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The Effect of Cognitive Rehabilitation, Physical and Concurrent Training on Sustained, Selective and Shifting Attention in Children with ADHD 认知康复、体育锻炼和并行训练对ADHD儿童持续、选择性和转移注意力的影响
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.3.3342.1
Mahdiyeh Eslami Nosratabadi, M. Sangari, Masoud Mirmoezzi
Objectives: Attention Deficit/ Hyperactivity Disorder (ADHD) is one of the most common nervous disorders in childhood. The purpose of this study was to investigate effect of cognitive rehabilitation, physical and concurrent training on sustained, selective and shifting attention in ADHD children. Materials and Methods: The study participants included 40 children aged 9-12 years old who were randomly divided into four groups of cognitive rehabilitation training, physical training, combined (physical-cognitive) training and control group. The attendees trained for 16 minutes and each session for 60 minutes. Posttest was performed 24 and 72 hours later. Results: The results of Covariance analysis showed that, the sustained, selective and transitional attention of the combined practice group (physical rehabilitation) have significantly lower error than another group. In the deletion response variable, the mean score of the withdrawal response in the children of the combined exercise group was significantly lower than that of the control group (p <0.05). Conclusion: Overall, the results of this study showed that cognitive rehabilitation and physical trainings can improve attention in children with overactive disorders. But the combination of physical trainings with rehabilitation trainings can improve the types of attention in children with ADHD.
目的:注意力缺陷/多动障碍(ADHD)是儿童时期最常见的神经系统疾病之一。本研究的目的是研究认知康复、身体训练和同时训练对多动症儿童持续、选择性和转移注意力的影响。材料和方法:研究参与者包括40名9-12岁的儿童,他们被随机分为认知康复训练组、体能训练组、联合(身体-认知)训练组和对照组。与会者进行了16分钟的培训,每次培训60分钟。24小时和72小时后进行后测试。结果:协方差分析结果表明,联合练习组(物理康复)在持续、选择性和过渡注意方面的误差显著低于另一组。在缺失反应变量中,联合运动组儿童的戒断反应平均得分显著低于对照组(p<0.05)。结论:总体而言,本研究结果表明,认知康复和体育训练可以提高过度活动障碍儿童的注意力。但体育训练与康复训练相结合可以改善多动症儿童的注意力类型。
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引用次数: 1
The Comparison of Sensitivity to Reward and Punishment, Response Inhibition and Sustained Attention in Children with ADHD and SCT: Distinct Contribution of ADHD and SCT to Attention Problems Based on Cold and Hot Executive Circuits ADHD和SCT儿童对奖赏惩罚、反应抑制和持续注意的敏感性比较——基于冷热执行回路的ADHD与SCT对注意问题的不同贡献
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.2.3294.1
Elnaz Mohammadi, Mohammad Shadbafi
Objectives: Recent studies have identified a disorder called Sluggish Cognitive Tempo (SCT) that has similarities with attention deficit / hyperactivity disorder (ADHD) in attention problems and often mistakenly labeled as ADHD. Attention problems also cause malfunctions in executive functions, often involving the hot circuit and the cold circuit. The purpose of this study was to compare the sensitivity to reward and punishment, response inhibition and sustained attention in children with ADHD and SCT. Methods: The design of the present study was in the frame of Casual Comparative. Participants comprised 100 boys (50 ADHD and 50 SCT) from elem entary schools in Tabriz in 1398-1399 academic years, which were selected through a screening method using the Child Behavior Rating Scale (SNAP-IV) and the SCT scale. Then, balloon analogue risk task (BART) was used to measure the sensitivity to reward and punishment and the continuous performance test was used to measure response inhibition and sustained attention. For data analysis Manova and SPSS 20 were used. Results: The results showed that children with ADHD had higher scores in sensitivity to reward and children with SCT had higher scores in sensitivity to punishment. Moreover, children with ADHD have deficits in response inhibition and children with SCT have deficits in sustained attention (P<0.0001). Conclusion: Based on the research Background and the findings of this study, it seems that children with SCT have deficits in hot executive circuit and children with ADHD have trouble in cold executive circuit.
