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Virtual reality in telepsychiatry is a new horizon for immersive mental health therapy 远程精神病学中的虚拟现实技术为身临其境的心理健康治疗开辟了新天地
Q3 PSYCHIATRY Pub Date : 2024-09-19 DOI: 10.1186/s43045-024-00457-y
Md. Kamrul Hasan
The use of virtual reality (VR) in telepsychiatry signifies a paradigm shift in mental health care. VR provides realistic, interactive environments for therapies like exposure therapy and cognitive behavioral therapy, resulting in reliable and reproducible scenarios that improve treatment effectiveness. This technology enhances accessibility for those with geographical or physical limitations, lowers stigma, and boosts patient engagement and adherence by making treatment activities more pleasurable and interesting. Furthermore, VR may emulate social interactions and circumstances that are difficult to replicate in typical treatment settings, providing useful practice for people with social anxiety or autism spectrum disorders (ASD). Despite its great potential, integrating VR into telepsychiatry offers problems such as high VR equipment costs, assuring clinical effectiveness and safety, and securing patient data. Future research should prioritize large-scale, randomized controlled trials to determine the efficacy of VR-based therapy, investigate long-term consequences, and offer cost-effective solutions. By tackling these issues and investing in novel research, VR has the potential to greatly improve telepsychiatry, making mental health care more effective, engaging, and easily available to people all over the world.
在远程精神病学中使用虚拟现实技术(VR)标志着心理健康护理模式的转变。虚拟现实技术为暴露疗法和认知行为疗法等疗法提供了逼真的互动环境,形成了可靠、可重复的场景,提高了治疗效果。这项技术提高了地理位置或身体条件受限者的可及性,降低了耻辱感,并通过使治疗活动更加愉悦和有趣,提高了患者的参与度和依从性。此外,VR 还可以模拟典型治疗环境中难以复制的社交互动和环境,为社交焦虑症或自闭症谱系障碍(ASD)患者提供有用的练习。尽管 VR 具有巨大的潜力,但将其融入远程精神病学仍存在一些问题,如 VR 设备成本高昂、难以保证临床效果和安全性以及患者数据安全等。未来的研究应优先考虑大规模随机对照试验,以确定基于 VR 的疗法的疗效,调查长期后果,并提供具有成本效益的解决方案。通过解决这些问题并投资于新颖的研究,VR 有可能极大地改善远程精神病学,使心理健康护理更有效、更吸引人,并方便世界各地的人们使用。
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引用次数: 0
Status and sociodemographic correlates of pathological internet use among adolescents in Jordan: a cross-sectional study 约旦青少年病理性使用互联网的状况与社会人口学相关因素:一项横断面研究
Q3 PSYCHIATRY Pub Date : 2024-09-16 DOI: 10.1186/s43045-024-00459-w
Farah M. Abdallah, Ayman M. Hamdan-Mansour
Pathological internet use (PIU) refers to excessive use of the internet and is commonly described using various terms, such as internet addiction disorder (IAD). It is a significant concern for mental health professionals in schools and primary care settings, especially among adolescents. Although in the sphere of psychological assessment, PIU is classified as a behavioral addiction and has been proven to be as serious as substance abuse, PIU is not officially classified as a psychological disorder in the Diagnostic and Statistical Manual of Mental Disorders. The aims of this study were to investigate the PIU status and explore the sociodemographic correlates of PIU among adolescents in Jordan. This study employed a descriptive‒explorative design with a cross-sectional approach. The study participants were 735 adolescents, grades 9th–11th. Data were collected via valid and reliable self-report questionnaire related to the main study variables over a period ranging from the beginning of March to the end of April 2024. For the data analysis, t tests and ANOVAs were used to identify any significant differences in the mean PIU total score in relation to the sociodemographic variables. The results revealed that among the 735 adolescents, 75.8% (n = 557) experienced PIU, with a significant difference in the mean PIU total score across grades (F = 3.37, p < .05) and academic performance levels (F = 8.76, p < .05), but not in terms of sex (t = .371, p > .05), father’s education level (F = .789, p > .05), or family income level (F = 1.076, p > .05). This study provides practical findings that students with poor academic performance and lower grades have higher levels of PIU. It is recommended that an ongoing screening for PIU be conducted to intervene proactively through multidisciplinary collaboration to manage disproportionate internet use among adolescents. Furthermore, this study adequately raises awareness about the far-reaching consequences of PIU for adolescents of both sexes. Finally, the results will be utilized to guide future studies to highlight more sociodemographic correlates of PIU.
