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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
The impact of COVID-19 on the treatment of obsessive-compulsive disorder. 新冠肺炎疫情对强迫症治疗的影响
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.1.35
Amanda D. Palo, Johann M. D’Souza
The COVID-19 pandemic has led to challenges in providing cognitive-behavioral therapy for patients with obsessive-compulsive disorder (OCD). Despite the presence of the pandemic and the risk of contracting illness, therapists can continue to utilize exposure with response prevention (ERP), which is the gold standard psychotherapy treatment for OCD. Therapists can ethically implement ERP by focusing on core treatment tenets while incorporating guidelines recommended by the Centers for Disease Control and Prevention to mitigate risk for COVID-19 exposure. The pandemic has also provided an opportunity to more widely implement ERP through virtual telehealth appointments, which have notable benefits as well as some drawbacks.
新冠肺炎大流行给强迫症患者提供认知行为治疗带来了挑战。尽管存在流行病和感染疾病的风险,治疗师仍然可以继续使用暴露与反应预防(ERP),这是强迫症心理治疗的黄金标准。治疗师可以通过关注核心治疗原则,同时结合疾病控制和预防中心推荐的指导方针,以降低COVID-19暴露的风险,从而合乎道德地实施ERP。大流行也为通过虚拟远程医疗预约更广泛地实施ERP提供了机会,这种方式有明显的好处,也有一些缺点。
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引用次数: 0
Grit predicts less severe hoarding symptoms among patients seeking treatment at an anxiety disorders clinic. Grit预测,在焦虑症诊所寻求治疗的患者中,囤积症状不那么严重。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.1.20
Jedidiah Siev, Maya Darst-Campbell, Ivy C Rouder, V. Schlaudt
Grit is associated with positive outcomes in nonclinical samples. However, no studies have examined grit in relation to psychopathology in patients with clinical mood or anxiety disorders. Research and clinical experience suggest that individuals who hoard struggle with characteristics associated with grit, such as task persistence, impulsivity, and self-control. The authors tested the hypothesis that hoarding symptoms are associated with less grit in a sample of individuals (N = 72) presenting for treatment to an anxiety disorders clinic. After covarying symptoms of the four mood and anxiety disorders most commonly comorbid with hoarding disorder (viz. depression, generalized anxiety, social anxiety, and obsessive-compulsive disorder), the authors found that hoarding symptoms were associated with less grit, and the effects were medium-to-large. These results indicate that grit is worthy of investigation in individuals with hoarding disorder using methodologies that permit inferences about causality, and with attention to clinical implications for prevention or treatment.
在非临床样本中,砂砾与阳性结果相关。然而,没有研究检测临床情绪或焦虑障碍患者的勇气与精神病理学的关系。研究和临床经验表明,囤积食物的人会与与毅力相关的特征作斗争,如任务持久性、冲动性和自制力。作者在一个前往焦虑症诊所接受治疗的样本(N=72)中检验了囤积症状与勇气减少有关的假设。在将最常见的四种情绪和焦虑障碍(即抑郁、广泛性焦虑、社交焦虑和强迫症)的症状合并后,作者发现囤积症状与勇气不足有关,其影响是中等到较大的。这些结果表明,使用能够推断因果关系的方法,并注意预防或治疗的临床意义,对囤积症患者的毅力值得研究。
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引用次数: 2
The Persian version of the Youth Psychopathic Traits Inventory-Short Version (YPI-S): A psychometric evaluation. 波斯语版青年精神病特征量表-短版(YPI-S):一种心理测量评估。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.1.48
A. Ebrahimi, Mojtaba Elhami Athar, Mehdi Bakhshizadeh, F. Lavasani, H. Andershed
Studies on the psychopathy construct are mostly limited to Western cultures, and there is a lack of research in this area in non-Western countries, specifically in Iran. The present study aimed to examine the factor structure, internal consistency, and convergent validity of the Persian version of the Youth Psychopathic Traits Inventory-Short Version (YPI-S) with a sample of 668 school-attending adolescents in Iran (46% girls; Mage = 16.35). Confirmatory factor analysis supported the proposed three-factor model. While the internal consistency of some YPI-S scores was unsatisfactory, the YPI-S scores showed the expected relations with external correlates (e.g., aggression, hyperactivity), supporting the validity of YPI-S scores. The authors' results supported the YPI-S for assessing psychopathic traits in Iranian adolescents. The modification of the YPI-S factor structure, the low factor loadings of some YPI-S items, and the inadequate internal consistency of some YPI-S dimensions indicate cultural influences on the assessment of cross-cultural traits.
关于精神病态结构的研究大多局限于西方文化,在非西方国家,特别是伊朗,这方面的研究缺乏。本研究旨在以伊朗668名在校青少年为样本,检验波斯语版《青少年精神病特征短版》(YPI-S)的因素结构、内部一致性和收敛效度。法师= 16.35)。验证性因子分析支持提出的三因素模型。虽然部分YPI-S评分的内部一致性不理想,但YPI-S评分与外部相关因素(如攻击性、多动)表现出预期的关系,支持了YPI-S评分的有效性。作者的结果支持YPI-S用于评估伊朗青少年的精神病特征。YPI-S因子结构的改变、部分项目因子负载量低、部分维度内部一致性不足,表明文化对跨文化特质的评估存在影响。
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引用次数: 8
Integrating trauma-informed care into clinical practice with trafficked persons. 将创伤知情护理纳入被贩运者的临床实践。
IF 1 4区 医学 Q2 Medicine Pub Date : 2022-03-01 DOI: 10.1521/bumc.2022.86.suppA.44
A. Lanehurst, Mollie R. Gordon, J. Coverdale, C. White, Phuong Nguyen
Trauma-informed care (TIC) as practiced within anti-human trafficking work is still in its early stages, and there is a significant need for specific guidelines concerning how to apply TIC principles along various phases of behavioral health care. Thus, the goals of this article are to (1) provide an overview of the framework of TIC; (2) identify and summarize the literature that specifically highlights the clinical application of TIC principles; and (3) contribute to the existing literature by providing some examples of integrating TIC principles into patient-clinician interactions with trafficked patients. The authors' hope is that mental health providers will reference the provided script examples to help improve patient-provider interactions and to develop better rapport and trust between providers and trafficked persons.
在打击人口贩运工作中实行的创伤知情护理仍处于初级阶段,迫切需要制定具体的指导方针,说明如何在行为保健的各个阶段应用创伤知情护理原则。因此,本文的目标是:(1)提供TIC框架的概述;(2)识别和总结特别强调TIC原则临床应用的文献;(3)通过提供一些将TIC原则整合到与被贩运患者的医患互动中的例子,对现有文献做出贡献。作者的希望是,心理健康提供者将参考所提供的脚本示例,以帮助改善患者与提供者之间的互动,并在提供者与被贩运者之间建立更好的关系和信任。
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引用次数: 0
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Bulletin of the Menninger Clinic
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