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Anxiety-induced sleep disturbances among in-school adolescents in the United Arab Emirates: Prevalence and associated factors 阿拉伯联合酋长国在校青少年中焦虑引起的睡眠障碍:患病率和相关因素
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_120_21
S. Pengpid, K. Peltzer
Introduction: The goal of the study was to estimate the prevalence of anxiety-induced sleep disturbance (AISD) and assess its relationship with psychosocial distress, socio-environmental variables, and health risk indicators among adolescent schoolchildren in the United Arab Emirates (UAE). Methods: Cross-sectional data from the 2016 UAE “Global School-Based Student Health Survey” (n = 5849) were analyzed. The nationally representative sample of all students in grades 8–12 in the UAE was selected through a two-stage cluster sampling procedure. Schools were included with probability proportional to enrollment size, and classes were randomly selected, with all students present in selected classes being eligible to participate. Results: The overall prevalence of AISD was 16.2%, 11.9% had AISD among males, and 20.5% had AISD among females. In adjusted logistic regression analysis, older age (16 years or older), lower economic status (hunger), loneliness, frequent bullying victimization (10–30 days), frequently physically attacked (≥6 times), parental emotional neglect, parents never check homework, parental disrespect of privacy, passive smoking on all past 7 days, sedentary behavior (>8 h/day) during leisure time, and multiple (≥4 times) injuries were positively and being male was negatively associated with AISD. Conclusion: Almost one in six participants reported AISD, and several factors associated with AISD were identified.
前言:本研究的目的是估计阿拉伯联合酋长国(UAE)青少年学童中焦虑性睡眠障碍(AISD)的患病率,并评估其与心理社会困扰、社会环境变量和健康风险指标的关系。方法:对2016年阿联酋“全球校本学生健康调查”(n = 5849)的横断面数据进行分析。通过两阶段整群抽样程序选择了阿联酋8-12年级所有学生的全国代表性样本。学校以与入学人数成比例的概率被纳入,班级是随机选择的,所有在选定班级的学生都有资格参加。结果:AISD的总患病率为16.2%,其中男性为11.9%,女性为20.5%。经调整后的logistic回归分析显示,年龄较大(16岁及以上)、经济地位较低(饥饿)、孤独、经常遭受欺凌(10-30天)、经常遭受身体攻击(≥6次)、父母情感忽视、父母从不检查作业、父母不尊重隐私、过去7天内一直被动吸烟、休闲时间久坐行为(每天超过8小时)和多次(≥4次)伤害与AISD呈正相关,而男性与AISD呈负相关。结论:几乎六分之一的参与者报告了AISD,并且确定了与AISD相关的几个因素。
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引用次数: 7
A comparison of cognitive behavioral therapy and acceptance and commitment therapy received by patients with major depressive disorder following traumatic brain injury for emotional status and quality of life of their caregivers: A randomized controlled trial 认知行为治疗和接受承诺治疗对创伤性脑损伤后重度抑郁症患者照顾者情绪状态和生活质量的影响:一项随机对照试验
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_19_22
A. Faghihi, Z. Zanjani, A. Omidi, Esmaeil Fakharian
Introduction: Caregivers of individuals who sustained a traumatic brain injury (TBI) experience psychological problems that are linked to emotional status of their injured relatives. This study intends to compare the effect of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) received by depressed TBI survivors on their caregivers. Methods: This was a single-blind, parallel-group, randomized controlled trial conducted between September 2018 and June 2019 at a teaching hospital in Iran. Participants were the 20–60-year-old persons who provide care to TBI survivors for 1–4 years. The survivors were randomized to receive either CBT (n = 24) or ACT (n = 24), or to stay on the waiting list (WL, n = 24). The family caregivers completed Depression Anxiety Stress Scale-21 (DASS-21) and 12-Item Short-Form Health Survey (physical, SF12-PCS; mental, SF12-MCS) before, after, and 3 months following the treatments. Results: All caregivers were analyzed (completers = 83.33%). Between-group differences were not significant (Ps > 0.5; small effect sizes) except at follow-up, where the differences on DASS21-Depression (P < 0.05; Glass's Δ = −0.635; 95% confidence interval [CI]: −0.729, 0.296) and SF12-MCS (P < 0.05; Glass's Δ = 0.751; 95% CI: −0.36, 0.807) were significant between caregivers of CBT recipients and WL. Moreover, a medium effect size on SF12-PCS (P > 0.5; Glass's Δ = 0.538; 95% CI: −0.416, 0.731) and SF12-MCS (P > 0.05; Glass's Δ = 0.507; 95% CI: −0.425, 0.772) was observed between caregivers of ACT recipients and WL at follow-up. Conclusion: Treating depression in TBI survivors can affect psychological status of their family caregivers. CBT received by TBI survivors is effective for improving caregivers' depression and mental quality of life.
