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Expressive Art Therapies for Treating People With Misuses of Alcohol, Licit, and Illicit Drugs in COVID-19 Outbreak 治疗新冠肺炎疫情中滥用酒精、Licit和非法药物患者的表达艺术疗法
IF 1.1 Q3 Medicine Pub Date : 2021-06-03 DOI: 10.1097/ADT.0000000000000280
D. Situmorang, I. Ifdil
To the Editor: In the midst of COVID-19, so many activities in most countries worldwide are still carried out from home. People in many countries experience burnout, anxiety, stress, and depression; because they can only spend their time from home for 24 hours a day. As a result, many of them are looking for ways to get rid of their boredom at home by drinking alcohol and/or using licit and illicit drugs. Furthermore, many of them are experiencing addiction to become addicts. If this is allowed to continue, it can interfere with their daily activities, that is, they become no longer productive as a human. Based on a study conducted by Åkerlind and Hörnquist, and Horigian and colleagues, it is explained that someone who is an alcohol and/or licit and illicit drugs addicts is someone who experiences loneliness and feels abandoned from the real world. Substance abuse addicts feel that when using it, they can feel what they really want to get in the real world, including the extraordinary feeling of happiness, which they have never felt before or the joy that they always crave in this life. Even though all of that is “the happiness trap.”
编者按:在新冠肺炎期间,世界上大多数国家的许多活动仍然在家进行。许多国家的人们都会经历倦怠、焦虑、压力和抑郁;因为他们每天只能在家呆24小时。因此,他们中的许多人正在寻找通过饮酒和/或使用合法和非法药物来摆脱在家无聊的方法。此外,他们中的许多人正在经历毒瘾,从而成为瘾君子。如果这种情况继续下去,就会干扰他们的日常活动,也就是说,他们不再是一个人。根据Åkerlind和Hörnquist以及Horigian及其同事进行的一项研究,有人解释说,酒精和/或合法和非法药物成瘾者是指经历孤独并感到被现实世界抛弃的人。药物滥用成瘾者觉得,当他们使用它时,他们可以感受到他们在现实世界中真正想要得到的东西,包括他们从未感受到的非凡幸福感,或者他们一生中一直渴望的快乐。尽管所有这些都是“幸福陷阱”
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引用次数: 1
Association and Possible Correlations Between Tobacco Smoking and Symptoms of ADHD in an Egyptian Medical College Students’ Sample 吸烟与埃及医科大学生ADHD症状的关联及可能的相关性
IF 1.1 Q3 Medicine Pub Date : 2021-06-01 DOI: 10.1097/ADT.0000000000000217
A. S. Mohamed, D. E. Serafi, D. Ali, M. Bastawy, A. A. Shafeq, Rehab Naguib
Objectives: Attention deficit and hyperactivity disorder (ADHD) and tobacco smoking start in near same developmental life stages and are highly comorbid disorders. Little research has focused on this comorbidity and its correlates, especially in the Arab world. This study aimed to find the relation between tobacco smoking and ADHD symptoms and to understand how ADHD profile can affect its persistence. Materials and Methods: We recruited our sample from fifth year medical students attending their psychiatry undergraduate training program at the Institute of Psychiatry, Faculty of Medicine, Ain Shams University Hospitals, Cairo, Egypt. All attending students for 3 rounds were approached and asked to participate. All candidates were above 20 years old and from both sexes. For the purpose of this study, tobacco smoking included cigarettes, water pipe (sheesha), Cigar, and/or pipe smoking. All the participants were assessed using 1, General Health Questionnaire (GHQ-28); 2, The Adult ADHD Self-Report Scale (ASRS); 3, Fagerstrom Test for Nicotine Dependence (FTND); 4, Smoking Consequences Questionnaire-Adult (SCQ-A). Results: An overall 12.7% had symptoms of ADHD. Participants who were tobacco smokers and had symptoms of ADHD showed nicotine dependence scores higher than the non-ADHD symptom smokers. There was significant correlation between ASRS inattention and hyperactive-impulsive subscale scores and FTND scores (P=0.003 and 0.04), respectively. Moreover, there were statistically significant correlations between ASRS scores and smoking outcome variables with P-value of ≤0.00. Conclusion: ADHD symptoms were correlated to adult tobacco smoking outcome variables, providing further evidence of a likely link between ADHD symptoms and tobacco smoking risk.
