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Immediate shock and residual stress: Unmasking the dual dynamics of covid-19 on the mental health of health professionals in China. 直接冲击和残余压力:揭示科维-19 对中国卫生专业人员心理健康的双重影响。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-08 eCollection Date: 2024-01-01 DOI: 10.52965/001c.117201
Suyi Duan

Background: The pandemic of 2019 has created large scale disruption around the globe. It has posed extraordinary hurdles for Chinese health workers, affecting their mental health with respect to situations in the present as well as the future. Recognising the dynamic features of these mental health issues among health professionals is critical for developing effective support systems.

Objectives: This study aims to explore the dual impact of COVID-19 on the mental health of health professionals in China, both during and after the pandemic; to explore the probable underlying factors causing these mental health issues; to identify both adaptive and maladaptive coping behaviours employed by the health personnel; and to assess the organisational and social support to mitigate the effect of the pandemic on the mental health of the Chinese health professionals.

Method: To address these objectives an explorative qualitative research design has been adopted involving analysis of previous researches in the relevant field.

Results: The study confirms anxiety, depression, sleep disorders, PTSD, and burnout among medical personnel as immediate shock and residual stress, along with its demographic variations. Few maladaptive coping behaviours have been identified that can lead to delayed psychological effects even after a pandemic.

Conclusion: The key findings underscore the complicated interaction of immediate and delayed mental health challenges among health professionals, advocating for the deployment of tailored treatments and policy modifications to address the ever changing needs of this vital workforce.

背景:2019 年的大流行在全球范围内造成了大规模的混乱。它给中国卫生工作者带来了非同寻常的障碍,影响了他们对当前和未来形势的心理健康。认识到这些心理健康问题在医务人员中的动态特征,对于建立有效的支持系统至关重要:本研究旨在探讨 COVID-19 在大流行期间和之后对中国卫生专业人员心理健康的双重影响;探讨导致这些心理健康问题的可能潜在因素;确定卫生人员采用的适应性和不适应性应对行为;以及评估组织和社会支持,以减轻大流行对中国卫生专业人员心理健康的影响:为了实现这些目标,我们采用了一种探索性的定性研究设计,包括对相关领域以往研究的分析:研究证实,医务人员中存在焦虑、抑郁、睡眠障碍、创伤后应激障碍和职业倦怠等直接冲击和残余压力,以及人口统计学上的差异。研究还发现了一些适应不良的应对行为,这些行为甚至会在大流行病发生后导致延迟的心理影响:主要研究结果强调了医护人员面临的直接和延迟心理健康挑战之间复杂的相互作用,提倡采取有针对性的治疗方法和政策调整,以满足这支重要队伍不断变化的需求。
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引用次数: 0
Reflective functioning mediates the relationship between insecure adult attachment and the severity of prolonged grief symptoms. 反思功能是不安全成人依恋与长期悲伤症状严重程度之间关系的中介。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 eCollection Date: 2024-01-01 DOI: 10.52965/001c.122543
Serena Giunta, Giuseppe Mannino, Lucia Sideli, Maria C Quattropani, Vittorio Lenzo

Background: This study aimed to investigate the mediation role of reflective functioning (i.e., certainty and uncertainty about mental states) in the relationship between insecure attachment (i.e., attachment avoidance and attachment anxiety ) and the severity of prolonged grief symptoms.

Methods: A cross-sectional study was conducted with 329 bereaved participants (51.7% females, mean age= 46.94 ± 14.62 years). Participants completed the Prolonged Grief Scale (PG-13), the Attachment Style Questionnaire (ASQ), and the Reflective Functioning Questionnaire (RFQ). Demographic and bereavement-related information were also collected.

Results: Certainty about mental states fully mediated the relationship between both the attachment avoidance and attachement anxiety and severity of prolonged grief symptoms.

