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The Effect of Skin-to-Skin Contact between Father and Baby on Paternal Attachment 亲子肌肤接触对父爱依恋的影响
IF 0.4 Q4 Medicine Pub Date : 2022-07-05 DOI: 10.2174/2666082218666220705160808
Mine Erdoğan Yılmaz, O. Korukcu, Kamile Kabukçuoğlu
This study aims to determine the effect of skin-to-skin contact between father and baby within the first three hours following the childbirth on the level of paternal attachment.Data were collected from 69 fathers between May-July 2018 with Paternal Infant Attachment Scale in Antalya Medical Park Hospital in Turkey in this quasi-experimental study.Total score of the fathers who established skin-to-skin contact with the babies was 82.34±7.76, and that of the control group was 66.07±18.2 (p<0.05). Moreover, the paternal-infant attachment level of the fathers in the study group who became fathers for the first time was higher than that of the control group.The skin-to-skin contact between father and baby following childbirth was an effective practice in the transition to fatherhood.
本研究旨在确定分娩后前三小时内父亲和婴儿之间的皮肤接触对父亲依恋水平的影响。在这项准实验研究中,使用土耳其安塔利亚医疗公园医院的亲子依恋量表从2018年5月至7月期间的69名父亲身上收集了数据。与婴儿建立皮肤接触的父亲总分为82.34±7.76,对照组总分为66.07±18.2(p<0.05)。此外,研究组首次成为父亲的父亲的父子依恋水平高于对照组。分娩后,父亲和婴儿之间的皮肤接触是向父亲身份过渡的一种有效做法。
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引用次数: 0
Nicotinamide Adenine Dinucleotide (NAD+) and Enkephalinase Inhibition (IV1114589NAD) Infusions Significantly Attenuate Psychiatric Burden Sequalae in Substance Use Disorder (SUD) in Fifty Cases. 烟酰胺腺嘌呤二核苷酸(NAD+)和脑啡肽酶抑制(IV1114589NAD)可显著减轻50例物质使用障碍(SUD)患者精神负担后遗症
IF 0.4 Q4 Medicine Pub Date : 2022-07-01 Epub Date: 2022-06-21 DOI: 10.2174/2666082218666220527114427
Kenneth Blum, David Han, David Baron, Shan Kazmi, Igor Elman, Luis Llanos Gomez, Marjorie C Gondre-Lewis, Panyotis K Thanos, Eric R Braverman, Rajendra D Badgaiyan

Background: There is a shortage of clinical studies examining the efficacy of Nicotinamide Adenine Dinucleotide and Enkephalinase infusions (IV1114589NAD) in treating Substance Use Disorder (SUD).

Objective: This study aims to provide evidence that IV1114589NAD infusions significantly attenuate substance craving behavior.

Methods: The study cohort consisted of addicted poly-drug, mixed gender, multi-ethnic individuals resistant to standard treatment. The investigation utilized Likert-Scales to assess behavioral outcomes.

Results: Using Wilcoxon signed-rank tests and sign tests, our team detected significant results by comparing baseline to post outcome scores after IV1114589NAD injections: craving scores (P=1.063E-9); anxiety (P=5.487E-7); and depression (P=1.763E-4). A significant reduction in cravings, anxiety, and depression followed a dose-dependent linear trend. Linear trend analyses showed a significant relationship between NAD infusions and decreasing scores for cravings (P=0.015), anxiety (P=0.003), and depression (P=8.74E-5). A urine analysis was conducted on a subset of 40 patients midway through the study to assess relapse; 100% of the urine samples analyzed failed to detect illicit substance use.

Discussion: The opioid crisis in America has claimed close to 800,000 lives since 2004; daily deaths are estimated to stand at 127, and in 2021, over 107,000 deaths were due to overdose. There is an urgency to find safe, side-effect-free solutions. Current interventions, such as Naltrexone implants, are invasive and may interfere with dopamine homeostasis leading to an anti-reward phenomenon. Larger randomized double-blinded placebo-controlled studies are needed to elucidate further the significance of the results presented in this study. The current pilot study provides useful preliminary data regarding the effectiveness of IV1114589NAD infusions in SUD treatment.

