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Screen Time Exposure and the Development of Internalizing and Externalizing Problems in a Sample of Romanian Urban Highschoolers 屏幕时间与罗马尼亚城市高中生内化和外化问题的发展
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/536
E. Sârbu, Mihai-Bogdan Iovu, Florin Lazăr, Cosmin Ghețău
During the last years we have noticed an increase in screen time for adolescents while questions about its effects on the development of psychological and social problems are starting to be addressed. We hypothesized that increased screen time is associated with heightened display of internalizing and externalizing symptoms. We investigated this association on a sample of 2497 highschoolers recruited from one big city in southern Romania. They filled in a series of items focusing on screen time average exposure, display of depression and anxiety symptoms, involvement in aggressive and delinquent behavior, and family context. The linear regression model showed that, after controlling for individual and family variables, more screen time exposure is associated to heighten depression and anxiety symptoms and more involvement into aggressive behavior. These findings contribute to the research in this new area of interest and may inform the development of prevention and supportive programs for adolescents and their families by adding evidence for clarifying the relationship.
在过去的几年里,我们注意到青少年使用屏幕的时间越来越多,而关于屏幕对心理和社会问题发展的影响的问题也开始得到解决。我们假设,屏幕时间的增加与内化和外化症状的增加有关。我们从罗马尼亚南部的一个大城市招募了 2497 名高中生,对这种关联进行了调查。他们填写了一系列项目,主要涉及平均接触屏幕时间、抑郁和焦虑症状表现、参与攻击和犯罪行为以及家庭环境。线性回归模型显示,在控制了个人和家庭变量后,接触屏幕时间越多,抑郁和焦虑症状越严重,参与攻击性行为越多。这些研究结果为这一新领域的研究做出了贡献,并可为青少年及其家庭制定预防和支持计划提供信息,为澄清两者之间的关系提供证据。
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引用次数: 0
The Role of Psychiatrists Corporeal Damage Assessment for Financial Compensation After Physical Injury in France 精神科医生在法国人身伤害后经济补偿中的作用 人身伤害评估
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/544
Yannick Louis Martin
In recent years, there has been growing recognition of the significant impact of psychological and emotional injuries on the lives of individuals who have experienced physical trauma. The importance of psychiatric involvement in determining the extent of mental trauma and its impact on an individual's life will be highlighted, as well as the challenges faced by psychiatrists in making such assessments. Corporal damage assessment is a critical component of the process of financial compensation for individuals who have experienced physical injuries. In France, this process is governed by a complex legal framework that includes the Civil Code, the Social Security Code, and the Code of Criminal Procedure. These laws and regulations outline the various types of financial compensation that may be awarded to victims of physical injury, including medical expenses, loss of income, and compensation for pain and suffering. Given the increasing awareness of the importance of mental health, the role of psychiatrists in corporal damage assessment has become more significant. These mental health professionals are tasked with assessing psychological and emotional injuries, determining the extent of mental trauma, and evaluating the impact of physical injury on an individual's mental health. The challenges include distinguishing between pre-existing and injury-related mental health issues, overcoming the subjective nature of psychological assessment, and balancing patient advocacy with impartiality. Finally, this presentation will provide a series of case studies that illustrate the impact of psychiatrist involvement in financial compensation cases. These case studies will highlight examples of successful psychiatric assessments, as well as lessons learned from these cases. In conclusion, the presentation will emphasize the importance of the psychiatrist's role in corporal damage assessment and explore potential improvements and future directions for this field (Daligand, 1992).