Conclusions: The findings of this study indicate that reflective functioning impairment, specifically certainty about mental states of self and others, mediate the paths from insecure attachment to prolonged grief symptoms. This suggests that improving reflective functioning may contribute to the treatment bereaved individuals at risk of PGD.

研究背景本研究旨在探讨反思功能(即对心理状态的确定性和不确定性)在不安全依恋(即依恋回避和依恋焦虑)与长期悲伤症状严重程度之间的中介作用:我们对 329 名失去亲人的参与者(51.7% 为女性,平均年龄为 46.94 ± 14.62 岁)进行了横断面研究。参与者填写了 "长期悲伤量表"(PG-13)、"依恋风格问卷"(ASQ)和 "反思功能问卷"(RFQ)。此外,还收集了人口统计学和丧亲相关信息:结果:对心理状态的确定性完全调节了依恋回避和依恋焦虑与长期悲伤症状严重程度之间的关系:本研究的结果表明,反思功能障碍,特别是对自我和他人心理状态的确定性,介导了从不安全感依恋到长期悲伤症状的路径。这表明,改善反思功能可能有助于治疗有 PGD 风险的丧亲人士。
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引用次数: 0
Research on metacognitive strategies of children's self-regulated learning. 儿童自我调节学习的元认知策略研究。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-09-01 eCollection Date: 2024-01-01 DOI: 10.52965/001c.120366
Narengaowa, Orosoo Tungalag

Background: Learning involves numerous self-regulatory processes, and self-regulated learning includes a few metacognitive strategies. Metacognitive skills start to develop at a very young age, though preschool children face some challenges while using metacognitive strategies.

Objectives: The study primarily aims to explore how young students are using metacognitive strategies in their daily activities and how effective they are.

Method: The sample of the study is 15 students from a public kindergarten in China, with ages ranging from 3 years to 6 years. The investigation is qualitative in nature and has employed a case study research design. It involves an observational study along with an interview with the teachers.

Results: From observational data and content analysis of the interviews, it is revealed that young children do use metacognitive strategies in their regular class activities, which vary according to their age. Teachers' support is found to be essential, especially for this age group of children, for effective use of these strategies. Moreover, it is also seen that metacognitive strategies are also important in developing social skills among young children.

Conclusion: Consequently, the findings of this research have significant implications, especially for the teachers and parents who support the children and use metacognitive interventions for their holistic development.

背景:学习涉及许多自我调节过程,而自我调节学习包括一些元认知策略。尽管学龄前儿童在使用元认知策略时面临一些挑战,但他们的元认知技能在很小的时候就开始发展:本研究的主要目的是探讨低年级学生在日常活动中如何使用元认知策略以及这些策略的有效性:研究样本为中国一所公立幼儿园的15名学生,年龄在3岁至6岁之间。调查采用个案研究的定性研究设计。研究包括观察研究和对教师的访谈:从观察数据和访谈内容分析中发现,幼儿在常规课堂活动中确实使用了元认知策略,这些策略因年龄而异。教师的支持对有效使用这些策略至关重要,尤其是对这一年龄段的幼儿。此外,元认知策略对于培养幼儿的社交能力也很重要:因此,本研究的结果具有重要意义,尤其是对支持儿童并使用元认知干预措施促进其全面发展的教师和家长而言。
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引用次数: 0
Effects of distant biofield energy healing on adults associated with psychological and mental health-related symptoms: a randomized, placebo-controlled, double-blind study. 远距离生物场能量疗法对成人心理和精神健康相关症状的影响:随机、安慰剂对照、双盲研究。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-08-15 eCollection Date: 2024-01-01 DOI: 10.52965/001c.122225
Mahendra Kumar Trivedi, Alice Branton, Dahryn Trivedi, Sambhu Mondal, Snehasis Jana

Background: In recent years, popularity of Biofield energy healing therapy has increased tremendously parallel to conventional therapy. However, due to insufficient scientific studies on biofield therapies, authors planned this clinical trial to examine the safety and effectiveness of biofield therapy in treating symptoms of psychological and mental health and to explore parameters for its effectiveness.

