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A Narrative Review on Dialectical Behavior Therapy for Patients with Depressive Difficulties 抑郁困难患者辩证行为治疗述评
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-20 DOI: 10.2174/2666082218666211220153312
A. K. Saini, P. Wal, A. Wal, R. Pal, Om Prakash Verma
Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy (CBT) that was earlier intended to treat only patients with borderline personality disorder (BPD), but researchers have found DBT to treat several psychological disorders, including depression.The article aims to review the clinical shreds of evidence regarding the use of DBT to treat depression.PubMed literature search was done by applying the year filter range, 2010 to 2021. Another filter applied was "Randomized controlled trial", so that the strength of evidence could be enhanced. The keywords used were "Dialectical Behavior Therapy" AND "Depression 33 articles were found, out of which only 20 relevant articles were reviewed. DBT was found to alleviate depressive symptoms associated with different psychological disorders like bipolar disorder and BPD but the number of studies that validated the afore-mentioned were less than those studies which showed that DBT had no significant effect on the patients with depressive difficulties. The long-term effect of DBT for treating depression is under a suspect, as studies showed DBT got ineffective during the follow-ups DBT shows benefits in depression but further studies are still required to validate this concretely as DBT did not show a significant effect when compared to its control counterparts. There is much need for future studies which can evaluate the long-term efficacy of DBT in depression is another challenging area because follow-up data did not favor DBT.
辩证行为疗法(DBT)是认知行为疗法(CBT)的一种,早期仅用于治疗边缘型人格障碍(BPD)患者,但研究人员发现DBT可以治疗包括抑郁症在内的几种心理障碍。本文旨在回顾有关使用DBT治疗抑郁症的临床证据。PubMed文献检索通过使用年份筛选范围(2010年至2021年)完成。另一个过滤器是“随机对照试验”,这样可以增强证据的强度。关键词为“辩证行为疗法”和“抑郁症”,共检索到33篇文章,其中仅有20篇相关文章被审阅。发现DBT可以缓解双相情感障碍和BPD等不同心理障碍患者的抑郁症状,但证实上述观点的研究数量少于证实DBT对抑郁困难患者无显著影响的研究。DBT治疗抑郁症的长期效果令人怀疑,因为研究表明DBT在随访期间无效。DBT对抑郁症有好处,但仍需要进一步的研究来具体验证,因为DBT与对照组相比没有显示出显著的效果。由于随访数据不支持DBT治疗,因此需要进一步的研究来评估DBT治疗抑郁症的长期疗效是另一个具有挑战性的领域。
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引用次数: 0
Internet Addiction, Depression and Relation with Academic Failure in Students of Allied Medical Sciences, Semnan, Iran 伊朗塞姆南联合医学专业学生网络成瘾、抑郁及其与学业失败的关系
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-13 DOI: 10.2174/2666082217666211213154729
Mohadese Saffari, Milad Salaj Mahmoudi, Ehsan Razyani, Mina Shayestefar
Internet addiction, which is a result of increasing inevitable use of the Internet and smart phones, causes discomfort and serious social and occupational problems, consequently that can lead to some mental disorders such as depression. On the other hand, depression and Internet addiction are factors affecting students' academic performance.This study aimed to investigate Internet addiction, depression and their relation with academic failure in students of Semnan Allied Medical Sciences.In this cross-sectional study, all students who were in the 3rd and higher semesters were examined. Three questionnaires (demographic, Beck Depression Inventory, and the Internet Addiction Test by Young) were used. The academic failure was assessed using the student's grade point average in the previous 3 semesters. Collected data was analyzed through descriptive and inferential statistics methods at significance level of 0.05.170 students participated in this study. The correlation between depression and grade point average changes was negative (r=-0.19) and significant (p=0.01). Moreover, a positive (r=0.39) and significant (p=0.01) correlation was observed between depression and Internet addiction scores. Binary logistic regression analysis also indicated that students' depression score (P=0.04, OR1.04, CI 95%=1-1.08) and sex (P=0.008, OR=0.37, CI 95% = 0.17-0.77) can predict academic failure.Due to the observation of Internet addiction and depression in the students and effects of these disorders on their academic performance, it is necessary to educate students and families, identify risk factors and provide solutions to deal with it.
