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Electroconvulsive therapy for somatic symptom disorder with comorbid depression 躯体症状障碍合并抑郁症的电休克治疗
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_187_20
A. Sidana, A. Agrawal, Apoorva Garg
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引用次数: 0
Empathy assessment among medical doctors working at the university college hospital Ibadan, Nigeria 尼日利亚伊巴丹大学学院医院医生的移情评估
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_190_21
A. Obimakinde, Uyiose Iyoke, M. Ibiyo, Oluwatosin Emmanuel, O. Odefemi, Adejumoke Abiodun
Background: Empathy is the competence of a physician to understand the patient's situation, perspective and feelings and to act on that understanding in a helpful therapeutic way. Empathy is the backbone of patient-physician communication in clinical care, it can be innate, learnt or acquired in the course of the medical career. This study, evaluated empathy and its correlates among medical doctors working in the University College Hospital, Ibadan, Nigeria. Methods: This was a cross-sectional study of 188 interns, resident and specialist doctors working at the University Hospital College, Ibadan in March-May 2018. Consecutive consenting doctors were given a self-administered questionnaire that collected information on sociodemography, work and empathy using the 20-items Jefferson Scale of Physician Empathy. Data were analyzed using the SPSS version 23 and statistical significance was set at P < 0.05. Results: The majority of the respondents were male (60.1%), between 30 and 39 years (60.6%) old, married (60.6%) and Christians (91.5%). Many worked in the Internal Medicine Department (38.3%), were Senior-Resident doctors (41.0%) and of Yoruba (82.4%) ethnicity. Senior-Residents doctors ([120.2 ± 15.4]; P = 0.009) and Consultants ([117.8 ± 21.4]; P = 0.009) had highest empathy scores. Doctors who are raised in lower social status families, lacked ability in taking patient's perspective ([56.2 ± 12.2]; P = 0.046). Doctors in surgical-related specialities had lower empathy scores, those in medical-related specialities, especially Psychiatrists (127.1 ± 10.1) and Family Physicians (125.8 ± 7.9) had the highest scores (P = 0.034). Doctors who had never learnt about empathy had the lowest score in perspective-taking ([50.5 ± 30.4]; P = 0.041). Duration of practice and work-hours respectively correlated positively ([rs = 0.174]; P = 0.018) and negatively ([rs = −0.206]; P = 0.005) with empathy scores. Conclusions: Medical doctors possessed varying levels of empathy relative to their sociodemographic characteristics, the speciality of choice and level of expertise. Exposure to teachings on empathy and work-related challenges underscores empathic skills.
背景:同理心是指医生能够理解患者的情况、观点和感受,并根据这种理解以有益的治疗方式采取行动。同理心是临床护理中医患沟通的支柱,它可以是天生的,也可以是在医学生涯中习得的。这项研究评估了在尼日利亚伊巴丹大学学院医院工作的医生的同理心及其相关性。方法:这是一项针对2018年3月至5月在伊巴丹大学医院学院工作的188名实习生、住院医生和专科医生的横断面研究。连续同意的医生接受了一份自我管理的问卷,该问卷使用20项杰斐逊医生移情量表收集了社会人口学、工作和移情的信息。使用SPSS 23版对数据进行分析,统计学显著性设置为P<0.05。结果:大多数受访者是男性(60.1%),年龄在30至39岁之间(60.6%),已婚(60.6%,)和基督徒(91.5%)。许多人在内科工作(38.3%),是高级住院医生(41.0%)和约鲁巴族(82.4%)。老年住院医生([120.2±15.4];P=0.009)和咨询师([117.8±21.4];P=0.099)的移情得分最高。在社会地位较低的家庭中长大的医生缺乏从患者角度看待问题的能力([56.2±12.2];P=0.046)。外科相关专业的医生移情得分低于医学相关专业,尤其是精神科医生(127.1±10.1)和家庭医生(125.8±7.9)得分最高(P=0.034)。从未学习过同理心的医生在透视方面得分最低([50.5±30.4];P=0.041)。实习时间和工作时间分别与同理心得分呈正相关([rs=0.174];P=0.018)和负相关([rs=-0.206];P=0.005)。结论:相对于他们的社会人口学特征、选择的专业性和专业水平,医生具有不同程度的同理心。接触关于同理心和与工作相关的挑战的教导,强调同理心技能。
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引用次数: 0
