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Emotional intelligence, coping strategies, and perceived stress among doctors during SARS-CoV-2 pandemic 在SARS-CoV-2大流行期间,医生的情商、应对策略和感知压力
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_255_21
R. Soni, Jai Agrawal, M. Meena, L. Dave, Samiksha Sahu
Background: Doctors exhibit significant high stress levels due to an increasing overburdened healthcare system and increased high risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the current pandemic. Stress among doctors has been linked with adverse physical and psychological health. Previous research indicates that perceived stress levels are correlated with emotional intelligence (EI) and with the coping strategies employed by doctors. Aims and Objectives: (1) To establish the relationship between perceived stress and emotional intelligence. (2) To evaluate the mediating role of adaptive and maladaptive coping strategies in relationship between EI and perceived stress among doctors during the current pandemic. Materials and Methods: This was a cross-sectional study involving 600 doctors working in dedicated COVID section of reputed medical college from March 2021 to June 2021 recruited for the study. Participants were recruited on-campus through web-based questioners, composed of three validated questionnaires namely Perceived Stress Scale, Brief Coping Orientation to Problems Experienced Inventory, and the Schutte Self-Report Emotional Intelligence Test and socio demographic form. Descriptive statistics were used to test the study hypotheses. Results: Higher EI was associated with lower perceived stress, and this association was partially mediated by both adaptive and maladaptive coping responses. Higher EI was associated with greater use of adaptive coping and lower use of maladaptive coping, and these, in turn, were negatively and positively, respectively, associated with perceived stress. Conclusion: The findings suggest that interventions aimed at increasing emotional intelligence and adaptive coping strategies may help to reduce perceived stress.
背景:在当前的疫情期间,由于医疗系统负担越来越重,感染严重急性呼吸综合征冠状病毒2型(严重急性呼吸系统综合征冠状病毒)的风险越来越高,医生表现出明显的高压力水平。医生的压力与不良的身体和心理健康有关。先前的研究表明,感知压力水平与情绪智力(EI)和医生采用的应对策略相关。目的和目的:(1)建立感知压力与情绪智力之间的关系。(2) 评估适应和不适应应对策略在当前疫情期间医生EI和感知压力关系中的中介作用。材料和方法:这是一项横断面研究,涉及2021年3月至2021年6月在著名医学院新冠肺炎专业工作的600名医生。参与者通过网络问卷在校园内招募,问卷由三份经过验证的问卷组成,即感知压力量表、对问题的简要应对取向经历量表、舒特自我报告情商测试和社会人口学形式。使用描述性统计来检验研究假设。结果:较高的EI与较低的感知压力有关,这种联系部分由适应和不适应的应对反应介导。较高的EI与更多地使用适应性应对和较少地使用不适应应对相关,而这些分别与感知压力呈负相关和正相关。结论:研究结果表明,旨在提高情绪智力和适应性应对策略的干预措施可能有助于减少感知压力。
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引用次数: 0
Trauma-informed care for psychiatric patients presenting to emergency setting: Is it possible in India? 急诊精神病患者创伤知情护理:在印度可行吗?
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_145_23
S. Grover
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引用次数: 0
Pattern and severity of substance use in help-seeking adolescents of North-East Part of India 印度东北部求助青少年药物使用的模式和严重程度
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_183_22
Anjumoni Rabha, K. Deka
Background: Adolescence is a transitional phase between childhood and adulthood, in which both physical and psychological aspects are involved in the process of growth and development. Drug dependence among adolescents is rising everywhere in the world. According to studies, adolescents who live in slums in India have a 46% of tobacco use rate. Objective: This study aims to evaluate the pattern and severity of substance use in help-seeking adolescents. Materials and Methods: On the Teen Addiction Severity Index Scale (T-ASI), 43 adolescents seeking help were interviewed to assess the severity of substance use. Results: The mean age of adolescents interviewed was 17 years. Male preponderance was noted 95.3%. The majority of the adolescents were students 76.7%, belonged to a nuclear family setup. The adolescents reported the mean age for starting substances to be 13 years. About 42% of adolescents reported the use of multiple substances during the interview. On the T-ASI scale, adolescents reported difficulty in different domains such as chemical use 6 (1.8), school status 6 (1.8), employment 3.72 (3.7), family support 12.46 (3.63), peer relations 2.9 (1.2), legal problems 0.28 (1.26), and psychiatric problem 6.44 (1.42) due to substance use. Conclusion: The present study suggests marked substance use severity in adolescents in help-seeking group. Higher severity of substance use in adolescents is associated with impairment in different domains of adolescent's lives.
