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Mental Health Pakistan: Optimizing Brains 巴基斯坦心理健康:优化大脑
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000160
I. Ansari
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引用次数: 9
The SIX Cs model for Immediate Cognitive Psychological First Aid: From Helplessness to Active Efficient Coping 即时认知心理急救的6c模型:从无助到主动有效应对
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000395
M. Farchi, Miriam Ben Hirsch-Gornemann, A. Whiteson, Y. Gidron
Acute stress reactions immediately after exposure to trauma or crisis have received growing attention in recent years and are gaining momentum in light of recent mass traumatic events worldwide including conflicts, terrorist attacks and natural disasters. Unlike routine life, traumatic or emergency situations are unexpected and unstructured events. Early helping responses in these situations is of utmost importance: immediate, focused and efficient interventions are beneficial for the reduction of acute stress reactions and a return to normal functioning as well as decreasing the risk for future onset of post-traumatic stress disorder symptoms. However, many early efforts were either found to be ineffective or are based on narrative expression and empathy alone. The aim of this paper is to present the SIX Cs model - a new psychological first aid approach - immediate cognitive-functional psychological first aid - for the global nonprofessional community as well as for first responders. The model addresses the need to standardize interventions during an Acute Stress Reaction and intends to help shift the person from helplessness & passiveness into active effective functioning, within minutes, in the immediate aftermath of a perceived traumatic event. The model is based on four theoretical and empirically tested concepts: (1) Hardiness, (2) Sense of Coherence, (3) Self-Efficacy, and (4) on the Neuro-psychology of the stress response, focusing on shifting people from a limbic system hyperactivity to a prefrontal cortex activation during stressful events. Preliminary results on the effectiveness of the SIX Cs model in terms of increasing resiliency, reducing anxiety and improving perceived self-efficacy are presented. To date, this approach has been recognized by the Israeli Ministry of Health as the Israeli national model for psychological first aid.
近年来,在遭受创伤或危机后立即发生的急性应激反应受到越来越多的关注,鉴于最近世界范围内的大规模创伤事件,包括冲突、恐怖袭击和自然灾害,急性应激反应的势头正在增强。与日常生活不同,创伤或紧急情况是意外和非结构化的事件。在这些情况下,早期帮助反应是至关重要的:立即、重点突出和有效的干预有利于减少急性应激反应和恢复正常功能,并降低未来出现创伤后应激障碍症状的风险。然而,许多早期的努力要么被发现是无效的,要么仅仅基于叙事表达和同理心。本文的目的是为全球非专业社区和急救人员提供一种新的心理急救方法——即时认知功能心理急救。该模型解决了在急性应激反应期间标准化干预的需要,并打算在几分钟内,在感知创伤事件的直接后果中,帮助人们从无助和被动转变为积极有效的功能。该模型基于四个理论和经验验证的概念:(1)耐受性,(2)连贯性,(3)自我效能,以及(4)压力反应的神经心理学,重点关注人们在压力事件中从边缘系统过度活跃转变为前额叶皮层激活。本文就SIX c模型在增加心理弹性、减少焦虑和提高自我效能感方面的有效性进行了初步研究。迄今为止,这一方法已被以色列卫生部确认为以色列全国心理急救模式。
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引用次数: 26
Effectiveness of Emotion Regulation Training on Reduction of Symptoms in Students with Oppositional Defiant Disorder 情绪调节训练对减轻对立违抗障碍学生症状的效果
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000305
A. Chubdari, Hamid Kargar Barzi, M. Rasuli
The present study has been carried out to explore the effectiveness of Emotion Regulation Training on the oppositional defiant disorder (ODD) symptom reduction among the students of the eighth and ninth grade in the city Tehran. The methodology has been of a quasiexperimental nature with a pretest posttest design and a control group. The statistical population has been composed of the male students of the eighth and ninth grade of the city Tehran in the academic year 2014-2015 and sampling was carried out by the multistage cluster random one. After the Children Symptom Inventory-4 (CSI-4) had been filled in by the teachers, 50 students with the points higher than the cut-off point in CSI-4 were selected and randomly assigned to the experimental and control group. The former group received 10 Emotion Regulation Training in sessions each for 90 minutes after which a posttest was given to them. To analyze the statistical data, a covariance method was applied as a result of which a meaningful reduction (p>0.001) was observed in the posttest intensity of ODD symptoms for the experimental group in comparison to the control one. Given the findings of the study, Emotion Regulation Training is believed to contribute to the reduction of ODD symptoms among the students, rendering it as an effective intervention method.
