Pub Date : 2021-11-26DOI: 10.1080/17522439.2021.1988685
Esmira Ropaj, D. Keatley, J. Dickson, Corinna J. Milroyd, P. Taylor
ABSTRACT Background It is suggested that goals are hierarchically organised, with goals at the highest level representing fundamental values and motivations. These abstract goals are said to have a series of sub-goals which represent a means of reaching higher-level goals. While a number of studies have explored goals in the context of psychosis, little is known about idiographic goal generation processes in those experiencing psychosis. Methods Using a Behaviour Sequence Analysis approach, the aim of the current study was to assess the feasibility of the goal task for use with individuals experiencing psychosis. A total of 73 adults receiving care from UK rehabilitation services completed a goal task designed to elicit higher-level goals. Results Results indicated that the goal task may be a feasible tool to support those experiencing psychosis to generate lower- and higher-level goals. Discussion The goal task utilised in the current study may therefore be a valuable goal generation tool for use by clinicians.
{"title":"A behaviour sequence analysis of goal generation processes in a psychosis rehabilitation sample","authors":"Esmira Ropaj, D. Keatley, J. Dickson, Corinna J. Milroyd, P. Taylor","doi":"10.1080/17522439.2021.1988685","DOIUrl":"https://doi.org/10.1080/17522439.2021.1988685","url":null,"abstract":"ABSTRACT Background It is suggested that goals are hierarchically organised, with goals at the highest level representing fundamental values and motivations. These abstract goals are said to have a series of sub-goals which represent a means of reaching higher-level goals. While a number of studies have explored goals in the context of psychosis, little is known about idiographic goal generation processes in those experiencing psychosis. Methods Using a Behaviour Sequence Analysis approach, the aim of the current study was to assess the feasibility of the goal task for use with individuals experiencing psychosis. A total of 73 adults receiving care from UK rehabilitation services completed a goal task designed to elicit higher-level goals. Results Results indicated that the goal task may be a feasible tool to support those experiencing psychosis to generate lower- and higher-level goals. Discussion The goal task utilised in the current study may therefore be a valuable goal generation tool for use by clinicians.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"89 - 99"},"PeriodicalIF":1.2,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47175296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-22DOI: 10.1080/17522439.2021.1978530
Ghizlane Moussaoui, C. Rigas, Sophia Escobar, S. Torres-Platas, Saulo Castel, Michelle Yang, Joseph Inhaber, Julia Novielli, Juliana Van Amsterdam, Neeti Sasi, A. Potes, K. Nikolitch, Romeo Penheiro, K. Looper, M. Segal, D. Élie, Alex Kiss, Steven Selchen, Nathan Hermann, Harmehr Sekhon, S. Rej
ABSTRACT Background Mindfulness-based interventions are effective in treating numerous psychiatric symptoms, but data about brief mindfulness-oriented intervention (MOI) use with psychiatric inpatients are limited. We investigated whether a brief MOI was feasible and effective in reducing psychosis and other symptoms in a psychiatric inpatient unit. Methods In an assessor-blinded feasibility randomized-controlled trial, adult psychiatric inpatients were randomized to the intervention or control group. Feasibility outcomes included enrollment rate, retention rate and intervention-completion rate. The quantitative outcome was the impact on symptom reduction (mean and % difference in Brief Psychiatric Rating Scale (BPRS) between baseline and 7-day follow-up scores). Exploratory outcomes included improvement in quality of sleep, mindfulness and quality of life. Qualitative intervention feedback was obtained from therapists and participants. Results Feasibility outcomes were 39.2% participant enrollment, 85% study completion and 81.8% intervention completion. No symptom outcomes significantly differed. There were no significant differences in exploratory outcomes. Interventionists reported system-level barriers in treatment delivery; patients subjectively reported enjoying the intervention. Discussion The MOI is feasible in the inpatient psychiatric setting. There were no significant effects on psychiatric symptoms during the follow-up period, but no adverse effects were reported. Therapeutic effects could be further investigated in longer-term interventions and larger confirmatory RCTs.
