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Social Exclusion and Problematic Mobile Phone Use among Chinese College Students: Mediating Role of Basic Psychological Needs Satisfaction 中国大学生社会排斥与手机使用问题:基本心理需求满足的中介作用
IF 0.4 Q4 PSYCHIATRY Pub Date : 2023-01-06 DOI: 10.2174/2666082219666230106123926
Xianliang Zheng, Zhihua Xie, Lijuan Huang, Y. Xie, Linlu Peng
The development of mobile Internet technology has brought great changes and convenience in our daily life. However, it has also arisen a series of mental health problems, especially problematic mobile phone use (PMPU).This study aimed to explore the relationship between social exclusion and PMPU among Chinese college students, as well as the mediating role of basic psychological needs satisfaction (BPNS).We recruited a total of 340 participants (mean age 19.71, 44.7% males) from a university in China by convenience sampling. All of them completed the self-report tests of the Social Exclusion Scale, BPNS Scale and Mobile Phone Addiction Index Scale. Data analysis was performed in SPSS 23.0, using the PROCESS macro to examine the mediating effect.Social exclusion was significantly positively correlated with PMPU (r = 0.22, p < 0.001), and significantly negatively correlated with BPNS (r = –0.66, p < 0.001), and BPNS was significantly negatively correlated with PMPU (r = –0.24, p < 0.001). BPNS played a mediating role in the relationship between social exclusion and PMPU. In addition, autonomy needs and competence needs mediated the link of such a relationship, whereas the mediating role of relatedness needs was not significant.Results showed that social exclusion was closely related to PMPU, and social exclusion affected PMPU through BPNS. These findings underline the important role of social relationship and BPNS on adolescents’ PMPU.
移动互联网技术的发展给我们的日常生活带来了巨大的变化和便利。然而,它也引发了一系列心理健康问题,尤其是手机使用问题。本研究旨在探讨中国大学生的社会排斥与手机使用问题之间的关系,以及基本心理需求满足(BPNS)的中介作用。我们采用方便抽样的方法从中国一所大学共招募了340名参与者(平均年龄19.71,男性44.7%)。他们都完成了社会排斥量表、BPNS量表和手机成瘾指数量表的自我报告测试。数据分析在SPSS 23.0中进行,使用PROCESS宏来检验中介效应。社会排斥与PMPU呈显著正相关(r=0.22,p<0.001),与BPNS呈显著负相关(r=-0.66,p<0.001)。此外,自主性需求和能力需求对这种关系的联系起到了中介作用,而关联性需求的中介作用并不显著。结果表明,社会排斥与PMPU密切相关,社会排斥通过BPNS影响PMPU。这些发现强调了社会关系和BPNS在青少年PMPU中的重要作用。
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引用次数: 0
Omega-3 fatty acid supplementation improves Attention Deficit-Hyperactivity Disorder symptoms in children 补充Omega-3脂肪酸可改善儿童注意缺陷多动障碍症状
IF 0.4 Q4 PSYCHIATRY Pub Date : 2023-01-03 DOI: 10.2174/2666082219666230103113402
Ayelet Armon-Omer, U. Yatzkar, Eti Amir, S. Tamir
Attention Deficit-Hyperactivity Disorder (ADHD) is one of the most common neuropsychiatric disorders in children. Increasing evidence suggests an association between omega-3 fatty acid and ADHD. We aimed to investigate the effects of 6-month omega-3 fatty acid supplementation on the fatty-acid profile of erythrocytes and on the clinical severity of ADHD symptoms in children.Recruitment included 32 children aged 6-14 years diagnosed with ADHD at the Child and Adolescent Psychiatry Department at Ziv Medical Center, Israel. Intervention included refrigerated omega-3 fatty acid supplementation normalized to body weight. Blood samples were taken at baseline, 3 and 6 months after intervention for quantification of fatty acids from erythrocyte membranes. ADHD symptoms were assessed by parents and teachers according to the ADHD Rating-Scale and the Strengths and Difficulties Questionnaire. ADHD severity was additionally assessed by a psychiatrist according to the Clinical Global Impressions Scale.Supplementation of omega-3 fatty acid in children with ADHD raised their omega-3 index statistically significantly from an average of 4.4% omega-3 index at baseline to 11.6% after 6 months and had beneficial effects on ADHD symptoms, as measured by validated questionnaires and in accordance with a pediatric psychiatrist examination.Our pilot study showed that dietary supplementation of omega-3 fatty acid increased the blood omega-3 index levels and improved ADHD symptoms even at the midpoint of 3 months.
