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Parenting Behavior and Early Childhood Mental Health: Cortisol Awakening Response as a Moderator of Child Internalizing and Externalizing. 父母行为与幼儿心理健康:皮质醇觉醒反应作为儿童内化和外化的调节因子。
Pub Date : 2025-03-01 Epub Date: 2025-03-04 DOI: 10.21926/obm.icm.2501011
Nicole E Mahrer, Gabrielle R Rinne, Christine M Guardino, Danielle A Swales, Madeleine Ullman Shalowitz, Sharon Landesman Ramey, Christine Dunkel Schetter

Certain observable parenting behaviors contribute to the risk of children developing internalizing and externalizing problems. Yet parenting behaviors do not affect all children uniformly and effects may depend on identifiable child characteristics. One factor is a child's biological sensitivity to the caregiving environment, an indicator of which is a stress hormone, cortisol. This longitudinal study examines two dimensions of observable parenting behaviors, responsive and rejecting/harsh. These parenting behaviors and child cortisol awakening response (CAR) were measured during home visits in a sample of 100 mostly low-income White and Latina/Hispanic mothers and their children at ages 4-6. Children's internalizing and externalizing behaviors were assessed one year later. We tested the effects of responsive and harsh/rejecting parenting on child internalizing and externalizing and examined child CAR as a moderator. Results indicated that responsive parenting predicted better child mental health as indexed by fewer internalizing and externalizing behaviors, whereas harsh/rejecting parenting predicted more internalizing behaviors. Harsh/rejecting parenting interacted with child CAR such that harsh/rejecting parenting predicted more externalizing only among children with low CAR; there was no interaction of responsive parenting with child CAR. These results elucidate how child CAR may shape mental health outcomes associated with harsh/rejecting parenting.

某些可观察到的父母行为会增加孩子出现内化和外化问题的风险。然而,父母的行为并不会均匀地影响所有的孩子,其影响可能取决于可识别的孩子的特征。一个因素是孩子对照顾环境的生理敏感性,这是一种压力激素皮质醇的指标。这项纵向研究考察了可观察到的父母行为的两个维度,反应性和拒绝/严厉。这些育儿行为和儿童皮质醇觉醒反应(CAR)是在家访期间对100名主要是低收入白人和拉丁裔/西班牙裔母亲及其4-6岁的孩子进行测量的。一年后对儿童的内化和外化行为进行评估。我们测试了响应式和严厉/拒绝式养育方式对儿童内化和外化的影响,并检验了儿童CAR作为调节因素。结果表明,响应型父母可以通过减少内化和外化行为来预测更好的儿童心理健康,而严厉/拒绝型父母可以预测更多的内化行为。严厉/拒绝的养育方式与孩子的CAR相互作用,使得严厉/拒绝的养育方式只在低CAR的孩子中预测更多的外化;反应性养育与儿童CAR没有相互作用。这些结果阐明了儿童CAR如何影响与严厉/拒绝父母相关的心理健康结果。
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引用次数: 0
Treatment Choices and Healthcare Services Utilization Amongst Lumbosacral Radiculopathy Patients: Results from a Randomized Controlled Trial. 腰骶神经根病患者的治疗选择和医疗服务利用:一项随机对照试验的结果。
Pub Date : 2025-01-01 Epub Date: 2025-08-07 DOI: 10.21926/obm.icm.2503035
Ryan S Wexler, Natasha Parman, Devon J Fox, Danielle ZuZero, Anand Parikshak, Sophia Kwin, Austin R Thompson, Hans L Carlson, Thomas Kern, Scott D Mist, Ryan Bradley, Heather Zwickey, Courtney K Pickworth

Lumbosacral radicular pain (LRP) is a common sequelae of low back pain, the world's leading cause of years lived with disability. LRP typically causes numbness, weakness, and tingling into the lower extremity and is associated with high rates of pain and impaired function. Despite its prevalence, there is significant heterogeneity among clinical practice guidelines for the treatment of LRP, which may contribute to poor patient outcomes. The aim of the present study was to identify treatments that participants had previously attempted before enrolling in a randomized controlled trial of a mindfulness-based intervention. This analysis evaluated prior pharmaceutical use, procedures, and non-pharmacologic treatments, with a special focus on complementary and integrative health (CIH) utilization. The data for the present analysis were taken from the health history form of the baseline visit for the randomized controlled trial by Wexler et al 2024. Treatment utilization was evaluated and reported using descriptive characteristics. In this sample of chronic LRP patients (n = 71), we found a high proportion of CIH utilization, including acupuncture (58%), chiropractic care (58%), and herbs/supplements (42%). Most patients (52%) were utilizing two or more CIH modalities to manage their pain. A high percentage of participants had also previously used non-steroidal anti-inflammatories (61%) to manage their pain, and over a third of participants had previously undergone an epidural steroid injection (34%). In our trial, CIH utilization was much higher for treatments like chiropractic care, acupuncture, natural products, and physical activity than has been reported in previous large datasets of patients with chronic pain such as the National Health Interview Survey. Collecting data on CIH utilization in clinical trials can enable researchers to compare their samples to large national datasets and identify differences in use among specific populations. In addition, healthcare utilization data collected in clinical trials can further inform the development of clinical practice guidelines.

