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Neuropsychological Insights into Coping Strategies: Integrating Theory and Practice in Clinical and Therapeutic Contexts 应对策略的神经心理学见解:临床和治疗背景下的理论与实践相结合
Pub Date : 2024-02-04 DOI: 10.3390/psychiatryint5010005
Maria Theodoratou, M. Argyrides
The primary focus of this review is to rigorously explore the application and significance of coping strategies within the domains of clinical psychology and neuropsychology. These consist of a variety of techniques, behaviors, and cognitive interventions, and their critical role in reinforcing resilience and facilitating adaptive responses to stressors has been highlighted. This study explores the complex neuropsychological links between the brain’s stress pathways and the use of coping mechanisms. The neural aspects of stress, and how they can be influenced by adaptive strategies, are detailed, illustrating the profound impact that these coping mechanisms have at a neurobiological level. Delving into the neuropsychological underpinnings, this review will shed light on how stress response pathways in the brain interact with, and can be modulated by, various coping strategies. These mechanisms are particularly salient when addressing the multifaceted challenges that are faced by individuals with neuropsychological or mental health issues. While these strategies span a broad spectrum, from introspection and cognitive reframing to behavioral activation and social support seeking, their integration and application remain diverse within clinical contexts. This review endeavors to elucidate the theoretical underpinnings of these strategies, their empirical support, and their practical implications within therapeutic interventions. Furthermore, the intricate interplay between individualized coping techniques and structured therapeutic methodologies will be examined, emphasizing the potential for a holistic treatment paradigm, thereby enhancing therapeutic outcomes and fostering individual resilience.
本综述的主要重点是严格探讨应对策略在临床心理学和神经心理学领域的应用及其意义。这些策略包括各种技巧、行为和认知干预,它们在加强复原力和促进对压力做出适应性反应方面的重要作用已得到强调。本研究探讨了大脑压力通路与使用应对机制之间复杂的神经心理学联系。研究详细阐述了压力的神经方面以及适应性策略如何对其产生影响,说明了这些应对机制在神经生物学层面的深远影响。本综述将深入探讨神经心理学的基础,揭示大脑中的压力反应途径是如何与各种应对策略相互作用并受其调节的。这些机制在应对神经心理或精神健康问题患者所面临的多方面挑战时尤为突出。虽然这些策略的范围很广,从内省和认知重塑到行为激活和寻求社会支持,但它们在临床环境中的整合和应用仍然多种多样。本综述旨在阐明这些策略的理论基础、经验支持及其在治疗干预中的实际意义。此外,还将研究个性化应对技巧与结构化治疗方法之间错综复杂的相互作用,强调整体治疗范式的潜力,从而提高治疗效果并培养个体的复原力。
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引用次数: 0
Neuropsychological Insights into Coping Strategies: Integrating Theory and Practice in Clinical and Therapeutic Contexts 应对策略的神经心理学见解:临床和治疗背景下的理论与实践相结合
Pub Date : 2024-02-04 DOI: 10.3390/psychiatryint5010005
Maria Theodoratou, M. Argyrides
The primary focus of this review is to rigorously explore the application and significance of coping strategies within the domains of clinical psychology and neuropsychology. These consist of a variety of techniques, behaviors, and cognitive interventions, and their critical role in reinforcing resilience and facilitating adaptive responses to stressors has been highlighted. This study explores the complex neuropsychological links between the brain’s stress pathways and the use of coping mechanisms. The neural aspects of stress, and how they can be influenced by adaptive strategies, are detailed, illustrating the profound impact that these coping mechanisms have at a neurobiological level. Delving into the neuropsychological underpinnings, this review will shed light on how stress response pathways in the brain interact with, and can be modulated by, various coping strategies. These mechanisms are particularly salient when addressing the multifaceted challenges that are faced by individuals with neuropsychological or mental health issues. While these strategies span a broad spectrum, from introspection and cognitive reframing to behavioral activation and social support seeking, their integration and application remain diverse within clinical contexts. This review endeavors to elucidate the theoretical underpinnings of these strategies, their empirical support, and their practical implications within therapeutic interventions. Furthermore, the intricate interplay between individualized coping techniques and structured therapeutic methodologies will be examined, emphasizing the potential for a holistic treatment paradigm, thereby enhancing therapeutic outcomes and fostering individual resilience.