网络成瘾是越来越多不可避免地使用互联网和智能手机的结果,会引起不适以及严重的社会和职业问题,从而导致一些精神障碍,如抑郁症。另一方面,抑郁和网络成瘾是影响学生学习成绩的因素。本研究旨在调查Semnan Allied Medical Sciences学生的网络成瘾、抑郁及其与学业失败的关系。使用了三份问卷(人口学、Beck抑郁量表和Young的网络成瘾测试)。使用学生前3个学期的平均成绩来评估学业失败。通过描述性和推断统计学方法对收集的数据进行分析,显著性水平为0.05.170。抑郁与平均绩点变化呈负相关(r=-0.19)和显著相关(p=0.01),抑郁与网络成瘾评分呈正相关(r=0.39)和极显著相关(p=0.01)。二元逻辑回归分析还表明,学生的抑郁评分(P=0.04,OR1.04,CI 95%CI 1-1.08)和性别(P=0.008,OR=0.37,CI 95%CI=0.17-0.77)可以预测学业失败。鉴于对学生网络成瘾和抑郁的观察,以及这些障碍对他们学习成绩的影响,有必要教育学生和家庭,识别风险因素并提供应对方案。
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引用次数: 0
Evaluation of Childbirth Self-Efficacy in Pregnant Women with Variables: A Systematic Review and Meta-Analysis 孕妇分娩自我效能感的变量评价:系统回顾与meta分析
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-10 DOI: 10.2174/2666082217666211210102459
Ayse Deliktas Demirci, Merve Kochan, Kamile Kabukçuoğlu
The present study aims to examine childbirth self-efficacy levels with potential moderating variables. The systematic searches were conducted in nine databases in July 2019. The PRISMA checklist was used. The quality of studies was evaluated by two researchers. The random-effect model was used in the present meta-analysis. The heterogeneity tests and moderator analyses were performed. There were 18 eligible articles. Results indicated that childbirth self-efficacy levels do not change based on parity (Q=0.784, p=0.376 for efficacy expectancy, Q=0.190, p=0.663 for outcome expectancy). The between-study variance was not significant for subdimensions of CBSEI (Qb = 1.531, p = .216), which means no significant difference between OE and EE levels was found. The between-study variance was not significant for OE levels (Qb = 0.333, p = .847), which means no significant difference was found between Outcome-AL, Outcome-SS, and OE-16. The moderator analysis, including Efficacy-AL, Efficacy-SS, and EE-16 presented a higher pooled mean score for EE-16 (111.56; 95% CI = 98.66 to 124.46). However, the between-study variance was not significant for EE levels (Qb = 4.240, p = .120). Despite the moderator analysis, the finding of high heterogeneity suggests the need for further studies which examine the concept of childbirth self-efficacy with additional variables. The study presents that childbirth self-efficacy levels do not change based on parity, stages of labor and subdimensions of CBSEI. Researchers need to examine the concept of childbirth self-efficacy with new variables for further clarify of concept.
