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Policy Initiatives on Healthy Ageing in Russia from 2010-2020 2010-2020年俄罗斯健康老龄化政策倡议
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.2.2
E. Golubeva, A. Emelyanova
Background: A number of various policy strategies has been adopted in the last decade in response to population ageing in Russia. Governmental actions have yet to be evaluated in terms of their efficacy. By making a detailed overview of policy actions and relevant research, we are able to define successes and failures on the way to having a thriving and healthy older population. Aims: To analyse policy initiatives targeting healthy ageing in terms of both the entire population and the individuals thereof, and provide the overview for the most recent years of 2010–2020. Methods: The study has a theoretical nature. We undertake an analysis of available research literature and policy documents. In Section 2.2.1, we used a systematic literature review approach. Regarding the segment of the collection of literature discussed in the paper, a mixed approach was used retrieving online indexing services and additional searching in the Russian electronic library eLibrary.ru. Results: Main demographic documents and primary structural changes focus on the population decline, ageing, retirement, and overall population health. Research on healthy and active ageing in the Russian academic literature, and elaboration of the new strategies and programs designed specifically for the benefit of older people and their health, have been discussed, with special attention given to the mental health of older people. Conclusion: The initiatives mainly prioritise further increases in life expectancy, the quality of life of older persons, stimulating old-age productivity and active ageing. Many aspects require further improvement such as clear definitions, focused attention to geriatric care, better coordination of managing authorities, sustainable funding, and realistic expectations toward implementation indicators.
背景:在过去十年中,为了应对俄罗斯的人口老龄化问题,采取了一些不同的政策战略。政府行动的效力还有待评价。通过对政策行动和相关研究的详细概述,我们能够确定在实现老龄人口繁荣和健康的道路上的成功和失败。目的:从全体人口和个人的角度分析针对健康老龄化的政策举措,并概述2010-2020年最近几年的情况。方法:本研究具有理论性质。我们对现有的研究文献和政策文件进行分析。在第2.2.1节中,我们使用了系统的文献综述方法。对于论文中讨论的文献集合部分,使用了一种混合的方法来检索在线索引服务并在俄罗斯电子图书馆elibrlibrary .ru中进行附加搜索。结果:主要人口统计文件和主要结构变化集中在人口下降、老龄化、退休和总体人口健康方面。讨论了俄罗斯学术文献中关于健康和积极老龄化的研究,以及专门为老年人及其健康制定的新战略和方案,并特别关注老年人的心理健康。结论:这些措施的重点是进一步提高预期寿命,提高老年人的生活质量,促进老年生产力和积极老龄化。许多方面需要进一步改进,如明确的定义、对老年保健的重点关注、管理当局更好的协调、可持续的供资以及对实施指标的现实期望。
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引用次数: 1
Infancy in 21st Century Hungary – A Project Introduction : Policy, Theoretical and Methodological Framework and Objectives of the First National Representative Parent Survey on Infant and Early Childhood Mental Health 21世纪匈牙利的婴儿——项目介绍:关于婴儿和幼儿心理健康的第一次全国代表性家长调查的政策、理论和方法框架和目标
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.2.3
I. Danis, Veronika Bóné, Réka Hegedüs, Attila Pilinszki, Tünde Szabó, Beáta Dávid
Objectives: Infancy in 21st Century Hungary is the first Hungarian national representative parent survey to examine early childhood mental health problems and important individual, family and broader environmental risk and protective factors associated with them. Methods: In the study, families raising children aged 3–36 months were included. The sample was nationally representative according to the children’s age and gender, and the type of residence. Data were collected in the winter of 2019–2020 from 980 mothers and 122 fathers. The parents were interviewed using a CAPI (computer-assisted personal interview) instrument at first, and then they filled out a self-administered questionnaire (SAQ). The measurement package was planned by an interdisciplinary research network coordinated by the Institute of Mental Health at Semmelweis University, while the sampling and the data collection were conducted by the TÁRKI Research Institute. Results: Based on the parental reports, we will examine the prevalence of infant and early childhood mental health problems perceived by the parents, and the relationships between the background variables measured in several ecological levels. Due to the representative sample’s socio-demographic diversity, we can map the generalizable variability of each examined construct and identify risk and protective factors behind the perceived developmental and mental health difficulties. Conclusions: In this article, the policy, theoretical and methodological framework, the justification and objectives of the research, and the measurement package are presented. European Journal of Mental Health 15 (2020) 111–144 https://doi.org/10.5708/EJMH.15.2020.2.3
目的:《21世纪匈牙利的婴儿》是匈牙利第一个具有全国代表性的家长调查,旨在检查幼儿心理健康问题以及与之相关的重要个人、家庭和更广泛的环境风险和保护因素。方法:研究对象为3 ~ 36月龄儿童的家庭。根据儿童的年龄、性别和居住类型,样本具有全国代表性。研究人员在2019-2020年冬季收集了980名母亲和122名父亲的数据。首先使用CAPI(计算机辅助个人访谈)工具对家长进行访谈,然后填写自填问卷(SAQ)。测量包是由塞梅尔魏斯大学心理健康研究所协调的一个跨学科研究网络计划的,抽样和数据收集是由TÁRKI研究所进行的。结果:在父母报告的基础上,我们将研究父母感知的婴幼儿心理健康问题的患病率,以及在几个生态水平上测量的背景变量之间的关系。由于代表性样本的社会人口多样性,我们可以绘制出每个被检查结构的可概括变异性,并确定感知到的发展和心理健康困难背后的风险和保护因素。结论:在本文中,提出了政策,理论和方法框架,研究的理由和目标,以及测量包。欧洲精神卫生杂志15 (2020)111-144 https://doi.org/10.5708/EJMH.15.2020.2.3
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引用次数: 1
Alcohol-Dependent Inpatients in Northern Vietnam : A Follow-Up Study on Relapse and Co-Occurring Psychiatric Disorders 越南北部的酒精依赖住院患者:复发和共存精神障碍的随访研究
IF 0.7 Q4 Social Sciences Pub Date : 2020-01-01 DOI: 10.5708/ejmh.15.2020.2.4
Thi-Phuong-Lan Nguyen, Bao Giang Kim, V. Nguyễn
Background: The prevalence of alcohol dependence has been increasing in several countries in the world as well as in Vietnam. This study aims to describe relapse among alcohol-dependent inpatients in Northern Vietnam and some co-occurring psychiatric disorders in these patients. Methods: This study followed 53 alcohol-dependent patients who were treated for six months at the Vietnam National Institute of Mental Health. At the point of one month, three months, and six months after being discharged from the hospital, the patients were monitored for their alcohol consumption, relapse into alcohol dependence, and co-occurring psychiatric disorders by clinical psychiatrists, using the International Classification of Diseases, the 10th edition, Hamilton depression rating scale, Hamilton anxiety rating scale, Pittsburgh Sleep Quality Index, and the EQ-5D-5L Life Quality Assessment. Results: The prevalence of relapse into alcohol dependence was 81.1%. The highest relapse rate was found in the first month after alcohol withdrawal (46.5%), then it decreased gradually. 53.9% of the relapsed patients had at least four alcohol withdrawals; they mainly used home-brewed alcohol. The average daily alcohol intake was fairly high: 14.4 ± 8.5 standard drinks. Mental disorders such as depression, anxiety, and sleep disorder were very prevalent among patients with relapsed alcohol dependence. Conclusions: The rate of relapsed alcohol dependence in Northern Vietnam was very high. It is important to detect and treat psychiatric disorders simultaneously with alcohol dependence to achieve better treatment effectiveness and reduce relapse rates.
