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Moral Emotions in the Latin-America: A Socio-cultural and Socio-economic analysis 拉丁美洲的道德情感:社会文化和社会经济分析
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-29 DOI: 10.2174/2666082218666220829115417
J. J. Javela, María Antonia Londoño-Cortés, Maria Camila Idárraga-López, L. Cudris-Torres, R. Mercadillo
Understanding how people respond to societal problems requires analyzing the experience and expression of moral emotions (ME). Despite the fact that various research on moral emotions have been conducted in Latin America, this analysis has yet to be completed, despite the fact that it is particularly important due to its link to violence and inequality.The goal of this paper is to evaluate ME research in Latin America and discuss it within the context of a socio-cultural and socio-economic analysis of this region of the world. The PRISMA searching method was applied in Scopus, PubMed, ScienceDirect, Scielo, and Redalyc databases.The findings revealed 58 publications in Latin America that dealt with moral feelings and were consequently studied. Colombia, Mexico, Brazil, and Chile are the countries that have tackled the issue the most. Compassion, devotion, and gratitude were the three most explored MS and associated themes.The impact of moral emotions on persons living in various Latin American environments, as well as their prosocial acts aimed at combating violence and inequality, is revealed.
了解人们对社会问题的反应需要分析道德情感的体验和表达。尽管拉丁美洲已经对道德情感进行了各种研究,但这一分析尚未完成,尽管由于其与暴力和不平等的联系,这一分析尤为重要。本文的目标是评估拉丁美洲的ME研究,并在对世界该地区进行社会文化和社会经济分析的背景下进行讨论。PRISMA搜索方法已应用于Scopus、PubMed、ScienceDirect、Scielo和Redalyc数据库。研究结果显示,拉丁美洲有58篇涉及道德情感的出版物,因此进行了研究。哥伦比亚、墨西哥、巴西和智利是处理这一问题最多的国家。同情、奉献和感恩是MS和相关主题中探索最多的三个。揭示了道德情绪对生活在各种拉丁美洲环境中的人的影响,以及他们旨在打击暴力和不平等的亲社会行为。
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引用次数: 0
Association between COVID-19 Pandemic and Serious Mental Illness: Systematic Review within Salutogenesis Model for Public Health Management COVID-19大流行与严重精神疾病的关系:公共卫生管理健康发生模型的系统评价
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-23 DOI: 10.2174/2666082218666220823153739
S. Kaman, Ankita Sharma, Romi Banerjee
We initiated a systematic review to determine the impact of the SARS-COV-2 virus and its long-term effects - in both symptomatic and asymptomatic cases - on people with or without psychosis. We envisioned that this would give us an insight into effective clinical intervention methods for patients with psychosis during and after the pandemic.The outbreak of the COVID-19 pandemic, the constant transformation of the SARS-COV-2 virus form, exposure to substantial psychosocial stress, environmental change, and isolation have led to the inference that the overall population's mental health could be affected, resulting in an increase in cases of psychosis.We selected fifteen papers that met our inclusion criteria, i.e., those that considered participants with or without psychiatric illness and exposed to SARS-COV-2 infection, for this review and were retrieved via Google, Google Scholar, MEDLINE, PubMed, and PsychINFO Database.There is a dearth of research in understanding how COVID-19 affects people with or without a prior personal history of psychosis.The systematic review summary provides insight into the state of knowledge. Insights from the systematic review have also been reviewed from the salutogenesis model's perspective. There is moderate evidence of new-onset psychosis during the COVID-19 pandemic in which some antipsychotics treated the psychotic symptoms of patients while treating for COVID-19. Suggestions and recommendations are made for preventive and promotive public health strategies.The Salutogenesis model and Positive Psychology Interventions (PPI) provide another preventive and promotive public health management approach.
