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Self-motivated withdrawal from physician prescribed medications as an artist's creative act: an interview with Ms. Lorel J. Michel, artist* 艺术家的创造性行为:对艺术家Lorel J. Michel女士的采访*
Q1 Social Sciences Pub Date : 2017-11-22 DOI: 10.1080/17542863.2017.1397934
R. Haas, Brent Green
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引用次数: 0
Work stress, coping strategies and levels of depression among nurses working in mental health hospital in Port-Said city 塞得港市精神病院护士的工作压力、应对策略和抑郁程度
Q1 Social Sciences Pub Date : 2017-08-30 DOI: 10.1080/17542863.2017.1343859
S. Elsayed, A. Hasan, M. Musleh
ABSTRACT Psychiatric nurses experience a wide range of stressful events, evolving from the care of violent, aggressive patients, recurrent relapse and poor prognosis of mental disorders. The aim of the study was to assess workplace stress, coping strategies and levels of depression among psychiatric nurses. A descriptive correlation design was conducted on psychiatric nurses working in mental health settings. Data were collected from 70 nurses at a mental health hospital. The results revealed that psychiatric nurses had moderate levels of work-related stress and depression, and exhibiting different coping strategies. Stress and depression are prevalent among psychiatric nurses; implementing programmes aimed at teaching them how to deal with stress at work and improving their coping strategies and problem-solving skills are recommended.
精神科护士面临着各种各样的压力事件,从照顾暴力、攻击性患者、复发和预后不良的精神障碍患者演变而来。这项研究的目的是评估精神科护士的工作压力、应对策略和抑郁程度。对在精神卫生机构工作的精神科护士进行描述性相关设计。数据收集自一家精神病院的70名护士。结果显示,精神科护士的工作压力和抑郁程度均处于中等水平,并表现出不同的应对策略。精神科护士普遍存在压力和抑郁;建议实施旨在教他们如何处理工作压力和改进他们的应对策略和解决问题的技能的方案。
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引用次数: 34
Early trauma experiences, parenting styles, and personality patterns in individuals with depression from India 印度抑郁症患者的早期创伤经历、父母教养方式和人格模式
Q1 Social Sciences Pub Date : 2017-06-30 DOI: 10.1080/17542863.2017.1342677
Abha Singh, M. M
ABSTRACT The study was carried out to understand the vulnerability factors for depression. The objectives were to, explore the early trauma experiences, parenting styles and personality patterns in depression and to examine relationship between the variables. The Sample composed of 30 individuals diagnosed with depression and 30 controls from the community in the age range of 18–45 years. The tools used were Socio demographic sheet, MINI-International Neuropsychiatric Interview Plus, Beck Depression Inventory- II, Early Trauma Inventory Self Report-Short Form, Parental Bonding Instrument, Sociotropy-Autonomy Scale, and General Health Questionnaire –12. Study group had significantly lower score on father care and higher overprotection from both parents along with higher scores on general punishment, emotional abuse, total trauma score and sociotropy compared to control group. Depression and early trauma experiences were positively correlated with mother’s overprotection and negatively correlated with mother care. Mother overprotection positively correlated with mother care. Father’s care negatively correlated with early trauma. Sociotropy, general punishment, and emotional abuse are significant predictors of depression. The study has implications in understanding the parenting, childhood adversity and personality in the cultural context while treating depression.
摘要本研究旨在了解抑郁症的易感因素。研究的目的是探索抑郁症患者的早期创伤经历、父母教养方式和人格模式,并研究这些变量之间的关系。样本由30名被诊断为抑郁症的个体和30名来自社区的对照组组成,年龄在18-45岁之间。使用的工具有:社会人口统计表、mini -国际神经精神病学访谈加、贝克抑郁量表- II、早期创伤量表自我报告简表、父母关系量表、社会属性-自主性量表和一般健康问卷- 12。与对照组相比,研究组在父亲关怀得分较低,父母双方的过度保护得分较高,在一般惩罚、情感虐待、总创伤得分和社会属性得分较高。抑郁和早期创伤经历与母亲过度保护呈正相关,与母亲关爱负相关。母亲过度保护与母亲关爱正相关。父亲的照顾与早期创伤呈负相关。社会属性、一般惩罚和情感虐待是抑郁症的重要预测因素。本研究对理解文化背景下的父母教养、童年逆境和个性对抑郁症的治疗具有启示意义。
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引用次数: 5
Nurses’ knowledge, attitudes, and practices toward physical restraint and seclusion in an inpatients’ psychiatric ward 精神科住院病人病房护士对身体约束和隔离的知识、态度和实践
Q1 Social Sciences Pub Date : 2017-06-14 DOI: 10.1080/17542863.2017.1329330
A. Khalil, Manal Ali Mohammad Al Ghamdi, Sarah Al Malki
ABSTRACT The objective is to assess psychiatric nurses’ knowledge, attitudes, and practices regarding the use of physical restraints and seclusion in an inpatient psychiatric ward at Jeddah Psychiatric Hospital, Ministry of Health, Saudi Arabia. A descriptive correlation exploratory design was used with 37 nurses, selected conveniently. A self-administered structured questionnaire developed by Janelli, L. M., Kanski, G. W., Scherer, Y. K., & Neary, M. A. (1992. Physical restraints: Practice, attitudes/knowledge among nursing staff. Journal of Long Term Care Administration, 20(2), 22–25) was used. The respondents were 37 nurses, of whom 52.8% were male. Moderate knowledge and attitude with strong intent to use physical restraint were found among participants. There was no significant correlation between nurses’ practice, knowledge, and attitude scores. It was noted that 33.3% of the respondents preferred using both restraints and seclusion. The male gender was correlated with the use of physical restraints r = −.341, while use of seclusion had positive significant correlation with nurses’ level of education r = .465, and negative correlation with other demographic background. This study shows that nurses’ inadequate level of knowledge on the physical and psychological effects of restraints and seclusion impact their performance and attitude in caring with psychiatric patients. Therefore, an in-service training program on procedure, indication, and negative consequences of restraints and seclusion is highly suggested to limit the frequency of restraint and seclusion use among psychiatric patients.