Conclusion: This pilot study provides significant evidence that NAD infusions are beneficial in the treatment of SUD. This investigation serves as a rationale to extend these findings onto future research investigating the use of NAD/NADH as a stand-alone treatment, especially in patients showing high genetic risk as measured in the Genetic Addiction Risk Severity (GARS) test. Utilizing GARS will help provide a real personalized therapeutic approach to treat Reward Deficiency Syndrome (RDS).

背景:烟酰胺腺嘌呤二核苷酸和脑啡肽酶(IV1114589NAD)输注治疗物质使用障碍(SUD)的临床研究缺乏。目的:本研究旨在为IV1114589NAD注射可显著减轻物质渴求行为提供证据。方法:研究队列为对标准治疗耐药的多药成瘾、混合性别、多民族个体。调查使用李克特量表来评估行为结果。结果:使用Wilcoxon符号秩检验和符号检验,我们的团队通过比较IV1114589NAD注射后的基线和后结局评分,发现了显著的结果:渴望评分(P=1.063E-9);焦虑(P = 5.487 e);抑郁(P=1.763E-4)。渴望、焦虑和抑郁的显著减少遵循剂量依赖的线性趋势。线性趋势分析显示,注射NAD与降低渴望(P=0.015)、焦虑(P=0.003)和抑郁(P=8.74E-5)得分有显著关系。在研究中途对40名患者进行了尿液分析以评估复发;100%的尿样分析都没有检测到非法药物的使用。讨论:自2004年以来,美国的阿片类药物危机已经夺去了近80万人的生命;据估计,每天死亡人数为127人,2021年,有超过10.7万人死于服药过量。迫切需要找到安全、无副作用的解决方案。目前的干预措施,如纳曲酮植入,是侵入性的,可能会干扰多巴胺稳态,导致反奖励现象。需要更大规模的随机双盲安慰剂对照研究来进一步阐明本研究结果的意义。目前的试点研究为IV1114589NAD输注治疗SUD的有效性提供了有用的初步数据。结论:本初步研究为NAD输注治疗SUD提供了重要证据。这项研究为将这些发现扩展到未来的研究中提供了基础,这些研究将NAD/NADH作为一种独立的治疗方法,特别是在遗传成瘾风险严重程度(GARS)测试中显示出高遗传风险的患者中。利用GARS将有助于提供真正个性化的治疗方法来治疗奖励缺乏综合征(RDS)。
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引用次数: 0
Meet the Editorial Board Member 会见编辑委员会成员
IF 0.4 Q4 Medicine Pub Date : 2022-07-01 DOI: 10.2174/266608221802220804121040
Michele Fornaro
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引用次数: 0
Third ventricular colloid cyst - An organic Cause of mania: A case report 第三心室胶体囊肿——躁狂的器质性原因:1例报告
IF 0.4 Q4 Medicine Pub Date : 2022-06-30 DOI: 10.2174/2666082218666220630161629
S. Penubarthi, K. Sureshkumar, Sivabackiya C, S. Pindicura, S. Kailash
Psychiatric manifestations due to space-occupying lesions, although not uncommon, are generally misdiagnosed, leading to an unfavorable outcomes. Colloid cyst is a slow-growing, benign tumor in the anterior part of the third ventricle, which frequently presents with neurological complaints like headache and gait disturbances. However, a patient with colloid cyst may also present to the OPD with a spectrum of psychiatric symptoms.We here report a middle-aged man who was brought to the OPD with symptoms of pervasive irritability and disinhibited behavior for three months, along with complaints of increased activity, reduced sleep and appetite, suspicious about wife, family members and neighbors. Patient had frequent episodes of headache in the past 3 months associated with nausea, restlessness for which neuroimaging was advised, which showed a hyper-dense lesion in the third ventricle. Patient was referred to neurosurgery and was operated for the same. Post-operatively, family members reported improvement in his behavior.A detailed systemic evaluation for any neurological causes of organic causes or atypical picture of psychiatric conditions is of extreme necessity. There is a dire need for liaison of psychiatrists with neurophysicians and neurosurgeons to attain betterment in patients in both physical as well as psychological aspects, especially in psychiatric diagnosis with organic causes.