我们启动了一项系统审查,以确定严重急性呼吸系统综合征冠状病毒2型病毒及其对有症状和无症状精神病患者的长期影响。我们设想,这将使我们深入了解在疫情期间和之后针对精神病患者的有效临床干预方法。新冠肺炎大流行的爆发、SARS-COV-2病毒形式的不断转变、暴露于巨大的心理社会压力、环境变化和隔离导致人们推断,总体人群的心理健康可能会受到影响,导致精神病病例增加。我们选择了15篇符合纳入标准的论文,即那些考虑了患有或不患有精神疾病并暴露于严重急性呼吸系统综合征冠状病毒2型感染的参与者的论文,用于本综述,并通过谷歌、谷歌学者、MEDLINE、PubMed检索,和精神病信息数据库。在了解新冠肺炎如何影响有或无精神病个人病史的人方面,缺乏研究。系统综述提供了对知识状态的深入了解。系统综述中的见解也从礼生模型的角度进行了综述。有中度证据表明,在新冠肺炎大流行期间,一些抗精神病药物在治疗新冠肺炎的同时治疗了患者的精神病症状。对预防和促进公共卫生战略提出了建议和建议。Salutogenesis模型和积极心理干预(PPI)提供了另一种预防和促进公共卫生管理的方法。
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引用次数: 0
Feigning Capgras Syndrome and Developmental Prosopagnosia: a rare case of Pediatric Factitious Disorder? Feigning Capgras综合征与发育障碍:一例罕见的儿科派系障碍?
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-22 DOI: 10.2174/2666082218666220822163152
M. Colizzi, Giulia Antolini, Elena Puttini, R. Bortoletto, Carolina Begnini, L. Zoccante
Factitious Disorder is a condition included among psychiatric disorders, where symptoms are intentionally produced to seek medical attention. Its epidemiology, treatment, and outcome are largely unknown.To increase knowledge of the condition, we discuss a pediatric case where the patient feigned neuropsychiatric symptoms.A 15-year-old female adolescent presented with neuropsychiatric symptoms suggestive of rare conditions such as Delusional Misidentification Syndrome [i.e., Capgras and Fregoli syndromes] and Developmental Prosopagnosia as well as epileptic seizures.When a Delusional Misidentification Syndrome was suspected, she was treated with Risperidone. Due to suboptimal response, Alprazolam and Sertraline were added and then Risperidone was cross-titrated to Haloperidol. The condition severity led to her admission to an inpatient Child and Adolescent Neuropsychiatry Unit. MRI scan and electroencephalographic recording were normal. The self- and parent-reported psychological assessment indicated several psychiatric symptoms. Instead, the clinician-administered Minnesota Multiphasic Personality Inventory-Adolescent and Structured Inventory of Malingered Symptomatology suggested a fake-bad profile and neuropsychiatric symptom simulation. Along with evidence of incongruent symptoms between the patient’s interviews, such investigations led to the diagnosis of Factitious Disorder. Psychopharmacological treatment was discontinued, and psychological support was offered to the patient and her parents.Increasing knowledge about Factitious Disorder is needed.
情感障碍是一种包括在精神障碍中的疾病,症状是为了寻求医疗护理而故意产生的。其流行病学、治疗和结果在很大程度上是未知的。为了增加对这种情况的了解,我们讨论了一个儿科病例,患者假装有神经精神症状。一名15岁的女性青少年出现神经精神症状,提示罕见疾病,如妄想性误认综合征[即Capgras和Fregoli综合征]、发育性认知障碍以及癫痫发作。当怀疑她患有妄想性误认综合征时,她接受了利培酮治疗。由于反应不理想,加入阿普唑仑和舍曲林,然后将利培酮交叉滴定为氟哌啶醇。由于病情严重,她住进了儿童和青少年神经精神科。MRI扫描和脑电图记录正常。自我和父母报告的心理评估显示有几种精神症状。相反,临床医生管理的明尼苏达州青少年多相人格问卷和恶性症状结构化问卷表明,这是一种虚假的不良状况和神经精神症状模拟。再加上患者访谈中症状不一致的证据,这些调查被诊断为情感障碍。停止了心理药物治疗,并为患者及其父母提供了心理支持。需要增加关于派系混乱的知识。
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引用次数: 0
Psychological Profiles Of Positive Mental Health Of Women In Situation Of Confinement Due To Covid-19 新冠肺炎围产期妇女积极心理健康的心理状况
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-22 DOI: 10.2174/2666082218666220822161347
Jorge Eduardo Navarro- Obeid, Efraín Javier De la Hoz-Granadillo, María Laura Vergara Álvarez
The world health organization has indicated that the problem of COVID-19 and confinement generated strong psychological impacts on the world population. Much of the research has focused on studying mental health in different population groups, leaving aside a positive mental health perspective.The intention of the present research was to establish positive mental health profiles in confined women due to COVID-19 during 2020.The factors of personal satisfaction, prosocial attitude, self-control, autonomy, problema-solving, self-actualization, and interpersonal relationships were assessed through the application of Lluch's positive mental health scale, in a sample of 202 confined women in the Department of Sucre, Colombia, selected by non-probabilistic convenience sampling. In addition, cluster analysis models were applied to identify psychological profiles of positive mental health and characterize sociodemographic variables, the selected model was evaluated and validated using the statistical technique of discriminant analysis using Minitab 18 softwareshowed a positive mental health differentiation in women from which four psychological profiles of positive mental health could be identified, with scores of 14.10 in profile 1, 11.41 in profile 2, 9.15 in profile 3, and 7.56 in profile 4. The positive mental health factors used showed an ability to discriminate in 92.6% of the cases in the profiles.the identified profiles are significant and important to characterize psychometric profiles of positive mental health of confined women, which are important results for their diagnosis and the development of public policies for their treatment.
