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Enhancing Therapist Courage: Feasibility and Changes in Distress Tolerance and Equanimity Following Martial Arts-Based Radically Embodied Compassion Workshops 增强治疗师的勇气:以武术为基础的 "彻底体现同情心 "讲习班的可行性以及压力承受力和平和心态的变化
Pub Date : 2024-05-21 DOI: 10.21926/obm.icm.2402029
Syd Hiskey, N. Clapton
The work of psychotherapy demands much of those who engage in it. Compassion provisioned by therapists requires varying competencies, yet remains a highly embodied and enactive endeavour. Therapist skill can be cultivated in this area and enhanced through a variety of body-mind trainings, including various forms of therapist personal practice. However, much clinical training/continued professional development centres on education workshops, emphasising knowledge above skill. Given this we present feasibility data from two deliberate practice/procedural learning, martial arts-based radically embodied compassion workshops aimed at enhancing therapist courage. Our findings show that conducting such training is feasible, with those attending able to participate in each practice. Participant self-report suggests the workshops can result in significant personal benefit, are able to deepen attendee understanding of compassion focused therapy and lead to an enhanced sense of how to apply it. Via self-report pre, post and 3-month after the workshops, significant beneficial changes in overall total clinical distress tolerance as well as specifically in absorption (the level of attention absorbed by distressing emotions) were shown. Beneficial changes were also noted in experiential acceptance and in total general equanimity pre and post workshops. We discuss limitations of the current study and potential future work that could follow from it, before concluding that training in this way represents an important first step in delineating a novel approach to therapist self-development. Practices drawn from traditional martial arts may be well suited to providing the context, relational safety and necessary skills for therapist development, in terms of enhanced distress tolerance and management of the self, to occur.
心理治疗工作对从业者的要求很高。治疗师提供的同情需要不同的能力,但仍然是一种高度体现和积极的努力。治疗师可以通过各种身心灵训练,包括各种形式的治疗师个人练习,来培养和提高这方面的技能。然而,许多临床培训/持续专业发展都以教育研讨会为中心,强调知识高于技能。有鉴于此,我们介绍了两个刻意练习/程序学习、以武术为基础、旨在增强治疗师勇气的彻底体现同情心的研讨会的可行性数据。我们的研究结果表明,开展这样的培训是可行的,参加培训的人员能够参与到每次练习中。参加者的自我报告表明,工作坊能使个人受益匪浅,能够加深参加者对慈悲为怀疗法的理解,并增强如何应用这种疗法的意识。通过研修班前、后和研修班结束后三个月的自我报告,研修班在临床总体痛苦耐受力以及具体的吸收力(痛苦情绪所吸收的注意力水平)方面都显示出了显著的有益变化。工作坊前后,经验接受度和总体平和度也发生了有益的变化。我们讨论了当前研究的局限性以及未来可能开展的工作,最后得出结论:这种培训方式是治疗师自我发展新方法的重要第一步。从传统武术中汲取的练习方法可能非常适合为治疗师的发展提供环境、关系安全和必要的技能,从而提高治疗师的痛苦承受能力和自我管理能力。
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引用次数: 0
Mechanisms of Laser Acupuncture – Hypotheses and Evidence 激光针灸的机理--假设与证据
Pub Date : 2024-05-15 DOI: 10.21926/obm.icm.2402027
Gerhard Litscher
Laser acupuncture, a rising complementary therapy, applies a low-intensity laser to acupuncture points, yet its underlying mechanisms remain unclear. Proposed hypotheses include modulation of cellular signaling, tissue repair, and immune modulation. Laser acupuncture may stimulate energy flow, neurotransmitter release, cellular changes, immune regulation, and neuroendocrine activity. Additionally, the biophoton theory suggests an involvement of ultra-weak photon radiation from cells. Litscher et al. explore these mechanisms through neurophysiological analysis, biochemical measurements, imaging techniques, and clinical trials. They documented subtle human brain responses following laser stimulation, potentially modulating the ascending reticular activating system. However, further research is needed to validate and expand these findings for broader clinical application of laser acupuncture.
