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The Practical Handbook of Hearing Voices 《听觉实用手册》
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-12-10 DOI: 10.1080/17522439.2021.2006764
Natalie Femia
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引用次数: 1
The effects of a specialized staff training on trauma-sensitivity in professionals working with patients with a psychotic disorder: A pilot study 专业人员对精神障碍患者创伤敏感性培训的效果:一项试点研究
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-12-05 DOI: 10.1080/17522439.2021.1994635
M. Visser, N. Boonstra, P. de Bont, B. M. van der Vleugel, D. V. D. van den Berg
ABSTRACT Background Studies show that the trauma-sensitivity of professionals working with patients with psychosis is insufficient. As a result, trauma-related problems remain undetected and untreated, which may impede recovery in this group. This study explored the effects of a specialised staff training on six trauma-sensitivity factors (i.e. knowledge, credibility, expected burden, harm expectancy, diagnostic competency and organizational support), self-reported trauma-sensitive behaviour and objective indicators of trauma-sensitive behaviour in medical files. Method Professionals (N = 56) rated the six trauma-sensitivity factors and their own trauma-sensitive behaviour at pre-training, post-training and at 6- and 12-months follow-up. Changes in indicators of trauma-sensitive behaviours were assessed by a review of medical files (N = 97). Results The specialized training increased knowledge, crediblity and experienced diagnostic compentence. The training decreased burden and harm expectancies, and enhanced self-reported trauma-sensitive behaviour. However, this positive change could not be objectified by indicators of trauma-sensitive behaviour in medical files. Discussion These findings support the notion that specialised training has a positive effect on increasing trauma-sensitivity and decreasing burden and harm expectancies, but not necessarily on observable trauma-sensitive behaviour. In addition to training staff, structural implementation and organisational support are argued to be essential to attain actual behaviour change.
背景研究表明,与精神病患者一起工作的专业人员的创伤敏感性不足。因此,与创伤有关的问题仍未被发现和治疗,这可能会阻碍这一群体的康复。本研究探讨了专业人员培训对医疗档案中六个创伤敏感因素(即知识、可信度、预期负担、预期伤害、诊断能力和组织支持)、自我报告的创伤敏感行为和创伤敏感行为客观指标的影响。方法对56名专业人员在训练前、训练后、6个月和12个月随访时对6项创伤敏感因素和自身创伤敏感行为进行评分。通过对医疗档案的回顾评估创伤敏感行为指标的变化(N = 97)。结果专业培训提高了知识水平、可信度和经验诊断能力。训练降低了负担和伤害预期,增强了自我报告的创伤敏感行为。然而,这种积极的变化不能通过医疗档案中创伤敏感行为的指标客观化。这些发现支持了这样一种观点,即专业培训对增加创伤敏感性和减少负担和伤害预期有积极作用,但不一定对可观察到的创伤敏感性行为有积极作用。除了培训工作人员外,结构性实施和组织支持被认为是实现实际行为改变的必要条件。
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引用次数: 1
A behaviour sequence analysis of goal generation processes in a psychosis rehabilitation sample 一个精神病康复样本目标产生过程的行为序列分析
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-11-26 DOI: 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.
摘要背景有人认为,目标是有层次的,最高层次的目标代表基本价值观和动机。这些抽象目标被称为具有一系列子目标,这些子目标代表了实现更高层次目标的手段。虽然许多研究在精神病的背景下探索了目标,但对精神病患者具体的目标生成过程知之甚少。方法采用行为序列分析方法,本研究的目的是评估目标任务用于精神病患者的可行性。共有73名接受英国康复服务的成年人完成了一项旨在引发更高层次目标的目标任务。结果结果表明,目标任务可能是支持精神病患者产生较低和较高目标的可行工具。讨论因此,当前研究中使用的目标任务可能是临床医生使用的有价值的目标生成工具。
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引用次数: 0
Brief mindfulness-oriented interventions (MOIs) to improve psychiatric symptoms in a psychiatric inpatient unit: a randomized controlled feasibility trial 以正念为导向的短期干预措施(MOI)改善精神病住院患者的精神症状:一项随机对照可行性试验
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-11-22 DOI: 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.