近年来,越来越多的人认识到心理和情感伤害对经历过身体创伤的人的生活有着重大影响。本报告将强调精神科参与确定精神创伤程度及其对个人生活影响的重要性,以及精神科医生在进行此类评估时所面临的挑战。 肉体伤害评估是对遭受肉体伤害的个人进行经济赔偿的重要组成部分。在法国,这一过程受复杂的法律框架管辖,其中包括《民法》、《社会保障法》和《刑事诉讼法》。这些法律法规概述了身体伤害受害者可获得的各类经济赔偿,包括医疗费用、收入损失以及疼痛和痛苦赔偿。 由于人们越来越意识到心理健康的重要性,精神科医生在体损评估中的作用也变得更加重要。这些心理健康专业人员的任务是评估心理和情感伤害,确定精神创伤的程度,以及评估身体伤害对个人心理健康的影响。所面临的挑战包括区分原有的心理健康问题和与受伤有关的心理健康问题,克服心理评估的主观性,以及平衡患者权益与公正性。 最后,本讲座将提供一系列案例研究,说明精神科医生参与经济赔偿案件的影响。这些案例研究将重点介绍成功的精神评估案例,以及从这些案例中吸取的经验教训。最后,本讲座将强调精神科医生在体罚损害评估中的重要作用,并探讨该领域的潜在改进措施和未来发展方向(Daligand,1992)。
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引用次数: 0
Psycho-emotional Problems Of Young Mothers During The Pandemic 大流行病期间年轻母亲的心理情感问题
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/543
Maria Stefania Manolache
Given the curtailment of social interactions and social bans due to the COVID 19 pandemic, this article highlights the needs that a young mother had during this time. Based on the results of my research during the pandemic, the consequences of social isolation and changes in the lives of new mothers can have serious psycho-emotional consequences, affecting their cognitive and socio-emotional development in the long term. Most of all, during this period, young mothers needed to be seen, listened to, understood, helped. They needed to feel that they are not going through this situation alone, that they are with parents, friends, other mothers like them, who face the same problems, who face the same fears, anxieties, worries, who have the same needs in this period. The research carried out by me between January and March 2022 consists of discussions with 75 young mothers whom I asked to tell me what they felt and what difficulties they felt during this period of the pandemic and her new status, that of mother. This revealed that their predominant moods were – fear, worry, sadness, Indifference from friends, loneliness and confidence.
鉴于 COVID 19 大流行导致的社会交往减少和社会禁令,本文强调了年轻母亲在此期间的需求。根据我在大流行期间的研究结果,社会隔离的后果和新妈妈生活的变化会产生严重的心理情感后果,长期影响她们的认知和社会情感发展。最重要的是,在此期间,年轻母亲需要被看到、被倾听、被理解、被帮助。她们需要感受到,她们并不是一个人在经历这种情况,她们与父母、朋友、其他像她们一样的母亲在一起,她们面临着同样的问题,同样的恐惧、焦虑、担忧,在这一时期有着同样的需求。我在 2022 年 1 月至 3 月期间进行的研究包括与 75 位年轻母亲的讨论,我请她们告诉我在大流行病和她的新身份--母亲--期间她们的感受和困难。结果显示,她们的主要情绪是--恐惧、担心、悲伤、朋友冷漠、孤独和自信。
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引用次数: 0
Addiction Patient’s Relationship to Self and Predictions on the Estimated Hospitalization Duration 成瘾患者与自我的关系以及对预计住院时间的预测
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/540
Alina-Maria Lescai, Mihaela Anghele, Alexia Anastasia Baltă, Aurelian Dumitrache Anghele, L. Dragomir, Bogdan Ciubara
Addictions are physical and/or psychological dependency disorders characterized by repetitive and compulsive behaviours in which the individual has difficulty controlling impulses. In this study, behaviours are defined as chronic alcohol or substance use. Thus, compulsions will generate negative consequences on a person's quality of life. Among the causes of addiction are genetic and biological factors, environmental factors, trauma, abuse, lack of emotional support, stress, social pressures, poor coping mechanisms, social and cultural factors. Material and method In this study, part of a larger study, 81 patients diagnosed with toxic-nutritional liver cirrhosis, chronic alcohol users, aged between 32 and 68 years were included. The study period was of two years, and anamnestic data (number of hospitalization days, hospitalization frequency) were collected for the period 2015-2022. In order to carry out the linear research, SPSS statistical software was used. Patients, after obtaining consent, were administered a psychological questionnaire designed to assess unconditional self-acceptance, based on the hypothesis that low self-tolerance generates self-destructive behaviours, i.e. addictions.   Results The necessary statistical steps were followed in order to check the database and it was possible to obtain correlations between the number of hospitalization days, the hospitalization frequency and the scores obtained in the questionnaire. Finally, it was possible to generate a simple linear regression prediction with the number of hospitalisation days /inpatient frequency as the dependent variable and the test score as the independent variable. The results showed that as unconditional self-acceptance decreases (decreasing score), the hospitalization duration or the number of patient presentations to the doctor increases. Conclusions Unconditional self-acceptance, environmental tolerance, coping mechanisms have a major impact on the patient's well-being and compliance with treatment. Psychosomatic disorders accompany the addiction patient to a much greater extent than the diagnosis made by clinicians. This demonstrates the need for a diagnostic tool, the lack of collaboration with the psychiatrist, ultimately generating costs on the health system and reducing the quality of the patient’s life. In order to optimise the diagnosis, a tool within the clinician's reach (internal medicine doctor, gastroenterologist, etc.) and a real collaboration with the psychiatrist or clinical psychologist is necessary.