目的:最近的研究发现了一种名为Sluggish Cognitive Tempo(SCT)的障碍,它在注意力问题上与注意力缺陷/多动障碍(ADHD)相似,经常被错误地标记为ADHD。注意力问题也会导致执行功能出现故障,通常涉及热回路和冷回路。本研究的目的是比较ADHD和SCT儿童对奖惩、反应抑制和持续注意的敏感性。方法:本研究采用随机比较法进行设计。参与者包括来自大不里士小学的100名男孩(50名ADHD和50名SCT),他们在1398-1399学年,通过使用儿童行为评定量表(SNAP-IV)和SCT量表的筛查方法进行选择。然后,使用气球模拟风险任务(BART)来测量对奖惩的敏感性,并使用连续性能测试来测量反应抑制和持续注意力。数据分析采用Manova和SPSS 20。结果:ADHD儿童对奖励的敏感性得分较高,SCT儿童对惩罚的敏感性得分较低。此外,ADHD儿童在反应抑制方面存在缺陷,SCT儿童在持续注意力方面存在缺陷(P<0.0001)。
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引用次数: 0
Iran's Sexual Health Challenges and its Improvement Opportunities from Viewpoint of Policymakers and Experts 从决策者和专家的角度看伊朗的性健康挑战及其改善机会
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.2.3502.1
B. Damari, F. Akrami
Introduction: Sexual health has been considered as a basic condition to achieve reproductive health, rather than a component of it. This study aimed to identify the Iranchr('39')s challenges of sexual health and its improvement opportunities. Methods: In this qualitative study with the design of content analysis, individual semi-structured interviews were done to collect data. The selection of the participants was targeted to the experienced experts. After individual interviews with 16 experts, and theoretical saturation of data, data analysis was done by deductive content analysis method. Findings: In this study, five main themes of the taboo of sexuality and low public awareness; unconventional sexual behaviors and emerging social harms; stigma and discrimination; lack of governance political commitment; lack of statistical indicators and utilization of current capacities are emerged as the country challenges of sexual health, as well as opportunities and strategies to address them include educating and empowering the public with special focus on youth, adopting policies and revising related laws in line with social changes; advocacy for political support of governance; adopting policies and reviewing related laws to access key reproductive and sexual health services; educating and empowering the public with special focus on youth; promoting positive attitude with focus on the prohibition of stigma and discrimination against groups with high risk sexual behaviors; and promoting professional ethics and gender equity. Conclusion: Addressing the challenges and achieving the highest levels of sexual health requires political commitment of the governance and inter-sectoral collaboration to design and implement multidisciplinary and multidimensional interventions.
引言:性健康被认为是实现生殖健康的基本条件,而不是其中的一个组成部分。本研究旨在确定伊兰彻(39岁)在性健康方面的挑战及其改善机会。方法:采用内容分析法设计的定性研究,采用个体半结构化访谈法收集数据。参与者的选拔对象是经验丰富的专家。在对16位专家进行了个别访谈,并对数据进行了理论饱和后,采用演绎内容分析法进行数据分析。研究结果:在本研究中,五个主要主题是性禁忌和公众意识低下;非常规性行为和新出现的社会危害;污名化和歧视;缺乏治理政治承诺;缺乏统计指标和利用现有能力是国家在性健康方面面临的挑战,解决这些挑战的机会和战略包括教育公众并赋予公众权力,特别关注青年,根据社会变化制定政策和修订相关法律;倡导对治理的政治支持;通过政策并审查相关法律,以获得关键的生殖和性健康服务;教育公众并赋予公众权力,特别关注青年;提倡积极态度,重点是禁止对性行为高危群体的污名化和歧视;促进职业道德和两性平等。结论:应对挑战和实现最高水平的性健康需要政府的政治承诺和部门间合作,以设计和实施多学科和多层面的干预措施。
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引用次数: 3
Investigation of the Biological Model of Personality Based on Brain-Behavioral System Activity and Marital Satisfaction: The Mediating Role of Cognitive Emotion Regulation Strategies 基于脑行为系统活动与婚姻满意度的人格生物学模型研究:认知情绪调节策略的中介作用
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.4.3506.1
P. Nasiri, Seyyedeh Fatemeh Mousavi, J. Mollazadeh