由于占位性病变引起的精神表现,虽然并不罕见,但通常被误诊,导致不良后果。胶体囊肿是一种生长缓慢的良性肿瘤,位于第三脑室前部,常表现为神经系统疾病,如头痛和步态障碍。然而,胶质囊肿患者也可能向OPD提出一系列精神症状。我们在此报告一名中年男子,因普遍易怒和行为失控的症状被带到OPD三个月,同时抱怨活动增加,睡眠和食欲减少,对妻子,家庭成员和邻居产生怀疑。患者在过去3个月有频繁的头痛发作,并伴有恶心、不安,建议行神经影像学检查,显示第三脑室有高密度病变。患者被转介到神经外科,并为此进行了手术。术后,家属报告他的行为有所改善。对任何神经性或器质性病因或精神疾病的非典型症状进行详细的系统评估是非常必要的。迫切需要精神科医生与神经内科医生和神经外科医生的联系,以改善患者的身体和心理状况,特别是在器质性原因的精神病学诊断方面。
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引用次数: 0
A psychosocial risk assessment tool to predict postnatal depression in women with complicated pregnancy?. 预测复杂妊娠妇女产后抑郁的心理社会风险评估工具?。
IF 0.4 Q4 Medicine Pub Date : 2022-06-29 DOI: 10.2174/2666082218666220629090101
A. Hamidia, F. Kheirkhah, Z. Basirat, Reza Ghadimi, M. Chehrazi, S. Barat, P. Cuijpers, Elizabeth O' Connor, S. Mirtabar, M. Faramarzi
Few studies have reported the role of psychosocial risk factors by a validated scale in predicting mental disorders in women with complicated pregnancy. This study investigated the role of a psychosocial risk assessment tool in the prediction of postnatal depression in women with complicated pregnancy.A prospective study was performed on pregnant women with complicated pregnancy from December 2019 to June 2020. A total of 125 pregnant women filled the Antenatal Risk Questionnaire (ANRQ), Edinburgh Postnatal Depression Scale (EPDS) and Brief Symptom Inventory 53-items (BSI-53). Also, the patients completed EPDS during 6-weeks of postpartum. An expert mental specialist conducted the interviews based on the DSM-5.More than half of the women with complicated pregnancy were diagnosed to have at least one mental disorder. The mean risk scores of ANRQ including the childhood social support from the respondent’s mother, history of mental illness, perceived level of support available postpartum, significant life events in the past 12 months, and personality traits with high anxiety were higher in women with mental disorders than those without mental disorders. The results emphasized that the total score of ANRQ was the strongest positive predictor for postnatal depression score of EPDS (β = 0.569, p=<0.001), for the total score of BSI-53 (β = 0.666 p=<0.001), and for GSI (β = 0.237, p=0.019).The study proposes that the use of a validated psychosocial risk assessment tool alongside a screening psychological tool, like EPDS, is reliable for prediction of mental disorders and help women with complicated pregnancy at risk for prevention of depression at antenatal visits.
很少有研究报道了心理社会风险因素在预测复杂妊娠妇女精神障碍中的作用。本研究调查了心理社会风险评估工具在复杂妊娠妇女产后抑郁症预测中的作用。2019年12月至2020年6月,对患有复杂妊娠的孕妇进行了一项前瞻性研究。共有125名孕妇填写了产前风险问卷(ANRQ)、爱丁堡产后抑郁量表(EPDS)和简要症状量表53项(BSI-53)。此外,患者在产后6周内完成了EPDS。一位心理专家根据DSM-5进行了访谈。超过一半的复杂妊娠妇女被诊断为至少有一种心理障碍。患有精神障碍的女性的ANRQ平均风险得分(包括受试者母亲的童年社会支持、精神病史、产后可获得的支持水平、过去12个月的重大生活事件以及具有高度焦虑的人格特征)高于没有精神障碍的妇女。结果强调,ANRQ总分是EPDS产后抑郁评分(β=0.569,p=0.001)、BSI-53总分(β=0.661,p=0.0001)和GSI总分(β0.237,p=0.019)的最强阳性预测因子,对精神障碍的预测是可靠的,并有助于有复杂妊娠风险的妇女在产前检查时预防抑郁症。
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引用次数: 3
The levels of cognitive flexibility and cognitive resilience and their relationships with academic performance in college students during Covid 19 pandemic. 新冠肺炎大流行期间大学生认知灵活性和认知弹性水平及其与学业成绩的关系
IF 0.4 Q4 Medicine Pub Date : 2022-06-29 DOI: 10.2174/2666082218666220629092457
Muath A. Alammar, D. Ram, Khudhayr Nasser Albarragi, A. S. Alshahrani
