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Disentangling the relationships of health-related quality of life, depressive symptoms, disability and social support after stroke: A network analysis
Q3 Psychology Pub Date : 2024-11-26 DOI: 10.1016/j.jadr.2024.100855
Simon Ladwig , Matthias Volz , Julia Haupt , Anya Pedersen , Katja Werheid

Background

Health-related quality of life (HRQOL), depressive symptoms, disability, and social support show complex interdependences after stroke, which cannot be sufficiently depicted by commonly used uni- or bivariate analyses. Applying a network analysis, we aim to disentangle these multivariate relationships and deduce meaningful starting points for interventions.

Methods

Stroke survivors (N = 202) were recruited from two inpatient rehabilitation clinics. Participants self-reported mental and physical HRQOL, depressive symptoms, disability, and social support. We computed a partial correlation network and included these five variables as separate nodes. We estimated edge weights, node centrality (expected influence), node predictability, and clusters. Bootstrap methods were applied to assess network stability.

Results

Depressive symptoms and mental HRQOL were the most central and interconnected nodes in the network. Depressive symptoms built its own cluster. Social support showed a high association with depressive symptoms. Disability had no significant associations with other nodes in the network. Physical HRQOL was significantly connected only to its mental equivalent.

Limitations

The cross-sectional design limits the findings to the setting of inpatient rehabilitation few weeks after stroke and allows no longitudinal inferences. The relatively small sample size and varying metrics of applied measures are counterbalanced by a high stability of estimations.

Conclusions

Depression and social support show stronger associations with HRQOL than physical aspects during stroke inpatient rehabilitation. This underscores the significance of mental aspects shortly after stroke. Development and implementation of early interventions targeting depressive symptoms and social support may sustainably mitigate the burden on HRQOL after stroke.
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引用次数: 0
Mature brain-derived neurotrophic factor (BDNF) levels in serum correlate with symptom severity in post-traumatic stress disorder (PTSD)
Q3 Psychology Pub Date : 2024-11-26 DOI: 10.1016/j.jadr.2024.100854
Bonnie L Quigley , Nathan Wellington , Megan Dutton , Ana P Bouças , Grace Forsyth , Cyrana C Gallay , Maryam Hajishafiee , Jim Lagopoulos , Adem T Can , Daniel F Hermens

Background

Post-traumatic stress disorder (PTSD) is characterised by pervasive and persistent symptoms that negatively impact quality-of-life. A relationship between brain-derived neurotrophic factor (BDNF) and PTSD symptom severity has been investigated with mixed results. This study aimed to systematically investigate BDNF and PTSD symptom severity in a PTSD cohort (n = 43).

Methods

BDNF levels were determined from both serum and plasma using two BDNF assays (targeting general BDNF and mature BDNF specifically). BDNF levels were compared to PTSD symptom severity scores determined by clinical interview using the Clinician-Administered PTSD Scale (CAPS-5) for DSM-5 and the self-rated Posttraumatic Stress Disorder checklist (PCL-5) for DSM-5.

Results

Only mature BDNF levels from serum revealed a significant negative correlation to both CAPS-5 and PCL-5 scores. Additionally, when the study cohort was defined by the CAPS-5 criteria for PTSD, the BDNF to symptom severity correlation was stronger than when the cohort was defined by the PCL-5 criteria.

Limitations

This study acknowledges that limited numbers of PTSD participants with complex co-morbidities and multiple test comparisons requires caution in overinterpretation of results.

Conclusions

Overall, this study found that decreasing levels of mature BDNF from serum was associated with increasing symptom severity and that the type of sample, the specificity of the BDNF assay and the PTSD evaluation method all impacted whether a relationship between BDNF and PTSD symptom severity could be detected.
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引用次数: 0
Implementing group therapy for posttraumatic stress disorder within a primary care setting: A pilot study
Q3 Psychology Pub Date : 2024-11-26 DOI: 10.1016/j.jadr.2024.100856
Kate Zona , Hsiang Huang , Margaret Spottswood

Background

Posttraumatic stress disorder (PTSD) is associated with comorbid psychiatric and medical conditions and high rates of medical service utilization. Given that PTSD is highly prevalent in the primary care setting, group therapy delivered within this setting has the potential to treat large numbers of patients. To date, few studies have examined the feasibility or effectiveness of group therapy for PTSD within primary care.