本研究旨在检验具有潜在调节变量的分娩自我效能水平。系统搜索于2019年7月在9个数据库中进行。使用PRISMA检查表。两名研究人员对研究质量进行了评估。本荟萃分析采用随机效应模型。进行了异质性测试和慢化剂分析。共有18篇符合条件的文章。结果表明,分娩自我效能水平不会因产次而改变(预期疗效Q=0.784,p=0.376,预期结果Q=0.190,p=0.663)。CBSEI亚维度的研究间方差不显著(Qb=1.531,p=.216),这意味着OE和EE水平之间没有发现显著差异。OE水平的研究间方差不显著(Qb=0.33,p=.847),这意味着结果AL、结果SS和OE-16之间没有发现显著差异。包括疗效AL、疗效SS和EE-16在内的调节因子分析显示,EE-16的合并平均分更高(111.56;95%CI=98.66至124.46)。然而,研究之间的EE水平方差并不显著(Qb=4.40,p=.120)。尽管进行了调节因子分析,高度异质性的发现表明,有必要进一步研究生育自我效能感的概念与其他变量。研究表明,分娩自我效能水平不会因性别、分娩阶段和CBSEI的子维度而改变。研究人员需要用新的变量来检验分娩自我效能感的概念,以进一步阐明这一概念。
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引用次数: 1
The Experience of Depression Relapse among Adult Thai Patients with Depressive Disorder: A Qualitative Study 泰国成年抑郁症患者抑郁症复发经历的定性研究
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-10 DOI: 10.2174/2666082217666211210101653
Kasorn Muijeen, Rangsiman Soonthornchaiya, H. Butcher
Depressive disorder is a disease with widespread incidence and has shown an annual increase, while depression relapse is also rising continually due to multiple causes. In Thailand, although many studies have been conducted to prevent depression incidence and relapse, there is little known about the meaning of depression relapse in adult Thai patients. An exploration of the direct experiences of adult Thai patients seems a suitable way to gather data for a care system development.The objective of this study is to describe the perceptions of adult Thai patients concerning their experience of depression relapse and its management among adult patients with depressive disorder in the Thai context. This research is a qualitative study using the directed content analysis approach. In-depth interviews with 20 adult Thai patients with depressive disorders that had direct experience with depression relapse were the data collection method used in this study. The interviews allowed the participants to talk about their experiences with depression relapse and how to manage depressive symptoms; the interviews lasted approximately 60 minutes. Two themes emerged from the study. First, the experience of depression relapse is the feeling of something pulling away from happiness. Second, managing depression relapse.Depression relapse among adult Thai patients with depressive disorder is an experience causing patients to feel that they are losing their happiness again. Care and management of depression relapse by each patient differ, despite being in the same social contexts. Therefore, depression relapse risk assessment is important in the care of each patient in order to design more effective care.
抑郁症是一种发病率普遍且呈逐年上升趋势的疾病,但由于多种原因,抑郁症复发率也在不断上升。在泰国,尽管已经进行了许多研究来预防抑郁症的发生和复发,但对泰国成年患者抑郁症复发的意义知之甚少。探索泰国成年患者的直接经历似乎是为护理系统开发收集数据的合适方式。本研究的目的是描述泰国成年患者对其抑郁症复发经历的看法,以及在泰国背景下抑郁症成年患者对抑郁症复发的处理。本研究采用定向内容分析法进行定性研究。本研究采用的数据收集方法是对20名直接经历过抑郁症复发的泰国成年抑郁症患者进行深度访谈。访谈让参与者谈论他们的抑郁症复发经历以及如何应对抑郁症状;采访持续了大约60分钟。研究中出现了两个主题。首先,抑郁症复发的经历是一种从幸福中抽离的感觉。第二,控制抑郁症复发。泰国成年抑郁症患者的抑郁症复发是一种让患者感到自己再次失去快乐的经历。尽管处于相同的社会环境中,但每个患者对抑郁症复发的护理和管理各不相同。因此,抑郁症复发风险评估在每个患者的护理中都很重要,以便设计更有效的护理。
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引用次数: 0
Quality of Life in Family Caregivers of Patients with Schizophrenia: A Narrative Review 精神分裂症患者家庭照顾者的生活质量:叙述性回顾
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-10 DOI: 10.2174/2666082217666211210102029
Jes Sebastian Völker, I. Micluția
Care for schizophrenia patients over the past few decades has shifted from inpatient treatment in mental institutions towards outpatient treatment options. While this has the potential to allow patients a more regular life with the ability to work and socialize, it has increased the burden on family caregivers. This state-of-the-art narrative review summarizes the most important factors, besides the clinical symptoms of schizophrenia, that impact the quality of life of caregivers negatively. These factors include the impact of the disease on household income and socioeconomic status, anxiety, stigma, negative changes in family dynamics as well as an overall reduction of social and family contacts.
