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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。
{"title":"A Comparison between the Effectiveness of computerized Cognitive Rehabilitation Training and transcranial Direct Current Stimulation on Dialysis Patients' Executive Functions.","authors":"Fatemeh Firouzan, Vahid Sadeghi-Firouzabadi, Vahid Nejati, Jalil Fathabadi, Ahmad Firouzan","doi":"10.52965/001c.118447","DOIUrl":"10.52965/001c.118447","url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Research method: </strong>The present study, a quasi-experimental effort, adopted a pre-test/post-test method that included a control (sham) group.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":51865,"journal":{"name":"Health Psychology Research","volume":"12 ","pages":"118447"},"PeriodicalIF":2.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11188767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
DNA metabarcoding technology for the identification of the fecal microbiome in patients with chronic stress 用于鉴定慢性压力患者粪便微生物群的 DNA 代谢编码技术
IF 2 Q3 Psychology Pub Date : 2024-06-04 DOI: 10.52965/001c.117647
Abraham Eudes Pérez Urruchi, Lucy Eliana Ramírez Elizalde, Flor de María Zapata Cornejo, María Luisa Matalinares Calvet, Miluska Vanessa Baylòn Cuba, Fredy Fabián Domínguez
In the latest research, the concept of stress is associated with the deregulation of several biological systems sensitive to stress, such as the immune system, the microbiome, the endocrine system and neuroanatomical substrates. The objective of the research was to identify the fecal microbiome in patients diagnosed with chronic stress and in healthy patients through a metabarcoding analysis. The methodology used fecal samples collected from 20 patients with stress and 20 healthy patients. For the diagnosis of stress, psychological tools previously validated by external researchers were used. For metabarcoding analysis, metagenomic DNA extraction was performed from the fecal samples. Next Generation Illumina genetic sequencing targeting the 16S rDNA gene was then performed, followed by bioinformatic analysis using QUIME II software. The results, at the psychological test level, 20 people with chronic stress were diagnosed, on the other hand, at the metabarcoding level, specifically at the Gender level, the Asteroleplasma bacteria present only in the 20 healthy patients was molecularly identified. On the other hand, the bacteria Alistipes and Bifidobacterium were identified with greater predominance in the 20 patients with stress. Concluding, the bacteria Alistipes and Bifidobacterium are candidates as possible markers of the intestinal microbiome in patients with chronic stress, and the bacteria Asteroleplasma are candidates as a bacterial marker of the intestinal microbiome in healthy people. Finally, the identification of the microbiome in patients with stress opens a new path to understanding stress and its relationship to dysregulation with the microbiome.
在最新的研究中,压力的概念与对压力敏感的多个生物系统的失调有关,如免疫系统、微生物组、内分泌系统和神经解剖基质。这项研究的目的是通过代谢编码分析,确定被诊断为慢性压力患者和健康患者的粪便微生物组。研究方法使用了从 20 名压力患者和 20 名健康患者身上采集的粪便样本。在诊断压力时,使用了之前由外部研究人员验证过的心理工具。为了进行代谢编码分析,从粪便样本中提取了元基因组 DNA。然后进行了以 16S rDNA 基因为目标的新一代 Illumina 基因测序,接着使用 QUIME II 软件进行了生物信息学分析。结果显示,在心理测试层面,有 20 人被诊断为慢性压力患者;另一方面,在代谢编码层面,特别是在性别层面,仅在 20 名健康患者中存在的紫苑杆菌被分子鉴定出来。另一方面,在 20 名压力患者中,阿利斯蒂普斯菌和双歧杆菌被鉴定出,且占更大比例。总之,阿利斯蒂普斯细菌和双歧杆菌可作为慢性压力患者肠道微生物群的候选标记,而紫菀细菌可作为健康人肠道微生物群的候选标记。最后,对压力患者肠道微生物群的鉴定为了解压力及其与微生物群失调的关系开辟了一条新的道路。
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引用次数: 0
Exploratory study of nocebo effect in senior medical students. 对高年级医学生的前兆效应进行探索性研究。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.52965/001c.117645
Charalampos Pischos, Antonios Politis, Petros Sfikakis, Charalampos Papageorgiou

Background: Νocebo Effect is known to induce adverse symptoms after negative expectations which can be manifested on a physical and psychological level. As 6th year medical students often face a wide range of clinical challenges and may be prone to negative expectations or beliefs affecting their pre-clinical and clinical success, we want to investigate how they are affected by the Nocebo Effect.

Objective: To investigate whether a nocebo effect can be induced when exposing final-year students to the clinical context of their training.

Methods: We used verbal suggestions as a nocebo mechanism and by using three tools, the Illness Attitude Scales, the Symptom Checklist-90, and the State-Trait Anxiety Inventory, we examined the difference in scores on measures of psychometric parameters in 33 participants who were on their 6th year medical and attended three clinics for the first time during their education. The administrations were given before and after attending each clinic, and negative verbal suggestions were given prior to the first administration. We also measured whether the overall number of clinics, had an effect on psychometric parameters.