背景:青春期是童年和成年之间的过渡阶段,生理和心理两方面都参与了成长和发展的过程。世界各地的青少年对毒品的依赖都在上升。根据研究,生活在印度贫民窟的青少年的烟草使用率为46%。目的:本研究旨在评估青少年求助人群的物质使用模式和严重程度。材料与方法:采用青少年成瘾严重程度指数量表(T-ASI)对43名寻求帮助的青少年进行访谈,评估其物质使用的严重程度。结果:受访青少年平均年龄为17岁。男性占95.3%。青少年以学生居多(76.7%),属于核心家庭;青少年报告开始使用药物的平均年龄为13岁。约42%的青少年在采访中报告使用多种物质。在T-ASI量表上,青少年报告了不同领域的困难,如化学品使用6(1.8)、学校状况6(1.8)、就业3.72(3.7)、家庭支持12.46(3.63)、同伴关系2.9(1.2)、法律问题0.28(1.26)和精神问题6.44(1.42)。结论:本研究提示求助组青少年物质使用严重程度显著。青少年中物质使用的严重程度较高与青少年生活中不同领域的损害有关。
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引用次数: 0
Attitude and knowledge of physiotherapy students toward mental health and patients with psychiatric illnesses 物理治疗专业学生对心理健康和精神疾病患者的态度和知识
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_93_22
Manisha Rathi, G. Joshi, Rujuta Naik, Samruddhi Naikwad, Veena Nair, Sana Metkari, Karan Mehta
Background: Stigma and violations of human rights directed toward people with psychiatric disorders hinder their care and rehabilitation. The role of physiotherapists in mental illness is to facilitate motivation, emphasize strengths, and offer positive feedback through cognitive therapy, guided imagery, body and movement awareness, relaxation and breathing techniques, yoga therapy, and aerobic exercises. It is important to understand the beliefs, knowledge, and attitude of physiotherapists toward psychiatric illness which in turn helps in better rehabilitation of such patients. Hence, the purpose of this study is to assess the attitude and knowledge of physiotherapy students toward mental health and patients with psychiatric illnesses and also to identify the barrier faced by them. Methods: Overall 191 physiotherapy students participated in this observational study, where students were assessed for their attitude toward patients having psychiatric disorders and knowledge regarding the same. The attitude was assessed using the Mental Illness Clinicians' Attitude version 4 whereas knowledge was assessed using a prevalidated questionnaire. Both self-reported questionnaires were filled online by physiotherapy students. Data were analyzed using the SPSS software version 20. The correlation between attitude and knowledge was done using Spearman's coefficient of rank correlation. Results: The majority of students had a moderately positive attitude with little room for improvement (57.07%) followed by 40.31% having a negative attitude. Good knowledge was found in 59.69% of students followed by 22.51% of students having moderate and 14.14% excellent knowledge. It was observed a negative significant correlation between attitude and knowledge (r = −0.369, P < 0.001). Gender, year of study, and age have a considerable impact on one's knowledge and attitude. Conclusion: This study concludes that knowledge and attitude are negatively correlated indicating the need to change the attitude of physiotherapy students and to make them understand their role in the rehabilitation of patients with psychiatric disorders.
