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Cognition, Symptomatology, and Community Living Skills in Schizophrenia 精神分裂症患者的认知、症状学和社区生活技能
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-08-01 DOI: 10.2174/2666082218666220801095440
Wai Yee Sin, Wai Nga Wong, Yi To Michelle Lo, Uen Ting Elizabeth Tse, Hoi Wai Helen Wong, Ka Yin Elizabeth Tung, Amy Dun-mi Fung, Michael Chih Chien Kuo
Independence in community living is an important aspect of rehabilitation in schizophrenia. Previous studies investigating relationships of coginitive, symptomatic, and demographic factors in community living ability of schizophrenia showed inconsistent findings. These findings may be due to variations in functional measures used or a heterogenous sample of participants recruited.To investigate the relationships of cognitive, symptomatic and demographic factors with community living skills for people with schizophrenia living in supported living facilities.This is a cross-sectional study. Thirty-seven adults with schizophrenia and 32 matched healthy controls were recruited. Both groups completed the Verbal Fluency Test, subtests of Cognistat, and the Color Trail Test. Additional assessments (i.e., Chinese version of St. Louis Inventory of Community Living Skills – SLICLS-C and Positive and Negative Syndrome Scale – PANSS) were used to evaluate participants with schizophrenia. Cognitive profile was compared between the two groups. Correlation analysis was used to explore the relationships of cognitive abilities, symptomatology, and demographic factors with community living skills in schizophrenia.Results showed that participants with schizophrenia performed worse than the control group in verbal fluency, visual memory, immediate memory, delayed memory, and executive function tests. Significant moderate correlations between SLICLS-C score and participants’ years of education, positive symptoms, general psychopathology, and PANSS total score were identified.Results indicated cognitive impairments are persistent in schizophrenia who are in remission and have been partially integrated back into the community. Cognitive deficits that people with schizophrenia experience might be stable over most of the course of the illness. Participants’ years of education, positive symptoms, general psychopathology, and PANSS total score might be important moderating variables to include in future investigations related to predicting community living performance in schizophrenia.
社区生活的独立性是精神分裂症康复的一个重要方面。以往研究对精神分裂症社区生活能力的认知、症状和人口因素的关系进行了调查,结果不一致。这些发现可能是由于所使用的功能测量方法的差异或所招募的参与者样本的异质性。探讨支持生活设施精神分裂症患者的认知、症状及人口学因素与社区生活技能的关系。这是一项横断面研究。招募了37名患有精神分裂症的成年人和32名健康对照者。两组均完成了语言流畅性测试、认知测验子测试和颜色轨迹测试。附加评估(即中文版圣路易斯社区生活技能量表- SLICLS-C和阳性和阴性综合征量表- PANSS)用于评估精神分裂症参与者。比较两组患者的认知情况。采用相关分析探讨精神分裂症患者的认知能力、症状学及人口学因素与社区生活技能的关系。结果显示,精神分裂症参与者在语言流畅性、视觉记忆、即时记忆、延迟记忆和执行功能测试中的表现比对照组差。SLICLS-C评分与受教育年限、阳性症状、一般精神病理和PANSS总分之间存在显著的中度相关。结果表明,认知障碍在精神分裂症缓解期持续存在,并已部分融入社会。精神分裂症患者经历的认知缺陷可能在疾病的大部分过程中是稳定的。参与者的受教育年限、阳性症状、一般精神病理和PANSS总分可能是预测精神分裂症社区生活表现的重要调节变量。
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引用次数: 0
Insomnia and Self-medication among pharmacists in Saudi Arabia 沙特阿拉伯药剂师的失眠与自我用药
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-07-22 DOI: 10.2174/2666082218666220722123532
S. Aljhani, Shahad Al Jameli, Fayzah AlHussan, M. Almutairi
Insomnia is considered one of the most common sleep disorders. One-third of the world’s population has one or more symptoms of insomnia, with 10% satisfying the criteria for clinical diagnosis.This study aimed to determine the prevalence of insomnia among pharmacists working in Saudi Arabia and its association with self-medication.This is a descriptive cross-sectional study. A self-administered questionnaire was distributed online by the Saudi Commission for Health Specialties, targeting pharmacists from different working areas in Saudi Arabia. The survey included socio-demographic data, level of