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Vulnerable Narcissism and Emotion Dysregulation as Mediators in the Link between Childhood Emotional Abuse and Binge Watching. 易受伤害的自恋和情绪失调是童年情感虐待与暴饮暴食之间联系的中介。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-24 DOI: 10.3390/ejihpe14100173
Valeria Verrastro, Danilo Calaresi, Fiorenza Giordano, Valeria Saladino

Individuals who have faced childhood emotional abuse (CEA) may develop vulnerable narcissistic tendencies and experience difficulties in regulating their emotions. These psychological vulnerabilities can contribute to the adoption of binge watching as a maladaptive coping mechanism. The present study aimed to investigate the potential mediating role of vulnerable narcissism and emotion dysregulation in the relationship between CEA and binge watching. Additionally, this study examined whether this model was gender-invariant. A sample of 1082 emerging adults, aged 18 to 25 (50% women), completed self-report questionnaires. The results revealed significant direct and indirect relationships among all the variables of interest, and the model was found to be invariant across genders. Notably, both men and women who experienced CEA and exhibited higher levels of vulnerable narcissism and emotion dysregulation reported engaging in higher levels of binge watching. These findings highlight the importance of the early identification of CEA, the implementation of targeted interventions, and the provision of trauma-informed care to address the negative consequences of CEA and mitigate the development of binge-watching behaviors. Moreover, the results emphasize the need for tailored prevention and intervention programs that address vulnerable narcissism and emotion dysregulation as potential pathways to inform effective therapeutic strategies.

童年遭受情感虐待(CEA)的人可能会产生脆弱的自恋倾向,并在调节情绪方面遇到困难。这些心理弱点可能会促使他们采用狂欢观看作为一种适应不良的应对机制。本研究旨在探讨脆弱自恋和情绪失调在 CEA 与狂欢观看之间的潜在中介作用。此外,本研究还探讨了这一模型是否与性别无关。1082 名年龄在 18-25 岁之间的新兴成年人(50% 为女性)完成了自我报告问卷。结果显示,所有相关变量之间都存在明显的直接和间接关系,而且该模型在不同性别之间是不变的。值得注意的是,经历过 CEA 并表现出较高程度的脆弱自恋和情绪失调的男性和女性都报告说他们有较高程度的暴饮暴食行为。这些发现凸显了早期识别 CEA、实施有针对性的干预和提供创伤知情护理的重要性,以解决 CEA 的负面影响并减轻狂欢观看行为的发展。此外,研究结果还强调,有必要针对易受伤害的自恋和情绪失调制定有针对性的预防和干预计划,以此作为有效治疗策略的潜在途径。
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引用次数: 0
Exploring the Lived Experiences of Home-Educating Families with Young Children in the UK: The Untold Stories. 探索英国幼儿家庭教育的生活经历:不为人知的故事。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-23 DOI: 10.3390/ejihpe14090171
Kaili C Zhang, Lindsay Gibson

Recent trends indicate a significant increase in the number of families opting for home education in the UK, yet research dedicated to this area remains limited. Moreover, there is a notable scarcity of studies focusing on the lived experiences of home-educating families of young children. Amidst this context, a new conceptual framework was developed combining the portraiture approach and the life course theory to study five families with young children in the UK. Semi-structured interviews, observations, and curriculum document analysis were used to gain insights into these families' experiences. The study revealed diverse motivations driving parents to choose home education, including concerns about the traditional education system, a preference for personalized learning, and personal lifestyle choices and ideologies. The research data presented suggests that participants had diverse and dynamic daily routines shaped by their unique educational philosophies. In general, parents consistently sought beneficial opportunities to foster their children's social development. Challenges participants faced included curriculum suitability, financial burdens, and managing dual roles within the home. However, participants viewed these challenges as worthwhile because their main aim of educating their children in a purposeful manner was being met. In line with the theme of parental autonomy in education, parents shared their belief in the freedom for families to educate their children outside traditional schools. They supported flexi-schooling, advocated for accessible resources, the inclusion of home-educated children in assessments, and government funding provision.

