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Characteristics of mood-congruent and mood-incongruent psychotic features in bipolar disorder 双相情感障碍情绪一致与情绪不一致精神病特征的特征
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.108035
P. Chaudhary, N. Parikh, Prateek Sharma
Introduction: Psychotic features in patients with bipolar disorder (BD) have been poorly researched in the con-text of their relationship with the longitudinal course and demographic and clinical characteristics of the illness. Material and methods: In a cross-sectional study of BD patients, comprehensive demographic and clinical characteristics were assessed using the Structured Clinical Instrument for DSM-IV-TR (SCID). Manic symptoms were assessed using Young’s Mania Rating Scale (YMRS), depressive symptoms by the Montgomery-Åsberg Depression Rating Scale (MADRS) and psychotic symptoms with the Scale for Assessment of Positive Symptoms (SAPS). The relationships between these characteristics and psychotic symptoms were analysed. The independent samples t -test was used to assess continuous variables, while the χ 2 test was used to assess categorical data. Results: Psychotic features were associated with BD in 48.94% of patients ( n = 92 out of a total of 188 patients having BD). Of these, 45.74% ( n = 86) had mood-congruent psychotic features and 3.19% ( n = 6) had mood-incongruent psychotic features. All six patients who had mood-incongruent psychotic features had manic symptoms. Conclusions: Our findings suggest that mood-congruent psychotic symptoms in BD are associated with a more severe, predominantly manic illness course. Mean age at onset was 27.76 (±8.54) years for patients with mood-congruent psychotic features and 28.00 (±11.08) years for patients with mood-incongruent psychotic features.
导读:双相情感障碍(BD)患者的精神病特征在其与疾病的纵向病程、人口学和临床特征的关系方面的研究很少。材料和方法:在一项BD患者的横断面研究中,使用DSM-IV-TR (SCID)结构化临床仪器评估全面的人口学和临床特征。狂躁症状采用Young’s躁狂评定量表(YMRS),抑郁症状采用Montgomery-Åsberg抑郁评定量表(MADRS),精神病症状采用阳性症状评定量表(SAPS)。分析了这些特征与精神病症状之间的关系。对连续变量采用独立样本t检验,对分类数据采用χ 2检验。结果:48.94%的患者(188例BD患者中有92例)伴有精神病性特征。其中,45.74% (n = 86)具有情绪一致的精神病特征,3.19% (n = 6)具有情绪不一致的精神病特征。所有6名有情绪不一致精神病特征的患者都有躁狂症状。结论:我们的研究结果表明,双相障碍中情绪一致的精神病性症状与更严重的、以躁狂为主的疾病病程有关。情绪一致的患者平均发病年龄为27.76(±8.54)岁,情绪不一致的患者平均发病年龄为28.00(±11.08)岁。
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引用次数: 0
Effect of telenursing on stress, anxiety and depression in patients with myocardial infarction 远程护理对心肌梗死患者应激、焦虑和抑郁的影响
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.108036
Najmeh Keshavaraz, M. Firouzkouhi, Abdolghani Abdollahimohammad, M. Naderifar, Maryam Jahantigh
Introduction: These problems along with myocardial infarction (MI) lead to worse physical and mental con-ditions, poor quality of life, readmission, and premature death. Therefore, the aim of the present study was to investigate the effect of telenursing on stress, anxiety, and depression in MI patients. Material and methods: This quasi-experimental study was performed on 40 MI patients who were selected using simple random sampling and divided into intervention and control groups ( n = 20 per group). Routine training was given to both groups before discharge. Then a demographic information questionnaire and standard Depression, Anxiety and Stress Scale – 21 Items (DASS-21), which had acceptable validity and reliability, were provided to each patient. The intervention group, in addition to routine training, received an average 10-min telephone follow-up intervention once a week for one month. Results: The mean scores of stress, anxiety, and depression before the intervention were 18.80 ±47.4, 13.60 ±3.7, and 8.60 ±2.89 in the control group, and 20.90 ±6.03, 12.00 ±5.06, and 9.70 ±3.06 in the intervention group respectively, which were statistically significant in both groups after the intervention ( p < 0.001). Conclusions: The results showed that nurse-led telephone training and follow-up reduce stress, anxiety and depression in MI patients. It is recommended to take into account this method considering the lack of need for travelling, reduction of additional costs, and timely access to information, and training hygiene tips in health care centers.
