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Early maladaptive schemas in borderline personality disorder 边缘型人格障碍的早期适应不良图式
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.107633
M. Talarowska, Renata Kobza
The relationship of early maladaptive schemas with various manifestations of mental disorders is confirmed in recent empirical research. Young’s theory belongs to the so­called third wave of cognitive behavioral thera­ py. Its techniques are used primarily in the treatment of personality disorders. Over the last 20 years, bor­ derline personality disorder (BPD) has been diagnosed more and more frequently, and by many researchers and clinicians it is called the personality disorder of our time. Due to the fact that the awareness of BPD symp­ toms in common perception is increasing, and patients with this diagnosis more and more often seek specialist advice, it seems important to look for new, available, but also effective ways of helping this group of people. Therapeutic techniques derived from the aforemen­ tioned theory of early maladaptive Young’s schemas are gaining more and more popularity. The aim of the study is therefore to present the understanding of symptoms of borderline personality disorder from the perspective of schema theory.
近年来的实证研究证实了早期适应不良图式与精神障碍的各种表现之间的关系。杨的理论属于所谓的第三波认知行为疗法。它的技术主要用于治疗人格障碍。在过去的20年里,边缘型人格障碍(BPD)的诊断越来越频繁,许多研究人员和临床医生将其称为我们这个时代的人格障碍。由于人们对BPD症状的普遍认识正在增加,并且诊断为BPD的患者越来越多地寻求专家建议,因此寻找新的、可用的、有效的方法来帮助这群人似乎很重要。基于上述早期适应不良杨氏图式理论的治疗技术越来越受到人们的欢迎。因此,本研究的目的是从图式理论的角度来理解边缘型人格障碍的症状。
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引用次数: 0
Recenzja książki Iwony Koszewskiej O depresji dziś (z serii Choroby mózgu) Iwona Koszewska的《关于当今抑郁症》一书综述(摘自《脑疾病》系列)
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/NAN.2021.108038
Dorota Łojko
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引用次数: 0
Psychosocial effects of the COVID-19 pandemic COVID-19大流行的社会心理影响
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.108030
Joanna Dymecka
The COVID-19 outbreak is a serious threat to public health, both physical and mental. Over 80 million people worldwide have already been infected, including almost 2 million deaths. Even if most people do not get infected they are at risk of suffering from the psychological consequences of the epidemic. The occurrence of serious infectious diseases contributes to the increase of fear and anxiety in society, which was also confirmed in previous epidemics of SARS, MERS and the H1N1 flu. With the increasing number of cases, the high number of deaths, and the inefficiency of health systems around the world, people feel fear of infection, death and complications. In addition to health problems, the COVID-19 pandemic has also brought changes in many areas of social life: closure of schools and workplaces, economic problems, as well as isolation from loved ones and limitation of social contacts. The stress of being in quarantine and long-term isolation occurred. All of this increased the symptoms of stress, which has been shown in many studies conducted around the world. Studies show differences in the response to the epidemic depending on gender, age and occupation. Research has also shown that people’s emotions and behavior during a pandemic can affect its course. Therefore, in addition to fighting the medical aspect of COVID-19, it is also worth spending time and resources on analyzing the impact of COVID-19 on the psychological functioning of individuals and helping people who experience the worst psychological consequences of the epidemic.