Objectives The current investigation was done with the aim of studying the mediating role of cognitive emotion regulation in the relation between brain-behavioral system activity and marital satisfaction of families living in Mahshar city. Methods 200 married people (106 female & 94 male) referring to two clinics of Petrochemical Industries of Mahshahr that were selected voluntarily. Research measurements were Gray-Wilson Personality Questionnaire (GWPQ), ENRICH Marital Satisfaction Scale (Persian-Brief), and the Cognitive Emotion Regulation Questionnaire (CERQ). Results The results showed that all dimensions of cognitive emotion regulation and brain-behavioral system activity of participants were significantly associated with marital satisfaction. The results also showed that both negative and positive strategies of cognitive emotion regulation and two dimensions of active avoidance and the fight/flight system as components of the behavioral-brain system activity directly and the behavioral inhibition system indirectly were associated with marital satisfaction. In general, the results of this study showed that the components of the brain-behavioral system and cognitive emotion regulation strategies have good predictive power to predict marital satisfaction in families. Conclusion The brain-behavioral system activity as a biological and sustainable model of personality and using the cognitive emotion regulation strategies has an essential role in predicting marital satisfaction - as a general outcome of long-term interactions between couples.
目的研究认知情绪调节在马沙尔市家庭大脑行为系统活动与婚姻满意度之间的中介作用。方法随机抽取马赫沙尔石油化工两所诊所的200名已婚人员(女106人,男94人)。研究测量方法为Gray-Wilson人格问卷(GWPQ)、ENRICH婚姻满意度量表(Persian Brief)和认知情绪调节问卷(CERQ)。结果参与者的认知情绪调节和大脑行为系统活动的各个维度都与婚姻满意度显著相关。结果还表明,认知情绪调节的消极和积极策略以及作为行为大脑系统活动组成部分的主动回避和战斗/逃跑系统的两个维度直接和间接与婚姻满意度相关。总体而言,本研究结果表明,大脑行为系统的组成部分和认知情绪调节策略对预测家庭婚姻满意度具有良好的预测能力。结论大脑行为系统活动作为一种生物和可持续的人格模型,并使用认知情绪调节策略,在预测婚姻满意度方面发挥着重要作用,这是夫妻之间长期互动的一般结果。
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引用次数: 0
Developing and Validation of Instructional Design Model Based on Control-Value Theory of Achievement Emotions 基于成就情绪控制价值理论的教学设计模型的开发与验证
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.4.3627.1
Nida Abdolahi, Mohammad Reza Nili Ahmad Abadai, S. Ebrahimi Qavam, Mohammad Asgari, K. Aliabadi
Objectives: Supporting and managing the emotions of the learning-teaching process is very important and requires designing safe learning environments in terms of cognitive experiences, psychosocial relationships and emotional feeling. The purpose of this study is to Develope and validate of instructional design model based on control-value theory of achievement emotions to improve the psychological health and performance of learners and educators. Methods: The research method is qualitative and inductive content analysis technique was used. Sources related to CVT theory were reviewed in the period 2007 to 2021 and 175 sources were selected. Based on purposive sampling, 63 sources were analyzed. In a regular approach, themes and themes related to important components of the theory were recorded and coded in the form of key sentences in the table. The codes were categorized based on similarities and differences in the more general categories. Finally, an instructional design model based on CVT theory was presented. The model content validation questionnaire was sent to 20 specialists in educational technology and educational psychology. 12 people completed the questionnaire and the results were analyzed. Results: The results of the analysis led to the identification of the main components of CVT theory, which by combining of instructional design principles, instructional design model based on the theory of control-value of achievement emotions in eight components: learning environment, cognitive appraisal, emotion, achievement, learning, evaluation , Design and learner presented and approved by experts. Conclusion: The instructional design model based on the theory of control-value of achievement emotions, at the micro and macro levels in all academic levels and various fields of medicine, humanities and Science is very effective and promises a rich teaching learning environment in terms of achievement emotions.