education, working area, and work experience; use of pharmacologic and non-pharmacologic sleeping aid; reasons for self-medication; and the Insomnia Severity Index questionnaire.A total of 515 pharmacists participated in the study (male 53.4% vs. female 46.6%). The prevalence of clinically significant insomnia was 48.2%. Of these, 66.5% were mild, 29.8% were moderate, and 3.6% were severe. The prevalence of pharmacists currently using sleep aid medications was 22.7%. Factors associated with clinically significant insomnia were younger age (21 – 30 years), female sex, unmarried status, living in the central region, chronic diseases, history of psychiatric disorder, consultation with a health care professional, current use of sleep aid medications, and use of psychological and behavioral intervention as a sleeping aid.Insomnia is common among pharmacists in Saudi Arabia, but self-medication is uncommon. Of all pharmacists, female young adults who were not married and had a previous history of psychiatric disorders were greatly affected by insomnia and self-medicated the most.
失眠被认为是最常见的睡眠障碍之一。世界上三分之一的人口有一种或多种失眠症状,其中10%符合临床诊断标准。本研究旨在确定在沙特阿拉伯工作的药剂师中失眠的患病率及其与自我用药的关系。这是一项描述性横断面研究。沙特卫生专业委员会在网上分发了一份自我填写的调查问卷,对象是来自沙特阿拉伯不同工作领域的药剂师。调查内容包括社会人口统计数据、教育水平、工作区域和工作经验;药物和非药物助眠剂的使用;自我用药的原因;以及失眠严重程度指数问卷。共有515名药师参与研究(男53.4%,女46.6%)。临床显著性失眠症患病率为48.2%。其中,66.5%为轻度,29.8%为中度,3.6%为重度。目前使用助眠药物的药剂师占22.7%。与临床显著性失眠相关的因素包括年龄较小(21 - 30岁)、女性、未婚、居住在中部地区、慢性疾病、精神疾病史、咨询过卫生保健专业人员、目前使用助眠药物以及使用心理和行为干预作为助眠剂。失眠在沙特阿拉伯的药剂师中很常见,但自我用药并不常见。在所有的药剂师中,未婚且有精神疾病史的年轻女性受失眠的影响最大,并且自我用药最多。
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引用次数: 0
Comorbidity and Association of Posttraumatic Stress, Depression, Anxiety and Somatic Complaints in COVID-19 Georgian Patients at the Beginning of Pandemic COVID-19格鲁吉亚患者在大流行初期的共病及创伤后应激、抑郁、焦虑和躯体疾病的相关性
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-07-13 DOI: 10.2174/2666082218666220713122430
G. Sikharulidze, L. Ratiani, Mariam Sordia, Ė. I. Sikharulidze, Tinatin Khutsishvili, Khatuna Lejava, E. Vermetten
The global pandemic which the world has been facing for the past two years has demonstrated the need to study the effects of this virus on mental health. Various studies showed that COVID-19 could be a threat to people's mental health and physical health, but the findings are still very limited. The purpose of the study was to fill an existing gap in corresponding literature by analysing Post Traumatic stress disorder (PTSD) symptoms, somatic complaints, depression and anxiety in COVID-19 patients and studying their comorbidity to determine the impact of the virus on the patients’ mental well-being.Patients diagnosed with COVID-19 took part in the study one month after their discharge from the hospital, accounting for 10% of all COVID-19 patients across Georgia during the research. PTSD Checklist (PCL-5) was used. Depression, somatic symptoms and anxiety were assessed using the Patient Health Questionnaire (PHQ).The results have shown that COVID-19, as a traumatic event, presents an association with PTSD, depression, anxiety, and somatic complaints. A high prevalence of depression (38,6%), anxiety (34,9%), and somatic symptoms (47%) was displayed. The overall indirect effect of PTSD on somatic symptoms was significant through depression and anxiety: 0.16, 95% CI [0.08, 0.26]. According to the report, the indirect effect of PTSD on somatic symptoms of depression was 0.12, 95% CI [0.05, 0.20].The study presents important findings on the relations between COVID-19 and mental health. Somatic complaints, depression, anxiety and PTSD symptoms were prevalent in participants after a month since they had COVID-19. Correlations between somatic complaints, anxiety, depression and PTSD were also demonstrated. Even with various limitations to this study, it shows how COVID-19 could affect mental health and prepares the groundwork for further, more detailed research, which is necessary.