{"title":"Brief mindfulness-oriented interventions (MOIs) to improve psychiatric symptoms in a psychiatric inpatient unit: a randomized controlled feasibility trial","authors":"Ghizlane Moussaoui, C. Rigas, Sophia Escobar, S. Torres-Platas, Saulo Castel, Michelle Yang, Joseph Inhaber, Julia Novielli, Juliana Van Amsterdam, Neeti Sasi, A. Potes, K. Nikolitch, Romeo Penheiro, K. Looper, M. Segal, D. Élie, Alex Kiss, Steven Selchen, Nathan Hermann, Harmehr Sekhon, S. Rej","doi":"10.1080/17522439.2021.1978530","DOIUrl":"https://doi.org/10.1080/17522439.2021.1978530","url":null,"abstract":"ABSTRACT Background Mindfulness-based interventions are effective in treating numerous psychiatric symptoms, but data about brief mindfulness-oriented intervention (MOI) use with psychiatric inpatients are limited. We investigated whether a brief MOI was feasible and effective in reducing psychosis and other symptoms in a psychiatric inpatient unit. Methods In an assessor-blinded feasibility randomized-controlled trial, adult psychiatric inpatients were randomized to the intervention or control group. Feasibility outcomes included enrollment rate, retention rate and intervention-completion rate. The quantitative outcome was the impact on symptom reduction (mean and % difference in Brief Psychiatric Rating Scale (BPRS) between baseline and 7-day follow-up scores). Exploratory outcomes included improvement in quality of sleep, mindfulness and quality of life. Qualitative intervention feedback was obtained from therapists and participants. Results Feasibility outcomes were 39.2% participant enrollment, 85% study completion and 81.8% intervention completion. No symptom outcomes significantly differed. There were no significant differences in exploratory outcomes. Interventionists reported system-level barriers in treatment delivery; patients subjectively reported enjoying the intervention. Discussion The MOI is feasible in the inpatient psychiatric setting. There were no significant effects on psychiatric symptoms during the follow-up period, but no adverse effects were reported. Therapeutic effects could be further investigated in longer-term interventions and larger confirmatory RCTs.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"368 - 377"},"PeriodicalIF":1.2,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48517454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-12DOI: 10.1080/17522439.2021.1986123
A. Ghelani, G. Armstrong, Ashley Haywood
ABSTRACT Background Youth in First Episode Psychosis (FEP) programs have high rates of cannabis use and consumption is associated with negative treatment outcomes. Motivations for use in this group are under-studied and investigating reasons for use can aid in the development of engagement strategies. Methods This scoping review uses the framework proposed by Arksey & O’Malley and PRISMA ScR to map the research in this area, synthesize common themes, and identify gaps in knowledge. Eleven studies examining the motivations for cannabis use among youth with FEP met eligibility criteria. Results This group uses cannabis for social reasons, to relax, enhance activities, cope with unpleasant affect, alter perceptions, improve sleep, and manage symptoms. Four studies identified risk perceptions and three distinguished reasons for starting and continued consumption. The effects of consumption on social relationships were under-studied, as were perspectives in jurisdictions where cannabis is legal. Most studies did not report on the racial background of participants and minority groups were underrepresented. Discussion Assessing social dynamics and perceptions toward the link between cannabis and psychosis can enhance interventions with this group. Those using cannabis to manage negative emotions can benefit from development of a broader range of coping skills.