目标:支持和管理学习-教学过程中的情绪是非常重要的,需要在认知体验、社会心理关系和情感感受方面设计安全的学习环境。摘要本研究的目的在于建立与验证基于成就情绪控制价值理论的教学设计模型,以改善学习者与教育者的心理健康与绩效。方法:采用定性和归纳含量分析技术。回顾了2007年至2021年期间与CVT理论相关的资料,选择了175个资料。通过有目的抽样,对63个来源进行了分析。在常规的方法中,主题和与理论的重要组成部分相关的主题被记录下来,并以关键句子的形式编码在表格中。这些代码是根据更一般的类别的相似性和差异性进行分类的。最后,提出了基于CVT理论的教学设计模型。将模型内容验证问卷发给20名教育技术和教育心理学专家。12人完成了问卷调查,并对结果进行了分析。结果:分析结果识别出CVT理论的主要组成部分,并结合教学设计原理、基于成就情绪控制值理论的教学设计模型在学习环境、认知评价、情感、成就、学习、评价、设计和学习者八个组成部分提出并得到专家的认可。结论:基于成就情绪控制值理论的教学设计模式,在医学、人文、科学等学科的各个层次和各个领域的微观和宏观层面都是非常有效的,并保证了成就情绪方面丰富的教与学环境。
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引用次数: 1
Socioeconomic Factors as Determinants of Suicidal Behaviours Among Adult in Nigeria 社会经济因素是尼日利亚成年人自杀行为的决定因素
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-03-13 DOI: 10.32598/IJPCP.27.2.3535.1
Zulkiflu Musa Argungu, Tajudeen Oladele Olalekan, Murtala Hassan Hassan
Objective Suicidal behaviour is seen in the context of a variety of mental disorders and while many believe that, suicide has become a serious matter in both developed and developing countries. This study aimed to evaluate the associated factors of suicidal ideation (SI) and attempt (SA) among Nigerian adults. Method The data were collected from Federal Medical Center Birnin Kebbi and the Ministry of Health and Welfare in Kebbi State, a nationally representative sample recruited using a multi-stage clustered probability design. Results Female, divorced/widowed, lower education and lower-income were associated with SI and SA (OR=1.56 CI=1.31–1.97, OR=1.91 CI=1.09–3.31). In particular, the effect of age on SI presented a reverse pattern based on gender; there was a positive association for men and a negative association for women. Conclusions: This study suggested that low education, low incomes, marital status and age were predominantly associated with the prevalence of SI and SA in women than men.
自杀行为是在各种精神障碍的背景下被看到的,尽管许多人认为,自杀在发达国家和发展中国家都已成为一个严重的问题。本研究旨在评估尼日利亚成年人自杀意念(SI)和企图(SA)的相关因素。方法采用多阶段聚类概率设计方法,从联邦医疗中心Birnin Kebbi和Kebbi州卫生和福利部收集具有全国代表性的样本。结果女性、离婚/丧偶、低学历和低收入与SI和SA相关(OR=1.56 CI=1.31 ~ 1.97, OR=1.91 CI=1.09 ~ 3.31)。特别是,年龄对科学探究的影响呈现出基于性别的相反模式;男性有积极的联系,而女性有消极的联系。结论:本研究表明,低教育程度、低收入、婚姻状况和年龄与女性SI和SA的患病率主要相关。
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引用次数: 1
Evaluating the Performance of Community Mental Health Centers in Iran: Strengths and Challenges 评估伊朗社区精神卫生中心的绩效:优势和挑战
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.32598/ijpcp.27.2.747.4
Mozhgan Taban, A. Hajebi, M. Gholami, M. Naserbakht
Objectives: This study aims to evaluate the performance of Community-based Mental Health Centers (CMHCs) in Iran and identifying the strengths and challenges in the provision of mental health services. Methods: This is a qualitative study, conducted using 36 individual interviews and 13 focus group discussions. Content analysis was performed and data were categorized. The findings were presented in terms of the needs for program implementation, achieving the expected goals and outcomes, and the findings of program evaluation. First, the points related to the provision of infrastructure and setting up the centers were mentioned, and then, the features, strengths and challenges facing the program were discussed. Results: Significant successes were achieved in providing infrastructure and implementing the community-based mental health program. Challenges in the implementation of this program included the barriers to attracting more general physicians and the impact of culture and attitudes in each city on the effectiveness of the program. Conclusion: To improve the performance of CMHCs, more attention should be paid to psychiatry and mental health educational programs in the general medicine curriculum, public education about the mental health and providing solutions for better implementation of the program.