目的:注意缺陷和多动障碍(ADHD)和吸烟开始于几乎相同的发育生命阶段,并且是高度共病的疾病。很少有研究关注这种共病及其相关因素,特别是在阿拉伯世界。本研究旨在发现吸烟与ADHD症状之间的关系,并了解ADHD特征如何影响其持久性。材料和方法:我们从埃及开罗艾因沙姆斯大学医院医学院精神病学研究所参加精神病学本科培训项目的五年级医学生中招募样本。所有参加了三轮的学生都被邀请参加。所有候选人年龄均在20岁以上,男女不限。在本研究中,吸烟包括香烟、水烟、雪茄和/或烟斗吸烟。所有参与者采用一般健康问卷(GHQ-28)进行评估;2、成人ADHD自我报告量表(ASRS);3、Fagerstrom尼古丁依赖测验;4、吸烟后果成人问卷(SCQ-A)。结果:12.7%的人有ADHD症状。有ADHD症状的吸烟者比没有ADHD症状的吸烟者尼古丁依赖得分更高。ASRS注意力不集中和多动冲动分量表得分与FTND得分存在显著相关(P=0.003和0.04)。ASRS评分与吸烟结局变量的相关性有统计学意义,p值≤0.00。结论:ADHD症状与成人吸烟结局变量相关,进一步证明ADHD症状与吸烟风险之间可能存在联系。
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引用次数: 0
Attitude of Health Care Professionals Toward Patients With Substance Use Disorders 卫生保健专业人员对药物使用障碍患者的态度
IF 1.1 Q3 Medicine Pub Date : 2021-05-18 DOI: 10.1097/ADT.0000000000000272
D. Mahmoud, Mona M. El Shiekh,, A. Kirolos, Yomna El Hawary
Objectives: Substance use disorder (SUD) is a chronic relapsing disease with multiple general health and behavior deterioration making it vulnerable to discrimination. As health care professionals play a crucial role in the identification and feasibility of access to treatment of such patients, negative attitudes can reduce the quality of the medical service provided. The purpose of our study is to measure and compare stigma variables toward SUDs among different professions of the health care staff. Patients and Methods: In all, 300 participants were enrolled in the study distributed equally into physicians from different specialties, nurses, clerical work employees, manual workers, and early career medical interns. A predesigned semistructured sheet was used to screen the occupation, previous contact SUD cases, family history of substance use problems; they also answered the general health questionnaire, and 4 scales concerning the attitude toward addicts including the level of familiarity, perceived dangerousness, and fear, social distance scales. Results: Women showed higher perceived dangerousness and desired social distance from polysubstance use disorder than men. Social distance was significantly more away from polysubstance in staff below the age of 30 years, and from alcohol in the group above 30 years. The level of familiarity with and a desired social distance away from polysubstance abuse among physicians were significant. There was a highly significant fear of benzodiazepine, tramadol, and polysubstance among physicians. Perceived dangerousness for polysubstance among physicians was significantly evident as well as for alcohol among manual workers, for benzodiazepine among house officers, and for heroin among clerical workers. Conclusion: Stigma of medical field professionals toward patients with SUDs is common and may contribute to underqualified health care service for these patients, which mandates dissemination of model educational programs starting from college medical curricula to postgraduate ones.