背景:青少年首发精神病(FEP)项目有很高的大麻使用率和消费与负面治疗结果相关。这一群体使用游戏的动机尚未得到充分研究，调查使用游戏的原因有助于开发用户粘性策略。方法使用Arksey & O 'Malley和PRISMA ScR提出的框架来绘制该领域的研究图谱，综合共同主题，并识别知识空白。11项研究调查了患有慢性心力衰竭的青少年使用大麻的动机，符合资格标准。结果:这组人使用大麻是出于社会原因，放松、增强活动、应对不愉快的影响、改变感知、改善睡眠和控制症状。四项研究确定了风险认知和三个不同的开始和继续消费的原因。消费对社会关系的影响以及大麻合法的司法管辖区的观点都没有得到充分的研究。大多数研究没有报告参与者的种族背景，少数群体的代表性不足。评估社会动态和对大麻和精神病之间联系的看法可以加强对这一群体的干预。那些使用大麻来管理负面情绪的人可以从更广泛的应对技能的发展中受益。
{"title":"Motivations for cannabis use in youth with first episode psychosis: a scoping review","authors":"A. Ghelani, G. Armstrong, Ashley Haywood","doi":"10.1080/17522439.2021.1986123","DOIUrl":"https://doi.org/10.1080/17522439.2021.1986123","url":null,"abstract":"ABSTRACT Background Youth in First Episode Psychosis (FEP) programs have high rates of cannabis use and consumption is associated with negative treatment outcomes. Motivations for use in this group are under-studied and investigating reasons for use can aid in the development of engagement strategies. Methods This scoping review uses the framework proposed by Arksey & O’Malley and PRISMA ScR to map the research in this area, synthesize common themes, and identify gaps in knowledge. Eleven studies examining the motivations for cannabis use among youth with FEP met eligibility criteria. Results This group uses cannabis for social reasons, to relax, enhance activities, cope with unpleasant affect, alter perceptions, improve sleep, and manage symptoms. Four studies identified risk perceptions and three distinguished reasons for starting and continued consumption. The effects of consumption on social relationships were under-studied, as were perspectives in jurisdictions where cannabis is legal. Most studies did not report on the racial background of participants and minority groups were underrepresented. Discussion Assessing social dynamics and perceptions toward the link between cannabis and psychosis can enhance interventions with this group. Those using cannabis to manage negative emotions can benefit from development of a broader range of coping skills.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"17 - 27"},"PeriodicalIF":1.2,"publicationDate":"2021-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48265891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1985162
J. O. Johannessen, I. Joa
ABSTRACT In this editorial we try to summarise how we, in 2021, understand mental disorders in general, and psychoses in particular. We have tried to write it in a language that is understandable for our readers, including patients, relatives, students and professionals, without reducing its scientific validity or basis. During the last decade we have gained new insight in these disorders, and most textbooks are outdated and convey an old-fashioned understanding of the causes, the possible courses and the treatments needed for serious mental suffering.
{"title":"Modern understanding of psychosis: from brain disease to stress disorder. And some other important aspects of psychosis…","authors":"J. O. Johannessen, I. Joa","doi":"10.1080/17522439.2021.1985162","DOIUrl":"https://doi.org/10.1080/17522439.2021.1985162","url":null,"abstract":"ABSTRACT In this editorial we try to summarise how we, in 2021, understand mental disorders in general, and psychoses in particular. We have tried to write it in a language that is understandable for our readers, including patients, relatives, students and professionals, without reducing its scientific validity or basis. During the last decade we have gained new insight in these disorders, and most textbooks are outdated and convey an old-fashioned understanding of the causes, the possible courses and the treatments needed for serious mental suffering.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"289 - 301"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46553287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1991991
Natalie Femia
As known, to finish this book, you may not need to get it at once in a day. Doing the activities along the day may make you feel so bored. If you try to force reading, you may prefer to do other entertaining activities. But, one of concepts we want you to have this book is that it will not make you feel bored. Feeling bored when reading will be only unless you don't like the book. my friend the fox really offers what everybody wants.
