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Examining the Factor Structure and Validity of the Depression Anxiety Stress Scale-21. 研究抑郁焦虑压力量表-21 的因子结构和有效性。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-20 DOI: 10.3390/ejihpe14110192
Grant Jacobsen, Madeline P Casanova, Alexandra Dluzniewski, Ashley J Reeves, Russell T Baker

Background: The prevalence of mental health disorders calls for valid and reliable instruments that are easy to administer and assess for clinicians and researchers. The Depression Anxiety Stress Scale-21 (DASS-21) is a commonly used instrument to assess psychological distress; however, model fit and internal reliability issues have been reported. Our objective was to assess the factorial and structural validity of the DASS-21.

Methods: A confirmatory factor analysis (CFA) was conducted on the full sample (n = 1036) to assess the proposed three-factor DASS-21 using a priori cut-off values. Because model fit indices were not met, an exploratory factor analysis (EFA) was conducted to identify a parsimonious model. The resulting three-factor structure (i.e., DASS-9) was then assessed using CFA and multigroup invariance testing procedures.

Results: The proposed three-factor DASS-21 did not meet model fit criteria. The DASS-9 did meet recommended model fit criteria and was invariant between sex, injury status, mental health diagnosis, and activity level groups. Statistically different group means were found between mental health diagnosis and activity level groups, while no differences between sex or injury status groups were found.

Conclusions: The current study provides support to use a condensed DASS-21 instrument, such as the DASS-9. Future research is necessary to establish the DASS-9 prior to its adoption in research and clinical practice. Additionally, there is a need to identify and review all condensed versions of the DASS-21, so individuals know which instrument can be used for clinical or research purposes.

背景:心理健康疾病的流行需要有效可靠、便于临床医生和研究人员使用和评估的工具。抑郁焦虑压力量表-21(DASS-21)是一种常用的评估心理困扰的工具,但有报道称它存在模型拟合和内部可靠性问题。我们的目标是评估 DASS-21 的因子效度和结构效度:方法:我们对全部样本(n = 1036)进行了确认性因子分析(CFA),使用先验临界值评估了所提出的三因子 DASS-21。由于模型拟合指数不符合要求,因此进行了探索性因子分析(EFA),以确定一个合理的模型。然后使用 CFA 和多组不变量测试程序对由此产生的三因素结构(即 DASS-9)进行评估:结果:提议的三因素 DASS-21 不符合模型拟合标准。DASS-9符合推荐的模型拟合标准,并且在性别、受伤状况、精神健康诊断和活动水平组之间具有不变量。在心理健康诊断组和活动水平组之间发现了统计学上不同的组平均值,而在性别或受伤状况组之间没有发现差异:结论:目前的研究支持使用简化的 DASS-21 工具,如 DASS-9。未来的研究有必要在研究和临床实践中采用 DASS-9 之前对其进行确定。此外,还需要确定并审查 DASS-21 的所有精简版本,以便个人了解哪种工具可用于临床或研究目的。
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引用次数: 0
Bivalent Fears of Evaluation in Social Anxiety: Evaluation of an Extended Psychoevolutionary Model. 社交焦虑中的二元评价恐惧:对扩展心理进化模型的评估。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-12 DOI: 10.3390/ejihpe14110191
Glen W Bates, Pragalathan Apputhurai, Simon R Knowles

Fears of negative evaluation (FNEs) and fears of positive evaluation (FPEs) comprise a bivalent model of evaluation that can explain the aetiology and maintenance of Social Anxiety Disorder (SAD). In this study, we examined an extended version of this model which incorporates two related cognitive processes (concerns about reprisal and discounting of positive outcomes) as partial mediators of the effects of FNEs and FPEs. We built on earlier work by including a broader measure of social anxiety across different social situations and comparing models for groups of participants with and without probable SAD. Structural equation modelling was utilised to test the model in a sample of 890 university students (74.8% female, mean age 29.49). We replicated the findings of Cook et al. in the overall sample and in the group with probable SAD. FNEs and FPEs predicted social anxiety directly and were serially mediated by concerns about reprisal and discounting positive outcomes. The model was also a good fit for those without SAD; however, in the model, FNEs were no longer a direct predictor of social anxiety. The findings confirm the utility of the extended bivalent model and have implications for psychoevolutionary accounts of social anxiety.