过去两年来,世界面临的全球大流行表明,有必要研究这种病毒对心理健康的影响。各种研究表明,新冠肺炎可能对人们的心理健康和身体健康构成威胁,但研究结果仍然非常有限。本研究的目的是通过分析创伤后应激障碍(PTSD)症状、躯体主诉和症状,新冠肺炎患者的抑郁和焦虑,并研究他们的合并症,以确定病毒对患者心理健康的影响。被诊断为新冠肺炎的患者出院一个月后参加了这项研究,占研究期间格鲁吉亚所有新冠肺炎患者的10%。使用创伤后应激障碍检查表(PCL-5)。使用患者健康问卷(PHQ)评估抑郁、躯体症状和焦虑。结果表明,新冠肺炎作为一种创伤性事件,与创伤后应激障碍、抑郁、焦虑和躯体症状有关。抑郁症(38.6%)、焦虑症(34.9%)和躯体症状(47%)的患病率较高。PTSD对躯体症状的总体间接影响通过抑郁和焦虑显著:0.16,95%CI[0.08,0.26]。根据报告,PTSD对抑郁躯体症状的间接影响为0.12,95%CI[0.05,0.20]。该研究对新冠肺炎与心理健康之间的关系提出了重要发现。在参与者感染新冠肺炎一个月后,躯体症状、抑郁、焦虑和创伤后应激障碍症状普遍存在。躯体症状、焦虑、抑郁和创伤后应激障碍之间也存在相关性。尽管这项研究存在各种限制,但它显示了新冠肺炎如何影响心理健康,并为进一步、更详细的研究奠定了基础,这是必要的。
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引用次数: 0
The Impact of Temperament and Character on Treatment Compliance of Opioid Agonists 性情和性格对阿片激动剂治疗依从性的影响
IF 0.4 Q4 PSYCHIATRY Pub Date : 2022-07-13 DOI: 10.2174/2666082218666220713141318
Shiva Soraya, Ruohollah Seddigh, Fatemeh Hadi, Behnoosh Shahsavaripour, M. Saeidi, M. Haghshenas, M. Mohammadi, Hanieh Salehifar
Opioid agonist treatment, as the most effective treatment for opioid dependency, requires patient adherence for its effectiveness over the long run. Previous studies on psychiatric and non- psychiatric patients indicated that the patient`s temperament has had effect on their treatment compliance. Some studies on different types of addiction have attributed special temperament and character traits to these patients.This study aims to investigate the impact of temperament and characteristics on opioid treatment compliance. In this study, the relationship between demographic variables, type of medication therapy, and temperament and characteristics scales of patients against opioid agonists therapy compliance was examinedIn this cross-sectional study, 150 patients who had initiated the course of opioid agonist maintenance therapy underwent TCI 125-item test and were followed-up for 2 months regarding compliance. The data were inputted into SPSS 24. K-S and Mann-Whitney U tests were employed to explore the relationship between quantitative and qualitative variables, while for examining the relationship between qualitative variables with each other, Chi-square test was utilized. The significance level in the tests was considered p<0.05.The treatment compliance in this study was 67.2%. In patients who did not have treatment compliance, scores of novelty-seeking (16.7±7versus11.7±4, p<0.001), harm avoidance (16.5±5versus 11.8±5, p<0.0001), reward dependence (12.4±3 versus 10.2±3, p=0.005) and self-transcendence (10.6±2 versus 8.7±2 p=0.002) were higher, but in those who had suitable treatment compliance, scores of persistence (3.5±1 versus 2.3±1, p=0.004) and cooperativeness (17.6±3 versus14.8±4, p=0.004) were higher. Further, some temperament traits were different among patients undergoing treatment with buprenorphine versus methadone (scores of persistence, self-directedness and self-transcendence were higher in the group receiving buprenorphine, while scores of harm avoidance and cooperativeness were higher in the group under methadone treatment). There was also a significant relationship between gender (good compliance: female 100%, male 65%, poor compliance female 0%, male 35%; p=0.04), level of education (higher), as well as type of medication (buprenorphine) and treatment compliance.The results of this study can help to identify high-risk individuals for withdrawing opioid addiction. These people can be a target for pharmacological and non-pharmacological interventions to have their personality traits modified. Investigation of the effect of performing these interventions on treatment compliance can be a subject of future study in this area. Also while there are differences in personality characteristics among cultures, this study investigated Iranian culture more precisely.
阿片类激动剂治疗作为阿片类药物依赖性的最有效治疗方法,需要患者长期坚持其有效性。先前对精神病和非精神病患者的研究表明,患者的气质对他们的治疗依从性有影响。一些关于不同类型成瘾的研究将特殊的气质和性格特征归因于这些患者。本研究旨在探讨气质和特征对阿片类药物治疗依从性的影响。在这项研究中,研究了人口统计学变量、药物治疗类型以及患者的气质和特征量表与阿片类激动剂治疗依从性之间的关系。在这项横断面研究中,150名开始阿片类兴奋剂维持治疗的患者接受了TCI 125项测试,并就依从性进行了2个月的随访。数据输入SPSS 24。采用K-S检验和Mann-Whitney U检验来探讨定量变量和定性变量之间的关系,而采用卡方检验来检验定性变量彼此之间的关系。测试中的显著性水平被认为是p<0.05。本研究中的治疗依从性为67.2%。在没有治疗依从性的患者中,寻求新奇感(16.7±7比11.7±4,p<0.001)、避免伤害(16.5±5比11.8±5,p<0.0001)、奖励依赖(12.4±3比10.2±3,p=0.005)和自我超越(10.6±2比8.7±2,p=0.002)的得分更高,但在具有适当治疗依从性的患者中,持续性得分(3.5±1对2.3±1,p=0.004)和合作性得分(17.6±3对14.8±4,p=0.004)更高。此外,接受丁丙诺啡治疗的患者与接受美沙酮治疗的患者之间的一些气质特征不同(接受丁丙诺啡治疗的组的持久性、自我导向性和自我超越性得分更高,而接受美沙酮治疗的组在避害性和合作性得分更高时)。性别(依从性好:女性100%,男性65%,依从性差女性0%,男性35%;p=0.04)、教育水平(更高)以及药物类型(丁丙诺啡)和治疗依从性之间也存在显著关系。这项研究的结果有助于识别阿片类药物成瘾的高危人群。这些人可以成为药物和非药物干预的目标,以改变他们的个性特征。调查实施这些干预措施对治疗依从性的影响可能是该领域未来研究的主题。此外,尽管不同文化之间的人格特征存在差异,但本研究更准确地调查了伊朗文化。
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引用次数: 0
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 PSYCHIATRY 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 PSYCHIATRY 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 PSYCHIATRY 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 PSYCHIATRY 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 PSYCHIATRY 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 PSYCHIATRY 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
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Current Psychiatry Research and Reviews
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