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ATTITUDES TOWARDS SENIORS IN THE CONTEXT OF PREVIOUS FAMILY RELATIONS EXPERIENCE 从以往的家庭关系经历看对老年人的态度
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2021-11-02 DOI: 10.5604/01.3001.0015.6000
Jacek Łukasiewicz, W. Kowalski
Observation of reality shows that the attitude of today's society towards the elderly is very heterogenous and ambivalent. Both positive and negative attitudes can be observed. What is more, one can talk about attitudes of indifference and a certain social distance. The main goal of the research is to show how attitudes towards the elderly are shaped in our society and whether demographic variables such as gender, age, marital status, place of residence, or level of education differentiate these attitudes. Can we talk about the formation of certain patterns among the younger generation, which create the image of older people in adults?The sample consisted of 1,025 people. The Scale of Attitudes towards Seniors (SPWS) by Łukasiewicz and Kowalski was administered. The entire tool consisted of 60 items divided into three scales: Respect and Support, Rejection and Misunderstanding, and Social Distance. In order to examine the attitudes of the respondents to their grandparents and their role in family life, seven self-authored statements were attached to the questionnaire.The analysis of the obtained results shows no significant differences between positive and negative attitudes towards seniors. All attitudes are at a moderate level. The factors differentiating the intensity of attitudes were: gender, marital status, place of residence, and education level. The indicator of the development of positive attitudes towards seniors was the time spent with grandparents in the past and positive opinions about grandparents provided by parents. Earlier intergenerational relations are of no significant importance when it came to the intensification of negative attitudes.The research confirmed the existence of heterogeneous attitudes towards seniors. However, there is no clear advantage of positive attitudes over the negative. The conclusions from the research point to the role of broadly understood education in shaping attitudes towards the elderly. In the age of an ageing society, activities that show the significance of older people for society, and what value they are for all of us, become important. The family and multigenerational relationships play a significant role here.
对现实的观察表明,当今社会对老年人的态度是非常异质和矛盾的。积极和消极的态度都可以观察到。更重要的是,人们可以谈论冷漠的态度和一定的社交距离。这项研究的主要目标是展示我们社会对老年人的态度是如何形成的,以及性别、年龄、婚姻状况、居住地或教育水平等人口统计变量是否会区分这些态度。我们能否谈谈年轻一代中某些模式的形成,这些模式在成年人中塑造了老年人的形象?样本包括1025人。ukasiewicz和Kowalski的《对老年人的态度量表》(SPWS)进行了管理。整个工具由60个项目组成,分为三个量表:尊重和支持、拒绝和误解以及社交距离。为了调查受访者对祖父母的态度以及他们在家庭生活中的角色,问卷中附有七份自己撰写的陈述。对所得结果的分析表明,对老年人的积极态度和消极态度之间没有显著差异。所有的态度都处于中等水平。区分态度强度的因素有:性别、婚姻状况、居住地和教育水平。对老年人形成积极态度的指标是过去与祖父母相处的时间以及父母对祖父母的积极看法。早期的代际关系在消极态度的强化方面并不重要。这项研究证实了对老年人的不同态度的存在。然而,积极的态度与消极的态度相比并没有明显的优势。研究得出的结论表明,广泛理解的教育在塑造对老年人的态度方面发挥着作用。在老龄化社会的时代,展示老年人对社会的重要性以及他们对我们所有人的价值的活动变得很重要。家庭和多代人的关系在这方面发挥着重要作用。
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引用次数: 0
Alexithymia, Suicidal Ideation and Behaviour in Moroccan Psychoactive Substance Users 摩洛哥精神活性物质使用者述情障碍、自杀意念和行为
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2021-01-13 DOI: 10.21203/rs.3.rs-143731/v1
K. Karjouh, F. Azzaoui, R. Ouerchefani, Wafae Idrissi Semlali, K. Mammad, G. Chtabou, A. Ahami
