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International Journal of Emergency Mental Health and Human Resilience最新文献

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Prefiguring the future: An educational project to strengthen resilience and hope in individuals and communities facing natural disasters 预见未来:一个旨在增强个人和社区面对自然灾害的复原力和希望的教育项目
Pub Date : 2019-03-27 DOI: 10.4172/1522-4821-c1-025
P. Paoletti
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引用次数: 0
Neuroprotective effect of Erythropoietin 促红细胞生成素的神经保护作用
Pub Date : 2019-01-21 DOI: 10.4172/2155-9562-C11-091
pReza Nejatp
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引用次数: 3
Cognitive Behavioural Therapy and Emotional Freedom Technique in Reducing Anxiety and Depression in Indian Adults 认知行为疗法和情绪释放技术在减少印度成年人焦虑和抑郁中的作用
Pub Date : 2018-10-05 DOI: 10.4172/1522-4821.1000403
Shilpa Jasubhai, C. Mukundan
WHO places Major Depressive Disorder (MDD), or depression, as the fourth leading cause of mental disability world-wide. According to a survey done by WHO in February 2017, found 7.5% of Indians suffer from major or minor mental disorders requiring expert intervention. National Mental Health Survey of India in 2015-2016 reports that one in 20 Indians suffer from Depression especially women in the age-group of 40-49 years suffers more. Earlier research indicated that Cognitive Behavioural Therapy (CBT) represents a superior approach in treating mild to severe depression symptoms. Whereas Emotional Freedom Technique (EFT) has received increased attention. The present study is in line with a study conducted in Australia in 2016 by Hannah Chatwin et al. The objective of the current study is to evaluate the comparative effectiveness of CBT and EFT in the treatment of anxiety and depression in Indian adults. Random subjects (n = 10) were selected from Ahmedabad (a metro city) in India who were screened positive for anxiety disorder and depression using Depression, Anxiety and Stress scale (DASS21) and Beck Depression Inventory (BDI2). These subjects were randomly assigned to an 8 week CBT or EFT treatment program with 1 session per week. All participants were screened after 3 sessions, 5 sessions, 8 sessions and after 1 month of follow up using DASS21 and BDI2. Findings of the study depict that both intervention approaches produce significant reductions in anxiety and depressive symptoms. The EFT treatment produced marked improvement in depression after 3 sessions. After 8 weeks of intervention, the CBT group reported significant improvement in depression while EFT intervention therapy showed significant results after 1 month of follow up. Examination of individual cases showed clinically significant improvement in anxiety and depression across both interventions. The results are consistent with the previous studies by Hannah Chatwin et al. (2016). Present findings suggest that EFT is of paramount importance as pivotal tool in managing anxiety and depression in Indian population.
世卫组织将重度抑郁症(MDD)或抑郁症列为全球精神残疾的第四大原因。根据世卫组织2017年2月进行的一项调查,发现7.5%的印度人患有或大或小的精神障碍,需要专家干预。2015-2016年印度全国心理健康调查报告显示,每20个印度人中就有一个患有抑郁症,尤其是40-49岁年龄段的女性。早期的研究表明,认知行为疗法(CBT)是治疗轻至重度抑郁症状的优越方法。而情绪释放技术(EFT)越来越受到人们的关注。本研究与Hannah Chatwin等人2016年在澳大利亚进行的研究一致。本研究的目的是评价CBT和EFT治疗印度成人焦虑和抑郁的比较效果。采用抑郁、焦虑和压力量表(DASS21)和贝克抑郁量表(BDI2)在印度艾哈迈达巴德(一个地铁城市)随机筛选焦虑障碍和抑郁阳性的受试者(n = 10)。这些受试者被随机分配到为期8周的CBT或EFT治疗方案中,每周1次。所有参与者在3次、5次、8次和随访1个月后使用DASS21和BDI2进行筛查。研究结果表明,两种干预方法都能显著减少焦虑和抑郁症状。3个疗程后,EFT治疗对抑郁症有明显改善。干预8周后,CBT组抑郁症状明显改善,EFT干预治疗1个月后随访效果显著。个别病例的检查显示,在两种干预措施中,焦虑和抑郁的临床显著改善。这一结果与Hannah Chatwin et al.(2016)之前的研究结果一致。目前的研究结果表明,EFT作为管理印度人群焦虑和抑郁的关键工具是至关重要的。
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引用次数: 8
Stress perception and stress causes: coping support technics with the positive psychology approach 压力感知与压力成因:积极心理学的应对支持技术
Pub Date : 2018-09-24 DOI: 10.4172/1522-4821-C1-010
J. Pérez