目的:本研究旨在评估伊朗社区精神卫生中心(CMHCs)的表现,并确定提供精神卫生服务的优势和挑战。方法:这是一项定性研究,采用36个个人访谈和13个焦点小组讨论进行。进行内容分析并对数据进行分类。调查结果是根据项目实施的需求、实现预期目标和结果以及项目评估的结果提出的。首先介绍了基础设施的提供和中心的设置,然后讨论了项目的特点、优势和面临的挑战。结果:在提供基础设施和实施社区精神卫生方案方面取得了重大成功。该计划实施过程中的挑战包括吸引更多全科医生的障碍,以及每个城市的文化和态度对计划有效性的影响。结论:提高综合医学课程中精神病学与心理健康教育项目的实施水平,加强公众心理健康教育,并为更好地实施精神病学与心理健康教育提供解决方案。
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引用次数: 0
Assessment of Aphasia in Iranian Patients Suffering from Frontotemporal Dementia 伊朗额颞叶痴呆患者失语症的评估
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.32598/ijpcp.26.3.3006.2
Mahsa Zarei, R. Nilipour, Mohsen Shati, Shohreh Shakeri, Reza Arezoomandan, Kimia Amirzadeh, Fahimeh Hajiakhoundi
Objectives: Frontotemporal Dementia (FTD) is an uncommon type of dementia. The hallmark feature of FTD is the presentation with aphasia or behavioral changes which vary in different FTD subtypes. In this study, we propose a quantitative aphasia test as an additive diagnostic tool for differentiation of FTD subtypes. Methods: The applied study was conducted on 20 patients with FTD (13 men and 7 women) aged 58-78 years (Mean age=63±0.8 years) referred to dementia clinic of Rasul Akram Hospital in Tehran, Iran. Based on clinical diagnosis, patients were divided into three groups of behavioral variant (n=5), semantic dementia (n=4) and non-fluent aphasia (n=11). The Persian Western Aphasia Battery (P-WAB-1) test was performed on the patients to assess their aphasia severity based on its overall score (Aphasia Quotient). The score of each language section of the test was also reported for each study group, separately. After recording data, they were analyzed in SPSS v. 22 software using the whole rock analysis. Significance level of Aphasia Quotient score was measured separately for each study groups. Results: Patients with non-fluent aphasia had problems only in the speech fluency domain, and their abilities in other domains remained intact. Conclusion: It seems that P-WAB-1 test is a useful tool for assessing the non-fluent aphasia in patients who suffer from progressive dementia. These patients should be referred to speech therapist for rehabilitation.
