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Transcranial direct current stimulation as an adjuvant in the improvement of symptoms of depression: A quasi-experimental design study. 经颅直流电刺激辅助改善抑郁症状:一项准实验设计研究
Pub Date : 2023-06-01 DOI: 10.52872/001c.77442
H. Cabello-Rangel, Rodrigo Figueroa-Vera, Lorena López-Pérez, Rosa María Osiris Pazarán-Galicia
To evaluate the efficacy and tolerance of Transcranial Direct Current Stimulation (tDCS) in patients with major depression at the “Fray Bernardino Álvarez” Psychiatric Hospital. A pre/post intervention study, Patients attended in the outpatient clinic or continuous hospitalization with a diagnosis of major depression efficacy was measure with the Hamilton Depression Rating Scale (HDRS) and the Beck Depression Inventory (BDI). The tDCS was applied in the region corresponding to the left lateral prefrontal cortex on the anode and the cathode on the right supraorbital region. Descriptive statistics were performed for continuous and discrete variables as appropriate, t-test, chi-square, significance p<0.05 was accepted. 39 patients were included, 100% of patients reported symptom improvement, the mean initial versus final scores on the HDRS and BDI scales were 19.5±7.4 versus 9.9±6 and 25.4±8.8 versus 14.4±7.3, respectively with statistically significant differences (p=<0.05) for both scales. Transcranial direct current stimulation is an effective therapeutic option in the reduction of depressive symptoms as an adjunct to pharmacological treatment. The intervention did not cause adverse reactions requiring additional medication.
目的:评价经颅直流电刺激(tDCS)对“弗赖·贝纳迪诺Álvarez”精神病院重度抑郁症患者的疗效和耐受性。本研究采用汉密尔顿抑郁量表(HDRS)和贝克抑郁量表(BDI)对在门诊就诊或持续住院诊断为重度抑郁的患者进行干预前/干预后疗效评估。tDCS应用于正极左侧前额皮质对应区域,正极右侧眶上区。对连续变量和离散变量酌情进行描述性统计,接受t检验、卡方检验、显著性p<0.05。纳入39例患者,100%的患者报告症状改善,HDRS和BDI量表的平均初始和最终评分分别为19.5±7.4比9.9±6,25.4±8.8比14.4±7.3,两种量表的差异均有统计学意义(p=<0.05)。经颅直流电刺激是一种有效的治疗选择,在减少抑郁症状的辅助药物治疗。干预没有引起需要额外药物治疗的不良反应。
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引用次数: 0
Prevalence of anxiety, depression, and post-traumatic stress in military health personnel in training exposed to COVID-19 暴露于COVID-19的训练中的军事卫生人员的焦虑、抑郁和创伤后应激的患病率
Pub Date : 2022-12-29 DOI: 10.52872/001c.57742
María Alejandra Robles-Villagómez, L. Díaz-Castro, M. A. Vázquez-Guzmán
The COVID-19 health crisis triggered an increase in prevalence of psychological distress in health personnel in training. This study aims to estimate the prevalence of anxiety, depression and post-traumatic stress in health personnel who have cared for patients with COVID-19. A cross-sectional study was carried out, from March to September 2021, among health personnel enrolled in some medical specialty of the Military Graduate School of Health. Symptoms of anxiety, depression and post-traumatic stress were measured, as well as associated demographic factors. A study sample of 170 health personnel in training were surveyed online; 76% reported being a doctor and 24% were nurses, 54% were female sex, 52% in the age group between 30 and 39 years, most with single marital status and no children. Of the participating health personnel, we found prevalence’s of 30% anxiety, 34% depression, and 6% post-traumatic stress. When performing Pearson’s correlation, it was found that variables such as infected family member, number of times infected, the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder Scale-7 (GAD-7), were significantly associated with the total of Post-Traumatic Stress Disorder Checklist (PCL-5) score. The COVID-19 pandemic has had a significant psychological impact, manifesting itself in the form of anxiety, depression, and post-traumatic stress in military health personnel in training. Therefore, it is of great importance to detect at least this psychic discomfort from the pandemic in front-line personnel, so that decision-makers in health policies address them as priority problems for health personnel.