Stress isn't any longer a development that issues adults completely. For this reason, we've set to incorporate stress in our analysis. We have been submitting a survey on stress to a bunch of 671 teenagers with a mean age of sixteen years and 7 months. The survey was centered on 2 totally different aspects teenage: stress perception and stress causes. Family support brick form was additionally submitted. The most finding of this study is that thirty eighth of the samples define them as stressed, with no gender connected variations. Subjects that contemplate themselves stressed indicate as cause lack of your time (31%) and excessive commitments (23%). most the topics say school (48%), family (21%) and sentimental relationships (8%) are the most sources of stress. From the analysis of the open answers, it's clear that family and faculty expectations ar the best thusurces of stress – albeit considerably additional so for females than for males. Subjects were asked to assess the level of stressed originated by finishing school and the need of choosing and planning their future. This finding is important once measured up to the share of subjects that has expressed to have already created the call of what to do once they end learning. because it is seen within the graphic (we asked the topics to state if that they had already decided what to try to after school) the best levels of uncertainty are found in year IV. The intersection of those data doesn't seem, however, enough to explain levels of stress, as the high share of students WHO have set ought to cause a major reduction of stress in year V. presumably, stress regarding the post high school alternative is that the nonlinear combination of 2 factors: on one hand, uncertainty concerning the selection, on the opposite hand, the immediacy of the event. Comparison stress levels among subjects that judge robust family support and subjects that judge scant family support there ar vital variations. the topics that judge robust family support seem to register lower average stress levels, concerning their post high school decisions. Furthermore, this type of support appears to scale back stress as the event comes nearer, facilitating the decision-making.
压力不再完全是成年人的问题。出于这个原因,我们在分析中加入了压力。我们向671名平均年龄为16岁零7个月的青少年提交了一份关于压力的调查。这项调查集中在两个完全不同的方面:压力感知和压力原因。另外还提交了家庭支持砖表格。这项研究的最大发现是,38%的样本将自己定义为压力,没有性别相关的变化。认为自己有压力的被试认为是缺乏时间(31%)和过多的承诺(23%)的原因。大多数受访者表示,学校(48%)、家庭(21%)和情感关系(8%)是最大的压力来源。从对公开答案的分析来看,很明显,家庭和教师的期望是缓解压力的最佳途径——尽管对女性的压力比男性要大得多。受试者被要求评估完成学业所带来的压力水平,以及选择和规划未来的需要。这一发现是很重要的,因为研究对象中有一部分人表示,他们已经产生了结束学习后该做什么的想法。因为它是在图形(我们要求主题国家如果他们已经决定放学后去)的最佳水平的不确定性在第四年。这些数据没有交集,然而,不足以解释水平的压力,作为高份额的学生组应该引起压力的主要减少诉大概,关于高中后选择压力的非线性组合2因素:一方面是关于选择的不确定性,另一方面是事件的即时性。比较认为家庭支持充足的受试者和认为家庭支持不足的受试者之间的压力水平存在重大差异。在判断家庭支持是否强大的话题上,他们的平均压力水平似乎较低,这与他们高中毕业后的决定有关。此外,随着事件的临近,这种类型的支持似乎可以减轻压力,促进决策。
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引用次数: 0
m-Health Approaches in Suicide Prevention at the Emergency Department: Some Theoretical and Practical Considerations 急诊部预防自杀的移动健康方法:一些理论和实践考虑
Pub Date : 2018-06-30 DOI: 10.4172/1522-4821.1000401
Riaz Khan, A. Costanza
Emergency Departments (ED) are a critical link in the suicide prevention chain. Indeed, their role is crucial in identifying, admission and clinical management of suicidal patients, as they often serve as an urgent, primary or sole point of contact with the health care system; moreover, they are directly confronted with the high rate of Suicidal Behavior (SB) recidivism amongst suicidal individuals discharged from EDs. However, suicide prevention at EDs appears as underused and needs to be reinforced in its implementation. A particular care has to be addressed to prepare the post-discharge period, in order to limit risk of social isolation and provide support. In this direction, m-Health approaches may offer an integrative contribution to the prevention strategies well-established in literature: a) They may be considered part of the “caring contacts” strategies post-ED, and b) By a personalized programming, their applications may provide a support for “safety planning” interventions, designed to identify and manage vulnerabilities and resources of the individual during the suicidal crisis. They rely on a number of coherent theoretical references and could possibly make it feasible as an original perspective to study SB. Nevertheless, m-Health has to be perceived and utilized merely as a tool, which in any case can substitute clinical evaluation and human presence at the moment of the confrontation with suicidal individual’s distress.