最近的趋势表明,英国选择家庭教育的家庭数量大幅增加,但专门针对这一领域的研究仍然有限。此外,关注幼儿家庭教育家庭生活经验的研究也明显不足。在此背景下,我们结合肖像方法和生命历程理论,建立了一个新的概念框架,以研究英国的五个幼儿家庭。通过半结构式访谈、观察和课程文件分析,深入了解了这些家庭的经历。研究揭示了促使家长选择家庭教育的各种动机,包括对传统教育体系的担忧、对个性化学习的偏好以及个人生活方式的选择和意识形态。所提供的研究数据表明,参与者在其独特的教育理念的影响下,形成了多种多样、充满活力的日常生活方式。总的来说,家长们一直在寻求有益的机会来促进孩子的社会发展。参与者面临的挑战包括课程的适用性、经济负担以及家庭中双重角色的管理。不过,参与者认为这些挑战都是值得的,因为他们以有目的的方式教育子女的主要目标已经实现。与 "家长教育自主权 "这一主题相呼应的是,家长们都认为家庭可以在传统学校之外自由地教育子女。他们支持灵活的学校教育,主张提供方便的资源,将在家接受教育的儿童纳入评估,并由政府提供资金。
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引用次数: 0
Factors That Affect the Acceptance of Educational AI Tools by Greek Teachers-A Structural Equation Modelling Study. 影响希腊教师接受教育人工智能工具的因素--结构方程模型研究。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-21 DOI: 10.3390/ejihpe14090169
Katerina Velli, Kostas Zafiropoulos

The discussion around integrating AI technologies into educational practice is current among scholars and in sociopolitical circles. This study examines the factors influencing teachers' acceptance of educational AI tool (EAIT) use, aiming to inform the development of a pedagogical framework for the responsible integration of AI tools in education. A conceptual model was developed by amalgamating constructs of TAM (perceived usefulness and perceived ease of use) and UTAUT (social influence and facilitating conditions) while integrating the variables of perceived trust and personal innovativeness and considering the impact of teachers' pedagogical beliefs. A total of 342 Greek teachers participated in the quantitative survey conducted. The proposed model was evaluated using partial least squares structural equation modelling (PLS-SEM). The findings illuminated perceived usefulness as the most significant predictor of teachers' behavioural intention to use EAIT. The research also revealed that social influence and personal innovativeness exert considerable influence. While constructivist pedagogical beliefs were found to have no direct impact on EAIT acceptance, the results indicated that educators who embrace those teaching methods exhibit a high propensity to perceive EAIT as useful and trustworthy. Furthermore, the study's analysis demonstrated that trust had a significantly positive effect on usefulness, and innovativeness influences positively and significantly both usefulness and ease of use.

目前,学者和社会政治界都在讨论如何将人工智能技术融入教育实践。本研究探讨了影响教师接受教育人工智能工具(EAIT)使用的因素,旨在为制定负责任地将人工智能工具融入教育的教学框架提供信息。通过合并 TAM(感知有用性和感知易用性)和 UTAUT(社会影响和便利条件)的概念,建立了一个概念模型,同时整合了感知信任和个人创新性等变量,并考虑了教师教学信念的影响。共有 342 名希腊教师参与了定量调查。使用偏最小二乘结构方程模型(PLS-SEM)对所提出的模型进行了评估。研究结果表明,感知有用性是预测教师使用 EAIT 行为意向的最重要因素。研究还发现,社会影响和个人创新能力也有相当大的影响。虽然研究发现建构主义教学信念对接受 EAIT 没有直接影响,但研究结果表明,接受这些教学方法的教育工作者倾向于认为 EAIT 有用且值得信赖。此外,研究分析表明,信任对有用性有显著的正向影响,而创新性对有用性和易用性都有显著的正向影响。
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引用次数: 0
Implementing a Social Presence-Based Teaching Strategy in Online Lecture Learning. 在在线讲座学习中实施基于社会存在的教学策略。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-21 DOI: 10.3390/ejihpe14090170
Liangliang Xia, Lianghui Wang, Changqin Huang

Previous studies have focused on the design of video lectures to improve students' social presence by enhancing instructor presence for learners in lecture-based online courses; however, there has been limited emphasis on the peer presence in which learning from video lectures takes place. This study's first objective is to develop a social presence (SP)-based teaching strategy to design online learning activities aimed at improving students' social presence by providing social clues about peer presence and encouraging peer communication. The second objective is to compare students' social presence, social interaction, and academic performance from lecture-based online learning supported by either a conventional teaching strategy or an SP-based teaching strategy. Using a quasi-experiment, we selected 81 Chinese university students to participate in a ten-week online course. The participants were randomly assigned to either an experimental group (EG) (N = 43) or a control group (CG) (N = 38). This study revealed that the SP-based strategy enhanced EG members' social presence in online learning and that EG members achieved better academic performance than CG members. A significant correlation was found between the EG members' academic performance and their social presence. The researchers also identified more concentrated social network sociograms with more cohesive subgroups in the EG members' online interactions. The results indicate the necessity of applying an SP-based teaching strategy in lecture-based online courses to promote students' social presence, social interaction, and academic performance.