2019冠状病毒病疫情对公众身心健康构成严重威胁。全世界已有8 000多万人受到感染,其中近200万人死亡。即使大多数人没有被感染,他们也有可能遭受这种流行病的心理后果。严重传染病的发生会增加社会的恐惧和焦虑,这在以往的SARS、MERS和H1N1流感流行中也得到了证实。随着病例数量的增加、死亡人数的增加以及世界各地卫生系统的低效,人们对感染、死亡和并发症感到恐惧。除了健康问题,COVID-19大流行还给社会生活的许多领域带来了变化:学校和工作场所关闭,经济问题,以及与亲人隔离和限制社会接触。被隔离和长期隔离的压力出现了。所有这些都增加了压力的症状,这已经在世界各地进行的许多研究中得到了证明。研究表明,不同性别、年龄和职业对这一流行病的反应不同。研究还表明,人们在大流行期间的情绪和行为会影响其进程。因此,除了应对COVID-19的医疗方面,还值得花费时间和资源来分析COVID-19对个人心理功能的影响,并帮助那些经历疫情最严重心理后果的人。
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引用次数: 26
Using Mini-Mental State Examination to screen for cognitive functioning failures in older people: limitations of the so called Mungas correction in assessing deficits 使用迷你精神状态检查筛查老年人的认知功能失败:所谓的Mungas矫正在评估缺陷方面的局限性
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.113319
Beata Anna Kaczmarek
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引用次数: 0
Dental anxiety in patients referring to dental clinics differs between women and men in Ahvaz city, Iran 在伊朗阿瓦士市,就诊于牙科诊所的患者的牙齿焦虑在男女之间是不同的
IF 0.5 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.5114/nan.2021.113316
Elaheh Mali, Fatemeh Babadi, M. Cheraghi
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引用次数: 1
Resilience, Occupational Burnout, and Parenting Stress in Nurses Caring for COVID-2019 Patients 护理COVID-2019患者的护士的复原力、职业倦怠和育儿压力
IF 0.5 Q4 PSYCHIATRY Pub Date : 2020-09-10 DOI: 10.21203/rs.3.rs-60538/v1
S. Bashirian, M. Bijani, S. Borzou, K. Oshvandi, S. Khazaei, F. Mohammadi
Background: Caring of patients with corona virus infection disease may have had an impact on the occupational burnout, resilience, and parenting of the nurses. Purpose: Evaluation occupational burnout, resilience, and parenting stress in nurses caring for COVID 2019 patients.Methods: This cross-sectional study is based on strengthening the reporting of observational studies in epidemiology statement. A total of 630 nurses caring for COVID 2019 patients in 5 hospitals were selected via convenience sampling. Participants completed the scales online. Data were analyzed in SPSS v. 22.Results: A total of 420 nurses completed and returned the questionnaires. Occupational burnout has a negative correlation with resilience and a positive correlation with parenting stress and can predict 61.32% of changes in the occupational burnout variance of nurses. Conclusion: Resilience, parenting stress, marital status, number of children, employment status, and gender predicated high percentage of the nurses’ occupational burnout variance. The nurse managers should use these findings to provide appropriate environments for nurses, to develop more comprehensive plans in support of nurses for the current and future crises.
背景:对冠状病毒感染患者的护理可能会对护士的职业倦怠、恢复力和养育子女产生影响。目的:评估护理2019冠状病毒病患者的护士的职业倦怠、适应力和育儿压力。方法:这项横断面研究是基于加强流行病学声明中观察性研究的报告。通过方便抽样,共选择了5家医院的630名护理2019冠状病毒病患者的护士。参与者在线完成了量表。数据在SPSS v.22中进行分析。结果:共有420名护士完成并返回了问卷。职业倦怠与韧性呈负相关,与养育压力呈正相关,可预测护士职业倦怠方差变化的61.32%。结论:韧性、育儿压力、婚姻状况、子女数量、就业状况和性别对护士职业倦怠方差的预测比例较高。护士管理人员应利用这些发现为护士提供适当的环境,制定更全面的计划,支持护士应对当前和未来的危机。
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引用次数: 7
A study of disability profile and burden in caregivers of stable schizophrenia patients 稳定型精神分裂症患者护理人员残疾状况及负担的研究
IF 0.5 Q4 PSYCHIATRY Pub Date : 2020-01-01 DOI: 10.5114/nan.2020.101293
N. Modi, R. Mehta, P. Chaudhary, K. Dave
Introduction: Schizophrenia is one of the most devastating disorders, leading to long-term and progressive disability in numerous individuals. Disability reflects an interaction between features of a person’s body and of the society. In all treatments, family psycho-education is also very important as disability of schizophrenia leads to burden upon family members. Caregiver burden can be either objective or subjective. Objective burdens are behavioural phenomena: disruption of the social activities and financial difficulties. Subjective burdens comprise emotional strain on caregivers. Due to the chronic nature of the disease and the disability, patients with schizophrenia as a group need most care in social and economic areas. Aim of the study: To assess the level of burden in caregivers of stable schizophrenia patients and their relation with degree of disability in schizophrenia patients. It was a cross-sectional and observation study. Material and methods: The study was carried out with 154 stable patients of International Classification of Di-seases diagnosed schizophrenia and their primary caregivers. The patients were evaluated on the Indian Disability Evaluation and Assessment Scale (IDEAS) and Positive and Negative Syndrome Scale (PANSS), and the Burden Assessment Schedule (BAS) was used for their primary caregiver. Results: Two thirds of schizophrenia patients who were stable on medication for at least 6 months and diagnosed with schizophrenia for at least 2 years had mild (70.12%) and the rest had moderate disability (29.87%). Greater burden of care was experienced with increasing age. Conclusions: Caregivers’ burden has a direct correlation with overall disability. Deficiency in interaction, communication and employment leads to more burden of care, but not a deficiency in self-care.