急诊科(ED)是自杀预防链中的关键一环。事实上,他们的作用在自杀患者的识别、入院和临床管理方面至关重要,因为他们往往是与卫生保健系统的紧急、主要或唯一接触点;此外,他们还直接面对急症室出院自杀者的高自杀行为再犯率。然而,急诊室的自杀预防似乎没有得到充分利用,需要在实施中得到加强。必须特别注意为出院后阶段做准备,以限制社会隔离的风险并提供支持。在这个方向上,移动健康方法可以为文献中确立的预防策略提供综合贡献:a)它们可以被视为ed后“关怀联系”策略的一部分;b)通过个性化规划,它们的应用可以为“安全规划”干预提供支持,旨在识别和管理自杀危机期间个人的脆弱性和资源。他们依赖于一些连贯的理论参考,并可能使其作为研究SB的原始视角变得可行。然而,移动健康必须被视为一种工具,在任何情况下,它都可以替代临床评估和人类在面对自杀个体痛苦时的存在。
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引用次数: 2
Alcohol Use Disorder and its Correlates among Health Professionals 卫生专业人员的酒精使用障碍及其相关因素
Pub Date : 2018-06-30 DOI: 10.4172/1522-4821.1000393
B. Asrat
Background: Alcohol is commonly used psychoactive drug particularly among adults. Harmful use of alcohol leads to occupational, social and physical impairment. However, studies on Alcohol Use Disorder (AUD) among Health Professionals (HPs) remains limited in Ethiopia. Objective: This study aimed to determine prevalence of AUD and to identify its risk factors among HPs working in tertiary teaching hospital, Southwest Ethiopia. Methods: In this study, facility based cross-sectional study design was employed. Pretested, structured, self-administered questionnaire was utilized to collect data. The CAGE instrument was used to screen HPs for AUD. The data were coded, cleaned and analyzed by using SPSS version 16 software program. Variables with p-value <0.05 at multivariate logistic regression were identified to know the risk factors for AUD. Result: Off the total participants (n=334), 41.7% and 34.4% were ever and current users of alcohol respectively. Prevalence of AUD was 8.1%. Eighteen percent of current alcohol users felt the need to cut down. Few of them (5.1%) had the need of alcohol in the morning as an eye opener. The main reason given by participants for alcohol use was “to get relief from stress and exhaustion” (26.1%) followed by “peer pressure” (18.3%), and “for relaxation” (17.4%). Based on the results the results of this study, the odds of AUD were lower among those with higher education, no psychological distress, and no current khat use among HPs in Northwest Ethiopia. Conclusion: HPs identified to have prevalence of AUD the same to the general population. Prevention, treatment, and rehabilitation of AUD find to be crucial. Addressing enabling factors found to be important in this era of alcohol beverage promotions by companies.