腰骶神经根性疼痛(LRP)是腰痛的常见后遗症,腰痛是世界上导致残疾的主要原因。LRP通常会导致下肢麻木、无力和刺痛,并伴有高疼痛率和功能受损。尽管LRP很流行,但在LRP治疗的临床实践指南中存在显著的异质性,这可能导致患者预后不佳。本研究的目的是确定参与者在参加基于正念的干预的随机对照试验之前曾尝试过的治疗方法。该分析评估了先前的药物使用,程序和非药物治疗,特别关注补充和综合健康(CIH)的利用。本分析的数据来自Wexler等人2024年随机对照试验基线访视时的健康史表。使用描述性特征评估和报告治疗利用情况。在这个慢性LRP患者样本(n = 71)中,我们发现CIH使用率很高,包括针灸(58%),脊椎指压治疗(58%)和草药/补品(42%)。大多数患者(52%)使用两种或更多种CIH方式来控制疼痛。很高比例的参与者以前也使用过非甾体类抗炎药(61%)来控制疼痛,超过三分之一的参与者以前接受过硬膜外类固醇注射(34%)。在我们的试验中,与之前的大型慢性疼痛患者数据集(如全国健康访谈调查)相比,CIH在脊椎指压治疗、针灸、天然产品和体育活动等治疗中的使用率要高得多。收集临床试验中CIH使用的数据可以使研究人员将其样本与大型国家数据集进行比较,并确定特定人群中使用的差异。此外,在临床试验中收集的医疗保健利用数据可以进一步为临床实践指南的制定提供信息。
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引用次数: 0
Nature Connection, Mindfulness, and Wellbeing: A Network Analysis 自然连接,正念和幸福:一个网络分析
Pub Date : 2023-11-06 DOI: 10.21926/obm.icm.2304050
Robert Capizzi, Heather Mary Kempton
Relationships between nature connection, mindfulness and wellbeing have been observed through nature based therapeutic interventions, where mindfulness and nature appear to reciprocally influence each other in relation to wellbeing and is potentially consistent with attention restoration theory. However, previous studies have relied on examining nature based interventions rather than the role of nature connection in everyday lives. This investigation explored the relationship between nature connection, mindfulness, and wellbeing within a general population sample in Auckland, New Zealand during the COVID-19 pandemic. Participants (n = 472) completed a survey questionnaire measuring nature connectedness (CNS), hedonic and eudemonic wellbeing (PANAS and MLQ), stress (PSS), and mindfulness (FFMQ). Given mindfulness consists of interrelated practices and the relationship between mindfulness and nature connection is thought to be reciprocal, an EBIC GLASSO network was constructed to investigate the pathways between nature connection, mindfulness, and wellbeing. The FFMQ subscale of Observing was central to the network in terms of closeness and betweenness and had a strong correlation with CNS where it bridged CNS and wellbeing scales. This study demonstrates that individuals in their daily lives show relationships between nature connection, mindfulness, and wellbeing, and indicates that the Observing aspect of mindfulness might be useful for harnessing nature connection and wellbeing effects.
