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Exploring intersections and integration of sexual reproductive health and mental health among adolescents and young adults: Areas of collaboration and lessons learned. 探索青少年和青壮年的性生殖健康和心理健康的交叉点和整合:合作领域和经验教训。
IF 1 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1521/bumc.2023.87.2.105
Allyssa Abacan, Meghna Raphael

This special issue of the Bulletin of the Menninger Clinic addresses mental health issues in the field of sexual and reproductive health. The goal is to highlight important overlaps between reproductive and gender health concerns and mental health symptomatology. The issue includes topics around social determinants of health and their effects on reproductive health; the reproductive health sequelae of eating disorders; mental health challenges faced by gender diverse youth and strategies to mitigate these effects; integration of sexual health services and mental health care; and lessons for mental health advocates from the sex education realm. This special issue features areas of intersectoral collaboration among public health, medical, and mental health professionals to positively impact patients' holistic wellness.

《门宁格诊所公报》的这一期特刊论述了性健康和生殖健康领域的心理健康问题。其目标是强调生殖和性别健康问题与精神健康症状之间的重要重叠。该问题包括围绕健康的社会决定因素及其对生殖健康的影响的主题;饮食失调对生殖健康的影响;性别多样化青年面临的心理健康挑战和减轻这些影响的战略;整合性健康服务和精神保健;以及性教育领域对心理健康倡导者的启示。本期特刊介绍了公共卫生、医疗和精神卫生专业人员之间的部门间合作领域,以积极影响患者的整体健康。
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引用次数: 0
Disgust as a transdiagnostic index of mental illness: A narrative review of clinical populations. 恶心作为精神疾病的跨诊断指标:对临床人群的叙述性综述。
IF 1 4区 医学 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1521/bumc.2023.87.suppA.53
Laura Culicetto, Francesca Ferraioli, Chiara Lucifora, Alessandra Falzone, Gabriella Martino, Giuseppe Craparo, Alessio Avenanti, Carmelo Mario Vicario

Disgust is a basic emotion of rejection, providing an ancestral defensive mechanism against illness. Based on research that documents altered experiences of disgust across several psychopathological conditions, we conducted a narrative review to address the hypothesis that altered disgust may serve as a transdiagnostic index of mental illness. Our synthesis of the literature from past decades suggests that, compared to healthy populations, patients with mental disorders exhibit abnormal processing of disgust in at least one of the analyzed dimensions. We also outline evidence of alterations in brain areas relevant to disgust processing, such as the insula and the interconnected limbic network. Overall, we provide preliminary support for the hypothesis that altered disgust processing may serve as a transdiagnostic index of mental illness.

厌恶是一种基本的拒绝情绪,提供了一种祖先对疾病的防御机制。基于记录几种精神病理学条件下厌恶体验改变的研究,我们进行了一项叙述性综述,以解决厌恶改变可能作为精神疾病的跨诊断指标的假设。我们对过去几十年文献的综合表明,与健康人群相比,精神障碍患者在至少一个分析维度上表现出异常的厌恶处理。我们还概述了与厌恶处理相关的大脑区域改变的证据,如脑岛和相互连接的边缘网络。总的来说,我们为厌恶处理的改变可能作为精神疾病的跨诊断指标的假设提供了初步支持。
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引用次数: 1
Report from the field: A model of behavioral health integration with pediatric providers. 来自该领域的报告:与儿科提供者的行为健康整合模型。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.1521/bumc.2022.86.2.124
Victoria A Bryant, Ashok P. Yerramsetti, Christina A Jack, Lauren Havel, L. Williams
Children with mental health needs are currently not able to access adequate resources. This report from the field describes the ongoing implementation of an integrated behavioral health model in the state of Texas. The Child Psychiatry Access Network (CPAN) leverages primary care providers (PCPs) in the treatment and management of childhood psychiatric disorders. Data are reported as of November 2021 from consultations placed by PCPs over the preceding 17 months. During that time period, following consultation with the CPAN team, over 90% of PCPs were comfortable delivering the recommended mental health care directly to their patients. This suggests that CPAN is a feasible integrated behavioral health approach to address the shortage of child and adolescent psychiatrists.