Methods: One hundred fourteen participants (55 male, 59 female) underwent clinical trials. This trial was randomized, placebo-controlled, three parallel-groups, double-blind, and single-center with subjects who have one or more psychological and mental symptoms. Two sessions of distant (virtual) biofield energy attunement were given on days 0 and 90 for about 5 minutes to the subjects of biofield intervention group (n=39). Besides, control (n=35) and sham control (n=40) group subjects also received kind of treatment in a similar manner to nullify baseline responses. Subjects were assessed by psychological questionnaire scoring using standard scale of assessment and safety parameters.

Results: Perceived psychological symptoms/scores (fatigue/tiredness, sleep disturbances, stress, cognitive impairment, loss of memory, mental restlessness, emotional trauma, anxiety, depression, confusion, financial crises and dissatisfaction, low libido, motivation, confidence, lack of perception, relationship, and social behaviors, etc.) were significantly (p <.0001) improved in biofield intervention group compared to the naïve control and sham control groups. Besides, biofield intervention did not show any study-related adverse effects in all three groups throughout the trial.

Conclusions: The distant (virtual) biofield energy healing therapy significantly improved psychological and mental health-related symptoms without affecting safety concerns, and improved overall health and quality of life.

背景:近年来,与传统疗法相比,生物场能量疗法的普及率大幅提高。然而,由于对生物场疗法的科学研究不足,作者计划进行这项临床试验,以检查生物场疗法在治疗心理和精神健康症状方面的安全性和有效性,并探索其有效性的参数:114名参与者(55名男性,59名女性)接受了临床试验。该试验为随机、安慰剂对照、三组平行、双盲、单中心试验,受试者均有一种或多种心理和精神症状。生物场干预组受试者(39 人)分别在第 0 天和第 90 天接受了两次约 5 分钟的远距离(虚拟)生物场能量调适。此外,对照组(35 人)和假对照组(40 人)也接受了类似的治疗,以消除基线反应。受试者通过心理问卷进行评估,采用标准评估量表和安全参数进行评分:结果:受试者的心理症状/得分(疲劳/疲倦、睡眠障碍、压力、认知障碍、记忆力减退、精神烦躁、情感创伤、焦虑、抑郁、困惑、财务危机和不满、性欲低下、动机、自信、缺乏感知、人际关系和社交行为等)均显著降低(p 结论:受试者的心理症状/得分均显著降低(p 结论:受试者的心理症状/得分均显著降低(p 结论:受试者的心理症状/得分均显著降低(p 结论:受试者的心理症状/得分均显著降低(p 结论):远距离(虚拟)生物场能量疗法明显改善了心理和精神健康相关症状,且不影响安全问题,并改善了整体健康和生活质量。
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引用次数: 0
Digital technology and mental health: Chinese university students' perspectives on the impact of social media. 数字技术与心理健康:中国大学生对社交媒体影响的看法。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-03 eCollection Date: 2024-01-01 DOI: 10.52965/001c.120372
Chi Zhang

Background: To address the growing concerns about mental health issues among Chinese university students, our study investigates the impact of social media on their mental health. This study intends to shed light on how these students' use of social media platforms contributes to these mental health issues, given that it has been estimated that up to 30% of university students in China suffer from mental health issues.

Methods: We investigate the extent of this issue by looking at how Chinese social media platforms like WeChat, Weibo, and QQ impact students' mental health. To gain a comprehensive insight into students' perspectives, this study's sole methodology is qualitative semi-structured interviews. Our core claim asserts that social media considerably affects Chinese university students' mental health, with both positive and negative consequences.