对负面评价的恐惧(FNEs)和对正面评价的恐惧(FPEs)构成了一个二价评价模型,可以解释社交焦虑症(SAD)的病因和维持。在本研究中,我们检验了这一模型的扩展版本,其中包含了两个相关的认知过程(对报复的担忧和对积极结果的折扣),作为 FNEs 和 FPEs 影响的部分中介。我们在先前工作的基础上,对不同社交情境下的社交焦虑进行了更广泛的测量,并对有可能患有 SAD 和没有 SAD 的参与者群体的模型进行了比较。我们利用结构方程模型对 890 名大学生(74.8% 为女性,平均年龄为 29.49 岁)进行了测试。我们在总体样本和可能患有 SAD 的群体中重复了库克等人的研究结果。FNEs和FPEs直接预测社交焦虑,并通过对报复的担忧和对积极结果的折扣进行连续中介。该模型也很好地拟合了无 SAD 的人群;然而,在该模型中,FNE 不再是社交焦虑的直接预测因子。研究结果证实了扩展的二价模型的实用性,并对社交焦虑的心理进化论产生了影响。
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引用次数: 0
Addressing the Sense of School Belonging Among All Students? A Systematic Literature Review. 解决所有学生的学校归属感问题?系统性文献综述。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-12 DOI: 10.3390/ejihpe14110190
Urška Štremfel, Klaudija Šterman Ivančič, Igor Peras

The sense of school belonging plays an important role in students' academic, behavioural, and psychological outcomes. Based on a systematic review, following the PRISMA 2020 guidelines and examining 86 studies conducted between 1990 and February 2023, the article addresses two research questions: (a) what are the predictors of the sense of school belonging at the individual, micro, meso, exo, macro, and chrono levels of the bioecological model of human development; (b) do these predictors differ based on students' individual characteristics, and if so, how. The findings reveal individual factors as important predictors of school belonging and indicate the lack of studies that take into consideration the interplay of different (micro, meso, exo, macro, chrono) levels in addressing the sense of school belonging. Considering the complexity and multi-factorial nature of the sense of school belonging, it calls upon further research, which would support the development of evidence-based interventions for fostering school belonging among different groups of students, particularly those who are at risk of feeling alienated from school, and thus promote equity in education.

学校归属感对学生的学业、行为和心理结果起着重要作用。文章在系统性综述的基础上,遵循 PRISMA 2020 指南,对 1990 年至 2023 年 2 月间进行的 86 项研究进行了考察,探讨了两个研究问题:(a) 在人类发展生物生态模型的个体、微观、中观、外显、宏观和时间层面上,学校归属感的预测因素是什么;(b) 这些预测因素是否因学生的个体特征而有所不同,如果是,如何有所不同。研究结果表明,个人因素是学校归属感的重要预测因素,同时也表明,在解决学校归属感问题时,缺乏考虑到不同(微观、中观、外显、宏观、时序)层面相互作用的研究。考虑到学校归属感的复杂性和多因素性质,需要进一步开展研究,这将有助于制定循证干预措施,培养不同学生群体的学校归属感,特别是那些有可能感到被学校疏远的学生,从而促进教育公平。
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引用次数: 0
Parental Burnout-A Model of Risk Factors and Protective Resources Among Mothers of Children with/Without Special Needs. 父母职业倦怠--有/无特殊需求儿童的母亲的风险因素和保护资源模型》(Parental Burnout-A Model of Risk Factors and Protective Resources Among Mothers of Children with/Without Special Needs)。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-11 DOI: 10.3390/ejihpe14110189
Yifat Findling, Michal Itzhaki, Sivia Barnoy