注意缺陷多动障碍(ADHD)是儿童最常见的神经精神障碍之一。越来越多的证据表明,omega-3脂肪酸与多动症之间存在关联。我们的目的是研究6个月补充omega-3脂肪酸对红细胞脂肪酸谱和儿童ADHD症状临床严重程度的影响。招募对象包括32名在以色列Ziv医疗中心儿童和青少年精神病学部门被诊断患有多动症的6-14岁儿童。干预措施包括冷藏omega-3脂肪酸补充。在基线、干预后3个月和6个月采集血样,定量测定红细胞膜上的脂肪酸。家长和老师根据ADHD评定量表和优势与困难问卷对ADHD症状进行评估。精神科医生还根据临床总体印象量表对ADHD的严重程度进行了评估。通过有效的问卷调查和儿童精神科医生的检查,ADHD儿童补充omega-3脂肪酸可以显著提高他们的omega-3指数,从基线时的平均4.4%提高到6个月后的11.6%,对ADHD症状有有益的影响。我们的初步研究表明,即使在3个月的中期,饮食中补充omega-3脂肪酸也会增加血液中的omega-3指数水平,并改善ADHD症状。
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引用次数: 0
Lithium-induced discontinuation refractoriness: a report of two cases 锂致停药难治性:附2例报告
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-12-28 DOI: 10.2174/2666082219666221228123312
I. Inanli
Lithium is an effective mood stabilizer. In patients with bipolar disorder using long-term lithium, discontinuation of lithium can lead to severe clinical outcomes such as lithium-induced discontinuation refractoriness. We present two clinical cases of lithium-induced discontinuation refractoriness.We present two female patients with a good long-term response to lithium. Both patients did not have a mood episode for many years and had residual symptoms. The first patient discontinued lithium voluntarily, while the second patient discontinued lithium treatment due to impaired thyroid function. Lithium was added to the treatment of both patients, but lithium-induced discontinuation refractoriness developed.It should be kept in mind that it may develop refractoriness to lithium when deciding to discontinue lithium treatment, especially in patients with a good long-term response to lithium.
锂是一种有效的情绪稳定剂。在长期使用锂的双相情感障碍患者中,停用锂会导致严重的临床结果,如锂诱导的停药难治性。我们报告了两例锂引起的停药难治性临床病例。我们介绍了两名女性患者,她们对锂有良好的长期反应。这两名患者多年来都没有出现情绪发作,并有残余症状。第一名患者自愿停止使用锂,而第二名患者由于甲状腺功能受损而停止使用锂治疗。在两名患者的治疗中均添加了锂,但锂引起的停药难治性加重。应该记住,当决定停止锂治疗时,它可能会对锂产生不耐受性,尤其是对锂有良好长期反应的患者。
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引用次数: 0
Mental Health Disorders in Healthcare Workers Exposed to COVID-19, Mashhad, Iran: A Cross-sectional Study 伊朗马什哈德新冠肺炎医护人员心理健康障碍的跨部门研究
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-12-27 DOI: 10.2174/2666082219666221227124013
Ali Khaksour, A. Saeidinia, Ghazale Ghanabri, Adele Akbari, Fateme khazaei, Najme Khani, M. Talebi
Healthcare workers (HCWs) who are directly involved in the management of patients with SARS-CoV-2 infection are at higher risk of psychological disorders.In this study, we evaluated the risk factors related to mental health disorders in HCWs active in the management of the COVID-19 pandemic in Mashhad, Iran.This was a cross-sectional investigation performed between April 2020 and May 2020 at five referral centers in Mashhad, Iran. Patient Health Questionnaire (PHQ-9), 7-item Generalized Anxiety Disorder scale (GAD-7), Insomnia Severity Index (ISI), Impact of Event Scale–Revised (IESR), and VAS (for fear from COVID-19) to assess depression, anxiety, insomnia, distress and fear related to COVID-19 were filled. Risk factors were evaluated by the regression model.Mean ± SD age of participants was 33.84 ± 7.03 years. Most were females (64.2%). Of 360 participants, 252 had some degree of an anxiety disorder (70%), 63.8% had depression, 55.8% had insomnia, and 72.8% had distress. Work experiences (OR: 0.94, 95% CI= 0.901-0.983, P=0.007), exposure to COVID-19 patients (OR: 2.54, 95%CI= 1.37-4.69, P<0.001), and job status (OR: 1.40, 95%CI= 1.19 -1.54, P<0.001) were significant predictors of anxiety. Age (OR: 1.15, 95% CI= 1.05-1.27, P=0.002), exposure to COVID-19 patients (OR: 1.95, 95%CI= 1.04-3.64, P=0.037), work experience (OR: 0.86, 95%CI= 0.78-0.93, P<0.001), having children (OR: 0.58, 95%CI= 0.39- 0.87, P=0.008), and being infected with COVID-19 (OR: 9.95, 95%CI= 1.92-51.64, P<0.001) were the significant independent factors for depression in participants.COVID-19 could significantly affect HCWs mental health status, specifically depression. By targeting these predictors, health policymakers can reduce the burden of psychological disorders in HCWs.