激光针灸是一种新兴的辅助疗法,它将低强度激光应用于穴位,但其基本机制仍不清楚。提出的假设包括细胞信号调节、组织修复和免疫调节。激光针灸可能会刺激能量流动、神经递质释放、细胞变化、免疫调节和神经内分泌活动。此外,生物光子理论表明,细胞的超弱光子辐射也参与其中。Litscher 等人通过神经生理学分析、生化测量、成像技术和临床试验探索了这些机制。他们记录了人脑在受到激光刺激后的微妙反应,这些反应可能会调节上升网状激活系统。不过,还需要进一步的研究来验证和扩展这些发现,以便将激光针灸更广泛地应用于临床。
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引用次数: 0
The Impact of Wellbeing Interventions on the Anxiety Levels of Children Attending Low-Income Schools: A Systematic Literature Review 幸福干预对低收入学校儿童焦虑水平的影响:系统文献综述
Pub Date : 2024-05-11 DOI: 10.21926/obm.icm.2402026
Tracy O’Halloran, Jennifer E. Symonds, Linda Bhreathnach
This systematic review examined the impact of wellbeing interventions on the anxiety levels of children attending low-income schools. Studies, published between January 2000 and April 2022, were included if they had samples of school aged children attending low-income schools who were given a universal school-based wellbeing intervention. Ten databases were searched systematically to identify 542 records. After title and abstract screening, 43 records remained for full text screening, and of these studies, 10 met inclusion criteria. Quantitative data were extracted and were analysed narratively. The review found that in 50% of studies, wellbeing interventions were effective for reducing anxiety and that the impacts were maintained longer-term. The effects were stronger for girls when measured using self-report and were stronger for boys when measured using parental report.
本系统性综述研究了幸福干预对低收入学校儿童焦虑水平的影响。研究发表于 2000 年 1 月至 2022 年 4 月,研究对象为在低收入学校就读的学龄儿童,这些儿童接受了以学校为基础的福利干预措施。系统搜索了 10 个数据库,共找到 542 条记录。经过标题和摘要筛选后,剩下 43 条记录进行全文筛选,其中 10 项研究符合纳入标准。研究提取了定量数据,并进行了叙述性分析。综述发现,在 50%的研究中,幸福干预措施对减少焦虑有效,而且其影响可以长期保持。如果使用自我报告来衡量,对女孩的影响更大;如果使用父母报告来衡量,对男孩的影响更大。
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引用次数: 0
Acupuncture in Oncology – Update 2024 针灸在肿瘤学中的应用 - 2024 年最新情况
Pub Date : 2024-04-03 DOI: 10.21926/obm.icm.2402022
Gerhard Litscher
Acupuncture, as a promising complementary therapy for cancer patients, offers personalized symptom management and improved quality of life alongside conventional treatments. With its proven efficacy in alleviating chemotherapy-induced side effects such as nausea, fatigue, and pain, acupuncture stands as a holistic approach to cancer care. Tailored to individual needs and boasting a favorable safety profile, acupuncture addresses both physical symptoms and psychological distress, promoting resilience and quality of life. By integrating specific acupuncture points into treatment protocols, practitioners can provide targeted relief and support for patients, fostering holistic healing and emotional well-being amidst the challenges of cancer treatment.
针灸作为一种很有前景的辅助疗法,可为癌症患者提供个性化的症状管理,并在常规治疗的同时提高生活质量。针灸在缓解化疗引起的副作用(如恶心、疲劳和疼痛)方面的疗效已得到证实,是癌症护理的一种综合方法。针灸根据个人需求量身定制,具有良好的安全性,可同时解决身体症状和心理困扰,提高抗病能力和生活质量。通过将特定穴位纳入治疗方案,医生可以为患者提供有针对性的缓解和支持,在癌症治疗的挑战中促进整体康复和情感健康。
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引用次数: 0
“Seeing Myself Through Someone Else’s Eyes”: Embodying the Perfect Nurturer in Compassion Focused Therapy "通过别人的眼睛看自己":在慈悲为怀疗法中体现完美的养育者
Pub Date : 2024-03-27 DOI: 10.21926/obm.icm.2401021
James Hackley, A. Dixon, Carol Royle, Christopher Moss, Richard Brown, Tobyn Bell
Compassion-focused chairwork has become a recent focus of empirical investigation. This study extended this area of research by exploring how participants with depression experienced the ‘compassionate other’ imagery exercise enacted via chairwork methods. Eight individuals from primary care NHS mental health services were interviewed about their experience of the practice. The resultant data were analysed using interpretive phenomenological analysis (IPA). Three group experiential themes were identified: care that feels real, chairwork processes and encountering challenges on the road to discovery. The findings indicate that the intervention has therapeutic utility both as an intervention for cultivating compassion and as means of assessing for and identifying blocks to compassion. The results also suggest that there is potential value in enacting compassion-focused imagery techniques through chairwork methods, especially for those who have difficulty accessing mental imagery practices. The findings are contextualised within broader theory and literature, and clinical and research implications are discussed.