Parents of children With Special Needs and Disabilities (W-SND) who require long-term healthcare are at high risk of Parental Burnout (PB). However, most studies have focused on PB among parents of children Without Special Needs (WO-SN). This study aimed to develop a new model explaining PB of mothers of children W-SND/WO-SN. The main hypothesis was that the nexus of correlations between risk factors of PB (severity of child's disability/challenge, perceived caregiver burden) and protective resources (social support, learned resourcefulness, deep emotion work) will explain the variance of PB of mothers of children W-SND and WO-SN. A questionnaire assessing PB, its risk factors, and protective resources was completed by 352 Israeli mothers of children W-SND (mean age 36.9) or WO-SN (mean age 32.3). The child's disabilities were communicative, physical, intellectual and developmental. The main results are that mothers of children W-SND reported higher PB, higher caregiver burden, and a higher severity of disability. About 50% of PB variance was significantly explained by the nexus of correlations between selected risk and protective factors. Among all mothers, the more social support they received, the higher their learned-resourcefulness. However, learned resourcefulness mediates the correlation between caregiver burden and PB among mothers of children W-SND. Accordingly, it is important to increase awareness among healthcare professionals regarding the risk factors and symptoms of PB, and to develop workshops on protective resources in order to prevent PB and promote mothers' well-being. Further research should be conducted among fathers and parents from diverse cultures.

有特殊需求和残疾儿童(W-SND)需要长期医疗保健服务的家长极易出现家长职业倦怠(PB)。然而,大多数研究都集中在无特殊需求儿童(WO-SN)父母的职业倦怠上。本研究旨在建立一个新模型,解释无特殊需要儿童/无特殊需要儿童母亲的职业倦怠。主要假设是,PB 风险因素(儿童残疾/挑战的严重程度、感知到的照顾者负担)与保护性资源(社会支持、学习机智、深层情感工作)之间的相关性将解释 W-SND 和 WO-SN 儿童母亲 PB 的差异。352 位以色列籍母亲填写了一份调查问卷,对 PB、其风险因素和保护性资源进行了评估,这些母亲的子女分别是 W-SND(平均年龄 36.9 岁)或 WO-SN(平均年龄 32.3 岁)。孩子的残疾包括交流障碍、肢体障碍、智力障碍和发育障碍。主要结果表明,W-SND 儿童的母亲报告的 PB 值较高,照顾者负担较重,残疾严重程度较高。大约 50%的 PB 变异可以通过选定的风险和保护因素之间的相关性得到显著解释。在所有母亲中,她们获得的社会支持越多,她们的习得资源性就越高。然而,在有 W-SND 儿童的母亲中,学习资源丰富度在照顾者负担与 PB 之间的相关性中起着中介作用。因此,重要的是要提高医护人员对 PB 风险因素和症状的认识,并开展有关保护性资源的研讨会,以预防 PB 并促进母亲的福祉。应在来自不同文化背景的父亲和父母中开展进一步研究。
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引用次数: 0
Analysis of Gender Issues in Computational Thinking Approach in Science and Mathematics Learning in Higher Education. 高等教育科学和数学学习中计算思维方法的性别问题分析。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-08 DOI: 10.3390/ejihpe14110188
Alejandro De la Hoz Serrano, Lina Viviana Melo Niño, Andrés Álvarez Murillo, Miguel Ángel Martín Tardío, Florentina Cañada Cañada, Javier Cubero Juánez