背景:酒精是一种常用的精神药物,尤其是在成年人中。有害使用酒精会导致职业、社会和身体损害。然而,在埃塞俄比亚,对卫生专业人员中酒精使用障碍(AUD)的研究仍然有限。目的:本研究旨在确定在埃塞俄比亚西南部三级教学医院工作的医务人员的AUD患病率,并确定其危险因素。方法:本研究采用基于设施的横断面研究设计。采用预测、结构化、自我管理的问卷收集数据。使用CAGE仪器筛选hp是否为AUD。采用SPSS 16版软件程序对数据进行编码、清洗和分析。通过多变量logistic回归识别p值<0.05的变量,了解AUD的危险因素。结果:在所有参与者(n=334)中,41.7%和34.4%分别是曾经和现在的酒精使用者。AUD患病率为8.1%。目前有18%的饮酒者认为有必要减少饮酒量。只有少数人(5.1%)需要在早上喝点酒来提神。受访者表示饮酒的主要原因是“缓解压力和疲惫”(26.1%),其次是“同辈压力”(18.3%)和“放松”(17.4%)。根据本研究的结果,在埃塞俄比亚西北部,受过高等教育、没有心理困扰和目前不使用阿拉伯茶的hp中,AUD的几率较低。结论:HPs的AUD患病率与一般人群相同。AUD的预防、治疗和康复至关重要。解决在这个酒精饮料公司促销的时代发现的重要促成因素。
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引用次数: 0
Therapeutic Reprocessing of Association of Memories (TRAM) 治疗性记忆关联再加工(TRAM)
Pub Date : 2018-06-30 DOI: 10.4172/1522-4821.1000396
K. Das
Therapeutic reprocessing of association of memories (TRAM) is a treatment approach for phobia and other emotional disorders based upon proposed ‘Emotion Model’ by Das. This article describes the theoretical guidelines of TRAM for the effective treatment of phobia. Currently ‘desensitization’ and ‘flooding’ are in vogue treatment modalities for the treatment of phobia. Therapeutic reprocessing of association of memories can add a new dimension for the treatment of ‘phobia’. Though the treatment strategy of TRAM has been described here basing on ‘phobia’, TRAM could be extended to further areas of psychotherapeutic treatment, treating other emotional imbalances also. The strategy of TRAM is founded on two fundamental theories-theories of associative learning and the new emotion model. The design of this study aims at rational analysis and logical way of approaches for the treatment of phobia and other emotional difficulties. This treatment modality is simple, more patient compatible and cost-effective, but involves application of some innovative interventions on the part of the therapists.
记忆关联的治疗性再加工(TRAM)是一种基于Das提出的“情绪模型”的恐惧症和其他情绪障碍的治疗方法。本文介绍了TRAM有效治疗恐惧症的理论指导。目前,“脱敏”和“洪水”是治疗恐惧症的流行治疗方式。记忆关联的治疗性再加工可以为“恐惧症”的治疗增加一个新的维度。虽然TRAM的治疗策略已经在这里描述了基于“恐惧症”,但TRAM可以扩展到心理治疗的进一步领域,也可以治疗其他情绪失衡。联想学习策略建立在联想学习理论和新情绪模型两个基本理论的基础上。本研究的设计目的在于为恐惧症及其他情绪障碍的治疗提供理性分析和逻辑途径。这种治疗方式简单,更适合患者,成本效益高,但涉及到一些创新干预的应用在治疗师的一部分。
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引用次数: 2
Positive and Negative Affect, Anxiety, and Academic Achievement among Medical Students in Saudi Arabia 沙特阿拉伯医学生的积极和消极影响、焦虑和学业成绩
Pub Date : 2018-06-30 DOI: 10.4172/1522-4821.1000397
A. Alkhalaf
Several studies have proven that an individual’s psychological well-being is an essential element of his or her health. Stress and anxiety both play roles in the overall functioning of the individual. They have been shown to have powerful influence on students and their overall academic achievement and performance in their courses. In the present study, we sought to evaluate the effects of anxiety on the academic performance of medical students. The study participants were 185 male medical students in the faculty of medicine at Al Baha University, Saudi Arabia, and in age range from 19 to 25 years (M = 21.6 ± 1.7 years). To investigate students’ experiences of positive and negative affect and also their anxiety levels, the Positive and Negative Affect Schedule (PANAS) and the Taylor Manifest Anxiety Scale (TMAS) were administered to medical students and correlation of the PANAS and TMAS measures with Grade Point Average (GPA) was performed. The present study findings revealed that the association of positive affect (p = 0.016) of PANAS is significantly and strongly related to GPA in Saudi medical students, whereas negative affect and the TMAS were not, suggesting that the positive affect component of PANAS enhances the grade performance. To confirm and establish these results, future studies including both males and females with various economic backgrounds are recommended.