通过基于自然的治疗干预,观察到自然联系、正念和幸福感之间的关系,正念和自然似乎在幸福感方面相互影响,并且可能与注意力恢复理论相一致。然而,以前的研究依赖于检查基于自然的干预措施,而不是自然联系在日常生活中的作用。本调查探讨了COVID-19大流行期间新西兰奥克兰普通人群样本中自然联系、正念和幸福感之间的关系。参与者(n = 472)完成了一份测量自然连通性(CNS)、快乐和幸福(PANAS和MLQ)、压力(PSS)和正念(FFMQ)的调查问卷。考虑到正念由相互关联的实践组成,正念和自然联系之间的关系被认为是相互的,我们构建了一个EBIC GLASSO网络来研究自然联系、正念和幸福感之间的途径。观察的FFMQ子量表在亲密度和中间度方面是网络的核心,与中枢神经系统有很强的相关性,它连接了中枢神经系统和健康量表。本研究表明,个体在日常生活中表现出自然联系、正念和幸福感之间的关系,并表明正念的观察方面可能有助于利用自然联系和幸福感效应。
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引用次数: 0
Possibilities of Predicting a Person's Substance Use Behaviour and Mental Health Through Social Media in a COVID-19 Crisis Context 在COVID-19危机背景下,通过社交媒体预测一个人的物质使用行为和心理健康的可能性
Pub Date : 2023-11-01 DOI: 10.21926/obm.icm.2304049
Vsevolod Konstantinov, Pavel Ustin, Leonid Popov
The negative psychological consequences of the COVID-19 pandemic and the forced isolation of a large proportion of people worldwide have demonstrated the need to develop ways and technologies to reduce the effects of sudden threats of this type. The basis of any practical work to minimize the negative psychological consequences of the COVID-19 pandemic associated with substance use is the monitoring and diagnosis of the psychological resources of the individual. The article aims to show the possibilities of predicting the behavior of an individual through the content analysis of posts and reposts of their profile on the social network VKontakte on the example of the propensity to use psychoactive substances and to substantiate the possibilities of optimizing and automating such prediction through the use of category markers. Content analysis was carried out by latent semantic analysis of texts extracted from posts and reposts of VKontakte social network users with subsequent content analysis through selecting markers - category words. As a result, a categorical grid was built, which increases the efficiency of content analysis of posts and reposts of users and is suitable for further automation of such research by machine learning methods.
COVID-19大流行造成的负面心理后果以及全世界很大一部分人被迫隔离表明,有必要开发方法和技术来减少这类突发威胁的影响。为尽量减少COVID-19大流行与药物使用相关的负面心理后果,任何实际工作的基础都是监测和诊断个人的心理资源。本文旨在以使用精神活性物质的倾向为例,通过对社交网络VKontakte上个人资料的帖子和转发进行内容分析,展示预测个人行为的可能性,并通过使用类别标记来证实优化和自动化这种预测的可能性。内容分析是通过对VKontakte社交网络用户的帖子和转发中提取的文本进行潜在语义分析,然后通过选择标记-类别词进行内容分析。构建了分类网格,提高了用户帖子和转发内容分析的效率,适合通过机器学习方法进一步实现此类研究的自动化。
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引用次数: 0
Sleep Quality, Sleep Efficiency, and Perceived Stress after Synchronous Virtual Mindfulness Meditation Sessions for Higher Education Students 高等教育学生同步虚拟正念冥想后的睡眠质量、睡眠效率和感知压力
Pub Date : 2023-10-30 DOI: 10.21926/obm.icm.2304048
Nabila Enam, Sara Benham, Nancy Green
This study examined the effects of virtual mindfulness meditation programming on sleep efficiency using wearable tracking devices, as well as effects on sleep quality and perceived stress in higher education students. A one-group, pretest-posttest design with convenience sampling and rolling recruitment over a six-month period resulted in twenty-five participants who completed the study and were included in data analysis. Paired t-tests were used to determine statistical significance for sleep efficiency measured using the Fitbit Inspire 2, Pittsburgh Sleep Quality Index (PSQI) global score, and Perceived Stress Scale (PSS) total scores. Significance was observed in positive outcomes for sleep quality (p = 0.010) and perceived stress (p = 0.032). Sleep efficiency resulted in no significant change (p = 0.063). The synchronous virtual program had a positive effect on the sleep quality and perceived stress; however, the use of wearables should be integrated with caution. Higher education students and professionals at higher education institutions may consider non-pharmacological approaches to treating stress and sleep.