本综述的主要重点是严格探讨应对策略在临床心理学和神经心理学领域的应用及其意义。这些策略包括各种技巧、行为和认知干预,它们在加强复原力和促进对压力做出适应性反应方面的重要作用已得到强调。本研究探讨了大脑压力通路与使用应对机制之间复杂的神经心理学联系。研究详细阐述了压力的神经方面以及适应性策略如何对其产生影响,说明了这些应对机制在神经生物学层面的深远影响。本综述将深入探讨神经心理学的基础,揭示大脑中的压力反应途径是如何与各种应对策略相互作用并受其调节的。这些机制在应对神经心理或精神健康问题患者所面临的多方面挑战时尤为突出。虽然这些策略的范围很广,从内省和认知重塑到行为激活和寻求社会支持,但它们在临床环境中的整合和应用仍然多种多样。本综述旨在阐明这些策略的理论基础、经验支持及其在治疗干预中的实际意义。此外,还将研究个性化应对技巧与结构化治疗方法之间错综复杂的相互作用,强调整体治疗范式的潜力,从而提高治疗效果并培养个体的复原力。
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引用次数: 0
Exploring the Link between Mindful Eating, Instagram Engagement, and Eating Disorders: A Focus on Orthorexia Nervosa 探索正念进食、Instagram 参与和进食障碍之间的联系:关注神经性厌食症
Pub Date : 2024-01-05 DOI: 10.3390/psychiatryint5010003
Efstratios Christodoulou, Verra Markopoulou, A. Koutelidakis
Mindful eating is an increasingly popular dietary practice that may mediate the symptomatology of eating disorders. Orthorexia nervosa is a recently proposed eating disorder characterized by excessive concern for body image, healthy eating, and calorie control. The purpose of this study is to investigate the relationship between mindful eating, Instagram engagement, and eating disorders, with a focus on orthorexia nervosa. This cross-sectional study involving 407 adults explored the interplay between mindful eating, psychological distress, and eating disorders, notably orthorexia nervosa and their association with Instagram use. The data extraction and analysis were conducted employing SPSS v28 and R-Statistics. Utilizing Mindful Eating Scale (MES-16), Eating Disorder Examination Questionnaire Short (EDE-QS), Orthorexia Nervosa Questionnaire-Revised (ORTO-R), and Depression Anxiety Stress Scale (DASS-21) validated scales, alongside inquiries into Instagram usage, significant correlations emerged. MES-16 demonstrated a robust negative association with both EDE-QS (r = −0.501, p < 0.001) and ORTO-R (r = −0.519, p < 0.001), while EDE-QS and ORTO-R showed significant correlations with depression, anxiety, and stress (p < 0.001). Variations in ORTO-R mean scores were notably distinct across different mindful eating adherence categories (p < 0.001), emphasizing the negative relationship between mindful eating and orthorexia nervosa. Additionally, participants with extensive daily Instagram use displayed significantly higher ORTO-R scores compared to minimal users (p < 0.05). These findings suggest a negative link between mindful eating with eating disorders and orthorexia nervosa, highlighting mindful eating’s potential role in reducing orthorexia nervosa tendencies. Furthermore, Instagram use seems associated with psychological distress and elevated orthorexia nervosa levels.