直接参与管理严重急性呼吸系统综合征冠状病毒2型感染患者的医护人员患心理障碍的风险更高。在这项研究中,我们评估了活跃在伊朗马什哈德新冠肺炎疫情管理中的医务人员与精神健康障碍相关的风险因素。这是2020年4月至2020年5月在伊朗马什哈德的五个转诊中心进行的横断面调查。填写患者健康问卷(PHQ-9)、7项广泛性焦虑症量表(GAD-7)、失眠严重程度指数(ISI)、事件影响量表-修订版(IESR)和VAS(针对新冠肺炎恐惧),以评估与新冠肺炎相关的抑郁、焦虑、失眠、痛苦和恐惧。采用回归模型对危险因素进行评价。参与者的平均±SD年龄为33.84±7.03岁。大多数是女性(64.2%)。在360名参与者中,252人患有某种程度的焦虑症(70%),63.8%患有抑郁症,55.8%患有失眠,72.8%患有痛苦。工作经历(OR:0.94,95%CI=0.901-0.983,P=0.007)、接触新冠肺炎患者(OR:2.54,95%CI=1.37-469,P=0.001)和工作状态(OR:1.40,95%CI=1.19-1.54,P<0.01)是焦虑的重要预测因素。年龄(OR:1.15,95%CI=1.05-12.7,P=0.002)、接触新冠肺炎患者(OR:1.95,95%CI=1.04-36.64,P=0.037)、工作经验(OR:0.86,95%CI=0.78-0.93,P=0.001)、有孩子(OR:0.58,95%CI=0.39-0.87,P=0.008)和感染新冠肺炎(OR:9.95,95%CI=1.95-16.64,P<0.01)是参与者抑郁的重要独立因素。新冠肺炎可显著影响医务人员的心理健康状况,尤其是抑郁症。通过针对这些预测因素,卫生政策制定者可以减轻HCW的心理障碍负担。
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引用次数: 0
Worriers of the pandemic: How people with mental disorders cope with COVID-19 restrictions 大流行的担忧者:精神障碍患者如何应对COVID-19限制
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-12-26 DOI: 10.2174/2666082219666221226151805
M. Zinchuk, E. Pashnin, G. Kustov, S. Popova, N. Voinova, A. Gersamia, A. Yakovlev, A. Guekht
To investigate the level of anxiety as well as attitude toward disease and mitigation strategies in people with non-psychotic mental disorders and healthy controls.The new coronavirus disease (COVID-19) pandemic resulted in an unprecedented morbidity and mortality and economic consequences worldwide. Response to pandemic required an urgent and radical change in the medical care delivery with a focus on infectious disease, which is uncommon for most developed countries. Implemented changes led to reduced psychiatric (especially inpatient) care utilization.To investigate the level of anxiety as well as attitude toward disease and mitigation strategies in people with non-psychotic mental disorders and healthy controls.A case-control study (1:4) was conducted during a self-isolation regimen in Moscow. Cases were adult patients with NPMD consequently admitted to the Moscow Research and Clinical Center for Neuropsychiatry. Sex and age-matched controls (individuals who have never sought psychiatric help) were selected from a cohort of 7498 Moscow residents who participated in a largecross-sectional survey delivered via social networks and popular Russian web platforms.The level of the trait but not state anxiety was higher in people with NPMD. People with mental disorders were significantly more often concerned about the negative impact of the COVID-19 pandemic on their lives, were more likely to be confident that they would contract the coronavirus and their disease would be severe, showed suboptimal adherence to mitigation strategies, were dissatisfied with the amount of information they received about the COVID-19 and were more concerned about becoming a victim of domestic violence.People with NPMD have higher level of trait anxiety and are prompted to develop the constellation of maladaptive beliefs toward a pandemic. These beliefs along with the lack of reliable information on coronavirus infection can lead to misunderstanding and disregard of sanitary and self-isolation recommendations. Educational programs and vaccination campaigns should be sensitive to these features of people with NPMD.No