A study to assess the level of burnout and its determinants among medical practitioners working in a tertiary care center in South India 一项评估南印度三级医疗中心医生职业倦怠水平及其决定因素的研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_79_21
G. Krishna, C. Chittooru, Sravana Chittem, S. Darivemula, Niharika Bheemisetty
Background: Burnout is defined as a feeling of hopelessness and inability in carrying out one's job effectively. Burnout in the life of medical practitioners is a term used to describe a psychological state, which appears after a long period of exposure to psychosocial risk factors such as high patient load, long working hours, and unreasonable demands from patients. The objective was to study the prevalence of burnout among medical practitioners and factors associated with burnout. Methodology: The study was a descriptive cross-sectional study conducted among medical practitioners of tertiary care hospital with a sample of 102. The study was conducted using the Maslach Burnout Inventory with additional questions on demographic factors, work experience, hours of work, and specialty. Data were entered in MS Excel 2007 and analyzed with IBM SPSS statistics 21 version. Results: Out of 102 subjects, 26 (25.5%) members were suffering from burnout in any one of the three dimensions. In the emotional exhaustion, 15 (14.7%) were experiencing high scores, 14 (13.7%) members, and 73 (71.6%) members were experiencing moderate and low scores, respectively. However, in the depersonalization dimension, just 1 (1%) member was experiencing high score, whereas 11 (10.8%) members and 90 (88.2%) members were experiencing moderate and low scores, respectively. In the personal accomplishment dimension, 16 (15.7%) members were experiencing high scores, whereas 13 (12.7%) members and 73 (71.6%) members were experiencing moderate and low scores, respectively. Conclusions: Burnout exists among medical practitioners, and measures should be taken to identify causes and take remedial actions.
背景:职业倦怠被定义为一种无望和无力有效开展工作的感觉。职业倦怠是指医生长期暴露于高负荷、长时间工作、病人无理要求等心理风险因素后出现的一种心理状态。目的是研究医务人员的职业倦怠患病率和与职业倦怠相关的因素。方法:本研究采用描述性横断面研究,在三级医院执业医师中进行,样本为102人。这项研究使用了马斯拉克职业倦怠量表,并附加了人口因素、工作经验、工作时间和专业方面的问题。数据在MS Excel 2007中输入,并使用IBM SPSS统计21版进行分析。结果:102名被试中,有26名(25.5%)被试在三个维度中的任何一个维度上存在职业倦怠。在情绪耗竭中,高分15人(14.7%),中、低分14人(13.7%),低分73人(71.6%)。然而,在人格解体维度上,只有1名(1%)成员经历高分,而11名(10.8%)成员和90名(88.2%)成员分别经历中、低分。在个人成就维度上,高得分者16人(15.7%),中、低得分者分别为13人(12.7%)和73人(71.6%)。结论:医务人员存在职业倦怠,应采取措施,查明原因并采取补救措施。
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引用次数: 1
Effect of guided imagery as an adjunct to pulmonary rehabilitation on anxiety, quality of life, and quality of sleep in a post COVID-19 patient via telerehabilitation 引导成像辅助肺部康复对远程康复COVID-19后患者焦虑、生活质量和睡眠质量的影响
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_57_21
P. Shah, Siddhi Ghodge
The COVID-19 outbreak caused by the novel severe acute respiratory syndrome coronavirus 2 was declared as a global pandemic by the World Health Organization. Patients infected with the disease have to be kept in social isolation in order to limit the spread of infection. This in turn led to anxiety and fear among the general public post isolation related to spread of infection. Furthermore, it was observed that many of them suffered from disturbed sleep which in turn affected the quality of life (QOL) of the patients post COVID-19 infection. The following case report concluded of a positive effect of guided imagery (GI) as an adjunct to pulmonary rehabilitation on anxiety, QOL, and quality of sleep in a post COVID-19 patient via telerehabilitation.