Alexithymia is an emotion regulation problem that may be related to suicidality, especially in patients with SUD.The study aimed at estimating the prevalence of alexithymia in Moroccan psychoactive substances users, and to establish the links between alexithymia and suicidal ideation and behaviors, anxiety and depression in drug-dependent patients.We also aimed to elucidate if alexithymia predicts suicidal thoughts and behaviors in these consumers. The study included 451 consecutively admitted patients with substance use. Consumers were examined with the Toronto alexithymia scale (TAS-20), State and Trait Anxiety Inventory (STAI-Y), Beck Depression Inventory (BDI) and The Columbia-Suicide Severity Rating Scale (C-SSRS)Among substance-dependent individuals, 72.7% was identified as a group with alexithymia. Current age and age at first substance use were lower in the alexithymic group (p<0.01).The mean STAI-Y state and C-SSRS scores were higher in the group with alexithymia (p<0.01). There was a statistically significant difference between the groups in terms of mean scores for anxiety traits (p<0.05) and no significant difference in terms of mean scores for depression. All of the scores correlated significantly with.Addicted patients with alexithymia could be targeted at preventing the onset of suicidal thoughts and behaviorThe present study also evokes that whenever an emotional regulation disorder is observed, the possibility of anxio-depressive symptomatology and suicidality (ideation and behavior) needs to be assessed.
述情障碍是一种情绪调节问题,可能与自杀有关,尤其是在SUD患者中。该研究旨在估计摩洛哥精神活性物质使用者的述情障碍患病率,并建立述情障碍与药物依赖患者的自杀意念和行为、焦虑和抑郁之间的联系。我们还旨在阐明述情障碍是否预示着这些消费者的自杀想法和行为。该研究包括451名连续入院的药物使用患者。采用多伦多述情障碍量表(TAS-20)、状态和特质焦虑量表(STAI-Y)、贝克抑郁量表(BDI)和哥伦比亚自杀严重程度评定量表(C-SSRS)对消费者进行调查。在物质依赖性个体中,72.7%被确定为述情障碍组。述情障碍组的当前年龄和首次使用药物的年龄较低(p<0.01)。述情障碍患者的平均STAI-Y状态和C-SSRS评分较高(p<0.01),两组在焦虑特征的平均评分方面存在统计学显著差异(p<0.05),在抑郁的平均分方面没有显著差异。所有得分均与显著相关。有述情障碍的成瘾患者可以预防自杀想法和行为的发作。本研究还提醒,只要观察到情绪调节障碍,就需要评估焦虑抑郁症状和自杀(意念和行为)的可能性。
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引用次数: 0
DELUSIONAL MISIDENTIFICATION SYNDROME: DISSOCIATION BETWEEN RECOGNITION AND IDENTIFICATION PROCESSES 妄想性错误识别综合征:识别和识别过程的分离
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-12-04 DOI: 10.5604/01.3001.0013.6551
K. Leis, E. Mazur, M. Racinowski, Tomasz Jamrożek, J. Gołębiewski, P. Gałązka, M. Pąchalska
Delusional misidentification syndrome (DMS) is an umbrella term for syndromes of intermetamorphosis, Fregoli, and Capgras. DMS) is thought to be related to dissociation between recognition and identification processes. DMS was described for the first time in 1932 as a variant of the Capgras syndrome and is currently on the DSM-V list of diseases as an independent disease entity. Patients affected by DMS believed that people around them, most often family, have changed physically (appearance) and mentally (character). Other symptoms include confabulation, derealization or depersonalization. In patients, aggressive behavior is often observed, aimed at alleged doppelgangers resulting from the sense of being cheated and manipulated. With the intermetamorphosis syndrome, for example, schizophrenia, depression, bipolar disorder or other misidentification syndromes (Fregoli's, Capgras) may coexist. There is also a reverse intermetamorphosis, where the object of the changed appearance or character becomes the patient himself. One of its forms may be lycanthropy. The etiology of the intermetamorphosis has not been fully understood, one of the reasons may be brain damage and changes in the parietal and/or temporal lobes of the right hemisphere. It may then damage long neuronal connections to the frontal areas of the brain, disturbances of working memory (WM) accountable for the keep and online management of data, so that it is available for further processing, and the patient's will be uncritical. The basic method of diagnosis of this delusion is a medical interview with the patient. Other diagnostic methods include computed tomography, magnetic resonance imaging, EEG and ERPs. Experimental methods include searching for the neuromarker of DMS. Currently, there are no treatment guidelines of this delusional disorder, and pharmacotherapy experimental, but the drugs from the group of neuroleptics and lithium seem effective. Some hope for the treatment is created by neurotherapy, but it is also experimental.