Results: The findings show how closely social media use and Chinese university students' mental health are related. These networks let people connect and get support but also encourage social comparison and stigma towards mental illness. Students use a variety of coping skills, such as self-regulation techniques, digital detoxification techniques, and looking for emotional support in online networks. These results highlight the need for a complex understanding of social media's effects on mental health. Our study also recognizes students' capacity for adaptation and resilience as they traverse the digital world, offering theoretical and practical applications for successfully juggling online and offline lives.

Conclusion: In the end, our study contributes to a thorough and culturally sensitive understanding of how social media affects the mental health of Chinese university students.

研究背景为了解决中国大学生日益增长的心理健康问题,我们的研究调查了社交媒体对大学生心理健康的影响。据估计,中国有多达 30% 的大学生存在心理健康问题,本研究旨在揭示大学生使用社交媒体平台是如何导致这些心理健康问题的:方法:我们通过研究微信、微博和 QQ 等中国社交媒体平台对学生心理健康的影响,来探讨这一问题的严重程度。为了全面了解学生的观点,本研究采用的唯一方法是半结构式定性访谈。我们的核心主张是,社交媒体对中国大学生的心理健康产生了积极和消极的影响:结果:研究结果表明,社交媒体的使用与中国大学生的心理健康密切相关。这些网络让人们建立联系并获得支持,但也助长了社会比较和对精神疾病的偏见。学生们使用了多种应对技巧,如自我调节技巧、数字排毒技巧以及在网络中寻求情感支持。这些结果突出表明,我们需要全面了解社交媒体对心理健康的影响。我们的研究还认识到了学生在穿越数字世界时的适应能力和复原力,为成功兼顾线上和线下生活提供了理论和实践应用:最后,我们的研究有助于全面、具有文化敏感性地理解社交媒体如何影响中国大学生的心理健康。
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引用次数: 0
Psychological Distress Among High School Students in Bangkok Thailand. 泰国曼谷高中生的心理压力。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-22 eCollection Date: 2024-01-01 DOI: 10.52965/001c.120045
Chatchai Thanachoksawang, Sara Arphorn, Suchinda Jarupat Maruo, Suwatsa Punneng, Tomohiro Ishimaru, Goontalee Bangkadanara

Introduction: This study investigated psychological distress among high school students in Thailand.A sample of 8,345 students from thirty-five Bangkok schools voluntarily participated, responding to a questionnaire and undergoing stress assessments. Socio-demographic factors including grade level, school scale, hometown, parental marital status, presence of siblings, gender, health conditions, online classes, and family monthly income were analyzed.

Results: Of the participants, 1,087 (13.02%) experienced psychological distress. Grade level, school scale, hometown, parental marital status, and siblings' presence showed no significant associations with distress. However, being female or transgender correlated with higher distress levels. Students with health issues and those in online classes also experienced elevated distress. Additionally, a family monthly income below 10,000 Thai Baht was associated with distress.

Conclusion: This study sheds light on factors contributing to psychological distress in high school students. It highlights the need for tailored support for vulnerable groups within the student population, emphasizing the role of educators, policymakers, and mental health professionals in addressing these challenges.

简介这项研究调查了泰国高中生的心理压力。来自曼谷 35 所学校的 8345 名学生自愿参加了调查,他们回答了问卷并接受了压力评估。对包括年级、学校规模、家乡、父母婚姻状况、是否有兄弟姐妹、性别、健康状况、网络课程和家庭月收入在内的社会人口因素进行了分析:参与者中有 1,087 人(13.02%)有心理困扰。年级、学校规模、籍贯、父母婚姻状况和是否有兄弟姐妹与心理困扰无明显关联。然而,女性或变性人与较高的困扰水平相关。有健康问题的学生和上网络课的学生也有更高的困扰。此外,家庭月收入低于 10,000 泰铢也与困扰有关:本研究揭示了导致高中生心理困扰的因素。结论:本研究揭示了导致高中生心理困扰的因素,强调了为学生群体中的弱势群体提供量身定制的支持的必要性,并强调了教育工作者、政策制定者和心理健康专业人员在应对这些挑战中所扮演的角色。
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引用次数: 0
The effectiveness of Dragon Boat racing on body image and traumatic symptoms of breast cancer patients. 龙舟赛对乳腺癌患者身体形象和创伤症状的影响。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-22 eCollection Date: 2024-01-01 DOI: 10.52965/001c.120055
Chiara Fioretti, Silvia Coppola, Sara Boscaino, Giovanna Celia, Rodolfo Vastola, Mauro Cozzolino

Objective: The present study investigated the effectiveness of a Dragon Boat training program in women with breast cancer body image and traumatic distress processing.