成瘾是一种生理和/或心理依赖性疾病,其特点是重复性和强迫性行为,患者难以控制自己的冲动。在本研究中,行为被定义为长期使用酒精或药物。因此,强迫行为会对人的生活质量产生负面影响。成瘾的原因包括遗传和生物因素、环境因素、创伤、虐待、缺乏情感支持、压力、社会压力、应对机制不完善、社会和文化因素。材料和方法 本研究是一项大型研究的一部分,纳入了 81 名被诊断为中毒性营养性肝硬化的患者,他们长期饮酒,年龄在 32 岁至 68 岁之间。研究为期两年,收集了 2015-2022 年期间的国内数据(住院天数、住院频率)。为了进行线性研究,使用了 SPSS 统计软件。在征得同意后,对患者进行了心理问卷调查,目的是评估无条件的自我接纳,其假设是低自我容忍度会产生自毁行为,即成瘾。 结果 对数据库进行了必要的统计核对,得出了住院天数、住院频率和问卷得分之间的相关性。最后,以住院天数/住院频率为因变量,以测试得分为自变量,进行了简单的线性回归预测。结果表明,随着无条件自我接纳程度的降低(得分减少),住院天数或患者就诊次数会增加。结论 无条件自我接纳、环境容忍度、应对机制对患者的幸福感和治疗依从性有重大影响。与临床医生的诊断相比,心身疾病在更大程度上伴随着吸毒成瘾患者。这表明需要一种诊断工具,但缺乏与精神科医生的合作,最终会给医疗系统带来成本,降低患者的生活质量。为了优化诊断,有必要在临床医生(内科医生、消化科医生等)的能力范围内提供一种工具,并与精神科医生或临床心理学家开展真正的合作。
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引用次数: 0
Dentophobia in Children During the Covid-19 Pandemic 科威德-19 大流行期间儿童的牙科恐惧症
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/567
D. Stan, D. Voicu, Magda Antohe, Monica Boev, I. Chiscop, Ovidiu Mihai Stefanescu, L. Burlea
Dentophobia is a significant problem in oral health management. In the conditions of the COVID-19 pandemic, with the associated sanitary measures (quarantine, social distancing) at national level, the fear and dental anxiety are supposedly increased, especially in children. Pediatric patients are emotionally affected when they faced with the need for emergency dental intervention. The current study seeks to assess the emotional state of children aged 8-12, who needed dental care during quarantine, at the regional level, as well as the degree of anxiety of their parents. Dental anxiety was assessed independently by the dentist, parents and children themselves. If in children, the level of dental anxiety increased insignificantly, compared to the pre-pandemic period, the levels of parental anxiety were higher. The boys in the pandemic group had a higher level of anxiety, especially in the parental assessment. The results suggest that the reorganization of oral care in the pandemic scenario did not have a major effect on children's dental anxiety. However, the results of the assessment in boys show that they may be more vulnerable and need special care to alleviate their anxiety and reduce their risk of dentophobia in the future. These conclusions should be treated with caution, given the small sample size, which requires further confirmation. It is also important to convince parents of the safety of a visit to the dentist during a pandemic, to minimize their anxiety about their children's dental fears.
恐牙症是口腔健康管理中的一个重要问题。在 COVID-19 大流行的情况下,由于在全国范围内采取了相关的卫生措施(隔离、社会隔离),恐惧和牙科焦虑理应增加,尤其是在儿童中。儿科患者在需要紧急牙科治疗时,情绪会受到影响。本研究旨在从地区层面评估在隔离期间需要牙科治疗的 8-12 岁儿童的情绪状态及其父母的焦虑程度。牙科焦虑由牙医、家长和儿童自己独立评估。如果说与大流行前相比,儿童的牙科焦虑程度没有明显增加,那么家长的焦虑程度则更高。大流行组中的男孩焦虑程度更高,尤其是在家长的评估中。结果表明,大流行情况下口腔护理的重组对儿童的牙科焦虑并无重大影响。然而,对男孩的评估结果表明,他们可能更容易受到影响,需要特殊照顾以减轻他们的焦虑,降低他们将来患牙科恐惧症的风险。由于样本量较小,这些结论需要进一步确认,因此应谨慎对待。同样重要的是,要让家长相信在大流行病期间看牙医是安全的,以尽量减少他们对孩子牙科恐惧的焦虑。
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引用次数: 0
Etiological Factors and Parental Coping in Congenital Heart Malformations 先天性心脏畸形的病因和父母的应对措施
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/547
Ș. Moisa, L. Butnariu, C. Rîpă, R. Cobzaru, Laura Trandafir
The etiology of congenital heart malformations is still insufficiently known. Many genetic mutations exert their action through various mechanisms on neural crest signaling, acting on neural cell migration and altering bulboconal region formation or resorbtion. Some studies evaluate the role of punctual or noncoding mutations, while others highlight the teratogen effect of retinoic acid or ethanol, or discuss the role of maternal diabetes or pregnancy rubella. The etiology of congenital heart malformations is complex and multifactorial and requires further studies. The impact on the family of a child with a congenital heart malformation is significant and various coping mechanisms are employed by parents to address the issue.