一些研究已经证明,一个人的心理健康是他或她健康的一个基本要素。压力和焦虑都在个体的整体功能中发挥作用。他们已经被证明对学生及其在课程中的整体学术成就和表现有强大的影响。在本研究中,我们试图评估焦虑对医学生学业成绩的影响。研究对象为沙特阿拉伯Al Baha大学医学院的185名男性医科学生,年龄19 ~ 25岁(M = 21.6±1.7岁)。为了解医学生的积极和消极情绪体验及焦虑水平,采用积极和消极情绪量表(PANAS)和泰勒焦虑表量表(TMAS)对医学生进行调查,并对PANAS和TMAS的测量结果与平均绩点(GPA)进行相关性分析。本研究结果显示,PANAS的积极情绪与沙特医学生的GPA呈显著强相关(p = 0.016),而消极情绪与TMAS的相关性不显著,表明PANAS的积极情绪成分对学业成绩有促进作用。为了证实和确立这些结果,未来的研究建议包括不同经济背景的男性和女性。
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引用次数: 10
A Token Economy: An Approach used for Behaviour Modifications among Disruptive Primary School Children 代币经济:一种用于破坏性小学生行为改变的方法
Pub Date : 2018-06-30 DOI: 10.4172/1522-4821.1000398
Samantha Shakespeare, V. Peterkin, P. Bourne
Introduction: For decades, academic and non-academic researchers have been examining the issue of school-based violence, especially disruptive behaviour exhibited by students including those at the primary level. Despite the plethora of studies and intervention programmes implemented in school including Peace and Love in Schools (PALS), bullying, physical confrontations, and other types of disruptive behaviours are on the rise, and there appears to be no ending in sight. Objective: This research seeks to examine and determine the impact that the token economy system as a behaviour modifier has on disruptive behaviour in classrooms among a group of primary level students in the parish of Manchester, Jamaica. Methods: This study employed mixed methodologies (i.e. objectivism (survey research) and subjectivism (phenomenology) in an effort to comprehensively understand the phenomenon. The sample size is 40 students; 21 girls and 19 boys, and the classroom teacher. These students exhibited behaviours which disrupted the teaching and learning process. This has created a problem within our classrooms. In order to alleviate this problem an eight weeks’ intervention plan was carried out. During this intervention plan an observational checklist, a teacher’s questionnaire and a teacher’s journal were used to collect data. The results were presented to show a review of the use of the token economy in the school environment using figures, tables, and charts. Findings: The results revealed that students’ behavioural levels after the intervention showed evidence that the use of tokens in minimizing disruptive behaviour was very effective. Fewer warnings were given and more time was spent instructing students to participate in meaningful class activities. This resulted because disruptive behaviour such as frequent requests for bathroom breaks decreased to 23%, disorderly conduct decreased to 40%, fighting levels decreased to 5%, talking in the class decreased to 40%, joking in the class decreased to 10%, quarreling in the class decreased to 13% and eating in the class stopped completely. The use of the tokens also had a positive impact on the students’ academic performance, and helped in creating a more positive relationship between students and teacher and student and student. This resulted because the levels of disruptive behaviours decreased which allowed for the transformation from a tense and hostile classroom; to a classroom where students have more chances to freely express themselves and receive feedback. It can be deduced from the results that the extensive implementation and evaluation of the use of the token economy was an effective way of decreasing disruptive behaviours among a group of primary school students in the classroom. Conclusion: The use of token economy should be a strategy that is employed in the teaching-learning process as a medium of increasing academic performance and decreasing disruptive behaviours.