目的是评估精神科护士的知识,态度和做法,关于使用物理约束和隔离在吉达精神科医院住院的精神科病房,卫生部,沙特阿拉伯。采用描述性相关探索性设计,选取方便的37名护士。Janelli, L. M., Kanski, G. W., Scherer, Y. K.和Neary, M. A.(1992)开发的自我管理的结构化问卷。身体约束:护理人员的实践、态度/知识。长期护理管理杂志,20(2),22-25。受访护士37名,男性占52.8%。参与者对肢体约束的认知和态度较为温和,但使用肢体约束的意图较强。护士的实践、知识和态度得分之间无显著相关。有人指出,33.3%的答复者倾向于同时使用约束和隔离。男性与肢体约束的使用相关r =−。341,而隔离使用与护士文化程度正显著相关r =。465,与其他人口背景呈负相关。本研究表明,护士对约束隔离的生理和心理影响的认知水平不足,会影响其护理精神病人的表现和态度。因此,我们强烈建议针对约束和隔离的程序、适应症和负面后果进行在职培训,以限制精神病患者使用约束和隔离的频率。
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引用次数: 15
A case study about a gay man who wants to follow his Sri Lankan culture and dedicate his life to a person – a man 这是一个关于一个同性恋男子的案例研究,他想跟随他的斯里兰卡文化,把他的一生献给一个人——一个男人
Q1 Social Sciences Pub Date : 2017-05-31 DOI: 10.1080/17542863.2017.1327548
Matt Broadway-Horner
ABSTRACT The study from an Interpersonal Phenomenological Approach of gay sexuality in cultural terms offers an opportunity to identify the driving force behind why some men will marry a woman to fit into the society they grew up in. This study presents a case of a 40-year-old man, called Dillion living in London but wants to move back to Sri Lanka, who negotiates his identity to fit in with Sri Lanka and in London. The case study highlights the struggle of juggling between the culture of his birth and the culture he now lives in with his drive to become accepted.
从文化角度对同性恋行为的人际现象学研究提供了一个机会,以确定为什么一些男人会娶一个女人来适应他们成长的社会背后的驱动力。这项研究提出了一个案例,一个40岁的男子,名叫Dillion,住在伦敦,但想搬回斯里兰卡,他协商自己的身份,以适应斯里兰卡和伦敦。这个案例研究突出了他出生的文化和他现在生活的文化之间的挣扎,以及他被接受的动力。
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引用次数: 2
Intellectual disability psychiatry: a competency-based framework for psychiatrists 智障精神病学:精神科医生的能力基础框架
Q1 Social Sciences Pub Date : 2017-05-31 DOI: 10.1080/17542863.2017.1322624
S. Bhaumik, S. Tromans, S. Gangadharan, C. Kapugama, D. Michael, Anu Wani, Gabriel Michael, R. Kiani, A. Ventriglio
ABSTRACT This paper is aimed at establishing a competency-based framework for undergraduate, graduate trainee and practicing psychiatrists and has evolved from the initial work of World Psychiatric Association (WPA) on outcome-based parity and human rights-based equity for people with intellectual disability and mental health problems.