背景:针对精神障碍患者的污名和侵犯人权行为阻碍了他们的护理和康复。理疗师在精神疾病中的作用是通过认知治疗、引导图像、身体和运动意识、放松和呼吸技巧、瑜伽治疗和有氧运动来促进动机、强调力量并提供积极反馈。了解理疗师对精神疾病的信念、知识和态度很重要,这反过来有助于这些患者更好地康复。因此,本研究的目的是评估理疗学生对心理健康和精神疾病患者的态度和知识,并确定他们面临的障碍。方法:共有191名物理治疗专业的学生参加了这项观察性研究,评估了他们对精神障碍患者的态度和相关知识。使用精神疾病临床医生态度第4版评估态度,而使用预先验证的问卷评估知识。两份自我报告的问卷都是由物理治疗专业的学生在线填写的。使用SPSS软件版本20对数据进行分析。态度和知识之间的相关性是用Spearman的秩相关系数来做的。结果:大多数学生的态度都是中等积极的,几乎没有改进的余地(57.07%),其次是40.31%的学生的态度是消极的。59.69%的学生有良好的知识,其次是22.51%的学生有中等知识,14.14%的学生有优秀的知识。态度与知识呈负相关(r=-0.369,P<0.001)。性别、学习年份和年龄对一个人的知识和态度有相当大的影响。结论:本研究得出的结论是,知识和态度呈负相关,表明需要改变理疗学生的态度,让他们了解自己在精神障碍患者康复中的作用。
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引用次数: 0
Coping and Cyberchondria in a Pandemic: A Study on Young Adults 流行病中的应对和网络疑病症:一项针对年轻人的研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_225_22
Kathryn Sam, P. Jain, H. Arpitha, Tanvi Raghuram, Advaith Jaikumar, Rituparna Chakraborty, S. Rajan
Background: During the COVID-19 pandemic, there was a significant increase in online health information-seeking (HIS) behavior, leading to increased levels of psychological distress. Objective: This study examines whether proactive, preventive, and avoidance coping styles hinder or promote cyberchondria, anxiety characterized by excessive online HIS behavior during the pandemic. Materials and Methods: The sample included 286 Indian young adults who responded to the Proactive Coping Inventory and Cyberchondria Severity Scale-12. The data were collected after the rapid spread of COVID-19 in India. Results: The correlation analysis revealed that proactive coping had a weak negative relationship with cyberchondria, while avoidance coping had a weak positive relationship. Regression analysis showed proactive coping as an inverse predictor of cyberchondria. Conclusions: This study was one of the few that examined the relationship between coping and cyberchondria during the pandemic. The findings provide a foundation for future research on cyberchondria in collectivistic cultures like India.
背景:在2019冠状病毒病大流行期间,在线健康信息搜索(HIS)行为显著增加,导致心理困扰水平上升。目的:本研究探讨在大流行期间,主动、预防和回避应对方式是否会阻碍或促进以过度在线HIS行为为特征的网络疑病和焦虑。材料和方法:样本包括286名印度年轻人,他们参与了积极应对量表和网络疑病症严重程度量表-12。这些数据是在COVID-19在印度迅速传播后收集的。结果:相关分析显示,积极应对与网络疑病呈弱负相关,而回避应对与网络疑病呈弱正相关。回归分析显示,积极应对与网络疑病呈负相关。结论:这项研究是少数几个在大流行期间研究应对和网络疑病症之间关系的研究之一。这些发现为未来在印度等集体主义文化中研究网络疑病症奠定了基础。
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引用次数: 0
Correlation between excessive smartphone usage, basic psychological needs, and mental health of university students 大学生过度使用智能手机、基本心理需求与心理健康的相关性
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_158_22
Krishna Putchavayala, K. Sasidharan, Dwivedi Krishna, S. Deepeshwar
Objectives: The primary aim of the current study was to examine the unique contribution of psychological need frustration and need satisfaction in the prediction of excessive usage of smartphones and its relation to psychological distress and mindfulness. Methods: We conducted a correlational study using the smartphone addiction scale – shorter version, basic psychological needs satisfaction and frustration scale, psychological distress, and mindfulness among 423 graduate and postgraduate engineering students from Bengaluru, South India. Results: The results showed that excessive usage of smartphones is positively correlated with the time spent on the phone r = 0.19, P ≤ 0.05; and basic psychological needs frustration r = 0.18, P ≤ 0.05; and negatively correlated with basic psychological needs satisfaction r = −0.19, P ≤ 0.05 and mindfulness r = −0.39, P ≤ 0.001. However, among the optimal users of the smartphone group, time spent is positively correlated with satisfaction at r = 0.13, P ≤ 0.05, and further, basic psychological needs satisfaction is negatively correlated with frustration at r = 0.30, P ≤ 0.001 and also found a positive correlation between mindfulness and basic psychological needs satisfaction at r = 0.31, P ≤ 0.001. Conclusion: The results suggest that excessive usage of smartphones is associated with frustration, psychological distress, and time spent on the mobile. However, there is a positive trend in the time spent on the phone among the optimal users of smartphones suggests that smartphones are used as a coping mechanism to gain momentary satisfaction.