Methods

A pilot study of a PTSD group therapy intervention based on the Trauma Information Group model was conducted in a Federally Qualified Health Center (FQHC). Across 9 cohorts, 32 individuals with PTSD completed 8–10 group therapy sessions. Self-reported PTSD severity was assessed using the PTSD Checklist for DSM-5 (PCL-5) at baseline and post-treatment.

Results

Fifty percent of participants had a PTSD treatment response (PCL-5 score reduction ≥10) following group therapy and paired t-tests demonstrated a statistically significant reduction in PCL-5 scores from pre- to post-treatment. Patient demographic characteristics and psychiatric comorbities were not associated with treatment response.

Limitations

The small sample size, demographic characteristics, and FQHC setting potentially limit the generalizability of these findings. Treatment dropout rates and associated factors also were not examined.

Conclusions

The Trauma Information Group treatment for PTSD was feasible to implement within a low resourced primary care setting and led to improvement in PTSD symptoms in this pilot study. These findings suggest that offering group therapy for PTSD within primary care could improve access to effective treatment and warrant future research to examine feasibility and effectiveness in this setting.
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引用次数: 0
Developing and validating the Sierra Leone perinatal psychological distress scale through an emic-etic approach 通过情绪遗传学方法编制和验证塞拉利昂围产期心理压力量表
Q3 Psychology Pub Date : 2024-11-17 DOI: 10.1016/j.jadr.2024.100852
Abdulai Jawo Bah , Haja Ramatulai Wurie , Mohamed Samai , Rebecca Horn , Alastair Ager

Background

Addressing perinatal psychological distress in Sierra Leone faces challenges due to the lack of culturally appropriate assessment tools, despite recent WHO recommendations for screening during the pre- and postpartum periods. While high-income countries use tools like the Edinburgh Postnatal Depression Scale or Patient Health Questionnaire-9 (PHQ-9), their cross-cultural validity and efficacy in developing countries are uncertain. The aim of this study was to address this gap by developing a functional assessment tool, culturally appropriate screening tool for perinatal psychological distress, and validate it with the PHQ-9.

Method

Following scale development guidelines, the study encompassed three phases: Item Development, Scale Development, and Scale Evaluation. Data from free listing interviews (n = 96), FGDs (n = 24), and cognitive interviews (n = 8) informed the development of the Sierra Leone Perinatal Psychological Distress Scale (SLPPDS) and a Function scale. Item reduction via exploratory factor analysis (n = 120) and validation (n = 140) were conducted in subsequent phases.

Result

Two screening instruments were developed: the 10-item SLPPDS and a 5-item Function scale assessing perinatal women's ability to perform daily tasks. Sensitivity/specificity values for the SLPPDS and PHQ-9 were 80.0/85.7 and 73.8/76.2 respectively. Internal consistency reliability was 0.88 for the SLPPDS and 0.81 for the PHQ-9. Confirmatory factor analysis supported a one-factor model with 54.9 % variance explained. ROC/cut-off points for SLPPDS and PHQ-9 were 0.90/0.81 and 8.0/7.0 respectively.

