it may be mentioned that the evidence base for individual and systemic interventions to improve medical learners' well-being and mental health is very limited, hence there is need for much research to help develop new approaches to medical learners' mental health and wellbeing.
医学学习者的健康和幸福本身就很重要,是良好的病人护理的必要前提。由于具有挑战性的要求和压力的学习/工作环境,医学学习者患有高度的精神疾病。这些因素因学习者在身体不适或压力下倾向于避免寻求帮助和支持,以及他们对精神疾病的耻辱感而加剧。许多威胁到学习者的健康以及他们学习所在组织的健康和有效性的压力是系统性的。虽然已经实施了某些举措来提高医学学习者承受压力的能力,但从根本上说,许多导致心理健康和福祉不佳的可改变风险因素尚未得到解决。越来越清楚的是,解决学习者心理健康不良问题的成功干预措施必须是多维的,针对多个层面,并涉及多个利益攸关方。设计干预措施的组织领导人必须改善学习/工作文化,强调照顾自己健康的重要性,在教育/工作挑战的背景下使斗争讨论正常化,并了解如何以及何时寻求帮助。最后,需要指出的是,个体和系统干预改善医学学习者幸福感和心理健康的证据基础非常有限,因此需要进行大量研究,以帮助开发新的方法来改善医学学习者的心理健康和福祉。
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引用次数: 0
Disability Attributed to Mental Disorders in China 中国精神障碍导致的残疾
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_66_21
Yueqin Huang, Zhaorui Liu, Yuntao Liu, Ning Ji, Tingting Zhang, Yongshi Wang, Wen-Tung Wu, Yang Li
Objectives: The objective of the study was to describe the prevalence and characteristics of disabilities attributed to mental disorders and their distributions in China, and to explore the determinants of disabilities attributed to the mental disorders. Methods: The current study is secondary data analysis for the Second National Sample Survey on Disability. The determinants of disability were assessed by applying the univariate and multivariable regression analysis. Results: Among 2,526,145 participants sampled in the survey, 15,928 participants were diagnosed as having disabilities attributed to mental disorders. The prevalence of disability attributed to mental disorders was 0.63%. Among 46,886 participants with single physical disability, 446 had comorbid mental disability, and the rate of physical disability with comorbid mental disability was 0.94%. The risk factors associated with coexisting mental disability in persons with physical disability included female gender, 30–44 and 45–59 years age groups, being unmarried, widowed or divorced, and urban background. Schizophrenia, autism spectrum disorder, and mental and behavioral disorders due to psychoactive substance were the main disorders associated with mental disability. Conclusions: Disabilities attributed to mental disorders in China should receive more attention. It is important to treat mental disorders for preventing the associated disability and develop related rehabilitation in China.
目的:了解中国精神障碍致残的患病率、特征及其分布,探讨精神障碍致残的影响因素。方法:本研究为第二次全国残疾人抽样调查的二次资料分析。通过单变量和多变量回归分析评估残疾的决定因素。结果:在接受调查的2526145名参与者中,15928名参与者被诊断为因精神障碍而残疾。精神障碍致残率为0.63%。在46,886名单一身体残疾的参与者中,有446名同时患有精神残疾,身体残疾合并精神残疾的比例为0.94%。女性、30-44岁和45-59岁年龄组、未婚、丧偶或离婚、城市背景等因素与肢体残疾者并存精神障碍相关。精神分裂症、自闭症谱系障碍和精神活性物质所致的精神和行为障碍是与精神残疾相关的主要障碍。结论:精神障碍导致的残疾在中国应得到更多的关注。在中国,治疗精神障碍对预防相关残疾和开展相关康复具有重要意义。
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引用次数: 0
Abstracts of the WASP Asia Pacific Hybrid Congress 2021 2021年亚太WASP混合大会摘要
Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_60_21
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引用次数: 0
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World Social Psychiatry
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