以往的研究侧重于视频讲座的设计,通过在基于讲座的在线课程中增强学习者的教师在场感来提高学生的社会在场感;然而,对视频讲座学习所发生的同伴在场感的强调却很有限。本研究的第一个目标是开发一种基于社会临场感(SP)的教学策略,设计在线学习活动,旨在通过提供同伴临场感的社会线索和鼓励同伴交流来提高学生的社会临场感。第二个目标是比较学生在传统教学策略或基于社会临场感的教学策略支持下进行的基于讲授的在线学习中的社会临场感、社会互动和学习成绩。通过准实验,我们挑选了 81 名中国大学生参加为期十周的在线课程。参与者被随机分配到实验组(EG)(43 人)或对照组(CG)(38 人)。研究发现,基于 SP 的策略增强了 EG 成员在在线学习中的社会存在感,EG 成员的学习成绩优于 CG 成员。研究发现,EG 成员的学习成绩与他们的社会存在之间存在着明显的相关性。研究人员还发现,在 EG 成员的在线互动中,社会网络社会图更加集中,子群更加有凝聚力。研究结果表明,有必要在基于讲授的在线课程中应用基于社交网络的教学策略,以促进学生的社交存在、社交互动和学业成绩。
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引用次数: 0
Measuring Anxiety in Autistic Children: Assessing the Validity of the Anxiety Scale for Children with Autism Spectrum Disorder. 测量自闭症儿童的焦虑程度:评估自闭症谱系障碍儿童焦虑量表的有效性。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-20 DOI: 10.3390/ejihpe14090168
Keira Goulding, Linda Campbell, Emily Freeman

The present study assessed the validity of one of the first autism-specific anxiety measures, the Anxiety Scale for Children with Autism Spectrum Disorder (ASC-ASD), and compared its ability to predict parent-reported clinical anxiety to a 'traditional' anxiety measure, the Spence Children's Anxiety Scale (SCAS). Whether the inclusion of the child form for each measure improved the predictive ability of the parent forms was also examined. Eighty-seven parents of autistic children, aged 8-12 years, completed the ASC-ASD, the SCAS, and the Social Communication Questionnaire (SCQ), a screener for autism characteristics. Of these parents, 56 had their child complete the ASC-ASD and SCAS. The children with a reported anxiety diagnosis were rated significantly higher by their parents on both the SCAS and the ASC-ASD compared to the non-anxious children. Pearson's correlation coefficients indicated that the ASC-ASD had good divergent and convergent validity, as demonstrated by a poor, non-significant correlation with the SCQ and a strong, significant correlation with the SCAS. Regression analyses indicated that while the ASC-ASD was a significant predictor of parent-reported clinical anxiety in autistic children, the SCAS was not. Neither model was improved with the inclusion of the respective child form. This study is the first to demonstrate the ability of the ASC-ASD to predict child clinical anxiety disorder status and adds to the growing body of evidence for the validity of this measure. The findings also suggest that parent reports of anxiety may be sufficient to identify autistic children warranting further clinical investigation of anxiety in this age group.

本研究评估了首批自闭症专用焦虑量表之一--自闭症谱系障碍儿童焦虑量表(ASC-ASD)的有效性,并将其预测家长报告的临床焦虑的能力与 "传统 "焦虑量表--斯彭斯儿童焦虑量表(SCAS)进行了比较。此外,还考察了在每种测量中加入儿童表是否会提高家长表的预测能力。87 名 8-12 岁自闭症儿童的家长完成了 ASC-ASD、SCAS 和社会交流问卷 (SCQ)(一种自闭症特征筛选器)。在这些家长中,有 56 位让他们的孩子完成了 ASC-ASD 和 SCAS。在 SCAS 和 ASC-ASD 两项测试中,被诊断出患有焦虑症的儿童在家长心目中的评分明显高于未患有焦虑症的儿童。皮尔逊相关系数表明,ASC-ASD 与 SCQ 的相关性差且不显著,而与 SCAS 的相关性强且显著,这表明 ASC-ASD 具有良好的发散性和收敛性。回归分析表明,ASC-ASD 可显著预测家长报告的自闭症儿童临床焦虑,而 SCAS 则不然。加入相应的儿童表格后,两个模型都没有得到改善。本研究首次证明了 ASC-ASD 预测儿童临床焦虑症状况的能力,并为该测量方法的有效性提供了更多证据。研究结果还表明,家长的焦虑报告可能足以识别自闭症儿童,因此需要对这一年龄组的焦虑症进行进一步的临床研究。
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引用次数: 0
Mentalized Affectivity, Helicopter Parenting, and Psychopathological Risk in Emerging Adults: A Network Analysis. 心理化情感、直升机式养育与成长期成人的心理病态风险:网络分析
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-18 DOI: 10.3390/ejihpe14090167
Gianluca Cruciani, Andrea Fontana, Ilaria Maria Antonietta Benzi, Lucia Sideli, Laura Antonia Lucia Parolin, Laura Muzi, Nicola Carone