2019冠状病毒病健康危机导致正在接受培训的卫生人员心理困扰发生率上升。本研究旨在估计照顾COVID-19患者的卫生人员中焦虑、抑郁和创伤后应激的患病率。2021年3月至9月,在军事卫生研究生院某医学专业招收的卫生人员中进行了一项横断面研究。测量了焦虑、抑郁和创伤后应激症状,以及相关的人口因素。对170名正在接受培训的卫生人员进行了在线调查;76%的人是医生,24%的人是护士,54%的人是女性,52%的人年龄在30到39岁之间,大多数是单身,没有孩子。在参与调查的卫生人员中,我们发现焦虑的患病率为30%,抑郁的患病率为34%,创伤后应激的患病率为6%。在进行Pearson相关分析时,发现受感染家庭成员、感染次数、患者健康问卷-9 (PHQ-9)和广泛性焦虑障碍量表-7 (GAD-7)等变量与创伤后应激障碍检查表(PCL-5)总分显著相关。2019冠状病毒病大流行对军人产生了严重的心理影响,表现为在训练中的军事卫生人员出现焦虑、抑郁和创伤后应激障碍。因此,至少在一线人员中发现这种来自大流行的心理不适是非常重要的,以便卫生政策的决策者将其作为卫生人员的优先问题加以解决。
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引用次数: 0
Neurological manifestations of tuberous sclerosis are more common in patients with earlier stages than in the end stage of the chronic kidney disease: Multicentric study from South-Eastern Europe countries 来自东南欧国家的多中心研究表明,结节性硬化症的神经学表现在慢性肾病的早期阶段比终末期更常见
Pub Date : 2022-12-27 DOI: 10.52872/001c.57739
V. Prelevic, Ivana Juric, Hrvoje Bilić, D. Radunović, Igor Žabić, Branka Gledović, Tanja Antunović, N. Bašić-Jukić
Tuberous sclerosis is a rare, genetic disease with the various clinical presentations with most frequent clinical presentation which includes epileptic seizures and cognitive disorders. The main cause of mortality in those group of patients is renal impairment., and in some cases, neurological and renal clinical manifestation can be followed, but can also be the main therapeutic aim of mTOR inhibitors. Here, we aimed to correlate neurological symptoms with different stages of chronic kidney disease. This multicentric retrospective study included 51 patients from clinical centres from seven South-Eastern Europe countries We included patients older then 18 years with possible or definitive diagnosis of TSC. Data were collected from nephrological and neurological registries form clinical centres. Study enrolled 51 patients with a median age of 32.3 years and predominant female gender. Neurological symptoms represented with epiletic sizures were more common in patients in earlier stages of CKD (nonESRD patients) then in patients in the end-stage renal disease. Results of this study have shown that neurological manifestation in analyzed cohort correlate with renal lesions in early stage of chronic kidney disease.
结节性硬化症是一种罕见的遗传性疾病,具有多种临床表现,最常见的临床表现包括癫痫发作和认知障碍。这类患者死亡的主要原因是肾功能损害。,在某些情况下,可以遵循神经和肾脏临床表现,但也可以是mTOR抑制剂的主要治疗目的。在这里,我们的目的是将神经系统症状与慢性肾脏疾病的不同阶段联系起来。这项多中心回顾性研究纳入了来自7个东南欧国家临床中心的51例患者,包括年龄大于18岁且可能或明确诊断为TSC的患者。数据收集自临床中心的肾病和神经学登记处。研究纳入51例患者,中位年龄32.3岁,女性居多。以癫痫大小为代表的神经系统症状在早期CKD患者(非esrd患者)中比在终末期肾病患者中更常见。本研究结果显示,所分析队列的神经学表现与早期慢性肾脏疾病的肾脏损害相关。
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引用次数: 0
Adaptation and Validation of Dynamic Career Scale (DCS) in Serbian context 动态职业生涯量表在塞尔维亚语情境下的适应与验证
Pub Date : 2022-11-16 DOI: 10.52872/001c.55504
S. Cvjetković, Viviana Langher
Dynamic Career Scale (DSC) is originally developed and validated in order to enable evaluation of implicit and less conscious dynamics in career adjustment processes. The objective of the current study was to translate, culturally adapt and psychometrically validate the DCS in Serbian population. The instrument is theoretically grounded in psychodynamic conception of the career adjustment and measures four modes of functioning in facing career failures and challenges: true reparation, manic reparation, mania and envy. Using a cross-sectional design and multiphase sampling procedure, data were obtained from 514 respondents. Exploratory factor analysis using half of the sample supported the four-factor model with factors reflecting dimensions established in the original version of the instrument (60.29% of the variance explained). The measurement model was confirmed using confirmatory factor analysis with the other part of the sample (CFI = .930; RMSEA = .056; SRMR = .065). The findings provide evidence that the four-factor structure of the DCS previously established in the Italian sample is also evident in the Serbian population, confirming the cross-cultural replicability.