由新型严重急性呼吸综合征冠状病毒2引起的新冠肺炎疫情被世界卫生组织宣布为全球大流行。感染该疾病的患者必须保持社交隔离,以限制感染的传播。这反过来又导致了与感染传播相关的隔离后公众的焦虑和恐惧。此外,观察到他们中的许多人睡眠紊乱,这反过来影响了新冠肺炎感染后患者的生活质量(QOL)。以下病例报告得出结论,引导图像(GI)作为肺康复的辅助手段,通过远程康复对新冠肺炎后患者的焦虑、生活质量和睡眠质量产生了积极影响。
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引用次数: 0
Two more cases of pregabalin dependence: The pandora's box is open and needs serious attention 又有两例普瑞巴林依赖症:潘多拉盒子打开了,需要认真注意
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_167_21
A. Ghosh, Sambhu Prasad, Aniruddha Basu, D. Basu
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引用次数: 1
Comparison of demographic profile and psychological problems related to coronavirus disease 2019 outbreak among the general public (18 years and above) in a Northern State of India: A web-based cross-sectional survey 印度北部某邦普通公众(18岁及以上)2019年冠状病毒病爆发的人口特征和心理问题的比较:一项基于网络的横断面调查
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_17_21
J. Joseph, Bharat Pareek, S. Grover, Sunita Sharma, Biji P. Varkey, Tamanna Sehrawat, Sarita Kumari, Seema Parjapat, S. Saini
Background: The psychological impact of the general public during a pandemic is complex and incompletely understood. There is a dearth of studies reporting the psychological problems in the general public during the coronavirus disease 2019 (COVID-19) crisis in India, including a comparison as per demographic profile. Materials and Methods: An online survey was conducted from April 17, to May 1, 2020 using the principles of the snowball recruiting technique. The psychological problems of the potential study subjects were evaluated using the Hindi version of the Patient Health Questionnaire-4 (PHQ-4) scale. There were a total of 1826 responses, out of which 391 were excluded from the analysis. Results: The mean age of the subjects was 41.95 years (Median = 50, SD = 19.05, range: 18–86 years) and around 45% of respondents were with an age range of 18–39 years. The mean and standard deviation of the PHQ-4 was 1.81 (2.34), and the overall prevalence of psychological problems was 30% as per the cutoff of PHQ-4. The estimates of anxiety and depression among study subjects were 11% (158/1435) and 16.1% (232/1435), respectively. Younger age, female gender, unmarried, and rural residential status were significantly associated with increased psychological problems in this setting. Conclusion: The psychological response to the COVID-19 varies with sociodemographic status, and about one-third of the people reported having psychological problems in the early phase of the COVID-19 pandemic in this setting. There is a need to expand the mental health services to each stratum of the society with a focus to provide personalized care as per the sociodemographic profile.
背景:大流行期间公众的心理影响是复杂的,而且不完全清楚。在印度2019年冠状病毒病(COVID-19)危机期间,缺乏报告公众心理问题的研究,包括按人口统计资料进行比较。材料与方法:2020年4月17日至5月1日,采用滚雪球招聘法进行在线调查。使用印地文版患者健康问卷-4 (PHQ-4)量表对潜在研究对象的心理问题进行评估。共有1826份回复,其中391份被排除在分析之外。结果:调查对象的平均年龄为41.95岁(中位数为50,SD = 19.05,年龄范围为18-86岁),约45%的调查对象年龄在18-39岁之间。PHQ-4的均值和标准差分别为1.81(2.34),按PHQ-4的截止点计算,心理问题的总体患病率为30%。研究对象中焦虑和抑郁的估计分别为11%(158/1435)和16.1%(232/1435)。年龄较小、女性、未婚和农村居住状况与心理问题的增加显著相关。结论:对新冠肺炎的心理反应因社会人口状况而异,该地区约三分之一的人报告在新冠肺炎大流行早期存在心理问题。有必要将心理健康服务扩大到社会各阶层,重点是根据社会人口状况提供个性化护理。
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引用次数: 0
An exploratory case study on the use of rational emotive behavior therapy for treatment of illness anxiety 理性情绪行为疗法治疗疾病焦虑的探索性个案研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_76_21