本文旨在为本科、研究生实习和执业精神科医生建立一个基于能力的框架,并从世界精神病学协会(WPA)关于智力残疾和精神健康问题患者基于结果的平等和基于人权的公平的初步工作中发展而来。
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引用次数: 1
Mental health literacy in South Korea 韩国的心理健康素养
Q1 Social Sciences Pub Date : 2017-05-30 DOI: 10.1080/17542863.2017.1322623
M. Jeon, A. Furnham
ABSTRACT The study aimed to examine the Korean public’s recognition of mental disorders, attitudes towards mental disorders and knowledge and beliefs about professional or self-help for mental disorders. In all, 253 participants were presented with case vignettes describing bulimia nervosa, bipolar disorder, substance addiction, depression, schizophrenia, obsessive compulsive disorder, attention deficit hyperactivity disorder, anorexia and social phobia. Participants were asked to identify described mental disorders in the vignettes, to rate each character’s adjustment to live with the mental problems and to rate the likelihood of suggesting several types of help for each character. Participants noted their previous history of exposure to mental disorders. Substance addiction was recognized the most (80.2%) and anorexia the least (10.7%). Participants responded that a psychologist/psychiatrist’s help would be the most useful. Of the nine mental disorders, the recognition of six mental disorders was significantly predicted by the variables included in this study, and amongst the factors, higher level of education was found to be the most significant predictor for high recognition of mental disorders. Compared to other countries, the ability of Koreans to recognize mental disorders was poorer than that of British, and there was a difference between South Korean and other Asian countries in terms of ability to recognize mental disorders even if they shared a similar culture. Limitations of this study were recognized.
本研究旨在调查韩国公众对精神障碍的认知、对精神障碍的态度以及对精神障碍专业或自助的认识和信念。总共有253名参与者看到了描述神经性贪食症、双相情感障碍、物质成瘾、抑郁症、精神分裂症、强迫症、注意力缺陷多动障碍、厌食症和社交恐惧症的案例插图。参与者被要求在小插曲中识别出所描述的精神障碍,对每个角色适应精神问题的能力进行评分,并对每个角色提供几种帮助的可能性进行评分。参与者注意到他们以前的精神障碍病史。其中物质成瘾最多(80.2%),厌食症最少(10.7%)。参加者回答说,心理学家/精神科医生的帮助是最有用的。在9种精神障碍中,6种精神障碍的识别被本研究所包含的变量显著预测,其中较高的教育水平是对精神障碍高识别的最显著预测因子。与其他国家相比,韩国人对精神障碍的识别能力比英国人差,即使文化相似,韩国与其他亚洲国家在精神障碍的识别能力上也存在差异。我们认识到本研究的局限性。
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引用次数: 8
Drivers of suicidal ideation among Greek military personnel 希腊军人自杀意念的驱动因素
Q1 Social Sciences Pub Date : 2017-05-25 DOI: 10.1080/17542863.2017.1325917
Alexandros Vlazakis, Andreas Zachariadis, Julie Papastamatelou, F. Athanasiadou, O. Giotakos
ABSTRACT Background and Objectives: The aim of this study is to explore the effects of drug use, alcohol use, and psychiatric conditions on suicidal ideation among Greek military personnel. Design and Methods: A quantitative correlational survey design was applied, using data collected between January and September 2014 in the 414 Army Hospital in Athens. A number of officers and soldiers (n = 155) who were outpatients of the military psychiatric department completed a self-assessment questionnaire (CISQ-1 Triantafyllou, F., Giotakos, O., Tsouvelas, G., & Athanasiadou, A. (2014). CISQ-1: Primary findings from the questionnaire for the detection of critical psychopathological indicators in military personnel. E-poster presented at the World Federation for Mental Health Congress ‘Living with Schizophrenia’, Athens, Greece), which primarily focuses on the detection of critical psychopathological indicators and suicidal thoughts. An additional diagnosis was made by a psychiatrist. Results: A regression model revealed that participants who use drugs were more likely to exhibit suicidal thoughts. Moreover, those with affective disorders were more likely to exhibit suicidal ideation compared to persons with a negative diagnosis. The ones who drink occasionally were also more likely to display suicidal thoughts. Furthermore, in our predictive model affective disorder, personality disorder, and drug use associated with low wages were the strongest factors related to suicidal ideation. Conclusions: The Greek Armed Forces should undertake concentrated efforts in psychiatric and substances screening and develop suicide prevention programs with a focus on awareness and skill building.
