East Asian Archives of Psychiatry最新文献

Background: Asthma is a common respiratory disease in children. Family factors play a role in its incidence and severity. This study investigated the effect of parental psychological flexibility, parental psychological adjustment to the child's illness, and parental psychological distress on the severity of asthma symptoms of children through mediating child anxiety.

Methods: A total of 216 parents of children with asthma were asked to complete the Acceptance and Action Questionnaire, the Parent Experience of Child Illness, the Depression, Anxiety and Stress Scale - 21 Items, and the parent-report Spence Children's Anxiety Scale. Severity of asthma symptoms was assessed by spirometry.

Results: The highest path coefficient was between parental psychological flexibility and the severity of paediatric asthma symptoms (β = 0.34). Parental psychological distress was found to affect the severity of asthma symptoms of children (β = -0.21) and also mediate child anxiety and then affect the severity of asthma symptoms of children (β = -0.25).

Conclusion: Parental psychological flexibility, parental psychological adjustment to the child's illness, and parental psychological distress had significant effects on the severity of asthma symptoms of children through mediating child anxiety.

We present a young woman with clozapine-resistant schizoaffective disorder who was treated with maintenance electroconvulsive therapy and multiple antipsychotics but continued to have auditory hallucinations. She had a haemorrhagic stroke secondary to a ruptured arteriovenous malformation at the right superior temporal gyrus, which was excised during emergency craniotomy. Despite having neurological deficits after the stroke, she reported cessation of auditory hallucinations. Magnetic resonance imaging of the brain showed Wallerian degeneration over the right temporal region. Personalised neuromodulation intervention may be a more effective treatment option for clozapine-resistant schizophrenia.

Objective: To identify factors associated with the use and duration of physical restraint (PR) in a psychiatric unit in Japan.

Methods: Medical records of 1308 patients admitted first time to the psychiatric emergency unit of Showa University Northern Yokohama Hospital between 1 January 2014 and 31 December 2021 were retrospectively reviewed. Data collected included patient age, sex, outpatient treatment, living arrangements, disability pension status, diagnosis (based on ICD-10), and psychotropic medication use at admission (chlorpromazine equivalent dose, imipramine equivalent dose, diazepam equivalent dose, and number of mood stabilisers administered). Logistic regression analysis and multiple regression analysis were used to identify factors associated with the use and duration of PR, respectively.

Results: Of 1308 patients, 399 (30.5%) were subjected to PR and 909 (69.5%) were not. Among the 399 patients subjected to PR, 54 were excluded from the multiple regression analysis for duration of PR as they remained subject to PR on the day of discharge. The remaining 345 patients were subject to PR for a median of 10 days. PR utilisation was associated with male sex (odds ratio [OR] = 1.420), treatment at our hospital (OR = 0.260), treatment at other hospitals (OR = 0.645), F3 diagnosis (depression) [OR = 0.290], F4-9 diagnosis (OR = 0.309), and imipramine equivalent dose at admission (unit OR = 0.994). The log-transformed duration of PR was independently associated with the age group of 50 to 69 years (β = 0.248), the age group of ≥70 years (β = 0.274), receiving a disability pension (β = 0.153), an F1 diagnosis (β = -0.187), an F4-9 diagnosis (β = -0.182), chlorpromazine equivalent dose at admission (β = 0.0004), and number of mood stabilisers administered at admission (β = -0.270).

Conclusion: Identifying factors associated with the use and duration of PR may lead to reduction in the use and duration of PR.

Background: Suicidal behaviour can be influenced by attitudes towards suicide and psychological distress. This study aimed to investigate the associations between psychological distress, attitudes towards suicide, and suicidal behaviour and to determine the prevalence of suicidal behaviour among students of a public university in East Malaysia.

Methods: A total of 521 students from a public university in East Malaysia were asked to complete the Malay versions of the Suicidal Behaviour Questionnaire-Revised (SBQ-R), the Attitudes Towards Suicide Scale, and the Depression Anxiety Stress Scale.

Results: 197 women and 290 men (mean age, 19.13 years) completed the questionnaires, giving a response rate of 93.4%. The prevalence of high-risk suicidal behaviour (SBQ-R score ≥7) was 23.8%. Suicidal behaviour was positively associated with psychological distress and favourable attitudes towards suicide, and negatively associated with unfavourable attitudes towards suicide. Predictors for suicidal behaviour were psychological distress and favourable attitudes towards suicide ('the ability to understand and accept suicide').

Conclusion: The prevalence of suicidal behaviour is high among students in a public university in East Malaysia. Services and education for mental health awareness and screening for early detection and intervention of psychological distress should be provided to university students. Implementation of suicide awareness policies and suicide prevention training is crucial.

Background: The aim of the study was to investigate the psychometric properties of the Persian version of the 20-item Fear of Self Questionnaire (FSQ) in Iranian samples.

Methods: A cross-sectional, descriptive survey design was used. Students in universities of Tehran were invited to participate. Participants were asked to complete the Persian versions of the FSQ, Vancouver Obsessional Compulsive Inventory (VOCI), Depression, Anxiety and Stress Scale (DASS-21), Ego Strength Scale (ESS), and Rosenberg's Self-Esteem Scale (RES). Face, content, and construct validity, internal consistency (Cronbach's alpha), and test-retest reliability of the FSQ were assessed.

Results: Face and content validity of the FSQ were confirmed. Analysis of the principal components using the inclined rotation method showed that there were two factors with an eigenvalue >1, which explained 80.5% of the total variance. The first factor had 12 items and the second factor had 8 items. The internal consistency was 0.975, 0.981, and 0.941 for the total score and the first and second factor, respectively, whereas the test-retest reliability was 0.732, 0.729, and 0.714, respectively (all p ≤ 0.01). For convergent validity of the FSQ, correlations of the total score and the two factors of the FSQ with the scores of VOCI, RES, ESS, and DASS-21 were all significant (p ≤ 0.01).

Conclusion: The FSQ can be used in Iranian samples for clinical practice and research.