Emerging adulthood represents a critical stage characterized by heightened risks for anxiety, depression, and somatization symptoms development. Research has shown that difficulties in emotional identification, expression, and processing, as well as dysfunctional parenting styles, may exacerbate symptoms in emerging adults. The present study aimed at examining the interplay between mentalized affectivity (i.e., emotional identification, processing, and expression), helicopter parenting, and psychopathological risk in 913 Italian cisgender emerging adults (M = 24.34, SD = 2.81; 71.20% assigned female at birth), using network analysis. The results indicated moderate to strong associations between psychopathological symptoms, with emotional processing difficulties significantly associated with general anxiety, depression, and, to a lesser extent, somatization. Additionally, increased degrees of helicopter parenting from mothers were linked to increased psychopathology and higher emotional processing difficulties. These findings emphasize the importance of addressing the interconnection between symptoms and emotional processing to prevent and treat psychopathological risks in emerging adults. Moreover, interventions targeting intrusive and overprotecting parenting behaviors may promote well-being among emerging adults.

成年期是一个关键阶段,其特点是焦虑、抑郁和躯体化症状发展的风险增加。研究表明,情绪识别、表达和处理方面的困难,以及功能失调的养育方式,可能会加重新成人的症状。本研究旨在利用网络分析法,研究 913 名意大利顺性别新兴成年人(中=24.34,标差=2.81;71.20% 出生时被分配为女性)的心智化情感(即情感识别、处理和表达)、直升机养育方式和精神病理学风险之间的相互作用。结果表明,精神病理症状之间存在中度至高度关联,情绪处理困难与一般焦虑、抑郁有显著关联,与躯体化的关联程度较低。此外,母亲直升机式教育程度的增加也与精神病理学和情绪处理障碍的增加有关。这些发现强调了解决症状与情绪处理之间的相互联系以预防和治疗新成人精神病理学风险的重要性。此外,针对侵入性和过度保护性养育行为的干预措施可能会促进新兴成人的幸福感。
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引用次数: 0
Parents' and Children's Emotional Well-Being and Language Beliefs in Heritage Bilingual Families. 传统双语家庭中父母与子女的情感幸福和语言信仰。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-05 DOI: 10.3390/ejihpe14090166
Paola Bonifacci, Claudia Borghetti, Martina Cangelosi

The present study aimed to examine how parents' psychological characteristics and positive beliefs about multilingualism predict children's emotional well-being in 51 multilingual families with an immigrant background. Parents were interviewed to assess their beliefs about multilingualism and completed a battery of questionnaires assessing depression, anxiety, psychological distress, parental competence, quality of life, and acculturative stress. They also completed the Strengths and Difficulties Questionnaire (SDQ), which assessed their children's socio-emotional and behavioral characteristics. The results from regression analyses showed that parents' depressive symptoms were significant concurrent predictors of children's conduct problems. In contrast, higher acculturation stress was associated with more emotional problems and better prosociality in children, although the stronger predictor for the latter variable was parents' self-efficacy. Positive beliefs about bilingualism were not related to children's well-being. The discussion highlights the importance of targeting parents' depressive traits and acculturation stress as possible risk factors for children's emotional and behavioral problems. Conversely, fostering parental self-efficacy may promote children's prosociality.

