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Compare and contrast two different ontological perspectives that might apply to qualitative research in psychology evaluating the impact on epistemology and choice of data collection method in studying straight men who sleep with men (MSM) 比较和对比两种不同的本体论观点,它们可能适用于心理学的定性研究评估对认识论的影响和数据收集方法的选择在研究异性恋男性(MSM)时
Q1 Social Sciences Pub Date : 2018-04-03 DOI: 10.1080/17542863.2017.1343860
Matt Broadway-Horner
ABSTRACT When embarking on a piece of research it is important to decide on which ontological basis the researcher stands. Do they see the world in absolute terms thereby having a positivist view or do they believe in observing through the constructions of the mind like the constructionists. Because it is from the ontological position that informs the epistemology, i.e. the empiricist who believes that knowledge can be gained via the senses would therefore take on an experimental methodology. Therefore the epistemological stance of how to approach the study and interpret knowledge is key and when this is decided, then the researcher will know which method of data collection to use; is essential for a logical and correct process to be followed and adhered to in order for research into MSM and to stand up to the rigour of peer review [Ritchie, J., Lewis, J., Nicholls, C. M., & Ormston, R. (2014). Qualitative research practice: A guide for social science students and researchers. London: Sage]. Qualitatively Interpersonal Phenomenological Analysis is chosen for investigating the straight men who have sex occasionally with men (MSM) as it fits with the epistemology stance of the researcher and with the focus on trying to obtain ideas, values and beliefs of the MSM population in order to curb the spread of HIV among straight women.
当开始一项研究时,重要的是决定研究人员站在哪个本体论基础上。他们是用绝对的观点来看待世界,从而拥有一种实证主义的观点,还是像建构主义者一样,相信通过心灵的建构来观察。因为它是从本体论的立场出发,告知认识论,也就是说,经验主义者相信知识可以通过感官获得,因此会采取实验方法。因此,如何接近研究和解释知识的认识论立场是关键,当这一点确定后,研究人员将知道使用哪种数据收集方法;对于遵循和坚持一个合乎逻辑和正确的过程是必不可少的,以便对MSM进行研究,并经得起严格的同行评审[Ritchie, J., Lewis, J., Nicholls, C. M., & Ormston, R.(2014)]。质性研究实践:社会科学学生和研究人员指南。伦敦:圣人]。选择定性的人际现象学分析(qualitative Interpersonal Phenomenological Analysis,简称MSM)来调查偶尔与男性发生性行为的直男(MSM),既符合研究者的认识论立场,也旨在了解MSM人群的想法、价值观和信仰,以遏制HIV在直女中的传播。
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引用次数: 1
Post-traumatic stress disorders, depression, and anxiety in unaccompanied refugee minors exposed to war-related trauma: a systematic review 暴露于战争相关创伤的无人陪伴未成年难民的创伤后应激障碍、抑郁和焦虑:系统回顾
Q1 Social Sciences Pub Date : 2018-04-03 DOI: 10.1080/17542863.2017.1355929
Reem El Baba, E. Colucci
ABSTRACT This systematic review gathers data from the existing literature on the prevalence and course of psychiatric disorders among unaccompanied refugee minors (URMs). The databases PsychINFO, PubMed, Scopus and Web of Science were searched and reference lists of papers were also manually examined to identify relevant articles. Peer-reviewed journal articles included focused on the mental health of URMs, who were forced to leave their place of residence because of threats of wars. A narrative synthesis was done to analyse the data presented in the studies. Results from the fifteen studies included in the review highlighted the high prevalence of post-traumatic stress disorders (PTSD), depression, and anxiety among URMs. The association between internalizing disorders and exposure to trauma, and time since displacement were examined. Separation from family members, death of parents and close relatives, level of exposure to armed conflicts, and threats to a person were the most frequent stressful life events (SLE) among URMs before migration. Although the number of research done on this vulnerable population is increasing overtime, the review highlights the need for further examination of refugee mental health and the factors affecting symptoms of PTSD, depression, and anxiety.