目的:物质使用障碍(SUD)是一种慢性复发性疾病,具有多种综合健康和行为恶化,易受歧视。由于卫生保健专业人员在识别此类患者并使其获得治疗的可行性方面发挥着至关重要的作用,消极态度可能会降低所提供的医疗服务的质量。我们研究的目的是测量和比较不同职业的医护人员对SUD的污名变量。患者和方法:总共有300名参与者参与了这项研究,他们平均分为不同专业的医生、护士、文书工作人员、体力劳动者和早期职业医学实习生。使用预先设计的半结构片材来筛查职业、既往接触SUD病例、物质使用问题家族史;他们还回答了一般健康问卷和4个关于对瘾君子态度的量表,包括熟悉程度、感知危险性和恐惧、社交距离量表。结果:与男性相比,女性表现出更高的多物质使用障碍的感知危险性和期望的社交距离。在30岁以下的工作人员中,社交距离与多元物质的距离明显更大,而在30岁以上的工作人员则与酒精的距离显著更大。医生对多物质滥用的熟悉程度和期望的社交距离是显著的。医生们对苯二氮卓类药物、曲马多和多物质有高度的恐惧。医生对多物质的感知危险性非常明显,体力劳动者对酒精的感知危险、家庭官员对苯二氮卓类药物的感知危险和文书工作者对海洛因的感知危险也非常明显。结论:医疗领域专业人员对SUDs患者的污名很常见,可能会导致这些患者的医疗服务质量低下,这就要求传播从大学医学课程到研究生课程的示范教育计划。
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引用次数: 1
The Role of the Family in Preventing Addiction 家庭在预防成瘾方面的作用
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000277
M. Naeim, A. Rezaeisharif
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引用次数: 7
Sociodemographic Correlates of Substance Use in a Sample of Egyptian Female University Students 埃及女大学生物质使用的社会人口学相关性
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000275
Soheir H. El-Ghonemy, M. El-din, A. Mowafy, H. Hasan, Reem H. El Ghamry
Objectives: The aim was to find out the prevalence of psychoactive substance use among female students in Ain Shams University, Cairo, and to investigate associations between substance use and some selected sociodemographic factors. Materials and Methods: A total of 600 female students in their final year of college was recruited from six faculties of Ain Shams University; 3 practical faculties (medicine, dentistry, pharmacy) and 3 theoretical faculties (commerce, arts, law), 100 students from each. They completed the Structured Questionnaire for the Detection of Drug Intake and the Assessment of Sociodemographic Data which is a self-administered questionnaire used for the detection of substance use among university students. Results: The most commonly used substance was illicit drugs (9.8%), followed by tobacco (9%). Tobacco smoking was more prevalent between faculty of arts students and tobacco and cannabis use were more prevalent among theoretical faculties students. Being from Cairo, high family income, high daily pocket money, interneting as the main leisure time activity, and having friends or close relatives with substance use were positively associated with substance use among female university students. Conclusion: Illicit drugs were the most common substance used among female university students in Egypt. Substance use was influenced by sociodemographic factors; faculty, form of study, residence and living arrangement, parental education, income, leisure time activities, and having friends or relatives with substance use.
目的:了解开罗艾因沙姆斯大学女生使用精神活性物质的流行情况,并调查物质使用与一些选定的社会人口因素之间的关系。材料和方法:从艾因沙姆斯大学的六个学院招募了600名大学最后一年的女生;3个实践学院(医学、牙科、药学)和3个理论学院(商业、艺术、法律),各100名学生。他们完成了《药物摄入检测和社会记录数据评估结构化问卷》,这是一份用于检测大学生药物使用情况的自我管理问卷。结果:最常用的物质是非法药物(9.8%),其次是烟草(9%)。在艺术系学生中吸烟更为普遍,在理论系学生中使用烟草和大麻更为普遍。来自开罗的女性大学生,家庭收入高、日常零花钱多、以上网为主要休闲活动、有朋友或近亲使用药物与药物使用呈正相关。结论:非法药物是埃及女大学生使用最常见的物质。物质使用受到社会人口因素的影响;教师、学习形式、居住和生活安排、父母教育、收入、休闲活动以及有吸毒的朋友或亲戚。
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引用次数: 2
Internet Addiction and Its Relation to Emotional Intelligence and Resilience Among a Sample of Egyptian University Students 埃及大学生网络成瘾及其与情绪智力和心理弹性的关系
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000268
Nahla E. Nagy Abdelhamid, Afaf M. Abdelsamea Mohamed, Nermin M. Shaker Ibrahim, Ahmed Adel Abdelgawad, M. H. E. abd el moneam, S. Marzouk
Introduction: Internet addiction (IA) had recently become the focus of interest to most clinicians and researchers. Indeed, this topic was not thoroughly studied in previous researches. Objectives: The authors of the current study aimed to investigate the rates of IA, understand its demographic and clinical correlates, and illustrate the interplay between IA, emotional intelligence (EI) and resilience among a sample of Egyptian university students. Methods: A total of 400 male and female university students from the Faculty of Medicine and Faculty of Literature, Ain Shams University were included in the current study. Participants were assessed using an informative designed questionnaire for sociodemographic data, Young Internet Addiction Test, The Schutte Self Report Emotional Intelligence Test (SSEIT), and The Resilience Scale (RS). Results: Two hundred eighty-nine (72.2%) participants were labeled the diagnosis of IA with varying degree of severity. Participants with IA scored significantly lower in the total score and all the subscores of SSEIT and RS (P>0.001). A significant negative correlation was found between all the domains of the Internet Addiction Test and both SSEIT and RS total score and all the subscores. By multiple logistic regression analysis, EI (odds ratio=0.81, P>0.001) and resilience (odds ratio=0.91, P=0.002) were the only factors predicting IA. Conclusion: Low scores of EI and resilience could predict the susceptibility to IA, suggesting that treatment strategies enhancing these factors would be of great value to be included in the programs targeted for the management of IA.