In the contemporary era, Computational Thinking has emerged as a crucial skill for individuals to possess in order to thrive in the 21st century. In this context, there is a need to develop a methodology for cultivating these skills within a science and mathematics content education framework, particularly among pre-service teachers. This study aimed to investigate the impact of Educational Robotics on the development of Computational Thinking skills, with a particular focus on the role of gender, through a scientific and mathematical content teaching approach. A pre-experimental design with a quantitative approach was employed, and it was implemented with a total of 116 pre-service teachers, 38 males and 78 females. The results demonstrated a notable enhancement between the pre-test (8.11) and post-test (9.63) scores, emphasising specific concepts such as simple functions, while, and compound conditional. With respect to gender, statistically significant differences were identified prior to the intervention, but not following its implementation. The high level of Computational Thinking exhibited by both genders was comparable (53.85% in females and 55.26% in males) following the intervention. This indicates that the intervention is a promising approach for enhancing Computational Thinking proficiency, independent of gender and initial proficiency levels. The implementation of Educational Robotics in the teaching of science and mathematics enables the enhancement of Computational Thinking abilities among pre-service teachers, while reducing the observed gender disparity in this area of skill development.

在当代,计算思维已成为个人在 21 世纪茁壮成长所必须掌握的一项重要技能。在这种情况下,有必要制定一种方法,在科学和数学内容教育框架内培养这些技能,特别是在职前教师中。本研究旨在通过科学和数学内容教学方法,调查教育机器人对计算思维能力发展的影响,尤其关注性别的作用。研究采用了定量的预实验设计,共有 116 名职前教师参加了实验,其中男性 38 人,女性 78 人。结果表明,前测成绩(8.11)和后测成绩(9.63)之间有显著提高,强调了简单函数、同时和复合条件等具体概念。在性别方面,干预前有显著的统计差异,但干预后则没有。干预后,男女生的计算思维水平相当(女生为 53.85%,男生为 55.26%)。这表明,干预是提高计算思维能力的有效方法,与性别和初始能力水平无关。在科学和数学教学中实施教育机器人技术,能够提高职前教师的计算思维能力,同时减少在这一技能发展领域观察到的性别差异。
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引用次数: 0
Teachers' Attitudes Towards STEM Education: Exploring the Role of Their Readiness via a Structural Equation Model. 教师对 STEM 教育的态度:通过结构方程模型探索教师准备程度的作用。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-11-04 DOI: 10.3390/ejihpe14110187
Theano Papagiannopoulou, Julie Vaiopoulou

Over the past decade, there has been an intensified emphasis on STEM education to correspond with the goals of twenty-first century education. Educators play a vital role in executing a cohesive approach to interdisciplinary teaching and learning; hence, considerable focus has been directed towards the elements influencing teachers' attitudes. The study aimed to provide empirical evidence illustrating the significant influence of teachers' readiness on predicting attitudes. This was achieved by developing a conceptual model that explores the factors affecting individuals' attitudes towards teaching STEM courses. The emphasis was put on self-efficacy, commitment, cognitive readiness, emotional readiness, and teaching attitudes. A total of 494 Greek primary and secondary education teachers participated electronically in the survey, answering according to the TRi_STEM and TASET scales. The validity of the conceptual model was evaluated using a structural equation model (SEM). The results demonstrated a positive association among all six factors. More notably, general attitudes towards teaching impact positively, either directly or indirectly, the four readiness variables and, finally, teachers' attitudes towards STEM education. The current study contributes to the existing body of the literature by identifying and analyzing critical attributes that substantially impact teachers' attitudes towards teaching STEM courses.