Cognitive flexibility and resilience may influence academic achievement. These cognitive functions may be affected during the Covid 19 pandemic. Few studies have been conducted to examine these relationships.This study examined college students' cognitive flexibility and resilience and their relationships with academic achievement during the Covid 19 pandemic.In this cross-sectional study, 303 students were assessed using sociodemographic and academic proforma, the Cognitive Flexibility Scale, and the Cognitive Resilience Scale. The data were analyzed using descriptive statistics, contingency table analysis, the Kruskal–Wallis H test, the Mann–Whitney U test, and linear regression analysis (with moderation).Cognitive flexibility was significantly greater in those who were success-oriented, had a backlog, and studied a health science subject, whereas resilience was greater in those who had lower course competency and had encountered psychological issues. Exam scores were positively linked with students' economic status and negatively linked with students' perceptions of course competency. Cognitive resilience predicted exam performance positively, which was moderated by cognitive flexibility.Cognitive resilience positively affects academic performance and is moderated by cognitive flexibility.
认知灵活性和弹性可能影响学业成绩。这些认知功能可能在新冠肺炎疫情期间受到影响。很少有研究来检验这些关系。这项研究调查了新冠肺炎疫情期间大学生的认知灵活性和韧性,以及他们与学业成绩的关系。在这项横断面研究中,303名学生使用社会人口学和学术形式表、认知灵活性量表和认知弹性量表进行了评估。使用描述性统计、列联表分析、Kruskal–Wallis H检验、Mann–Whitney U检验和线性回归分析(适度)对数据进行分析。那些以成功为导向、有积压工作和研究健康科学主题的人的认知灵活性显著更大,而那些课程能力较低并遇到心理问题的人的适应力更强。考试成绩与学生的经济状况呈正相关,与学生对课程能力的认知呈负相关。认知弹性对考试成绩有正向预测作用,并受到认知灵活性的调节。认知弹性对学习成绩有正向影响,并受到认知灵活性的调节。
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引用次数: 0
Family Relations of University Students in Times of Pandemic by COVID 19: Feelings and Tensions.. 新冠肺炎疫情期间大学生的家庭关系19:感受与紧张。。
IF 0.4 Q4 Medicine Pub Date : 2022-06-24 DOI: 10.2174/2666082218666220624151657
Astrid Sofía Suárez-Barros, María del Pilar Morad-Haydar, J. Castillo-Bolaños, Alfredo Rojas-Otálora, Yomaira García Acuña, Yolima Alarcón-Vásquez, Yolanda Rosa Morales Castro, Ángela García-Navarro, Orlando González-Gutiérrez, Sarelys Avendaño Escobar, Victoria González Martelo, Elcie Támara-Arrázola, Y. J. Diaz-Lobo
The objective of this research was to reveal the feelings and tensions that characterize the family relationships of university students in times of pandemic and confinement conditions due to COVID-19. The method was qualitative and the feelings, tensions in the family and educational context of 584 university students were evaluated, from a qualitative proposal and a hermeneutic approach, anchored to the question: How have the affective manifestations been, in terms of feelings? and tensions, in the family relationships of university students, academically active, in the Caribbean Region of Colombia, during the mandatory confinement process derived from the COVID 19 pandemic?. The methodological design was structured from the concepts of the Grounded Theory, applied to the data obtained through virtual techniques and instruments, such as an online survey. The organization of the information to generate the results was made from descriptive, analytical and interpretive coding, supported by matrices and theoretical maps. there are feelings and tensions in three directions: Negative Feelings (in tension) such as anxiety, stress and depression, Positive feelings, joy, adaptation and ambiguous feelings, which show ambivalence and variability, which are reflected in family relationships and three senses: They have improved, remain the same and have worsened, according to each type, dynamics and characteristics of the family, associated with gender, coping mechanisms and socioeconomic level. Families were transformed as a result of the pandemic and relationships and interactions were found that exacerbated tensions or factors of protection and care among family members, with emotional overload, with stress from work and study.