J. Nandini.
Illness anxiety disorder is characterized by preoccupation with having or developing a serious illness accompanied by maladaptive safety or avoidance behavior that impairs the persons everyday functioning. It deteriorates the quality of life of the individual. Cognitive behavior therapy is often a good treatment choice. Here, I present the efficacy of rational emotive behavior therapy in addressing the irrational beliefs of the client and its effectiveness in alleviating behavioral and cognitive symptoms of illness anxiety.
疾病焦虑症的特点是专注于患有或发展严重疾病,并伴有不适应的安全或回避行为,损害了人们的日常功能。它会降低个人的生活质量。认知行为疗法通常是一个很好的治疗选择。在这里,我介绍了理性情绪行为疗法在解决客户非理性信念方面的疗效,以及它在缓解疾病焦虑的行为和认知症状方面的疗效。
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引用次数: 0
Knowledge about and attitude toward electroconvulsive therapy among those who agree and those who refuse electroconvulsive therapy treatment 同意和拒绝电休克治疗者对电休克治疗的认识和态度
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_218_20
S. Grover, N. Varadharajan, S. Chakrabarti
Background: Electroconvulsive therapy (ECT) is although one of the most effective treatments in psychiatry, and many a times patients refuse the same. Although, there is information about the knowledge about and attitude towards ECT among people who receive the same, little is known about these among those who refuse ECT. Aim: This study attempted to assess and compare the knowledge about and attitude toward ECT in patients with severe mental illness who accepted and refused ECT. Methodology: 68 patients divided into 3 groups (readily accepted; accepted, with initial reluctance; refused) based on the readiness for ECT were evaluated using ECT knowledge and attitude questionnaire. The higher proportion of those who refused had poor knowledge about the frequency of ECT sessions, investigations required before ECT and believed that ECT can be given against patient and family members' consent. Higher proportion of those who initially refused but later agreed believed that ECT can be given without the patient or family members'consent and it is given only to those patients who are unlikely to improve when compared to those who agreed ECT. Compared to those who agreed spontaneously, higher proportion of the participants in other two groups believed that ECT is not useful in the treatment of psychiatric disorders and they lacked knowledge about headache being a side effect of ECT. In terms of attitude toward ECT, higher proportion of those who refused ECT (n = 24; 89%) had a negative attitude in terms of not recommending the same for their relatives and were reluctant to receive ECT themselves. Conclusions: The results highlight that negative perception toward ECT in patients who refuse to receive ECT. Thus, it is essential to convey adequate information about ECT to enhance their understanding and acceptance.