病理性网络使用(PIU)是指过度使用互联网,通常有多种说法,如网络成瘾症(IAD)。它是学校和基层医疗机构心理健康专业人员关注的一个重要问题,尤其是在青少年中。虽然在心理评估领域,PIU 被归类为行为成瘾,并被证明与药物滥用一样严重,但《精神疾病诊断与统计手册》并未将 PIU 正式归类为心理障碍。本研究旨在调查约旦青少年的 PIU 状况,并探讨 PIU 的社会人口学相关因素。本研究采用了横断面描述性探索设计。研究对象为 735 名九至十一年级的青少年。数据通过有效可靠的自我报告问卷收集,问卷涉及 2024 年 3 月初至 4 月底期间的主要研究变量。数据分析采用了 t 检验和方差分析,以确定 PIU 平均总分与社会人口学变量之间是否存在显著差异。结果显示,在 735 名青少年中,75.8%(n = 557)有 PIU 的经历,不同年级(F = 3.37,p .05)、父亲教育水平(F = .789,p > .05)或家庭收入水平(F = 1.076,p > .05)的 PIU 平均总分差异显著。这项研究提供了切实可行的结论,即学习成绩差和年级较低的学生具有较高的 PIU 水平。建议对 PIU 进行持续筛查,通过多学科合作进行前瞻性干预,以控制青少年过度使用互联网的情况。此外,本研究还充分提高了人们对 PIU 对男女青少年的深远影响的认识。最后,研究结果将用于指导今后的研究,以强调更多与 PIU 相关的社会人口学因素。
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引用次数: 0
Post-traumatic stress disorder among nursing students at Palestine Polytechnique University during the Gaza war and the attack on the health care system 巴勒斯坦理工大学护理专业学生在加沙战争和医疗系统受袭期间出现的创伤后应激障碍
Q3 PSYCHIATRY Pub Date : 2024-09-13 DOI: 10.1186/s43045-024-00458-x
Nadia Amro
Gaza war and the attack on the healthcare system and healthcare personnel influenced the Palestinian people’s psychological status, especially healthcare professionals and university students. The study aims to explore the impact of Gaza war on nursing students of Palestine Polytechnique University (PPU). In a cross-sectional design, 272 nursing students completed the Impact of Event Scale-Revised (IES-R). Chi-square test used to examine the association of PTSD severity with demographic variables; independent samples t-tests and ANOVA were used to compare means of PTSD subscales (intrusion, avoidance, and hyperarousal); relationships between subscale scores and the total IES-R score were assessed using Pearson correlation coefficients. 71.3% of the Nursing students had high levels of PTSD symptoms, 14.7% were classified as having probable PTSD diagnosis, 10.7% had clinical concerns, and 3.3% with no clinical concern; hyperarousal and intrusion were the highest subscale scores; females showed higher levels of PTSD symptoms compared to males (p < .05); feelings of guilt when practicing happy events; negative impact on study significantly associated with higher PTSD severity (p < .05). The study highlighted the significant impact of Gaza war events on nursing students’ mental health as evidenced by a high level of PSTD symptoms, despite the aggressive attack on health care system during war on Gaza students found to have high willingness to challenge and pursue in their future nursing career. Targeted supportive mental health programs, resiliency, and coping mechanisms are needed for nursing students in the Palestinian context.