在过去的十年中,为了与二十一世纪的教育目标相一致,人们更加重视科学、技术、工程和数学教育。教育工作者在跨学科教学中发挥着至关重要的作用,因此,影响教师态度的因素一直备受关注。本研究旨在提供实证证据,说明教师的准备程度对预测态度的重要影响。为此,我们建立了一个概念模型,探讨影响个人对 STEM 课程教学态度的因素。重点放在自我效能、承诺、认知准备、情感准备和教学态度上。共有 494 名希腊中小学教师通过电子方式参与了调查,并根据 TRi_STEM 和 TASET 量表进行了回答。采用结构方程模型(SEM)对概念模型的有效性进行了评估。结果表明,所有六个因素之间都存在正相关。更值得注意的是,对教学的总体态度直接或间接地对四个准备变量产生了积极影响,并最终影响了教师对 STEM 教育的态度。本研究通过识别和分析对教师的 STEM 课程教学态度产生重大影响的关键属性,为现有文献做出了贡献。
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引用次数: 0
Roles of Psychological Flexibility, Parenting Competence, and Asthma Management Self-Efficacy in the Functioning Outcomes of Parents of Children with Asthma Co-Occurring with Attention-Deficit/Hyperactivity Disorder. 心理弹性、养育能力和哮喘管理自我效能在哮喘合并注意力缺陷/多动障碍儿童家长功能结果中的作用》(Psychological Flexibility, Parenting Competence, Asthma Management Self-Efficacy in the Functioning Outcomes of Parents of Children with Asthma Co-ccurring with Attention-Deficit/Hyperactivity Disorder)。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-29 DOI: 10.3390/ejihpe14110186
Yuen Yu Chong, Pui Tik Yau, Joycelyn Yee Man Kwan, Wai Tong Chien

Asthma and ADHD represent prevalent pediatric conditions, with the former being a physical disorder and the latter being a neurodevelopmental disorder. This study examined the influence of parental psychological flexibility (PF)-the ability to adapt to evolving situational demands, shift perspectives, and balance competing priorities-alongside parenting competence and asthma management self-efficacy on family functioning and parental psychological adjustment in families with children exhibiting concurrent asthma and ADHD symptoms. Baseline data were analyzed from 130 parents (mean age = 40.3 years, SD = 5.5; 88.9% mothers) of children diagnosed with both asthma and ADHD (mean age = 8.0 years, SD = 2.2; 74.6% boys), who were participating in a randomized controlled trial evaluating an Acceptance and Commitment Therapy (ACT)-based parenting intervention. An adjusted structural equation model revealed that greater parental psychological inflexibility was significantly associated with poorer family functioning (β = -0.61, 95% CI [-0.74, -0.33], p < 0.001) and increased psychological maladjustment (β = 0.48, 95% CI [0.32, 0.63], p < 0.001), accounting for intercorrelations with parenting competence and parental asthma management self-efficacy. Additionally, parental psychological flexibility was found to mediate the relationship between parenting competence and both family functioning and psychological adjustment. These findings underscore the importance of targeting parental psychological inflexibility and enhancing parenting competence in interventions to improve family dynamics and parental mental health and thereby suggest a shift from the traditional focus on self-efficacy in symptom management for pediatric asthma and ADHD.

哮喘和多动症是儿科的常见疾病,前者是一种生理紊乱,后者是一种神经发育紊乱。本研究考察了父母心理灵活性(PF)--适应不断变化的情境需求、转换视角和平衡相互竞争的优先事项的能力--以及养育能力和哮喘管理自我效能对同时出现哮喘和多动症症状的儿童家庭的家庭功能和父母心理调整的影响。研究分析了130名父母(平均年龄40.3岁,标准差5.5岁;88.9%为母亲)的基线数据,这些父母的孩子同时被诊断出患有哮喘和多动症(平均年龄8.0岁,标准差2.2岁;74.6%为男孩),他们参加了一项随机对照试验,评估基于接纳与承诺疗法(ACT)的养育干预。调整后的结构方程模型显示,考虑到与养育能力和父母哮喘管理自我效能的相互关系,父母心理不灵活程度越高,家庭功能越差(β = -0.61,95% CI [-0.74,-0.33],p < 0.001),心理适应不良程度越高(β = 0.48,95% CI [0.32,0.63],p < 0.001)。此外,研究还发现,父母的心理灵活性对养育能力与家庭功能和心理适应之间的关系具有中介作用。这些研究结果表明,在改善家庭动态和父母心理健康的干预措施中,针对父母的心理不灵活性和提高养育能力非常重要,从而表明在小儿哮喘和多动症的症状管理中,应改变传统的以自我效能为重点的做法。
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引用次数: 0
Concepts of Mental Disorders Among Psychiatrists, Psychologists, and Theologians. 精神病学家、心理学家和神学家对精神障碍的概念。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-25 DOI: 10.3390/ejihpe14110185
Žana Kralj, Goran Kardum