目的:额颞叶痴呆(FTD)是一种罕见的痴呆类型。FTD的标志性特征是在不同的FTD亚型中表现为失语或行为改变。在本研究中,我们提出定量失语测试作为鉴别FTD亚型的附加诊断工具。方法:选取伊朗德黑兰Rasul Akram医院痴呆门诊的20例FTD患者(男13例,女7例,年龄58 ~ 78岁,平均年龄63±0.8岁)进行应用研究。根据临床诊断将患者分为行为变异组(n=5)、语义性痴呆组(n=4)和非流利性失语组(n=11)。对患者进行波斯语西方失语电池(P-WAB-1)测试,根据失语总分(失语商)评估失语严重程度。测试的每个语言部分的分数也分别报告给每个学习小组。记录完数据后,用SPSS v. 22软件进行全岩分析。失语商评分的显著性水平在各研究组分别测定。结果:非流利性失语症患者仅在言语流利领域存在问题,其他领域的能力保持完整。结论:P-WAB-1检测是评估进行性痴呆患者非流利性失语的有效工具。这些患者应转介给语言治疗师进行康复治疗。
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引用次数: 0
The Mediating Role of Cognitive Emotion Regulation in the Relationship of Early Maladaptive Schemas With Spouse Abuse 认知情绪调节在早期适应不良图式与配偶虐待关系中的中介作用
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.32598/IJPCP.26.4.3217.1
Ali Zade-Mohammadi, Hamid Kordestanchi Aslani
Objectives: This study aimed to examine the mediating role of cognitive emotion regulation in the relationship of early maladaptive schemas with spouse abuse. Methods: In this descriptive-correlational study, 324 married adults (226 females, 98 males) living in Tehran, Iran in 2017 were selected using a convenience sampling technique. They completed the revised Conflict Tactics Scales (CTS-2), the Young Scale Questionnaire-Short Form (YSQ-SF), and the Cognitive Emotion Regulation Questionnaire (CERQ). Collected data were analyzed using Pearson correlation test and Structural Equations Modeling (SEM) in AMOS software. Results: The results of SEM showed a direct significant path from early maladaptive schemas to cognitive emotional regulation, and from cognitive emotional regulation to spouse abuse. There were also significant indirect paths from the first, second, and third domains of early maladaptive schemas to spouse abuse mediated by negative cognitive emotion regulation strategies with a path coefficients of 0.13, 0.16, and 0.13, respectively. The final structural model was a good-fitting model (X2/dF=1.595, Root Mean Square Error of Approximation = 0.045, Comparative Fit Index =0.953). Conclusion: The relationship between early maladaptive schemas and spouse abuse is not linear; it is mediated by cognitive emotion regulation.
目的:本研究旨在探讨认知情绪调节在早期适应不良图式与配偶虐待关系中的中介作用。方法:在这项描述性相关研究中,使用方便抽样技术选择了2017年居住在伊朗德黑兰的324名已婚成年人(226名女性,98名男性)。他们完成了修订后的冲突策略量表(CTS-2)、青少年量表简表(YSQ-SF)和认知情绪调节问卷(CERQ)。使用AMOS软件中的Pearson相关检验和结构方程建模(SEM)对收集的数据进行分析。结果:SEM结果显示,从早期适应不良图式到认知情绪调节,从认知情绪调节到配偶虐待,存在直接显著的路径。从早期适应不良图式的第一、第二和第三领域到配偶虐待也存在显著的间接路径,路径系数分别为0.13、0.16和0.13。最终的结构模型是一个很好的拟合模型(X2/dF=1.595,近似均方根误差=0.045,比较拟合指数=0.953);它是由认知情绪调节介导的。
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引用次数: 0
History of Contemporary Cultural Psychiatry in Iran 伊朗当代文化精神病学史
IF 0.9 Q4 PSYCHIATRY Pub Date : 2021-01-01 DOI: 10.32598/ijpcp.26.3.2117.1
Ruohollah Seddigh, Somayeh Azarnik
Cultural psychiatry is one of the relatively new trends in psychiatry that has received much attention today. During the last century, many Iranian psychiatrists have taken steps to introduce various aspects of cultural psychiatry from the field of epidemiology to the cultural conceptualization of psychiatric disorders. This narrative review article tries to refer to the history of contemporary cultural psychiatry and the efforts have been made in this field by Iranian psychiatrists between 1936 and 2019. It seems that the introduction of these efforts as educational resources to residents and students can help to further explain and develop this area and a deeper understanding of psychiatric disorders. However, there are still shortcomings in documenting, compiling, and integrating these services, which require special attention from researchers in this field.
文化精神病学是当今备受关注的精神病学中相对较新的趋势之一。在上个世纪,许多伊朗精神病学家采取措施,从流行病学领域到精神障碍的文化概念化,介绍了文化精神病学的各个方面。这篇叙述性综述文章试图参考当代文化精神病学的历史,以及1936年至2019年间伊朗精神病学家在这一领域所做的努力。看来,将这些努力作为教育资源引入居民和学生,有助于进一步解释和发展这一领域,并加深对精神障碍的理解。然而,在记录、汇编和集成这些服务方面仍然存在不足,这需要该领域的研究人员给予特别关注。
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引用次数: 1
期刊
Iranian Journal of Psychiatry and Clinical Psychology
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