加沙战争以及对医疗系统和医护人员的攻击影响了巴勒斯坦人民的心理状态,尤其是医护人员和大学生。本研究旨在探讨加沙战争对巴勒斯坦理工大学(PPU)护理专业学生的影响。在横断面设计中,272 名护理专业学生完成了事件影响量表修订版(IES-R)。PTSD严重程度与人口统计学变量之间的关系采用卡方检验;PTSD各分量表(内隐、回避和过度焦虑)的均值比较采用独立样本t检验和方差分析;分量表得分与IES-R总分之间的关系采用皮尔逊相关系数进行评估。71.3%的护理专业学生有严重的创伤后应激障碍症状,14.7%的学生被归类为可能有创伤后应激障碍诊断,10.7%的学生有临床问题,3.3%的学生没有临床问题;过度焦虑和内侵是分量表中得分最高的;与男性相比,女性的创伤后应激障碍症状水平更高(p < .05);在练习快乐的事件时有负罪感;对学习的负面影响与创伤后应激障碍严重程度较高显著相关(p < .05)。该研究强调了加沙战争事件对护理专业学生心理健康的重大影响,表现为高水平的创伤后应激障碍症状,尽管加沙战争期间医疗保健系统受到了侵略性攻击,但学生们仍有很高的意愿去挑战和追求他们未来的护理事业。巴勒斯坦背景下的护理专业学生需要有针对性的心理健康支持计划、复原力和应对机制。
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引用次数: 0
Psychological assessment of violent behaviors in schizophrenic patients followed up in My EL Hassan health center of Kenitra, Morocco 对摩洛哥凯尼特拉 My EL Hassan 健康中心随访的精神分裂症患者暴力行为的心理评估
Q3 PSYCHIATRY Pub Date : 2024-09-09 DOI: 10.1186/s43045-024-00456-z
Bouchra Elyadini, Miloud Chakit, Abdelkarim Elkhatir, Ilhame Fitah, Abderazzak Khadmaoui
Disorders of the aggressive behavior frequently mark the entry in schizophrenia. They are not specific and very varied. The objective of this study was to assess the different risk factors associated with the manifestation of violent and aggressive behavior of schizophrenic patients who follow consultations in service of psychiatry at Kenitra, Morocco. One-hundred twenty-seven patients with schizophrenia were included, and the Modified Overt Aggression Scale (MOAS) and Positive and Negative Syndrome Scale (PANSS) were used respectively to assess the state of aggressiveness and to identify the type of psychotic symptomatology of schizophrenic patients. Clinical and sociodemographic data were obtained from all patients. The study shows that criminal history, drug addiction, motives for aggressiveness, and the moment of aggressiveness are all potential factors for aggression, and the profile of the patient likely to take the act is that of young schizophrenics under 39 years old, predominantly male, and the majority are single. Judicial history, habits toxic, and the positive psychotic symptoms are reported as the most frequently risk factors. The index of Cronbach (0.64) showed a strong connection between the four items of aggression and strong relation between MOAS and PANSS categories has been shown by independent test (p < 0.001). Aggressive behavior is a frequent symptom of schizophrenia in studied population and poses many clinical challenges. It requires collaboration with the patient for handling difficult situations.
攻击性行为障碍是精神分裂症的常见病因。它们没有特异性,而且种类繁多。本研究的目的是评估与摩洛哥凯尼特拉精神科就诊的精神分裂症患者暴力和攻击行为表现相关的不同风险因素。研究共纳入了 127 名精神分裂症患者,并分别使用了改良外显攻击行为量表(MOAS)和阳性与阴性综合征量表(PANSS)来评估精神分裂症患者的攻击性状况,并确定其精神病症状类型。研究还获得了所有患者的临床和社会人口学数据。研究结果表明,犯罪史、吸毒成瘾、攻击动机和攻击时刻都是导致攻击行为的潜在因素,可能采取攻击行为的患者特征是 39 岁以下的年轻精神分裂症患者,以男性为主,大多数是单身。据报告,司法史、习惯中毒和阳性精神病症状是最常见的危险因素。Cronbach 指数(0.64)显示,四个攻击行为项目之间存在紧密联系,MOAS 和 PANSS 类别之间的紧密联系也通过独立检验得到了证实(P < 0.001)。在研究人群中,攻击行为是精神分裂症的常见症状,给临床带来了许多挑战。它需要与患者合作,以处理棘手的情况。
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引用次数: 0
Burnout syndrome, anxiety, and depression symptoms among workers in radiation field 辐射领域工作人员的职业倦怠综合征、焦虑和抑郁症状
Q3 PSYCHIATRY Pub Date : 2024-09-06 DOI: 10.1186/s43045-024-00454-1
Shimaa Ibrahim Amin, Rehab S. Mahdy, Dalia A. El-Shafei, Nagda Elmasry, Hassan Eldawy, Rana MagdyAbdalla, Eman Fouad