网络成瘾(IA)近年来已成为大多数临床医生和研究人员感兴趣的焦点。事实上,在以往的研究中,这一课题的研究并不深入。目的:当前研究的作者旨在调查IA的发生率,了解其人口学和临床相关性,并说明IA、情商(EI)和恢复力之间的相互作用。方法:选取艾因沙姆斯大学医学院和文学院的400名男女大学生为研究对象。研究人员使用社会人口统计数据、青少年网络成瘾测试、舒特自我报告情绪智力测试(SSEIT)和弹性量表(RS)对参与者进行了评估。结果:289名(72.2%)参与者被标记为不同程度严重程度的IA诊断。IA患者在SSEIT和RS的总分和所有分项得分均显著降低(P < 0.001)。网络成瘾测试各域与SSEIT和RS总分及各分项得分均呈显著负相关。多元logistic回归分析显示,EI(优势比为0.81,P < 0.001)和韧性(优势比为0.91,P=0.002)是预测IA的唯一因素。结论:低情商和心理韧性评分可以预测IA的易感性,提示提高这些因素的治疗策略在IA的针对性管理方案中具有重要价值。
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引用次数: 3
Use of Electronic Nicotine Delivery Systems (ENDS) in Colombia 电子尼古丁输送系统在哥伦比亚的使用
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000274
Orlando Scoppetta, Camilo Rodríguez-Fandiño, Alejandra G Villamil, Augusto Pérez
Background and Aims: The use of Electronic Nicotine Delivery Systems (ENDS) in Colombia is a new phenomenon. However, there has been an increase in recent years and without any apparent explanation, is necessary to understand the characteristics of the use of ENDS in Colombia. Methods: This research is a secondary analysis study based on data from the 2020 National Study of Psychoactive Substance Use in the Colombian territory, which uses a household survey methodology. The study sample includes 49,756 people (48.3% male, 51.8% female), between 12 and 65 years old, distributed in the 32 departments of the country. Results: Five percent of Colombians between 12 and 65 years of age have used ENDS at some time in their life (67.8% male). The 12- to 17-year-old group started at 14.6 years average and exists a higher proportion of tobacco smokers among ENDS users in all prevalence. Conclusions: The use of ENDS is growing probably because of new marketing strategies that involve novel details and that generate curiosity, especially in the youngest. Some of these are technological designs, pleasant smells and flavors or absence of them and how easy it can be to hide them and consume them in places where it is forbidden to do. So, many young people and adolescents who had not used nicotine before, now do. There is a knowledge gap about ENDS, therefore they can affect the work has been done for decades in reducing nicotine consumption among young people and be the gateway to the consumption of cigarettes or other substances (marijuana).