在过去的几十年里,对精神分裂症患者的治疗已经从精神病院的住院治疗转向了门诊治疗。虽然这有可能使患者有更正常的生活,有能力工作和社交,但它增加了家庭照顾者的负担。这一最先进的叙事回顾总结了最重要的因素,除了精神分裂症的临床症状,影响生活质量的照顾者的负面影响。这些因素包括疾病对家庭收入和社会经济地位的影响、焦虑、耻辱、家庭动态的负面变化以及社会和家庭接触的总体减少。
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引用次数: 1
Patterns of Service Use and Behavioral Health Profile of Children Placed in Out-of-Home Care 寄养儿童的服务使用模式和行为健康状况
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.2174/2666082217666211207101624
S. Yampolskaya, Roxann McNeish, Quynh Tran
This study focused on describing profiles of children placed in out-of-home care. Research has shown that children placed in out-of-home care have numerous problems related to trauma associated with child maltreatment and behavioral health. However, they often do not receive adequate care. Prior research suggested that to improve outcomes for these children it is essential to address co-occurring problems and tailor services to their individual needs. This, however, can be a serious challenge to service providers due to the lack of information about behavioral health profiles and maltreatment histories as well as patterns of service use. Objective: The aim of this study was to identify subgroups of children with similar mental health profiles and examine service use patterns amongst these groups. Latent class analysis (LCA) was used to describe the profile of children with similar behavioral health characteristics and service patterns. Two distinct groups were identified: Children with Multiple Needs and Children in Families with Complex Needs. Children with Multiple Needs had a much higher rate of mental health diagnoses, caregiver loss, a higher number of emergency room visits for behavioral health reasons, and spending substantially more days in inpatient psychiatric care. Children in Families with Complex Needs had a much higher probability of experiencing neglect, having parents with substance abuse problems, and having a history of domestic violence. These findings suggest that Children with Multiple Needs represent the most vulnerable population and specific strategies should be developed to address co-occurring needs of these children by utilizing community-based services and the least restrictive settings. Implications of the findings are discussed.
这项研究的重点是描述在家庭外照顾的儿童的概况。研究表明,接受家庭外照料的儿童有许多与儿童虐待和行为健康相关的创伤问题。然而,他们往往得不到足够的照顾。先前的研究表明,为了改善这些儿童的结果,解决共同出现的问题并根据他们的个人需求量身定制服务是至关重要的。然而,由于缺乏有关行为健康概况和虐待史以及服务使用模式的信息,这可能对服务提供者构成严重挑战。目的:本研究的目的是确定具有相似心理健康状况的儿童亚群体,并检查这些群体中的服务使用模式。使用潜类分析(LCA)描述具有相似行为健康特征和服务模式的儿童的概况。研究确定了两个不同的群体:多重需求儿童和复杂需求家庭中的儿童。有多种需求的儿童有更高的心理健康诊断率、失去照顾者的比率、因行为健康原因而去急诊室的次数更高,而且在精神科住院治疗的时间也更长。有复杂需求家庭的孩子更有可能被忽视,父母有药物滥用问题,有家庭暴力史。这些发现表明,有多重需要的儿童是最脆弱的群体,应制定具体战略,通过利用社区服务和限制最少的环境来解决这些儿童同时出现的需要。讨论了研究结果的含义。
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引用次数: 0
Association Between Structural Determinants of Health and Posttraumatic Stress Symptoms during the COVID-19 Pandemic COVID-19大流行期间健康结构性决定因素与创伤后应激症状之间的关系
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-12-07 DOI: 10.2174/2666082217666211207102342
Z. Mahmoodi, Kian Javadi Koshesh, Ghaffar Almasi, S. Pournajaf, H. Rastad, Nooshin Ghavidel