背景与目的:本研究旨在探讨药物使用、酒精使用和精神状况对希腊军人自杀意念的影响。设计与方法:采用定量相关调查设计,使用2014年1月至9月在雅典414陆军医院收集的数据。在军队精神科门诊就诊的官兵(n = 155)完成了自评问卷(CISQ-1)。Triantafyllou, F., Giotakos, O., Tsouvelas, G., & Athanasiadou, A.(2014)。CISQ-1:军事人员关键精神病理指标检测问卷的初步调查结果。在世界精神卫生联合会大会(“精神分裂症患者”,雅典,希腊)上提交的电子海报,主要侧重于检测关键的精神病理指标和自杀念头。精神科医生又作了一次诊断。结果:回归模型显示,使用药物的参与者更有可能表现出自杀念头。此外,与诊断为阴性的人相比,情感障碍患者更有可能表现出自杀意念。偶尔饮酒的人也更有可能出现自杀念头。此外,在我们的预测模型中,情感障碍、人格障碍和与低工资相关的药物使用是与自杀意念相关的最强因素。结论:希腊武装部队应该集中精力进行精神病学和药物筛查,并制定自杀预防计划,重点是提高认识和技能建设。
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引用次数: 0
Public perception of mental illness in Oman: a cross sectional study 阿曼公众对精神疾病的看法:一项横断面研究
Q1 Social Sciences Pub Date : 2017-05-24 DOI: 10.1080/17542863.2017.1325916
M. Al-Alawi, Hamed Al-Sinawi, S. Al-Adawi, L. Jeyaseelan, Sathiya Murthi
ABSTRACT Studies worldwide have shown that people with mental illnesses (PWMI) tend to be stigmatized and thus suffer social exclusion. The authors investigated the attitudes of Omani people toward PWMI, and classified their responses on the basis of socio-demographic variables (age, gender, place of residence, place and type of employment, and previous exposure to PWMI) that were expected to correlate with their perceptions and attitudes towards PWMI. The data were collected by means of an online cross-sectional survey among the general Omani public, using the Attitude toward Mental Illness (AMI) Questionnaire. The online method via social media was selected in view of the high levels of literacy (93.97%), Internet usage (66.4%), and social media participation among Omanis. Of the 601 participants, 41.4% were men and 58.6% were women. The subjects were categorized in the age groups of 20–30 years (48%) and 31–45 years (46%). Nearly 90% of the participants were employed, while 10% were college students. The results indicated that Omanis share the worldwide tendency to harbor stigmatizing attitudes towards PWMI. The results further suggested that socio-demographic variables (such as urban–rural dichotomy and previous encounters with PWMI have significant correlation with Omanis’ attitudes towards the mentally ill.
世界范围内的研究表明,精神疾病患者(PWMI)容易被污名化,从而遭受社会排斥。作者调查了阿曼人对PWMI的态度,并根据社会人口变量(年龄、性别、居住地、工作地点和类型以及以前接触过PWMI)对他们的反应进行了分类,这些变量预计与他们对PWMI的看法和态度有关。数据是通过在线横断面调查在阿曼普通公众中收集的,使用精神疾病态度(AMI)问卷。考虑到阿曼人的高识字率(93.97%)、互联网使用率(66.4%)和社交媒体参与度,选择了通过社交媒体的在线方法。在601名参与者中,41.4%是男性,58.6%是女性。受试者年龄分为20 ~ 30岁(48%)和31 ~ 45岁(46%)。近90%的参与者有工作,10%是大学生。结果表明,阿曼人与世界各国一样,对PWMI抱有污名化的态度。结果进一步表明,社会人口统计变量(如城乡二分法和以前的PWMI经历)与阿曼人对精神疾病的态度有显著相关。
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引用次数: 10
Indian doctors in the UK: a historical viewpoint 印度医生在英国:一个历史的观点
Q1 Social Sciences Pub Date : 2017-05-24 DOI: 10.1080/17542863.2017.1320263
R. Gaind
ABSTRACT The National Health Service in the UK has always had a large number of doctors from the Indian subcontinent partly due to historical reasons and partly for training purposes. Inevitably there has been an ebb and flow of people choosing to come to the UK for training and work. As a result of colonial influences on both traditional and allopathic medicine there has been a complex relationship between healthcare systems and practitioners in these settings. Indian doctors often ended doing unpopular specialities and in less popular places which sometimes contributed to a lack of career progression. In this paper a historical account is provided and certain issues are raised. The political and economic contexts cannot be ignored while understanding the functioning and contribution of Indian doctors. Racism experienced by doctors from overseas cannot be ignored.
英国国民医疗服务体系中一直有大量来自印度次大陆的医生,部分是由于历史原因,部分是出于培训目的。选择来英国接受培训和工作的人不可避免地会有起起伏伏。由于对传统和对抗疗法医学的殖民影响,在这些环境中,医疗保健系统和从业者之间存在复杂的关系。印度医生往往在不受欢迎的专业和不太受欢迎的地方工作,这有时会导致缺乏职业发展。本文提供了一个历史的描述,并提出了一些问题。在理解印度医生的功能和贡献时,不能忽视政治和经济背景。海外医生遭受的种族歧视不容忽视。
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引用次数: 0
期刊
International Journal of Culture and Mental Health
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