摘要背景基于正念的干预措施在治疗许多精神症状方面是有效的,但关于精神病住院患者使用短暂正念导向干预(MOI)的数据有限。我们调查了在精神病住院单元中,简短的MOI在减少精神病和其他症状方面是否可行和有效。方法在评估者盲法可行性随机对照试验中,成年精神病住院患者被随机分为干预组或对照组。可行性结果包括入组率、保留率和干预完成率。定量结果是对症状减轻的影响(基线和7天随访评分之间的简明精神病评定量表(BPRS)的平均值和%差异)。探索性结果包括睡眠质量、正念和生活质量的改善。从治疗师和参与者那里获得了定性干预反馈。结果可行性结果为39.2%的参与者参与,85%的研究完成,81.8%的干预完成。无明显差异的症状结果。在探索结果上没有显著差异。干预专家报告说,在提供治疗方面存在系统层面的障碍;患者主观上表示喜欢干预。讨论MOI在住院精神科环境中是可行的。在随访期间,对精神症状没有显著影响,但没有不良反应报告。治疗效果可以在长期干预和更大规模的验证性随机对照试验中进一步研究。
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引用次数: 1
Motivations for cannabis use in youth with first episode psychosis: a scoping review 首次发作精神病青年使用大麻的动机:一项范围界定综述
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-11-12 DOI: 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。
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引用次数: 2
Modern understanding of psychosis: from brain disease to stress disorder. And some other important aspects of psychosis… 对精神病的现代认识:从脑部疾病到应激障碍。以及精神病的其他一些重要方面……
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-10-02 DOI: 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.
在这篇社论中,我们试图总结我们如何在2021年理解一般的精神障碍,特别是精神病。我们试图用一种读者,包括病人、亲属、学生和专业人士都能理解的语言来写它,同时又不降低它的科学有效性或基础。在过去的十年里,我们对这些疾病有了新的认识,而大多数教科书都过时了,对严重精神痛苦的原因、可能的病程和治疗方法的理解都过时了。
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引用次数: 3
My Friend Fox 我的朋友福克斯
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-10-02 DOI: 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.
众所周知,要读完这本书,你可能不需要一天一次读完。一天中做这些活动可能会让你感到无聊。如果你试图强迫阅读,你可能更喜欢做其他有趣的活动。但是,我们希望你拥有这本书的一个概念是,它不会让你感到无聊。除非你不喜欢这本书,否则读书时会感到无聊。我的朋友狐狸真的提供了每个人想要的东西。
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引用次数: 0
Open dialogue for psychosis: organizing mental health services to prioritize dialogue, relationship and meaning 精神病开放对话:组织心理健康服务,优先考虑对话、关系和意义
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-10-02 DOI: 10.1080/17522439.2021.1986742
E. Tseris, M. de Pater
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引用次数: 5
The facilitators’ perspectives of delivering a ‘Coping with Voices’ group (Part 1) 提供“应对声音”小组的引导者视角(第1部分)
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-09-01 DOI: 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.
背景:本多地点研究评估了一个基于群体的项目的引导者视角,该项目将精神病认知行为治疗(CBTp)的共同要素与同伴主导的听声网络(HVN)的知识和价值观结合在一起。22名小组协调员被要求完成一项包含58个项目的在线调查,以衡量“应对声音”项目的有用性、最重要的技能、好处、可接受性和有效性。方法采用开放式和封闭式问卷调查相结合的方法。封闭式问题采用描述性分析,开放式问题采用专题分析。结果大多数辅导员报告说,声音的整体正常化和一系列正常化策略的使用是该计划最有用的方面。主持人使用的最重要的技能是理解、不评判和尊重,并创造一个安全的空间来讨论话题。引导者使用的最不重要的技巧是使用个人披露和动机性访谈。主持人的评论表明,他们对在计划的准备和实施中使用数字技术有浓厚的兴趣。这项研究提供了越来越多的证据,表明听声小组是有益的、可行的和值得的。
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引用次数: 1
Results from a quasi-controlled trial of a “Coping with Voices” group. Part 2 "应对声音"小组的准对照试验结果。第2部分
IF 1.2 4区 医学 Q3 Medicine Pub Date : 2021-08-27 DOI: 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.
摘要背景这是两篇论文中的第二篇,研究了一项名为“应对声音”的小组项目的有效性。第一篇论文报告了小组主持人执行该项目的经验。第二篇论文报告了参与者的研究结果。方法在61名知情同意参与研究的参与者中,19人没有参加一个小组,因此这提供了一个自然的准对照组。这项研究比较了参加一个小组的42名参与者在小学前和小学后的测量结果。29名与会者还提供了定性数据。对所有61名参与者进行了纵向测量。将参加该项目的个人与没有参加的个人进行比较。结果在参加《应对声音》的42名听力者中,可量化的数据显示,他们对声音的负面信念、声音的严重程度、对声音的痛苦和对声音力量的感知显著降低。参与者的反馈绝大多数都是积极的。次要指标显示,在12个月的随访中,团体参与者与非参与者相比,住院人数显著减少,基本生活技能有所提高。讨论总体而言,这些发现表明“应对声音”是可行的、可接受的和值得的。
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引用次数: 2
期刊
Psychosis-Psychological Social and Integrative Approaches
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