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Bullying; A Psychosocial Stressor 欺凌;心理社会压力源
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.17-26
Y. Saleem, S. Noushad, S. Kazmi, Sadaf Ahmed, Salman Shaikhi, Nabeela Noor, Mariyam Asim
Background: The bullying incidences have been increasing in the past few years resulting in a number of psychosocial traumas including depression, anxiety, violence and many other health concerns. Despite being a global issue, not a large number of studies have addressed this distressing act. This social threat causes negativity on both sides whether the victim or the perpetrator. The aim of the study was to evaluate the prevalence of this psychosocial stressor, its associated characteristics and bullying perceptions among the study population. Methodology: A cross-sectional observational study was conducted for 5 months from July 2017 to December 2017.  Data was collected from 399 victims between the age of 15-27 years via a structured questionnaire inquiring victim’s demographics and its associated psychosocial outcomes. Collected data was then analyzed using SPSS ver. 22. Results: Out of the total study subjects there were 204 females and 195 males with the mean age of 25.10 + 5.70 years. Around 76% participants reported daily bullying events. Bullying incidences were found more common in females i.e. 48.6% of the females were bullied by called out with mean names while only 45.8% males reported so. Majority of the bullying cases were reported from educational institutes. The most prominent psychological outcomes observed and reported by the victims in response to bullying was getting revengeful thoughts for the bully. Conclusion: In conclusion, the study evaluated the psychological distress resulting from bullying incidences. Our study indicated a high prevalence of this public health concern in both genders and majorly in educational sectors.
背景:在过去几年中,欺凌事件不断增加,造成一些心理创伤,包括抑郁、焦虑、暴力和许多其他健康问题。尽管这是一个全球性的问题,但并没有大量的研究解决这一令人痛苦的行为。这种社会威胁对受害者和加害者双方都造成消极影响。本研究的目的是评估研究人群中这种心理社会压力源的普遍性、相关特征和欺凌观念。方法:从2017年7月至2017年12月进行了为期5个月的横断面观察性研究。通过结构化问卷调查,从399名15-27岁的受害者中收集数据,询问受害者的人口统计数据及其相关的社会心理结果。收集的数据使用SPSS ver进行分析。22. 结果:研究对象中女性204例,男性195例,平均年龄25.10 + 5.70岁。大约76%的参与者报告每天都发生欺凌事件。被霸凌事件在女性中更为常见,48.6%的女性曾被人用刻薄的名字辱骂,而男性只有45.8%。大多数欺凌事件都发生在教育机构。受害者观察和报告的最突出的心理结果是对欺凌者产生报复的想法。结论:综上所述,本研究评估了霸凌事件造成的心理困扰。我们的研究表明,这一公共卫生问题在两性中都很普遍,主要是在教育部门。
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引用次数: 0
Influence of rising temperatures and heat waves on mental health outcomes: An alarming public health concern 气温上升和热浪对心理健康结果的影响:一个令人担忧的公共卫生问题
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.59-64
Hina Khan, Sadaf Ahmed
Background: An accumulating body of research studies have presented effects of climate change on human health. The current state of climate change supports the notion of elevated incidences of heat waves in future. The understanding of role of increasing temperatures and heat waves on altered mental health conditions stands crucial, in light of wide spectrum of effects warming climate imparts on mental health and well-being status. Methodology: Research studies with findings related to increasing temperatures, mental health and behavioural alterations, and psychopathological outcomes are highlighted in this review. Articles were searched using Google Scholar from the year 2005 to 2018 by entering keywords; increasing temperature and mental health, heat waves and mental health, heat waves and behavioural disorders, climate change and mental health, and, global warming and mental health. Studies were also selected from reference lists of the articles emerging out from these keywords provided. Newspaper articles and reports with details of heat waves in Pakistan are also included. Results: Extreme heat exposure event is found to result in adverse mental, mood and behavioural consequences; including anxiety, aggression, and violence. Heat waves are found to potentiate risk for hospital admission, also due to mental disorders. Heat-associated mental health alterations may be attributed to compromised thermoregulation, pre-existing mental illness, old age, substance abuse and prescription medications effects, and up-regulation in release of stress hormones. Conclusion: Keeping in view the impact of warming climate on mental and behavioural disorders, it appears significantly important to promote research aiming to decipher heat-induced mental health outcomes. In particular, studies are encouraged to be carried out to understand effects of increasing temperatures and heat waves on impaired mental health and psychological well-being state, develop heat-associated mental health mass awareness campaigns, and plan mental health response actions in Pakistan, which currently remain under-represented.