以同情为重点的椅上工作已成为近期实证调查的重点。本研究扩展了这一研究领域,探讨了抑郁症患者如何体验通过椅上工作方法进行的 "同情他人 "意象练习。研究人员采访了八名来自基层医疗机构、国家医疗服务体系心理健康服务机构的人员,了解他们的实践经验。我们使用解释性现象学分析法(IPA)对所得数据进行了分析。确定了三个群体体验主题:感觉真实的关怀、椅子工作过程以及在探索道路上遇到的挑战。研究结果表明,该干预措施既可作为培养同情心的干预措施,也可作为评估和识别同情心障碍的手段,具有治疗作用。研究结果还表明,通过椅上工作方法实施以慈悲为重点的想象技术具有潜在价值,特别是对于那些难以获得心理想象练习的人。研究结果与更广泛的理论和文献相结合,并讨论了其临床和研究意义。
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引用次数: 0
The Heavy Burden of Judgement: Cultivating Compassion with People Accessing Healthcare Services for Support with Weight Management 沉重的评判负担:对寻求体重管理医疗服务的人培养同情心
Pub Date : 2024-03-20 DOI: 10.21926/obm.icm.2401020
Jessica Munafo
Compassion focused therapy concepts and techniques are explored in the context of weight management efforts within community, specialist and surgical settings. Living at higher weights within a culture that over-values life at low weights can induce feelings of shame, self-loathing and hypercriticism. This article examines points at which individuals engaging in weight management may experience heightened distress and describes some of the ways that the model has been applied with this population. An outline of the way that CFT could be used to inform service delivery and development is proposed, from first contact through assessment, interventions and wider aspects such as staff well-being.
该书结合社区、专科和手术环境中的体重控制工作,探讨了以同情为重点的治疗概念和技巧。在一种过度重视低体重生活的文化中,较高体重的人可能会产生羞愧、自责和过度批评的情绪。这篇文章探讨了参与体重管理的人可能会在哪些方面感到更加痛苦,并介绍了该模式在这类人群中的一些应用方式。文章概述了如何利用 CFT 为服务的提供和发展提供信息,包括从首次接触到评估、干预以及员工福利等更广泛的方面。
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引用次数: 0
Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Interventions on Mindfulness and Stress Symptoms for Cancer Patients: A Quantitative Assessment 基于正念的减压(MBSR)干预对癌症患者正念和压力症状的效果:定量评估
Pub Date : 2024-03-13 DOI: 10.21926/obm.icm.2401019
Ampere Tseng
The aim of this article is to provide a quantitative assessment of the correlation between heightened mindfulness and stress reduction among cancer patients and survivors who engaged in Mindfulness-Based Stress Reduction (MBSR) interventions. Utilizing data from eight studies, we conducted quantitative analyses to provide the effectiveness scores of MBSR interventions on mindfulness, assessed using the Mindful Attention Awareness Scale (MAAS), and stress symptoms, evaluated through standardized self-reported questionnaires. The effectiveness scores are standardized as percentages relative to baseline (pre-intervention) levels, which allows for the comparison of two variables: mindfulness and perceived stress, on a common scale, facilitating a regression analysis to generate a correlation trendline. The findings reveal that MBSR interventions yielded an average increase in mindfulness levels of 7.93%, with a standard deviation of 4.97%, while concurrently reducing stress or stress-like symptoms by an average of 22.58%, with a standard deviation of 8.77%. Subsequent linear regression analyses were performed on these effectiveness metrics to establish a correlation trendline, demonstrating a robust negative correlation between mindfulness and stress among cancer patients and survivors. In conclusion, MBSR interventions are effective in enhancing mindfulness and alleviating stress or stress-like symptoms in cancer patients and survivors. This finding suggests a causal relationship between mindfulness and stress reduction, endorsing the integration of MBSR as a complementary therapy for cancer management.