世界卫生组织表示,新冠肺炎和监禁问题对世界人口产生了强烈的心理影响。大部分研究都集中在研究不同人群的心理健康,而忽略了积极的心理健康观点。本研究旨在建立2020年新冠肺炎受限女性的积极心理健康状况。通过应用Lluch积极心理健康量表评估个人满意度、亲社会态度、自我控制、自主性、解决问题、自我实现和人际关系等因素,在哥伦比亚苏克雷省202名被禁闭妇女的样本中,通过非概率便利抽样进行了选择。此外,应用聚类分析模型来识别积极心理健康的心理特征,并表征社会人口统计学变量,使用Minitab 18软件,使用判别分析的统计技术对所选模型进行了评估和验证,该模型显示了女性的积极心理健康差异,从中可以识别出四种积极心理健康的心理特征,即特征1中的14.10分、特征2中的11.41分、特征3中的9.15分和特征4中的7.56分。所使用的积极心理健康因素在档案中92.6%的病例中显示出辨别能力。所确定的档案对描述被禁闭妇女积极心理健康的心理测量档案具有重要意义,对她们的诊断和制定治疗公共政策具有重要意义。
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引用次数: 0
Role of Oxidative Stress in Pathophysiological Progression of Schizophrenia 氧化应激在精神分裂症病理生理进展中的作用
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-22 DOI: 10.2174/2666082218666220822154558
S. Bhatt, Tanuj Upadhyay, C. Patil, K. Pai, D. Chellappan, K. Dua
Oxidative stress (OS) is a chief contributing factor in the pathological advancement of Schizophrenia (SCZ). In recent years, OS has emerged as an important aspect in the SCZ research and provides abundant opportunities and expectation for a better understanding of its pathophysiology, which may lead to novel treatment strategies.The increased OS and formation of reactive oxygen species (ROS) leads to damage of cellular macromolecules. The excessive OS is associated with several physiological processes such as dysfunction of mitochondria and neuroglia, inflammation, underactive N-methyl-D-aspartate (NMDA) receptors and the abnormalities of fast-spiking gamma-aminobutyric acid (GABA) interneurons.The method adopted for the study are mainly based on the secondary search through a systemic literature review. The role of various anti-oxidants including vitamins are discussed in the reduction of SCZ.Various preclinical and clinical evidence are also suggesting the involvement of OS and ROS in the progression of the disease. Recent human trials have shown that treatment with antioxidants to be effective in ameliorating symptoms and delaying the progression of SCZ pathology. The studies demonstrated that Innate and dietary antioxidants have shown beneficial effects by reducing the severity of positive symptoms (PS) and/or negative symptoms (NS) of SCZ.The present review critically evaluates the effect of antioxidants and highlights the role of OS in SCZ.