目的:本研究的主要目的是检验心理需求挫折和需求满足在预测过度使用智能手机方面的独特贡献,以及它与心理困扰和正念的关系。方法:我们使用智能手机成瘾量表(较短版本)、基本心理需求满意度和挫败感量表、心理困扰和正念对来自南印度班加罗尔的423名工程专业研究生和研究生进行了相关研究。结果:结果显示,过度使用智能手机与花在手机上的时间呈正相关,r=0.19,P≤0.05;基本心理需求挫败感r=0.18,P≤0.05;与基本心理需求满足呈负相关,r=−0.19,P≤0.05,与正念呈负相关r=−0.39,P≤0.001。然而,在智能手机组的最佳用户中,花费的时间与满意度呈正相关(r=0.13,P≤0.05),基本心理需求满意度与挫折感呈负相关(r=0.30,P<0.001),正念与基本心理需求满足度呈正相关(r=0.31,P≤0.001)。结论:研究结果表明,过度使用智能手机与沮丧、心理困扰和花在手机上的时间有关。然而,在智能手机的最佳用户中,花在手机上的时间有一个积极的趋势,这表明智能手机被用作获得短暂满足的应对机制。
{"title":"Correlation between excessive smartphone usage, basic psychological needs, and mental health of university students","authors":"Krishna Putchavayala, K. Sasidharan, Dwivedi Krishna, S. Deepeshwar","doi":"10.4103/jmhhb.jmhhb_158_22","DOIUrl":"https://doi.org/10.4103/jmhhb.jmhhb_158_22","url":null,"abstract":"Objectives: The primary aim of the current study was to examine the unique contribution of psychological need frustration and need satisfaction in the prediction of excessive usage of smartphones and its relation to psychological distress and mindfulness. Methods: We conducted a correlational study using the smartphone addiction scale – shorter version, basic psychological needs satisfaction and frustration scale, psychological distress, and mindfulness among 423 graduate and postgraduate engineering students from Bengaluru, South India. Results: The results showed that excessive usage of smartphones is positively correlated with the time spent on the phone r = 0.19, P ≤ 0.05; and basic psychological needs frustration r = 0.18, P ≤ 0.05; and negatively correlated with basic psychological needs satisfaction r = −0.19, P ≤ 0.05 and mindfulness r = −0.39, P ≤ 0.001. However, among the optimal users of the smartphone group, time spent is positively correlated with satisfaction at r = 0.13, P ≤ 0.05, and further, basic psychological needs satisfaction is negatively correlated with frustration at r = 0.30, P ≤ 0.001 and also found a positive correlation between mindfulness and basic psychological needs satisfaction at r = 0.31, P ≤ 0.001. Conclusion: The results suggest that excessive usage of smartphones is associated with frustration, psychological distress, and time spent on the mobile. However, there is a positive trend in the time spent on the phone among the optimal users of smartphones suggests that smartphones are used as a coping mechanism to gain momentary satisfaction.","PeriodicalId":31679,"journal":{"name":"Journal of Mental Health and Human Behaviour","volume":"28 1","pages":"65 - 71"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42148671","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
“Once a smoker, always a smoker: Primary care physicians” views on integrating smoking cessation with antitubercular treatment in primary health centers – A qualitative study “一旦吸烟,终生吸烟:初级保健医生”对初级保健中心戒烟与抗结核治疗结合的看法——一项定性研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_60_22
Jagannath Purushothama, S. Badiger, Nandakishore Baikunje, Neevan D’Souza, J. Olickal, M. Dmello