{"title":"My Friend Fox","authors":"Natalie Femia","doi":"10.1080/17522439.2021.1991991","DOIUrl":"https://doi.org/10.1080/17522439.2021.1991991","url":null,"abstract":"As known, to finish this book, you may not need to get it at once in a day. Doing the activities along the day may make you feel so bored. If you try to force reading, you may prefer to do other entertaining activities. But, one of concepts we want you to have this book is that it will not make you feel bored. Feeling bored when reading will be only unless you don't like the book. my friend the fox really offers what everybody wants.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"379 - 380"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48580740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-02DOI: 10.1080/17522439.2021.1986742
E. Tseris, M. de Pater
{"title":"Open dialogue for psychosis: organizing mental health services to prioritize dialogue, relationship and meaning","authors":"E. Tseris, M. de Pater","doi":"10.1080/17522439.2021.1986742","DOIUrl":"https://doi.org/10.1080/17522439.2021.1986742","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"13 1","pages":"378 - 379"},"PeriodicalIF":1.2,"publicationDate":"2021-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45681712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-01DOI: 10.1080/17522439.2021.1956575
Gordon Kay, M. Slattery, E. Kendall
ABSTRACT Background This multi-site study evaluated facilitator perspectives of a group-based program that brings together the common elements of cognitive behaviour therapy for psychosis (CBTp) with the knowledge and values of the peer led hearing voices networks (HVN). Twenty-two group facilitators were asked to complete a 58-item online survey which measured the usefulness, most important skills, benefits, acceptability and effectiveness of the Coping with Voices program. Methods Aligning with a mixed-methods approach the survey consisted of open and closed-ended questions. The closed-ended questions were analysed using descriptive analysis and open-ended questions were analysed using thematic analysis. Results The majority of facilitators reported the overall normalisation of voices and the use of a range of normalising strategies as the most useful aspects of the program. The most important skills used by facilitators were being understanding, non-judgemental and respectful and creating a safe space to discuss topics. The least important skills used by facilitators were using personal disclosure and motivational interviewing. Facilitators’ comments illustrated a strong interest in using digital technologies in the preparation and delivery of the program. Discussion This study contributes to a growing body of evidence that suggests hearing voices groups are beneficial, feasible and worthwhile.
{"title":"The facilitators’ perspectives of delivering a ‘Coping with Voices’ group (Part 1)","authors":"Gordon Kay, M. Slattery, E. Kendall","doi":"10.1080/17522439.2021.1956575","DOIUrl":"https://doi.org/10.1080/17522439.2021.1956575","url":null,"abstract":"ABSTRACT Background This multi-site study evaluated facilitator perspectives of a group-based program that brings together the common elements of cognitive behaviour therapy for psychosis (CBTp) with the knowledge and values of the peer led hearing voices networks (HVN). Twenty-two group facilitators were asked to complete a 58-item online survey which measured the usefulness, most important skills, benefits, acceptability and effectiveness of the Coping with Voices program. Methods Aligning with a mixed-methods approach the survey consisted of open and closed-ended questions. The closed-ended questions were analysed using descriptive analysis and open-ended questions were analysed using thematic analysis. Results The majority of facilitators reported the overall normalisation of voices and the use of a range of normalising strategies as the most useful aspects of the program. The most important skills used by facilitators were being understanding, non-judgemental and respectful and creating a safe space to discuss topics. The least important skills used by facilitators were using personal disclosure and motivational interviewing. Facilitators’ comments illustrated a strong interest in using digital technologies in the preparation and delivery of the program. Discussion This study contributes to a growing body of evidence that suggests hearing voices groups are beneficial, feasible and worthwhile.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"248 - 258"},"PeriodicalIF":1.2,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45258571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-27DOI: 10.1080/17522439.2021.1957993
Gordon Kay, E. Kendall, M. Slattery, Justin Scott, V. Gore-Jones, F. Dark
ABSTRACT Background This is the second of two papers that investigated the effectiveness of a group-based program known as ‘Coping with Voices’. The first paper reported on the group facilitators experience of delivering the program. This second paper reports the findings from the participants. Method Of the 61 participants that gave informed consent to participate in the study 19 did not attend a group, so this provided a natural quasi-control group. The study compared pre and post primary measures for the 42 participants who attended a group. 29 group attendees also provided qualitative data. Secondary measures were measured longitudinally for all 61 participants. Individuals who participated in the program were compared to those individuals who did not. Results For the 42 voice hearers who attended Coping with Voices, the quantifiable data showed a significant reduction in negative beliefs about voices, voice severity, distress about voices and the perceived power of the voices. Participant feedback was overwhelmingly positive. The secondary measures show a significant reduction in the number of hospital admissions and an improvement in basis life skills for group attendees versus non-attendees at 12 months follow up. Discussion Overall, these findings suggest ‘Coping with Voices’ is feasible, acceptable and worthwhile.
