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Implementation of Cognitive Behavioral Therapy With Cognitive Restructuring Technique to Reduce Psychosocial Anxiety in the COVID-19 Outbreak 运用认知重构技术实施认知行为疗法减轻新冠肺炎疫情中的社会心理焦虑
IF 1.1 Q3 Medicine Pub Date : 2021-02-05 DOI: 10.1097/ADT.0000000000000246
Teuku Fadhli, D. Situmorang
Objectives: Anxiety can cause someone to be counterproductive or experience psychological disorders, causing discomfort in social activities, less active participation in behavior. This study aims to prove the effectiveness of cognitive behavioral therapy (CBT) approach and the cognitive restructuring (CR) technique to reduce individual psychosocial anxiety through group counseling, which covers high school adolescents. The CBT approach with the CR technique for dealing with personal psychosocial anxiety provides valuable space for movement. The CBT approach with the CR technique will change the maladaptive beliefs that arise because of anxiety. This intervention aims to increase self-defense and self-control by stimulating rational problem-solving abilities, social skills, and active participation in social activities. Methods: The research method was a nonequivalent group pretest-posttest design with a control or comparison group. On the basis of the paired sample t test, there is a significant difference in the mean. The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak. Conclusions: The results showed that the CBT approach with the CR technique effectively reduced psychosocial anxiety in the COVID-19 outbreak.
目的:焦虑会导致某人适得其反或经历心理障碍,导致社交活动不适,行为参与不积极。本研究旨在证明认知行为疗法(CBT)方法和认知重构(CR)技术通过团体咨询减少个体心理社会焦虑的有效性,该咨询涵盖高中青少年。CBT方法结合CR技术处理个人心理社会焦虑,为运动提供了宝贵的空间。CBT方法和CR技术将改变因焦虑而产生的不适应信念。这种干预旨在通过激发理性解决问题的能力、社交技能和积极参与社会活动来增强自卫和自制力。方法:研究方法采用非等效组前后测设计,设对照组或对照组。在配对样本t检验的基础上,平均值存在显著差异。结果表明,在新冠肺炎疫情中,CBT方法和CR技术有效地降低了心理社会焦虑。结论:结果表明,在新冠肺炎疫情中,CBT方法和CR技术有效地降低了心理社会焦虑。
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引用次数: 2
Emotional Regulation as a Mediating Factor in Substance Use Disorders 情绪调节在物质使用障碍中的中介作用
IF 1.1 Q3 Medicine Pub Date : 2021-02-03 DOI: 10.1097/ADT.0000000000000241
T. Okasha, Afaf Abd Elsamie, H. Azzam, D. Elserafi, M. Morsy, E. Shorub
Objectives: Although the relationship between substance use disorders (SUDs) and emotion regulation is a topic of great scientific interest, little is still known about the nature of this association. The aim of this study is to examine emotion regulation among patients with SUDs and assess the different predictors that affect it. Patients and Methods: In all, 100 male patients with SUDs were selected from Okasha Institute of Psychiatry, Ain Shams University and were compared with 100 healthy controls matched for age, sex, and education. Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders I; Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders II; Temperament and Character Inventory; Barratt impulsiveness scale (BIS), version 11; Trait Meta Mood Scale; and addiction severity index were used. Results: Emotional repair was significantly lower in cases compared with control group specifically cases with personality disorders. Cases had significantly lower scores in harm avoidance and persistence and higher in novelty seeking. In addition, cases showed significantly higher total, motor, attention, and nonplan scores of BIS compared with the control group. Furthermore, there was a negative correlation between attention to feeling, clarity of feeling, and repair of mood, and BIS items. Meanwhile, there was a negative correlation between emotional repair and novelty seeking, harm avoidance, persistence, and self-transcendence. Lastly, there was a significant negative correlation between attention to feeling and duration of substance use. Conclusion: The study confirms that emotion regulation is a mediator for SUDs especially with long duration of illness, presence of certain personality traits and disorders, and high impulsivity.