Although smoking and tuberculosis (TB) pose a health threat in low- and middle-income countries, they are less recognized as public health problems. Lack of awareness among smokers about smoking cessation services and health-care professionals not viewing apparently – healthy smokers as the candidates for smoking cessation treatment are some of the significant barriers. This qualitative study explores the opinions and views of primary care physicians (PCPs) on integrating smoking cessation programs with the ongoing antitubercular treatment in primary health-care settings of India. The study employs a deductive qualitative design using a purposive sampling method to recruit physicians to implement the Directly Observed Treatment Short Course for TB patients in primary health-care settings. A semi-structured, open-ended questionnaire was developed based on the Consolidated Framework for Implementation Research to conduct in-depth interviews of eight PCPs. Although smoking cessation intervention is noticeable in the primary health centers, lack of uniformity in service deliverables, nonusage of nicotine replacement therapy, shortage of human resources, and meager readiness of the patients to quit smoking are a few encounters. PCPs advocate early identification of smokers, delegation of responsibilities to grassroots level health-care workers, and collaboration with the nongovernmental organizations and private sector.
尽管吸烟和肺结核对中低收入国家的健康构成威胁,但它们很少被视为公共卫生问题。吸烟者对戒烟服务缺乏认识,医疗保健专业人员不将明显健康的吸烟者视为戒烟治疗的候选者,这是一些重大障碍。这项定性研究探讨了初级保健医生(PCP)对在印度初级保健环境中将戒烟计划与正在进行的抗结核治疗相结合的意见和看法。该研究采用演绎定性设计,采用有目的的抽样方法招募医生,在初级保健环境中为结核病患者实施直接观察治疗短期课程。在实施研究综合框架的基础上,编制了一份半结构化、开放式问卷,对八名PCP进行了深入访谈。尽管戒烟干预在初级卫生中心很明显,但服务交付缺乏一致性、不使用尼古丁替代疗法、人力资源短缺以及患者戒烟准备不足等都是少数情况。PCP倡导尽早识别吸烟者,将责任下放给基层医护人员,并与非政府组织和私营部门合作。
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引用次数: 0
Epidemiological survey to identify depressive symptoms in school-going rural adolescents of Chandigarh, India 印度昌迪加尔农村上学青少年抑郁症状的流行病学调查
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_113_22
N. Goel, G. Singh, M. Thakare, D. Walia, D. Sharma
Background: The prevalence of mental health problems in the adolescent population is higher than in the general population. Aims and Objectives: To assess the mental health and to identify depressive symptoms in the adolescent population in the schools in northern India and to study the association of sociodemographic and socioeconomic variables with depressive symptoms and screening instrument scores. Materials and Methods: A cross-sectional survey was conducted on 350 adolescents studying in the 5th standard to 12th standard in two schools in village Palsora, Chandigarh, India. The socioeconomic status was assessed using Modified Kuppuswamy Classification. Short Mood and Feelings Questionnaire (SMQ) was used to measure mental health and screen for depressive symptoms among rural adolescents. Sociodemographic and socioeconomic variables, mental health, and depressive symptoms among adolescents were evaluated. The participants were interviewed by trained mental health professionals. Results: 62% of the study participants had a high SMQ score on the assessment instrument which measured depressive feelings felt in the last 2 weeks. Female adolescents had significantly higher SMQ scores than male adolescents. The younger adolescents in the age group 10–14 years and overcrowding in the family were associated with significantly high SMQ scores. Conclusions: The survey concluded that there was a high prevalence of depressive symptoms in adolescents studying in rural schools in northern India. 62% of the study participants had a high SMQ score and were at risk for depression and predicted future depression in adolescents. The female and younger adolescents had significantly higher SMQ scores than male and older adolescents.