Conclusion

The PHQ-9 shows validity and reliability as a screening instrument, but the SLPPDS emerges as a potentially more salient alternative for assessing perinatal psychological distress in Sierra Leone. This implies the SLPDDS is particularly relevant, meaningful, and applicable to the specific cultural or community context it was designed for. It suggests that the tool effectively addresses the unique needs, perspectives, and experiences of the perinatal women, making it more likely to resonate with users and stakeholders. This relevance may enhance the tool's acceptance, usability, and overall impact in identifying and addressing perinatal mental health issues in Sierra Leone. These instruments could enable effective evaluation of perinatal mental health initiatives by government agencies, locals, and international NGOs.
背景尽管世界卫生组织最近建议在产前和产后进行筛查,但由于缺乏适合当地文化的评估工具,塞拉利昂在应对围产期心理困扰方面面临着挑战。虽然高收入国家使用爱丁堡产后抑郁量表或患者健康问卷-9(PHQ-9)等工具,但这些工具在发展中国家的跨文化有效性和有效性尚不确定。本研究旨在通过开发一种功能性评估工具、文化上适当的围产期心理困扰筛查工具,并将其与 PHQ-9 进行验证,从而填补这一空白:项目开发、量表开发和量表评估。通过自由列表访谈(96 人)、FGD(24 人)和认知访谈(8 人)获得的数据为塞拉利昂围产期心理压力量表(SLPPDS)和功能量表的开发提供了依据。在随后的阶段,通过探索性因素分析(n = 120)和验证(n = 140)对项目进行了缩减。 结果开发出了两种筛查工具:10 个项目的塞拉利昂围产期心理压力量表和 5 个项目的功能量表,用于评估围产期妇女执行日常任务的能力。SLPPDS和PHQ-9的敏感性/特异性分别为80.0/85.7和73.8/76.2。SLPPDS和PHQ-9的内部一致性信度分别为0.88和0.81。确认性因素分析支持单因素模型,方差解释率为 54.9%。SLPPDS和PHQ-9的ROC/临界点分别为0.90/0.81和8.0/7.0。这意味着 SLPPDDS 特别相关、有意义,并适用于其设计的特定文化或社区背景。这表明该工具有效地解决了围产期妇女的独特需求、观点和经历,使其更有可能引起使用者和利益相关者的共鸣。这种相关性可能会提高该工具的接受度、可用性以及在塞拉利昂发现和解决围产期心理健康问题方面的整体影响。这些工具可以帮助政府机构、当地人和国际非政府组织对围产期心理健康倡议进行有效评估。
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引用次数: 0
Examining concurrent and longitudinal associations between quality of interpersonal relations and depressive symptoms among young adults in India 研究印度年轻人人际关系质量与抑郁症状之间的并发和纵向关系
Q3 Psychology Pub Date : 2024-11-14 DOI: 10.1016/j.jadr.2024.100851
Pankhuri Aggarwal , Vaishali V. Raval

Background

Due to high population density, more individuals with depressive symptoms reside in Low and Middle-Income Countries, though there exists limited published literature on factors that elevate risk in this population. Focusing on India, the most populous country in the world, the present study examined cross-sectional and longitudinal associations between poor relations with parents and other family members (e.g., siblings, grandparents) and depressive symptoms among urban, educated, young adults. Additionally, given the salience of familial interdependence, we examined the moderating effects of inclusion of others in one's definition of self in this association.

Methods

A total of 548 young adults (Mage = 21.4 years, 67% women) completed online questionnaires at two time points separated by six months.

Results

Poor relations with fathers and other family members were associated with greater depressive symptoms cross-sectionally, above and beyond the effects of other relations. Poor quality of interpersonal relations with parents and other family members was not associated with depressive symptoms longitudinally (after six months). There were significant main effects of poor relations (with mothers, fathers, others) cross-sectionally, over and above the effects of inclusion of others in one's sense of self though we did not find any moderating or main effects of inclusion of others in one's sense of self.

Conclusion

Quality of interpersonal relations may be a correlate but not a predictor of depressive symptoms for urban, educated, young adults in India.

Limitations

The findings may not hold true for groups other than urban, educated, young adults in India.
背景由于人口密度高,有更多抑郁症状的人居住在中低收入国家,但有关这些人群风险升高因素的文献却很有限。本研究以世界上人口最多的国家印度为研究对象,探讨了城市中受过教育的年轻成年人与父母及其他家庭成员(如兄弟姐妹、祖父母等)的不良关系与抑郁症状之间的横向和纵向联系。此外,鉴于家庭相互依存关系的显著性,我们还研究了将他人纳入自我定义中对这一关联的调节作用。结果与父亲和其他家庭成员关系不佳与抑郁症状的横向相关性大于其他关系的影响。从纵向(6 个月后)看,与父母和其他家庭成员的人际关系质量差与抑郁症状无关。尽管我们没有发现将他人纳入自我意识会产生任何调节或主效应,但从横截面来看,(与母亲、父亲和他人的)不良人际关系具有明显的主效应,超过了将他人纳入自我意识的效应。
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引用次数: 0
Improving psychological and social support needs after traumatic birth: A qualitative study 改善创伤性分娩后的心理和社会支持需求:定性研究
Q3 Psychology Pub Date : 2024-11-05 DOI: 10.1016/j.jadr.2024.100849
Taylor P Roberts , Emma E Nowakowski , Thomas N Troyan , Sarah J Kroh , Anne M Wanaselja , Priya R Gopalan , Patricia L Dalby , Ryan C Romeo , Grace Lim