本文旨在对参与正念减压(MBSR)干预的癌症患者和幸存者的正念增强与压力减轻之间的相关性进行定量评估。利用八项研究的数据,我们进行了定量分析,以提供 MBSR 干预对正念(使用正念注意力意识量表(MAAS)进行评估)和压力症状(通过标准化自我报告问卷进行评估)的有效性评分。效果得分被标准化为相对于基线(干预前)水平的百分比,这样就可以在一个共同的量表上对正念和感知压力这两个变量进行比较,从而便于进行回归分析,得出相关趋势线。研究结果表明,通过 MBSR 干预,正念水平平均提高了 7.93%,标准偏差为 4.97%,同时压力或类似压力症状平均减少了 22.58%,标准偏差为 8.77%。随后对这些有效性指标进行了线性回归分析,建立了相关趋势线,表明正念与癌症患者和幸存者的压力之间存在着稳健的负相关。总之,MBSR 干预能有效增强正念,减轻癌症患者和幸存者的压力或类似压力的症状。这一发现表明正念与减压之间存在因果关系,支持将 MBSR 作为癌症管理的辅助疗法。
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引用次数: 0
Modified Jade Wind-Barrier Formula (MJWB) for Preventing Common Cold in Elderly with Qi-deficiency Constitution: A Controlled Trial 改良玉屏风散用于气虚体质老年人预防普通感冒:对照试验
Pub Date : 2024-03-06 DOI: 10.21926/obm.icm.2401018
Yiu Lin Wong, Jialing Zhang, Linda L. D. Zhong, David Moher, Zhaoxiang Bian
The modified Jade Wind-Barrier formula (MJWB) may prevent the common cold in the elderly with a Qi-deficiency Constitution. Previously, no controlled trial evidence existed to illuminate the concept of “preventive treatment of disease” as outlined in the constitution theory of Traditional Chinese Medicine. This theory distinctly suggests that enhancing the Qi-deficiency Constitution and modulating its functional state can prevent the occurrence of the common cold. This controlled trial (ClinicalTrials.gov identifier NCT05640570) targeted Hong Kong elderly with Qi-deficiency Constitution with at least one common cold incidence per year. The two co-primary outcomes are the total score of the Qi-deficiency Constitution clinical features and the incidence of the common cold. Throughout the 3-month prevention study, 98 out of 109 (89.9%) participants in the MJWB arm and 100 out of 109 (91.7%) participants in the control arm finished the trial. MJWB significantly improved the clinical features of the Qi-deficiency Constitution compared to that in the control arm (mean difference -2.9, 95% CI -4.5 to -1.3, p < 0.001). It particularly improved the three clinical features: “Easily get tired” (mean difference -0.6, 95% CI -0.8 to -0.3, p < 0.001), “Shortness of breath” (mean difference -0.2, 95% CI -0.4 to -0.1, p = 0.012), and “Lack of energy” (mean difference -0.3, 95% CI -0.5 to -0.0, p = 0.021). MJWB also significantly improved IgG (p < 0.001) compared with the baseline of prevention among the MJWB arm. However, the common cold incidence (odd ratio 0.9, 95% CI 0.5 to 1.6, p = 0.756), the number of persistent days (mean difference 0.1, 95% CI -1.4 to 1.5, p = 0.929), and the total Traditional Chinese Medicine syndrome score (mean difference -7.1, 95% CI -21.6 to 7.4, p = 0.336) showed no difference between the two arms. MJWB can significantly improve the Qi-deficiency Constitution clinical features and the IgG level, suggesting that MJWB may be helpful for participants regarding the related clinical symptoms and their potential consequences. There is no statistically significant difference in the common cold incidence, the duration of its persistence, or the common cold symptom scores when comparing the MJWB users and the non-users. A large-scale trial is worth further investigating the preventive effect of MJWB for the common cold and whether the Qi-deficiency Constitution clinical features and the IgG level improvements can help prevent the common cold in the elderly.