本系统综述收集了有关无人陪伴未成年难民(URMs)精神疾病患病率和病程的现有文献数据。检索了PsychINFO、PubMed、Scopus和Web of Science数据库,并人工检查了论文的参考文献列表,以确定相关文章。包括同行评议的期刊文章,重点关注因战争威胁而被迫离开居住地的难民的心理健康。对研究中提出的数据进行了叙述性综合分析。综述中包含的15项研究的结果强调了创伤后应激障碍(PTSD)、抑郁和焦虑在urm中的高患病率。内化障碍与暴露于创伤之间的关系,以及流离失所后的时间。移民前,与家庭成员分离、父母和近亲死亡、接触武装冲突的程度以及对个人的威胁是urm中最常见的生活压力事件(SLE)。尽管对这一弱势群体进行的研究数量在不断增加,但该审查强调有必要进一步检查难民的心理健康状况以及影响创伤后应激障碍、抑郁和焦虑症状的因素。
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引用次数: 47
Internalized stigma in schizophrenia: a cross-sectional study of prevalence and predictors 精神分裂症的内化耻辱:患病率和预测因素的横断面研究
Q1 Social Sciences Pub Date : 2018-03-26 DOI: 10.1080/17542863.2018.1450431
B. Fadipe, T. Adebowale, A. Ogunwale, Y. Fadipe, Abdul-Hakeem A. Ojeyinka, A. Olagunju
ABSTRACT Self-stigma is a major problem in schizophrenia, with far reaching consequences on treatment and overall outcome, but scarcely examined. In this study we investigated the prevalence and predictors of internalized stigma in schizophrenia in an outpatient population. We recruited 370 adult outpatients with DSM-IV diagnosis of schizophrenia. All participants were interviewed with a sociodemographic and clinical questionnaire, the 18-item Brief Psychiatric Rating Scale (BPRS-18) and the 29-item Internalized Stigma of Mental Illness (ISMI) scale. The mean age of participants was 37.87 (± 11.24) years, and included 189 (51.1%) females. The prevalence of high self-stigma was 16.5%. As per ISMI subscales, high experience of discrimination was reported more by participants (24.1%) compared to high alienation (22.4%), high stereotype endorsement(8.6%), and high social withdrawal (20.3%). Only 28.1% of participants scored high on stigma resistance. Following regression analysis, the experience of high self-stigma was independently related to lack of formal education (OR = 3.908), absence of good social support (OR = 0.387), high psychopathology based on the BPRS-18 (OR = 1.156) and less than US$25 average income per month (OR = 0.4990). Self-stigma is a major challenge among patients with schizophrenia beyond acute in-patient treatment. Routine information elicited during clinic visits may help index those with high stigma risk to warrant further exploration and targeted anti-stigma intervention if needed.
自我耻辱是精神分裂症的主要问题,对治疗和总体结果有着深远的影响,但很少被研究。在这项研究中,我们调查了精神分裂症门诊人群的患病率和内化耻辱的预测因素。我们招募了370名被诊断为精神分裂症的成年门诊患者。采用社会人口学和临床问卷、18项精神病学简要评定量表(BPRS-18)和29项精神疾病内化污名量表(ISMI)对所有参与者进行访谈。参与者平均年龄为37.87(±11.24)岁,其中女性189人(51.1%)。高度自我耻感的患病率为16.5%。在ISMI子量表中,高歧视体验(24.1%)高于高疏离感(22.4%)、高刻板印象认同(8.6%)和高社会退缩(20.3%)。只有28.1%的参与者在抗污名方面得分高。回归分析显示,高自我耻感与缺乏正规教育(OR = 3.908)、缺乏良好的社会支持(OR = 0.387)、基于bpr -18的高精神病理(OR = 1.156)和月平均收入低于25美元(OR = 0.4990)独立相关。自我耻辱感是精神分裂症患者在急性住院治疗之外的主要挑战。在门诊访问中获得的常规信息可能有助于对那些有高病耻感风险的人进行索引,以保证进一步的探索和有针对性的反病耻感干预。
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引用次数: 10
Measuring internalized stigma of mental illness among Chinese outpatients with mood disorders 中国情绪障碍门诊患者精神疾病内化耻辱感的测量
Q1 Social Sciences Pub Date : 2018-03-21 DOI: 10.1080/17542863.2018.1442484
Meghan L. Smith, Lawrence H. Yang, Debbie Huang, K. Pike, C. Yuan, Zhen Wang
ABSTRACT Internalized stigma is a barrier to mental health care in China, and stigma reduction is expected to promote treatment utilization, especially for mood disorders and schizophrenia. We aimed to identify the most common domains of internalized stigma of mental illness and to test the hypothesis that people with more severe mood disorders evidence more internalized stigma than those with less severe disorders. The Internalized Stigma of Mental Illness (ISMI) was administered to 366 outpatients with various mood disorders in Shanghai. Reliability statistics were calculated and frequently-endorsed items were identified. The magnitude of internalized stigma was compared among diagnostic categories and among sociodemographic groups. Except for stigma resistance, the ISMI and its subscales had good internal consistency. Across subgroups, stereotype endorsement was most commonly reported. Bipolar (versus depressive) disorders, male gender, and less education were associated with more internalized stigma, especially social withdrawal. Contrasting findings in Western countries, those with family history of mental illness trended toward more internalized stigma. We conclude that anti-stigma interventions should focus on reducing social withdrawal and stereotype endorsement, especially for those with more severe mood disorders, males, less educated individuals, and those with family history of mental illness.