先天性心脏畸形的病因尚不十分清楚。许多基因突变通过各种机制对神经嵴信号转导、神经细胞迁移、球冠区形成或吸收产生作用。一些研究评估了点状突变或非编码突变的作用,另一些研究则强调了维甲酸或乙醇的致畸作用,或讨论了母体糖尿病或妊娠风疹的作用。先天性心脏畸形的病因复杂且多因素,需要进一步研究。先天性心脏畸形患儿对家庭的影响是巨大的,家长会采用各种应对机制来解决这一问题。
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引用次数: 0
Optimism As A Resource And Form Of Manifesting Positive Affectiveness In The Elderly And Young Adults Pre-Pandemic Vs Pandemic – Comparative Study 大流行前与大流行后老年人和年轻人的乐观情绪作为积极情感的一种资源和表现形式--比较研究
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/549
L. Moroianu, Cecilia Curis, Marius Moroianu, Cristina Stefanescu, Anamaria Ciubara
The present study represents a meta-analysis carried out using the term optimism as a form of manifestation of positive affectivity from a double perspective, namely: reporting to two periods, pre-pandemic and pandemic and to two age categories, young adults and old people. Two types of psychological intervention factors were analyzed in the mentioned categories, in the pre-pandemic period, namely, a period of financial stability vs pre-pandemic financial instability, respectively, the spectrum of the pandemic generating anxiety, illness and death as markers of emotional balance. The meta-analysis indirectly quantified the interest in scientific research regarding optimism as a psychological resource, through the number of published articles related to this psychological variable. Material and method: The study is a comparative and cross-sectional meta-analysis of articles published in the PubMed database during 2008-2011, 2016-2019 and 2020-2023. Data processing was carried out using the Microsoft Excel application. Results: The comparative analysis between young people and the elderly ones regarding the studies published in the period 2008-2011 with the psychological variable "optimism" in their study shows a 15.65 times higher number of studies in terms of articles about seniors. Also, the comparative analysis of the number of studies published in the period 2008-2023 for the two age categories is clearly in favor of the elderly, the ratio being 1 to 12.8. It is possible that this fact is due to the greater addressability of the health systems of the elderly. The comparative analysis led to the conclusion that optimism as a form of manifestation of positive affectivity was studied more frequently in the third age patients being considered an important resource for them due to its attenuation with advancing age and by diminishing personal resources as a consequence of cognitive impairment and emotional lability. In young people, optimism is a psychological component present in a greater proportion and constitutes the premises of ecological emotional and cognitive manifestations. Conclusions: The meta-analysis revealed differences regarding research interest related to optimism as a manifestation of positive affectivity in relation to the periods studied and to the mentioned age categories. In relation to optimism per se, it represents an important resource at any age and it is dependent on a series of factors that are related to the period of life but also to the situational context, without discussing the personality type of the individual and a series of co-factors (transgenerational, educational, cultural, geographical, etc.).    