Introduction

Emergency deliveries increase maternal risk for postpartum depression (PPD) and post-traumatic stress disorder (PTSD). One in three women describe their birth experience as traumatic, but patient-centered support needs are unclear. We conducted a qualitative study of women with traumatic birth to identify patient-centered priorities to optimize mental health support.

Methods

Semi-structured interviews were conducted with women who experienced an emergency during birth, and who self-identified as experiencing traumatic birth. The Stanford Acute Stress Reaction Questionnaire and PTSD Checklist were completed. Interviews included open-ended questions about birth events that improved or worsened their delivery experience, perceptions of mental, physical, and emotional support provided by staff, and patient perspectives about psychological and social support referrals after emergent deliveries.

Results

A majority of participants met positive screening criteria for PTSD at the time of interviews. Birth experiences were affected by prenatal expectations, as well as the style and quality of clinical staff communication during and after delivery. There were four key themes central to their experiences and perceptions: (1) Emotional Impact and Intensity, (2) Factors Influencing Birth Experience, (3) Perceived Lack of Emotional Support, and (4) Desire for Post-Birth Follow-Up and Support. Participants almost unanimously desired to be offered psychosocial services after birth trauma.

Conclusion

There are significant gaps in emotional support and communication for patients experiencing traumatic births. Offering structured, in-hospital mental health referrals may address immediate psychological needs, aid in trauma recovery, and potentially mitigate long-term mental health consequences. These findings advocate for a more holistic approach to postpartum care that prioritizes both physical and emotional well-being.
导言紧急分娩增加了产妇患产后抑郁症(PPD)和创伤后应激障碍(PTSD)的风险。每三名产妇中就有一名将自己的分娩经历描述为创伤,但以患者为中心的支持需求并不明确。我们对经历过创伤性分娩的妇女进行了一项定性研究,以确定以患者为中心的优先事项,从而优化心理健康支持。方法我们对在分娩过程中经历过紧急情况并自我认定经历过创伤性分娩的妇女进行了半结构式访谈。访谈过程中填写了斯坦福急性应激反应问卷和创伤后应激障碍检查表。访谈内容包括有关改善或恶化其分娩经历的分娩事件、对医护人员提供的精神、身体和情感支持的看法,以及患者对紧急分娩后转介的心理和社会支持的看法等开放式问题。分娩经历受到产前期望以及临床医护人员在分娩过程中和分娩后的沟通方式和质量的影响。他们的经历和看法有四个核心主题:(1)情绪影响和强度,(2)影响分娩经历的因素,(3)认为缺乏情感支持,以及(4)对产后随访和支持的渴望。参与者几乎一致希望在分娩创伤后能得到社会心理服务。提供有组织的院内心理健康转介服务可以满足即时的心理需求,帮助创伤恢复,并有可能减轻长期的心理健康后果。这些研究结果提倡采用更全面的产后护理方法,将身心健康放在首位。
{"title":"Improving psychological and social support needs after traumatic birth: A qualitative study","authors":"Taylor P Roberts ,&nbsp;Emma E Nowakowski ,&nbsp;Thomas N Troyan ,&nbsp;Sarah J Kroh ,&nbsp;Anne M Wanaselja ,&nbsp;Priya R Gopalan ,&nbsp;Patricia L Dalby ,&nbsp;Ryan C Romeo ,&nbsp;Grace Lim","doi":"10.1016/j.jadr.2024.100849","DOIUrl":"10.1016/j.jadr.2024.100849","url":null,"abstract":"<div><h3>Introduction</h3><div>Emergency deliveries increase maternal risk for postpartum depression (PPD) and post-traumatic stress disorder (PTSD). One in three women describe their birth experience as traumatic, but patient-centered support needs are unclear. We conducted a qualitative study of women with traumatic birth to identify patient-centered priorities to optimize mental health support.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with women who experienced an emergency during birth, and who self-identified as experiencing traumatic birth. The Stanford Acute Stress Reaction Questionnaire and PTSD Checklist were completed. Interviews included open-ended questions about birth events that improved or worsened their delivery experience, perceptions of mental, physical, and emotional support provided by staff, and patient perspectives about psychological and social support referrals after emergent deliveries.</div></div><div><h3>Results</h3><div>A majority of participants met positive screening criteria for PTSD at the time of interviews. Birth experiences were affected by prenatal expectations, as well as the style and quality of clinical staff communication during and after delivery. There were four key themes central to their experiences and perceptions: (1) Emotional Impact and Intensity, (2) Factors Influencing Birth Experience, (3) Perceived Lack of Emotional Support, and (4) Desire for Post-Birth Follow-Up and Support. Participants almost unanimously desired to be offered psychosocial services after birth trauma.</div></div><div><h3>Conclusion</h3><div>There are significant gaps in emotional support and communication for patients experiencing traumatic births. Offering structured, in-hospital mental health referrals may address immediate psychological needs, aid in trauma recovery, and potentially mitigate long-term mental health consequences. These findings advocate for a more holistic approach to postpartum care that prioritizes both physical and emotional well-being.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"19 ","pages":"Article 100849"},"PeriodicalIF":0.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142656781","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
Psychological effects of unemployment: A prospective study on cognitive control, emotion regulation, and distress 失业的心理影响:关于认知控制、情绪调节和痛苦的前瞻性研究
Q3 Psychology Pub Date : 2024-10-18 DOI: 10.1016/j.jadr.2024.100848
Nathan Van den Bergh , Igor Marchetti , Kristof Hoorelbeke , Alvaro Sanchez-Lopez , Rudi De Raedt , Ernst H.W. Koster