Job burnout is defined as physical, emotional, and mental exhaustion due to persistent work stress, and it includes emotional exhaustion (EE), cynicism (CY), and reduced personal accomplishment (PA) and usually leads to symptoms of depression, lack of motivation, and decreased enthusiasm. Previous studies from different countries have suggested that job burnout, depression, and anxiety are a common work-related problems. This study aims to assess for job burnout, depression, and anxiety among radiation workers in order to investigate the effects of radiation exposure during work on the mental health. This comparative cross-sectional study was performed on 208 workers in the Egyptian Atomic Energy Authority (EAEA) and the Egyptian Nuclear and Radiological Regulatory Authority (ENRRA) at Cairo Governorate, Egypt. Study participants were divided into 2 groups: 1st group which included 104 workers among radiation field and 2nd group which included 104 workers and employees who do not often work among radiation field. Maslach Burnout Inventory Scale (MBI), Hamilton Rating Scale for Depression (HAM-D), and Hamilton Rating Scale for Anxiety (HAM-A) were used to assess for burnout, depression, and anxiety among study participants. The prevalence and severity of depression, anxiety, burnout, and among workers inside radiation field group were statistically significantly higher than those working outside radiation field group. Work type (WIRF) and number of working hours per week (> 40 h) were the significant risk factors for all the burnout, depression, and anxiety, while age (> 40–60 years old) was a significant predictor for depression, female gender was a significant predictor for anxiety, and both age (20–40 years old) and years of experience (≤ 10 years) were significant predictors for burnout among workers inside radiation field. Burnout, depression, and anxiety are common among workers inside radiation field with higher prevalence and severity than those working outside radiation field. Younger age, fewer years of experience, and more working hours per week are significantly associated risk factors for burnout among workers inside radiation field.
工作倦怠被定义为由于持续的工作压力而导致的身体、情感和精神上的疲惫,它包括情感衰竭(EE)、愤世嫉俗(CY)和个人成就感降低(PA),通常会导致抑郁、缺乏动力和热情下降等症状。以往不同国家的研究表明,工作倦怠、抑郁和焦虑是常见的工作相关问题。本研究旨在评估辐射工作人员的工作倦怠、抑郁和焦虑情况,以调查工作期间的辐射照射对心理健康的影响。这项横断面比较研究的对象是埃及开罗省埃及原子能管理局(EAEA)和埃及核与辐射管理局(ENRRA)的 208 名工作人员。研究参与者分为两组:第一组包括 104 名辐射领域的工作人员,第二组包括 104 名不经常在辐射领域工作的工作人员和雇员。研究人员使用马斯拉奇职业倦怠量表(MBI)、汉密尔顿抑郁评定量表(HAM-D)和汉密尔顿焦虑评定量表(HAM-A)来评估职业倦怠、抑郁和焦虑。据统计,辐照场内工作人员的抑郁、焦虑和职业倦怠的发生率和严重程度明显高于辐照场外工作人员。工作类型(WIRF)和每周工作时数(大于 40 小时)是所有职业倦怠、抑郁和焦虑的显著风险因素,而年龄(大于 40-60 岁)是抑郁的显著预测因素,女性性别是焦虑的显著预测因素,年龄(20-40 岁)和工作年限(≤ 10 年)是辐射场内工人职业倦怠的显著预测因素。倦怠、抑郁和焦虑在放射工作人员中很常见,其发生率和严重程度均高于非放射工作人员。年龄较小、工作年限较短、每周工作时间较长是放射工作人员产生职业倦怠的重要相关风险因素。
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引用次数: 0
Exploring COVID-19 anxiety across demographics: psychometric validation and application of the COVID-19-Anxiety Questionnaire in Arabic 探索不同人口统计学中的 COVID-19 焦虑症:阿拉伯语 COVID-19 焦虑症问卷的心理测量验证与应用
Q3 PSYCHIATRY Pub Date : 2024-09-02 DOI: 10.1186/s43045-024-00455-0
Fahmi H. Fadhel, Abdrabo Soliman, Mohammed M. J. Alqahtani