本研究旨在探讨情绪调节训练对德黑兰市八、九年级学生对立违抗障碍(ODD)症状减轻的效果。该方法具有准实验性质,采用前测后测设计和对照组。统计人群由2014-2015学年德黑兰市八年级和九年级男生组成,采用多阶段整群随机抽样。教师填写《儿童症状量表-4》(CSI-4)后,抽取总分高于CSI-4分点的学生50名,随机分为实验组和对照组。前一组接受了10次情绪调节训练,每次训练90分钟,之后对他们进行后测。采用协方差法对统计数据进行分析,结果发现实验组的ODD症状后测强度较对照组有显著降低(p>0.001)。从研究结果来看,情绪调节训练有助于减轻学生的ODD症状,是一种有效的干预方法。
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引用次数: 1
Counseling Cops: What Clinicians Need to Know-A Book Review 咨询警察:临床医生需要知道的——书评
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000151
Daniel W. Clark
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引用次数: 0
Psychological Correlates of Distress in Rescue 1122 Workers in Pakistan 巴基斯坦1122名救援人员遇险的心理相关因素
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000201
Sahrish Ahmad, T. Arshad, R. Kausar
The present research aimed to explore the psychological correlates of distress in Rescue 1122 workers. Relationship between emotional empathy, coping strategies, compassion fatigue and psychological distress was hypothesized. In addition, it was hypothesized that emotional empathy, coping strategies and compassion fatigue would predict psychological distress. By employing purposive sampling, 150 participants were selected from four Rescue 1122 stations in Lahore. Emotional Empathy Scale (Ashraf, 2004), Coping Strategies Questionnaire (Kausar & Munir, 2004), Compassion Fatigue Short Form (Adam, Figley & Boscarino, 2006) and Depression, Anxiety and Stress Scales (DASS: P. F. Lovibond & S. H. Lovibond, 1993) were used for assessment of the variables. Low tendency to be moved by other people emotional experiences and use of avoidance focused coping were found to predict depression, anxiety and stress. Less utilization of active focused coping was also found to be a predictor of anxiety while high level of burnout emerged as a predictor of stress. From demographics, exposure to traumatic events before joining service, high level of perceived support from workmates predicted depression, anxiety and stress. The research signified that Rescue 1122 administration needs to address these factors contributing towards psychological distress by enhancing training methods and providing psychological support to workers.
本研究旨在探讨1122救援人员的痛苦心理因素。假设情绪共情、应对策略、同情疲劳与心理困扰的关系。此外,我们还假设情感共情、应对策略和同情疲劳对心理困扰有预测作用。采用有目的抽样的方法,从拉合尔的四个Rescue 1122站点中选择了150名参与者。采用情感共情量表(Ashraf, 2004)、应对策略问卷(Kausar & Munir, 2004)、同情疲劳短表(Adam, Figley & Boscarino, 2006)和抑郁、焦虑和压力量表(DASS: P. F. Lovibond & S. H. Lovibond, 1993)对变量进行评估。被他人情感经历所感动的低倾向和使用回避集中应对被发现预示着抑郁、焦虑和压力。研究还发现,较少使用积极专注的应对方式是焦虑的一个预测因素,而高度的倦怠则是压力的一个预测因素。从人口统计数据来看,参军前经历过创伤性事件,高水平的同事支持预示着抑郁,焦虑和压力。研究表明,1122救援管理部门需要通过加强培训方法和提供心理支持来解决这些导致心理困扰的因素。
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引用次数: 7
The Relationship between Narcissism and Problematic Social`Networking Sites (SNS) Use: Mediating Role of Attachment Instability 自恋与问题社交网站使用的关系:依恋不稳定性的中介作用
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000366
W. Lee
Social Networking Sites (SNS) are used by more and more people and have many positive aspects of human life, but they are also causing addiction enough to interfere with everyday life. Especially in Korea, more and more children and adolescents are indulged in SNS, and adults also have many side effects of SNS such as neglect of work, relationship problems, and attention seeking behavior. The purpose of this study was to investigate the relationship between implicit narcissism and social networking services addiction, mediated by attachment instability. The study comprised 185 cyber university students (69 males and 116 females) and the mean age was 40.13 ± 10.66 years. The instruments of collecting data are comprised of Covert Narcissism Scale, Experience of Close Relationship, and Social Networking Service Addiction Tendency. Simple correlation showed that implicit narcissism and attachment instability were highly correlated with SNS addiction. Also, the regression analysis showed that attachment anxiety mediated between implicit narcissism and SNS addiction. The implications and limitations of this study were discussed.