改良玉屏风散(MJWB)可预防气虚体质老年人的普通感冒。在此之前,没有对照试验证据能够阐明中医体质理论中的 "治未病 "概念。该理论明确指出,增强气虚体质并调节其功能状态可预防普通感冒的发生。这项对照试验(ClinicalTrials.gov 识别码 NCT05640570)的研究对象是每年至少发生一次普通感冒的气虚体质香港老人。两个共同主要结果是气虚体质临床特征总分和普通感冒发病率。在为期 3 个月的预防研究中,109 名参与者中有 98 人(89.9%)完成了 "蠲痹活血汤 "治疗,109 名对照组参与者中有 100 人(91.7%)完成了治疗。与对照组相比,MJWB 能明显改善气虚体质的临床特征(平均差异 -2.9,95% CI -4.5 至 -1.3,P < 0.001)。它尤其改善了三个临床特征:"容易疲倦"(平均差异-0.6,95% CI -0.8至-0.3,p < 0.001)、"呼吸急促"(平均差异-0.2,95% CI -0.4至-0.1,p = 0.012)和 "缺乏活力"(平均差异-0.3,95% CI -0.5至-0.0,p = 0.021)。与预防基线相比,MJWB 组的 IgG 也有明显改善(p < 0.001)。然而,普通感冒发病率(奇数比 0.9,95% CI 0.5 至 1.6,p = 0.756)、持续天数(平均差 0.1,95% CI -1.4 至 1.5,p = 0.929)和中医综合征总分(平均差 -7.1,95% CI -21.6 至 7.4,p = 0.336)在两组之间没有差异。MJWB能明显改善气虚体质的临床特征和IgG水平,表明MJWB可能对参与者的相关临床症状及其潜在后果有所帮助。在普通感冒的发病率、持续时间和普通感冒症状评分方面,使用 "美芝活血汤 "者与未使用者之间没有明显的统计学差异。值得进行大规模试验,进一步研究麦积温丸对普通感冒的预防效果,以及气虚体质临床特征和 IgG 水平的改善是否有助于预防老年人普通感冒。
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引用次数: 0
Dancing Exercise Enhances Metabolic Functions via Hypercortisolism-Mediated Inhibition of Inflammatory Cytokines in Healthy Adult Volunteers 通过抑制炎症细胞因子抑制皮质醇分泌来增强健康成人志愿者的代谢功能
Pub Date : 2024-02-27 DOI: 10.21926/obm.icm.2401015
Rotu Arientare Rume, Oyovwi Mega Obukohwo, Peggy Ejiro Ohwin, Oyelere Abosede Oreoluwa
Regular physical activity has been proven to improve metabolism, slow aging, and decrease the likelihood of various health conditions such as obesity, type 2 diabetes, and cardiovascular disorders. Hence, dancing was evaluated for its effects on cardiovascular, liver enzymes, and biochemical markers among healthy adults. Forty (40) healthy adults (20-40 years old) were chosen for the study, with an average age calculated. Those with certain health conditions or habits were not allowed to participate. Twenty (20) men and 20 women were chosen for the study, which involved dancing for 15 minutes a day, five days a week, for four weeks. Pre- and post-dancing groups were compared to measure any changes. Results indicated positive effects on health and well-being. The two groups were compared to analyze changes to cardiovascular, liver enzymes, and lipid profiles over a 4-week dance intervention. Both groups received assessments before and after the program, with the initial assessment taking place at 0 weeks and a follow-up at 4 weeks. This study found that a 4-week period of dancing exercise improved cardiovascular and lipid profiles (p < 0.05) in both genders. These favorable impacts were reflected in lower systolic and diastolic blood pressure, decreased total cholesterol and triglycerides, and lowered LDL with corresponding increases in HDL. This study found that participating in a tailored dance exercise program decreased glucose, insulin, and HOMA index levels compared to pre-exercise levels. Additionally, levels of ALT, AST, and GGT dropped considerably, while ALP and LDH also decreased. Kidney function, including aminotransferase, creatinine, and uric acid, was also reduced after 24 hours of post-dancing exercise. Twenty-four hours of Post-dancing exercise was found to decrease serum IL-6, CRP, and stress hormones (epinephrine and cortisol) levels as well as increased IL-10 levels in healthy adults (P < 0.05). Dancing could be demonstrated to be a practical non-medicinal approach to help prevent metabolic syndrome and reduce inflammation through increased cortisol production in healthy adults.