The emergence of the COVID-19 pandemic in 2019 imposed significant shifts in global health, particularly in understanding and addressing anxiety disorders precipitated by pandemic-related stressors. The current study aimed to adapt and validate the COVID-19 Anxiety Questionnaire (C-19 A) for Arabic-speaking populations (C-19 A-A), assessing its structural integrity, concurrent validity, factorial validity, and reliability. The data of 571 individuals, including age range, educational history, gender, and marital status, were collected through online platforms. The translation process of C-19 A-A underwent rigorous verification by linguistic and subject matter experts. Several advanced statistical procedures were used to examine the C-19 A-A’s reliability, validity, and measurement invariances across demographic subsets. The results indicated robust internal consistency, with a Cronbach’s alpha coefficient of 0.889, confirming the questionnaire’s reliability. Concurrent validity showed significant and positive correlations between C-19-A and FCV-19S (r = 0.77, p < 0.000). EFA revealed a dominant factor explaining 60.4% of the variance, bolstering the questionnaire’s factorial validity. CFA further validated the model’s adequacy across different demographic groups. Specifically, demographic factors such as age, gender, and educational level showed distinct patterns of COVID-19-related anxiety. The validated Arabic version of the C-19 A-A represents a pivotal tool for assessing pandemic-induced anxiety within Arabic-speaking communities. Its deployment enables targeted identification of vulnerable individuals, facilitating tailored health interventions and informing clinical strategies. This research underscores the pivotal role of culturally attuned assessment instruments in shaping effective public health responses and therapeutic interventions aimed at mitigating the psychological sequelae of global health crises.
2019 年出现的 COVID-19 大流行给全球健康带来了重大变化,尤其是在理解和应对与大流行相关的压力因素引发的焦虑症方面。本研究旨在针对阿拉伯语人群改编和验证 COVID-19 焦虑问卷(C-19 A),评估其结构完整性、并发效度、因子效度和可靠性。通过在线平台收集了 571 人的数据,包括年龄范围、教育经历、性别和婚姻状况。C-19 A-A 的翻译过程经过了语言专家和主题专家的严格验证。C-19 A-A 的信度、效度和不同人口统计子集的测量不变量均采用了几种先进的统计程序进行检验。结果显示,问卷具有良好的内部一致性,Cronbach's alpha 系数为 0.889,证实了问卷的可靠性。并发效度显示,C-19-A 和 FCV-19S 之间存在明显的正相关(r = 0.77,p < 0.000)。EFA显示,一个主导因子可解释60.4%的方差,从而增强了问卷的因子效度。CFA 进一步验证了该模型在不同人群中的充分性。具体来说,年龄、性别和教育程度等人口统计学因素显示出 COVID-19 相关焦虑的独特模式。经过验证的阿拉伯语版 C-19 A-A 是评估阿拉伯语社区中由流行病引起的焦虑的重要工具。使用该工具可以有针对性地识别易感人群,便于采取有针对性的健康干预措施,并为临床策略提供依据。这项研究强调了与文化相适应的评估工具在制定有效的公共卫生对策和治疗干预措施以减轻全球健康危机的心理后遗症方面的关键作用。
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引用次数: 0
C-reactive protein in anhedonia among patients with major depressive disorder and its relation to suicidal ideation 重度抑郁症患者厌世情绪中的 C 反应蛋白及其与自杀意念的关系
Q3 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1186/s43045-024-00453-2
Hani H. Dessoki, Mohamed R. Soltan, Ahmed S. Ragheb, Mariam E. Dawoud
There is evidence that major depressive disorder (MDD) with its cardinal symptoms, anhedonia and suicide, are linked with raised inflammatory markers like C-reactive protein (CRP). This case–control study investigated the correlation between high sensitive CRP (Hs-CRP), anhedonia, suicidal ideation, and depression severity in MDD patients. Forty-one MDD patients and 47 healthy controls were recruited. MDD diagnosis was confirmed using DSM-5 criteria. Depression severity, anhedonia, and suicidal ideation were assessed using standardized scales. Serum Hs-CRP levels were measured as an inflammatory marker. MDD cases had significantly greater Hs-CRP levels compared to controls. Additionally, Hs-CRP levels were positively correlated with both anhedonia and suicidal ideation in MDD cases. Depression severity was significantly linked with both anhedonia and suicidal ideation. This study suggests a link between inflammation, anhedonia, suicidal ideation, and depression severity in MDD patients. Additional research is necessary to find out the principal mechanisms.