内化病耻感是中国精神卫生保健的一个障碍,减少病耻感有望促进治疗的利用,特别是对情绪障碍和精神分裂症。我们的目的是确定精神疾病内化耻辱的最常见领域,并检验一个假设,即情绪障碍更严重的人比那些不太严重的人有更多的内化耻辱。对上海市366例各类情绪障碍门诊患者进行心理疾病内化污名(ISMI)测试。计算可靠性统计数据,并确定频繁认可的项目。在诊断类别和社会人口群体之间比较了内化耻辱的程度。除柱头抗性外,ISMI及其子量表具有较好的内部一致性。在各个小组中,刻板印象背书是最常见的。双相情感障碍(相对于抑郁症)、男性和受教育程度较低与内在化的耻辱感相关,尤其是社会退缩。与西方国家的调查结果相反,那些有精神疾病家族史的人倾向于更内化的耻辱。我们的结论是,反污名化干预应侧重于减少社会退缩和刻板印象背书,特别是对于那些更严重的情绪障碍、男性、受教育程度较低的个体和有精神疾病家族史的个体。
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引用次数: 5
High prevalence of somatic symptoms in a semi-rural Chilean population and its association with depression and anxiety† 智利半农村人口躯体症状高发及其与抑郁和焦虑的关系
Q1 Social Sciences Pub Date : 2018-03-21 DOI: 10.1080/17542863.2018.1444658
Carlos Sandaña, P. Bustos, H. Amigo, A. Canals, R. Rona
ABSTRACT Our purpose was to study the prevalence of mental disorders with an emphasis on somatic symptoms and their association with social support in a Chilean semi-rural area. We studied a sample of 796 adults born between 1974 and 1978 in Limache, Chile. The Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Patient Health Questionnaire-15 and the Medical Outcomes Study Social Support Scale test were used to assess depression, anxiety, somatic symptoms and social support, respectively. We found that the prevalence of psychosomatic symptoms was 63.8% in women (most of them in the severe range) and 34.1% in men. The rates of depression and anxiety were 17.7 and 21.7%, respectively. Psychosomatic symptoms were strongly associated with depression (male OR:10.33, CI 95%:2.91–34.54; female OR:6.19, CI 95%:2.64–14.52) and anxiety (male OR:2.63, CI 95%:1.04–6.63; female OR:3.97, CI 95%:2.02–7.78). The association between psychosomatic symptoms and functional impairment was mainly due to symptoms of depression and anxiety. Mental disorders were inversely associated with social support. We conclude that psychosomatic symptoms were the norm, especially in women. Social support is marginally lower in those with a mental disorder, but still perceived as high. Physical complains in these communities are frequently the expression of depression and anxiety.