目的:虽然物质使用障碍(SUDs)和情绪调节之间的关系是一个非常有科学意义的话题,但人们对这种关联的本质知之甚少。本研究的目的是检查sud患者的情绪调节,并评估影响它的不同预测因素。患者和方法:从艾因沙姆斯大学奥沙精神病学研究所选择100名男性sud患者,与100名年龄、性别和教育程度相匹配的健康对照进行比较。《精神障碍诊断与统计手册I》的结构化临床访谈《精神障碍诊断与统计手册ⅱ》结构化临床访谈气质与性格量表;Barratt冲动性量表(BIS),第11版;特质元情绪量表;使用成瘾严重程度指数。结果:患者的情绪修复能力明显低于对照组,特别是人格障碍患者。病例在避免伤害和坚持方面得分明显较低,在寻求新奇方面得分较高。此外,与对照组相比,这些病例的BIS总分、运动评分、注意力评分和非计划性评分均显著提高。此外,感觉注意力、感觉清晰度和情绪修复与BIS项目呈负相关。同时,情绪修复与新奇寻求、伤害回避、坚持和自我超越存在负相关。最后,对感觉的注意与物质使用的持续时间之间存在显著的负相关。结论:本研究证实情绪调节是sud的中介,特别是在病程长,存在某些人格特征和障碍以及高度冲动的情况下。
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引用次数: 3
Could Agomelatine Play a Role to Treat Anhedonia in Heroin Dependence? 阿戈美拉汀能治疗海洛因依赖的快感缺乏吗?
IF 1.1 Q3 Medicine Pub Date : 2021-01-27 DOI: 10.1097/ADT.0000000000000245
M. Preve
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引用次数: 0
The Role of Impulsivity and Cognitive Emotion Regulation in the Tendency Toward Addiction in Male Students 冲动与认知情绪调节在男生成瘾倾向中的作用
IF 1.1 Q3 Medicine Pub Date : 2021-01-27 DOI: 10.1097/ADT.0000000000000243
M. Naeim, A. Rezaeisharif, A. Kamran
Background: Addiction is one of the most important issues today that has affected all institutions, including the family and the society, and the close connection between this issue and the correct methods of raising children in the family is undeniable. Objective: This study aimed to investigate the role of impulsivity and cognitive emotion regulation in the tendency toward addiction in students of Ardabil universities. Methods: The methodology applied in this research was descriptive correlation. A total of 520 male students who study at Ardabil universities were selected by 2-stage random sampling. To measure the variables, the Barratt Impulsivity Scale, the Cognitive Emotion Regulation Questionnaire (CERQ-P), and the Addiction Preparation Scale of Weed and Butcher were used. Results: To analyze the findings, the Pearson correlation coefficient and multiple regressions were used. The obtained results show that there is a positive correlation between impulsivity and tendency to addiction (P<0.01). Also, there is a correlation among all components of impulsivity and tendency to addiction (P<0.01). Statistically, there is a positive correlation between cognitive emotion regulation and tendency to addiction (P<0.01). The results of multivariate regression showed that motor impulsivity, cognitive impulsivity, nonplanning, self-blame, acceptance, rumination, and putting into perspective were significantly able to predict the tendency to addiction. Conclusions: Noting that the variables of impulsivity and cognitive emotion regulation can properly predict the tendency to addiction, university counseling centers can, through workshops, teach the students different ways of controlling these variables in a variety of situations and so they will be able to prevent the tendency toward drug use.