这些问题与心肌梗死(MI)一起导致身体和精神状况恶化,生活质量下降,再入院和过早死亡。因此,本研究的目的是探讨远程护理对心梗患者压力、焦虑和抑郁的影响。材料与方法:采用简单随机抽样的方法,选取40例MI患者进行准实验研究,分为干预组和对照组,每组20例。两组患者出院前均接受常规训练。然后向每位患者提供一份具有可接受效度和信度的人口统计信息问卷和标准抑郁、焦虑和压力量表-21项(DASS-21)。干预组在常规训练的基础上,每周接受一次平均10分钟的电话随访干预,持续一个月。结果:干预前,对照组的应激、焦虑、抑郁平均得分分别为18.80±47.4分、13.60±3.7分、8.60±2.89分;干预组的应激、焦虑、抑郁平均得分分别为20.90±6.03分、12.00±5.06分、9.70±3.06分,干预后两组差异均有统计学意义(p < 0.001)。结论:护士主导的电话培训和随访可减轻心梗患者的压力、焦虑和抑郁。考虑到不需要旅行、减少额外费用、及时获得信息和在卫生保健中心培训卫生技巧,建议考虑这种方法。
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引用次数: 1
The experience of family caregivers in treatment of COVID-19 patients: a qualitative study 家庭护理人员治疗COVID-19患者的经验:一项定性研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.113313
Maryam Nakhae, Seyyed Abolfazl Vagharseyyedin, Gholamhossein Mahmoudirad, H. Shahdadi
Introduction: COVID-19 has drastic effects on both patients and their caregivers, so that they experience great problems. Hence, the present study was performed with the aim of explaining the home care experiences of patients with COVID-19. Material and methods: This qualitative study was performed with the conventional content analysis approach and 16 primary caregivers of patients with COVID-19 who had undergone the acute phase of the disease were selected by the purposive sampling method. This study was conducted from 1 July 2020 to 1 March 2021. Data collection was performed by unstructured interviews, and data analysis was performed based on five steps of Graneheim and Lundman. Results: From data analysis, 383 initial codes were extracted, which were obtained by continuous comparison and integration of subcategories of 6 main categories, i.e. fear, sincere care, quarantine atmosphere, paradoxical cyberspace, risk taking and positive care achievements. Conclusions: Although home care was associated with problems and difficulties for caregivers, it ultimately brought caregivers a sense of inner satisfaction with this type of care and brought them positive results. Therefore, health professionals in such situations can provide the necessary training to reduce the difficulties of care and on the other hand, with proper planning, the ability of family members to care for patients and reduce the burden of care for medical staff.
导语:COVID-19对患者及其护理人员都有巨大的影响,使他们遇到了很大的问题。因此,本研究旨在解释COVID-19患者的家庭护理经历。材料与方法:本定性研究采用常规内容分析方法,采用目的抽样法选取16例已经历疾病急性期的COVID-19患者的主要照顾者。该研究于2020年7月1日至2021年3月1日进行。数据收集采用非结构化访谈法,数据分析采用Graneheim and Lundman五步法。结果:从数据分析中,通过对恐惧、真诚关怀、隔离氛围、矛盾网络空间、风险承担和积极关怀成果6个主要类别的子类别进行持续比较和整合,提取出383个初始代码。结论:虽然家庭照护会给照顾者带来问题和困难,但最终会给照顾者带来一种内心的满足感,并给他们带来积极的结果。因此,在这种情况下,保健专业人员可以提供必要的培训,以减少护理的困难,另一方面,通过适当的规划,家庭成员有能力照顾病人,减轻医务人员的护理负担。
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引用次数: 2
Mental activation training in cognitive functioning of cancer patients undergoing radiation therapy – pilot study 心理激活训练对接受放射治疗的癌症患者认知功能的影响-初步研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.108032
A. Żurek, G. Zurek, Anna Serweta, Ł. Trembecki, Kamila Majchrzak, A. Maciejczyk
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引用次数: 0
Psychophysiological basis of lucid dreaming 清醒梦的心理生理基础
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.113320
Maciej Giermakowski, K. Jankowiak-Siuda, A. Duszyk-Bogorodzka
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引用次数: 0
Experience and coping strategies of women victims of domestic violence and their professional caregivers: a qualitative study 家庭暴力受害妇女及其专业照顾者的经验和应对策略:一项定性研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.105624
Elaheh Asadi-Bidmeshki, J. Mohtashami, M. Hosseini, Seyyed Mehdi Saberi, F. Nolan