我们的目的是研究智利半农村地区精神障碍的患病率,重点是躯体症状及其与社会支持的关系。我们研究了796名1974年至1978年间出生在智利利马切的成年人。采用《患者健康问卷-9》、《广泛性焦虑障碍问卷-7》、《患者健康问卷-15》和《医疗结果研究社会支持量表》分别评估抑郁、焦虑、躯体症状和社会支持。我们发现心身症状的患病率在女性中为63.8%(其中大多数在严重范围内),在男性中为34.1%。抑郁和焦虑的比例分别为17.7%和21.7%。心身症状与抑郁症密切相关(男性OR:10.33, CI 95%: 2.91-34.54;女性OR:6.19,可信区间95%:2.64-14.52)和焦虑(男性OR:2.63,可信区间95%:1.04-6.63;女性OR:3.97, CI 95%: 2.02-7.78)。心身症状与功能障碍之间的关联主要是由于抑郁和焦虑症状。精神障碍与社会支持呈负相关。我们得出结论,心身症状是常态,尤其是在女性中。精神障碍患者的社会支持略低,但仍被认为是高的。在这些社区中,身体上的抱怨往往是抑郁和焦虑的表现。
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引用次数: 1
The moderating effects of culture-driven individual differences in the stress-strain relationships: comparison between Switzerland and South Africa 文化驱动的个体差异在压力应变关系中的调节作用:瑞士和南非的比较
Q1 Social Sciences Pub Date : 2018-03-21 DOI: 10.1080/17542863.2018.1442485
Christina Györkös, J. Antonietti, Koorosh Massoudi, Jurgen Becker, G. D. de Bruin, J. Rossier
ABSTRACT This study investigated the moderating effects of culture-driven individual differences in the relationship between work conditions and work-related health outcomes in Switzerland and South Africa: Swiss natives (n = 397) and Swiss foreigners (n = 224), White South Africans (n = 432) and non-White South Africans (n = 434). We used the horizontal and vertical individualism and collectivism scale to measure culture-driven individual differences, the Job Content Questionnaire to measure psychological job demands, and the General Health Questionnaire and the General Work Stress Scale to measure work-related health outcomes. Results suggest that high vertical individualism had a general buffering effect in the stress–strain relationship among the South African White group. Low vertical collectivism played a similar role among the South African non-White group and the Swiss foreigners group, while high horizontal collectivism had a detrimental effect in stressful work conditions in both South African groups. Finally, horizontal individualism had no moderating effect. Generally, our study suggests that to investigate the moderating role of culture-driven individual differences according to the ethnic group of belonging is promising, given that the same individual characteristic does not necessarily interact in the same way in the stress–strain relationship.
摘要本研究调查了文化驱动的个体差异对瑞士和南非工作条件与工作相关健康结果之间关系的调节作用:瑞士本地人(n = 397)和瑞士外国人(n = 224),南非白人(n = 432)和非白人南非人(n = 434)。我们使用横向和纵向个人主义和集体主义量表来衡量文化驱动的个体差异,使用工作内容问卷来衡量心理工作需求,使用一般健康问卷和一般工作压力量表来衡量工作相关的健康结果。结果表明,高度垂直的个人主义在南非白人群体的压力-应变关系中具有普遍的缓冲作用。低纵向集体主义在南非非白人组和瑞士外国人组中发挥了相似的作用,而高水平集体主义在南非两组中都对压力工作条件产生了不利影响。最后,横向个人主义没有调节作用。总的来说,我们的研究表明,考虑到相同的个体特征在应力-应变关系中不一定以相同的方式相互作用,根据归属的族群来研究文化驱动的个体差异的调节作用是有希望的。
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引用次数: 1
Burden of mental illness: a review in an Indian context 精神疾病的负担:在印度背景下的回顾
Q1 Social Sciences Pub Date : 2018-03-08 DOI: 10.1080/17542863.2018.1442869
B. Sahithya, R. Reddy
ABSTRACT Mental disorders pose a major challenge to the community due to early onset, chronic progressively deteriorating course, frequent relapses and disability. They are associated with tremendous distress both for the patient and the caregiver, and can produce significant disability, especially when not treated in a timely manner. This review aims to discuss the burden of mental illness in terms of economic cost, family burden, disability and unemployment in India. After a conceptual overview of burden, barriers to mental health and treatment gaps are discussed. Finally, progress made in the area of mental health, recent government initiatives and future directions to address the growing problems associated with mental disorders are discussed.