探讨非精神病性精神障碍患者和健康对照者的焦虑水平、对疾病的态度和缓解策略。新型冠状病毒病(COVID-19)大流行在世界范围内造成了前所未有的发病率和死亡率以及经济后果。应对大流行需要紧急彻底改变医疗服务,重点关注传染病,这在大多数发达国家并不常见。实施的改变减少了精神科(尤其是住院病人)护理的利用率。探讨非精神病性精神障碍患者和健康对照者的焦虑水平、对疾病的态度和缓解策略。在莫斯科自我隔离期间进行了一项病例对照研究(1:4)。病例是患有NPMD的成年患者,因此被送入莫斯科神经精神病学研究和临床中心。研究人员从7498名莫斯科居民中选择了性别和年龄匹配的对照组(从未寻求过精神病学帮助的个体),这些居民参加了一项通过社交网络和俄罗斯流行网络平台进行的大型横断面调查。NPMD患者的特质焦虑水平高于状态焦虑水平。精神障碍患者明显更经常担心COVID-19大流行对其生活的负面影响,更有可能相信他们会感染冠状病毒,他们的疾病会很严重,对缓解策略的依从性不佳,对他们收到的关于COVID-19的信息量不满意,更担心成为家庭暴力的受害者。患有NPMD的人有更高水平的特质焦虑,并被促使对流行病产生一系列适应不良的信念。这些信念加上缺乏有关冠状病毒感染的可靠信息,可能导致误解和无视卫生和自我隔离建议。教育计划和疫苗接种运动应注意NPMD患者的这些特征。没有
{"title":"Worriers of the pandemic: How people with mental disorders cope with COVID-19 restrictions","authors":"M. Zinchuk, E. Pashnin, G. Kustov, S. Popova, N. Voinova, A. Gersamia, A. Yakovlev, A. Guekht","doi":"10.2174/2666082219666221226151805","DOIUrl":"https://doi.org/10.2174/2666082219666221226151805","url":null,"abstract":"\u0000\u0000To investigate the level of anxiety as well as attitude toward disease and mitigation strategies in people with non-psychotic mental disorders and healthy controls.\u0000\u0000\u0000\u0000The new coronavirus disease (COVID-19) pandemic resulted in an unprecedented morbidity and mortality and economic consequences worldwide. Response to pandemic required an urgent and radical change in the medical care delivery with a focus on infectious disease, which is uncommon for most developed countries. Implemented changes led to reduced psychiatric (especially inpatient) care utilization.\u0000\u0000\u0000\u0000To investigate the level of anxiety as well as attitude toward disease and mitigation strategies in people with non-psychotic mental disorders and healthy controls.\u0000\u0000\u0000\u0000A case-control study (1:4) was conducted during a self-isolation regimen in Moscow. Cases were adult patients with NPMD consequently admitted to the Moscow Research and Clinical Center for Neuropsychiatry. Sex and age-matched controls (individuals who have never sought psychiatric help) were selected from a cohort of 7498 Moscow residents who participated in a largecross-sectional survey delivered via social networks and popular Russian web platforms.\u0000\u0000\u0000\u0000The level of the trait but not state anxiety was higher in people with NPMD. People with mental disorders were significantly more often concerned about the negative impact of the COVID-19 pandemic on their lives, were more likely to be confident that they would contract the coronavirus and their disease would be severe, showed suboptimal adherence to mitigation strategies, were dissatisfied with the amount of information they received about the COVID-19 and were more concerned about becoming a victim of domestic violence.\u0000\u0000\u0000\u0000People with NPMD have higher level of trait anxiety and are prompted to develop the constellation of maladaptive beliefs toward a pandemic. These beliefs along with the lack of reliable information on coronavirus infection can lead to misunderstanding and disregard of sanitary and self-isolation recommendations. Educational programs and vaccination campaigns should be sensitive to these features of people with NPMD.\u0000\u0000\u0000\u0000No\u0000","PeriodicalId":36711,"journal":{"name":"Current Psychiatry Research and Reviews","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45015284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Report: The Experience Using Cariprazine in Organic Delusional Disorder in an Elderly Patient with Concomitant Somatic Pathology, Brief Report 病例报告:应用Cariprazine治疗伴有躯体病理的老年患者器质性妄想障碍的经验,简报