社交网站(SNS)被越来越多的人使用,对人类生活有许多积极的方面,但它们也会导致上瘾,足以干扰日常生活。特别是在韩国,越来越多的儿童和青少年沉迷于SNS,成年人也有许多副作用,如忽视工作、人际关系问题、寻求关注行为等。本研究旨在探讨内隐自恋与社交网络服务成瘾之间的关系,并以依恋不稳定性为中介。研究对象为185名网络大学生(男69名,女116名),平均年龄40.13±10.66岁。收集数据的工具包括隐性自恋量表、亲密关系体验量表和社交网络服务成瘾倾向量表。简单相关分析表明,内隐自恋和依恋不稳定与社交网络成瘾高度相关。回归分析表明,依恋焦虑在内隐自恋与社交网络成瘾之间起中介作用。讨论了本研究的意义和局限性。
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引用次数: 7
Effect of Music Therapy on Stress: Is it Really Effective? 音乐疗法对压力的影响:真的有效吗?
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000192
N. Rahshenas, M. H. Motamedi, Mohammad Sadegh Nazari, K. Nasiri, S. Shahidi
Those with a history of anxiety, depression in the family, tragedy (divorce, recent death of relatives etc.) were excluded. Those who had had music incorporated in their practice for at least a year were assessed and compared with those who had not. Both case (n = 40) and controls (n = 40) were assessed using the DASS-42 questionnaire and the data were analyzed via Mann-Whitney-U test and Chi-square test. It was interesting that significantly more stress (p<0.009), anxiety (p<0.006) and depression (p<0.009) was noted in the control group while no relationship was found between demographic variables. In conclusion, our study findings showed that in our clinical setting, dentists who had relaxing music incorporated in their practice had significantly lower levels of stress, anxiety and depression regardless of age, sex, type of practice, years of practice or other demographic variables. Relaxing music played an essential role in alleviation of stress in practicing dentists. Integrating music in clinical practice may be important to maintaining mental health. Further studies to assess different genera of music on stress, anxiety and depression in dentists are warranted. REFERENCES
那些有焦虑史、家庭抑郁史、悲剧史(离婚、最近亲人去世等)的人被排除在外。研究人员对那些在练习中至少听了一年音乐的人进行了评估,并与没有听音乐的人进行了比较。采用DASS-42问卷对病例(n = 40)和对照组(n = 40)进行评估,采用Mann-Whitney-U检验和卡方检验对数据进行分析。有趣的是,对照组的压力(p<0.009)、焦虑(p<0.006)和抑郁(p<0.009)明显更多,而人口统计学变量之间没有发现任何关系。总之,我们的研究结果表明,在我们的临床环境中,无论年龄、性别、实践类型、实践年限或其他人口统计学变量如何,在实践中融入轻松音乐的牙医的压力、焦虑和抑郁水平都显著降低。放松的音乐在缓解牙医执业压力方面发挥了重要作用。将音乐融入临床实践可能对保持心理健康很重要。进一步研究评估不同类型的音乐对牙医压力、焦虑和抑郁的影响是有必要的。参考文献
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引用次数: 2
New Psychoactive Substances: âÂÂChemical Chameleonsâ That Evade Detection and Legislations 新型精神活性物质:âÂÂChemical ChameleonsâÂÂ逃避检测和立法
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000369
A. Alhassan
Background: New Psychoactive Substances (NPS) and New Emergent Substances (NES), are subversive and withering substances that invaded all communities around the globe without exceptions or immunity. They are being sold as recreational drugs containing synthetically designed substances, despite the tag label states “Not for Humans Use (e.g. bath salts, synthetic cannabinoids)1,2.Objective: The main theme and aim of this paper is to enhance and add to the huge efforts of different international and national organizations, government