Methods: 29 breast cancer patients (M(SD) age= 51 (7.41)) voluntarily participated in a physical activity program. Seventeen (Intervention Group) enrolled in a Dragon Boat racing program, while 12 (the Control Group) individually performed alternative physical activities. Before and after the intervention, patients completed the Body Image Scale (BIS) and the Impact of Event Scale - Revised (IES-R).

Results: The Intervention Group reported a decrease in Body Image negative perception (Pillai's trace = .352, F(1,27) = 14.111, p = .001; partial η2 = .951) and in traumatic symptoms (Pillai's trace = .283, F(1,27) = 10.682, p = .003; partial η2 = .883).

Conclusions: Authors discuss the role of Dragon Boat racing in improving positive body image after the experience of breast cancer.

目的:本研究探讨了龙舟训练计划对乳腺癌女性患者身体形象和创伤困扰处理的有效性:方法:29 名乳腺癌患者(中(标)数年龄= 51(7.41)岁)自愿参加体育活动项目。17名患者(干预组)参加了赛龙舟项目,12名患者(对照组)单独进行了其他体育活动。干预前后,患者完成了身体形象量表(BIS)和事件影响量表-修订版(IES-R):结果:干预组的身体形象负面感知(Pillai's trace = .352,F(1,27) = 14.111,p = .001;partial η2 = .951)和创伤症状(Pillai's trace = .283,F(1,27) = 10.682,p = .003;partial η2 = .883)均有所下降:作者讨论了赛龙舟在改善乳腺癌患者积极的身体形象方面的作用。
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引用次数: 0
A Comparison between the Effectiveness of computerized Cognitive Rehabilitation Training and transcranial Direct Current Stimulation on Dialysis Patients' Executive Functions. 计算机化认知康复训练与经颅直流电刺激对透析患者执行功能的效果比较。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI: 10.52965/001c.118447
Fatemeh Firouzan, Vahid Sadeghi-Firouzabadi, Vahid Nejati, Jalil Fathabadi, Ahmad Firouzan

Purpose: Executive function impairments are among the most common dialysis side effects. The present study aims to compare the efficiency of transcranial Direct Current Stimulation (tDCS) with computerized Cognitive Rehabilitation Training (cCRT) on dialysis patients' executive functions.

Research method: The present study, a quasi-experimental effort, adopted a pre-test/post-test method that included a control (sham) group.

Design: The study sample consisted of 30 participants, selected through the convenience sampling method, and categorized into three groups of cCRT, tDCS, and sham participants. The cCRT participants were asked to complete 8 tasks in Captain's Log MindPower Builder software. The tDCS participants were treated with a 0.06 mA/cm2 current with the anodal electrode on F3 and the cathodal electrode on Fp2. For the sham participants, the electrodes were put on the same regions but there was no current stimulation. The treatment lasted for 10 sessions carried out every other day.

Results: The results of MANCOVA showed no significant difference between the sham group and the cCRT group in any of the executive function items. . However, between the sham group and the tDCS group was detected a significant difference in spatial working memory (p < 0.05) and a marginally significant in cognitive flexibility (p = 0.091). No significant difference was reported between cCRT and tDCS groups in any item.

Conclusion: According to the findings of the study, given the efficacy of tDCS on spatial working memory and cognitive flexibility for dialysis patients, it can be used to improve these skills.