动态职业生涯量表(DSC)最初是为了评估职业适应过程中的内隐和非意识动态而开发和验证的。本研究的目的是翻译,文化适应和心理计量学验证DCS在塞尔维亚人口。该工具以职业调整的心理动力学概念为理论基础,测量了面对职业失败和挑战时的四种功能模式:真实补偿、躁狂补偿、躁狂和嫉妒。采用横断面设计和多相抽样程序,从514名受访者中获得数据。使用一半样本的探索性因子分析支持四因素模型,其中因子反映了原始版本工具中建立的维度(解释了60.29%的方差)。采用验证性因子分析对另一部分样品的测量模型进行验证(CFI = .930;Rmsea = .056;SRMR = .065)。研究结果证明,先前在意大利样本中建立的DCS的四因素结构在塞尔维亚人群中也很明显,证实了跨文化的可复制性。
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引用次数: 0
The importance of the therapist’s perception of the quality of online romantic relationships 治疗师对在线恋爱关系质量的看法的重要性
Pub Date : 2022-11-13 DOI: 10.52872/001c.40340
Karmen Babić Praljak
With the emergence and rise of online dating sites and dating apps, there has been an exponential growth in romantic relationships initiated and/or maintained online. In fact, in the recent years, following increasing usage of social networks, the most common way to meet a future spouse is online, and the popularity of this method is expected to increase even more. A recent estimate says that there are more than 320 million active users of dating apps worldwide.1 In addition to an interest in casual sex, many initiate and maintain romantic relationships, first through dating apps and then through other online media. While we used to assume that dating apps were predominantly a tool for arranging a physical meeting with another person, the Covid-19 pandemic proved us wrong because while it lasted the use of the app increased (instead of the expected decrease).2
随着在线约会网站和约会应用程序的出现和兴起,在网上发起和/或维持的恋爱关系呈指数级增长。事实上,近年来,随着社交网络的使用越来越多,在网上结识未来伴侣的最常见方式,而且这种方式的受欢迎程度预计会进一步增加。最近的一项估计显示,全球有超过3.2亿的约会应用程序活跃用户除了对随意性行为感兴趣外,许多人开始并维持恋爱关系,首先是通过约会软件,然后是其他在线媒体。虽然我们过去认为约会软件主要是安排与另一个人见面的工具,但新冠肺炎疫情证明我们错了,因为在疫情持续期间,应用程序的使用增加了(而不是预期的减少)
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引用次数: 0
Migrants in critical circumstances: building bridges from fear to hope 处境危急的移民:搭建从恐惧到希望的桥梁
Pub Date : 2022-10-19 DOI: 10.52872/001c.38833
I. Mansione, Diana Zac, Clelia Manfredi, Leonardo Linetzky, Liliana Zuntini, S. Carballo, D. Rivero
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引用次数: 0
Changing Landscape of Mental Health from Early Career Psychiatrists’ Perspective in Indonesia 从印尼早期职业精神科医生的角度看不断变化的心理健康状况
Pub Date : 2022-08-05 DOI: 10.52872/001c.37413
D. A. Cipta, A. Saputra
This article briefly describes mental health services in Indonesia from the perspective of early-career psychiatrists practicing mainly in an urban setting. Mental health in Indonesia faces a major challenge of low availability of professionals, low funding, and a high treatment gap. In rural and suburban areas, lack of knowledge, prevailing stigma, and difficult access to mental health services lead to confinement and re-confinement. On the other hand, youth in urban settings are experiencing increased levels of common mental disorders, such as depression and anxiety, accelerated by the pandemics and are more concerned about their mental health. We provide policy, educational, and practice recommendations to address the problem.