精神分裂症是最具破坏性的疾病之一,在许多个体中导致长期和进行性残疾。残疾反映了一个人的身体特征和社会特征之间的相互作用。在所有治疗中,家庭心理教育也是非常重要的,因为精神分裂症的残疾会给家庭成员带来负担。照顾者的负担可以是客观的,也可以是主观的。客观负担是行为现象:社会活动中断和财政困难。主观负担包括照顾者的情绪压力。由于精神分裂症的慢性性质和残疾,精神分裂症患者作为一个群体最需要社会和经济领域的照顾。目的:探讨稳定型精神分裂症患者照护者的负担水平及其与精神分裂症患者残疾程度的关系。这是一项横断面观察研究。材料和方法:研究对象为154例经国际疾病分类诊断为精神分裂症的稳定患者及其主要照顾者。采用印度残疾评估量表(IDEAS)和阳性与阴性综合征量表(PANSS)对患者进行评估,对其主要照顾者采用负担评估量表(BAS)。结果:在服药稳定6个月以上、诊断为精神分裂症至少2年的精神分裂症患者中,三分之二为轻度残疾(70.12%),其余为中度残疾(29.87%)。随着年龄的增长,照顾的负担也越来越重。结论:照顾者负担与整体失能有直接关系。缺乏互动、沟通和就业导致照顾负担加重,但不缺乏自我照顾。
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引用次数: 3
Body weight and cognitive impairment 体重和认知障碍
IF 0.5 Q4 PSYCHIATRY Pub Date : 2020-01-01 DOI: 10.5114/nan.2020.97401
M. Bidzan, L. Bidzan
Dementia has become a major public health concern due to population aging. Recent failures in clinical drug trials highlight the importance of evaluating and treating patients with dementia as early as possible. Weight loss is common in people with dementia, particularly Alzheimer’s disease, and it is correlated with increased mortality. Epidemiological studies have shown that late-life weight loss can precede the cognitive decline and begins years before the diagnosis of dementia. Concomitantly late-life elevated body mass index (BMI) confers a lower risk of having dementia. Several factors directly related to neurodegeneration could lead to weight loss in dementia, including cognitive and psychiatric problems, altered olfaction and gustation, and pathology of important structures in the brain, particularly the hypothalamus. The hormone leptin may partially explain the mecha-nism of how weight loss can precede the cognitive decline. There are differences in the association between midlife BMI and dementia compared to late-life BMI and dementia. Being overweight or obese in mid-life is a risk factor for dementia. Previous studies were mainly based on BMI as a meas-urement of weight loss, which does not allow one to determine the direction of the association between weight loss and the dementing process. Body compo-sition analysis should be included in further research.
由于人口老龄化,痴呆症已成为一个主要的公共卫生问题。最近临床药物试验的失败突出了尽早评估和治疗痴呆症患者的重要性。体重减轻在痴呆症患者中很常见,尤其是阿尔茨海默氏症患者,而且体重减轻与死亡率增加有关。流行病学研究表明,晚年体重下降可能先于认知能力下降,并在痴呆症诊断前几年就开始了。伴随着晚年身体质量指数(BMI)的升高,患痴呆症的风险较低。与神经退行性变直接相关的几个因素可能导致痴呆症患者体重减轻,包括认知和精神问题、嗅觉和味觉改变,以及大脑重要结构的病理,尤其是下丘脑。瘦素激素可能部分解释了体重减轻如何先于认知能力下降的机制。与老年BMI和痴呆相比,中年BMI和痴呆之间的关联存在差异。中年超重或肥胖是患痴呆症的一个危险因素。以往的研究主要是基于体重指数作为减肥的衡量标准,这并不能确定减肥与痴呆过程之间的联系方向。进一步的研究应包括体成分分析。
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引用次数: 0
Screening for perinatal depression: a review of tools and barriers 围产期抑郁症筛查:工具和障碍综述
IF 0.5 Q4 PSYCHIATRY Pub Date : 2020-01-01 DOI: 10.5114/nan.2020.97402
Sara Suchowiak, K. Wszolek, J. Suwalska, D. Łojko, A. Suwalska
help. Health providers’ barriers include the lack of time, a belief that patients do not want to be treated for depression, the fear of legal consequences and the lack of training in screening. Regular training programmes might improve the situation. Mental health stigma has also been reported to be widespread among healthcare pro-fessionals. A higher priority given to mental health in the undergraduate curriculum and during professional training can contribute to reducing stigma in health care.