这study< strong></strong>使用可穿戴跟踪设备检查了虚拟正念冥想程序对睡眠效率的影响,以及对高等教育学生睡眠质量和感知压力的影响。<strong>采用一组、前测后测设计,方便抽样和6个月的滚动招募,25名参与者完成了研究,并被纳入数据分析。使用配对t检验来确定使用Fitbit Inspire 2、匹兹堡睡眠质量指数(PSQI)整体得分和感知压力量表(PSS)总分测量的睡眠效率的统计学意义。在睡眠质量方面观察到显著的积极结果(<em>p</em>= 0.010)和感知压力(<em>p</em>= 0.032)。睡眠效率没有显著变化(<em>p</em>= 0.063)。同步虚拟节目对睡眠质量和感知压力有正向影响;然而,可穿戴设备的使用应该谨慎。接受高等教育的学生和高等教育机构的专业人员可能会考虑用非药物的方法来治疗压力和睡眠。
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引用次数: 0
Report from the 11th International Symposium on Auriculotherapy Held in Copenhagen, 8-10 September 2023 - Auriculotherapy meets the field of Psychology 2023年9月8-10日在哥本哈根举行的第11届国际耳疗研讨会报告-耳疗与心理学领域相遇
Pub Date : 2023-10-26 DOI: 10.21926/obm.icm.2304047
Claire Marie Rangon, Gerhard Litscher, Robert Bering, Gary Stanton, Anne Marie Bering, Stephen W. Porges Porges, Raphael Nogier
Conference ReportReport from the 11th International Symposium on Auriculotherapy Held in Copenhagen, 8-10 September 2023 - Auriculotherapy meets the field of PsychologyClaire Marie Rangon 1, Gerhard Litscher 2, *, Robert Bering 3, Gary Stanton 4, Anne Marie Bering 5, Stephen W. Porges 6, 7, Raphaël Nogier 8* Correspondence: Gerhard Litscher; E-Mail: gerhard.litscher@medunigraz.atOBM Integrative and Complementary Medicine2023, volume 8, issue 4doi:10.21926/obm.icm.2304047Received: October 19, 2023Accepted: October 25, 2023Published: October 26, 2023
2023年9月8日至10日在哥本哈根举行的第十一届国际听觉疗法研讨会报告<strong> -听觉疗法与心理学领域的会面</strong>Claire Marie Rangon <sup>1</sup>, Gerhard Litscher <sup>2, *</sup>, Robert Bering <sup>3</sup>, Gary Stanton <sup>, Anne Marie Bering <sup>, 5</sup>, Stephen W. Porges <, 6,7 <,Raphaël Nogier <sup>8</sup>* <strong>通信:</strong>Gerhard Litscher;E-Mail: <a href="mailto:gerhard.litscher@medunigraz.at">gerhard.litscher@medunigraz.at</a><em>OBM综合与补充医学</em>2023,卷8,第4期doi:10.21926/ OBM .icm.2304047<strong>收到:</strong>2023年10月19日<strong>接受:</strong>2023年10月25日<strong>发布日期:</strong>2023年10月26日
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引用次数: 0
Alone within the ALONESS of Covid-19: Developing Contemplative, Artistic Inner Friendship for Turbulent Times 独自面对新冠肺炎:在动荡时代发展沉思、艺术的内心友谊
Pub Date : 2023-10-25 DOI: 10.21926/obm.icm.2304045
Michael Franklin
Art therapy, imaginal mindfulness, yoga, and meditation were personal and collegial necessities for surviving the emotional fallout of isolation during the Covid-19 pandemic. Combining these practices offered us credible resources for enhancing our social, cultural, and spiritual wellness when faced with the loneliness of lockdown living. This article applies an autoethnographic lens highlighting the value of these contemplative tools for managing pandemic related distress within myself and my professional peer group. The material gathered for this article is based on the authenticity of personal, smaller samples of shared, self-described observational phenomena. While these points were not formally studied with a review of scientific samples, the pandemic encouraged innovative forms of social communication between me, colleagues, and graduate students studying art therapy. Consequently, the information presented was consistently observed and shared between these professional communities. Self-reported findings from my confreres suggested outcomes of interiorized self-regulation skills such as focused attention, inner friendship/self-compassion, and witness awareness resulting from joining art with contemplative practices.