背景和目的:电子尼古丁输送系统在哥伦比亚的使用是一种新现象。然而,近年来这种情况有所增加,在没有任何明显解释的情况下,有必要了解哥伦比亚使用ENDS的特点。方法:这项研究是一项二次分析研究,基于哥伦比亚地区2020年国家精神活性物质使用研究的数据,该研究使用了家庭调查方法。研究样本包括49756人(48.3%男性,51.8%女性),年龄在12岁至65岁之间,分布在全国32个省。结果:5%的12岁至65岁的哥伦比亚人在一生中的某个时候使用过ENDS(67.8%为男性)。12至17岁的人群开始时的平均年龄为14.6岁,在所有患病率中,ENDS使用者中吸烟的比例较高。结论:ENDS的使用越来越多,可能是因为新的营销策略涉及新颖的细节,并产生好奇心,尤其是在最年轻的人中。其中一些是技术设计,令人愉快的气味和味道,或者没有它们,以及把它们藏起来并在禁止使用的地方消费是多么容易。所以,许多以前没有使用过尼古丁的年轻人和青少年现在都使用了,因此,它们可以影响几十年来在减少年轻人尼古丁消费方面所做的工作,并成为消费香烟或其他物质(大麻)的途径。
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引用次数: 0
Comparison of Emotional Intelligence, Attachment Style, and Mental Health in Addicted and Nonaddicted People 成瘾与非成瘾人群的情商、依恋方式与心理健康的比较
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000270
M. Naeim, A. Rezaeisharif
Background: Nowadays, because of the increasing prevalence of addiction in society, there are many costs involved in treating addicts and returning them to normal lives. This will not be possible except in new and effective ways. Objectives: This study aimed to compare emotional intelligence, attachment style, and mental health in addicted and healthy individuals. Methods: On the basis of inclusion criteria, available sampling method, and semistructured interview based on Diagnostic and Statistical Manual of Mental Disorders-5, 100 addicted men were selected and after matching with 100 nonaddicted men by, Extracurricular Vein Scale (TMMS), light questionnaire Adult Attachment Style (AAS), and the Goldenberg General Health Questionnaire (GHQ) were assessed. Results: The results showed that in all 3 components of attention, differentiation, and mood reconstruction of emotional intelligence, addicted people scored lower than the nonaddicted group. The results showed that in the secure attachment style, the mean scores of the nonaddicted group are higher than the addicted group, while in the avoidant insecure style and ambivalent anxiety style, addicted men are significantly higher than nonaddicted men. Also, in all components of mental health, the nonaddicted group obtained higher scores compared with addicted people. Conclusions: Psychological correlations of emotional intelligence, adult attachment style, and mental health are important risk factors for the phenomenon of drug addiction and have many practical implications for preventive interventions and treatment of abusive behaviors.
背景:如今,由于成瘾在社会上越来越普遍,治疗成瘾者并使他们恢复正常生活需要花费很多费用。除非采用新的和有效的方法,否则这是不可能的。目的:本研究旨在比较成瘾者和健康者的情绪智力、依恋类型和心理健康。方法:根据《精神障碍诊断与统计手册》的纳入标准、可用抽样方法和半结构化访谈法,选取5100名成瘾男性,通过课外静脉量表(TMMS)、轻型问卷成人依恋类型(AAS)和Goldenberg一般健康问卷(GHQ)与100名非成瘾男性进行匹配后进行评估。结果:在情绪智力的注意力、分化和情绪重建三个组成部分中,成瘾者得分均低于非成瘾者。结果表明,在安全依恋类型中,非成瘾组的平均得分高于成瘾组,而在逃避型不安全类型和矛盾焦虑类型中,成瘾男性的平均得分显著高于非成瘾男性。此外,在心理健康的所有组成部分中,非成瘾组比成瘾组获得更高的分数。结论:情绪智力、成人依恋类型和心理健康三者之间的心理相关关系是吸毒成瘾现象的重要危险因素,对滥用行为的预防干预和治疗具有重要的现实意义。
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引用次数: 7
Recovery Housing Program for Drug Addicts: Work Patterns, Substance Abuse, and Housing Situation After a 6-Month Follow-up 药物成瘾者的康复住房计划:工作模式、药物滥用和六个月后的住房情况
IF 1.1 Q3 Medicine Pub Date : 2021-05-11 DOI: 10.1097/ADT.0000000000000273
R. A. Bosso, Ariadne Ribeiro, A. P. Basqueira, Marcelo T. de Lima, Juliano P. dos Santos, L. O. Perrenoud, M. Ribeiro
The use of psychoactive substances is associated with physical and psychological damage, especially among people in situations of high social vulnerability. Housing programs can provide integrated care to people exposed to social determinants of health. This longitudinal study with residents of a recovery house (N=164, maximum stay of 6 mo) investigated substance use, employment, and housing status. The mean length of stay was 144 days (SD=76.8 d), and most residents had been working for at least 4 consecutive months (n=96; 58.5%); 74.4% of the residents received therapeutic discharge and more than half returned to a stable form of residence. Multivariate analysis showed that previous alcohol use was independently associated with working status [odds ratio (OR)=2.29, 95%; confidence interval (CI), 1.00-5.20, P=0.048]. In a multinomial logistic regression model using treatment length as reference, being currently employed (95% CI, 8.74-62.37, P=0.010), and previous history of nonalcohol use (95% CI, 71.59-5.83, P=0.021) were both associated with longer stay in the recovery house. Housing services can provide effective support for substance use recovery, and our findings highlight the need for integrating health and social care strategies.