导言:几十年来,学术界和非学术界的研究人员一直在研究校园暴力问题,特别是包括小学生在内的学生表现出的破坏性行为。尽管在学校实施了大量的研究和干预方案,包括“校园和平与爱”(PALS),但欺凌、身体对抗和其他类型的破坏性行为正在上升,而且似乎看不到尽头。目的:本研究旨在研究和确定代币经济系统作为行为调节剂对牙买加曼彻斯特教区一组小学生课堂上的破坏性行为的影响。方法:采用客观主义(调查研究)和主观主义(现象学)相结合的研究方法,全面了解这一现象。样本量为40名学生;21个女生,19个男生,还有一个班主任。这些学生表现出扰乱教学过程的行为。这在我们的教室里造成了一个问题。为了缓解这一问题,实施了一项为期八周的干预计划。在此干预计划中,使用观察性检查表、教师问卷和教师日记来收集数据。结果显示,使用数字、表格和图表对学校环境中代币经济的使用进行了回顾。结果显示,干预后学生的行为水平表明,使用代币来减少破坏性行为是非常有效的。更少的警告和更多的时间用来指导学生参加有意义的课堂活动。这是因为经常要求上厕所等破坏性行为减少到23%,行为不检减少到40%,打架减少到5%,课堂上说话减少到40%,课堂上开玩笑减少到10%,课堂上争吵减少到13%,课堂上吃东西完全停止了。代币的使用也对学生的学习成绩产生了积极影响,并有助于在学生与老师、学生与学生之间建立更积极的关系。这是因为破坏性行为的水平降低了,这使得紧张和敌对的课堂得以转变;到一个学生有更多机会自由表达自己并得到反馈的教室。从结果可以推断,广泛实施和评估代币经济的使用是减少课堂上一群小学生破坏性行为的有效方法。结论:使用代币经济应该是一种在教学过程中采用的策略,作为提高学习成绩和减少破坏性行为的媒介。
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引用次数: 5
Toward More Objective Measures in Psychiatry 迈向精神病学更客观的测量
Pub Date : 2018-03-30 DOI: 10.4172/1522-4821.1000e387
J. P. Kelleher
The National Institute of Mental Health (NIMH) Director, Joshua A. Gordon, has emphasized the need for biomarkers in psychiatry (Gordon, 2018). A biomarker is an objective biological finding associated with a disease. The advantages of such indicators are obvious-a biomarker provides a clue to addressing underlying pathology. For example, in Alzheimer’s disease, beta amyloid plaques and tau neurofibrillary tangles constitute specific foci for research, and accumulation of these substances in asymptomatic individuals may have predictive value (National Institute of Health, 2018). Considering this, it is not surprising that Alzheimer’s disease is currently one of the leading neuroscience conditions for research investment (Sperling, et al., 2014). Other examples of biomarkers are found in depression, where one “Biotype” was recently associated with better response to transcranial magnetic stimulation (Drysdale, et al., 2017) and where the cingulate cortex was associated with a differential response to medication and psychotherapy (Dunlop, et al., 2017).
美国国家精神卫生研究所(NIMH)主任约书亚·a·戈登(Joshua A. Gordon)强调了精神病学中生物标志物的必要性(Gordon, 2018)。生物标志物是与疾病相关的客观生物学发现。这些指标的优势是显而易见的——生物标志物提供了解决潜在病理的线索。例如,在阿尔茨海默病中,β淀粉样蛋白斑块和tau神经原纤维缠结是研究的特定焦点,这些物质在无症状个体中的积累可能具有预测价值(美国国立卫生研究院,2018)。考虑到这一点,阿尔茨海默病目前是研究投资的主要神经科学条件之一也就不足为奇了(Sperling, et al., 2014)。在抑郁症中发现了其他生物标志物的例子,其中一种“生物型”最近与对经颅磁刺激的更好反应有关(Drysdale等人,2017),扣带皮层与对药物和心理治疗的不同反应有关(Dunlop等人,2017)。
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引用次数: 0
期刊
International Journal of Emergency Mental Health and Human Resilience
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