有心理健康需求的儿童目前无法获得足够的资源。这份来自该领域的报告描述了德克萨斯州正在实施的综合行为健康模型。儿童精神病学接入网络(CPAN)利用初级保健提供者(PCP)治疗和管理儿童精神障碍。截至2021年11月,数据来自PCT在过去17个月进行的磋商。在此期间,在与CPAN团队协商后,超过90%的PCP能够放心地直接为患者提供推荐的心理健康护理。这表明CPAN是一种可行的综合行为健康方法,可以解决儿童和青少年精神科医生短缺的问题。
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引用次数: 0
An examination of obsessive-compulsive symptom domains, depression, and quality of life within an online survey sample. 在线调查样本中强迫症症状域、抑郁和生活质量的检查。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.1521/bumc.2022.86.2.133
Morgan E. Browning, Andrew G. Guzick, Ryan J Mccarty, Danielle L Cooke, Shanee Toledano, B. Olsen, M. A. Barthle, B. Bailey, Andrea D Guastello, Lacie M. Lazaroe, J. Mcnamara
Obsessive-compulsive disorder (OCD) is a heterogeneous and highly impairing disorder that is frequently comorbid with other conditions. Participants in this study were 212 individuals recruited through Mechanical Turk who filled out validated measures of obsessive-compulsive symptoms, quality of life (QoL), generalized anxiety, and depressive symptoms. Analyses examined the influences of each symptom variable on QoL and the mediating role of depression as an indirect link between unacceptable thoughts (UT) and QoL. Depressive symptoms had a significant negative relationship with multiple domains of functioning. Generalized anxiety was not significant. Higher endorsement of UT symptoms was related to lower physical, emotional, and social QoL. Depression partially mediated the relationship between UT symptoms and physical, emotional, and social health. Depressive symptoms are important to consider in clinical work surrounding OCD. The significant associations between UT symptoms and QoL in a nonclinical population illustrate a relevant area for future intervention, public awareness, and education.
强迫症(OCD)是一种异质性和高度损害的疾病,经常与其他疾病合并症。本研究的参与者是通过Mechanical Turk招募的212个人,他们填写了强迫症症状、生活质量(QoL)、广泛性焦虑和抑郁症状的有效测量。分析检查了每个症状变量对生活质量的影响,以及抑郁作为不可接受思想(UT)与生活质量之间的间接联系的中介作用。抑郁症状与多个功能领域呈显著负相关。广泛性焦虑不显著。对UT症状的高认可与较低的身体、情绪和社会生活质量有关。抑郁症部分介导了UT症状与身体、情绪和社会健康之间的关系。在围绕强迫症的临床工作中,抑郁症状是重要的考虑因素。在非临床人群中,UT症状与生活质量之间的显著关联说明了未来干预、公众意识和教育的相关领域。
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引用次数: 1
Persistent suicidal ideation in a large intensive outpatient adolescent population sample: A preliminary report on the role of sleep disturbance. 在一个大的密集门诊青少年人口样本持续自杀意念:睡眠障碍的作用的初步报告。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.1521/bumc.2022.86.2.113
Afsoon Gazor, W. D. Brown, S. Naqvi, Beth D. Kennard, Sunita M Stewart
Sleep disturbance is a unique, yet understudied, risk factor for suicidal thoughts and behaviors (STBs). The present study sought to explore the relationship between suicidal ideation (SI) and self-reported sleep disturbance in a sample of adolescents in an intensive outpatient program targeting suicidality (N = 691). Analyses conducted include paired samples t tests, multiple linear regression, and analysis of variance to examine group differences in sleep disturbance over time. Sleep disturbance and SI were associated at each timepoint, and sleep disturbance at admission predicted SI at discharge. Those with the most severe SI at discharge indicated increased sleep disturbance relative to admission, whereas those reporting no SI at discharge nearly resolved all sleep difficulties. Future studies should utilize objective sleep measures, longitudinal assessments, and include a more diverse sample to better inform the relationship of sleep and SI. These findings suggest that directly managing sleep disturbance during treatment could decrease the risk of STBs.