本研究旨在探讨在 51 个具有移民背景的多语言家庭中,父母的心理特征和对多语言使用的积极信念如何预测儿童的情绪健康。研究人员对父母进行了访谈,以评估他们对多语主义的信念,并填写了一系列问卷,评估抑郁、焦虑、心理困扰、父母能力、生活质量和文化适应压力。他们还填写了 "优势与困难问卷"(SDQ),以评估子女的社会情感和行为特征。回归分析结果显示,父母的抑郁症状是子女行为问题的重要并发预测因素。相比之下,较高的文化适应压力与较多的儿童情绪问题和较好的亲社会性相关,尽管对后一个变量更强的预测因素是父母的自我效能感。对双语的积极信念与儿童的幸福感无关。讨论强调了将父母的抑郁特征和文化适应压力作为儿童情绪和行为问题的可能风险因素的重要性。相反,培养父母的自我效能感可能会促进儿童的亲社会性。
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引用次数: 0
Pedagogic Strategies and Contents in Medical Writing/Publishing Education: A Comprehensive Systematic Survey. 医学写作/出版教育中的教学策略和内容:全面系统调查。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-02 DOI: 10.3390/ejihpe14090165
Behrooz Astaneh, Ream Abdullah, Vala Astaneh, Sana Gupta, Romina Brignardello-Petersen, Mitchell A H Levine, Gordon Guaytt

Workshops or training sessions on medical writing and publishing exist worldwide. We aimed to evaluate published articles about such workshops and examine both the content and teaching strategies employed. We searched ISI Web of Science, Ovid EMBASE, ERIC, Ovid Medline, and the grey literature. We considered no language, geographical location, or time period limitations. We included randomized controlled trials, before-after studies, surveys, cohort studies, and program evaluation and development studies. We descriptively reported the results. Out of 222 articles that underwent a full-text review, 30 were deemed eligible. The educational sessions were sporadic, with researchers often developing their own content and methods. Fifteen articles reported teaching the standard structure of medical articles, ten articles reported on teaching optimal English language use for writing articles, nine articles discussed publication ethics issues, and three articles discussed publication strategies to enhance the chance of publication. Most reports lacked in-depth descriptions of the content and strategies used, and the approach to those topics was relatively superficial. Existing workshops have covered topics such as the standard structure of articles, publication ethics, techniques for improving publication rates, and how to use the English language. However, many other topics are left uncovered. The reports and practice of academic-teaching courses should be improved.

世界各地都有关于医学写作和出版的研讨会或培训课程。我们旨在评估已发表的有关此类研讨会的文章,并研究其内容和采用的教学策略。我们检索了 ISI Web of Science、Ovid EMBASE、ERIC、Ovid Medline 和灰色文献。我们没有考虑语言、地理位置或时间段的限制。我们纳入了随机对照试验、前后对比研究、调查、队列研究以及项目评估和发展研究。我们对结果进行了描述性报告。在经过全文审查的 222 篇文章中,有 30 篇被认为符合条件。教育课程是零星的,研究人员通常自行制定内容和方法。有 15 篇文章介绍了医学论文的标准结构,有 10 篇文章介绍了撰写论文时英语的最佳用法,有 9 篇文章讨论了出版伦理问题,有 3 篇文章讨论了增加发表机会的出版策略。大多数报告对所使用的内容和策略缺乏深入的描述,对这些主题的处理方法也相对肤浅。现有的研讨会涉及的主题包括文章的标准结构、出版伦理、提高发表率的技巧以及如何使用英语。但是,还有许多其他主题没有涉及。学术教学课程的报告和实践有待改进。
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引用次数: 0
Exploring the Components of Multicultural Competence among Pre-Service Teacher Students in Thailand: An Approach Utilizing Confirmatory Factor Analysis. 探索泰国职前师范生多元文化能力的构成要素:利用确证因子分析的方法。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-29 DOI: 10.3390/ejihpe14090164
Bovornpot Choompunuch, Khanika Kamdee, Prakittiya Taksino

The aim of this study is to examine the components of multicultural competence among pre-service teacher students in Thailand and to develop and assess the reliability of a model of multicultural competence for pre-service teacher students in Thailand. Multistage stratified random sampling was utilized to recruit 600 pre-service teacher students from undergraduate education programs at the Faculty of Education in Thailand. Data were collected through self-report questionnaires. The data analysis employed descriptive statistics and second-order confirmatory factor analysis (CFA). The findings indicate that multicultural competence among pre-service teacher students comprises three components: cultural awareness, cultural knowledge, and personal skills. Furthermore, this study identified that the model of multicultural competence among pre-service teacher students demonstrated good fit indices for the modified model (χ2 = 30.902, df = 21, p-value = 0.0753, χ2/df = 1.472; root mean square error of approximation (RMSEA) = 0.028; standardized root means square residual (SRMR) = 0.013; Tucker-Lewis index (TLI) = 0.996; comparative fit index (CFI) = 0.999). Based on these findings, effective teaching in diverse environments necessitates a thorough understanding of multicultural competence.