背景:越来越多的研究表明气候变化对人类健康的影响。目前的气候变化状况支持了未来热浪发生率升高的观点。鉴于气候变暖对心理健康和福祉状况的广泛影响,了解气温升高和热浪对心理健康状况改变的作用至关重要。方法:本综述强调了与温度升高、心理健康和行为改变以及精神病理结果相关的研究结果。使用谷歌Scholar检索2005年至2018年的文章,输入关键词;气温升高与心理健康,热浪与心理健康,热浪与行为障碍,气候变化与心理健康,以及全球变暖与心理健康。研究也从从这些关键词中产生的文章的参考文献列表中选择。此外,还包括有关巴基斯坦热浪细节的报纸文章和报道。结果:发现极端热暴露事件会导致不良的心理、情绪和行为后果;包括焦虑、攻击性和暴力。研究发现,热浪会增加因精神障碍而入院的风险。与热相关的心理健康变化可能归因于体温调节受损,先前存在的精神疾病,老年,药物滥用和处方药的影响,以及应激激素释放的上调。结论:考虑到气候变暖对精神和行为障碍的影响,促进旨在破译热引起的精神健康结果的研究显得非常重要。特别是,鼓励开展研究,以了解气温升高和热浪对心理健康受损和心理健康状态的影响,开展与高温有关的心理健康大众宣传运动,并在巴基斯坦规划心理健康应对行动,目前这方面的代表人数仍然不足。
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引用次数: 0
Frequency of somatic complains among patients with mental illness 精神疾病患者躯体主诉的发生频率
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.6-16
Anum Haider, U. Asad
Background: It is established that physical and mental disorders share common risk factors, among those the unhealthy lifestyle is most common. In order to achieve complete health, it is crucial to monitor both physical and mental health. Mental health problem is the most deserving area to work with because physical health issues are often neglected or mismanaged. This study intends to unveil the frequency of somatic (physical) health complains among patients with mental illness.   Methodology: In this cross-sectional study total 85 patients were enrolled from Psychiatry Out Patient Department, Civil Hospital Karachi, during 16th October to 13th November 2015. Patients were asked about the demographic details and existing somatic complaints from the pre-formulated questionnaire while data was analyzed on SPSS. Results: 32.9% of the subjects were diagnosed with particular medical comorbidity. However, among undiagnosed somatic (physical) complains; endocrinological complaints were more frequent i.e.16.7% followed by 14.2% Gastrointestinal (GIT) and 13.68% Central Nervous System (CNS). Conclusion: The current study supported the fact that there is a high frequency of somatic complaints in patients with mental illness. Physical monitoring is crucial for early identification and better prognosis.
背景:身心障碍具有共同的危险因素,其中以不健康的生活方式最为常见。为了达到完全的健康,监测身体和心理健康是至关重要的。心理健康问题是最值得研究的领域,因为身体健康问题经常被忽视或管理不善。本研究旨在揭示精神疾病患者躯体(身体)健康抱怨的频率。方法:在这项横断面研究中,2015年10月16日至11月13日期间,共有85名患者从卡拉奇民用医院精神病门诊部入选。从预先制定的问卷中询问患者的人口统计细节和现有的躯体投诉,同时使用SPSS对数据进行分析。结果:32.9%的受试者被诊断有特殊的医学合并症。然而,在未确诊的躯体(身体)抱怨中;内分泌系统主诉较多,占16.7%,其次是胃肠道(GIT) 14.2%和中枢神经系统(CNS) 13.68%。结论:本研究支持精神疾病患者躯体主诉发生率高的事实。物理监测对于早期发现和更好的预后至关重要。
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引用次数: 0
Dealing with the psychosocial and spiritual aspects in palliative care 处理姑息治疗中的社会心理和精神方面
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.54-58
N. Rehman
Background: Palliative care is the provision of end of life care to the patient with a terminal disease; its primary focus is on improving the quality of life rather than quantity of life.  While palliative care emphasizes over physical body pain reduction, it also suggests psychological comfort and spiritual wellbeing. Several research studies corroborate that interventions are done to keep the patient mentally relaxed greatly affects the patient's bodily functions and reduces the sensation of pain. Case Presentation: In this case, the physical attributes were excellently managed but neglect was done in terms of mental and spiritual need that was evident through her verbalization of hopelessness and fear, that the disease condition is a severe punishment by God. In addition, the patient was less likely to socialize with people including friends and family. Therefore, this case has been investigated in light of multiple recent articles (2010-2015) and pointed out the evidenced-based practices that need to be done to provide care emphasizing holistic approach in order to enhance comfort to the terminally sick patients.  Management & Results: It was observed that the health care providers were only concerned for the physical problems and they provided care focusing only physiological component whereas the psychological and spiritual determinants of health were greatly neglected as such that they were not included in the plan of care of the patient.  Conclusion: Palliative care involves not just physiological, but also psychological and spiritual care. Based on the findings of the case study, caregivers must consider psychological and spiritual aspects of care in order to provide holistic as well as peaceful end of life care.