妄想性误认综合征(DMS)是过渡性变态综合征、弗雷戈利综合征和卡普格拉综合征的总称。DMS被认为与识别和识别过程之间的分离有关。DMS于1932年首次被描述为Capgras综合征的一种变体,目前作为一个独立的疾病实体被列入DSM-V疾病清单。受DMS影响的患者认为,他们周围的人,通常是家人,已经改变了身体(外观)和精神(性格)。其他症状包括虚构、现实感丧失或人格解体。在患者中,经常观察到攻击行为,针对所谓的二重身,这是由于被欺骗和操纵的感觉造成的。例如,在蜕变间综合征中,精神分裂症、抑郁症、双相情感障碍或其他误诊综合征(弗雷戈利综合征、卡普格拉综合征)可能共存。还有一种反向蜕变,即外表或性格改变的对象变成了病人本人。其中一种可能是变狼人。过渡性变形的病因尚未完全清楚,其中一个原因可能是脑损伤和右半球顶叶和/或颞叶的变化。然后,它可能会破坏与大脑额叶区域的长神经元连接,干扰负责数据保存和在线管理的工作记忆(WM),使其可用于进一步处理,患者的记忆将不具有批判性。诊断这种妄想的基本方法是对病人进行医学访谈。其他诊断方法包括计算机断层扫描、磁共振成像、脑电图和erp。实验方法包括寻找DMS神经标记物。目前,这种妄想障碍没有治疗指南,药物治疗也处于实验阶段,但从抗精神病药组和锂盐组的药物看来是有效的。神经疗法带来了一些治疗的希望,但它也是实验性的。
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引用次数: 2
THE AMELIORATION OF BEHAVIORAL DISTURBANCES IN TBI PATIENTS WITH CHRONIC FRONTAL SYNDROME AFTER TREATMENT IN DIFFERENT REHABILITATION PROGRAMS 不同康复方案对慢性额综合征TBI患者行为障碍的改善
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.3685
M. Pąchalska, Jolanta Góral-Półrola, A. Mirski, C. Grzywniak, Maria Łuckoś, R. Morga
We evaluated the effectiveness of three different rehabilitation programs for chronic behavioral disorders in traumatic brain injury (TBI) patients with orbito-frontal damage (OFC), incurred from 13 to 15 years prior to enrollment.From among 547 adult patients with severe TBIs treated neurosurgically from 1999 to 2003, 60 were selected for the study, divided into three groups of 20, matched for age and sex. Each group received one of three different rehabilitation protocols. Group A received a comprehensive program with two components: (1) a 6-month early neuropsychological rehabilitation program targeting cognitive deficits, beginning immediately post-injury, and (2) the “Academy of Life” program, with weekly meetings aimed at reducing behavioral disorders in social transactions. Group B received only cognitive rehabilitation, while Group C received only the “Academy of Life” progam. The Frontal Behavioral Inventory (FBInv) was used to assess behavioral disorders at baseline and again after completion of the study.At baseline, all 60 patients still displayed all or most of the common behavioral symptoms characteristic of frontal syndrome. The improvement achieved by group A (the comprehensive program) was significantly better upon completion of the study than that shown by the patients in groups B (cognitive only) and C (social skills only).A comprehensive program of rehabilitation, which combines early neuropsychological rehabilitation of cognitive deficits with the “Academy of Life” program, aimed at improving social skills, proved to be more effective than either of these two components administered without the other
我们评估了三种不同的康复方案对创伤性脑损伤(TBI)合并眶额损伤(OFC)患者慢性行为障碍的疗效,这些患者在入组前发生了13至15年。从1999年至2003年接受神经外科治疗的547例严重脑损伤成年患者中,选择60例进行研究,按年龄和性别分为三组,每组20人。每组接受三种不同康复方案中的一种。A组接受了由两个部分组成的综合计划:(1)6个月的早期神经心理康复计划,目标是认知缺陷,在受伤后立即开始;(2)“生活学院”计划,每周举行会议,旨在减少社会交往中的行为障碍。B组只接受认知康复治疗,C组只接受“生命学院”治疗。使用额叶行为量表(FBInv)在基线和研究结束后再次评估行为障碍。在基线时,所有60例患者仍表现出额叶综合征的全部或大部分常见行为症状。在研究结束时,A组(综合方案)取得的改善明显好于B组(仅认知)和C组(仅社交技能)。一项综合康复计划,将认知缺陷的早期神经心理康复与旨在提高社交技能的“生活学院”计划相结合,证明比单独使用这两个组成部分更有效
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引用次数: 1
COGNITIVE DYSFUNCTIONS IN A MINIMALLY VERBAL (MV) PATIENT WITH AUTISM SPECTRUM DISORDER (ASD) 自闭症谱系障碍(asd)患者认知功能障碍1例
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.5950
K. Markiewicz, B. Kaczmarek, J. Kropotov, Weronika D. MacQueen, B. Macqueen, M. Pąchalska