的帮助。保健提供者的障碍包括缺乏时间、认为病人不想接受抑郁症治疗、担心法律后果以及缺乏筛查方面的培训。定期的培训方案可能会改善这种情况。据报道,心理健康耻辱在保健专业人员中也很普遍。在本科课程和专业培训中给予心理健康更高的优先地位,有助于减少卫生保健中的耻辱。
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引用次数: 4
Neuropsychological interpretation of visuospatial and psychomotor disorders after cerebellar ischaemic stroke 小脑缺血性卒中后视觉空间和精神运动障碍的神经心理学解释
IF 0.5 Q4 PSYCHIATRY Pub Date : 2020-01-01 DOI: 10.5114/nan.2020.101294
K. Jodzio
Introduction: The role of the cerebellum in psychological functioning has been under debate. Cerebellar stroke is uncommon, but may result in various neurocognitive complications. Aim of the study: The present study intends to investigate selected aspects of neuropsychological functioning (i.e. visuospatial and psychomotor abilities) of patients with selective cerebellar lesions and to evaluate the significance of laterality in cognitive symptoms. Material and methods: Fourteen patients (3 women and 11 men) with stroke-induced infarctions limited only to the left or right cerebellar hemisphere (7 leftand 7 right-sided cerebellar lesions, respectively) as verified by neuroradiological findings underwent a neuropsychological assessment at the acute stage (no more than 30 days following their stroke). Their performance was compared with 28 demographically matched normal controls (NC). Subjects were assessed with the Rey-Osterrieth Complex Figure Test (CFT) and the Polish adaptation of the Finger Tapping Test (FTT). Standardized scores (z-scores) for each patient were calculated from the raw test scores. Transformation was conducted based on means and standard deviations values from NC. Results: The majority of the patients manifested visuospatial and/or psychomotor impairments with varying degrees of severity. However, no visual memory problems were observed since the delayed recall trial on the CFT was normal in contrast to the copy trial. A significant predictor of specific symptoms was localisation of cerebellar lesions. Patients with left cerebellar lesions were slow on the FTT (both left and right hands) only, whereas those with right cerebellar stroke performed significantly worse on both motor (i.e. tapping – FTT) and visuospatial (CFT – copy trial) tests. Conclusions: Cerebellar stroke may result in heterogeneous cognitive difficulties, including psychomotor slowness and impairment of visuospatial perception, which contrast with sparing memory.
小脑在心理功能中的作用一直存在争议。小脑性中风并不常见,但可能导致各种神经认知并发症。研究目的:本研究旨在研究选择性小脑病变患者的神经心理功能(即视觉空间和精神运动能力)的某些方面,并评估偏侧性在认知症状中的意义。材料和方法:14例(3名女性和11名男性)中风引起的梗死仅局限于左小脑半球或右小脑半球(分别有7例左小脑和7例右小脑病变),经神经影像学检查证实,在急性期(中风后不超过30天)接受了神经心理学评估。将他们的表现与28名人口统计学匹配的正常对照(NC)进行比较。采用Rey-Osterrieth复杂图形测试(CFT)和波兰手指敲击适应性测试(FTT)对受试者进行评估。根据原始测试分数计算每位患者的标准化分数(z-score)。根据NC的均值和标准差值进行转换。结果:大多数患者表现出不同程度的视觉空间和/或精神运动障碍。然而,没有观察到视觉记忆问题,因为在CFT上延迟回忆试验与复制试验相比是正常的。特异性症状的一个重要预测因子是小脑病变的局部化。只有左小脑病变的患者在FTT(左手和右手)上表现缓慢,而右小脑中风的患者在运动(即叩击- FTT)和视觉空间(CFT -复制试验)测试上表现明显更差。结论:小脑卒中可导致异质性认知困难,包括精神运动迟缓和视觉空间知觉障碍,这与保留记忆相反。
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引用次数: 0
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Neuropsychiatria i Neuropsychologia
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