艺术疗法、想象正念、瑜伽和冥想是在Covid-19大流行期间度过孤立情绪影响的个人和大学必需品。当我们面对封闭生活的孤独时,结合这些实践为我们提供了可靠的资源,可以增强我们的社会、文化和精神健康。这篇文章运用了一个自我民族志的视角,强调了这些沉思工具在管理我和我的专业同行群体中与流行病相关的痛苦方面的价值。本文收集的材料是基于个人的真实性,共享的小样本,自我描述的观察现象。虽然这些观点没有通过对科学样本的审查进行正式研究,但大流行鼓励了我、同事和研究艺术疗法的研究生之间的创新社会交流形式。因此,所提供的信息在这些专业团体之间得到一致的观察和分享。我的与会者自我报告的结果表明,内化的自我调节技能的结果,如集中注意力,内心的友谊/自我同情,以及将艺术与沉思练习结合起来所产生的证人意识。
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引用次数: 0
Welcoming the “Metaverse” in Integrative and Complementary Medicine: Introductory Overview 欢迎综合和补充医学中的“超宇宙”:介绍概述
Pub Date : 2023-10-25 DOI: 10.21926/obm.icm.2304046
Poppy L.A. Schoenberg
The digital transformation of healthcare is accelerating. At the forefront of this revolution is the development of the "metaverse." This multidimensional digital universe, where virtual and physical realities converge, is reshaping the potential of integrative and complementary medicine. In this special edition journal series, we explore how metaverse technologies such as virtual reality, augmented reality, avatars, digital twins, blockchain smart contracts, and more, are poised to revolutionize holistic healthcare. This article serves as a brief introduction to concepts, domains, and technologies of the metaverse, with scope for integrative and complementary medicine applications. It provides a groundwork and invitation for scholars to join this transformative frontier in healthcare, where the metaverse and integrative medicine unite to offer new dimensions for holistic well-being. Together, we explore the endless possibilities of "Welcoming the Metaverse in Integrative and Complementary Medicine," bridging the gap between the digital and the holistic for a more inclusive, diverse, and interconnected future of healthcare and wellbeing.