简介:创伤性脑损伤(TBI)患者的护理人员会遇到与受伤亲属的情绪状态相关的心理问题。本研究旨在比较抑郁症创伤性脑损伤幸存者接受认知行为治疗(CBT)和接受与承诺治疗(ACT)对其照顾者的影响。方法:这是一项单盲、平行组、随机对照试验,于2018年9月至2019年6月在伊朗一家教学医院进行。参与者是20 - 60岁的人,他们为创伤性脑损伤幸存者提供1-4年的护理。幸存者被随机分配接受CBT (n = 24)或ACT (n = 24),或留在等候名单(WL, n = 24)。家庭照顾者完成抑郁焦虑压力量表21 (DASS-21)和12项简短健康调查(physical, SF12-PCS;治疗前、治疗后和治疗后3个月的SF12-MCS评分。结果:对所有护理人员进行分析(完成者为83.33%)。组间差异无统计学意义(p < 0.05;小效应量),但在随访中,dass21 -抑郁的差异(P < 0.05;格拉斯的Δ =−0.635;95%可信区间[CI]:−0.729,0.296)和SF12-MCS (P < 0.05;Glass的Δ = 0.751;95% CI: - 0.36, 0.807)。此外,SF12-PCS的中等效应大小(P > 0.5;Glass的Δ = 0.538;95% CI:−0.416,0.731)和SF12-MCS (P < 0.05;格拉斯的Δ = 0.507;95% CI: - 0.425, 0.772)。结论:治疗创伤性脑损伤幸存者的抑郁会影响其家庭照顾者的心理状态。创伤性脑损伤幸存者接受CBT对改善照顾者抑郁和精神生活质量有效。
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引用次数: 0
Socioeconomic and demographic factors for mothers' delivery at home: A comparative study among BDHS 2007, 2011 and 2014 影响母亲在家分娩的社会经济和人口因素:2007年、2011年和2014年BDHS的比较研究
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_160_21
A. Talukder, Bayezid Anik, M. Hossain, Iqramul Haq, M. Habib
Introduction: Although Bangladesh has made some significant progress in the health sector, home delivery of pregnancy is still a widespread tradition in Bangladesh. The objective of this study was to find the effects of sociodemographic factors associated with mothers' delivery at home utilizing the data extracted from the three Bangladesh Demographic and Health Survey (BDHSs) conducted in 2007, 2011, and 2014. Methods: The present study was based mainly on the three BDHSs conducted in 2007, 2011, and 2014, which used a two-stage stratified sampling design for data collection purposes. For the analysis purpose, frequency distribution and multivariate logistic regression were considered. Results: The prevalence of home delivery among Bangladeshi mothers had dropped from 82.60% in 2007 BDHS to 64.17% in 2014 BDHS. In general, older mothers at their first birth, highly educated mother and father, women from the richest household, women who take 4 + ANC (Antenatal Care Service), and women who accessed media were a lower chance of home delivery than their counterparts. The study also showed moderate advancement in the use of institutional conveyance care among mothers in Bangladesh during 2007, 2011, 2014 BDHSs. Large variations in outcome measures were observed between rural and urban areas. Conclusion: Our research convincingly confirms that Bangladesh's delivery system implementation level is improving day by day, but the Sustainable Development Goals goals are still far from being achieved. Therefore, to overcome this problem, policymakers must take effective measures to improve maternal education level, wealth status, and maternal health-care service, including family planning.