睡眠障碍是自杀想法和行为(STB)的一个独特但研究不足的风险因素。本研究旨在探讨自杀意念(SI)与青少年自我报告的睡眠障碍之间的关系,这些青少年参加了针对自杀的强化门诊项目(N=691)。进行的分析包括配对样本t检验、多元线性回归和方差分析,以检验睡眠障碍随时间变化的群体差异。睡眠障碍和SI在每个时间点都是相关的,入院时的睡眠障碍预测出院时的SI。出院时SI最严重的患者表示,与入院相比,睡眠障碍增加,而出院时没有SI的患者几乎解决了所有睡眠困难。未来的研究应该利用客观的睡眠测量、纵向评估,并包括更多样化的样本,以更好地了解睡眠和SI的关系。这些发现表明,在治疗期间直接管理睡眠障碍可以降低STBs的风险。
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引用次数: 0
The prevalence and severity of misophonia in the Turkish population and validation of the Amsterdam Misophonia Scale-Revised. 恐音症在土耳其人群中的患病率和严重程度以及阿姆斯特丹恐音症量表的验证-修订。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-06-01 DOI: 10.1521/bumc.2022.86.2.159
S. Cakiroglu, S. Cosgun, V. Gormez
The Amsterdam Misophonia Scale-Revised (AMISOS-R) is a self-report scale that measures the presence and severity of symptoms experienced in response to specific auditory stimuli. This cross-sectional, descriptive study aims to evaluate psychometric properties of the AMISOS-R in the Turkish language and to examine psychosocial factors associated with misophonia. A total of 374 individuals (female/male: 154/220) between 15 and 45 years of age were included in the study. Confirmatory factor analysis showed that the fit indices were at a good level, and they supported the single-factor structure. Test-retest results and Cronbach's alpha coefficient showed that the scale had high reliability. Misophonia scores were also found to be moderately correlated with obsessive-compulsive disorder and neuroticism. The AMISOS-R was found to be a valid and reliable tool to evaluate misophonia in the Turkish language.
阿姆斯特丹恐音症量表修订版(AMISOS-R)是一种自我报告量表,用于测量对特定听觉刺激的反应所经历的症状的存在和严重程度。本横断面描述性研究旨在评估土耳其语中AMISOS-R的心理测量特性,并检查与恐音症相关的社会心理因素。共有374名年龄在15至45岁之间的个体(女/男:154/220)被纳入研究。验证性因子分析表明,各指标的拟合程度较好,支持单因素结构。重测结果和Cronbach’s alpha系数表明,量表具有较高的信度。恐音症得分也被发现与强迫症和神经质有一定的相关性。AMISOS-R是评估土耳其语恐音症的有效和可靠的工具。
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引用次数: 3
Digital training in the wake of a pandemic: Using technology to train health care professionals in the identification of human trafficking victims. 疫情后的数字培训:利用技术培训卫生保健专业人员识别人口贩运受害者。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.suppA.18
Temilola K. Salami, G. Boland, Cayla Hari, Irene Hegarty, Kimberly A Williams
Human trafficking training is crucial for victim identification and appropriate service provision in health care settings. Over the past decade, the health care profession has made significant strides in the education and training of health professionals. However, access to quality training is still varied, and a unified education program has not been established. At best, educational programs are uneven in their goals and standards. Further complicating matters, amid the COVID-19 pandemic and social distancing regulations, in-person training has been less optimal. To provide all health care professionals with much-needed education on human trafficking identification and service provision, the authors recommend that human trafficking trainings incorporate online platforms and provide justification from the literature for this recommendation. The authors contend that virtual training programs provide easy access and provide a convenient platform for health care professionals to broaden their knowledge and awareness of the unique demands and challenges that trafficked persons encounter.