背景:包括越南在内,世界上一些国家的酒精依赖患病率一直在上升。本研究的目的是描述在越南北部的酒精依赖住院病人的复发和一些共同发生的精神疾病在这些病人。方法:本研究对53名在越南国家精神卫生研究所接受治疗的酒精依赖患者进行了为期6个月的随访。在出院后1个月、3个月和6个月,由临床精神科医生使用《国际疾病分类》第10版、汉密尔顿抑郁评定量表、汉密尔顿焦虑评定量表、匹兹堡睡眠质量指数和EQ-5D5L生活质量评定量表监测患者的酒精消耗、酒精依赖复发和共患精神障碍情况。结果:酒精依赖复发率为81.1%。复发率以戒酒后第一个月最高(46.5%),而后逐渐下降。53.9%的复发患者至少有4次酒精戒断;他们主要使用自酿的酒精。平均每日酒精摄入量相当高:14.4±8.5标准杯。精神障碍如抑郁、焦虑和睡眠障碍在复发的酒精依赖患者中非常普遍。结论:越南北部地区酒精依赖复发率非常高。在酒精依赖的同时发现和治疗精神疾病,以获得更好的治疗效果和减少复发率是很重要的。
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引用次数: 0
The Mental Health Continuum-Short Form in Organisational Contexts: Factorial Validity, Invariance, and Internal Consistency 组织语境中的心理健康连续体简式:因子有效性、不变性和内部一致性
IF 0.7 Q4 Social Sciences Pub Date : 2019-12-10 DOI: 10.5708/EJMH.14.2019.2.2
L. V. Zyl, Chantal Olckers
The study aimed to examine the psychometric properties of the MHC-SF within selected organisational contexts. Specifically, the aim was to determine the factorial validity, measurement invariance, and reliability of the instrument for South African organisations. A cross-sectional online survey-based research design was employed, coupled with a convenience sampling strategy (N = 624). The results showed that the original three-dimensional factor structure of the MHC-SF fitted the data the best. Items loaded statistically significantly on all three subscales (emotional, psychological, social wellbeing). Further, the scale showed full configure, convergent and metric invariance between males and females. However, invariance was not established in either age cohorts, language groups, or marital status. The instrument proved to be reliable at both a lower (Cronbach Alpha) and upper level (Composite reliability) limit within South African organisational contexts.
该研究旨在检查MHC-SF在选定的组织背景下的心理测量特性。具体来说,目的是确定南非组织的析因效度、测量不变性和工具的可靠性。采用了横断面在线调查研究设计,并结合了方便的抽样策略(N = 624)。结果表明,MHC-SF的原始三维因子结构最符合数据。在所有三个分量表(情感、心理、社会福利)上,项目的负荷都有统计学意义。此外,量表在男女之间表现出完全的构型、收敛性和度量不变性。然而,在年龄组、语言组或婚姻状况中均未发现不变性。在南非的组织背景下,该工具被证明在较低(Cronbach Alpha)和较高水平(复合信度)限制下都是可靠的。
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引用次数: 5
The Impact of Ethical and Legal Decision-Making in Neonatal Intensive Care on Psychosocial Wellbeing of the Health Care Professionals: The Overview of the HUNIC Project Study Design 新生儿重症监护伦理和法律决策对医护人员心理社会健康的影响:HUNIC项目研究设计概述
IF 0.7 Q4 Social Sciences Pub Date : 2019-12-10 DOI: 10.5708/ejmh.14.2019.2.6
H. J. Feith, Zsuzsanna Soósné Kiss, János Pilling, A. Kovács, M. Szabó, M. Cuttini, I. Berbik, Gézsi András, E. Gradvohl
The paper introduces the multidisciplinary HUNIC project, which is partly based on the EURONIC study. The objective of the HUNIC study is to assess the attitude and opinion of healthcare providers in Hungarian NICUs about end-of-life decisions, the decision-making process, parental communication, to analyse the differences between HUNIC results in 2015-2016 and EURONIC results in 1996-1997, to compare the attitudes of neonatologists and neonatal nurses, and to identify factors that might affect those attitudes and opinions. A further important objective of the HUNIC study is to compare these attitudes and opinions of neonatal care providers with their personal work experience, educational background in the bioethics field, social support, work and life satisfaction, burnout, health behaviour and psychosocial health. This paper aims to present the methodology of an extensive, complex, and multidisciplinary survey (HUNIC) within the framework of the EURONIC.