目的:执行功能障碍是最常见的透析副作用之一。本研究旨在比较经颅直流电刺激(tDCS)与计算机化认知康复训练(cCRT)对透析患者执行功能的影响:本研究是一项准实验研究,采用前测/后测方法,其中包括一个对照组(假组):研究样本由 30 名参与者组成,通过便利抽样法选出,分为 cCRT、tDCS 和假参与者三组。cCRT 参与者需要在船长日志 MindPower Builder 软件中完成 8 项任务。对 tDCS 参与者的治疗电流为 0.06 mA/cm2,阳极电极位于 F3,阴极电极位于 Fp2。对于假性参与者,电极被放置在相同的区域,但没有电流刺激。治疗持续了 10 个疗程,每隔一天进行一次:MANCOVA 的结果显示,假体组和 cCRT 组在任何执行功能项目上都没有显著差异。.然而,假治疗组和 tDCS 治疗组之间在空间工作记忆方面存在显著差异(p < 0.05),在认知灵活性方面也略有显著差异(p = 0.091)。cCRT 组和 tDCS 组在任何项目上都没有明显差异:根据研究结果,鉴于 tDCS 对透析患者的空间工作记忆和认知灵活性具有疗效,因此可用于改善这些技能。
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引用次数: 0
Body dysmorphic disorder and psychotherapeutic interventions: a systematic literature review. 身体畸形障碍与心理治疗干预:系统性文献综述。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.52965/001c.117649
Pasquale Caponnetto, Manila Caramazza, Grazia Caci, Maria S Signorelli, Antonino Petralia, Maria C Quattropani

Introduction: Body dysmorphism disorder (BDD) is a disabling mental disorder characterized by an anxious preoccupation with a perceived defect in physical appearance.

Objective: This systematic review arose with the main objective of identifying the most effective psychotherapeutic intervention in the treatment of BDD.

Methods: From February to October 2022, we conducted a systematic review aimed at identifying the psychotherapeutic intervention for BDD, the search for these concepts was on PubMed. There were no language limitations, only time limitations, we delved into studies published in the databases between 2015 and 2022.

Results: We identified a total of 393 unique records. Of these, 43 full-text articles were evaluated for eligibility, and seven of these met the inclusion criteria and were included in the final systematic review.

Conclusions: Cognitive-behavioral therapy has been shown to be effective compared with other therapies, especially when combined with drug therapy. The results confirm that BDD-NET (INTERNET-based CBT) led to significant improvement of symptoms in patients with body dysmorphism. In conclusion, we can say that cognitive-behavioral therapy, whether in direct or online form, appears to be the most effective treatment for this disorder.

导言:身体畸形障碍(BDD)是一种致残性精神障碍,其特征是对身体外观缺陷的焦虑性专注:本系统综述的主要目的是确定治疗 BDD 最有效的心理治疗干预方法:从 2022 年 2 月到 10 月,我们进行了一项系统性综述,旨在确定治疗 BDD 的心理治疗干预措施。没有语言限制,只有时间限制,我们深入研究了2015年至2022年期间在数据库中发表的研究:我们共发现了 393 条独特的记录。其中,我们对 43 篇全文进行了资格评估,其中 7 篇符合纳入标准,被纳入最终的系统综述:结论:认知行为疗法与其他疗法相比效果显著,尤其是与药物疗法相结合时。研究结果证实,BDD-NET(基于 INTERNET 的 CBT)能显著改善躯体畸形患者的症状。总之,我们可以说,认知行为疗法,无论是直接疗法还是在线疗法,似乎都是治疗这种疾病最有效的方法。
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引用次数: 0
Investigating the Relationship Between Clinical Characteristics, Mental Health, and Vascular Function in Minor Ischemic Stroke or Transient Ischemic Attack Patients. 研究轻微缺血性脑卒中或短暂性脑缺血发作患者的临床特征、心理健康和血管功能之间的关系。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-12 eCollection Date: 2024-01-01 DOI: 10.52965/001c.118443
Witid Mitranun, Witoon Mitarnun, Prasit Peepathum, Amorntheap Wandee, Wenika Mitarnun, Wilasinee Pangwong, Tanormsak Senakham

Background: Over the past decade, there has been extensive research exploring the relationship between vascular health and mental well-being, encompassing aspects such as mood and cognition. However, there is a notable gap in research focusing on the mental and vascular conditions of minor ischemic stroke or transient ischemic attack (TIA) patients, particularly within the Thai population.