引言:尽管孟加拉国在卫生部门取得了一些重大进展,但在孟加拉国,在家分娩仍然是一个普遍的传统。本研究的目的是利用2007年、2011年和2014年进行的三次孟加拉国人口与健康调查(BDHS)中提取的数据,找出与母亲在家分娩相关的社会人口因素的影响。方法:本研究主要基于2007年、2011年和2014年进行的三次BDHS,采用两阶段分层抽样设计进行数据收集。出于分析目的,考虑了频率分布和多变量逻辑回归。结果:孟加拉国母亲在家分娩的患病率从2007年的82.60%下降到2014年的64.17%。总的来说,初产时年龄较大的母亲、受过高等教育的母亲和父亲、来自最富裕家庭的女性、接受4+ANC(产前护理服务)的女性以及接触媒体的女性在家分娩的几率低于同行。该研究还显示,在2007年、2011年和2014年的BDHS期间,孟加拉国母亲在使用机构输送护理方面取得了适度进展。在农村和城市地区之间观察到结果衡量标准的巨大差异。结论:我们的研究令人信服地证实,孟加拉国的交付系统执行水平正在日益提高,但可持续发展目标的目标仍远未实现。因此,为了克服这一问题,政策制定者必须采取有效措施,提高孕产妇教育水平、财富状况和孕产妇保健服务,包括计划生育。
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引用次数: 1
Migrants from a war-torn nation: Strategies to ensure health equity to afghan refugees in India 来自饱受战争蹂躏的国家的移民:确保印度阿富汗难民健康平等的策略
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_127_21
Anannya Vaibhavi, A. Boratne, A. Mishra
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引用次数: 0
Health-care staff beliefs and coronavirus disease 2019 vaccinations: A cross-sectional study from Iran 医务人员信念与2019冠状病毒病疫苗接种:来自伊朗的横断面研究
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_13_22
M. Rad, A. Fakhri, L. Stein, M. Araban
Introduction: Health-care worker desire to receive coronavirus disease-2019 (COVID-19) vaccination can affect public perception and adoption of vaccination. The present study surveyed the health beliefs of health-care staff regarding COVID-19 vaccination. Methods: In this cross-sectional online survey conducted in Iran between May and June 2021, 537 health-care staff (73.8% females) participated. Health-care staff were assessed on the following constructs: health locus of control, trust in the health-care system, subjective norms, fear of COVID-19, attitude and feelings toward vaccination, physical distancing, intention to engage in preventative behaviors, and perceived behavioral control. Multivariate logistic regression models were used to examine the influence of demographic, clinical factors, fear of COVID-19, and health beliefs, in predicting openness toward vaccination. Results: About 67.5% of subjects received COVID-19 vaccination (first or second dose), with 57.2% reporting feeling confident in getting vaccinated and 32% expressing hesitancy in getting vaccinated. Trust in the health-care system, fear of COVID-19, and positive attitude toward vaccination were significantly higher in vaccinated participants than unvaccinated ones, P < 0.05. Conclusion: Being vaccinated and openness toward vaccination are influenced by health-care professionals' demographic and clinical characteristics, and health perceptions (i.e., fear of COVID-19). Whereas being overwhelmed with fear of COVID-19 is unadvisable, realistic concern balanced with appropriate action (e.g., vaccination) may be reasonable.
简介:医护人员接种2019冠状病毒病(新冠肺炎)疫苗的愿望会影响公众对疫苗接种的认识和采用。本研究调查了医护人员对新冠肺炎疫苗接种的健康信念。方法:在2021年5月至6月在伊朗进行的这项横断面在线调查中,537名医护人员(73.8%为女性)参与了调查。对医护人员进行了以下结构的评估:健康控制点、对医疗保健系统的信任、主观规范、对新冠肺炎的恐惧、对疫苗接种的态度和感受、保持身体距离、参与预防行为的意图和感知的行为控制。多变量逻辑回归模型用于检验人口统计学、临床因素、对新冠肺炎的恐惧和健康信念对预测疫苗接种开放性的影响。结果:约67.5%的受试者接种了新冠肺炎疫苗(第一剂或第二剂),57.2%的受试人员表示对接种有信心,32%的受试人表示对接种犹豫不决。接种疫苗的参与者对医疗保健系统的信任、对新冠肺炎的恐惧和对疫苗接种的积极态度显著高于未接种疫苗的人,P<0.05。结论:接种疫苗和对疫苗接种的开放性受卫生保健专业人员的人口统计学和临床特征以及健康认知(即对新冠肺炎的恐惧)的影响。尽管对新冠肺炎的恐惧是不可取的,但现实的担忧与适当的行动(如疫苗接种)相平衡可能是合理的。
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引用次数: 29
Domestic violence during COVID-19 pandemic: An issue that needs comprehensive attention and intervention COVID-19大流行期间的家庭暴力:一个需要全面关注和干预的问题
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_32_22
Zainab Alimoradi, Chung-Ying Lin, A. Pakpour
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引用次数: 1
Errors and preventive measures of health-care systems during COVID-19 pandemic 新冠肺炎大流行期间医疗保健系统的错误和预防措施
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_92_21
V. Zaroushani, F. Khajehnasiri
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引用次数: 4
Effectiveness of the emergency public activity restrictions on COVID-19 epidemiological parameter in East Java Province, Indonesia: An ecological study 印度尼西亚东爪哇省紧急公共活动限制对COVID-19流行病学参数的有效性:一项生态学研究