本研究的目的是揭示在COVID-19大流行和禁闭条件下大学生家庭关系的感受和紧张。该方法是定性的,从定性的建议和解释学的方法来评估584名大学生在家庭和教育背景下的感受、紧张关系,并锚定在这个问题上:情感表现是如何的,在感受方面?哥伦比亚加勒比地区因2019冠状病毒病(COVID - 19)大流行而强制隔离期间,学术活跃的大学生家庭关系紧张。方法设计是根据扎根理论的概念构建的,并应用于通过虚拟技术和工具(如在线调查)获得的数据。生成结果的信息组织由描述性、分析性和解释性编码组成,由矩阵和理论图支持。感受和紧张感有三个方向:消极感受(紧张),如焦虑、压力和抑郁;积极感受、快乐、适应和模糊感受,表现出矛盾和变异性,反映在家庭关系和三个感官上:根据家庭的类型、动态和特征,与性别、应对机制和社会经济水平有关,它们有改善、保持不变和恶化。由于大流行病,家庭发生了变化,发现家庭成员之间的关系和相互作用加剧了紧张关系或保护和照顾因素,情绪超载,工作和学习压力。
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引用次数: 0
Sprouting Tree for Physiological Stress Assessment Using Fuzzy Petri Net 基于模糊Petri网的发芽树生理应激评估
IF 0.4 Q4 Medicine Pub Date : 2022-06-17 DOI: 10.2174/2666082218666220617164153
Parul Agarwal, Richa Gupta, M. Alam
Stressors have a huge impact on ones well-being. It affects individual mental and physical health, if untreated. The response to these stresses is termed as a stress response. Based on the type and severity of the stimulus, stress can affect the various actions and functioning of the body called stress. This explains how important it becomes to detect the level of stress and treat it well. The best treatment for stress is to identify the factors causing stress and eliminate it in the initial stage. Various methods have been proposed to detect the level of stress. One of the common methods is by using wearable devices to capture EEG signals and use various proposed algorithms to detect the level of stress. However, there are cases where stress cannot be captured by non-invasive technologies. Besides, these technologies cannot determine the stress-causing factors. This paper proposes a methodology to cater to such cases and identify the factors causing stress in the patient. It can also act as a front line methodology to detect if the candidate is suffering from anxiety or stress. The use of fuzzy logic in various healthcare areas has become very evident. This is because it deals with a range of values. While, Petri nets is a network where the arc runs from place to transition and not between places and transitions. It is the best model to use in dynamic and concurrent activities of the system. Thus, combination of these 2 logics can provide an extremely competent basis for the implementation of computing reasoning processes and the modeling of systems with uncertainty. Thus, came Fuzzy Petri Nets (FPN). This paper proposes the use of FPN in designing a methodology for factors responsible for causing stress and furthers the level of stress in the patient. The methodology is developed by observing the process of food transfer in plants. The authors have also discussed afferent and efferent stress paths.This methodology proposed in this paper uses Fuzzy Petri Net. The algorithm designed in this paper has been named as the Sprouting tree algorithm by the authors. Designing the fault tree is the first and very important step for the correct determination of the level of the stress. The score generated using the Hamilton scale is fed as input to the AND/OR gate system to receive the value of stressor and thus drawing a fault tree. The transformation rules are applied to convert fault tree into the FPN. Then, we derive production rules and reachability matrix. These rules helps in normalizing the value obtained via fault tree so that they lie in range of fuzzy logic. FPN calculates the certainty factor (CF), which represents the state of stress in an individual. Therefore, the values obtained from FPN will finally build a tree which is named as Sprouting tree.The methodology proposed in this paper is absolutely new to detect the stress. The future of this work is to observe the accuracy of the proposed algorithm by implementing it with real dat