The objective of this study was to compare the perspectives of psychiatrists, psychologists, and theologians on schizophrenia, depression, anxiety, and antisocial personality disorder. A cross-sectional research design was utilized, involving a random sample selected from the official registries of these professionals. The findings revealed significant differences in how these groups conceptualize mental disorders. The preferred concepts varied depending on the specific disorder. For instance, when it came to schizophrenia, psychiatrists showed a greater inclination towards the psychodynamic concept compared to psychologists, who leaned more towards the cognitive and social constructivist concepts. In the case of depression, psychiatrists favored biological, psychodynamic, and spiritual concepts, while psychologists tended to prefer the cognitive concept. Theologians consistently favored the spiritual concept across all four diagnoses, in comparison to both psychiatrists and psychologists. This research holds significant value for both theoretical understanding and practical applications, and future studies should consider incorporating qualitative, in-depth research to explore the complexities of these concepts related to mental disorders.

本研究旨在比较精神科医生、心理学家和神学家对精神分裂症、抑郁症、焦虑症和反社会人格障碍的看法。研究采用横断面研究设计,从这些专业人员的官方登记册中随机抽样。研究结果显示,这些群体对精神障碍的概念理解存在显著差异。根据具体障碍的不同,首选的概念也各不相同。例如,就精神分裂症而言,精神科医生更倾向于心理动力学概念,而心理学家则更倾向于认知和社会建构主义概念。在抑郁症方面,精神科医生倾向于生物、心理动力学和精神概念,而心理学家则倾向于认知概念。与精神科医生和心理学家相比,神学家在所有四种诊断中始终倾向于精神概念。这项研究对于理论理解和实际应用都具有重要价值,未来的研究应考虑纳入定性、深入的研究,以探索这些与精神障碍相关的概念的复杂性。
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引用次数: 0
FOBism Unveiled: Quantifying Assimilative Racism within Asians in the United States. 揭开 FOBism 的面纱:量化美国亚裔内部的同化种族主义。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-16 DOI: 10.3390/ejihpe14100184
Kenneth T Wang, Seong-Hyeon Kim, Juliet K Wang, Katelyn J Wang, Helen H Jun, Daniel D Lee

FOB (fresh-off-the-boat) is a term used to refer to unassimilated immigrants or sojourners, which has created a divide within the Asian community. In this study, we coined the term FOBism, a form of internalized racism (or appropriated racial oppression) that intersects with assimilation, and we developed a measure of FOBism. We created a 14-item, 3-factor FOBism Scale and evaluated its psychometric properties among a sample of 296 Asians in the United States. Exploratory structural equation modeling (ESEM) was utilized to select items and evaluate the factorial validity. Results yielded a strong factor structure, internal consistency reliability, and construct validity. Construct validity was demonstrated through FOBism scores' positive correlations with measures of within-group discrimination and internalized racism, and negative associations with an Asian cultural orientation. The FOBism Scale is a promising measure that could be used as an assessment tool and to raise awareness of the phenomenon.