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_90_21
D. Prasiska, A. Muhlis, H. Megatsari
Introduction: This study was aimed to analyze the effectiveness of the emergency activity restriction policy implementation to slow down the daily incidence and mortality of COVID-19 in the East Java Province of Indonesia. Methods: An ecological study design was used for this research as the data were acquired from the daily confirmed cases and mortality reports of COVID-19 in 29 regencies and 9 cities in East Java Province of Indonesia from June 14 to July 25, 2021. Interrupted time series using autoregressive integrated moving average (ARIMA) was used for the analysis. Results: The mean of COVID-19 daily incidence and mortality was increasing during the implementation of emergency public activity restriction. The result of the ARIMA interrupted time series reported that the implementation of emergency public activity restriction significantly (P < 0.05) affects the increase of COVID-19 daily incidence in 18 cities and daily mortality in 9 cities. Analysis on the provincial level showed that there was no reduction both in daily incidence and mortality during the implementation of emergency public activity restriction. Conclusion: The study reported that the implementation of emergency public activity restrictions was not beneficial in reducing COVID-19 daily incidence and mortality in the East Java Province of Indonesia during the 1st month of policy implementation.
引言:本研究旨在分析印度尼西亚东爪哇省实施紧急活动限制政策以减缓新冠肺炎每日发病率和死亡率的有效性。方法:采用生态学研究设计,从2021年6月14日至7月25日印度尼西亚东爪哇省29个县和9个城市的每日新冠肺炎确诊病例和死亡报告中获取数据。使用自回归积分移动平均(ARIMA)的中断时间序列进行分析。结果:在实施紧急公共活动限制期间,新冠肺炎每日发病率和死亡率的平均值呈上升趋势。ARIMA中断时间序列的结果表明,实施紧急公共活动限制显著影响18个城市新冠肺炎日发病率和9个城市日死亡率的增加(P<0.05)。对省级层面的分析表明,在实施紧急公共活动限制期间,每日发病率和死亡率都没有下降。结论:研究报告称,在政策实施的第一个月内,紧急公共活动限制的实施对降低印度尼西亚东爪哇省新冠肺炎的每日发病率和死亡率没有好处。
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引用次数: 17
Individual characteristics and demographics associated with mask wearing during the COVID-19 pandemic in the United States 美国COVID-19大流行期间与口罩佩戴相关的个人特征和人口统计学特征
Q1 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.4103/shb.shb_148_21
Echu Liu, Samantha A. Arledge
Introduction: Many scientific studies provide evidence of mask wearing as an effective strategy to reduce the spread of the COVID-19 virus. However, US citizens do not adhere to this prevention practice universally. Although past studies have shown disparities in mask wearing by age, gender, ethnicity, and location, the literature lacks a work that uses large-scale national survey data to understand the mask-wearing resistors' characteristics and demographics. This study's purpose is to fill this gap. Methods: We obtained this study's data from the COVID-19 Impact Survey, a nationally representative survey conducted by NORC at the University of Chicago. This survey aims at generating national and regional statistics by surveying representative regional and national samples in three time periods: April 20–26, 2020, May 4–10, 2020, and June 1–8, 2020. Data for our analysis are from the public-use files of these three waves. We performed logistic regressions to estimate the adjusted risk ratio (ARR) of not wearing masks for several personal characteristics and demographics. Results: Our results suggest that younger (average ARR = 1.66) and lower-income (average ARR = 1.51) adults are more likely not to wear a face mask to prevent the coronavirus spread. On the other hand, unhealthy (average ARR = 0.81), female (average ARR = 0.68), and minority (average ARR = 0.65) adults are less likely not to wear a mask. Furthermore, residents in the Northeast region (average ARR = 0.34) and urban residents (average ARR = 0.54) are less likely not to wear a face mask. Conclusion: Mask-wearing behavior differs by age, income, health status, gender, race, region, and geographical residence in the US.