有证据表明,重度抑郁症(MDD)及其主要症状--失神和自杀--与 C 反应蛋白(CRP)等炎症标志物的升高有关。这项病例对照研究调查了 MDD 患者的高敏 CRP(Hs-CRP)、厌世情绪、自杀意念和抑郁严重程度之间的相关性。研究招募了 41 名 MDD 患者和 47 名健康对照者。MDD 诊断根据 DSM-5 标准进行确认。抑郁严重程度、厌世情绪和自杀意念采用标准化量表进行评估。血清 Hs-CRP 水平作为炎症标志物进行了测量。与对照组相比,MDD 患者的 Hs-CRP 水平明显更高。此外,在 MDD 患者中,Hs-CRP 水平与厌世情绪和自杀意念呈正相关。抑郁症的严重程度与失乐症和自杀意念均有明显关联。这项研究表明,MDD 患者的炎症、失乐症、自杀意念和抑郁严重程度之间存在联系。要找出其主要机制,还需要进行更多的研究。
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引用次数: 0
Evaluating the effectiveness of a Portage program on reducing parenting stress and enhancing child development in autism spectrum disorders 评估波特奇计划在减轻自闭症谱系障碍儿童养育压力和促进儿童发展方面的效果
Q3 PSYCHIATRY Pub Date : 2024-08-26 DOI: 10.1186/s43045-024-00452-3
Radwa M. Borg, Marwa Mostafa Ahmed, Omnia Raafat, Shirin Makawi, Saeed S. Abduljalil Soliman
Autism spectrum disorder (ASD) manifests in early childhood and significantly impairs social and communicative functions. Parents of children with ASD typically experience higher levels of stress compared to parents of children with other disabilities or health issues. This study investigates how a home-based early intervention known as the Portage program influences parenting stress and improves family awareness by using the Parental Stress Scale (PSS), and Family Awareness Scale. We enrolled 41 children diagnosed with ASD and their parents in this study. The median age of the children was 4 years, with a predominance of males (80%). We measured changes in parenting stress and family awareness as primary outcomes, with the children’s behavior as a secondary outcome. Post-intervention assessments showed statistically significant improvements in parenting stress and family awareness (P < 0.001). Additionally, notable improvements were observed in the children’s social, language, self-help, cognitive, and motor skills, as well as general developmental age and ratio. A 3-month engagement with the Portage program markedly reduced stress among parents and increased family awareness regarding ASD. Significant advancements were also noted in multiple developmental domains of the children involved.
自闭症谱系障碍(ASD)在儿童早期就会表现出来,严重影响社交和沟通功能。与其他残疾或健康问题儿童的家长相比,自闭症谱系障碍儿童的家长通常承受着更大的压力。本研究通过使用家长压力量表(PSS)和家庭意识量表,调查被称为 Portage 计划的家庭式早期干预如何影响家长的压力并提高家庭意识。本研究共招募了 41 名被诊断患有 ASD 的儿童及其家长。儿童的年龄中位数为 4 岁,男性占多数(80%)。我们测量了养育压力和家庭意识的变化,并将其作为主要结果,儿童的行为则作为次要结果。干预后的评估显示,育儿压力和家庭意识在统计学上有显著改善(P < 0.001)。此外,儿童的社交、语言、自助、认知和运动技能以及一般发育年龄和比率也有明显改善。为期 3 个月的波特奇项目明显减轻了家长的压力,提高了家庭对自闭症的认识。参与项目的儿童在多个发展领域也取得了显著进步。
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引用次数: 0
Perceived parenting styles and bonding among adolescents with mental illness: Okasha Institute of Psychiatry experience 患有精神疾病的青少年对父母教养方式和亲子关系的看法:奥卡沙精神病学研究所的经验
Q3 PSYCHIATRY Pub Date : 2024-08-23 DOI: 10.1186/s43045-024-00451-4
Mariam Yehia Mohamed Abou Taleb, Maha Sayed, Maha El Gafaary, Reem El Ghamry, Reem Hashem, Yasmine Awwad, Rehab Serag
Worldwide, at least 10% of adolescents have a documented mental illness, which is a leading source of morbidity, mortality, and functional impairment. Among individuals aged between 10 and 24 years, psychiatric disorders account for 45% of all years lived with disability. Parenting discipline styles are fundamental in shaping adolescents’ emotional integrity, cognitive capabilities, and behavioral patterns. To compare parenting styles and parental bonding dimensions in adolescents with different psychiatric disorders versus a group of healthy adolescents matched for age and sex. A case–control study conducted at Okasha Institute of Psychiatry, Ain Shams University Hospitals, involved 50 participants of adolescents diagnosed with variable psychiatric disorders and 50 matched healthy controls. Authoritarian parenting style was evident in mentally ill adolescents, while authoritative parenting style was prevalent in healthy controls. In terms of parental bonding, mentally ill adolescents experienced a low level of care and a high level of overprotection from both parents. The results of the study demonstrated that parenting styles may serve as predictors and predisposing factors for psychiatric disorders in adolescents. Adolescents with psychiatric disorders perceived both parents as more authoritarian, less authoritative. They also received a low level of care and a high level of overprotection from both parents.