and law enforcement authorities to combat the spread and highlight the risks and serious implications of these substances on the health of humans and their wellbeing. Method: literature review was undertaken, with especially focus on the published data related to the objective of the paper. Some reference textbooks were also consulted, especially for the information regarding the laboratory techniques. Literature search was conducted using PubMed, EMBASE, PsycInfo, Internet underground and governmental websites using the following keywords alone or in combination: designer drugs, club drugs, party drugs, GHB, synthetic cathinones, mephedrone, methylone, flephedrone, MDAI, and MDVP. Conclusion: These substances pose a global threat that will affect young generations due to the health risks associated with the consumption of these drugs. This phenomenon requires the collaboration between the international organizations, the national reference laboratories, legislation authorities, law enforcement officers and political systems in the different countries to make the necessary plans and measures capable of stopping the production and distribution of these substances.
背景:新精神活性物质(NPS)和新涌现物质(NES)是侵入全球所有社区的颠覆性和枯萎性物质,没有例外或豁免。它们作为含有合成设计物质的娱乐性药物出售,尽管标签上写着“不供人类使用(例如浴盐、合成大麻素)”1,2。目的:本文的主题和目的是加强和增加不同国际和国家组织、政府和执法当局的巨大努力,以打击这些物质的传播,并强调这些物质对人类健康和福祉的风险和严重影响。方法:进行文献综述,特别关注与论文目标相关的已发表数据。还查阅了一些参考教科书,特别是关于实验室技术的信息。利用PubMed、EMBASE、PsycInfo、互联网地下网站和政府网站进行文献检索,单独或联合使用以下关键词:设计毒品、俱乐部毒品、派对毒品、GHB、合成卡西酮、甲氧麻黄酮、甲基甲氧麻黄酮、flephedrone、MDAI、MDVP。结论:这些物质构成全球性威胁,由于与这些药物的消费有关的健康风险将影响到年轻一代。这一现象要求国际组织、国家参考实验室、立法当局、执法官员和不同国家的政治系统之间进行合作,制定能够制止这些物质的生产和分销的必要计划和措施。
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引用次数: 0
The Influence of Organizational Respect on Job Satisfaction in the Human Services: Findings from a New York State Multi-Site Job Satisfaction Cross-Sectional Survey – A Short Commentary 组织尊重对人力服务工作满意度的影响:来自纽约州多地点工作满意度横断面调查的结果-简短评论
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000368
Rivka A. Edery
INTRODUCTION This article is a summary discussing the author’s conceptualized and implemented Master’s research project for: Fordham University Graduate School of Social Service, May 2009: “The influence of organizational respect on job satisfaction in the human services”. The findings from a New York State-based multi-site job satisfaction cross-sectional survey design, drawing from a larger study, which utilized a longitudinal, quasi-experimental design. This research explored the relationship between respect and job satisfaction from a sample of 1,216 of nursing home staff. The following hypothesis has guided this study: respect on the job will be positively related to job satisfaction, when tenure (length of time employed by current employer obtained by Human Resources), site (location of facility), affect (Employee’s personality), and subgroups (professional and paraprofessionals) of nursing home staff, are controlled for.