Introduction: Domestic violence is associated with many negative and potentially long-lasting consequences to women’s mental, physical, and sexual health. This study aimed to identify strategies which had been used by women who had been victims of domestic violence. Material and methods: This qualitative content analysis was conducted using semi-structured interviews from 1 February 2019 to 1 August 2019 in Tehran. Participants were female victims of domestic violence and their health care providers recruited from Forensic Medicine centers, clinics, hospitals and Welfare Organizations of Tehran. Results: From these twenty-six interviews we extracted five main themes: emotional introjection, pragmatic actions against violence, sheltering under the supportive umbrella, seeking refuge to avoid violence and remaining in the violent environment. Conclusions: The experiences of our sample of women and of professionals involved in their care indicated that domestic violence was tolerated by some for financial, cultural and social reasons, and this had severe psychological impacts on the victims. Others from our sample were enabled to act to change their abusive situations but with support from their family or from wider society. The information obtained can potentially be used to inform the design of services and interventions for women who are victims of domestic violence.
导言:家庭暴力对妇女的精神、身体和性健康造成许多负面和可能持久的影响。这项研究的目的是查明遭受家庭暴力的妇女所使用的策略。材料和方法:该定性内容分析于2019年2月1日至2019年8月1日在德黑兰通过半结构化访谈进行。参与者是从德黑兰的法医中心、诊所、医院和福利组织招募的家庭暴力的女性受害者及其保健提供者。结果:从这26个访谈中,我们提取了五个主要主题:情感内省、反对暴力的务实行动、在支持伞下的庇护、寻求庇护以避免暴力和留在暴力环境中。结论:我们的妇女样本和参与照顾她们的专业人员的经验表明,出于经济、文化和社会原因,一些人容忍家庭暴力,这对受害者产生了严重的心理影响。我们样本中的其他人在家庭或更广泛的社会的支持下,能够采取行动改变他们的虐待状况。所获得的信息有可能用于为家庭暴力受害妇女提供服务和干预措施的设计。
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引用次数: 1
Comparison of death anxiety among cancer, hemodialysis,and asthma patients and healthy individuals: a cross-sectionalstudy 癌症、血液透析和哮喘患者与健康个体死亡焦虑的比较:一项横断面研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.107569
S. Hashemi, Salehoddin Bouya, M. Hormozi, N. Moulaei, A. Bakhshipour
Introduction: Death anxiety is a major psychological complication among patients with chronic disease patients. The aim of the present study was to compare death anxiety between cancer, hemodialysis, and asthma patients and healthy individuals. Material and methods: This cross-sectional study was performed on 543 subjects (88 cancer patients, 103 asthma patients, 188 hemodialysis patients, 164 healthy individuals) referred to educational hospitals in southeastern Iran in the period from August 1, 2019 to May 1, 2020. Patients were selected using the convenience sampling method. Data were collected using the Templer Death Anxiety Scale (DAS). Data analyzed using SPSS with the χ 2 test. Results: The results of the study showed that most of the participants were female and had a diploma. Death anxiety results showed that most participants in the groups of cancer patients ( n = 53, 60.2%), hemodialysis patients ( n = 113, 60.1%), and asthma patients ( n = 51, 49.5%) had high anxiety. The prevalence of death anxiety among cancer patients was 73.8%. There was no significant difference between the two groups of cancer patients and healthy individuals in terms of death anxiety scores ( p = 0.3); however, the prevalence of death anxiety was higher among cancer patients. There was also no significant relationship of death anxiety with sex or education level of participants. Conclusions: The high prevalence of death anxiety among cancer patients indicates the importance of paying attention to the psychological dimension of patients along with the physical dimension and designing appropriate training programs to improve the psychological dimensions of patients.