Psychological problems, such as post-traumatic stress symptoms (PTSS), are among the most important complications associated with the COVID-19 pandemic in people. Studying the social determinants of health (SDH) and its impact on the populations during the crisis will help governments deal better with health emergencies so that every person can have an equal opportunity to stay healthy.To determine what factors affect PTSS, we conducted a study to investigate the association between structural determinants of health and PTSS during the COVID-19 pandemic.We conducted a cross-sectional study on 370 people referred to a selected laboratory between June and July 2020 in Karaj province, Iran. Post-traumatic stress disorder (PTSD) 8-item inventory was used to evaluate the PTSS and its subscales, including intrusion, avoidance, and hypervigilance in the participants. Overall, 51.2% of participants were male, and 17.3% were positive for the IgM or IgG COVID-19 test. The most common symptoms in these patients were weakness, myalgia, cough, anosmia, and fever. The prevalence of total PTSS, intrusion, avoidance, and hypervigilance symptoms were 7.1%, 25.7%, 41.6%, and 16.2%, respectively. In univariable regression analysis, female gender (p-value=0.01, 95%CI (2.25-0.31)), un-employment (p-value=0.011, 95%CI (0.37-2.81)), having symptoms of COVID-19 disease (p-value=0.000, 95%CI (.82-2.75)), underlying chronic disease, were directly associated with PTSS. Results showed that sex and occupation as structural determinants of health could affect PTSS in the COVID-19 pandemic. However, in the multivariable model, having symptoms of the COVID-19 disease and underlying disease affected PTSS.
心理问题,如创伤后应激症状(PTSS),是与新冠肺炎大流行相关的最重要的并发症之一。研究健康的社会决定因素及其在危机期间对人口的影响,将有助于政府更好地应对突发卫生事件,使每个人都有平等的机会保持健康。为了确定哪些因素影响PTSS,我们进行了一项研究,以调查新冠肺炎大流行期间健康的结构性决定因素与PTSS之间的关联。我们在2020年6月至7月期间对伊朗卡拉杰省选定实验室的370人进行了横断面研究。创伤后应激障碍(PTSD)8项清单用于评估参与者的PTSS及其分量表,包括入侵、回避和高度警觉。总体而言,51.2%的参与者为男性,17.3%的参与者IgM或IgG新冠肺炎检测呈阳性。这些患者最常见的症状是虚弱、肌痛、咳嗽、嗅觉缺失和发烧。PTSS、侵入、回避和高度警觉症状的总患病率分别为7.1%、25.7%、41.6%和16.2%。在单变量回归分析中,女性(p值=0.01,95%置信区间(2.25-0.31))、失业(p值=0.011,95%可信区间(0.37-2.81))、有新冠肺炎疾病症状(p值0.000,95%置信度(.82-2.75))、潜在慢性病与PTSS直接相关。结果表明,在新冠肺炎大流行中,性别和职业作为健康的结构性决定因素可能会影响PTSS。然而,在多变量模型中,患有新冠肺炎疾病和潜在疾病的症状会影响PTSS。
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引用次数: 3
Analysis of Suicidal Behavior and Chronicity of Depressive Symptoms in the Presence of Hypovitaminosis D 维生素D缺乏症患者自杀行为和抑郁症状的时间分析
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-11-22 DOI: 10.2174/2666082217666211122155401
Catarina Magalhães Porto, Natalia Santos Barbosa da Silva, Cecília Magalhães Porto Lira, Rayana Porpino Magalhães, José Luiz Oliveira Magalhães, Tatiana de Paula Santana da Silva, E. Sougey
One of the risk factors for suicide includes the presence of depressive disorder and symptoms, which may be related to the reduction of 25-hydroxyvitamin D serum levels. In this scenario, evidence shows vitamin D deficiency as an important aspect, directly related to depressive disorder chronicity. To assess the association between Vitamin D serum levels and the intensity of depressive symptoms and suicidal behavior in a clinical sample of depressed patients. A cross-sectional study with 146 patients aged between 18 and 59, seen in two psychiatry ambulatories. Data collection involved measurement of serum 25-hydroxyvitamin D levels and assessment of the intensity of depressive symptoms and suicide risk. In the sample, 35% presented low Vitamin D serum levels and, in these individuals, the incidence of family history of Depressive Disorder (95.2%) and chronicity of severe depressive symptoms (47.8%) was higher. As to suicidal behavior, both groups presented high active suicide risk, with higher rates in the group with hypovitaminosis D. Only suicidal ideation was linked to lower Vitamin D levels (67.4% p= 0,005). In this study, hypovitaminosis D was associated with negative mental health outcomes, such as more severe chronicity of depressive symptoms and suicidal behavior, characterized by active suicidal ideation.