本研究从双重角度对乐观主义这一积极情绪的表现形式进行了荟萃分析,即:对大流行前和大流行这两个时期以及青壮年和老年人这两个年龄段进行报告。对上述类别中的两类心理干预因素进行了分析,分别是大流行前时期,即财务稳定时期与大流行前财务不稳定时期,以及大流行产生焦虑、疾病和死亡作为情绪平衡标志的时期。荟萃分析通过与乐观这一心理变量相关的已发表文章数量,间接量化了科学研究对乐观这一心理资源的兴趣。材料和方法本研究对2008-2011年、2016-2019年和2020-2023年期间发表在PubMed数据库中的文章进行了横截面比较荟萃分析。数据处理使用 Microsoft Excel 应用程序。研究结果通过对2008-2011年期间发表的以 "乐观 "这一心理变量为研究对象的年轻人和老年人的研究进行比较分析,发现关于老年人的研究文章数量是年轻人的15.65倍。此外,对 2008-2023 年期间发表的两个年龄段的研究数量进行的比较分析也明显有利于老年人,两者的比例为 1 比 12.8。这可能是由于老年人的保健系统更容易处理。比较分析得出的结论是,乐观作为一种积极情绪的表现形式,在第三个年龄段的病人中被更多地研究,并被认为是他们的一种重要资源,因为随着年龄的增长,以及由于认知障碍和情绪不稳定导致的个人资源减少,乐观会逐渐减弱。在年轻人中,乐观是一种心理成分,其比例更高,是生态情感和认知表现的前提。结论荟萃分析表明,乐观作为积极情绪的一种表现形式,其研究兴趣与所研究的时期和所提及的年龄段存在差异。就乐观主义本身而言,它在任何年龄段都是一种重要的资源,它取决于与生活时期相关的一系列因素,也取决于环境背景,但不讨论个人的人格类型和一系列共同因素(跨代、教育、文化、地理等)。
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引用次数: 0
The Integration of Psychological Intervention in the Multimodal Treatment of Patients with Prostate Cancer and Erectile Dysfunction 将心理干预纳入前列腺癌和勃起功能障碍患者的多模式治疗中
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/564
Elena Gabriela Vâlcu, D. Firescu, G. Constantin, Gabriela Rahnea-Nita, Roxana-Andreea Rahnea-Niţă, C. Șerban, L. Rebegea
Male sexual dysfunction refers to a lack of attraction and a lack of normal sexual performance. The most common sexual dysfunction in men is erectile dysfunction. Erectile dysfunction is the inability to achieve an erection or to sustain satisfactory sexual intercourse. Sexual dysfunction is associated with oncological treatment, having a significant impact on the quality of life. Sexuality is a frantic sense of awakening to life, it is excitement and a lot of energy, it gives the feeling of invincibility, it is the opposite of death. For many cancer patients, getting an erection is a negative problematic experience, combined with feelings of hopelessness, depression, accompanied by loss of self-esteem. Taking into account the medical aspect, the present paper highlights the interpersonal psychological aspect with reference to the cognitive-behavioural model. The present analysis describes the problem of sexual dysfunction and illustrates a panorama of therapeutic models to plan an effective intervention. This study aims to perform a review of the evidence on the role of cognitive-behavioural psychotherapy in addressing erectile dysfunction problems in prostate cancer patients. An extensive bibliographic search of online database and relevant manuscripts was followed.
男性性功能障碍是指缺乏吸引力和缺乏正常的性能力。男性最常见的性功能障碍是勃起功能障碍。勃起功能障碍是指无法勃起或无法维持满意的性交。性功能障碍与肿瘤治疗有关,对生活质量有很大影响。性是一种生命觉醒的疯狂感觉,它令人兴奋,充满活力,给人以不可战胜的感觉,是死亡的反面。对许多癌症患者来说,勃起是一种负面的问题体验,伴随着绝望、抑郁和自尊的丧失。考虑到医学方面的因素,本文参照认知行为模式,强调人际心理方面的因素。本分析报告描述了性功能障碍问题,并展示了各种治疗模式的全景,以便制定有效的干预计划。本研究旨在对认知行为心理疗法在解决前列腺癌患者勃起功能障碍问题中的作用进行证据综述。研究人员对在线数据库和相关手稿进行了广泛的文献检索。
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引用次数: 0
The “Written Frisbee”: The Art of Performing Care at a Distance 书面飞盘":远距离护理的艺术
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/555
Bogdan Pavlovici
Pandemic and other conditions makes difficult to take care of suffering persons in the usual way (therapy, consultations, accompaniment…). So, the “written Frisbee” approach, invented through a cooperation between Doctor Lucien Kokh and me, offer new possibilities to work at a distance. In this article, one can find some succinct theory about the “written Frisbee” concept, and a clinical illustration, between many others described in my book: “le Frisbee écrit: l’art de prendre soin à distance” (“The written: The Art of Performing Care at a Distance”).