事实证明,经常参加体育锻炼可以改善新陈代谢,延缓衰老,降低患肥胖症、2 型糖尿病和心血管疾病等各种健康问题的可能性。因此,我们评估了跳舞对健康成年人心血管、肝酶和生化指标的影响。研究选择了 40 名健康成年人(20-40 岁),并计算了他们的平均年龄。有某些健康状况或习惯的人不得参加。研究选择了二十(20)名男性和二十(20)名女性,研究内容包括每天跳舞 15 分钟,每周五天,持续四周。研究人员比较了跳舞前和跳舞后两组的变化。结果显示,跳舞对健康和幸福有积极影响。在为期四周的舞蹈干预中,对两组进行了比较,以分析心血管、肝酶和血脂概况的变化。两组人员在课程前后都接受了评估,0 周时进行首次评估,4 周时进行后续评估。这项研究发现,为期 4 周的舞蹈锻炼改善了男女两性的心血管和血脂状况(P < 0.05)。这些有利影响体现在收缩压和舒张压降低、总胆固醇和甘油三酯降低、低密度脂蛋白降低以及高密度脂蛋白相应增加。这项研究发现,与运动前的水平相比,参加量身定制的舞蹈锻炼计划可降低血糖、胰岛素和 HOMA 指数水平。此外,谷丙转氨酶(ALT)、谷草转氨酶(AST)和谷草转氨酶(GGT)的水平也大幅下降,而谷草转氨酶(ALP)和低密度脂蛋白胆固醇(LDH)也有所下降。舞蹈后运动 24 小时后,肾功能(包括转氨酶、肌酐和尿酸)也有所下降。在健康成年人中,舞蹈运动后 24 小时可降低血清 IL-6、CRP 和应激激素(肾上腺素和皮质醇)水平,并提高 IL-10 水平(P < 0.05)。可以证明,舞蹈是一种实用的非药物方法,有助于预防代谢综合征,并通过增加健康成年人的皮质醇分泌来减少炎症。
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引用次数: 0
Erectile Function in Men during the COVID-19 Pandemic COVID-19 大流行期间男性的勃起功能
Pub Date : 2024-02-18 DOI: 10.21926/obm.icm.2401014
Ludek Fiala
This research focused on two age groups of men (under 40 and over 40 years) and their sexual function during the COVID-19 pandemic. Somatic examinations, including the measurement of hormone levels, were conducted on all patients. The subjects also completed two questionnaires and provided personal history data. The first questionnaire covered the evaluation of erectile function, while the second assessed psychosocial trauma and stress. The results in the first group (men under 40 years of age) showed a correlation between prolactin values and erectile function score results (R = 0.54), between erectile function score results and trauma and psychosocial stress symptoms (R = 0.49) and also between prolactin values and trauma and psychosocial stress symptoms (R = 0.53). The results in the second group (men over the age of 40) showed a correlation between prolactin values and erectile function score results (R = 0.42), between erectile function score results and trauma and psychosocial stress symptoms (R = 0.54) and between free testosterone level and erectile function score results (R = 0.32). These findings support the hypothesis of a different impact of stress on the development of erectile dysfunction in men under 40 and over 40 years of age during COVID-19.
这项研究的重点是两个年龄组的男性(40 岁以下和 40 岁以上)及其在 COVID-19 大流行期间的性功能。对所有患者进行了包括激素水平测量在内的体格检查。受试者还填写了两份问卷并提供了个人病史资料。第一份问卷包括对勃起功能的评估,第二份问卷则是对社会心理创伤和压力的评估。第一组受试者(40 岁以下男性)的结果显示,催乳素值与勃起功能评分结果之间存在相关性(R = 0.54),勃起功能评分结果与心理创伤和社会心理压力症状之间存在相关性(R = 0.49),催乳素值与心理创伤和社会心理压力症状之间也存在相关性(R = 0.53)。第二组(40 岁以上男性)的结果显示,催乳素值与勃起功能评分结果之间存在相关性(R = 0.42),勃起功能评分结果与心理创伤和社会心理压力症状之间存在相关性(R = 0.54),游离睾酮水平与勃起功能评分结果之间存在相关性(R = 0.32)。这些研究结果支持这一假设,即在 COVID-19 期间,压力对 40 岁以下和 40 岁以上男性勃起功能障碍的发展具有不同的影响。
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引用次数: 0
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