背景:姑息治疗是为患有绝症的患者提供临终关怀;它的主要重点是提高生活质量,而不是生活的数量。虽然姑息治疗强调减轻身体疼痛,但它也建议心理安慰和精神健康。几项研究证实,采取干预措施使患者保持精神放松,可以极大地影响患者的身体功能,减少疼痛感。案例介绍:在这个案例中,身体素质得到了很好的管理,但在精神和精神需求方面却被忽视了,这一点从她的绝望和恐惧的言语中可以明显看出,这种疾病是上帝对她的严厉惩罚。此外,患者不太可能与包括朋友和家人在内的人交往。因此,根据最近的多篇文章(2010-2015)对该病例进行了调查,并指出了需要采取的循证实践,以提供强调整体方法的护理,以增强临终病人的舒适度。管理和结果:据观察,卫生保健提供者只关心身体问题,他们提供的护理只关注生理部分,而健康的心理和精神决定因素被大大忽视,因此它们不包括在病人的护理计划中。结论:姑息治疗不仅包括生理护理,还包括心理和精神护理。根据案例研究的结果,护理人员必须考虑心理和精神方面的护理,以提供整体以及和平的临终关怀。
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引用次数: 1
Why Am I Not Happy Anymore? 为什么我不再快乐?
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.27-37
S. Batool
Background: A person needs to be happy to be a functional unit of the society and to add a positive and productive contribution on his behalf to the welfare of humanity. There is a very close interaction between sex and joy, and no one can escape from the fact that sexual interaction is mostly a pleasurable experience. The objective of this study was to determine the prevalence of compulsive sexual behavior among youth and to find a relation between happiness and sexual activity. Methodology: This cross-sectional survey was conducted in Karachi-Pakistan. 300 subjects of both genders participated in this study while Sadaf Stress Scale (SSS) was used to evaluate the stress level of the individuals and a section of the questionnaire contained questions about the routine activities, sexual needs and its severity. Results: Results have shown that the symptoms of hypersexuality are prevalent among the youth of ages between 18 to 25 years. While 27% of unmarried subjects have experienced sex and 49% reported masturbation or phone sex is found to be the source of happiness. Conclusion: Unfortunately, hypersexuality is not yet considered as a psychological disorder/issue in many regions of the world which gives rise to brutal and feeble act like “Sexual abuse”. It's high time to look into this matter before it’s too late.