在全球范围内,至少有 10%的青少年患有有记录的精神疾病,这是导致发病、死亡和功能障碍的主要原因。在 10 至 24 岁的人群中,精神障碍占残疾生活总年数的 45%。父母的管教方式是塑造青少年情感完整性、认知能力和行为模式的基础。目的是比较患有不同精神障碍的青少年与一组年龄和性别匹配的健康青少年的养育方式和父母亲情维度。艾因夏姆斯大学医院奥卡沙精神病学研究所进行了一项病例对照研究,研究对象包括 50 名被诊断患有不同精神障碍的青少年和 50 名匹配的健康对照组。在患有精神疾病的青少年中,专制型养育方式十分明显,而在健康对照组中,权威型养育方式则十分普遍。在亲子关系方面,患有精神疾病的青少年从父母那里得到的关爱程度较低,而父母的过度保护程度较高。研究结果表明,父母的教养方式可能是青少年精神障碍的预测因素和诱发因素。患有精神障碍的青少年认为父母双方都比较专制,权威性较低。同时,他们从父母双方那里获得的关爱程度较低,过度保护程度较高。
{"title":"Perceived parenting styles and bonding among adolescents with mental illness: Okasha Institute of Psychiatry experience","authors":"Mariam Yehia Mohamed Abou Taleb, Maha Sayed, Maha El Gafaary, Reem El Ghamry, Reem Hashem, Yasmine Awwad, Rehab Serag","doi":"10.1186/s43045-024-00451-4","DOIUrl":"https://doi.org/10.1186/s43045-024-00451-4","url":null,"abstract":"Worldwide, at least 10% of adolescents have a documented mental illness, which is a leading source of morbidity, mortality, and functional impairment. Among individuals aged between 10 and 24 years, psychiatric disorders account for 45% of all years lived with disability. Parenting discipline styles are fundamental in shaping adolescents’ emotional integrity, cognitive capabilities, and behavioral patterns. To compare parenting styles and parental bonding dimensions in adolescents with different psychiatric disorders versus a group of healthy adolescents matched for age and sex. A case–control study conducted at Okasha Institute of Psychiatry, Ain Shams University Hospitals, involved 50 participants of adolescents diagnosed with variable psychiatric disorders and 50 matched healthy controls. Authoritarian parenting style was evident in mentally ill adolescents, while authoritative parenting style was prevalent in healthy controls. In terms of parental bonding, mentally ill adolescents experienced a low level of care and a high level of overprotection from both parents. The results of the study demonstrated that parenting styles may serve as predictors and predisposing factors for psychiatric disorders in adolescents. Adolescents with psychiatric disorders perceived both parents as more authoritarian, less authoritative. They also received a low level of care and a high level of overprotection from both parents.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194167","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
A study of predictors of retention to naltrexone maintenance therapy in patients with opioid use disorder: a prospective study 阿片类药物使用障碍患者继续接受纳曲酮维持治疗的预测因素研究:一项前瞻性研究
Q3 PSYCHIATRY Pub Date : 2024-08-19 DOI: 10.1186/s43045-024-00450-5
Burhan Bashir Lone, Neelofer Jan, Muntaqueem Ul Kousar, Fazle Roub Bhat, Yasir Hassan Rather, Ubaid Rasool
Naltrexone prophylaxis is a well-established treatment for opioid use disorder. Our study aimed to track patients on naltrexone and investigate the factors predictive of retention. The study comprised 100 participants initiated on naltrexone, who underwent a 12-week follow-up. We analyzed a range of socio-demographic and clinical variables at 04 and 12 weeks to compare those who remained in treatment program with those who experienced relapse. The results revealed a predominantly young, unmarried, male, rural-dwelling sample with heroin as the primary opioid. Intravenous use was common (75%), with 