氧化应激(OS)是导致精神分裂症(SCZ)病理进展的主要因素。近年来,OS已成为SCZ研究的一个重要方面,为更好地了解其病理生理提供了丰富的机会和期望,从而可能导致新的治疗策略。活性氧的增加和活性氧(ROS)的形成导致细胞大分子的损伤。过量的OS与线粒体和神经胶质细胞功能障碍、炎症、n -甲基- d -天冬氨酸(NMDA)受体活性低下和快速脉冲γ -氨基丁酸(GABA)中间神经元异常等生理过程有关。本研究采用的方法主要是通过系统的文献综述进行二次检索。讨论了包括维生素在内的各种抗氧化剂在降低SCZ中的作用。各种临床前和临床证据也表明OS和ROS参与了疾病的进展。最近的人体试验表明抗氧化剂治疗在改善症状和延缓SCZ病理进展方面是有效的。研究表明,先天抗氧化剂和膳食抗氧化剂通过降低SCZ阳性症状(PS)和/或阴性症状(NS)的严重程度而显示出有益的效果。本文对抗氧化剂的作用进行了批判性评价,并强调了OS在SCZ中的作用。
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引用次数: 0
Is breastfeeding duration associated with risk of developing ASD? 母乳喂养持续时间与患ASD的风险有关吗?
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-22 DOI: 10.2174/2666082218666220822121039
E. Jenabi, Mahdieh Seyedi, S. Bashirian, S. Khazaei
There are few studies in the world on the duration of breastfeeding and the risk of autism. To our knowledge, no study has yet explained the association between breastfeeding duration and ASD in Iran.The present study evaluated the association between breastfeeding and the risk of ASD in offspring in the west of Iran.This case-control study was performed on 100 children aged 3-14 years who had a medical record in the Autism Spectrum Disorder Research Center and the Autism Association of Hamadan and were diagnosed with autism according to the Diagnostic and Statistical Manual of mental disorders [DSM-5] criteria. The control group included healthy children who had active family record in comprehensive health service centers. All analyzes were performed using Stata software version 14. The significance level was considered less than 0.05.After adjusting for other variables, each increase in the month of breastfeeding was associated with a 5% decrease in odds of ASD [OR=0.95 [95% CI: 0.91, 0.99], P=0.03]. The odds of ASD in boys were significantly higher [OR=3.85 [95% CI: 1.91, 7.76], P<0.001]. Moreover, drug use [OR=0.01], history of autism [OR=6.62], history of psychiatry disorder [OR=7.2] were significantly associated with increased odds of ASD [P<0.05].These findings showed that breastfeeding duration can be a protective factor for ASD. Therefore, policymakers and health staff can reduce the risk of autism by promoting increased breastfeeding duration, especially for children with high risk for autism.
世界上很少有关于母乳喂养持续时间和患自闭症风险的研究。据我们所知,目前还没有研究解释母乳喂养时间与伊朗自闭症谱系障碍之间的关系。本研究评估了母乳喂养与伊朗西部后代患自闭症谱系疾病风险之间的关系根据精神障碍诊断和统计手册[DSM-5]标准诊断为自闭症。对照组包括在综合健康服务中心有活跃家庭记录的健康儿童。所有分析均使用Stata软件版本14进行。显著性水平被认为低于0.05。在调整了其他变量后,母乳喂养月份的每增加一次,ASD的几率就会降低5%[OR=0.95[95%CI:0.91,0.99],P=0.03]。男孩患ASD的可能性显著更高[OR=3.85[95%CI:1.91,7.76],P<0.001]。此外,药物使用[OR=0.01],自闭症病史[OR=6.62],精神病史[OR=7.2]与ASD发生几率增加显著相关[P<0.05]。这些发现表明母乳喂养时间可能是ASD的一个保护因素。因此,政策制定者和卫生工作人员可以通过增加母乳喂养时间来降低自闭症的风险,尤其是对自闭症高危儿童。
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引用次数: 0
Is Child Maltreatment a Risk Factor for Borderline Personality Disorder: A Systematic Review of Prospective Longitudinal Studies 儿童虐待是边缘型人格障碍的危险因素吗:前瞻性纵向研究的系统回顾
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-16 DOI: 10.2174/2666082218666220816100950
Marie-Sarah Girard, Julien Morizot
Borderline personality disorder (BPD) is a clinical condition associated with numerous individual and collective negative consequences. According to several etiological theories and retrospective research, child maltreatment (CM) may be considered a central factor explaining BPD development.In order to verify this hypothesis, a systematic review of prospective longitudinal studies was conducted.Following searches in five electronic databases, 19 articles that examined the relationship between CM (i.e., physical, sexual and emotional abuse; physical and emotional neglect) and BPD (i.e., diagnosis or severity score) were selected.Overall, the results only partly confirm the hypothesis that CM is a risk factor for BPD. Evidence for a prospective relationship between CM and later BPD is stronger in studies using a symptom count compared to a categorical diagnosis. However, the small number of studies precludes assessing the differential impacts between CM types and BPD.Available prospective longitudinal studies do not unequivocally support the idea that CM is a robust risk factor for BPD. Future research needs are discussed.
