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The effects of dyadic coping strategies and dyadic conflict resolution styles on postpartum depression of mothers in heterosexual marriages in Turkey. 二元应对策略和二元冲突解决方式对土耳其异性婚姻母亲产后抑郁的影响。
IF 1 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.1521/bumc.2023.87.1.63
Seyhan Çankaya, Gonca Buran

The authors of this study aimed to determine the effects of coping strategies and conflict resolution styles on postpartum depression in heterosexual mothers in the postpartum period in Turkey. A descriptive, cross-sectional study was conducted with 369 mothers with babies aged 1-12 months. The study was carried out between October 1, 2021, and December 1, 2021, in the pediatric outpatient clinic of the Medical Faculty Hospital of a province in the Central Anatolian Region of Turkey. Seventy-four (20.1%) mothers had scores above the depression scale cu-off point (>13). Having problems in marriage, getting a low score on the spouse's self-perception scale of dyadic coping with stress, and having negative, nonsubmissive, and retreating conflict resolution styles were found to be important factors associated with postpartum depression (p < .05). The incidence of postpartum depression was found to be associated with having problems in the marriage, not having good dyadic coping strategies, and having negative conflict resolution styles.

本研究的作者旨在确定应对策略和冲突解决方式对土耳其异性恋母亲产后抑郁的影响。对369名1-12个月婴儿的母亲进行了一项描述性横断面研究。该研究于2021年10月1日至2021年12月1日在土耳其安纳托利亚中部地区某省医学院医院的儿科门诊进行。74名(20.1%)母亲的得分高于抑郁量表截断点(>13)。婚姻存在问题、配偶二元应对压力自我感知量表得分低、具有消极、不服从、退缩的冲突解决方式是产后抑郁的重要影响因素(p < 0.05)。研究发现,产后抑郁症的发病率与婚姻中存在问题、没有良好的二元应对策略以及有消极的冲突解决方式有关。
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引用次数: 0
Self-perception of academic ability and ADHD symptoms in college students in China and the United States: A preliminary study. 中美大学生学业能力自我感知与ADHD症状的初步研究
IF 1 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.1521/bumc.2023.87.3.250
Jill M Norvilitis, Mingli Liu, Jie Zhang

Children with ADHD are frequently reported to demonstrate a positive illusory bias in multiple domains. Less is known about such a bias in college students. This study examined academic positive illusory bias in college students and whether cultural factors play a role in its expression. A total of 633 college students from China and the United States completed measures designed to assess biased self-perception of academics. Among other measures, the nonclinical sample completed a math task and then estimated their own achievement and completed measures of intellectual and scholastic self-competence. Symptoms of ADHD were unrelated to overconfidence on the math task and were negatively related to reports of self-competence. However, individualism and collectivism were related to overconfidence and self-competence. In contrast to results from research in other domains, academic positive illusory bias among those with more symptoms of ADHD does not appear to persist into college.

据报道,多动症儿童经常在多个领域表现出积极的错觉偏见。对大学生的这种偏见知之甚少。本研究考察了大学生学业上的积极幻觉偏见,以及文化因素是否在其表现中起作用。共有633名来自中国和美国的大学生完成了旨在评估学术偏见自我认知的测试。在其他测试中,非临床样本完成一项数学任务,然后评估他们自己的成就,并完成智力和学术自我能力的测试。ADHD的症状与数学任务中的过度自信无关,与自我能力报告呈负相关。而个人主义和集体主义则与过度自信和自我能力有关。与其他领域的研究结果相反,在有更多ADHD症状的人群中,学术上的积极错觉偏见似乎不会持续到大学。
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引用次数: 0
A mentalization-based approach to healing children exposed to adverse experiences: Tools for residential care. 以心理为基础的方法来治疗暴露于不良经历的儿童:住宿护理的工具。
IF 1 4区 医学 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.1521/bumc.2023.87.1.83
Janne Oestergaard Hagelquist, Camilla Hamre Jensen, Marie Skaalum Bloch, Heino Rasmussen

It is well documented how adverse childhood experiences can inhibit child development and mentalizing ability and lead to high risk of developmental psychopathology. Mentalization-based treatment (MBT) has been established as an effective approach to treatment for a long range of psychopathologies with both in- and outpatient treatment, yet the evidence base for effective clinical interventions that can help guide professionals working in residential care on how to support the development of neglected and traumatized children is underdeveloped. This article demonstrates a mentalization-based approach to understanding and working with children in residential care, and offers practical models and tools as well as considerations on implementation that are beneficial and easy to apply, demonstrated through cases. The STORM model and "Obtaining Skills" screening tool may be helpful models for professionals addressing mentalization in children while working in challenging environments such as with traumatized and neglected children.

不良的童年经历会抑制儿童的发展和心智化能力,并导致发展性精神病理的高风险。以心理为基础的治疗(MBT)已经被确立为一种有效的治疗方法,可以通过住院和门诊治疗来治疗多种精神病理学,然而,有效的临床干预的证据基础却不发达,这种干预可以帮助指导在寄宿护理中工作的专业人员如何支持被忽视和创伤儿童的发展。本文展示了一种基于心理的方法来理解和处理寄宿护理中的儿童,并提供了实用的模型和工具,以及实施时的考虑,这些模型和工具是有益的,易于应用,并通过案例进行了演示。STORM模型和“获得技能”筛选工具可能是在具有挑战性的环境中(如创伤和被忽视的儿童)工作的专业人员解决儿童心理化问题的有用模型。
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引用次数: 0
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 Q4 PSYCHIATRY 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 Q4 PSYCHIATRY 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
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Bulletin of the Menninger Clinic
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