人口贩运培训对于识别受害者和在医疗保健环境中提供适当服务至关重要。在过去十年中,卫生保健专业人员在卫生专业人员的教育和培训方面取得了重大进展。然而,获得高质量培训的机会仍然多种多样,而且尚未制定统一的教育方案。充其量,教育项目的目标和标准参差不齐。更为复杂的是,在新冠肺炎大流行和社交距离规定的情况下,住院人员培训并不理想。为了向所有卫生保健专业人员提供急需的关于人口贩运识别和服务提供的教育,作者建议将人口贩运培训纳入在线平台,并从文献中为这一建议提供理由。作者认为,虚拟培训计划提供了方便的途径,并为医疗保健专业人员提供了一个方便的平台,以扩大他们对被贩运者遇到的独特需求和挑战的知识和认识。
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引用次数: 1
Factors associated with response to simple behavioral intervention in primary enuresis nocturna. 原发性夜尿症简单行为干预反应的相关因素。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.1.67
Armagan Aral, M. Usta, Ayse Erguner Aral
This 8-week longitudinal study examined predictors of response to simple behavioral intervention in primary enuresis nocturna (PEN). A total of 154 children, aged 8-18 years, diagnosed with PEN were evaluated. The results indicated that lack of constipation, milder enuresis severity, and higher bladder capacity are the primary predictors of good treatment response, and lower family dysfunction is the most robust familial predictor. Lack of constipation is the main predictor with unique variance in multiple regression. Specialists should be aware of conditions that hinder the success of simple behavioral intervention before implementing costly treatments. In treatment-refractory cases, it is important to examine each child for constipation. Family-centered approaches can be helpful if used in parallel with behavioral treatments.
这项为期8周的纵向研究考察了单纯行为干预对原发性夜尿症(PEN)反应的预测因素。对154名8-18岁确诊为PEN的儿童进行评估。结果表明,没有便秘、较轻的遗尿严重程度和较高的膀胱容量是良好治疗反应的主要预测因素,而较低的家庭功能障碍是最可靠的家族预测因素。不便秘是主要的预测因素,在多元回归中具有独特的方差。在实施昂贵的治疗之前,专家应该意识到阻碍简单行为干预成功的条件。在治疗难治性病例中,检查每个孩子是否便秘是很重要的。以家庭为中心的方法如果与行为治疗同时使用,可能会有所帮助。
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引用次数: 0
Nomophobia and relationships with latent classes of solitude. 无客恐惧症与潜在孤独等级的关系。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.1.1
Xurong Lu, Tour Liu, Xiaorui Liu, Haibo Yang, J. Elhai
Recently, nomophobia (separation anxiety from mobile phone) has become a common phenomenon. The authors' main purpose was to explore latent classes of solitude behaviors and how they are related to nomophobia. Chinese versions of the Nomophobia Scale and the Solitude Behaviour Scale were used in a sample of college students (351 female and 327 male). Latent class analysis, analysis of variance, and regression analysis were employed to classify solitude behaviors and explore the relationship between solitude and nomophobia. A six-class model best fit the data (BIC = 60086.49). Significant differences among the classes were found on nomophobia. Loneliness, social avoidance, and eccentricity significantly predicted nomophobia. Solitude behaviors of college students can be divided into six latent classes. The classes with a high response preference for solitude scored higher on nomophobia, especially the fear of losing an Internet connection. Not self-determined solitude and negative-solitude had a positive effect on nomophobia.
最近,诺模恐惧症(与手机分离的焦虑)已经成为一种普遍现象。作者的主要目的是探索潜在的孤独行为类别,以及它们与诺模恐惧症的关系。使用中文版的“无恐惧症量表”和“孤独行为量表”对大学生(351名女性和327名男性)进行抽样调查。采用隐类分析、方差分析和回归分析对孤独行为进行分类,探讨孤独与无恐惧症的关系。六类模型最符合数据(BIC=60086.49)。在诺模恐惧症方面,各类之间存在显著差异。孤独、社交回避和怪癖显著预测了诺模恐惧症。大学生的孤独行为可分为六类。对孤独反应偏好较高的班级在无恐惧症方面得分更高,尤其是对失去互联网连接的恐惧。非自主孤独和消极孤独对诺模恐惧症有积极影响。
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引用次数: 3
An integrated approach to providing care for people who have been trafficked. 为被贩运者提供照顾的综合办法。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.suppA.34
R. Robitz, Jacqueline Tasarz, Ron Chambers
People who have been trafficked often have complex medical and psychiatric needs. Integrated care is a treatment approach that may be used to improve the care of this population. The authors describe the integrated care model and how it may be applied to this population. They also describe some of the benefits and challenges of using an integrated care model with this population.
被贩运的人往往有复杂的医疗和精神需求。综合护理是一种治疗方法,可用于改善这一人群的护理。作者描述了综合护理模式以及如何将其应用于这一人群。他们还描述了对这一人群使用综合护理模式的一些好处和挑战。
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引用次数: 0
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Bulletin of the Menninger Clinic
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