Background

Important individual differences exist in how people respond to major stressors. Despite the key roles attributed to emotion regulation and cognitive control in resilience and vulnerability to stress, relatively few studies have directly investigated these relationships upon confrontation with major stressors, such as unemployment.

Methods

The current preregistered study set out to prospectively test mediational hypotheses, in which baseline cognitive control (assessed by performance on a cognitive task) and self-reported effortful control predict emotion regulation (follow-up 1), in turn predicting internalizing symptomatology or resilience (follow-up 2). Data of 84 people confronted with unemployment were analyzed using path models: one based on primary outcome measures (repetitive negative thinking and symptoms of depression, anxiety and stress) and one based on secondary questionnaire outcome measures (positive thinking style and resilience).

Results

The results show that effortful control and cognitive control are relevant distal factors to consider when investigating emotional symptoms in the unemployed.

Limitations

This study has sample modest in size, so it's important to interpret the results cautiously.

Conclusion

The current study shows how cognitive factors and emotion regulation can contribute to emotional distress and resilience when facing unemployment.
背景人们在如何应对重大压力方面存在着重要的个体差异。尽管情绪调节和认知控制在应激恢复力和应激易感性中起着关键作用,但直接调查这些关系的研究相对较少,比如在面临失业等重大应激时。方法目前这项预先登记的研究旨在前瞻性地测试中介假设,即基线认知控制(通过认知任务的表现来评估)和自我报告的努力控制可预测情绪调节(后续研究1),进而预测内化症状或应激恢复力(后续研究2)。我们使用路径模型对 84 名失业者的数据进行了分析:一个是基于主要结果测量(重复性消极思维以及抑郁、焦虑和压力症状)的路径模型,另一个是基于次要问卷结果测量(积极思维方式和复原力)的路径模型。结果研究结果表明,在调查失业者的情绪症状时,努力控制和认知控制是需要考虑的相关远端因素。结论当前的研究表明,认知因素和情绪调节是如何对面临失业时的情绪困扰和恢复能力产生影响的。
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引用次数: 0
Comparison of the effectiveness of treatments based on compassion, acceptance and commitment, and mindfulness on anxiety disorders and depression: A systematic review and meta-analysis 比较基于同情、接纳和承诺以及正念的治疗方法对焦虑症和抑郁症的疗效:系统回顾和荟萃分析
Q3 Psychology Pub Date : 2024-10-18 DOI: 10.1016/j.jadr.2024.100847
Nader Salari , Pegah Heidarian , Roya Hassani , Fateme Babajani , Amir Abdolmaleki , Masoud Mohammadi