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-12-06 DOI: 10.2174/2666082219666221206112951
E. Darin
Organic disorder remains one of the most pressing issues in practical psychiatry, especially a disorder dominated by persistent or recurrent delusions. The difficulty for practitioners is often due to the older age of patients and the burden of concomitant therapeutic diseases. Modern and potentially promising pharmacological drugs developed in recent years include partial agonists of D2 and D3 receptors. Currently, there are insufficient publications of studies on Cariprazine use in various disorders that are not associated with endogenous pathology.The author presented the results of the patient’s clinical examination with a complex of psychodiagnostic techniques, instrumental research methods, observation data in the department, and an analysis of the patient’s medical history. The paper describes the experience of treating a patient with the latest generation antipsychotic drug Cariprazine.The author presents a case report on Cariprazine therapy in a 71-year-old female patient with a persistent organic delusional disorder with concomitant severe somatic illness.Cariprazine showed good efficacy in this case. Delusional symptoms were significantly reduced, and the author noted a reduction in negative symptoms. Mild side effects of the drug quickly resolved in the course of treatment. The key point is that the description of this case may be relevant to justify the need for further clinical studies on Cariprazine. Further clinical studies of the drug in the treatment of various mental pathologies may be in demand by specialists around the world.
器质性障碍仍然是实践精神病学中最紧迫的问题之一,特别是以持续或复发性妄想为主的障碍。从业者的困难往往是由于患者年龄较大和伴随治疗疾病的负担。近年来开发的现代和有潜力的药理学药物包括D2和D3受体的部分激动剂。目前,关于卡吡嗪在各种与内源性病理无关的疾病中的应用的研究出版物不足。作者综合运用精神诊断技术、仪器研究方法、科内观察资料和对患者病史的分析,介绍了患者的临床检查结果。本文描述了用最新一代抗精神病药物卡里吡嗪治疗患者的经验。作者报告了一例71岁女性持续性器质性妄想症伴严重躯体疾病的卡吡嗪治疗。卡吡嗪对此例疗效良好。妄想症状明显减轻,提交人注意到阴性症状减轻。药物的轻微副作用在治疗过程中很快消失。关键的一点是,该病例的描述可能与进一步临床研究卡里吡嗪的必要性有关。世界各地的专家可能需要对这种药物在治疗各种精神疾病方面的进一步临床研究。
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引用次数: 0
Biomarkers for the diagnosis of depression: Recent updates 抑郁症诊断的生物标志物:最新进展
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-11-14 DOI: 10.2174/2666082219666221114114738
Kedar S Prabhavalkar, Mikhil Santosh Kore
Depression, or major depressive disorder, is a mental illness that significantly affects psychosocial functioning and reduces the quality of one’s life. The annual incidence of depression throughout the globe is around 6%. The disorder should be diagnosed at a particular stage for the treatment to be designed. Biomarkers can help to do so with objective pieces of evidence. Various biomarkers like Imaging biomarkers, Molecular biomarkers, Transcriptomic biomarkers, Genetic biomarkers, Neuroendocrine, and Inflammatory biomarkers can be used to diagnose depression. The use of digital sensors has also been reported recently for the determination of depression. This review summarizes various biomarkers to diagnose depression. Further recent updates and related clinical trials are included.