自杀的危险因素之一包括抑郁障碍和症状的存在,这可能与25-羟基维生素D血清水平的降低有关。在这种情况下,证据表明维生素D缺乏是一个重要方面,与抑郁症的慢性性直接相关。评估维生素D血清水平与抑郁症患者临床样本中抑郁症状和自杀行为强度之间的关系。对146名年龄在18岁至59岁之间的患者进行了横断面研究,这些患者来自两家精神病学门诊。数据收集包括血清25-羟基维生素D水平的测量和抑郁症状强度和自杀风险的评估。在样本中,35%的人血清维生素D水平较低,这些人有抑郁症家族史(95.2%)和慢性严重抑郁症状(47.8%)的发生率较高。至于自杀行为,两组都表现出较高的主动自杀风险,维生素D缺乏症组的自杀风险更高。只有自杀意念与维生素D水平较低有关(67.4% p= 0.005)。在这项研究中,维生素D缺乏症与负面的心理健康结果有关,如更严重的慢性抑郁症状和自杀行为,其特征是主动自杀意念。
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引用次数: 0
Whole Body Choice Reaction Time (WBCRT-C1) to Detect Cognitive Impairment in Patients with Depressive Disorder (DD): A Case-Control Study 全身选择反应时间(WBCRT-C1)检测抑郁症(DD)患者认知障碍的病例对照研究
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-11-22 DOI: 10.2174/2666082217666211122154608
V. Khode, Girish Babu, A. Gadad, Satish Patil, K. Ruikar, Keerti B
Depressive disorder (DD) is a state of multiple neuro-psychological deficits. cognitive testing has proven beneficial in guiding treatment of depression. Since these neuro-cognitive testings require great deal of time and skill, measuring Reaction time (RT) can prove an alternative method of measure of cognition. RT is a sensitive tool to measure attention and execution. In our study whole body choice reaction time (WBCRT) is divided in to 2 chronoscopic readings WBCRT-C1and WBCRT-C2. WBCRT-C1 measures time required for central processing in the central nervous system which includes cognition and WBCRT-C2 measures total RT includes central processing and peripheral processing.Objective of the study was to measure and compare WBCRT-C1 in DD and controls, and to assess the correlation between WBCRT-C1 with MMSE and HAM-A score. Hospital based case-control study was conducted on total 68 young subjects, 34 subjects of DD aged between 18-45yrs their reaction times were compared with similar number of age and sex matched controls. WBCRT-C1 was more delayed in patients of DD (807±245 ms) than in controls (579±99ms). A significant correlation was found between WBCRT-C1 and MMSE (r=-0.7371, p=0.0001), HAM-A scores (r=0.3395 p=0.0046). WBCRT-C1 could be a quantitative tool to assess cognitive dysfunction in DD.