死亡焦虑是慢性疾病患者的主要心理并发症。本研究的目的是比较癌症、血液透析和哮喘患者与健康个体之间的死亡焦虑。材料和方法:本横断面研究于2019年8月1日至2020年5月1日期间在伊朗东南部教育医院转诊的543名受试者(88名癌症患者,103名哮喘患者,188名血液透析患者,164名健康个体)进行。采用方便抽样法选取患者。数据采用Templer死亡焦虑量表(DAS)收集。数据分析采用SPSS进行χ 2检验。结果:研究结果显示,大多数参与者是女性,并有文凭。死亡焦虑结果显示,在癌症患者(n = 53, 60.2%)、血液透析患者(n = 113, 60.1%)和哮喘患者(n = 51, 49.5%)组中,大多数参与者都有高度焦虑。癌症患者死亡焦虑患病率为73.8%。两组癌症患者与健康个体的死亡焦虑评分差异无统计学意义(p = 0.3);然而,癌症患者中死亡焦虑的患病率更高。死亡焦虑与性别或受教育程度也无显著关系。结论:癌症患者死亡焦虑的高发表明,在重视身体维度的同时,应重视患者的心理维度,设计适当的训练方案,提高患者的心理维度。
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引用次数: 1
Multiform psychotic disorders in a patient with Parkinson’s disease undergoing deep brain stimulation – case report 接受深部脑刺激的帕金森病患者出现多形式精神障碍1例报告
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.108037
Piotr W. Trzeciak, J. Jaracz
The article describes a case of a 69-year-old patient with Parkinson’s disease, who underwent deep brain stimulation treatment and developed side effects in the form of delirium after pulse generator implantation and a psychotic disorder with delusions due to the known physiological condition after pulse generator initiation. The patient suffered an episode of psychosis with visual hallucinations and persecutory delusions that directly endangered his life. After stimulation was discontin-ued and antipsychotic drugs were administered on a psychiatric ward positive symptoms abated. After the mental state stabilized, motor symptoms such as upper limb tremor and gait difficulties worsened. The patient was referred for further neurological treatment.
本文描述了一例69岁的帕金森病患者,接受脑深部刺激治疗后,脉冲发生器植入后出现谵妄的副作用,并因脉冲发生器启动后已知的生理状况而出现妄想性精神障碍。病人有一次精神病发作,伴有视觉幻觉和迫害妄想,直接危及他的生命。在精神科病房停止刺激和服用抗精神病药物后,阳性症状减轻。精神状态稳定后,上肢震颤、步态困难等运动症状加重。病人被转诊作进一步的神经学治疗。
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引用次数: 0
Pattern of using social networks to obtain information related to COVID-19 in Iranian students 伊朗学生利用社交网络获取COVID-19相关信息的模式
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.108029
P. Afshari, M. Beheshtinasab, M. Cheraghi
Introduction We aimed to evaluate use of social media during the coronavirus pandemic as a source of information about COVID-19 by students. Material and methods This was a web-based study, in which the frequency and type of virtual social media used by students as a source of information about COVID-19 were evaluated by the available sampling method. The statistical population of the study consisted of 500 students of medical universities in Iran. In the first step, administrators of student groups across the country were identified and contacted and asked to assist the research team by placing a link to complete the questionnaire, after which students voluntarily completed the online questionnaire in a self-reporting manner. Results The mean age of participants was 31.29 ±10.8 years. The selection percentages based on the number of selections were: WhatsApp (35.2), Instagram (32.7), Telegram (21.2), Facebook (8.3) and other networks (2.6). Regarding the relationship between the educational level (p < 0.001) and the field of study (p < 0.01), a statistically significant difference was found for the question of which media information is more acceptable in relation to obtaining information related to COVID-19. Conclusions It was found that social media will enable these media to act as a powerful tool to change the behavior of people and promote the well-being of individuals and public health. Social media is very important in combating this contagious disease, not only to obtain information and update on it, but also to understand how it spreads, how people function and how to respond to it.