背景:电休克治疗(ECT)虽然是精神病学中最有效的治疗方法之一,但许多患者拒绝接受。尽管在接受ECT治疗的人中有关于ECT知识和态度的信息,但在拒绝ECT治疗的人群中却知之甚少。目的:本研究试图评估和比较接受和拒绝ECT的严重精神疾病患者对ECT的知识和态度。方法:根据ECT的准备情况,将68名患者分为3组(容易接受;接受,最初不情愿;拒绝),使用ECT知识和态度问卷进行评估。拒绝接受ECT治疗的人中,有更高比例的人对ECT治疗的频率、ECT治疗前需要进行的调查知之甚少,并认为可以在未经患者和家人同意的情况下进行ECT治疗。最初拒绝但后来同意的患者中,有更高比例的人认为ECT可以在没有患者或家属同意的情况下进行,而且与同意ECT的患者相比,ECT只给那些不太可能改善的患者。与那些自发同意的人相比,其他两组中有更高比例的参与者认为ECT对治疗精神疾病无效,并且他们对头痛是ECT的副作用缺乏了解。在对ECT的态度方面,拒绝ECT的人中有更高比例(n=24;89%)对不向亲属推荐ECT持负面态度,并且不愿意自己接受ECT。结论:研究结果强调了拒绝接受ECT治疗的患者对ECT的负面看法。因此,传达足够的ECT信息以提高他们的理解和接受度是至关重要的。
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引用次数: 1
Depression, Anxiety, and Stress among Indian Youth during the COVID-19 Lockdown - A Cross-Sectional Survey 新冠肺炎封锁期间印度青年的抑郁、焦虑和压力——跨部门调查
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_65_21
Ruchi H. Vaidya, Santhosh Kaza, Pallavi Gupta, S. Weine, S. Nooyi, Nayanjeet Chaudhury
Purpose: The psychological effects of the unprecedented global emergency due to COVID-19 are a significant concern worldwide. The present study aims to investigate the prevalence of stress, anxiety, and depression among Indian youth during the COVID-19 lockdown. Methods: A cross-sectional survey was conducted online across India during the COVID-19 lockdown. A total of 1641 Indian youth between the ages of 15–24 years across 23 states and 3 union territories were analyzed for their mental health status. Depression, anxiety, and stress (DAS) levels of the Indian youth were measured using DAS scale 21. The study was approved by the Institutional Review Board (IRB Reference number: DRP/EFP 530/2020: 08/06/2020). Results: Moderate to higher levels of depression and anxiety were observed among 45% and 49% of Indian youth, respectively, during the COVID-19 lockdown. DAS was significantly higher among youth preparing for competitive examinations, those who had an acquaintance infected with COVID-19 and those who perceived COVID-19 as a risky infection (P < 0.01). School-going students showed significantly lower levels of depression and stress compared to college-going students (P < 0.01). Conclusion: The high levels of DAS during the COVID-19 pandemic indicate a significant mental health burden among Indian youth. These findings indicate the need for a multisectoral approach to cope with stresses and to improve psychological well-being among youth during the pandemic.
目的:新冠肺炎造成的前所未有的全球紧急情况的心理影响是全世界关注的一个重大问题。本研究旨在调查新冠肺炎封锁期间印度青年的压力、焦虑和抑郁患病率。方法:在新冠肺炎封锁期间,在印度各地进行了一项横断面调查。对23个州和3个联邦直辖区的1641名15-24岁的印度青年的心理健康状况进行了分析。使用DAS量表21对印度青年的抑郁、焦虑和压力(DAS)水平进行了测量。该研究获得了机构审查委员会的批准(IRB参考号:DRP/EFP 530/2020:08/06/2020)。结果:在新冠肺炎封锁期间,45%和49%的印度青年分别出现中度至高度抑郁和焦虑。DAS在准备参加竞争性考试的年轻人中显著较高,与大学生相比,在校学生的抑郁和压力水平显著降低(P<0.01)。这些发现表明,需要采取多部门方法来应对疫情期间的压力,改善青年的心理健康。
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引用次数: 3
Esport: Is it a sport or clinical entity? 埃斯波特:这是一项运动还是临床实体?
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-07-01 DOI: 10.4103/jmhhb.jmhhb_36_21
P. Thakur, M. Sharma, John Vijay Sagar Kommu, Nitin Anand
Esports is being seen as equivalent to sport. Subsequent to diagnostics started treating gaming as mental health condition or a research category. The need is being felt to explore the mental health perspective of Esports. Thus, for people who are engaged in Esports, there is a possibility that they may develop certain physical or mental health concerns if the gaming pattern is problematic. It implies the need for research to identify the status of their clinical condition or a career option as a sport player.
电子竞技被视为等同于体育运动。诊断之后,开始将游戏视为心理健康状况或研究类别。人们感到有必要探索电子竞技的心理健康视角。因此,对于从事电子竞技的人来说,如果游戏模式有问题,他们可能会产生某些身体或心理健康问题。这意味着需要进行研究,以确定他们的临床状况或作为体育运动员的职业选择。
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引用次数: 3
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Journal of Mental Health and Human Behaviour
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