有意识地进食是一种越来越流行的饮食习惯,它可能会对进食障碍的症状起到调节作用。神经性厌食症是最近提出的一种饮食失调症,其特点是过度关注身体形象、健康饮食和卡路里控制。本研究旨在调查正念进食、Instagram 参与和饮食失调之间的关系,重点关注神经性厌食症。这项横断面研究涉及 407 名成年人,探讨了正念进食、心理困扰和饮食失调(尤其是神经性厌食症)之间的相互作用及其与 Instagram 使用的关联。研究采用 SPSS v28 和 R-Statistics 进行数据提取和分析。利用正念进食量表(MES-16)、进食障碍检查问卷简表(EDE-QS)、神经性厌食症问卷修订版(ORTO-R)和抑郁焦虑压力量表(DASS-21)验证量表,以及对Instagram使用情况的调查,发现了显著的相关性。MES-16与EDE-QS(r = -0.501,p < 0.001)和ORTO-R(r = -0.519,p < 0.001)呈显著负相关,而EDE-QS和ORTO-R与抑郁、焦虑和压力呈显著相关(p < 0.001)。在不同的正念进食坚持类别中,ORTO-R 平均得分的变化明显不同(p < 0.001),强调了正念进食与神经性厌食症之间的负相关。此外,与极少使用 Instagram 的参与者相比,每天大量使用 Instagram 的参与者的 ORTO-R 得分明显更高(p < 0.05)。这些发现表明,正念进食与饮食失调和神经性厌食症之间存在负相关,突出了正念进食在减少神经性厌食症倾向方面的潜在作用。此外,Instagram 的使用似乎与心理困扰和神经性厌食症水平升高有关。
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引用次数: 0
The Dark and Comforting Side of Night Eating: Women’s Experiences of Trauma 夜食的阴暗面和舒适面:妇女的创伤经历
Pub Date : 2024-01-03 DOI: 10.3390/psychiatryint5010002
Y. Latzer,, Revital Edelstein-Elkayam, Osnat Rabin, Sigal Alon, Miri Givon, O. Tzischinsky
Objectives: Night eating syndrome (NES) is classified as a delay of food intake, reflected by consuming large amounts after the evening meal or ingesting food after sleep onset (DSM-5). This article aims to describe NES experience, awareness, narratives, and behavior from the perspectives of patients with NES in light of their history of traumatic life events. Method: Semi-structured interviews based on the phenomenological approach were conducted with 18 women (aged 19–60) diagnosed with NES. Results: The analysis raised two themes: 1. References to NES as an experience that represents the darker sides of patients’ behaviors and involves helplessness, contempt, self-loathing, and a loss of control. Patients also related to difficult memories concerning sexual, physical, and emotional abuse. 2. References to the comforting side of NES patients’ behaviors that involves soothing, regulating, emotional disconnecting, and a sense of calm, control, and the ability to function. Conclusion: Findings present the relationship between traumatic life events, dissociation, and EDs. Clinically, they highlight the importance of an early assessment and a traumatic life history and suggest giving special treatment attention to the role of dissociation and night eating as regulatory mechanisms in the therapeutic process and alliance.
目的:夜食综合征(NES)被归类为食物摄入延迟,表现为晚饭后摄入大量食物或睡眠开始后摄入食物(DSM-5)。本文旨在从 NES 患者的角度,结合他们的创伤性生活事件史,描述他们的 NES 经历、意识、叙述和行为。研究方法根据现象学方法对 18 名被诊断为 NES 的女性(19-60 岁)进行了半结构式访谈。结果:分析提出了两个主题:1:分析提出了两个主题:1.NES 是一种代表患者行为阴暗面的经历,涉及无助、蔑视、自责和失控。患者还提到了有关性虐待、身体虐待和情感虐待的艰难回忆。2.2. 提及 NES 患者行为中令人欣慰的一面,包括舒缓、调节、情感分离,以及平静感、控制感和发挥作用的能力。结论研究结果表明了创伤性生活事件、解离和 ED 之间的关系。在临床上,它们强调了早期评估和创伤性生活史的重要性,并建议在治疗过程和联盟中特别关注解离和夜食作为调节机制的作用。
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引用次数: 0
Mental Health Biobanks—A Systematic Review on the Prevalence, Creation, and Implementation of Mental Health Biobanks Globally 心理健康生物库--关于全球心理健康生物库的普及、创建和实施情况的系统性综述
Pub Date : 2023-12-28 DOI: 10.3390/psychiatryint5010001
Nitika S. Govind, Kerri M. Gillespie, G. Branjerdporn
Biobanks are collections of human biological materials (biospecimens) alongside personal health information that are stored for scientific research. There is a wide range of evidence to show that biomarkers can be linked to psychiatric illnesses. Identification of such biomarkers facilitates clinical diagnosis, early intervention, and compressive treatment. The aim of this systematic review was to analyze the methodology of global biobanks focusing on mental illnesses. Six databases were systematically searched. A total of 1363 abstracts were screened, and 21 full texts were assessed for eligibility. The quality of the literature was appraised. Of the six papers included, there were few mental health-specific biobanks globally, with the majority being in European and American countries. Most research was conducted examining depression with scant research on self-harm, personality disorders, and post-traumatic stress disorder (PTSD). Blood was the most common biological sample collected, and less common samples were hair and saliva. Mental health-specific biobanks support the understanding of biological etiologies of psychiatric diseases. There are gaps in research on certain mental illnesses such as personality disorders and PTSD. More research is required in lower–middle income countries. Despite scientific progress to identify biochemical markers of mental disorders, further research is needed to aid diagnosis and management within this discipline.