{"title":"Results from a quasi-controlled trial of a “Coping with Voices” group. Part 2","authors":"Gordon Kay, E. Kendall, M. Slattery, Justin Scott, V. Gore-Jones, F. Dark","doi":"10.1080/17522439.2021.1957993","DOIUrl":"https://doi.org/10.1080/17522439.2021.1957993","url":null,"abstract":"ABSTRACT Background This is the second of two papers that investigated the effectiveness of a group-based program known as ‘Coping with Voices’. The first paper reported on the group facilitators experience of delivering the program. This second paper reports the findings from the participants. Method Of the 61 participants that gave informed consent to participate in the study 19 did not attend a group, so this provided a natural quasi-control group. The study compared pre and post primary measures for the 42 participants who attended a group. 29 group attendees also provided qualitative data. Secondary measures were measured longitudinally for all 61 participants. Individuals who participated in the program were compared to those individuals who did not. Results For the 42 voice hearers who attended Coping with Voices, the quantifiable data showed a significant reduction in negative beliefs about voices, voice severity, distress about voices and the perceived power of the voices. Participant feedback was overwhelmingly positive. The secondary measures show a significant reduction in the number of hospital admissions and an improvement in basis life skills for group attendees versus non-attendees at 12 months follow up. Discussion Overall, these findings suggest ‘Coping with Voices’ is feasible, acceptable and worthwhile.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"259 - 269"},"PeriodicalIF":1.2,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41956024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-16DOI: 10.1080/17522439.2021.1957992
Cansu Baygin, L. Sevinçok, Bilge Doğan, Doğa Sevinçok, Y. Şair
ABSTRACT Objective We hypothesized that, if childhood trauma is associated with schizotypal traits, schizotypal traits may mediate the relationship between childhood trauma and the earlier onset of panic disorder (PD). Methods A total of 86 patients (49 females, 37 males), with PD aged between 18 and 65 years, were evaluated using the Panic and Agoraphobia Scale (PAS), the Schizotypal Personality Questionnaire-Brief (SPQ-B), and the Hamilton Anxiety Rating Scale (HARS). Results The mean age was 38.7 ± 12.8 years (range = 19-65 years). Total scores of schizotypal traits (r = -0.41, p<0.001), and childhood trauma (r = -0.31, p = 0.004) were inversely correlated with age at onset of PD. There was a significant correlation between the severity of schizotypal traits and childhood trauma (r = 0.55, p<0.001). After the mediation analysis, the direct effect of childhood trauma on age at onset of PD was no longer significant (Exp(B) = -0.133, p = 0.273). The indirect coefficient for schizotypal traits was consistent with complete mediation (Exp(B) = -0.801, p = 0.001). Discussion We suggest that schizotypal personality traits which are significantly associated with childhood trauma, may influence the onset of PD from early life.