我们旨在评估学生在冠状病毒大流行期间使用社交媒体作为COVID-19信息来源的情况。材料和方法这是一项基于网络的研究,通过可用的抽样方法评估学生使用虚拟社交媒体作为COVID-19信息来源的频率和类型。该研究的统计人口包括500名伊朗医科大学的学生。第一步,在全国范围内找到并联系学生团体的管理者,并通过放置问卷填写链接的方式协助研究团队完成调查问卷,之后学生自愿以自我报告的方式完成在线调查问卷。结果患者平均年龄为31.29±10.8岁。基于选择次数的选择百分比为:WhatsApp (35.2), Instagram (32.7), Telegram (21.2), Facebook(8.3)和其他网络(2.6)。在受教育程度(p < 0.001)与研究领域(p < 0.01)之间的关系中,在获取COVID-19相关信息时,哪种媒体信息更容易被接受的问题上,差异有统计学意义。研究发现,社交媒体将使这些媒体成为改变人们行为的有力工具,促进个人福祉和公共卫生。社交媒体在抗击这一传染病方面非常重要,不仅可以获取有关它的信息和更新,还可以了解它是如何传播的,人们如何运作以及如何应对它。
{"title":"Pattern of using social networks to obtain information related to COVID-19 in Iranian students","authors":"P. Afshari, M. Beheshtinasab, M. Cheraghi","doi":"10.5114/nan.2021.108029","DOIUrl":"https://doi.org/10.5114/nan.2021.108029","url":null,"abstract":"Introduction We aimed to evaluate use of social media during the coronavirus pandemic as a source of information about COVID-19 by students. Material and methods This was a web-based study, in which the frequency and type of virtual social media used by students as a source of information about COVID-19 were evaluated by the available sampling method. The statistical population of the study consisted of 500 students of medical universities in Iran. In the first step, administrators of student groups across the country were identified and contacted and asked to assist the research team by placing a link to complete the questionnaire, after which students voluntarily completed the online questionnaire in a self-reporting manner. Results The mean age of participants was 31.29 ±10.8 years. The selection percentages based on the number of selections were: WhatsApp (35.2), Instagram (32.7), Telegram (21.2), Facebook (8.3) and other networks (2.6). Regarding the relationship between the educational level (p < 0.001) and the field of study (p < 0.01), a statistically significant difference was found for the question of which media information is more acceptable in relation to obtaining information related to COVID-19. Conclusions It was found that social media will enable these media to act as a powerful tool to change the behavior of people and promote the well-being of individuals and public health. Social media is very important in combating this contagious disease, not only to obtain information and update on it, but also to understand how it spreads, how people function and how to respond to it.","PeriodicalId":41766,"journal":{"name":"Neuropsychiatria i Neuropsychologia","volume":"1 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70464757","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: 1
Cognitive functions and SARS-CoV-2 infection 认知功能与新冠病毒感染
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.113309
M. Talarowska
As of January 29, 2021, in the general population, the total number of people infected with the SARS-CoV-2 virus, which we call "convalescents", was 73,961,553. In how many patients in this group will we be able to observe long-term symptoms from the cognitive sphere? This is a question that we do not know the answer to to-day. However, more and more scientific reports indicate that cognitive deficits are a frequent and serious symptom in patients with active SARS-CoV-2 infection, as well as in those who have had the disease in the past. Common symptoms include: weakening of short-term memory efficiency, weakening of the attention function and the executive functions (e.g. difficulties with inhibiting reactions, planning and problem solving). The aim of the article is to present the current state of knowledge on the possible cognitive functioning in the acute phase of infection and in the recovery period, as well as to draw attention to the need to consider possible neurocognitive symptoms of the past infection in the diagnosis process.
截至2021年1月29日,在一般人群中,感染SARS-CoV-2病毒的总人数为73,961,553人,我们称之为“康复者”。在这组患者中有多少人我们能够观察到认知领域的长期症状?这是一个我们今天还不知道答案的问题。然而,越来越多的科学报告表明,认知缺陷是活跃的SARS-CoV-2感染患者以及过去患有该疾病的患者常见且严重的症状。常见症状包括:短期记忆效率减弱,注意力功能和执行功能减弱(例如难以抑制反应、计划和解决问题)。本文的目的是介绍目前对感染急性期和恢复期可能的认知功能的认识状况,并提请注意在诊断过程中需要考虑过去感染可能的神经认知症状。
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引用次数: 0
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Neuropsychiatria i Neuropsychologia
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