边缘型人格障碍(BPD)是一种与许多个人和集体负面后果相关的临床状况。根据几种病因理论和回顾性研究,儿童虐待(CM)可能被认为是解释BPD发展的核心因素。为了验证这一假设,对前瞻性纵向研究进行了系统回顾。在五个电子数据库中搜索后,选择了19篇研究CM(即身体、性和情感虐待;身体和情感忽视)和BPD(即诊断或严重程度评分)之间关系的文章。总体而言,研究结果仅部分证实了CM是BPD风险因素的假设。与分类诊断相比,在使用症状计数的研究中,CM和晚期BPD之间存在前瞻性关系的证据更强。然而,少数研究排除了评估CM类型和BPD之间的差异影响。现有的前瞻性纵向研究并不能明确支持CM是BPD的一个强大风险因素的观点。讨论了未来的研究需求。
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引用次数: 1
Use Of Psychotropics In Covid-19 – Another Anti-Inflammatory Pathway? 在新冠肺炎中使用精神疗法——另一种抗炎症途径?
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-12 DOI: 10.2174/2666082218666220812114149
J. Morillo, V. Morillo, Maria Angelica Marquina, Milagros Rojas, M. Nava
The emergence of the novel coronavirus SARS-CoV-2 has had a significant impact on the population of the world, disrupting healthcare systems around the globe and leading to human and material losses. While different vaccines have been approved in record time, there continues to be a high number of daily new cases and patients face a wide range of presentations of the disease, from asymptomatic to potentially fatal. Therefore, the search for therapeutic agents that can aid in the management and control of the disease has become one of the main goals for researchers and clinicians. As an inflammatory disease, targets for the treatment of COVID-19 have largely involved the immune system. Inflammation has also been associated with mental health disorders, and studies have shown the potential involvement of inflammatory pathways in the pathophysiology of depression. As a consequence, the hypothesis of using antidepressants and other psychotropics for the treatment of COVID-19 has emerged. In this review, we aim to summarize the molecular pathways that could be involved as well as the emergent evidence that has been reported by studies performed since the appearance of SARS-CoV-2 in 2019. While it has been observed that there are potential therapeutic pathways for the use of antidepressants in the treatment of COVID-19, additional studies are needed to evaluate the feasibility, safety, and efficacy of psychotropics in this disease.
新型冠状病毒SARS-CoV-2的出现对世界人口产生了重大影响,扰乱了全球医疗系统,并导致人员和物质损失。尽管不同的疫苗在创纪录的时间内获得批准,但每天仍有大量新增病例,患者面临着从无症状到潜在致命的各种疾病表现。因此,寻找有助于疾病管理和控制的治疗剂已成为研究人员和临床医生的主要目标之一。作为一种炎症性疾病,新冠肺炎的治疗靶点在很大程度上涉及免疫系统。炎症也与心理健康障碍有关,研究表明炎症途径可能参与抑郁症的病理生理学。因此,出现了使用抗抑郁药和其他精神药物治疗新冠肺炎的假说。在这篇综述中,我们旨在总结可能涉及的分子途径,以及自2019年严重急性呼吸系统综合征冠状病毒2型出现以来进行的研究报告的新证据。虽然已经观察到抗抑郁药在治疗新冠肺炎中有潜在的治疗途径,但还需要进一步的研究来评估精神药物在该疾病中的可行性、安全性和疗效。
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引用次数: 0
COVID-19 anxiety and washing obsessive-compulsive symptoms: stress coping styles as a mediator.. COVID-19焦虑和洗涤强迫症:压力应对方式的中介作用
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-02 DOI: 10.2174/2666082218666220802122605
Z. Zanjani, Maryam Jandaghian, V. Ghorbani, S. Alvani, Sanaz Joekar
The COVID-19 pandemic has had a significant impact on people's psychological functioning, including how the cope with anxiety. This study aimed to assess the role of coping styles on the relationship of COVID-19 anxiety and Washing Obsessive-Compulsive Disorder (W-OCD) symptoms.A cross-sectional study was performed on 420 people living in Kashan city (Iran) from March to April 2020. Participants were selected by the convenience sampling method due to the difficulties brought about by COVID-19 and completed the contamination subscale of Padua Inventory, Covid-19 anxiety inventory, and coping strategies scale. Data was analyzed by structural equation modeling (SEM) using AMOS- 22.The results revealed that emotion focused, somatization and social support coping strategies were significantly associated with W-OCD symptoms. Also, there was a significant correlation between the Covid-19 anxiety with the W-OCD symptoms. SEM result revealed that emotion focused and somatization coping strategies positively mediated the relationship between COVID-19 and W-OCD symptoms.Emotion focused and somatization coping strategies increase W-OCD symptoms following COVID-19 anxiety. Psycho education interventions addressing COVID-19's physical and psychological impacts on health, discriminating the rational and adaptive behavior and obsessive and compulsive behaviors, restricting the information gathering from numerous sources which may lead to increased negative emotions might be helpful.