医疗保健的数字化转型正在加速。这场革命的前沿是“元宇宙”的发展。这个虚拟现实和物理现实融合的多维数字宇宙正在重塑综合和补充医学的潜力。在这个特别版期刊系列中,我们探讨了虚拟现实,增强现实,化身,数字双胞胎,区块链智能合约等虚拟世界技术如何准备彻底改变整体医疗保健。本文简要介绍了元宇宙的概念、领域和技术,以及综合和补充医学应用的范围。它为学者们加入医疗保健领域的变革前沿提供了一个基础和邀请,在这里,元宇宙和综合医学联合起来,为整体健康提供了新的维度。我们共同探索“在综合和补充医学中欢迎超世界”的无限可能性,弥合数字和整体之间的差距,以实现更加包容、多样化和相互关联的医疗保健和福祉的未来。
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引用次数: 0
The Exploration of the Experience of Expressive Therapies in a Pediatric Medical Setting in the COVID-19 Pandemic through Arts-Based Research 通过基于艺术的研究探索COVID-19大流行儿童医疗环境中表达疗法的经验
Pub Date : 2023-10-24 DOI: 10.21926/obm.icm.2304044
Katie Lahue, Eliana Rivera, Sara Schmidt
The COVID-19 pandemic presented a host of issues for hospitalized patients including increased anxiety, fear, isolation, and depression [1]. Expressive Therapies have been used in the pediatric medical setting for decades to support patients and families with coping, expression, processing, and rehabilitation [2-5]. Additionally, some studies suggest that Expressive Therapies were effective in helping ease the increase in mental health symptoms that occurred during the pandemic. During the pandemic the expressive therapies team at Primary Children’s Hospital in Salt Lake City, Utah had to drastically shift their care to meet the increased safety requirements needed to prevent infection. This brought significant barriers and opportunities for learning [6]. There is a lack of research to understand the experience of expressive therapists during the pandemic. The authors aimed to understand this experience through an arts-based research lens using art to reflect on a patient relationship during the COVID-19 pandemic [7]. The authors then engaged in a witnessing process that was recorded and transcribed by the authors to search for themes [8-10] that described the authors’ experience of being an expressive therapist during that time. The six themes derived from the transcriptions were Extremes, Space, Back and Forth, Together, Exploration, and Unknown.
新冠肺炎大流行给住院患者带来了一系列问题,包括焦虑、恐惧、孤立和抑郁加剧[1]。表达疗法已经在儿科医疗环境中使用了几十年,用于支持患者和家庭应对、表达、处理和康复[2-5]。此外,一些研究表明,表达疗法有助于缓解大流行期间出现的心理健康症状的增加。在大流行期间,犹他州盐湖城初级儿童医院的表达疗法团队不得不大幅改变他们的护理方式,以满足预防感染所需的更高安全要求。这给学习带来了巨大的障碍和机会[6]。在大流行期间,缺乏研究来理解表达治疗师的经验。作者旨在通过以艺术为基础的研究视角,利用艺术来反映COVID-19大流行期间的患者关系,了解这一经历[7]。然后,作者参与了一个见证过程,由作者记录和转录,以寻找描述作者在那段时间作为表达治疗师的经历的主题[8-10]。从歌词中衍生出的六个主题是极端、空间、来回、一起、探索和未知。
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引用次数: 0
Using Hypnotic Techniques and Guided Imagery in Treatment of a Highly Hypnosible Woman with Slowly Progressing Chronic Organic Brain Disorder: A Case Study 使用催眠技术和引导图像治疗一个高度可催眠的缓慢进展的慢性器质性脑疾病的妇女:一个案例研究
Pub Date : 2023-10-20 DOI: 10.21926/obm.icm.2304043
Natali Lioubashevski, Netzer Daie, Yoram Finkelstein, Eliezer Witztum
A therapeutic intervention combines guided imagery and hypnotic techniques (including self-hypnosis), direct and indirect suggestions, medical treatments, and highly improving patient condition. A variety of hypnotic intervention techniques were introduced to treat a highly hypnotizable patient suffering from an advanced organic brain disorder due to an autoimmune disease and resistant to traditional medicine, showing no improvement despite being highly motivated and cooperating with conventional measures. Progress in the Patient's condition and symptoms has been achieved during these hypnotic interventions: increased appetite and weight gain with a decrease in symptoms of gastroparesis, decreased limb spasticity while walking, improved speech and pronunciation, improved muscular power, improved balance and posture, pain diminution and improved mood.
治疗干预结合了引导意象和催眠技术(包括自我催眠)、直接和间接建议、医学治疗和高度改善患者状况。采用多种催眠干预技术治疗一名高度可催眠的患者,该患者患有由自身免疫性疾病引起的晚期器质性脑疾病,对传统药物有抗药性,尽管具有高度的积极性并配合传统措施,但仍无改善。在这些催眠干预期间,患者的病情和症状取得了进展:食欲增加和体重增加,胃轻瘫症状减轻,行走时肢体痉挛减轻,言语和发音改善,肌肉力量改善,平衡和姿势改善,疼痛减轻,情绪改善。
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引用次数: 0
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OBM integrative and complimentary medicine
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