57% of the participants exhibiting positive serology results for infections by hepatitis C (HCV), hepatitis B (HBV), and/or human immunodeficiency virus (HIV), and a significant proportion initiating opioids before the age of 20 (31%). The retention rates at 04 and 12 weeks were 83% and 64%, respectively. Several socio-clinical factors including age of initiation of use, rural residence, and comorbid psychiatric illness significantly influenced retention at 04 and 12 weeks. The findings highlight the importance of tailored interventions that take into consideration the age, residence, socio-economic status, and psychiatric comorbidity to enhance retention rates. Identifying these factors can help improve the effectiveness of treatment programs and promote sustained recovery efforts.
纳曲酮预防治疗是一种行之有效的阿片类药物使用障碍治疗方法。我们的研究旨在跟踪服用纳曲酮的患者,并调查预测患者继续服用的因素。研究包括 100 名开始服用纳曲酮的患者,他们接受了为期 12 周的随访。我们分析了第 04 周和第 12 周的一系列社会人口学和临床变量,以比较那些仍在接受治疗的患者和那些复发的患者。结果显示,样本主要为年轻、未婚、男性、农村居民,主要阿片类药物为海洛因。静脉注射很常见(75%),57%的参与者丙型肝炎(HCV)、乙型肝炎(HBV)和/或人类免疫缺陷病毒(HIV)感染血清学结果呈阳性,很大一部分人在 20 岁之前就开始服用阿片类药物(31%)。04 周和 12 周的保留率分别为 83% 和 64%。一些社会临床因素,包括开始使用阿片类药物的年龄、农村居住地和合并精神疾病,对第 04 周和第 12 周的保留率有显著影响。研究结果突出表明,考虑到年龄、居住地、社会经济地位和精神疾病合并症等因素,采取有针对性的干预措施对提高保留率非常重要。找出这些因素有助于提高治疗计划的有效性,促进持续康复。
{"title":"A study of predictors of retention to naltrexone maintenance therapy in patients with opioid use disorder: a prospective study","authors":"Burhan Bashir Lone, Neelofer Jan, Muntaqueem Ul Kousar, Fazle Roub Bhat, Yasir Hassan Rather, Ubaid Rasool","doi":"10.1186/s43045-024-00450-5","DOIUrl":"https://doi.org/10.1186/s43045-024-00450-5","url":null,"abstract":"Naltrexone prophylaxis is a well-established treatment for opioid use disorder. Our study aimed to track patients on naltrexone and investigate the factors predictive of retention. The study comprised 100 participants initiated on naltrexone, who underwent a 12-week follow-up. We analyzed a range of socio-demographic and clinical variables at 04 and 12 weeks to compare those who remained in treatment program with those who experienced relapse. The results revealed a predominantly young, unmarried, male, rural-dwelling sample with heroin as the primary opioid. Intravenous use was common (75%), with 57% of the participants exhibiting positive serology results for infections by hepatitis C (HCV), hepatitis B (HBV), and/or human immunodeficiency virus (HIV), and a significant proportion initiating opioids before the age of 20 (31%). The retention rates at 04 and 12 weeks were 83% and 64%, respectively. Several socio-clinical factors including age of initiation of use, rural residence, and comorbid psychiatric illness significantly influenced retention at 04 and 12 weeks. The findings highlight the importance of tailored interventions that take into consideration the age, residence, socio-economic status, and psychiatric comorbidity to enhance retention rates. Identifying these factors can help improve the effectiveness of treatment programs and promote sustained recovery efforts.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142194221","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}
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Middle East Current Psychiatry
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