本文介绍了多学科的HUNIC项目,该项目部分基于EURONIC研究。HUNIC研究的目的是评估匈牙利新生儿重症监护病房医疗保健提供者对临终决定、决策过程、父母沟通的态度和意见,分析2015-2016年HUNIC结果与1996-1997年EURONIC结果的差异,比较新生儿医生和新生儿护士的态度,并确定可能影响这些态度和意见的因素。HUNIC研究的另一个重要目标是将新生儿护理提供者的这些态度和意见与他们的个人工作经验、生物伦理学领域的教育背景、社会支持、工作和生活满意度、倦怠、健康行为和心理社会健康进行比较。本文旨在介绍在EURONIC框架内广泛,复杂和多学科调查(HUNIC)的方法。
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引用次数: 0
The Role of Religiosity in Intimate Relationships 宗教信仰在亲密关系中的作用
IF 0.7 Q4 Social Sciences Pub Date : 2019-12-10 DOI: 10.5708/ejmh.14.2019.2.3
Lakatos Csilla, T. Martos
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引用次数: 8
Implementation of Dialogical Sequence Analysis as a Case Formulation for the Assessment of Patients at a Community Mental Health Centre: Randomized Controlled Pilot Study 对话序列分析在社区精神卫生中心患者评估中的应用:随机对照试验研究
IF 0.7 Q4 Social Sciences Pub Date : 2019-12-01 DOI: 10.5708/ejmh.14.2019.2.1
Enikö Savander, Mikko Pänkäläinen, M. Leiman, J. Hintikka
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引用次数: 2
‘Generic’ Versus ‘Mature’ Measures Of Christian Religiosity: Comparing Two Quantitative Measures of Religiosity 基督教宗教性的“一般”与“成熟”度量:比较两种宗教性的定量度量
IF 0.7 Q4 Social Sciences Pub Date : 2019-06-03 DOI: 10.5708/ejmh.14.2019.1.2
Erin P. O’Connell, R. Abbott, R. White
A wide range of survey-based tools has been developed to measure religiosity, although the most commonly applied approaches tend to focus on ‘generic’ interpretations of religiosity for practical and generalising reasons. However, these generic approaches have not always been satisfactory due to the lack of variation in responses and the potential for poor correlation between the generic religiosity measure and the overall impact of faith in respondents’ lives, particularly in less secular contexts. This led us to explore whether there is a difference between measuring religiosity using a ‘generic’ versus a ‘mature’ approach using 227 Christian respondents on Bantayan Island, the Philippines. The findings suggest that overall religiosity among our respondents was high for both measures, that the measures are strongly correlated, and that there was no statistically significant difference between the scores for each scale; however, there was evidence to suggest that the two scales are examining different dimensions of religiosity. When correlating the two religiosity scores to other scales on our survey, there was no statistically significant difference among the correlations when using the mature or generic measure of religiosity. This has important implications for mental health and care research methodologies, for which we highlight the importance of using contextually appropriate measures that incorporate various dimensions of religiosity.
人们已经开发了一系列基于调查的工具来测量宗教虔诚度,尽管最常用的方法往往侧重于出于实际和概括原因对宗教虔诚度的“一般”解释。然而,这些通用方法并不总是令人满意的,因为在回应中缺乏变化,并且在通用宗教虔诚度测量和信仰对受访者生活的总体影响之间可能存在较差的相关性,特别是在非世俗背景下。这让我们对菲律宾班塔扬岛的227名基督徒受访者进行了调查,探讨使用“一般”和“成熟”方法衡量宗教虔诚度之间是否存在差异。研究结果表明,在我们的受访者中,两种测量方法的总体宗教虔诚度都很高,这些测量方法是强相关的,并且每个量表的得分之间没有统计学上的显著差异;然而,有证据表明,这两个量表是在考察宗教信仰的不同维度。当将这两种宗教虔诚度得分与我们调查中的其他量表相关联时,在使用成熟的或通用的宗教虔诚度测量时,相关性之间没有统计学上的显著差异。这对心理健康和护理研究方法具有重要意义,为此,我们强调使用结合宗教信仰各个方面的上下文适当措施的重要性。
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引用次数: 0
The Roots of Trust 信任的根源
IF 0.7 Q4 Social Sciences Pub Date : 2019-06-03 DOI: 10.2307/j.ctv62hgt4.6
Ferenc Mújdricza
The present article addresses the question of the ‘roots’ of trust: a debate between cognitive and non-cognitive trust theories, ongoing since the dawn of modern theorising on trust. On the one side, there is the assumption of conceiving trust as a learnt capacity, based on Erikson’s concept of basic trust. On the other side is the hypothesis of innate, built-in trust. After a critical overview of the cognitive and non-cognitive approaches, given that neither side was able to build up a decisive argument, the paper proceeds to some relevant discoveries of the life sciences that serve as proofs of the concept. Michael Polanyi’s principles of marginal control and boundary conditions help avoiding the pitfall of any reductionist determinism. The analysis results in a rejection of the early learning concept of the cognitive approaches. Trusting is proven to be an a priori given human faculty inscribed in our neurobiological system, but neither biologically, nor in any other way, entirely determined. The possibility to trust is always present in the human: the trusting being.
