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Pandemic as a Challenge to Subjective Well-Being: Anxiety and Coping 流行病是对主观幸福感的挑战:焦虑和应对
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280205
E. Rasskazova, D. Leontiev, A. Lebedeva
Most research on the pandemic today assumes that this situation is stressful and requires coping. The aim was to study subjective well-being in the situation of the pandemic and its relationship to coping and anxiety about coronavirus. 409 people filled Satisfaction With Life Scale, Scale of Positive And Negative Experiences, situational version of COPE, checklists assessing anxiety of infection and anxiety of the negative consequences of the pandemic. The comparison groups were three samples of 98, 66 and 293 people who filled Satisfaction With Life Scale and Scale of Positive And Negative Experiences in 2017 and 2019. There was a lower level of positive emotions among respondents in a situation of self-isolation, but the same level of satisfaction with life and negative emotions. Anxiety about the pandemic is related to higher negative emotions only. Emotionally oriented coping strategies and mental disengagement are associated with a higher level of pandemic anxiety. Problem-oriented and active coping strategies are weakly associated with lower anxiety that could be explained by the lack of ready effective methods of resolving this new and uncertain situation. Anxiety associated with current, acute and imminent risk (such as risk of infection), concentration on emotions and acceptance may not be dysfunctional strategies, as they are not associated with deterioration in overall well-being. On the contrary, attempts to cope with anxiety regarding negative consequences of a pandemic by mental disengagement, substance use and denial are associated with a lower level of satisfaction with life.
今天,大多数关于这一流行病的研究都认为,这种情况令人感到压力,需要加以应对。目的是研究大流行情况下的主观幸福感及其与冠状病毒应对和焦虑的关系。409人填写了生活满意度量表、积极和消极经历量表、情景版COPE、评估感染焦虑和对大流行负面后果焦虑的清单。对照组为2017年和2019年填写生活满意度量表和积极与消极经历量表的98人、66人和293人三个样本。自我孤立情境下的积极情绪水平较低,但对生活的满意度和消极情绪水平相同。对大流行的焦虑只与较高的负面情绪有关。以情绪为导向的应对策略和精神脱离与更高程度的流行病焦虑有关。问题导向和积极应对策略与较低的焦虑程度弱相关,这可以解释为缺乏现成的有效方法来解决这种新的和不确定的情况。与当前、急性和迫在眉睫的风险(如感染风险)、专注于情绪和接受相关的焦虑可能不是功能失调的策略,因为它们与整体幸福感的恶化无关。相反,试图通过精神脱离、药物使用和拒绝来应对对流行病负面后果的焦虑,与生活满意度较低有关。
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引用次数: 53
Antisocial Personality Disorder in Adolescence: Methodology and Diagnostics 青少年反社会人格障碍:方法论与诊断
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280104
K. V. Syrokvashina, E. Dozortseva
Статья посвящена проблемам понимания и диагностики антисоциального расстройства личности у подростков и юношей. Современные трактовки категорий «антисоциальное расстройство личности» и «психопатия» представлены в двух конкурирующих концептуальных подходах, возглавляемых Р. Хейром и Д. Куком. Применение этих диагнозов по отношению к подросткам остается проблематичным, однако можно выделить некоторые предикторы, указывающие на возможность развития таких видов расстройств личности в будущем. Особую проблему представляет методическая сторона диагностики антисоциального расстройства личности и соответствующих ему индивидуальных черт у подростков. Дальнейшее развитие этой области исследований будет способствовать формированию теоретической базы, методического инструментария и практики диагностики, профилактики и коррекции антисоциального личностного расстройства у подростков и юношей.
这篇文章是关于青少年和年轻人理解和诊断反社会人格障碍的问题。现代解释“反社会人格障碍”和“精神变态”是由r·黑尔和d·库克领导的两种相互竞争的概念方法所代表的。这些诊断对青少年的应用仍然有问题,但可以指出一些前言,表明这种人格障碍可能在未来发展。一个特殊的问题是诊断反社会人格障碍的方法方面以及青少年的特征。这一研究领域的进一步发展将有助于在青少年和青少年中建立诊断、预防和纠正反社会人格障碍的理论基础、方法工具和实践。
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引用次数: 5
Economics of Psychotherapy 心理治疗经济学
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280310
V. Ababkov
The paper reports the results of the analysis of modern notions about the economics of psychotherapy. Despite its great practical significance, this issue is insufficiently represented in Russian publications, arising mostly in foreign works. We consider two general concepts: efficiency and equity. The practice of research evaluation in psychotherapy distinguishes between (a) the efficacy of therapy — results of empirical psychotherapeutic research; (b) clinical (qualitative) effectiveness of therapy — results of psychotherapy in everyday practice; and (c) the notion of cost-effectiveness — a practical criterion; it characterizes the expenses for the achievement of a goal. Other expenses also ought to be taken into consideration. Additionally, we mark out progressive cost-effectiveness as a separate coefficient.