FOB(fresh-off-the-boat)是一个用来指未被同化的移民或寄居者的术语,它在亚裔社区中造成了分歧。在本研究中,我们创造了 "FOB主义 "一词,这是一种与同化交织在一起的内化种族主义(或侵占性种族压迫),我们还开发了一种 "FOB主义 "测量方法。我们编制了一个 14 个项目、3 个因素的 FOBism 量表,并在美国 296 名亚裔样本中对其心理测量特性进行了评估。我们利用探索性结构方程模型(ESEM)来选择项目和评估因子效度。结果显示,该量表具有较强的因子结构、内部一致性可靠性和结构效度。FOB主义得分与群体内歧视和内化种族主义的测量结果呈正相关,而与亚洲文化取向呈负相关,这证明了该量表的结构效度。FOB主义量表是一种很有前途的测量方法,可用作评估工具并提高人们对这一现象的认识。
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引用次数: 0
The Mental Suffering of Cocaine-Addicted Patients: A Retrospective Analysis of Personality Disorders' Prevalence and Their Association with Psychopathological Symptoms. 可卡因成瘾患者的精神痛苦:人格障碍发生率及其与精神病理症状关联的回顾性分析。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-10-14 DOI: 10.3390/ejihpe14100183
Francesca Giordano, Sara Guidotti, Francesco Cassio Scategni, Domenico Cuzzola, Carlo Pruneti

(1) Background: The observational retrospective study aimed to investigate the prevalence of personality disorders (PDs) and their association with psychopathological symptoms in a group of patients with cocaine addiction. (2) Methods: Ninety-five medical records of the Pathological Addictions Service of the National Health Service of Lecce (Italy) were analyzed. PDs were diagnosed using the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II) and psychopathological symptoms were investigated through the Symptom Checklist 90-Revised (SCL-90-R). (3) Results: Ninety-two out of ninety-five patients met the criteria for at least one PD (96.8%), almost 35% had two Cluster B PDs, and over 25% had three Cluster B PDs. Nine out of ninety-five people met the criteria for all Cluster B PDs. Among the Cluster B PDs, it emerged that the most frequent diagnosis was that of narcissistic-borderline-antisocial (over 20% of the total sample). The analysis highlighted that mental suffering is prevalent in those with multiple comorbid Cluster B PDs. Specifically, depression and psychoticism exceed the clinical cut-off (T score > 63) in all patient groups. At the same time, anxiety and obsessions-compulsions are complained of only by those with more than two PDs as well as the level of general distress. Furthermore, anxiety, hostility, and paranoid ideation are significantly higher in the group of patients with more than three PDs. (4) Conclusions: Further studies should better investigate the relationship between the two aspects and describe the causal effects of PDs on psychopathological symptoms or, on the contrary, the effects of the substance on mental health and the worsening of personality alterations.

(1) 背景:该观察性回顾研究旨在调查一组可卡因成瘾患者的人格障碍(PDs)患病率及其与精神病理症状的关联。(2) 方法:分析了意大利莱切国家卫生局病理成瘾服务处的 95 份病历。使用 DSM-IV 第二轴人格障碍结构化临床访谈(SCID-II)对人格障碍进行诊断,并使用症状核对表 90-修订版(SCL-90-R)对精神病理症状进行调查。(3) 结果:95 名患者中有 92 人符合至少一种 PD(96.8%)的标准,近 35% 的患者有两种 B 群 PD,超过 25% 的患者有三种 B 群 PD。95 人中有 9 人符合所有 B 组 PD 的标准。在 B 类病症中,最常见的诊断是自恋-边缘-反社会(占样本总数的 20%以上)。分析结果表明,精神痛苦在那些合并多种 B 组 PD 的患者中十分普遍。具体来说,在所有患者群体中,抑郁症和精神病都超过了临床临界值(T 评分 > 63)。同时,只有患有两种以上 PD 的患者才会抱怨焦虑症和强迫症,以及一般痛苦的程度。此外,焦虑、敌意和妄想症在有三种以上 PD 的患者组中明显较高。(4) 结论:进一步的研究应更好地调查这两个方面之间的关系,并描述持久性有机污染物对精神病理症状的因果影响,或者相反,该物质对精神健康和人格改变恶化的影响。
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引用次数: 0
期刊
European Journal of Investigation in Health Psychology and Education
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