抑郁症或重性抑郁障碍是一种严重影响心理社会功能并降低生活质量的精神疾病。全球抑郁症的年发病率约为6%。该疾病应在特定阶段进行诊断,以便制定治疗方案。生物标记物可以通过客观的证据来帮助做到这一点。各种生物标志物,如成像生物标志物、分子生物标志物(Molecular biologies)、转录组生物标记物、遗传生物标记物(Genetic biologs)、神经内分泌生物标志物和炎症生物标志物可用于诊断抑郁症。最近还报道了使用数字传感器来确定抑郁症。本文综述了诊断抑郁症的各种生物标志物。包括最近的进一步更新和相关临床试验。
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引用次数: 0
Linking Social Anxiety and Depression: The Role of Metacognitive Beliefs and Anhedonia 连接社交焦虑和抑郁:元认知信念和快感缺乏症的作用
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-10-28 DOI: 10.2174/2666082219666221028102903
U. Barahmand, Ezra Hermann, Aditi Rai, Amisha Tewari, S. Kopyto, Kayla Castellanos
This study aims to examine mechanisms that may account for the comorbidity between social anxiety and depression.We hypothesized that maladaptive metacognitions and anhedonia would serially mediate the link between social anxiety and depression.We tested this notion by collecting data from 208 international, English speaking participants ranging from the ages of 18 to 65 years old using the Social Interaction Anxiety Scale (SIAS), Self-Assessment Anhedonia Scale (SAAS), Patient’s Health Questionnaire-9 (PHQ-9), and Metacognition Questionnaire (MCQ-30).The results show a significant serial mediation effect from social anxiety via beliefs about uncontrollability and danger and anhedonia to depression, with the pathway from social anxiety via reduced beliefs in cognitive confidence and anhedonia to depression not being significant. Furthermore, a direct path from social anxiety to depression was also significant.Findings provide support for both the tripartite model and the self-regulatory executive function model of anxiety and depression. While the findings imply the contributions of other mediating variables, they also indicate that metacognitive therapy with additional focus on anhedonia could be effective in preventing the development of depression.
本研究旨在探讨社交焦虑和抑郁共病的可能机制。我们假设,适应不良的元认知和快感缺乏会连续地介导社交焦虑和抑郁之间的联系。我们通过使用社交焦虑量表(SIAS)、自我评估焦虑症量表(SAAS)、患者健康问卷-9(PHQ-9)和元认知问卷(MCQ-30)收集208名年龄在18至65岁之间的国际英语参与者的数据来检验这一概念。结果表明,社交焦虑通过对不可控制性和危险的信念以及快感缺乏到抑郁之间存在显著的系列中介作用,而社交焦虑通过认知信心信念降低和快感缺乏到抑郁症之间的途径并不显著。此外,从社交焦虑到抑郁的直接途径也很重要。研究结果为焦虑和抑郁的三方模型和自我调节执行功能模型提供了支持。虽然这些发现暗示了其他中介变量的作用,但它们也表明,额外关注快感缺乏的元认知疗法可以有效地预防抑郁症的发展。
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引用次数: 0
Prevalence of comorbidities of psychotic disorders in patients with substance use disorders in Iran Psychiatric Hospital in Tehran, Iran 伊朗德黑兰伊朗精神病医院物质使用障碍患者的精神病合并症患病率
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-09-29 DOI: 10.2174/2666082218666220929113437
Afsaneh Aminpour, Shiva Soraya, Hamidreza Ahmad khaniha
Substance use disorders are highly prevalent among psychotic patients and are associated with poorer clinical outcomes.The study aimed to investigate the prevalence of psychotic disorders in substance users and the epidemiological features of this population.In a cross-sectional study, we investigated 455 outpatient and inpatient participants with SUD referred to the Iran psychiatric hospital from April 2020 to March 2021. All participants were substance users, referred to Iran psychiatric center to follow up on their comorbidities and psychiatric disorders. The Structured Clinical Interview for DSM-5 (SCID) was used for psychotic disorders and substance use disorder diagnoses. Finally, gathered data were analyzed by SPSS-25.455 patients were involved in the study. The mean age was 34.66 years, of which 89.7% were men. The most common main substances include methamphetamine (39.1%) and heroin (27%). The Prevalence of psychotic disorder was 36.7%, and the most common type was substance-induced psychotic disorder (26.4%) and schizophrenia (8.4%). There was a significant association between methamphetamine and opium use and the presence of substance-induced psychotic disorder and schizophrenia, respectively (p˂ 0.001).The most common type of substance use was methamphetamine and the most common type of psychotic disorder was substance-induced psychotic disorder. There was a significant association between methamphetamine and opium use and the presence of substance-induced psychotic disorder and schizophrenia, respectively. It should be noted that this was a sample of individuals hospitalized for substance abuse. It was not a general population sample and is very biased toward substance use.