Objectives: To investigate the clinical characteristics and mental issues related to vascular functions in patients who have experienced a minor ischemic stroke or TIA. This study, approved by the Buriram Hospital Ethics Committee (IRB: BR0033.102.1/8), adhered to the guidelines of the Helsinki Declaration and obtained informed consent from all participants.

Methods: A prospective cross-sectional study was conducted at Buriram Hospital, a government regional hospital located in Buriram province, Thailand, involving twenty-three participants diagnosed with minor ischemic stroke or TIA. Measurements included clinical characteristics, Hospital Anxiety and Depression Scale-part Anxiety (HADS-A), Hospital Anxiety and Depression Scale-part Depression (HADS-D), mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), flow-mediated dilation (FMD), and brachial-ankle pulse wave velocity (baPWV). Linear regression analysis was employed to investigate the factors associated with vascular function (FMD and baPWV).

Results: The factor related to FMD was HADS-D (β = -0.5, 95% CI -0.33 to -0.04). Factors associated with baPWV included age (β = 0.51, 95% CI 5.05 to 39.50) and the duration of minor ischemic stroke or TIA (β = 0.48, 95% CI 25.41 to 290.99).

Conclusions: FMD shows a connection with depressive symptoms in patients with minor ischemic stroke or TIA. Therefore, it is important to detect and provide appropriate treatment for depressive symptoms in these patients, as it may lead to improvements in vascular function and better cerebrovascular outcomes.

背景:在过去的十年中,人们对血管健康与心理健康之间的关系(包括情绪和认知等方面)进行了广泛的研究。然而,关于轻微缺血性中风或短暂性脑缺血发作(TIA)患者的精神和血管状况的研究却明显不足,尤其是在泰国人群中:调查轻微缺血性中风或短暂性脑缺血发作患者的临床特征以及与血管功能相关的精神问题。本研究获得了武里南医院伦理委员会(IRB:BR0033.102.1/8)的批准,遵守了《赫尔辛基宣言》的指导方针,并获得了所有参与者的知情同意:这项前瞻性横断面研究在位于泰国武里南府的政府地区医院武里南医院进行,共有 23 名被诊断为轻微缺血性中风或 TIA 的患者参与。测量项目包括临床特征、医院焦虑和抑郁量表-焦虑部分(HADS-A)、医院焦虑和抑郁量表-抑郁部分(HADS-D)、迷你精神状态检查(MMSE)、蒙特利尔认知评估(MoCA)、血流介导扩张(FMD)和肱踝脉搏波速度(baPWV)。采用线性回归分析研究了与血管功能(FMD 和 baPWV)相关的因素:结果:与 FMD 相关的因素是 HADS-D(β = -0.5,95% CI -0.33 至 -0.04)。与 baPWV 相关的因素包括年龄(β = 0.51,95% CI 5.05 至 39.50)和轻微缺血性卒中或 TIA 持续时间(β = 0.48,95% CI 25.41 至 290.99):结论:FMD 与轻微缺血性卒中或 TIA 患者的抑郁症状有关。结论:FMD 与轻微缺血性卒中或 TIA 患者的抑郁症状有关。因此,发现这些患者的抑郁症状并对其进行适当治疗非常重要,因为这可能会改善血管功能并改善脑血管预后。
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引用次数: 0
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Health Psychology Research
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