背景:一个人需要乐于成为社会的一个职能单位,并为人类的福利做出积极和富有成效的贡献。性和快乐之间有着非常密切的互动,没有人能逃脱这样一个事实,即性互动大多是一种愉快的体验。本研究的目的是确定青少年强迫性行为的患病率,并找出幸福感与性活动之间的关系。方法:本次横断面调查在巴基斯坦卡拉奇进行。300名男女受试者参与了这项研究,Sadaf压力量表(SSS)用于评估个体的压力水平,问卷的一部分包含了关于日常活动、性需求及其严重程度的问题。结果:研究结果表明,性欲亢进的症状在18至25岁的年轻人中普遍存在。27%的未婚受试者经历过性行为,49%的人表示手淫或电话性爱是幸福的源泉。结论:不幸的是,在世界许多地区,性欲亢进还没有被视为一种心理障碍/问题,它会导致“性虐待”等残忍而无力的行为。现在是调查此事的时候了,否则就太晚了。
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引用次数: 0
Obesity: An outcome of abnormal eating behavior 肥胖:异常饮食行为的结果
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.V5.I1.2018.1-5
F. Mirza
The Arabic word for health صحي is synonymous in English language to “weight” وزن (Khoury, 2001), and a cultural link for perceiving weight as health can very well be understood, the impact of Arabic culture and values on a random Pakistani cannot be denied under any circumstances. Obesity is a major concern, in adults and more so in children. Pakistan is going through a transitional phase for some decades whereby changes are coming across in lifestyles, family structures, incomes, a new set of stresses, rural to urban shift, migrants’ influx making the transition all the more complex when compared to other countries (Nanan, 2002).
阿拉伯语中健康的单词“حي”在英语中是“体重”的同义词(Khoury,2001),人们可以很好地理解将体重视为健康的文化联系,在任何情况下都不能否认阿拉伯文化和价值观对随机的巴基斯坦人的影响。肥胖是一个主要问题,在成年人中更是如此。几十年来,巴基斯坦正在经历一个过渡阶段,生活方式、家庭结构、收入、一系列新的压力、农村向城市的转变、移民的涌入使过渡与其他国家相比更加复杂(Nanan,2002)。
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引用次数: 2
Social media addiction is a new smoking 社交媒体成瘾是一种新的吸烟方式
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.v5.i1.2018.38-46
Sonya Arshad, Muhammad Faisal Qureshi, S. Rizvi, Bakhtawar Ferozali, S. Majeed, S. Khan, Haziq Ajaz
Background: Addiction is the behavior of a human in which they depend fully on the substance. According to the World Health Organization (WHO) 2015, over 1.1 billion people smoked tobacco whereas; over 2.14 billion people used social networks. The objective of this study is to assess that is there any similarity between the addiction level of smoking and social network usage. Methodology: This is a Cross-sectional study in which 80 participants were selected on a convenience based sampling of age 18-25 which were divided into group A (social media users) and group B (smokers). Inclusion criteria for Group A were Social network user since 5 years with user I.Ds on more than 2 social network sites and check notifications every minute however group B includes smokers who were smoking since last 5 years (1 packet per day) with no known co-morbid. All participants were asked to fill the questionnaire constructed on the basis of the Bergen Addiction Scale (BAS). Blood pressure measurement and time required to complete the cognitive task was also recorded. Data analysis was done using SPSS version 21. Result: Results showed 30% mild addictors, 30% moderate addictors and 40% severe addictors in group A while 40%, 22.5% and 37.5% in group B, respectively. According to mean withdrawal effects on cognitive skills, 97.6% participants in group A were able to complete task within assigned time before cessation and after cessation only 57% participants were able to do so, while in group B 94% were able to complete task before cessation and only 72% of participants were able to do so after cessation. Lastly, the mean BP reading checked in group A before cessation was 114.54/82.34mmHg and after cessation, it increased to 122.47/90.34mmHg whereas in group B, before cessation the mean BP reading was 118.32/84.88mmHg and after cessation it was 121.42/88.63mmHg. Conclusion: It is concluded that the addiction status of social media users and smokers is almost similar. This leads to the outcome that social network abuse is as harmful as smoking on focus, concentration, cognitive skills and increment of anxiety and BP.