背景:成瘾是当今影响到包括家庭和社会在内的所有机构的最重要问题之一,而这个问题与家庭中正确的养育孩子的方法之间的密切联系是不可否认的。目的:探讨冲动性和认知情绪调节在阿达比尔大学学生成瘾倾向中的作用。方法:采用描述性相关分析方法。采用两阶段随机抽样的方法,选取在阿达比尔大学就读的520名男生。测量变量采用Barratt冲动性量表、认知情绪调节问卷(CERQ-P)和Weed and Butcher成瘾准备量表。结果:采用Pearson相关系数和多元回归分析。结果表明,冲动性与成瘾倾向呈正相关(P<0.01)。冲动性各成分与成瘾倾向之间存在显著的相关性(P<0.01)。认知情绪调节与成瘾倾向呈显著正相关(P<0.01)。多元回归结果显示,运动冲动、认知冲动、无计划、自责、接纳、反刍、透视对成瘾倾向有显著的预测作用。结论:鉴于冲动性和认知情绪调节这两个变量可以很好地预测成瘾倾向,大学心理咨询中心可以通过研讨会的形式,教授学生在不同情况下控制这些变量的不同方法,从而预防吸毒倾向的发生。
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引用次数: 8
Development and Psychometric Evaluation of the Female Substance Abusers’ Reproductive Health Scale: Study Protocol for a Sequential Exploratory Mixed-method Study 女性药物滥用者生殖健康量表的制定和心理测量评估:一项连续探索性混合方法研究的研究方案
IF 1.1 Q3 Medicine Pub Date : 2021-01-22 DOI: 10.1097/ADT.0000000000000240
A. Shamsalinia, Vida Shafti, M. Nikpour, F. Ghaffari
Aims: This study aims at the development and psychometric evaluation of the Female Substance Abusers’ Reproductive Health Scale (FSARHS). Design, Setting and Participants: This is the protocol of a sequential exploratory mixed-method study. The study will be conducted in an FSARHS development phase and an FSARHS psychometric evaluation phase. In the first phase, a qualitative study and a literature review will be conducted for item generation. In the qualitative study, semi-structured interviews will be held with female substance abusers. Data will be analyzed through conventional content analysis and the draft of FSARHS will be developed. In the psychometric evaluation phase, the face, content, and construct validity and reliability of FSARHS will be assessed. Conclusions: FSARHS can be used by reproductive health policy makers and health care providers at national and international levels in order to assess reproductive health among female substance abusers.
目的:本研究旨在开发女性物质滥用者生殖健康量表(FSARHS)并进行心理测量评估。设计、设置和参与者:这是一项顺序探索性混合方法研究的方案。该研究将在FSARHS发展阶段和FSARHS心理测量评估阶段进行。在第一阶段,将对项目生成进行定性研究和文献综述。在定性研究中,将对女性药物滥用者进行半结构化访谈。将通过常规内容分析对数据进行分析,并制定FSARHS草案。在心理测量评估阶段,将评估FSARHS的面孔、内容和结构的有效性和可靠性。结论:国家和国际一级的生殖健康政策制定者和卫生保健提供者可以使用FSARHS来评估女性药物滥用者的生殖健康。
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引用次数: 0
Is There a Relationship Between Heroin Dependence and Anemia? 海洛因依赖与贫血有关系吗?
IF 1.1 Q3 Medicine Pub Date : 2021-01-22 DOI: 10.1097/ADT.0000000000000244
Bahadır Demir, A. Altındağ
Objective: We aimed to examine hemoglobin (HGB), hematocrit (HCT), mean corpuscular volume (MCV), mean cell hemoglobin concentration, red blood cell count (RBC), platelet count (PLT), ferritin, vitamin B12, and folic acid levels in heroin addicts by comparing them with healthy controls. Materials and Methods: This study included a total of 325 patients with only heroin use; and 163 healthy individuals. Participants, who had hematological disorders and other chronic diseases, were excluded from the study. HGB, HCT, MCV, mean cell hemoglobin concentration, RBC, PLT, ferritin, vitamin B12, and folic acid levels were compared between groups. Results: The patient group comprised of 318 males and 7 females with the mean age of 26.39±6.18 years. There was no significant difference between patient and control group in terms of age, sex, body mass index and alcohol consumption. HGB, HCT, folic acid levels, and RBC were lower in the patient group than control. There was no significant correlation among HGB, HCT, RBC, PLT, and the sociodemographic characteristics of patients. Conclusion: The effects of heroin on the hematological parameter should be considered. Heroin effects on HGB, HTC, RBC, and folic acid may tend to decrease. Prospective, longitudinal studies, and studies involving intoxication-remission periods are needed.