本研究旨在考察泰国职前师范生多元文化能力的构成要素,并开发和评估泰国职前师范生多元文化能力模型的可靠性。研究采用多阶段分层随机抽样的方法,从泰国教育学院的本科教育专业中招募了 600 名职前师范生。数据通过自我报告问卷收集。数据分析采用了描述性统计和二阶确证因子分析(CFA)。研究结果表明,职前师范生的多元文化能力由三个部分组成:文化意识、文化知识和个人技能。此外,本研究还发现,职前师范生多元文化能力模型在修正模型中表现出良好的拟合指数(χ2 = 30.902, df = 21, p-value = 0.0753,χ2/df = 1.472;均方根近似误差(RMSEA)= 0.028;标准化均方根残差(SRMR)= 0.013;塔克-刘易斯指数(TLI)= 0.996;比较拟合指数(CFI)= 0.999)。根据上述研究结果,要在多元化环境中进行有效教学,就必须充分了解多元文化能力。
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引用次数: 0
Adherence to CPAP Therapy in Obstructive Sleep Apnea: A Prospective Study on Quality of Life and Determinants of Use. 阻塞性睡眠呼吸暂停患者坚持使用 CPAP 治疗:关于生活质量和使用决定因素的前瞻性研究。
IF 3 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-27 DOI: 10.3390/ejihpe14090163
Karla Milinovic, Ivana Pavlinac Dodig, Linda Lusic Kalcina, Renata Pecotic, Natalija Ivkovic, Maja Valic, Zoran Dogas

Obstructive sleep apnea (OSA) often goes unrecognized despite common symptoms, such as excessive daytime sleepiness, fatigue, and impaired quality of life (QoL). Continuous positive airway pressure (CPAP) is the gold standard treatment for OSA, but optimal daily usage and time needed for observable effects remain unclear. This study aimed to investigate the short-term effects of CPAP on daytime sleepiness and QoL in patients with severe OSA. Medical records were collected from 87 patients with severe OSA who initiated CPAP therapy. Also, validated questionnaires were used before and after one month of CPAP to analyze QoL-the Calgary Sleep Apnea Quality of Life Index (SAQLI), the Cues to CPAP Use Questionnaire (CCUQ), and daytime sleepiness-the Epworth Sleepiness Scale (ESS). Multiple regression analysis was conducted to identify predictors of CPAP usage. Of the total participants aged 55.6 ± 12.5, 77% were males, and 62% were CPAP adherent. Reductions in daytime sleepiness (ESS) were noted, as well as improvements in both overall QoL (SAQLI) and specifically in the domains of daily functioning, social interactions, emotional well-being, and symptom perception. Important cues for CPAP usage recognized by patients were physicians' instructions and physicians' concern regarding their patients' condition. Furthermore, multiple regression revealed higher SAQLI scores and lower ESS scores as positive predictors of CPAP usage, along with lower AHI after one month of CPAP being associated with sufficient adherence.

阻塞性睡眠呼吸暂停(OSA)尽管具有白天过度嗜睡、疲劳和生活质量(QoL)受损等常见症状,但往往不被人们所认识。持续气道正压(CPAP)是治疗 OSA 的金标准,但最佳的日常使用方法和观察效果所需的时间仍不清楚。本研究旨在调查 CPAP 对严重 OSA 患者白天嗜睡和 QoL 的短期影响。研究收集了 87 名开始使用 CPAP 治疗的严重 OSA 患者的医疗记录。此外,还在使用 CPAP 治疗一个月前后使用了经过验证的问卷来分析 QoL--卡尔加里睡眠呼吸暂停生活质量指数 (SAQLI)、CPAP 使用提示问卷 (CCUQ),以及白天嗜睡--埃普沃思嗜睡量表 (ESS)。我们进行了多元回归分析,以确定使用 CPAP 的预测因素。在年龄为 55.6±12.5 岁的所有参与者中,77% 为男性,62% 坚持使用 CPAP。白天嗜睡(ESS)有所减少,总体 QoL(SAQLI)也有所改善,特别是在日常功能、社会交往、情绪健康和症状感知方面。患者认识到使用 CPAP 的重要线索是医生的指导和医生对患者病情的关注。此外,多元回归显示,较高的 SAQLI 分数和较低的 ESS 分数是使用 CPAP 的积极预测因素,而使用 CPAP 一个月后较低的 AHI 与充分坚持使用有关。
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引用次数: 0
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