本文是作者在福特汉姆大学社会服务研究生院2009年5月的硕士研究项目“组织尊重对人类服务工作满意度的影响”的构思和实施的总结。研究结果来自纽约州的多地点工作满意度横断面调查设计,借鉴了一项更大的研究,该研究采用了纵向的准实验设计。本研究以1216名疗养院员工为样本,探讨尊重与工作满意度之间的关系。以下假设指导了本研究:当疗养院工作人员的任期(人力资源获得的当前雇主雇用的时间长度),地点(设施位置),影响(员工的个性)和子群体(专业人员和准专业人员)被控制时,工作上的尊重将与工作满意度呈正相关。
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引用次数: 2
Role of Amisulpride Augmentation in Treatment Resistant Major Depressive Disorder: An Open Label Study from North India 阿米硫pride在治疗难治性重度抑郁症中的作用:一项来自北印度的开放标签研究
Pub Date : 1900-01-01 DOI: 10.4172/1522-4821.1000209
M. Dar, R. Wani, M. Margoob, I. Haq, A. Hussain, R. Chandel, Y. Rather, M. Shah, A. Malla
Background: About 60% patients with major depressive disorder do not achieve a sufficient response to standard antidepressant therapy and about two-thirds of patients receiving initial antidepressant medication do not achieve remission. Various strategies are being employed to counter this problem. Studies have shown that atypical antipsychotics, augmented to antidepressants for major depressive disorder patients, produced higher response and remission rates. The data regarding the augmentation of antidepressants with amisulpride is very scarce as compared to other atypical antipsychotics. Objective: To evaluate whether augmentation with amisulpride is effective and tolerable in patients of major depressive disorder (MDD) who did not respond significantly to adequate trials of standard antidepressants. Methodology and Results: In our open label 6 weeks study, amisulpride was added to baseline antidepressant medication of treatment resistant patients of major depressive disorder. A total of 112 patients enrolled in the study with a mean age of 39.37 years out of which 83% completed the study. Over a period of 6 weeks, 71% patient showed response and 40% patient remitted (p<0.001) with a mean amisulpride dose of 135.31 mg/day. The mean decrease in HAM-D17 score was 16.17 points. There was more than 2 point change in mean CGI-S score from base line to endpoint. Common adverse effects were akathisia (4.64%), sleep disturbances (10.71%), restlessness (5.36%) and extrapyramydial side-effects (4.64%). Conclusion: Augmentation of antidepressant drugs with low doses of amisulpride seems to be effective and tolerable in patients of major depressive disorder who do not respond adequately to standard antidepressant medications.
背景:大约60%的重度抑郁症患者对标准抗抑郁治疗没有达到充分的反应,大约三分之二的患者接受最初的抗抑郁药物治疗没有达到缓解。正在采用各种策略来解决这个问题。研究表明,非典型抗精神病药物,增加抗抑郁药对重度抑郁症患者,产生更高的反应和缓解率。与其他非典型抗精神病药相比,关于阿米硫pride增强抗抑郁药的数据非常少。目的:评估对标准抗抑郁药试验无显著反应的重度抑郁症(MDD)患者阿米硫pride增强治疗是否有效和可耐受。方法和结果:在我们为期6周的开放标签研究中,阿米硫pride被添加到重度抑郁症治疗抵抗患者的基线抗抑郁药物中。共有112名患者入组,平均年龄为39.37岁,其中83%完成了研究。在6周的时间里,71%的患者表现出缓解,40%的患者缓解(p<0.001),平均阿米硫pride剂量为135.31 mg/天。HAM-D17评分平均下降16.17分。从基线到终点,平均CGI-S评分变化超过2点。常见不良反应为静坐障碍(4.64%)、睡眠障碍(10.71%)、烦躁不安(5.36%)和锥体外系副作用(4.64%)。结论:对于对标准抗抑郁药物反应不充分的重度抑郁症患者,低剂量阿米硫pride增加抗抑郁药物似乎是有效和可耐受的。
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引用次数: 1
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International Journal of Emergency Mental Health and Human Resilience
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