Results: The results revealed a significant increase in second administration overall in the three clinics in specific psychometric parameters but no statistically significant difference was observed after attending consecutive clinics.

Conclusion: Students reported the occurrence of adverse symptoms in the investigated psychometric parameters, which should be noted in order to avoid potential educational clinical failure.

背景:众所周知,负性预期会诱发不良症状,这些症状可表现在生理和心理层面。由于六年级医学生经常面临各种临床挑战,可能容易产生负面期望或信念,从而影响他们在临床前和临床中的成功,因此我们希望调查他们是如何受到知觉效应的影响的:目的:研究在让毕业班学生接触其培训的临床背景时,是否会诱发前兆效应:我们将口头建议作为一种安慰机制,并使用疾病态度量表、症状检查表-90 和状态-特质焦虑量表这三种工具,对 33 名医学专业 6 年级的学生进行了心理测量参数得分差异的研究。每次就诊前和就诊后都进行了问卷调查,并在第一次问卷调查前给出了负面的口头建议。我们还测量了门诊的总次数是否会对心理测量参数产生影响:结果:结果显示,在三个诊所中,第二次就诊时特定心理测量参数总体上有明显增加,但在连续就诊后没有观察到统计学上的显著差异:结论:学生报告在调查的心理测量参数中出现了不良症状,应引起注意,以避免潜在的临床教育失败。
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引用次数: 0
Health-related quality of life in hemato-oncology patients: role of informativeness and doctor-patient communication. 血液肿瘤患者的健康相关生活质量:信息提供和医患沟通的作用。
IF 2 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2024-05-26 eCollection Date: 2024-01-01 DOI: 10.52965/001c.117643
Stella Sremić, Lovorka Brajković, Vanja Kopilaš

Background: The patient's information about the disease and doctor-patient communication are both constructs whose importance is emphasized in the theory, but much less frequently researched and used in the practice.

Objective: This study aimed to determine whether certain facets of health-related quality of life of hemato-oncology patients in Croatia could be predicted based on patients' sociodemographic data, the disease's determinants, the patients' information about their disease and the quality of doctor-patient communication.

Methods: 60 women and 54 men with diagnoses of both leukemia and lymphoma have participated in filling out questionnaires. The survey consisted of a sociodemographic questionnaire, EORTC QLQ-C30(version 3), EORTC QLQ-INFO25 and the Doctor-Patient Communication Questionnaire.

Results: Patients' sociodemographic data, the disease's determinants, the patients' information about their disease and the quality of doctor-patient communication predicted 26.8 % variance of global health status (F = 2.756, p < .01), 35.7% variance of physical functioning (F = 4.196, p < .01), 23.3% variance of role functioning (F = 2.291, p < .05), 29.9% variance of emotional functioning (F = 3.215, p < .01) and 27.9% of social functioning (F = 2.881, p < .01). Predictors that significantly contributed to the change in variance of health-related quality of life were age, duration of diagnosis, the existence of comorbidity, frequency of hospitalization, talking with the psychologist after getting the diagnosis and information.

Conclusion: The study offers valuable insights into an under-researched patient population and a better understanding of their health-related quality of life. The results indicate the importance of information that can be implemented in everyday clinical practice, and pave the way for further research on doctor-patient communication.

背景:患者关于疾病的信息和医患沟通都是理论上强调其重要性,但在实践中却较少研究和使用的两个概念:本研究旨在确定克罗地亚血液肿瘤患者与健康相关的生活质量的某些方面是否可以根据患者的社会人口学数据、疾病的决定因素、患者关于其疾病的信息以及医患沟通的质量进行预测。调查内容包括社会人口学问卷、EORTC QLQ-C30(第 3 版)、EORTC QLQ-INFO25 和医患沟通问卷:结果:患者的社会人口学数据、疾病的决定因素、患者关于其疾病的信息以及医患沟通的质量预测了26.8%的总体健康状况差异(F = 2.756, p < .01)、35.7%的身体功能差异(F = 2.756, p < .01)、35.7%的健康状况差异(F = 2.756, p < .01)以及35.7%的健康状况差异(F = 2.756, p < .01)。7% 的身体功能差异(F = 4.196,p (< .01)),23.3% 的角色功能差异(F = 2.291,p (< .05)),29.9% 的情绪功能差异(F = 3.215,p (< .01))和 27.9% 的社会功能差异(F = 2.881,p (< .01))。对健康相关生活质量方差变化有重大影响的预测因素包括年龄、诊断持续时间、是否存在合并症、住院频率、获得诊断和信息后与心理学家的交谈:这项研究为研究不足的患者群体提供了宝贵的见解,并让我们更好地了解他们与健康相关的生活质量。研究结果表明,可在日常临床实践中实施的信息非常重要,并为进一步研究医患沟通铺平了道路。
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Health Psychology Research
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