本文报告了对现代心理治疗经济学概念的分析结果。尽管具有重要的现实意义,但这一问题在俄罗斯出版物中代表性不足,主要出现在外国作品中。我们考虑两个一般概念:效率和公平。心理治疗中研究评估的实践区分了(a)治疗效果-经验心理治疗研究的结果;(b)治疗的临床(定性)有效性-心理治疗在日常实践中的结果;(c)成本效益的概念- -一个实际的标准;它描述了实现某一目标所需的费用。其他费用也应考虑在内。此外,我们将累进成本效益作为一个单独的系数。
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引用次数: 0
Patterns of Mental Health Hotline Calls during and before Pandemic 大流行期间和之前的心理健康热线电话模式
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280206
A. Gerasimova
The article compares calls to a mental health hotline from March 1 to April 17, 2020, with the same period in 2019 Calls related to stress, anxiety, suicide, and abuse are considered In 2020, compared with the same period in 2019, the following dynamics are noted: the number of calls concerning anxious conditions increased 2 5 times;calls about suicidal acts appeared, the number of calls about self-harming behavior increased 2 5 times;the number of complaints on the topics of domestic, physical and sexual abuse increased almost 1 5 times It is assumed that the results can be extrapolated and thus they reflect the current psychological difficulties of people as a whole
文章将2020年3月1日至4月17日的心理健康热线电话与2019年同期的情况进行了比较。与2019年同期相比,2020年与压力、焦虑、自杀和虐待有关的电话被考虑在内。关于焦虑状况的电话增加了25倍;关于自杀行为的电话增加了25倍,关于自残行为的电话增加了25倍;关于家庭虐待、身体虐待和性虐待的投诉增加了近15倍。假设这些结果可以外推,因此它们反映了整个人目前的心理困难
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引用次数: 3
A New Approach to Suicidal Behavior Diagnostics: A Review of Foreign Sources 自杀行为诊断的新方法:国外文献综述
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280102
G. Bannikov, O. Vihristyuk, I. Galynker
The paper presents a review of the studies on innovative suicide prevention strategies, methods, and approaches to diagnosing suicide risk. We examine the results of the studies that allow developing new approaches to creating effective suicide risk assessment tools, based on building a trusting relationship with the patient/client and focusing on the doctor’s/therapist’s own emotional experiences. We describe a complex narrative-crisis model of suicide that includes long-term and short-term risk factors for suicidal behavior and incorporates the suicidal crisis syndrome. We conclude with describing modern tendencies in suicide risk diagnostics — namely, overestimating the methods’ efficiency. New methods for assessing critical states possessing good predictive validity should be developed and implemented.
本文综述了自杀预防策略、方法和诊断自杀风险的研究进展。我们检查的研究结果,允许开发新的方法来创建有效的自杀风险评估工具,基于建立与病人/客户的信任关系,并关注医生/治疗师自己的情感体验。我们描述了一个复杂的自杀叙事危机模型,包括自杀行为的长期和短期风险因素,并纳入自杀危机综合征。最后,我们描述了自杀风险诊断的现代趋势,即高估了方法的效率。评估临界状态的新方法应具有良好的预测效度,并加以开发和实施。
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引用次数: 0
Online Counseling Through the Lens of Professional Ethics: Challenges and Solutions 职业道德视角下的在线咨询:挑战与解决方案
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280306
O. Shchedrinskaya, M. Bebchuk
The paper focuses on benefits, limitations, and ethical risks associated with online counseling yielded from domestic and international studies. We provide a detailed description of the most common online counseling ethical dilemmas, such as determining format suitability, taking action in crises, identification issues, method validity, regional differences in ethical and legal practices, confidentiality limitations, and establishing professional boundaries. A few options for ethical decision-making are offered, as well as advice on averting technical and ethical issues. We provide a specific version of informed consent for online counseling services, that helps ensure safety and protect both parties. It also describes the main aspects of online counseling, its technical and confidentiality limitations, crisis procedures, and ways to address potential conflicts.