简介:许多科学研究提供了戴口罩作为减少新冠肺炎病毒传播的有效策略的证据。然而,美国公民并没有普遍遵守这种预防做法。尽管过去的研究表明,戴口罩的人在年龄、性别、种族和地点方面存在差异,但文献中缺乏使用大规模全国调查数据来了解戴口罩者的特征和人口统计数据的工作。本研究的目的是填补这一空白。方法:我们从新冠肺炎影响调查中获得了这项研究的数据,这是芝加哥大学NORC进行的一项具有全国代表性的调查。该调查旨在通过调查三个时间段的代表性地区和国家样本来生成国家和地区统计数据:2020年4月20日至26日、2020年5月4日至10日和2020年6月1日至8日。用于我们分析的数据来自这三个波浪的公共使用文件。我们进行了逻辑回归,以估计不戴口罩的几个个人特征和人口统计的调整后风险比(ARR)。结果:我们的研究结果表明,年轻(平均ARR=1.66)和低收入(平均ARR=1.51)的成年人更有可能不戴口罩来防止冠状病毒的传播。另一方面,不健康(平均ARR=0.81)、女性(平均ARR=0.68)和少数民族(平均ARD=0.65)成年人不戴口罩的可能性较小。此外,东北地区的居民(平均ARR=0.34)和城市居民(平均AR=0.54)不戴口罩的可能性较小。结论:在美国,戴口罩的行为因年龄、收入、健康状况、性别、种族、地区和地理居住地而异。
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引用次数: 18
Problematic internet use and its association with anxiety among undergraduate students 大学生网络使用问题及其与焦虑的关系
Q1 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.4103/shb.shb_30_21
Lokesh Kumar Ranjan, P. Gupta, M. Srivastava, N. Gujar
Introduction: The Internet has become an essential part of our daily life, especially the lives of adolescents and youth. With the growth of Internet users, there is also a growing concern about whether the use of the Internet is excessive and if so, whether it amounts to addiction or not. The present study aimed to find the Internet addiction and anxiety effects among undergraduate students. Methods: It was a cross-sectional study conducted among undergraduate students of Bhilai Institute of Technology, Durg and Yugantar Institute of Technology and Management, Rajnandgoan, Chhattisgarh selected using purposive sampling. The total enumeration method was obtained to select students. A total of 854 students were selected for the study. Students were assessed with sociodemographic datasheet, The Internet addiction test, and Hamilton Anxiety Rating Scale. Results: About 4.3% of the undergraduate students reported severe Internet addiction, 7.7% had moderate-to-severe level of anxiety. Internet addiction was found to have significant positive correlation with overall anxiety, psychic anxiety, and somatic anxiety symptoms. In regression analysis, anxiety contributes significantly to the prediction of Internet addiction among undergraduate students. Conclusion: Students are suffering from stress, anxiety, and depression may have a tendency to use the Internet excessively to relieve low mood, insomnia, fearfulness, feelings of guilt, and hopelessness.
引言:互联网已经成为我们日常生活的重要组成部分,尤其是青少年的生活。随着互联网用户的增长,人们也越来越担心互联网的使用是否过度,如果过度,是否会上瘾。本研究旨在了解大学生网络成瘾和焦虑的影响。方法:这是一项横断面研究,在恰蒂斯加尔邦Rajnandgoan杜尔邦比莱理工学院和尤甘塔技术与管理学院的本科生中进行,采用有目的的抽样方法进行选择。采用总计数法对学生进行筛选。共有854名学生被选中参加这项研究。采用社会人口学数据表、网络成瘾测试和汉密尔顿焦虑评定量表对学生进行评估。结果:约4.3%的大学生报告有严重的网络成瘾,7.7%的大学生有中度至重度焦虑。研究发现,网络成瘾与整体焦虑、心理焦虑和躯体焦虑症状呈正相关。在回归分析中,焦虑对大学生网络成瘾的预测有显著贡献。结论:患有压力、焦虑和抑郁的学生可能有过度使用互联网来缓解情绪低落、失眠、恐惧、内疚和绝望的倾向。
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引用次数: 15
期刊
Asian Journal of Social Health and Behavior
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