背景:成瘾是指人类完全依赖物质的行为。根据世界卫生组织(世界卫生组织)2015年的数据,超过11亿人吸烟,而;超过21.4亿人使用社交网络。本研究的目的是评估吸烟成瘾程度和社交网络使用之间是否存在相似性。方法:这是一项横断面研究,从18-25岁的便利性抽样中选出80名参与者,分为a组(社交媒体用户)和B组(吸烟者)。A组的纳入标准是自5年以来的社交网络用户,在2个以上的社交网站上有用户ID,并每分钟检查一次通知,但B组包括自过去5年以来一直吸烟的吸烟者(每天1包),没有已知的共病。所有参与者都被要求填写基于卑尔根成瘾量表(BAS)构建的问卷。血压测量和完成认知任务所需的时间也被记录下来。数据分析采用SPSS版本21。结果:A组轻度、中度和重度成瘾者分别占30%、30%和40%,B组分别占40%、22.5%和37.5%。根据对认知技能的平均戒断效应,A组97.6%的参与者能够在停止前的指定时间内完成任务,停止后只有57%的参与者能够完成任务,而B组94%的参与者能够停止前完成任务,只有72%的参与者能够停止后完成任务。最后,A组在戒烟前检查的平均血压读数为114.54/82.34mmHg,戒烟后增加到122.47/90.34mmHg;而B组在戒烟后检查的平均压力读数为118.32/84.88mmHg,戒烟前为121.42/88.63mmHg。结论:社交媒体用户和吸烟者的成瘾状态几乎相似。这导致了社交网络滥用与吸烟一样有害于注意力、注意力、认知技能以及焦虑和血压的增加。
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引用次数: 2
Brain Circuit Remapping in Blind 盲人大脑回路重构
Pub Date : 2018-10-10 DOI: 10.29052/2412-3188.v5.i1.2018.47-53
Sonya Arshad, Muhammad Faisal Qureshi, S. Rizvi, S. Farooq, M. H. A. Malik, M. Shakeel, Rida Sabirn
Background: If people dearth something regarding their senses, they mold their brain in accordance with the environs. Researches indicate vision is not always a necessity for the ramification of the brain's cortical organization. Our real endeavor is to channel people if an individual lacks something the brain rewires in a way that the lacking becomes unrecognizable and their other capabilities improve.   Methodology: This was a cross-sectional study conducted on 80 subjects of age 15-30 years at Liaquat National School of Physiotherapy. Group A comprised of 40 congenitally blind subjects from Dar-ul-sukun and Ida Rieu School for blind and deaf while group B consisted of 40 sighted subjects. Senses of both groups were assessed by smelling, graphesthesia, two-point discrimination, auditory acuity test, foot tap test and sixth sense test. Collected data was analyzed on SPSS version 20 by applying independent sample t-test. Result: The results showed that the scores of group A outweighed that of group B as all the tests showed a significant mean difference with p-value<0.05. In Foot Tap Test, group A and group B showed a difference of 7.12+0.9 between their mean scores while in Smelling Test, there was a difference of 4.6+1.48. In Touch Test (Graphesthesia), the mean scores showed a difference of 2.5+1.22. Furthermore, there was also a significant difference between the mean scores of Group A and Group B for Discrimination Test, Two Point Discrimination Test, Auditory Acuity Test and Sixth Sense Test. Conclusion: It can be concluded that the brain has the ability to remold itself according to the milieu. Moreover, this reorganization can also be done without deprivation by repetitive trials to augment specific functions.
背景:如果人们对自己的感官有所了解,他们就会根据周围环境塑造自己的大脑。研究表明,视觉并不总是大脑皮层组织分支的必要条件。我们真正的努力是引导人们,如果一个人缺乏某种东西,大脑会以一种无法识别的方式重新连接,而他们的其他能力会得到改善。方法:这是一项横断面研究,在Liaquat国家物理治疗学院对80名年龄在15-30岁的受试者进行了研究。A组由40名来自darul -sukun和Ida Rieu盲聋人学校的先天失明者组成,B组由40名视力正常的人组成。通过嗅觉、图觉、两点辨别力、听觉测试、踢脚测试和第六感测试对两组的感官进行评估。收集的数据在SPSS version 20中进行分析,采用独立样本t检验。结果:A组得分高于B组,各项指标均有显著性差异,p值<0.05。A组和B组在脚触测试中平均得分差为7.12+0.9,在嗅觉测试中平均得分差为4.6+1.48。在触觉测试(Graphesthesia)中,平均得分为2.5+1.22。此外,a组和B组的辨别测验、两点辨别测验、听觉敏锐度测验和第六感测验的平均得分也有显著差异。结论:大脑具有根据环境进行自我改造的能力。此外,这种重组也可以通过重复试验来增强特定功能而不被剥夺。
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引用次数: 0
期刊
Annals of Psychophysiology
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