精神障碍因其早发、病程慢性进行性恶化、频繁复发和致残等特点,对社会构成了重大挑战。它们会给病人和照顾者带来巨大的痛苦,并可能产生严重的残疾,尤其是在没有及时治疗的情况下。本综述旨在从经济成本、家庭负担、残疾和失业等方面讨论印度的精神疾病负担。在对负担的概念概述之后,讨论了心理健康障碍和治疗差距。最后,讨论了在精神健康领域取得的进展、最近政府为解决与精神障碍有关的日益严重的问题所采取的举措和今后的方向。
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引用次数: 15
Factor structure and measurement invariance of the Perceived Ethnic Discrimination Questionnaire-Community Version Brief 民族歧视知觉问卷的因素结构与测量不变性-社区版摘要
Q1 Social Sciences Pub Date : 2018-02-22 DOI: 10.1080/17542863.2018.1436578
B. Keum, Christina J. Thai, N. Truong, Harim Lydia Ahn, Yun Lu
ABSTRACT The Perceived Ethnic Discrimination Questionnaire-Community Version Brief (PEDQ-CVB) is a widely used brief multidimensional measure of general racial discrimination for both students and community populations. We evaluated the factor structure and measurement equivalency of the PEDQ-CVB across diverse racial/ethnic and gender groups. The groups in the current study were Black (N = 306), Asian (N = 310), Latinx (N = 163), multiracial (N = 108), women (N = 555), and men (N = 372). Confirmatory factor analysis (CFA) and test of competing models suggested that the four-factor and bifactor (with four specific factors and one general factor) models were best fitting and most conceptually meaningful. Based on the bifactor model, the PEDQ-CVB could be represented unidimensionally (total scale score) for applied measurement. Multi-group CFAs found evidence of measurement invariance for configural, metric, and scalar models across racial/ethnic and gender groups, suggesting that men and women, and individuals self-identifying as Black, Asian, Latinx and multiracial, interpreted PEDQ-CVB items in a similar fashion. Our findings substantiate the utility of the PEDQ-CVB as a brief general measure of racial/ethnic discrimination and the validity of results from prior studies that used the PEDQ-CVB. Study limitations and future directions for research are discussed.
种族歧视感知问卷-社区版本概要(PEDQ-CVB)是一种广泛使用的针对学生和社区人群的一般性种族歧视的简短多维测量方法。我们评估了不同种族/民族和性别群体PEDQ-CVB的因素结构和测量等效性。目前研究的人群包括黑人(306)、亚洲人(310)、拉丁裔(163)、多种族(108)、女性(555)和男性(372)。验证性因子分析(CFA)和竞争模型的检验表明,四因素和双因素(四个特定因素和一个一般因素)模型最适合和最具概念意义。基于双因子模型,PEDQ-CVB可以单维表示(总量表得分)用于应用测量。多群体CFAs发现了跨种族/民族和性别群体的配置、度量和标量模型的测量不变性的证据,这表明男性和女性,以及自我认同为黑人、亚洲人、拉丁裔和多种族的个体,以相似的方式解释PEDQ-CVB项目。我们的研究结果证实了PEDQ-CVB作为种族/民族歧视的简单通用测量的效用,以及先前使用PEDQ-CVB的研究结果的有效性。讨论了研究的局限性和未来的研究方向。
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引用次数: 6
Depression, anxiety and stress in the various trimesters of pregnancy in women referring to Tabriz health centres, 2016 到大不里士保健中心就诊的妇女在妊娠各阶段的抑郁、焦虑和压力,2016年
Q1 Social Sciences Pub Date : 2018-02-22 DOI: 10.1080/17542863.2018.1438484
Fatemeh Effati-Daryani, Sakineh Mohammad-Alizadeh-Charandabi, Somayeh Zarei, A. Mohammadi, M. Mirghafourvand
ABSTRACT This study was conducted to investigate the depression, anxiety and stress status in the various trimesters of pregnancy. This cross-sectional study was conducted on 605 pregnant women referring to Tabriz health centres and health bases by using a two-stage cluster sampling method. Data were collected using the socio-demographic characteristics questionnaire and the Depression, Anxiety and Stress Scale (DASS-21). The Kruskal Wallis statistical test was used to analyze the data. Some 22.8% of the women were depressed in the first trimester, 30.3% in the second trimester and 36.6% in the third trimester. The corresponding percentages were 17.3%, 12.2% and 27.3% for the anxiety variable and 19.8%, 24.7% and 31.7% for the stress variable. According to the results of this study, in addition to the routine care provided during pregnancy, programmes must be developed to evaluate, diagnose and treat possible mental disorders during this period so that the health of pregnant women and their newborns can be guaranteed.