精神活性物质的使用与身体和心理伤害有关,特别是在处于高度社会脆弱性的人群中。住房项目可以为受社会健康决定因素影响的人提供综合护理。本纵向研究对一家康复之家的居民(N=164,最长停留6个月)进行了药物使用、就业和住房状况调查。平均停留时间为144天(SD=76.8 d),大多数居民至少连续工作4个月(n=96;58.5%);74.4%的居民接受了治疗出院,一半以上的居民恢复了稳定的居住形式。多因素分析显示,既往饮酒与工作状态独立相关[比值比(OR)=2.29, 95%;置信区间(CI), 1.00-5.20, P=0.048]。在以治疗时间为参考的多项逻辑回归模型中,目前正在工作(95% CI, 8.74-62.37, P=0.010)和以前的非酒精使用史(95% CI, 71.59-5.83, P=0.021)都与在康复院停留时间较长相关。住房服务可以为药物使用恢复提供有效的支持,我们的研究结果强调需要将卫生和社会保健战略结合起来。
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引用次数: 1
The Psychological Impact of COVID-19 Outbreak on Nurses Working in Iran 新冠肺炎疫情对伊朗护士心理的影响
IF 1.1 Q3 Medicine Pub Date : 2021-05-03 DOI: 10.1097/ADT.0000000000000269
A. Kamran, Azim Malekpour, M. Naeim
The psychosocial consequences of the coronavirus pandemic is serious for health professionals including nurses because of a higher level of exposure. Nurses often face huge psychological pressure as a result of workload, long hours, and working in a high-risk environment. This study aimed to assess the associated factors of anxiety, depression, and stress among nurses working in Iran. The research method is library type which was done during 2 months by using valid scientific sources and books. More than two-thirds, more than half, and nearly one-fifth of the nurses had anxiety, depression, and stress, respectively. Unavailability of a guideline, fear of infecting family, and having chronic diseases increase the risk of developing anxiety. Nurses who did not have a guideline, received negative feedback from families, had a history of mental disorders, and chronic diseases have a higher odds of depression. Working in the night shift, lack of training, fear of infecting family, negative feedback from families, presence of confirmed/suspected cases in the family, and having chronic diseases increases the risk of developing stress.
冠状病毒大流行的心理社会后果对包括护士在内的卫生专业人员来说是严重的,因为接触程度更高。由于工作量大、工作时间长以及在高风险环境中工作,护士经常面临巨大的心理压力。本研究旨在评估在伊朗工作的护士中焦虑、抑郁和压力的相关因素。研究方法为图书馆式,利用有效的科学资料和书籍,历时2个月。超过三分之二、超过一半和近五分之一的护士分别患有焦虑、抑郁和压力。缺乏指南、害怕感染家人以及患有慢性病会增加患焦虑症的风险。没有指南、收到家人的负面反馈、有精神障碍史和慢性病的护士患抑郁症的几率更高。上夜班、缺乏培训、害怕感染家人、家人的负面反馈、家庭中存在确诊/疑似病例以及患有慢性病都会增加产生压力的风险。
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引用次数: 5
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Addictive Disorders & Their Treatment
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