Background

Recently, anxiety and depression disorders have spread among different societies and have had unpleasant effects on people involved with the disease and societies, so the treatment of these disorders should be prioritized. In recent years, the use of various psychotherapy methods, such as acceptance and commitment-based therapies (ACT), mindfulness-based cognitive therapy (MBCT), and compassion-based therapy (CFT) for the treatment of many disorders related to mental illness have been noticed. Therefore, the purpose of this study is to compare the effectiveness of compassion-based therapy, acceptance and commitment-based therapy, and mindfulness-based cognitive therapy on anxiety and depression disorders.

Methods

In this study, the electronic databases PubMed, Scopus, Web of Science, Embase, ScienceDirect and Google Scholar search engines were systematically searched for studies that show the effectiveness of compassion-based interventions, acceptance and commitment-based therapy, and mind-based cognitive therapy. Reports of awareness up to May 2023 were searched. Random effects model was used to perform the analysis. Data analysis based on the mean and standard deviation of anxiety disorders or depression before and after the intervention separately and Also, the difference between the mean before and after the intervention was done, the heterogeneity of the studies was investigated using the I2 test and the publication bias was investigated using Egger's test.

Results

After the search, 3433 studies were obtained from 6 research repositories, which left 1969 studies after removing duplicate studies. After the primary and secondary review, 1876 other studies were excluded from the study, and finally 93 studies remained and the information obtained from them was used in this study. On this basis, it was proved that all three interventions, MBCT, ACT and CFT, are effective in reducing the symptoms of depression and anxiety disorders, but the greatest effect on reducing the symptoms of depression and anxiety disorders was observed in ACT.

Conclusion

Considering the positive effect of ACT, MBCT and CFT in reducing the symptoms of anxiety disorders and depression, therapists can use these treatment methods as less expensive and uncomplicated treatment methods to improve the condition of patients with such disorders. order to reduce treatment costs for communities and people involved with this category of disorders.
背景最近,焦虑症和抑郁症在不同的社会中蔓延,给患者和社会带来了不愉快的影响,因此这些疾病的治疗应优先考虑。近年来,各种心理治疗方法,如接受和承诺疗法(ACT)、正念认知疗法(MBCT)和同情疗法(CFT)被用于治疗许多与精神疾病有关的障碍,受到人们的关注。因此,本研究的目的是比较基于同情的疗法、基于接受和承诺的疗法以及基于正念的认知疗法对焦虑症和抑郁症的疗效。方法在本研究中,系统地检索了电子数据库PubMed、Scopus、Web of Science、Embase、ScienceDirect和Google Scholar搜索引擎中显示基于同情的干预、基于接受和承诺的疗法以及基于正念的认知疗法疗效的研究。搜索了截至 2023 年 5 月的认知报告。采用随机效应模型进行分析。根据干预前后焦虑症或抑郁症的平均值和标准差分别进行数据分析,同时分析干预前后平均值的差异,使用 I2 检验调查研究的异质性,使用 Egger 检验调查发表偏倚。经过初审和复审,本研究排除了 1876 项其他研究,最后剩下 93 项研究,本研究采用了从这些研究中获得的信息。结论考虑到 ACT、MBCT 和 CFT 在减少焦虑症和抑郁症状方面的积极作用,治疗师可将这些治疗方法作为费用较低、不复杂的治疗方法,以改善这类疾病患者的状况,从而降低社区和这类疾病患者的治疗费用。
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引用次数: 0
Affective temperament, attachment style and life events related to abandonment in an Italian sample with somatic symptoms 意大利躯体症状样本中与遗弃有关的情感气质、依恋方式和生活事件
Q3 Psychology Pub Date : 2024-09-26 DOI: 10.1016/j.jadr.2024.100845
Carmela Mento , Clara Lombardo , Chiara La Barbiera , Simone Minossi , Maria Catena Silvestri , Abed Hadipour Lakmehsari , Fiammetta Iannuzzo , Giovanni Genovese , Maria Rosaria Anna Muscatello , Toshio Kawai