目的:检测海洛因依赖者血红蛋白(HGB)、红细胞压积(HCT)、平均红细胞体积(MCV)、平均细胞血红蛋白浓度、红细胞计数(RBC)、血小板计数(PLT)、铁蛋白、维生素B12和叶酸水平,并与健康对照进行比较。材料与方法:本研究共纳入325例仅使用海洛因的患者;163名健康人。患有血液病和其他慢性疾病的参与者被排除在研究之外。比较各组间HGB、HCT、MCV、平均细胞血红蛋白浓度、红细胞、血小板、铁蛋白、维生素B12、叶酸水平。结果:患者组男性318例,女性7例,平均年龄26.39±6.18岁。患者与对照组在年龄、性别、体重指数、饮酒量等方面无显著差异。患者组HGB、HCT、叶酸水平和RBC均低于对照组。HGB、HCT、RBC、PLT与患者的社会人口学特征无显著相关性。结论:海洛因对血液学指标的影响应引起重视。海洛因对HGB、HTC、RBC和叶酸的影响可能趋于降低。需要前瞻性、纵向研究和涉及中毒缓解期的研究。
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引用次数: 1
The Effect of Group Counseling Therapy Approach to Psychological Well-Being of Adolescent Girls Treated With Methadone in Iran: A Randomized Controlled Trial 团体咨询疗法对伊朗接受美沙酮治疗的少女心理健康的影响:一项随机对照试验
IF 1.1 Q3 Medicine Pub Date : 2021-01-08 DOI: 10.1097/ADT.0000000000000238
M. Naeim, A. Rezaeisharif, Samira Ghobadi Bagvand
Background: Today, because of the increasing prevalence of addiction in society, there are many costs for treating addicts and returning them to normal life. This will not be possible except for new and effective methods. Objectives: This study aimed to investigate the effect of the group counseling approach on the psychological well-being of adolescent girls treated with methadone. Methods: This is a quasiexperimental study with a pretest and post-test with a control group. For this purpose, 50 people were purposefully selected, then randomly divided into 2 groups of 25 students of control and experimental group and in 10 sessions, twice a week for 2 hours they underwent group therapy counseling. The instrument used in this study was the psychological well-being scale as pretest and post-test. Data were analyzed using descriptive statistics (mean and standard deviation) and multivariate analysis of covariance. Results: The results showed that the intervention with the therapeutic approach of group counseling in psychological well-being has a significant effect on the lives of target people in the experimental group (P<0.01). Conclusions: According to the results of the study, it is recommended that this type of education be considered along with medication to improve the psychological well-being of adolescents treated with methadone. Therapeutic approach group counseling as part of corrective action can reduce the anxious thoughts of patients receiving methadone treatment.
背景:今天,由于成瘾在社会中越来越普遍,治疗成瘾者并使他们恢复正常生活需要花费很多费用。除非有新的和有效的方法,否则这是不可能的。目的:探讨团体咨询方式对美沙酮治疗少女心理健康的影响。方法:采用准实验研究,采用前测和后测,并设对照组。为此,我们有目的地选择了50人,然后随机分为两组,每组25人,对照组和实验组,每10次,每周两次,每次2小时,接受团体治疗咨询。本研究采用心理健康量表作为前测和后测。数据分析采用描述性统计(均值和标准差)和多变量协方差分析。结果:实验组以团体心理咨询治疗方式干预对目标人群的生活有显著影响(P<0.01)。结论:根据研究结果,建议将这种教育与药物结合起来,以改善接受美沙酮治疗的青少年的心理健康。治疗方法团体咨询作为纠正行动的一部分,可以减少接受美沙酮治疗的患者的焦虑思想。
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引用次数: 4
Is Music Therapy Effective in Cabin Fever Recovery? 音乐疗法对舱热恢复有效吗?
IF 1.1 Q3 Medicine Pub Date : 2021-01-04 DOI: 10.1097/adt.0000000000000239
D. Situmorang
Objectives: During the coronavirus disease (COVID-19) outbreak, there is an unhealthy psychological symptom in most people worldwide, namely cabin fever. Quite a few people in this world do not know the benefits of music therapy in helping to prevent and overcome cabin fever. Methods: Through this opinion “piece,” the author aims to discuss tips to prevent and overcome cabin fever through several studies with music therapy. Conclusion: The author proposes that everyone can use music therapy in preventing and overcoming cabin fever.