The aim of this study was to examine the neurophysiological correlates of cognitive dysfunctions in a patient with the minimally verbal variant of Autism Spectrum Disorder (ASD + MV), who after reaching adulthood showed progressive deterioration of his cognitive skills.The patient was a 25-year-old male, diagnosed with ASD. He never developed spoken language, and communicated only by gesturing or writing on a computer.Our findings confirmed comorbidity of ASD and epilepsy, accompanied by dysfunction of cognitive control. We also found that spontaneous EEG and event-related potentials (ERPs) in a cued GO/NOGO task can be used to assess functional brain changes concomitant with ASD.
本研究的目的是研究自闭症谱系障碍(ASD + MV)患者认知功能障碍的神经生理学相关性,该患者在成年后表现出认知能力的进行性恶化。患者是一名25岁的男性,被诊断为自闭症谱系障碍。他从未学会说话,只通过手势或在电脑上写字与人交流。我们的研究结果证实了ASD和癫痫的合并症,并伴有认知控制功能障碍。我们还发现,自发性EEG和事件相关电位(ERPs)在提示GO/NOGO任务中可用于评估ASD伴随的功能性脑变化。
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引用次数: 1
Diagnosis of dyslexic disorders and identification of factors associated with reading learning disabilities within the Moroccan context 摩洛哥背景下阅读障碍的诊断和与阅读学习障碍相关因素的识别
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.5599
S. Ihbour, R. Hnini, H. Anarghou, Ahmed Tohami Ahami, F. Chigr, M. Najimi
Reading acquisition disorders constitute the main problem in children's learning. in Morocco, epidemiological data are very rare. Research, mainly in the English language, concerns either the sociological or the cognitive field. Few studies, among them not one in Arabic, have explored the link relating to social and cognitive factors. The purpose of our work is to study and analyze the cognitive and social variables related to different reading skills among Moroccan pupils in primary and secondary public schools.From a sample of 754 learners (388 boys and 366 girls) ranging in age from 9 to 15 years with an average of 11.59 years, the diagnostic tests identified 145 students with deficient skills "Bad readers (BR)," 128 suspected of being in difficulty classified as « intermediate level (IL) » and a group of 481 children as good readers ( GR). Statistical analyses have shown that the first two groups (BR and IL) represent 24% in the favoured areas compared to 43% in the disadvantaged.The analysis of scores and the nature of the errors made on various reading tests show that 41 students, or 5.43% of our sample, present a dyslexia profile. 13 (1.72%) of whom have very severe difficulties. The phonological aptitudes (Rapid automatized naming, phonological short-time memory and especially phonological awareness) mainly reflect the level of reading. These phonological abilities are highly influenced by early attendance of preschool and by the degree of exposure to written language at home. These data, which are unique in Morocco, are consistent to that of the published subject literature. They make it possible to plan preventive actions by generalizing pre-school teaching, particularly in precarious environments. These actions should be based on playful exercises aimed at improving phonological abilities at an early age, while exploiting the brain sensitivity to reading at that age.Phonological awareness and rapid naming are the most implicated factors in the disparity of reading skills. These abilities are highly influenced by the integration of preschool at a very early age and by the degree of exposure to written language activities. Therefore, there is a need to plan preventive actions, based on playful exercises, aiming to improve phonological skills from the pre-school period