背景:青少年人群中心理健康问题的患病率高于普通人群。目的和目的:评估印度北部学校青少年的心理健康状况,识别他们的抑郁症状,并研究社会人口学和社会经济变量与抑郁症状和筛查工具评分的关系。材料和方法:对印度昌迪加尔Palsora村两所学校350名学习第5至第12标准的青少年进行了横断面调查。社会经济状况采用改良库普斯瓦米分类法进行评估。采用短期情绪和感觉问卷(SMQ)对农村青少年的心理健康状况进行测量,并对其抑郁症状进行筛查。对青少年的社会形态和社会经济变量、心理健康和抑郁症状进行了评估。参与者接受了受过培训的心理健康专业人员的采访。结果:62%的研究参与者在评估工具上的SMQ得分很高,该工具测量了过去两周的抑郁感觉。女性青少年的SMQ得分明显高于男性青少年。10-14岁年龄组的年轻青少年和家庭过度拥挤与SMQ得分显著较高有关。结论:调查得出结论,在印度北部农村学校学习的青少年中,抑郁症状的患病率很高。62%的研究参与者SMQ得分较高,有患抑郁症的风险,并预测青少年未来会患抑郁症。女性和年龄较小的青少年的SMQ得分明显高于男性和年龄较大的青少年。
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引用次数: 0
Development and validation of a treatment compliance assessment scale for clients with mental illnesses 精神疾病患者治疗依从性评估量表的开发和验证
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_19_22
Sucheta Mann, J. Joseph, Y. Malik, Rajeshwari Devi
Background: Treatment compliance improves mental health and facilitates the resolution of the underlying illness. An accurate assessment of treatment compliance is necessary for effective and efficient treatment planning and for ensuring that changes in health outcomes can be attributed to the recommended regimen. Aim: This study aimed to develop a treatment compliance assessment scale for clients with mental illnesses and to evaluate its psychometric properties. Methodology: The initial questionnaire was developed through the Delphi expert consultation, pilot study, and semistructured interview. The instrument was applied to 130 clients attending the outpatient services of a tertiary care hospital in North India. Results: A seven-item clinician-rated questionnaire was formed in which exploratory factor analyses yielded two factors, including medication compliance and attitude toward current treatment. The instrument was found to have a good internal consistency (Chronbach's alpha was 0.932), split-half reliability (Guttman's split-half coefficient − 0.838), and test–retest reliability (0.882). The concurrent validity of demonstrated a significant correlation with the 12-item Medication Adherence Rating Scale at P ≤ 0.01. Conclusion: The clinician-rated treatment compliance assessment scale was found to be a valid instrument for assessing treatment compliance among patients with mental illnesses with adequate psychometric properties.