目的:在冠状病毒病(新冠肺炎)爆发期间,全球大多数人都有一种不健康的心理症状,即小屋热。这个世界上有相当多的人不知道音乐疗法在预防和克服小屋热方面的好处。方法:通过这篇观点文章,作者旨在通过对音乐疗法的几项研究,探讨预防和克服小屋热的技巧。结论:音乐疗法是预防和克服机舱热的有效手段。
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引用次数: 5
Playing Badminton as a Movement Therapy for Reducing Internet Addiction During COVID-19 Outbreak 新冠肺炎疫情期间,打羽毛球作为减少网络成瘾的运动疗法
IF 1.1 Q3 Medicine Pub Date : 2021-01-01 DOI: 10.1097/ADT.0000000000000278
R. P. Fadli, Berru Amalianita, N. Zola, D. Situmorang, I. Ifdil
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引用次数: 2
Managing Comorbid Attention Deficit Hyperactivity Disorder (ADHD) in Adults With Substance Use Disorder (SUD): What the Addiction Specialist Needs to Know 管理患有物质使用障碍(SUD)的成人并发注意力缺陷多动障碍(ADHD):成瘾专家需要知道的
IF 1.1 Q3 Medicine Pub Date : 2020-12-22 DOI: 10.1097/ADT.0000000000000237
Joe Johnson, Sarah Morris, Sanju George
Attention deficit hyperactivity disorder (ADHD) and substance use disorder (SUD) often co-exist and the link between the 2 is bidirectional, with higher rates of ADHD symptoms found in the SUD population and higher rates of SUD found among the ADHD population. Some possible mechanisms which could explain the increased risk of developing a SUD in those who have ADHD include self-medication, both ADHD and SUD arising from dysregulation of 1 or more of the dopaminergic circuits, genetic factors as well exposure to parental SUD. Given the complex relationship between ADHD and SUD, those working in SUD services should be vigilant to ADHD as a possible comorbid diagnosis and refer to a specialist ADHD service for further assessment where appropriate. On the basis of a detailed clinical assessment, it has to be decided whether SUD or ADHD should be the priority for treatment or if they both ought to be; in either case, ADHD and SUD treatment services must work collaboratively. The recommended first line pharmacological treatment option for adolescents and adults with ADHD is a stimulant medication, with nonstimulants being reserved as a second or third line option. In the brief review paper, the authors further discuss the various medications for treatment of ADHD, the benefits and risks of treating ADHD in those with SUD, discuss the role of specialist ADHD treatment services, and illustrate these with the help of 2 anonymized case vignettes.
注意力缺陷多动障碍(ADHD)和物质使用障碍(SUD)通常共存,两者之间的联系是双向的,在SUD人群中发现的ADHD症状发生率较高,在ADHD人群中也发现的SUD发生率较高。一些可能解释ADHD患者患SUD风险增加的机制包括自我用药,ADHD和SUD都是由一个或多个多巴胺能回路的失调引起的,遗传因素以及暴露于父母的SUD。鉴于多动症和SUD之间的复杂关系,那些在SUD服务机构工作的人应该警惕多动症作为可能的合并症诊断,并在适当的情况下向专业的多动症服务机构进行进一步评估。在详细的临床评估的基础上,必须决定是否应该优先治疗SUD或ADHD,或者两者是否都应该;在任何一种情况下,ADHD和SUD治疗服务必须协同工作。对于患有多动症的青少年和成人,推荐的一线药物治疗方案是一种刺激性药物,非刺激性药物被保留为二线或三线药物。在这篇简短的综述文章中,作者进一步讨论了治疗多动症的各种药物,治疗SUD患者多动症的益处和风险,讨论了专业多动症治疗服务的作用,并通过2个匿名病例小插曲来说明这些。
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引用次数: 2
期刊
Addictive Disorders & Their Treatment
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