阅读习得障碍是儿童学习中的主要问题。在摩洛哥,流行病学数据非常罕见。研究,主要是在英语领域,涉及社会学或认知领域。很少有研究探讨与社会和认知因素有关的联系,其中没有一项是阿拉伯语研究。我们的工作目的是研究和分析摩洛哥中小学学生与不同阅读技能相关的认知和社会变量。从754名年龄从9岁到15岁(平均11.59岁)的学习者(388名男孩和366名女孩)的样本中,诊断测试确定了145名技能不足的学生为“坏读者(BR)”,128名被怀疑有“中等水平(IL)”的困难,481名儿童为好读者(GR)。统计分析表明,前两组(BR和IL)在有利地区占24%,而在不利地区占43%。对各种阅读测试的分数和错误性质的分析表明,41名学生,即我们样本的5.43%,存在阅读障碍。其中13人(1.72%)有非常严重的困难。语音能力(快速自动命名、语音短时记忆,尤其是语音意识)主要反映阅读水平。这些语音能力在很大程度上受到学前教育和在家接触书面语言程度的影响。这些数据在摩洛哥是独一无二的,与已发表的主题文献一致。它们通过普及学前教育,特别是在不稳定的环境中,使制定预防行动成为可能。这些动作应该基于有趣的练习,旨在提高幼儿的语音能力,同时利用该年龄段大脑对阅读的敏感性。语音意识和快速命名是导致阅读技能差异的最重要因素。这些能力在很大程度上受到很小就融入学前教育和接触书面语言活动的程度的影响。因此,有必要在游戏练习的基础上制定预防措施,旨在提高学前阶段的语音技能
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引用次数: 5
BURNOUT AS A MEDIATOR OF THE INTERRELATIONS BETWEEN EMOTIONAL INTELLIGENCE AND STRESS COPING STRATEGIES IN NURSES 护士职业倦怠在情绪智力与压力应对策略之间的中介作用
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.4531
K. Markiewicz
The research focuses on the questions of if nurses working in various health care facilities present different abilities for emotional adaptation to the work environment, if they differ in feeling job related burnout, and what stress coping strategies they tend to employ.The Questionnaire of Emotional Intelligence (INTE), Link Burnout Questionnaire (LBQ), and the Coping Inventory for Stressful Situations (CISS) were administered. The study comprised 104 nurses from various health care facilities located within 7 voivodships (Polish provincial administrative divisions). This included three groups of different types of work: general care, specialized medical care, and units providing care for patients at a high risk of dying. A statistical analysis was performed with IBM SPSS Statistic 24.A regression analysis of the interface between emotional intelligence and stress-coping strategies showed that a high degree of emotional intelligence fostered a strategy of task-avoidance coping, and diminished the tendency to concentrate on emotions during stressful situations, it also minimized the propensity of the individual to reduce stress by distracting themselves with other activities. However, the mediation analysis revealed that the impact of emotional intelligence decreased after the role of occupational burnout was taken into consideration. This finding suggests that it is rather the occupational burnout that limits the possibility to apply effective stress coping strategies and that stress management does not reduce the risk of burnout.The study indicated the significant role of emotional intelligence: as a higher level of this form of intelligence corresponded with a lower feeling of burnout in all its dimensions. The mediation analysis revealed that it is the occurrence of burnout that plays the most significant role in adjustment to the work environment. This finding suggests that the prevention of burnout is the most effective factor enabling productive work, and the maintenance of psychological wellbeing despite the many job stressors which may occur in the workplace. It creates the need to clarify its links with depression in order to concentrate on a really effective treatment.