COVID-19大流行对人们的心理功能产生了重大影响,包括如何应对焦虑。本研究旨在评估应对方式在COVID-19焦虑与洗涤强迫症(W-OCD)症状之间的关系。2020年3月至4月,对生活在卡尚市(伊朗)的420人进行了一项横断面研究。由于新冠肺炎带来的困难,采用方便抽样的方法选择参与者,完成帕多瓦量表污染子量表、新冠肺炎焦虑量表和应对策略量表。利用AMOS- 22进行结构方程建模(SEM)。结果显示,情绪聚焦、躯体化和社会支持应对策略与W-OCD症状显著相关。此外,Covid-19焦虑与W-OCD症状之间存在显著相关性。扫描电镜结果显示,情绪集中和躯体化应对策略在COVID-19与W-OCD症状的关系中起正向中介作用。情绪集中和躯体化应对策略会增加COVID-19焦虑后的W-OCD症状。针对COVID-19对健康的身心影响的心理教育干预措施,区分理性和适应性行为以及强迫和强迫行为,限制可能导致负面情绪增加的各种来源的信息收集,可能会有所帮助。
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引用次数: 1
Response Shift as a Possible Obstacle in Assessing Perceived Quality of Life and Burden of Care in Informal Caregivers of Individuals with Schizophrenia: A Narrative Review 反应转移是评估精神分裂症患者非正式照顾者感知生活质量和照顾负担的可能障碍:一项叙述性回顾
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-02 DOI: 10.2174/2666082218666220802112458
Jes Sebastian Völker, I. Micluția, Adela Hanga
Schizophrenia is one of the most common and devastating mental disorders. Due to the possibility of relatively robust control over clinical symptoms, the focus of care for schizophrenia patients has shifted from institutionalized to community-based outpatient treatment options. While this change in paradigm allows affected individuals to socialize and take part in everyday activities, it has also increased the burden on family caregivers. At the same time, the interpretation of self-reported quality of life scores can be challenging due to known influencing factors like changes in internal standards, values, and goals. We present the theory of response shift as an adaptive mechanism that summarizes these complex changes and explains the seemingly contradicting long-term findings regarding quality of life ratings in informal caregivers.This state-of-the-art narrative review was undertaken to give an overview of the most critical factors that negatively impact the quality of life of caregivers and to summarize the current evidence, if any, of the response shifts in nonprofessional family caregivers. To our knowledge it is the first time that response shift and its impact on quality of life in family caregivers of patients is reviewed in this way.
精神分裂症是最常见和最具破坏性的精神障碍之一。由于有可能对临床症状进行相对有力的控制,精神分裂症患者的护理重点已从机构化转向社区门诊治疗。虽然这种模式的改变使受影响的个人能够进行社交和参加日常活动,但也增加了家庭照顾者的负担。与此同时,由于已知的影响因素,如内部标准、价值观和目标的变化,对自我报告的生活质量分数的解释可能具有挑战性。我们将反应转变理论作为一种适应性机制,总结了这些复杂的变化,并解释了关于非正式照顾者生活质量评级的看似矛盾的长期发现。进行这项最新的叙述性审查是为了概述对照顾者生活质量产生负面影响的最关键因素,并总结非专业家庭照顾者反应转变的当前证据(如果有的话)。据我们所知,这是第一次以这种方式审查反应转变及其对患者家庭护理人员生活质量的影响。
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引用次数: 0
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