这篇文章从早期职业精神科医生主要在城市环境中执业的角度简要描述了印度尼西亚的精神卫生服务。印度尼西亚的精神卫生面临着专业人员不足、资金不足和治疗差距大的重大挑战。在农村和郊区,缺乏知识、普遍存在的耻辱以及难以获得精神卫生服务导致监禁和再监禁。另一方面,城市环境中的青年患抑郁和焦虑等常见精神障碍的程度正在增加,这种情况因大流行病而加剧,他们更加关注自己的精神健康。我们提供政策、教育和实践建议来解决这个问题。
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引用次数: 0
Understanding India’s response to mental health care: a systematic review of the literature and overview of the National Mental Health Programme 了解印度对精神卫生保健的反应:对文献的系统审查和对国家精神卫生规划的概述
Pub Date : 2022-06-10 DOI: 10.52872/001c.36128
Tarannum Ahmed, Neha Dumka, E. Hannah, Vishal Chauhan, A. Kotwal
India, the second most populous country in the world comprises around 18% of the global population and significantly contributes to the global burden of mental disorders. It was one of the first few LMICs to develop a National Mental Health Programme (NMHP) to address the mental health needs of the population. This paper discusses the history of India’s mental health response and reviews the NMHP to suggest the way forward. This review illustrates that NMHP has made considerable progress in the past few decades and is continuously evolving. Nevertheless, progress made under the programme is in different stages of implementation in different parts of the country with many desired modifications. Addressing the challenges related to governance, human resources, regular flow of funds, utilization and accessibility and a robust monitoring system is pertinent for effective implementation that will potentially improve health outcomes nationally and internationally.
印度是世界上人口第二多的国家,约占全球人口的18%,在很大程度上造成了全球精神障碍负担。它是最早制定国家心理健康方案以满足人口心理健康需求的少数中低收入国家之一。本文讨论了印度心理健康应对的历史,并回顾了NMHP,以提出前进的方向。这一综述表明,NMHP在过去几十年中取得了相当大的进展,并在不断发展。然而,在该方案下取得的进展在该国不同地区处于不同的执行阶段,并有许多需要修改的地方。应对与治理、人力资源、资金正常流动、利用和可及性以及强有力的监测系统有关的挑战,有助于有效实施,从而可能改善国家和国际的卫生结果。
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引用次数: 2
“Together to build a life in common”: A solidarity approach to psychoanalytic interventions in the community “一起建立共同的生活”:社区精神分析干预的团结方法
Pub Date : 2022-06-09 DOI: 10.52872/001c.36071
I. Mansione, Eliane Marcelino, Carlos Tewel, Diana Zac, Teresa Rocha, Lula Maria Numa Abrahao, Fernando Orduz, María Cristina Fulco, Mirta Itlman, Andrea El Maluf, Angelica Pateiro, Dionela Tonolo, Andre Luiz Vale
This article is a collective writing of the FEPAL (Federación Psicoanalítica de América Latina) study group Psychoanalysts in the Community established in March 2020. The group involves psychoanalysts and psychoanalysts in training who represent psychoanalytic institutions and groups of psychoanalysts from Argentina, Brazil, Mexico, Peru, Uruguay, Colombia and Ecuador. Our extended courses, research and teaching aim at sustaining “solidarity rhythms”, that is, the necessity of empathy and bonding in regard to enjoying meeting with others. We privilege the “voices of the subjects” in different communities, taking into account their feelings, thoughts and theories. In order to build a humanizing development, it is necessary to be present in a stable way, where a significant attachment is lacking. The first step in the construction of projects is dreaming. In the case of working in the community it is possible to start the transformation of some forms of existence into others that are more promising for the community, the groups, and the subjects. In this article, we discuss the terms solidarity ethics (i.e. the absence of lies), solidarity bond (i.e. altruism), interdisciplinary work (i.e. different disciplines), solidarity diversity (i.e. the acceptance of heterogeneity), and active listening (to be receptive to the other), as common denominators of many Latin American projects. These terms constitute the framework that favors the completion of subjectivation when it was interrupted or spoilt. The absence of ethics, affectional bonds and receptivity damage psychic and social growth.