压力源对一个人的幸福感有着巨大的影响。如果不加以治疗,它会影响个人的身心健康。对这些应力的反应被称为应力反应。根据刺激的类型和严重程度,压力会影响身体的各种行为和功能,称为压力。这就解释了检测压力水平并妥善处理压力变得多么重要。对压力最好的治疗方法是找出造成压力的因素,并在最初阶段消除压力。已经提出了各种方法来检测应力水平。其中一种常见的方法是使用可穿戴设备来捕捉脑电图信号,并使用各种提出的算法来检测压力水平。然而,在某些情况下,非侵入性技术无法捕捉压力。此外,这些技术不能确定压力的产生因素。本文提出了一种方法来应对这种情况,并确定导致患者压力的因素。它还可以作为一种前线方法来检测候选人是否患有焦虑或压力。模糊逻辑在各种医疗保健领域的应用已经变得非常明显。这是因为它涉及一系列价值观。而Petri网是一个弧从一个地方延伸到另一个过渡点的网络,而不是在地方和过渡点之间。它是在系统的动态和并发活动中使用的最佳模型。因此,这两种逻辑的结合可以为计算推理过程的实现和具有不确定性的系统的建模提供非常有力的基础。于是,模糊Petri网(FPN)应运而生。本文建议使用FPN来设计一种方法来确定导致压力的因素,并进一步提高患者的压力水平。该方法是通过观察植物中食物转移的过程而发展起来的。作者还讨论了传入和传出应力路径。本文提出的方法采用模糊Petri网。本文设计的算法被作者命名为萌芽树算法。设计故障树是正确确定应力水平的第一步,也是非常重要的一步。使用Hamilton量表生成的分数被作为输入提供给AND/OR门系统,以接收压力源的值,从而绘制故障树。应用转换规则将故障树转换为FPN。然后,我们推导了产生式规则和可达性矩阵。这些规则有助于对通过故障树获得的值进行归一化,使其处于模糊逻辑的范围内。FPN计算确定性因子(CF),它表示个体的压力状态。因此,从FPN中获得的值将最终构建一棵树,该树被命名为萌芽树。本文提出的检测应力的方法是一种全新的方法。这项工作的未来是通过用正在处理的真实数据来实现所提出的算法,以观察其准确性。
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引用次数: 0
Sociodemographic correlates of coping styles among the general population in Saudi Arabia during the COVID-19 pandemic 2019冠状病毒病大流行期间沙特阿拉伯普通人群应对方式的社会人口统计学相关性
IF 0.4 Q4 Medicine Pub Date : 2022-06-10 DOI: 10.2174/2666082218666220610141635
W. Alghamdi, S. Alzahrani
This study aimed to investigate the relationship between the different demographic variables and other social, and health-related factors, and the coping styles used by the general population in Saudi Arabia during the COVID-19 pandemic.A cross-sectional study involving 5,514 participants was conducted online over two weeks. An online questionnaire was distributed among attendees of a public awareness campaign. The questionnaire consisted of two sections: (1) sociodemographic variables and questions exploring the physical and mental health of the participants, along with COVID-19 related questions, and (2) the Brief COPE questionnaire to identify the coping styles used by participants.The most frequently used adaptive styles involved religion, acceptance, and positive reframing. As for the maladaptive styles, self-distraction, venting, and self-blame were the most frequently used. Comparing the means of coping styles, participants older than 60 and female participants more frequently used religion, acceptance, positive reframing, and active coping, while participants younger than 35 and male participants reported more frequent use of instrumental support and humor. Younger participants used all maladaptive coping styles more frequently than older participants; male and female participants appeared to use different maladaptive coping styles. People with mental health conditions showed less frequent use of adaptive coping styles and more frequent use of maladaptive coping styles.The findings of this study show that multiple sociodemographic and health variables such as age, gender, and the presence of mental health conditions may influence the type of coping styles people use during a crisis. These findings could offer a better understanding of how the general public is coping with this unique situation. This may help mental health care workers and public health officials provide appropriate support at both individual and general population levels during this pandemic.