物质使用障碍在精神病患者中非常普遍,并与较差的临床结果有关。本研究旨在调查药物使用者的精神病患病率和该人群的流行病学特征。在一项横断面研究中,我们调查了2020年4月至2021年3月期间转诊至伊朗精神病院的455名SUD门诊和住院参与者。所有参与者都是药物使用者,被转诊到伊朗精神病中心随访他们的合并症和精神障碍。DSM-5结构化临床访谈(SCID)用于精神障碍和物质使用障碍的诊断。最后,采用SPSS-25.455对收集到的数据进行统计分析。平均年龄34.66岁,其中男性占89.7%。最常见的主要物质包括甲基苯丙胺(39.1%)和海洛因(27%)。精神病的患病率为36.7%,最常见的类型是物质诱导性精神病(26.4%)和精神分裂症(8.4%),最常见的物质使用类型是甲基苯丙胺,最常见的精神病障碍类型是物质诱导的精神病。甲基苯丙胺和鸦片的使用与物质诱导的精神病和精神分裂症的存在之间分别存在显著关联。应该指出的是,这是一个因滥用药物而住院的样本。它不是一个普通的人群样本,而且非常偏向于物质使用。
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引用次数: 0
Mental health needs in COVID and post-COVID era-how far can Telepsychiatry address the challenges? 新冠肺炎和后新冠肺炎时代的心理健康需求远程精神病学能在多大程度上应对这些挑战?
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-09-22 DOI: 10.2174/2666082218666220922101408
U. Bhaumik
The coronavirus pandemic of 2019 has resulted in extensive social regulations and affected many aspects of life. It has led to significant stress and adversely impacted the mental health across the globe. The virus has been found to directly increase neuropsychiatric sequelae in those affected. Various other psychosocial factors have also increased the incidence and prevalence of mental health problems worldwide. There was a need for a ramp-up of psychiatric services to support individuals in such a situation. Even after the pandemic, there is a need for improving access to mental health services for the mentally ill as well as those affected by the regulations brought about to tackle the pandemic. Tele psychiatric services are in place throughout the world in different forms and they are the answer to bridging the mental health gap during and in the aftermath of the pandemic. Hence, it is important to continue developing and enhance tele psychiatric services in different countries for supporting and treating individuals affected by the pandemic.
2019年冠状病毒大流行导致了广泛的社会规范,并影响了生活的许多方面。它导致了巨大的压力,并对全球的心理健康产生了不利影响。已经发现这种病毒会直接增加感染者的神经精神后遗症。各种其他社会心理因素也增加了全世界精神健康问题的发病率和流行程度。有必要增加精神病学服务,以支持处于这种情况下的个人。即使在大流行之后,仍有必要改善精神病患者以及受为应对大流行而制定的条例影响的人获得精神卫生服务的机会。世界各地都有不同形式的远程精神科服务,它们是在大流行病期间和之后弥合精神健康差距的答案。因此,重要的是继续在不同国家发展和加强远程精神病学服务,以支持和治疗受大流行病影响的个人。
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Current Psychiatry Research and Reviews
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