Objective

This study investigates the psychological factors influencing somatic symptoms following the end of a romantic relationship. We hypothesize that affective temperaments may predict attachment styles and depressive rumination components in individuals who have experienced abandonment. Furthermore, we postulate that gender differences exist in the variables under investigation.

Methods

The administered tests included: Temperament Evaluation of Memphis, Pisa, Paris and San Diego Questionnaire (TEMPS-A), Attachment Style Questionnaire (ASQ) and Ruminative Response Scale (RRS). The differences between the groups were assessed using Student's t-test for independent samples. In addition, regression analysis, in which the RRS (Brooding, Reflection and Depression) and ASQ (Confidence, Discomfort with Closeness, Need for Approval, Preoccupation with Relationships, and Relationships as Secondary) variables were considered dependent variables and all the TEMPS-A factors were included in the equation.

Results

Subjects at the end of a love affair presented the following psychosomatic symptoms: difficulty breathing, chest pain, feeling faint, sweating, dizziness, fatigue, palpitations, air hunger, difficulty sleeping, and swollen legs and ankles. The Anxious and Hyperthymic temperaments were negative predictors of the ruminative depressive dimension, and of “Confidence” and “Discomfort with Closeness” in the ASQ. The Cyclothymic and Anxious temperaments were predictors of “Discomfort with Closeness”, “Need for Approval”, “Preoccupation with Relationships”, and “Relationships as Secondary”.

Conclusion

Affective temperaments play a crucial role in determining how an individual deals abandonment in a romantic relationship, significantly influencing attachment styles and the tendency towards depressive rumination.
目的 本研究探讨了影响恋爱关系结束后躯体症状的心理因素。我们假设,情感气质可能会预测经历过被抛弃的个体的依恋风格和抑郁反刍成分。此外,我们还假设在调查的变量中存在性别差异:测试内容包括:孟菲斯、比萨、巴黎和圣地亚哥气质评估问卷(TEMPS-A)、依恋风格问卷(ASQ)和反刍反应量表(RRS)。组间差异采用独立样本的学生 t 检验进行评估。此外,还进行了回归分析,将 RRS(沉思、反省和抑郁)和 ASQ(自信、不喜欢亲近、需要认可、专注于人际关系和人际关系为次要)视为因变量,并将所有 TEMPS-A 因子纳入方程。结果处于恋爱末期的受试者会出现以下心身症状:呼吸困难、胸痛、晕眩、出汗、头晕、疲劳、心悸、空气饥饿、入睡困难、腿部和脚踝肿胀。焦虑型和亢进型气质对反刍性抑郁维度、ASQ 中的 "自信 "和 "不喜欢亲近 "具有负向预测作用。结论情感气质在决定个体如何处理恋爱关系中的遗弃方面起着至关重要的作用,对依恋风格和抑郁反刍倾向有显著影响。
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引用次数: 0
Global prevalence of obsessive-compulsive disorder in pregnancy and postpartum: A systematic review and meta-analysis 孕期和产后强迫症的全球患病率:系统回顾和荟萃分析
Q3 Psychology Pub Date : 2024-09-26 DOI: 10.1016/j.jadr.2024.100846
Nader Salari , Sina Sharifi , Masoud Hassanabadi , Fateme Babajani , Habibolah Khazaie , Masoud Mohammadi

Background

One of the most important challenges during pregnancy and postpartum is physical and emotional changes, including obsessive compulsive disorder. The aim of the current study is to investigate the global prevalence of obsessive-compulsive disorder during pregnancy and postpartum through a systematic review and meta-analysis.