摘要本研究旨在探讨妊娠各阶段妇女的抑郁、焦虑和应激状况。采用两阶段整群抽样方法,对605名到大不里士保健中心和保健基地就诊的孕妇进行了横断面研究。采用社会人口学特征问卷和抑郁、焦虑和压力量表(DASS-21)收集数据。采用Kruskal Wallis统计检验对数据进行分析。约22.8%的妇女在妊娠早期抑郁,30.3%在妊娠中期,36.6%在妊娠晚期。焦虑变量所占比例分别为17.3%、12.2%和27.3%,应激变量所占比例分别为19.8%、24.7%和31.7%。根据这项研究的结果,除了在怀孕期间提供常规护理外,还必须制定方案,以评估、诊断和治疗怀孕期间可能出现的精神障碍,从而保障孕妇及其新生儿的健康。
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引用次数: 11
Dhat syndrome – A culture-bound sex neurosis of the Indian subcontinent: A prospective randomized study Dhat综合征——印度次大陆的一种文化性神经症:一项前瞻性随机研究
Q1 Social Sciences Pub Date : 2018-02-07 DOI: 10.1080/17542863.2018.1427769
S. Shoib, Soumitra Das, S. Singhal, Aatif Rashid, Raheel Mishtaq, Musbiq Manzoor
ABSTRACT Dhat syndrome is a culture-bound syndrome commonly reported in the Indian subcontinent, where sexual competence in man is the trademark of masculinity. Socio-demographic profile, phenomenology and clinical profile of Dhat syndrome, and its related misconceptions were ascertained in the study. Fifty random cases were studied with the tools such as Mini International Neuropsychiatric Interview (MINI-plus) scale, the General Health Questionnaire–28 (GHQ – 28), the Hamilton Depression Rating Scale (HAM-D) and the Hamilton Anxiety Rating Scale (HAM-A). The mean age, with standard deviation (SD), of the sample was 16.67 (± 6.65) years. 38% of patients were diagnosed to have a psychiatric illness among which a majority of cases were diagnosed with a depressive illness (18%). The GHQ Score (Mean ± SD), HAM-D (Mean ± SD) and HAM-A (Mean ± SD) of patients were 11.2 ± 8.2, 16.4 ± 6.1 and 16.1 ± 5.8, respectively. Our study suggests the presence of psychiatric co-morbidity in Dhat syndrome, such cases should be referred to consultation-liaison psychiatrists for proper management, and relevant education should be provided to young adults to remove the myths and misconceptions.
Dhat综合征是印度次大陆普遍报道的一种文化束缚综合征,在印度,男性的性能力是男性气概的标志。在研究中确定了Dhat综合征的社会人口学特征、现象学特征和临床特征,以及与之相关的误解。采用迷你国际神经精神病学访谈(Mini -plus)量表、普通健康问卷- 28 (GHQ - 28)、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)等工具对50例随机病例进行研究。样本的平均年龄,标准差(SD)为16.67(±6.65)岁。38%的患者被诊断患有精神疾病,其中大多数病例被诊断患有抑郁症(18%)。患者GHQ评分(Mean±SD)、HAM-D评分(Mean±SD)和HAM-A评分(Mean±SD)分别为11.2±8.2、16.4±6.1和16.1±5.8。我们的研究提示,在Dhat综合征中存在精神病学合并症,此类病例应提交会诊联络精神科医生进行适当处理,并应向年轻人提供相关教育,以消除误解和误解。
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引用次数: 2
期刊
International Journal of Culture and Mental Health
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