本研究主要探讨不同医疗机构的护士对工作环境的情绪适应能力是否存在差异,工作倦怠感是否存在差异,以及护士倾向于采用何种压力应对策略。采用情绪智力量表(INTE)、职业倦怠量表(LBQ)和压力情境应对量表(CISS)进行测试。该研究包括来自7个省(波兰省级行政区划)各保健机构的104名护士。这包括三组不同类型的工作:一般护理、专业医疗护理和为死亡风险高的病人提供护理的单位。采用IBM SPSS Statistic 24进行统计学分析。情商与压力应对策略之间的回归分析表明,高情商培养了一种任务回避应对策略,降低了个体在压力情境下专注于情绪的倾向,也降低了个体通过其他活动分散注意力来减轻压力的倾向。然而,中介分析显示,在考虑职业倦怠的作用后,情绪智力的影响减弱。这一发现表明,是职业倦怠限制了运用有效的压力应对策略的可能性,压力管理并不能降低职业倦怠的风险。该研究表明了情商的重要作用:在所有维度上,情商越高,倦怠感越低。中介分析发现,倦怠的发生对工作环境的适应起着最显著的作用。这一发现表明,尽管工作场所可能会出现许多工作压力源,但预防倦怠是实现高效工作和维持心理健康的最有效因素。这就需要澄清它与抑郁症的联系,以便集中精力进行真正有效的治疗。
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引用次数: 3
BIOLOGICAL RHYTHMS IN VEDANTIC MYSTICISM: THE EXAMPLE OF RAMAKRISHNA 吠陀神秘主义中的生物节律&以罗摩克里希纳为例
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.4241
D. Bradford
This study is a process analysis of probably the longest reported mystical experience: the six-month nirvikalpa samadhi of the Indian saint Ramakrishna Paramahamsa (1836-1886). Throughout this period he participated in Brahman, which is understood in the Vedantic tradition of India as the blissful, intrinsically conscious substance of being. Ramakrishna cycled between the states aligned with Brahman’s saguna (manifest) and nirguna (unmanifest) aspects. He was insensate and cataleptic during the nirguna phase of mystical cycles. Liminal consciousness, ecstatic emotion, and visions of God characterized the saguna phase. The respective states are likened to the onset and the resolution of the Minimally Conscious State, the least severe form of coma. The temporal pattern of individual cycles is attributed to the Basic RestActivity Cycle, a fundamental biological rhythm. Yoga practices that may have contributed to the onset and continuation of samadhi are reviewed. Ramakrishna’s nirvikalpa samadhi incorporated two basic forms of mystical experience: union with the personal God, and transient probing of the undifferentiated ground of being. Other mystical experiences may have a cyclical structure and conform with a biological rhythm.