Methods

In this research, a systematic search was conducted in several electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engine. The search was conducted until March 2023 to find studies on the prevalence of obsessive-compulsive disorder during pregnancy and after giving birth. The Random Effects Model was used to perform the analysis and the heterogeneity of the studies was evaluated using the I2 index. Also, Comprehensive Meta-Analysis Software version 2.0 was used for data analysis.

Results

In a review of 21 studies with a volume of 2Fairbrother et al., 2016581 people, the prevalence of obsessive-compulsive disorder during pregnancy was reported as 9.1 (95 %CI: 5.2–15.6). Also, in a review of 12 studies with a volume of 7649 people, the prevalence of obsessive-compulsive disorder in postpartum period was reported as 6.2 (95 % CI: 4–9.5).

Conclusion

Based on the findings of the meta-analysis, it was revealed that in the context of pregnancy and postpartum, the prevalence of obsessive-compulsive disorder is a significant concern. Hence, more attention and support of clinicians who care for women in this period is essential. By proactively reducing the complications of OCD in both women and their infants, society can work toward ensuring positive health outcomes for all.
背景怀孕和产后期间最重要的挑战之一是身体和情绪的变化,其中包括强迫症。本研究的目的是通过系统回顾和荟萃分析,调查妊娠期和产后强迫症的全球患病率。研究方法 本研究在多个电子数据库中进行了系统检索,包括 PubMed、Scopus、Web of Science、Embase、ScienceDirect 和 Google Scholar 搜索引擎。检索时间截止到 2023 年 3 月,旨在找到有关孕期和产后强迫症患病率的研究。采用随机效应模型进行分析,并使用 I2 指数评估研究的异质性。结果在对 21 项研究(研究人数为 2Fairbrother 等人,2016581 人)的综述中,孕期强迫症的患病率为 9.1(95 %CI:5.2-15.6)。结论根据荟萃分析的结果显示,在妊娠期和产后,强迫症的患病率令人担忧。因此,护理这一时期妇女的临床医生必须给予更多的关注和支持。通过积极主动地减少妇女及其婴儿的强迫症并发症,社会可以努力确保所有人都能获得积极的健康结果。
{"title":"Global prevalence of obsessive-compulsive disorder in pregnancy and postpartum: A systematic review and meta-analysis","authors":"Nader Salari ,&nbsp;Sina Sharifi ,&nbsp;Masoud Hassanabadi ,&nbsp;Fateme Babajani ,&nbsp;Habibolah Khazaie ,&nbsp;Masoud Mohammadi","doi":"10.1016/j.jadr.2024.100846","DOIUrl":"10.1016/j.jadr.2024.100846","url":null,"abstract":"<div><h3>Background</h3><div>One of the most important challenges during pregnancy and postpartum is physical and emotional changes, including obsessive compulsive disorder. The aim of the current study is to investigate the global prevalence of obsessive-compulsive disorder during pregnancy and postpartum through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this research, a systematic search was conducted in several electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and Google Scholar search engine. The search was conducted until March 2023 to find studies on the prevalence of obsessive-compulsive disorder during pregnancy and after giving birth. The Random Effects Model was used to perform the analysis and the heterogeneity of the studies was evaluated using the I<sup>2</sup> index. Also, Comprehensive Meta-Analysis Software version 2.0 was used for data analysis.</div></div><div><h3>Results</h3><div>In a review of 21 studies with a volume of 2<span><span>Fairbrother et al., 2016</span></span>581 people, the prevalence of obsessive-compulsive disorder during pregnancy was reported as 9.1 (95 %CI: 5.2–15.6). Also, in a review of 12 studies with a volume of 7649 people, the prevalence of obsessive-compulsive disorder in postpartum period was reported as 6.2 (95 % CI: 4–9.5).</div></div><div><h3>Conclusion</h3><div>Based on the findings of the meta-analysis, it was revealed that in the context of pregnancy and postpartum, the prevalence of obsessive-compulsive disorder is a significant concern. Hence, more attention and support of clinicians who care for women in this period is essential. By proactively reducing the complications of OCD in both women and their infants, society can work toward ensuring positive health outcomes for all.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"18 ","pages":"Article 100846"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357621","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}
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Journal of Affective Disorders Reports
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