摘要目的我们假设，如果童年创伤与分裂型特征相关，那么分裂型特征可能在童年创伤与早期惊恐障碍(PD)之间起中介作用。方法对86例年龄在18 ~ 65岁的PD患者(女性49例，男性37例)采用惊恐与广场恐怖量表(PAS)、分裂型人格问卷简表(SPQ-B)和汉密尔顿焦虑评定量表(HARS)进行评估。结果患者平均年龄38.7±12.8岁(范围19 ~ 65岁)。分裂型特征总分(r = -0.41, p<0.001)和童年创伤总分(r = -0.31, p = 0.004)与PD发病年龄呈负相关。精神分裂型特征的严重程度与童年创伤有显著相关性(r = 0.55, p<0.001)。经中介分析，童年创伤对PD发病年龄的直接影响不再显著(Exp(B) = -0.133, p = 0.273)。分裂型性状的间接系数与完全中介一致(Exp(B) = -0.801, p = 0.001)。我们认为，与童年创伤显著相关的分裂型人格特征可能从早期生活开始影响PD的发病。
{"title":"The mediation role of schizotypal traits in the relationship between childhood trauma and earlier onset of panic disorder","authors":"Cansu Baygin, L. Sevinçok, Bilge Doğan, Doğa Sevinçok, Y. Şair","doi":"10.1080/17522439.2021.1957992","DOIUrl":"https://doi.org/10.1080/17522439.2021.1957992","url":null,"abstract":"ABSTRACT Objective We hypothesized that, if childhood trauma is associated with schizotypal traits, schizotypal traits may mediate the relationship between childhood trauma and the earlier onset of panic disorder (PD). Methods A total of 86 patients (49 females, 37 males), with PD aged between 18 and 65 years, were evaluated using the Panic and Agoraphobia Scale (PAS), the Schizotypal Personality Questionnaire-Brief (SPQ-B), and the Hamilton Anxiety Rating Scale (HARS). Results The mean age was 38.7 ± 12.8 years (range = 19-65 years). Total scores of schizotypal traits (r = -0.41, p<0.001), and childhood trauma (r = -0.31, p = 0.004) were inversely correlated with age at onset of PD. There was a significant correlation between the severity of schizotypal traits and childhood trauma (r = 0.55, p<0.001). After the mediation analysis, the direct effect of childhood trauma on age at onset of PD was no longer significant (Exp(B) = -0.133, p = 0.273). The indirect coefficient for schizotypal traits was consistent with complete mediation (Exp(B) = -0.801, p = 0.001). Discussion We suggest that schizotypal personality traits which are significantly associated with childhood trauma, may influence the onset of PD from early life.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"333 - 343"},"PeriodicalIF":1.2,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42079238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-10DOI: 10.1080/17522439.2021.1961011
R. Caballero, C. Chaves, Carmen Valiente
ABSTRACT Background Research on severe psychiatric conditions has primarily focused on deficits and symptoms, while there is limited understanding about the underlying factors that contribute to the life satisfaction (LS) of patients who suffer from such conditions. The presence of positive affect has an important role in the LS in the general population. Its presence activates personal resources that facilitate the achievement of their life purposes. However, these associations have not yet been evaluated in people affected by a severe psychiatric condition. Method The main aim of this study was to explore, using structural equation modeling, the role of different hedonic and eudaimonic well-being dimensions as predictors of LS in schizophrenia spectrum disorders. A total of 149 adult participants with schizophrenia spectrum disorders were assessed about their LS, hedonic well-being (i.e., positive affect, openness to the future) and eudaimonic well-being (i.e., social support, self-compassion, and strengths). Results Results indicate that self-compassion, caring and self-control strengths and social support mediate the relationship between hedonic well-being and LS. Discussion These findings help understand the mechanisms involved in LS in this population and shed light on the design of future interventions aimed at promoting a more satisfying life for them.
{"title":"Life satisfaction in people affected by a severe psychiatric condition: a comprehensive model","authors":"R. Caballero, C. Chaves, Carmen Valiente","doi":"10.1080/17522439.2021.1961011","DOIUrl":"https://doi.org/10.1080/17522439.2021.1961011","url":null,"abstract":"ABSTRACT Background Research on severe psychiatric conditions has primarily focused on deficits and symptoms, while there is limited understanding about the underlying factors that contribute to the life satisfaction (LS) of patients who suffer from such conditions. The presence of positive affect has an important role in the LS in the general population. Its presence activates personal resources that facilitate the achievement of their life purposes. However, these associations have not yet been evaluated in people affected by a severe psychiatric condition. Method The main aim of this study was to explore, using structural equation modeling, the role of different hedonic and eudaimonic well-being dimensions as predictors of LS in schizophrenia spectrum disorders. A total of 149 adult participants with schizophrenia spectrum disorders were assessed about their LS, hedonic well-being (i.e., positive affect, openness to the future) and eudaimonic well-being (i.e., social support, self-compassion, and strengths). Results Results indicate that self-compassion, caring and self-control strengths and social support mediate the relationship between hedonic well-being and LS. Discussion These findings help understand the mechanisms involved in LS in this population and shed light on the design of future interventions aimed at promoting a more satisfying life for them.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"77 - 88"},"PeriodicalIF":1.2,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44813911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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