本文解决了信任的“根源”问题:认知和非认知信任理论之间的争论,自现代信任理论出现以来一直在进行。一方面,基于埃里克森的基本信任概念,认为信任是一种习得的能力。另一方面是先天的、内在的信任假说。在对认知和非认知方法进行批判性概述之后,鉴于双方都无法建立决定性的论点,本文继续介绍生命科学的一些相关发现,这些发现可以作为该概念的证明。迈克尔·波兰尼的边际控制和边界条件原则有助于避免任何还原论决定论的陷阱。分析的结果是对认知方法的早期学习概念的拒绝。信任被证明是一种先天的赋予人类的能力,这种能力铭刻在我们的神经生物学系统中,但既不是生物学上的,也不是以任何其他方式完全决定的。信任的可能性总是存在于人类身上:信任的存在。
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引用次数: 1
Hungarian Psychotherapists’ Experiences of the Cooperation with Spiritual Directorsand Pastoral Counselors: A Qualitative Study 匈牙利心理治疗师与精神导师和教牧咨询师合作的经验:一项质性研究
IF 0.7 Q4 Social Sciences Pub Date : 2019-06-03 DOI: 10.5708/ejmh.14.2019.1.5
Z. Jáki, A. Ittzés, Edith A. Kiri, V. Sallay, M. Kővári, T. Tomcsányi
There has been a constantly growing interest towards the themes of psychotherapy and spirituality in the past decades. The questions and experiences concerning spirituality can come up and play an important role in the psychotherapeutic relationship. Often another helping relationship, spiritual direction or pastoral counseling is already present in religious people’s life, before or at the time of starting psychotherapy. In our research we tried to find answers to the question of how psychotherapists approach cooperation with spiritual directors and pastoral counselors, what attitudes and experiences they have in this regard. In the research semi-structured in-depth interviews were carried out with 31 Hungarian psychotherapists, and they were analyzed with the method of Grounded Theory. Four main categories evolved during the analysis of the interviews. In the first main category, where there is no cooperation between the helping professionals, codes refer to the attitudes, whether the psychotherapists would be open to cooperate, what professional considerations they would follow, and in what framework the cooperation could be realized. In the second main category the psychotherapist and the spiritual director work parallel with the patient, without contacting each-other, in the third the psychotherapist is in contact with the spiritual director/pastoral counselor, and in the fourth the psychotherapist evaluates the experiences of the cooperation.
在过去的几十年里,人们对心理治疗和精神治疗的主题越来越感兴趣。关于精神的问题和经验可以出现,并在心理治疗关系中发挥重要作用。通常,在开始心理治疗之前或开始心理治疗时,宗教人士的生活中已经存在另一种帮助关系、精神指导或田园辅导。在我们的研究中,我们试图找到心理治疗师如何与精神指导和牧师顾问合作的答案,以及他们在这方面的态度和经历。本研究对31名匈牙利心理治疗师进行了半结构化的深度访谈,并采用扎根理论的方法对其进行了分析。在对访谈的分析过程中,形成了四个主要类别。在第一个主要类别中,在帮助专业人员之间没有合作的情况下,准则指的是态度,心理治疗师是否愿意合作,他们会遵循什么专业考虑,以及在什么框架下可以实现合作。在第二个主要类别中,心理治疗师和精神指导与患者平行工作,彼此不接触,在第三个类别中,心理治疗师与精神指导/牧师顾问接触,而在第四个类别中心理治疗师评估合作的体验。
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引用次数: 0
期刊
European Journal of Mental Health
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