本文为2020年3月成立的FEPAL (Federación Psicoanalítica de amacimrica Latina)社区精神分析学家研究小组的集体写作。小组成员包括精神分析学家和正在接受培训的精神分析学家,他们代表来自阿根廷、巴西、墨西哥、秘鲁、乌拉圭、哥伦比亚和厄瓜多尔的精神分析机构和精神分析学家团体。我们的扩展课程、研究和教学旨在维持“团结节奏”,也就是说,在享受与他人会面方面,同理心和联系的必要性。我们尊重不同群体的“主体的声音”,考虑他们的感受、思想和理论。为了建立一种人性化的发展,有必要以一种稳定的方式存在,在那里缺乏重要的依恋。建设项目的第一步是梦想。在社区工作的情况下,有可能开始将一些存在形式转变为对社区、群体和主体更有希望的其他形式。在本文中,我们讨论了团结伦理(即没有谎言)、团结纽带(即利他主义)、跨学科工作(即不同学科)、团结多样性(即接受异质性)和积极倾听(接受他人)等术语,作为许多拉丁美洲项目的共同点。当主体化被打断或破坏时,这些术语构成了有利于主体化完成的框架。道德、情感纽带和接受能力的缺失会损害心理和社会的发展。
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引用次数: 0
Validation of MoCA Test in Vietnamese Language for Cognitive Impairment Screening 越南语MoCA测验对认知障碍筛查的验证
Pub Date : 2022-05-20 DOI: 10.52872/001c.35656
M. Do, Bonnie Khanh Ha Bui, NhuNgoc K. Pham, Philip Anglewicz, Lauren Nguyen, Trang-Le Huyen Nguyen, Cam Thanh Tran, M. Van Landingham
The goal of this study was to assess how the Vietnamese version of the MoCA test performed in a community-based sample of Vietnamese American (VA) older adults, an immigrant population with whom the MoCA test has not been validated. Forty-eight older adults were interviewed using a Vietnamese version of MoCA. Item analyses, and construct and criterion validity analyses were performed. We also correlated the MoCA score with individual characteristics, including age, sex, and education. Our findings indicate good psychometric applicability and internal reliability, as well as construct and criterion validity of this modification of the MoCA test. The test was found to be a reliable, and likely valid, instrument for mild cognitive impairment (MCI) screening within our study population. The study suggests several potential areas for improvement to enhance discriminating power of certain items and sub-tests, including the memory domain. The promising performance of a Vietnamese version of the MoCA test seen in this study has important practical implications for the screening of MCI among an important immigrant population in community settings.
本研究的目的是评估越南版本的MoCA测试在越南裔美国老年人(VA)的社区样本中的表现,这是一个移民人群,MoCA测试尚未得到验证。使用越南版MoCA对48名老年人进行了采访。进行了项目分析、结构分析和效度分析。我们还将MoCA得分与个人特征(包括年龄、性别和教育程度)联系起来。我们的研究结果表明,修正后的MoCA测验具有良好的心理测量适用性和内部信度,以及结构和效度。在我们的研究人群中,该测试被发现是一种可靠且可能有效的轻度认知障碍(MCI)筛查工具。该研究提出了几个潜在的改进领域,以提高某些项目和子测试的辨别能力,包括记忆领域。越南版本的MoCA测试在本研究中表现良好,对社区环境中重要移民人群的MCI筛查具有重要的实际意义。
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引用次数: 1
期刊
Journal of Global Health Neurology and Psychiatry
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