这项研究是对可能是迄今为止最长的神秘经历的过程分析:印度圣人罗摩克里希纳·帕拉马罕萨(1836-1886)的六个月的涅维卡尔帕三摩地。在这段时间里,他参与了婆罗门,在印度的吠陀传统中,婆罗门被理解为幸福的、内在有意识的存在物质。罗摩克里希纳在与婆罗门的saguna(显化)和nirguna(未显化)相一致的状态之间循环。在神秘周期的涅尔古纳阶段,他是一个缺乏感觉和催化的人。黎明意识、狂喜的情绪和对上帝的憧憬是萨古纳阶段的特征。各自的状态被比作最低意识状态的发作和消退,最低意识状态是最不严重的昏迷形式。个体周期的时间模式归因于基本静息活动周期,这是一种基本的生物节律。瑜伽练习可能有助于三摩地的开始和延续。罗摩克里希纳的涅盘三摩地融合了两种基本形式的神秘体验:与个人上帝的结合,以及对无差别存在基础的短暂探索。其他神秘体验可能具有周期性结构,并符合生物节奏。
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引用次数: 0
MENTAL IMAGERY PRACTICE AS A THERAPY FOR NAMING IMPAIRMENTS: A PRELIMINARY STUDY 心理意象练习作为命名障碍的一种治疗方法&一项初步研究
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-08-25 DOI: 10.5604/01.3001.0013.6197
S. Bhatnagar, B. Patek, Yasmeen Khan-Ansari, Naveen Bansal, H. Buckingham, L. Hacein-Bey
Anomia remains one of the most recalcitrant linguistic disruptions in aphasia to treat. Developing successful interventions to address the word-finding deficits are complicated by the post-stroke symptom variability and inconsistent recovery patterns associated with anomia. Most of the current treatment methods, with a focus on specific compensating techniques and the repetitive practice of a limited set of items, have had variable success in naming treatment. However, it has not been possible to predict the gains in generalizing the learning beyond the stimuli used in practice or the controlled clinical setting. In this preliminary case study, we explore the value of a novel treatment concept, grounded in centuries of cognitive-perceptual exercises in mindfulness training. It incorporates the practice of mental imagery and focused attention to remedy the broken phonological assembly patterns found in word finding deficits. The aim of this study was to evaluate the potential effectiveness of practicing the repeated activation of mental imagery of concrete objects as a therapeutic tool for repairing disorders of lexical retrieval in a subject with chronic moderate to severe word-finding deficits.This trial treatment was used to assist a right-handed, 68-year old educated male with a two-and-a-half years post-onset chronic severe aphasia (anomic type) secondary to a left hemispheric infarct. Two five-week long training protocols involving common (typical) and uncommon (less typical) categories of pictured objects were used for treating anomia. The first trial involved the blocked presentation of stimuli; the second trial, undertaken a year after, included a random presentation of stimuli.It was found that the impact was manifested in three ways: (1) an improved verbal naming of the treated objects; (2) retention of therapeutic gains by a successful generalization to untreated similar lexical items; and (3) importantly, serendipitous gains in the ability to concurrently write the names of the pictured objects. The post-treatment data on all blocked lexical trials, and some random lexical trials, were found to be significant on the Fisher’s exact test.The use of the visual mental imagery-based therapy had a positive impact on the partial restoration of the subject’s naming.