本研究旨在调查不同人口统计变量与其他社会和健康相关因素之间的关系,以及沙特阿拉伯普通人群在COVID-19大流行期间使用的应对方式。一项涉及5514名参与者的横断面研究在线进行了两周。一份在线调查问卷在公众意识运动的参加者中分发。问卷由两部分组成:(1)社会人口学变量和探讨参与者身心健康的问题,以及与COVID-19相关的问题;(2)简要COPE问卷,以确定参与者使用的应对方式。最常用的适应方式包括宗教、接受和积极重构。至于适应不良的方式,自我分心、发泄和自责是最常见的。比较应对方式的方式,60岁以上的参与者和女性更频繁地使用宗教、接纳、积极重构和积极应对,而35岁以下的参与者和男性更频繁地使用工具性支持和幽默。年轻的参与者比年长的参与者更频繁地使用各种适应不良的应对方式;男性和女性参与者似乎使用不同的适应不良应对方式。有心理健康问题的人使用适应性应对方式的频率较低,而使用不适应应对方式的频率较高。这项研究的结果表明,多种社会人口和健康变量,如年龄、性别和精神健康状况的存在,可能会影响人们在危机中使用的应对方式的类型。这些发现可以让我们更好地理解公众是如何应对这种独特的情况的。这可能有助于精神卫生保健工作者和公共卫生官员在本次大流行期间在个人和一般人群层面提供适当的支持。
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引用次数: 0
The Psychological Sequelae of COVID-19 Among Disease Survivors in Argentina 新冠肺炎在阿根廷疾病幸存者中的心理后遗症
IF 0.4 Q4 Medicine Pub Date : 2022-06-09 DOI: 10.2174/2666082218666220609091232
Franco Tisocco, Alejandra Doolan, M. L. Vicente, Mercedes Fernández Liporace, A. Solano
While more than a year has passed since the COVID-19 outbreak, it is still a growing health concern. Moreover, ample consensus exists for the presence of not only a physical but also a psychological impact of the COVID-19 pandemic. Those reported as hardest hit were individuals who had been infected with COVID-19. Survivors have exhibited a higher prevalence of psychological morbidity—i.e., PTSD, depression, and anxiety— as compared with the general population and health workers. Additionally, COVID-19 patients and survivors have been psychologically impacted by a staggering number of disease-related stressors.The study was aimed at analyzing COVID-19's impact on the psychological state of Argentinian disease survivors.Two hundred and ninety-six COVID-19 survivors (67.2% female; Mage = 44.81; SDage = 12.16) from a major Buenos Aires hospital completed a questionnaire and a set of psychological measures — COVID-19 emotional impact, psychological sequelae, disease-related stressors, PTSD, and psychological distress.The most impactful psychological sequelae and disease stressors revolved around having the disease awaiting test results, fear of infecting loved ones, being apart from family and friends during the disease, fear of physical sequelae and symptoms, and returning to isolation. PTSD prevalence rates were 33.8%. Survivor's psychological distress levels were moderately higher than pre-COVID-era general population levels, yet not significantly different to pre-COVID-era clinical inpatients. Female gender, age, and hospital admission emerged as significant predictors of increased adverse psychological outcomes.Due intervention on COVID-19 survivors is urgently needed, with particular attention to the alarming PTSD prevalence rates found in the study.
尽管新冠肺炎疫情已经过去了一年多,但它仍然是一个日益严重的健康问题。此外,对于新冠肺炎大流行不仅对身体产生影响,而且对心理产生影响,存在着充分的共识。据报道,受影响最严重的是感染新冠肺炎的个人。与普通人群和卫生工作者相比,幸存者表现出更高的心理发病率,即创伤后应激障碍、抑郁和焦虑。此外,新冠肺炎患者和幸存者受到了数量惊人的疾病相关压力源的心理影响。该研究旨在分析新冠肺炎对阿根廷疾病幸存者心理状态的影响。布宜诺斯艾利斯一家大型医院的296名新冠肺炎幸存者(67.2%为女性;Mage=44.81;SDage=12.16)完成了一份问卷和一系列心理测量——新冠肺炎情绪影响、心理后遗症、疾病相关应激源、创伤后应激障碍和心理痛苦。最具影响的心理后遗症和疾病压力源包括疾病等待检测结果、害怕感染亲人、在疾病期间与家人和朋友分开、害怕身体后遗症和症状以及重新隔离。PTSD患病率为33.8%。幸存者的心理困扰水平略高于新冠肺炎时代前的普通人群水平,但与新冠肺炎时期前的临床住院患者没有显著差异。女性的性别、年龄和入院是不良心理结果增加的重要预测因素。迫切需要对新冠肺炎幸存者进行适当干预,特别关注研究中发现的令人震惊的创伤后应激障碍患病率。
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Current Psychiatry Research and Reviews
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