大流行病和其他情况使得人们难以用通常的方式(治疗、咨询、陪伴......)照顾受苦受难的人。因此,我和卢西恩-科赫(Lucien Kokh)医生合作发明的 "书面飞盘 "方法为远程工作提供了新的可能性。在这篇文章中,我们可以找到关于 "书面飞盘 "概念的一些简明理论,以及我在书中描述的许多其他方法中的一个临床实例:"书面飞盘:远程护理的艺术")一书中所描述的许多其他概念之间的临床例证。
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引用次数: 0
Addiction Patient’s Relationship to Self and Predictions on the Estimated Hospitalization Duration 成瘾患者与自我的关系以及对预计住院时间的预测
Pub Date : 2024-02-06 DOI: 10.18662/brain/15.1/540
Alina-Maria Lescai, Mihaela Anghele, Alexia Anastasia Baltă, Aurelian Dumitrache Anghele, L. Dragomir, Bogdan Ciubara
Addictions are physical and/or psychological dependency disorders characterized by repetitive and compulsive behaviours in which the individual has difficulty controlling impulses. In this study, behaviours are defined as chronic alcohol or substance use. Thus, compulsions will generate negative consequences on a person's quality of life. Among the causes of addiction are genetic and biological factors, environmental factors, trauma, abuse, lack of emotional support, stress, social pressures, poor coping mechanisms, social and cultural factors. Material and method In this study, part of a larger study, 81 patients diagnosed with toxic-nutritional liver cirrhosis, chronic alcohol users, aged between 32 and 68 years were included. The study period was of two years, and anamnestic data (number of hospitalization days, hospitalization frequency) were collected for the period 2015-2022. In order to carry out the linear research, SPSS statistical software was used. Patients, after obtaining consent, were administered a psychological questionnaire designed to assess unconditional self-acceptance, based on the hypothesis that low self-tolerance generates self-destructive behaviours, i.e. addictions.   Results The necessary statistical steps were followed in order to check the database and it was possible to obtain correlations between the number of hospitalization days, the hospitalization frequency and the scores obtained in the questionnaire. Finally, it was possible to generate a simple linear regression prediction with the number of hospitalisation days /inpatient frequency as the dependent variable and the test score as the independent variable. The results showed that as unconditional self-acceptance decreases (decreasing score), the hospitalization duration or the number of patient presentations to the doctor increases. Conclusions Unconditional self-acceptance, environmental tolerance, coping mechanisms have a major impact on the patient's well-being and compliance with treatment. Psychosomatic disorders accompany the addiction patient to a much greater extent than the diagnosis made by clinicians. This demonstrates the need for a diagnostic tool, the lack of collaboration with the psychiatrist, ultimately generating costs on the health system and reducing the quality of the patient’s life. In order to optimise the diagnosis, a tool within the clinician's reach (internal medicine doctor, gastroenterologist, etc.) and a real collaboration with the psychiatrist or clinical psychologist is necessary.
成瘾是一种生理和/或心理依赖性疾病,其特点是重复性和强迫性行为,患者难以控制自己的冲动。在本研究中,行为被定义为长期使用酒精或药物。因此,强迫行为会对人的生活质量产生负面影响。成瘾的原因包括遗传和生物因素、环境因素、创伤、虐待、缺乏情感支持、压力、社会压力、应对机制不完善、社会和文化因素。材料和方法 本研究是一项大型研究的一部分,纳入了 81 名被诊断为中毒性营养性肝硬化的患者,他们长期饮酒,年龄在 32 岁至 68 岁之间。研究为期两年,收集了 2015-2022 年期间的国内数据(住院天数、住院频率)。为了进行线性研究,使用了 SPSS 统计软件。在征得同意后,对患者进行了心理问卷调查,目的是评估无条件的自我接纳,其假设是低自我容忍度会产生自毁行为,即成瘾。 结果 对数据库进行了必要的统计核对,得出了住院天数、住院频率和问卷得分之间的相关性。最后,以住院天数/住院频率为因变量,以测试得分为自变量,进行了简单的线性回归预测。结果表明,随着无条件自我接纳程度的降低(得分减少),住院天数或患者就诊次数会增加。结论 无条件自我接纳、环境容忍度、应对机制对患者的幸福感和治疗依从性有重大影响。与临床医生的诊断相比,心身疾病在更大程度上伴随着吸毒成瘾患者。这表明需要一种诊断工具,但缺乏与精神科医生的合作,最终会给医疗系统带来成本,降低患者的生活质量。为了优化诊断,有必要在临床医生(内科医生、消化科医生等)的能力范围内提供一种工具,并与精神科医生或临床心理学家开展真正的合作。
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引用次数: 0
期刊
BRAIN. Broad Research in Artificial Intelligence and Neuroscience
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