背景:治疗依从性可以改善心理健康,促进潜在疾病的解决。对治疗依从性的准确评估对于有效和高效的治疗计划以及确保健康结果的变化可归因于推荐的方案是必要的。目的:本研究旨在为精神疾病患者开发一种治疗依从性评估量表,并评估其心理测量特性。方法:通过德尔菲专家咨询、试点研究和半结构访谈编制初步问卷。该仪器被应用于北印度一家三级护理医院的130名门诊患者。结果:形成了一份由临床医生评定的七项问卷,其中探索性因素分析产生了两个因素,包括药物依从性和对当前治疗的态度。该仪器具有良好的内部一致性(Chronbachα为0.932)、分半信度(Guttman分半系数−0.838)和测试-再测试信度(0.882)。的同时有效性与12项药物依从性评定量表呈显著相关,P≤0.01。结论:临床医生评定的治疗依从性评估量表是评估具有足够心理测量特性的精神疾病患者治疗依从性的有效工具。
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引用次数: 0
A comparative study of psychiatric comorbidities in patients of head-and-neck cancer at tertiary care hospital in North India 北印度三级护理医院癌症头颈部患者精神病合并症的比较研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.4103/jmhhb.jmhhb_230_22
P. Meena, C. Jilowa, J. Arora, P. Prakash, M. Jain, Sushma Mahich, J. Rohilla
Objectives: Head-and-neck cancer (HNC) is a collective term for cancers of the oral cavity, paranasal sinuses, pharynx, larynx, skin, and salivary glands. HNC is the most common cancer in males and the third-most common cancer in females in India. It is associated with various psychiatric comorbidities; depression, anxiety, and substance abuse being the most common, so the study was planned to assess psychiatric comorbidities in hydrogen cyanide (HCN) patients in comparison to healthy controls. Materials and Methods: After getting approval from the institutional ethics committee, a cross-sectional study was conducted at a tertiary care center in North India. Participants recruited in the study after informed consent were of age 18 years and above, of either gender, undergoing treatment for HCN (198); their diagnosis was confirmed by histopathological examination as the study group and (140) sociodemographically matched participants as healthy controls. Participants with a history of organic brain disease, recent head trauma, or neurodegenerative disorders were excluded from the study. Sociodemographic profiles of participants were noted. For the assessment of psychiatric comorbidities, Mini-International Neuropsychiatric Interview-6 was used. The psychiatric diagnosis was confirmed by two consultants in accordance with International classifications of diseases (ICD)-10. Results: Most of the participants were males in their fifth decade. The most common psychiatric comorbidity in HCN patients was depression (27.3%), followed by adjustment disorder (14%). Tobacco was used by around half of patients with HNC, followed by alcohol use (16.1%). Conclusions: Psychiatric comorbidities were highly prevalent in HCN patients. Psychiatric disorders are known to affect both the prognosis, hospital stay, cost of treatment, and overall quality of life of cancer patients.
目的:癌症是口腔癌、鼻窦癌、咽癌、喉癌、皮肤癌和唾液腺癌的统称。HNC是印度男性最常见的癌症,女性第三常见的癌症。它与各种精神病合并症有关;抑郁症、焦虑症和药物滥用是最常见的,因此该研究计划与健康对照组相比,评估氰化氢(HCN)患者的精神合并症。材料和方法:在获得机构伦理委员会的批准后,在北印度的一家三级护理中心进行了一项横断面研究。知情同意后招募的研究参与者年龄在18岁及以上,无论性别,均接受HCN治疗(198);作为研究组,他们的诊断通过组织病理学检查得到证实,(140)社会人口学匹配的参与者作为健康对照。有器质性脑疾病史、近期头部创伤或神经退行性疾病史的参与者被排除在研究之外。注意到了参与者的社会地理概况。为了评估精神病合并症,使用了迷你国际神经精神病学访谈-6。根据国际疾病分类(ICD)-10,两名顾问确认了精神病诊断。结果:大多数参与者是50多岁的男性。HCN患者最常见的精神共病是抑郁症(27.3%),其次是调节障碍(14%)。大约一半的HNC患者吸烟,其次是饮酒(16.1%)。结论:精神病合并症在HCN患者中非常普遍。众所周知,精神疾病会影响癌症患者的预后、住院时间、治疗费用和整体生活质量。
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引用次数: 0
期刊
Journal of Mental Health and Human Behaviour
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