本文着重于国内外研究中与在线咨询相关的益处、局限性和伦理风险。我们详细描述了最常见的在线咨询道德困境,例如确定格式的适用性,在危机中采取行动,识别问题,方法有效性,道德和法律实践的区域差异,保密限制以及建立专业界限。提供了一些道德决策的选择,以及避免技术和道德问题的建议。我们为在线咨询服务提供了一个特定版本的知情同意,这有助于确保安全和保护双方。它还描述了在线咨询的主要方面,它的技术和保密限制,危机程序,以及解决潜在冲突的方法。
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引用次数: 4
Bipolar Affective Disorder. Clinical Aspects and Comorbidity 双相情感障碍。临床方面和合并症
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280110
Российская Федерация
The review of the literature describes the clinical features of bipolar affective disorder (BAD). Difficulties in diagnosing BAD due to the complex clinical picture that cause untimely diagnosis and the formation of an unfavorable course of the disease are examined in detail. The data on mental disorders it is necessary to differentiate BAD from are presented. The characteristics of the course of BAD are described in detail, including unfavorable forms and mixed bipolar conditions, which are difficult to diagnose and treat, and present a negative prognostic factor. The data on the deterioration of the cognitive abilities of patients with an increase in the number of episodes of BAD, which can occur even during euthymy, are considered. Particular attention is paid to the consideration of forms of mental and somatic pathology, comorbid BAD associated with a decrease in the quality of life, poor prognosis, increased disability, and premature mortality.
回顾文献描述双相情感障碍(BAD)的临床特征。由于复杂的临床情况导致诊断不及时和形成不利的病程,因此诊断BAD的困难被详细检查。介绍了区分BAD和精神障碍的必要数据。详细描述了BAD病程的特点,包括不良形式和混合性双相状态,这是难以诊断和治疗的,并且是一个负面的预后因素。考虑到BAD发作次数增加的患者认知能力恶化的数据,即使在健康期间也可能发生。特别注意考虑精神和躯体病理的形式,与生活质量下降、预后不良、残疾增加和过早死亡相关的合并症BAD。
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引用次数: 0
Assistance in Overcoming Educational Difficulties Utilizing Reflective-Activity Approach in the Context of Distance Learning: The Case of Mitya 远程教育背景下利用反思性活动方法帮助克服教育困难:以Mitya为例
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280207
V. Zaretsky, L. Sudakova
The article describes a case of providing counseling help in overcoming educational difficulties in the Russian language to a sixth-grade student, who was considered underachieving by teachers, utilizing the reflective-activity approach in the context of distance learning. The material of the case analysis shows the importance of supporting the student’s agency in educational activities and its crucial role in the conditions of distance learning both for overcoming learning difficulties and for the overall development of the child. For a qualitative analysis of remote consulting sessions, a multidimensional model of the zone of proximal development was used, that established the foundation for the dynamics of the vectors used by the counselor to initiate change.
本文描述了一个在远程学习的背景下,利用反思活动方法,为一名被教师认为成绩不佳的六年级学生提供克服俄语教育困难的咨询帮助的案例。案例分析的材料显示了在教育活动中支持学生代理的重要性,以及它在远程学习条件下对克服学习困难和儿童全面发展的关键作用。对于远程咨询会议的定性分析,使用了最近发展区的多维模型,该模型为咨询师用于启动变革的矢量动力学奠定了基础。
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引用次数: 3
Professional Burnout, Symptoms of Emotional Disorders and Distress among Healthcare Professionals during the COVID-19 Epidemic COVID-19流行期间医护人员的职业倦怠、情绪障碍症状和痛苦
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280202
S. Petrikov, A. Kholmogorova, A. Suroegina, O. Mikita, A. Roy, A. Rakhmanina
The article presents the results of a synthesis by Australian and Canadian scientists (Kisely et al, 2020) of 59 reliable studies of the effects of work during various epidemics, including COVID-19, on mental health and well-being of medical workers in different countries The research includes the level of professional burnout, symptoms of emotional ill-being, and distress data based on the analysis of a data sample from 248 involved healthcare professionals of Russian medical institutions They anonymously and voluntarily filled up the Google-form that contained a methodical complex during the COVID-19 epidemic The complex included: A Beck Depression Scale, A Beck Anxiety Scale, J Goland Distress Rating Scale, K Maslach Professional Burnout Inventory The research showed that during the epidemic, most healthcare professionals experienced evidence of the professional burnout (60% complain of emotional exhaustion), moderate and severe indicators of depression (23%), moderate and severe anxiety indicators (25%) Also, a suicidal trend was found (10%) Negative emotions (fear of infection, loneliness and isolation sense), organizational problems (personal protective equipment deficit), physical discomfort (inconvenience of protective clothing, lack of sleep), and communicative difficulties have a great influence on the emotional distress of healthcare professionals Information "noise" and personal protective equipment deficit often performs as a problem area Healthcare professionals involved in supporting COVID-19 patients have higher rates of professional burnout, depression, and anxiety At the same time, high professional responsibility and motivation are maintained by the majority of specialists providing care to patients with COVID-19 Region healthcare professionals differ from Moscow healthcare professionals by higher rates of depression and anxiety and frequently complain about personal protective equipment deficit, leadership mistrust, or disagreement with them
本文介绍了澳大利亚和加拿大科学家(Kisely等人,2020年)对59项可靠研究的综合结果,这些研究涉及各种流行病(包括COVID-19)期间工作对不同国家医务工作者心理健康和福祉的影响。研究包括职业倦怠水平、情绪疾病症状、以及基于对来自248名俄罗斯医疗机构医疗保健专业人员的数据样本进行分析的痛苦数据,他们匿名并自愿填写了包含2019冠状病毒病流行期间系统复核的谷歌表格,复核包括:《贝克抑郁量表》、《贝克焦虑量表》、《J Goland痛苦评定量表》、《K Maslach职业倦怠量表》研究表明,在疫情期间,大多数医护人员表现出职业倦怠(60%的人抱怨情绪衰竭)、中重度抑郁指标(23%)、中重度焦虑指标(25%),并有自杀倾向(10%)。组织问题(个人防护装备不足)、身体不适(防护服不方便、睡眠不足)、沟通困难对医护人员的情绪困扰影响较大。信息“噪音”和个人防护装备不足往往是医护人员的问题领域,参与支持COVID-19患者的医护人员职业倦怠、抑郁和焦虑的比例较高。为COVID-19患者提供护理的大多数专家都保持着高度的职业责任感和积极性,与莫斯科的医疗保健专业人员不同,地区医疗保健专业人员的抑郁和焦虑率更高,并经常抱怨个人防护装备不足、领导不信任或与他们意见相左
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引用次数: 34
Psychological Contents of Anxiety and the Prevention in an Infodemic Situation: Protection against Coronavirus or the “Vicious Circle” of Anxiety? 信息疫情下焦虑的心理内容与预防:防范冠状病毒还是焦虑的“恶性循环”?
IF 0.7 Q4 PSYCHOLOGY, CLINICAL Pub Date : 2020-01-01 DOI: 10.17759/cpp.2020280204
A. Tkhostov, E. Rasskazova
The paper studies the relationship of the anxiety of different types in the situation of the pandemic with the search for information about coronavirus and with protective actions This research included 409 respondents uninfected by coronavirus aged 18 to 64 years old within a period of three weeks to one month from the start of self-isolation The participants have appraised the severity of their anxiety caused by various reasons associated with the pandemic, the frequency of monitoring the information and communications about coronavirus, and the frequency of different protective actions against coronavirus As a result, two aspects have been identified in the structure of the anxiety about coronavirus: the fear of the infection and anxiety about negative consequences The fear of the consequences of the pandemic is characteristic of every third person, and it does not depend on sex and age In one out of 11-12 persons, it is the experience that interferes with usual activities A pronounced fear of infection was found in one person out of 5-10 respondents;it is more characteristic of women and older people In addition to the infection prevention strategies, 10 8% of the variance of the infection anxiety and 10 6% variance of the anxiety about the negative effects of the pandemic predicts information monitoring, communications about the pandemic and usage of optional but common protection strategies and ambiguous strategies The obtained results are consistent with our supposition that deliberate control of the information stream and unverified strategies of the protective behavior may contribute to reducing the anxiety in the situation of the pandemic while preserving the protective actions that have been found to be effective
本文研究了大流行情况下不同类型的焦虑与冠状病毒信息搜索和保护措施的关系。本研究包括409名年龄在18至64岁之间的未感染冠状病毒的受访者,从自我隔离开始的三周到一个月的时间内,参与者评估了与大流行相关的各种原因引起的焦虑的严重程度。监测冠状病毒信息和通信的频率,以及针对冠状病毒采取不同保护措施的频率。因此,在冠状病毒焦虑的结构中,可以确定两个方面:对感染的恐惧和对负面后果的焦虑是每三分之一的人的特征,这种恐惧不取决于性别和年龄。在11-12人中,有一人的经历干扰了日常活动。在5-10名答复者中,有一人明显害怕感染;这在妇女和老年人中更为常见。感染焦虑方差的10.8%和对大流行负面影响的焦虑方差的10.6%预测了信息监测;获得的结果与我们的假设一致,即故意控制信息流和未经验证的保护行为策略可能有助于减少大流行情况下的焦虑,同时保留已被发现有效的保护行动
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引用次数: 31
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Konsultativnaya Psikhologiya i Psikhoterapiya-Counseling Psychology and Psychotherapy
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