生物库是为科学研究而收集、储存的人类生物材料(生物样本)和个人健康信息。大量证据表明,生物标志物可与精神疾病联系起来。识别这些生物标记物有助于临床诊断、早期干预和抑制性治疗。本系统性综述旨在分析以精神疾病为重点的全球生物库的方法。我们系统地检索了六个数据库。共筛选出 1363 篇摘要,并对 21 篇全文进行了资格评估。对文献质量进行了评估。在收录的六篇论文中,全球范围内专门针对精神健康的生物库很少,大多数位于欧美国家。大多数研究都是针对抑郁症的,对自残、人格障碍和创伤后应激障碍(PTSD)的研究很少。血液是最常见的生物样本,较少见的样本是头发和唾液。针对精神健康的生物样本库有助于了解精神疾病的生物学病因。对某些精神疾病(如人格障碍和创伤后应激障碍)的研究还存在空白。中低收入国家需要开展更多的研究。尽管在确定精神障碍的生化标志物方面取得了科学进步,但仍需进一步研究,以帮助该学科的诊断和管理。
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引用次数: 0
Adolescents’ Experiences of Close Relatives Having Physical Illness, Mental Illness, Addiction/Gambling Disorders, or Death Are Associated with Poor Mental Health and Non-Suicidal Self-Injury 青少年近亲患有身体疾病、精神疾病、吸毒/赌博障碍或死亡的经历与心理健康状况不佳和非自杀性自伤有关
Pub Date : 2023-11-15 DOI: 10.3390/psychiatryint4040034
Y. Tindberg, Sanna Tiikkaja
Adolescents’ lives are negatively influenced by experiences of close relatives having severe health conditions. This study aimed to investigate the associations between adolescents’ experiences of close relatives with severe health conditions (RSHCs) and poor mental health and non-suicidal self-injury (NSSI). Cross-sectional population-based data on 15–18-year-olds (n = 3483) in Sörmland, Sweden, were used to analyse the associations between RSHC experiences, such as physical illness, mental illness, addiction/gambling disorders, or death, and poor mental health and NSSI. Logistic regression models (odds ratios) were generated for having one or multiple types of RSHC experiences in different combinations, adjusting for background factors and protective factors for mental health, and stratifying by gender. Adolescents reporting multiple types of RSHC experiences had significantly increased odds ratios for poor mental health (1.74–3.07) or NSSI (1.83–3.02) compared with peers without such experiences. Adjustments for mental health protective factors attenuated the associations with poor mental health or NSSI. These associations remained significant among girls with multiple types of RSHC experiences, while boys’ vulnerabilities included having a relative who had died or had an addiction/gambling disorder. In conclusion, adolescents with RSHC experiences are at increased risk of poor mental health and NSSI. This vulnerability is most pronounced among girls with multiple RSHC experiences and especially for NSSI.
青少年的生活受到近亲患有严重疾病的负面影响。本研究旨在调查青少年与患有严重疾病的近亲(RSHCs)的经历与不良心理健康和非自杀性自伤(NSSI)之间的关联。研究使用了瑞典索姆兰省 15-18 岁青少年(n = 3483)的横断面人口数据,分析了身体疾病、精神疾病、成瘾/赌博障碍或死亡等 RSHC 经历与心理健康状况不佳和 NSSI 之间的关联。在对背景因素和心理健康保护因素进行调整并按性别进行分层的基础上,针对一种或多种类型的 RSHC 经历的不同组合生成了逻辑回归模型(几率比)。与没有此类经历的青少年相比,报告了多种类型 RSHC 经历的青少年心理健康状况不佳(1.74-3.07)或 NSSI(1.83-3.02)的几率比明显增加。对心理健康保护因素进行调整后,心理健康状况不佳或 NSSI 的相关性有所减弱。在有多种 RSHC 经历的女孩中,这些关联仍然显著,而男孩的脆弱性包括有亲属死亡或有成瘾/赌博障碍。总之,有 RSHC 经历的青少年心理健康状况不佳和 NSSI 的风险更高。这种脆弱性在有多次 RSHC 经历的女孩中最为明显,尤其是在 NSSI 方面。
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Psychiatry International
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