失语症仍然是失语症中最难治疗的语言障碍之一。中风后症状的可变性和与失范相关的不一致的恢复模式使制定成功的干预措施来解决单词查找缺陷变得复杂。目前的大多数治疗方法,侧重于特定的补偿技术和有限项目的重复实践,在命名治疗方面取得了不同的成功。然而,在实践或受控临床环境中使用的刺激之外,还不可能预测推广学习的收益。在这个初步的案例研究中,我们探索了一个新的治疗概念的价值,这个概念建立在几个世纪以来正念训练中的认知感知练习的基础上。它结合了心理意象和集中注意力的实践,以弥补在单词发现缺陷中发现的破碎的语音组装模式。本研究的目的是评估在患有慢性中度至重度单词查找缺陷的受试者中,将重复激活具体物体的心理意象作为修复词汇检索障碍的治疗工具的潜在有效性。这项试验治疗用于帮助一名68岁的男性,他是一名右撇子,受过教育,患有左半球梗死后两年半的慢性严重失语症(异常型)。两个为期五周的训练方案涉及常见(典型)和不常见(不太典型)类别的图片对象,用于治疗失范。第一个试验涉及刺激的呈现受阻;一年后进行的第二项试验包括随机呈现刺激。研究发现,这种影响表现在三个方面:(1)改进了被处理对象的口头命名;(2) 通过对未经处理的相似词汇项目的成功概括来保持治疗效果;以及(3)重要的是,在同时书写图片对象的名称的能力方面的意外收获。所有封锁词汇试验和一些随机词汇试验的治疗后数据在Fisher精确检验中被发现是显著的。基于视觉心理意象的治疗对受试者命名的部分恢复产生了积极影响。
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引用次数: 0
THE SYSTEM OF DIFFERENTIATED MEDICAL NEUROREHABILITATION IN THE TRAUMATIC POST-COMA CONDITIONS OF LONG-TERM DISORDERS OF CONSCIOUSNESS 分化医学神经康复系统在创伤性昏迷后长期意识障碍中的应用
IF 0.7 Q4 PSYCHOLOGY Pub Date : 2019-02-12 DOI: 10.5604/01.3001.0013.1405
A. Kulyk
The study focuses on achieving the proper degree of daily patient activation, the minimization of the manifestations, the consequences of post-coma immobilization syndrome, especially the syndromes of repressed consciousness, highlighting the key importance of the type of individual rehabilitation programs’ content. The main aim of this study was to develop and justify a system of differentiated medical (physical) rehabilitation of patients with post-traumatic post-coma long-term disorders of consciousness, identify key principles for the functioning of this system, and highlight the basic guidelines for specialized rehabilitation medical institutions.The work is based on the results of diagnosis, rehabilitation and restorative treatment of 220 patients with traumatic post-coma disorders of consciousness, who were examined and underwent neurorehabilitation (NR) treatment at the State Institution Romodanov Neurosurgery Institute of National Academy of Medical Sciences of Ukraine and the "Nodus" Practical Center for Neuro Rehabilitation from January 2007 to July 2018 inclusive.All patients after courses of rehabilitation treatment were discharged for outpatient monitoring or continued treatment of somatic complications of the underlying disease at their place of residence. During the rehabilitation treatment conducted over the study period, none of the patients died.The conclusion as to the applied effectiveness of the established system of rehabilitation is made after comparing the expected results of the rehabilitation and rehabilitation with the real achievements, carrying out a detailed analysis of the implemented individual programs at each stage of the restoration of consciousness, as well as clarifying the design of daily exercises and the principles of the distribution of loads in order to solve the set clinical problems, and both general and current goals.
本研究的重点是实现患者日常活动的适当程度,使昏迷后固定综合征,特别是意识压抑综合征的表现和后果最小化,突出了个体康复方案内容类型的关键重要性。本研究的主要目的是建立和论证创伤后昏迷后长期意识障碍患者的差异化医疗(物理)康复系统,确定该系统功能的关键原则,并强调专业康复医疗机构的基本指导方针。这项工作基于对220名创伤性昏迷后意识障碍患者的诊断、康复和恢复性治疗结果,这些患者于2007年1月至2018年7月在乌克兰国家医学科学院罗莫达诺夫国家研究所神经外科研究所和“Nodus”神经康复实践中心接受了检查和神经康复(NR)治疗。所有患者在康复治疗疗程结束后出院,在其居住地接受门诊监测或继续治疗基础疾病的躯体并发症。在研究期间进行的康复治疗中,没有患者死亡。通过对康复和康复的预期效果与实际效果进行比较,对意识恢复各阶段实施的个别方案进行详细分析,明确日常锻炼的设计和负荷的分配原则,以解决临床设定的问题,得出所建立的康复体系的应用效果结论。总体目标和当前目标。
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引用次数: 2
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Acta Neuropsychologica
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