抑郁症是一种具有多种神经心理缺陷的状态。认知测试已被证明对指导抑郁症的治疗是有益的。由于这些神经认知测试需要大量的时间和技能,测量反应时间(RT)可以证明是一种测量认知的替代方法。RT是衡量注意力和执行力的敏感工具。在我们的研究中,全身选择反应时间(WBCRT)分为两个计时读数WBCRT-C1和WBCRT-C2。WBCRT-C1测量中枢神经系统中包括认知在内的中枢处理所需的时间,WBCRT-C2测量包括中枢处理和外周处理在内的总RT。本研究的目的是测量和比较DD和对照组的WBCRT-C1,并评估WBCRT-C2与MMSE和HAM-A评分之间的相关性。以医院为基础的病例对照研究共对68名年轻受试者进行了研究,其中34名年龄在18-45岁之间的DD受试者的反应时间与年龄和性别匹配的相似对照组进行了比较。DD患者的WBCRT-C1延迟时间(807±245ms)大于对照组(579±99ms)。WBCRT-C1与MMSE(r=-0.7371,p=0.0001)、HAM-A评分(r=0.3395,p=0.0046)之间存在显著相关性。
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引用次数: 0
Factors Affecting the Adoption and Use of Hearing Aids among Older Adults: A Systematic Review 影响老年人采用和使用助听器的因素:一项系统综述
IF 0.4 Q4 PSYCHIATRY Pub Date : 2021-11-09 DOI: 10.2174/2666082217666211109113920
Abdolhakim Jorbonyan, Yadollah Abolfathi Momtaz, Mahshid Foroghan, S. Mehrkian
The most effective modality for presbycusis is using hearing aids. However, the rate of adoption and use of hearing aids among the elderly is not in line with the expectations. This review investigates the current evidence to identify factors affecting the adoption and use of hearing aids among the elderly with hearing loss. This is a systematic review whose sample includes English articles published in peer-reviewed journals from January 2015 to October 2020. The search was conducted in PubMed, Web of Science, ProQuest, and Scopus electronic databases. Study selection, data extraction, and quality assessments were performed by two independent reviewers. In the 22 studies included in this review, a number of factors, including demographic status (economic status and level of education), auditory factors (hearing loss severity, presence of tinnitus, and the sound quality of hearing aids), attitudinal and psychosocial factors (self-perceived hearing problems, perceived self-efficacy, perceived benefit, support from significant others, and extrovert and ambivert personality types) were identified as variables potentially impacting the adoption and use of hearing aids. The results show that demographic, attitudinal, and psychosocial factors, as well as auditory factors, play an influential role in the adoption and use rate of hearing aids among older populations suffering from hearing loss. Therefore, it is necessary to consider these factors in order to formulate hearing healthcare policies and adopt targeted and appropriate interventions in the process of prescribing, adjusting, and evaluating hearing aids.The protocol of this systematic review was published in the International prospective register of systematic reviews (PROSPERO) with registration number: CRD42021227684 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021227684)
老年性耳聋最有效的治疗方法是使用助听器。然而,老年人对助听器的采用率和使用率并不符合预期。本综述调查了目前的证据,以确定影响老年听力损失患者采用和使用助听器的因素。这是一项系统综述,样本包括2015年1月至2020年10月在同行评议期刊上发表的英文文章。检索在PubMed、Web of Science、ProQuest和Scopus电子数据库中进行。研究选择、数据提取和质量评估由两名独立审稿人完成。在本综述纳入的22项研究中,许多因素,包括人口状况(经济状况和教育水平),听觉因素(听力损失严重程度,耳鸣的存在和助听器的音质),态度和社会心理因素(自我感知的听力问题,感知的自我效能,感知的利益,重要他人的支持,外向和中向人格类型)被确定为可能影响助听器采用和使用的变量。结果表明,人口因素、态度因素、社会心理因素以及听力因素对老年听力损失人群助听器的采用和使用率有重要影响。因此,有必要考虑这些因素,以便制定听力保健政策,并在助听器的处方、调整和评估过程中采取有针对性和适当的干预措施。本系统评价的方案发表在国际前瞻性系统评价注册杂志(PROSPERO)上,注册号:CRD42021227684 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021227684)。
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引用次数: 1
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Current Psychiatry Research and Reviews
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