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Chess and Acupuncture? 象棋和针灸?
Pub Date : 2023-04-19 DOI: 10.21926/obm.icm.2302020
G. Litscher
This editorial briefly describes possible relationships and similarities between chess and acupuncture. Although the methods of chess and acupuncture could not be more different, possible joint effects on the brain can be hypothesized. However, the effectiveness of these joint effects has yet to be proven in scientific studies. Both chess and acupuncture can be used to improve physical and mental well-being. According to the author, the Yintang point could play a key role here.
这篇社论简要描述了象棋和针灸之间可能存在的关系和相似之处。尽管国际象棋和针灸的方法没有太大的不同,但可以假设联合对大脑的可能影响。然而,这些联合效应的有效性尚未在科学研究中得到证实。象棋和针灸都可以用来改善身心健康。笔者认为,印堂穴在这方面可以发挥关键作用。
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引用次数: 0
Teacher Outcomes with a School-Based Mindfulness Intervention during COVID-19 新冠肺炎期间基于学校的正念干预的教师结果
Pub Date : 2023-04-13 DOI: 10.21926/obm.icm.2302019
Traci D. Jarrett, Ilana Haliwa, Jennifer M. Ludrosky, Ashley Mason, Gretchen Prather, Brittney Barlett, Amy Snodgrass, G. Dino
Teacher burnout is one of the primary drivers of turnover. Skills such as improved classroom management have been shown to mitigate teacher burnout. COVID-19 created classroom disruption and an unprecedented youth mental health crisis. This study examined the effectiveness of a school-based mindfulness training at improving classroom management self-efficacy and reducing teacher burnout during COVID-19. Elementary school personnel were invited to participate in two versions of Kidding Around Yoga training and to implement with their students. Pre- and post-tests were conducted at 4-6 months (n = 49) to measure individual items related to classroom management, teacher self-efficacy, perceptions of student engagement, and professional quality of life. There were significant differences at post for items related to teacher skills, knowledge, and self-efficacy, and perceptions of the student experience (specifically, student emotional regulation). There were no significant differences between baseline and post in any of the professional quality of life measures. Findings suggest that Kidding Around Yoga is promising as a universal intervention to improve teachers’ self-efficacy and skills, and their experience of the classroom. More information is needed to understand if the intervention would have long-term impact on teacher burnout and turnover.
教师倦怠是造成人员流失的主要原因之一。改进课堂管理等技能已被证明可以缓解教师的倦怠。新冠肺炎造成课堂混乱和前所未有的青少年心理健康危机。本研究考察了新冠肺炎期间学校正念训练在提高课堂管理自我效能和减少教师倦怠方面的有效性。小学工作人员被邀请参加两个版本的Kidding Around瑜伽训练,并与学生一起实施。在4-6个月(n=49)时进行前后测试,以测量与课堂管理、教师自我效能感、学生参与感和职业生活质量相关的单项。在与教师技能、知识、自我效能感和学生体验感知(特别是学生情绪调节)相关的项目上,岗位上存在显著差异。在任何专业生活质量测量中,基线和岗位之间没有显著差异。研究结果表明,围绕瑜伽开玩笑是一种很有前途的普遍干预措施,可以提高教师的自我效能感和技能,以及他们的课堂体验。需要更多的信息来了解干预措施是否会对教师倦怠和离职产生长期影响。
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引用次数: 0
Greater Objective and Perceived Competence for Clinics is Associated with Reduced Stress but No Change in Impostorism in Medical Students <sup><a class="tippyShow" data-tippy-arrow="true" data-tippy-content="A portion of this work was published in abstract form and presented at the 25&lt;sup&gt;th</sup> annual meeting of the International Association of Medical Science Educators, June 12-17, 2021 [1]" data-tippy-interactive="true" data-tippy-theme="light-border" style="… 临床客观能力和感知能力的提高与压力的减少有关,但医学生的冒名顶替行为没有变化这篇文章的一部分以摘要形式发表,并在25&lt; supp &gt; gt; / supp &gt;国际医学教育工作者协会年会,2021年6月12-17日[1]" data-tippy-interactive="true" data-tippy-theme="light-border" style="…
Pub Date : 2023-04-10 DOI: 10.21926/obm.icm.2302018
Beth Levant, Emma Nguyen, Jennifer A. Villwock, Ann M. Manzardo
Impostorism is prevalent in medical students and negatively impacts wellness, contributing to stress and burnout. Perceived competence is noted as one attribute underlying impostorism. A curricular change that resulted in improved United States Medical Licensing Examination (USMLE) Step 1 scores and student self-perceptions of preparedness for clinical training was used as a natural experiment to assess the effects higher competence/preparedness, based on an objective indicator and self-perceptions, on impostorism, stress, and burnout during early clinical training. Third-year medical students in the last class of the old “Legacy” curriculum and the first class of the revised “ACE” curriculum completed a voluntary, anonymous survey that included the Clance Impostor Phenomenon Scale, the Perceived Stress Scale, and the abbreviated Maslach Burnout Assessment. USLME Step 1 scores and data on students’ self-perception of their preparedness for clinics were collected as part of routine curricular monitoring. Both groups of students had highly similar entering demographics. Compared to Legacy students, ACE students had higher USMLE Step 1 scores (p < 0.001) and perceived themselves to be better prepared for clinical clerkships (p < 0.001). Stress scores were 15% lower in ACE students (p < 0.05). However, impostor scores were nearly identical between these groups and the proportions of students endorsing burnout were not different. This suggests that impostorism and burnout during the transition to clinical training are not attenuated by improved competence and are not directly related to stress.
冒牌行为在医学生中很普遍,对健康产生负面影响,导致压力和倦怠。感知能力被认为是冒牌货行为的一个潜在特征。课程改变导致美国医师执照考试(USMLE)第1步分数的提高和学生对临床培训准备的自我感知被用作自然实验,以评估基于客观指标和自我感知的更高能力/准备对早期临床培训中的冒名行为、压力和倦怠的影响。旧“Legacy”课程最后一班和修订“ACE”课程第一班的三年级医学生完成了一项自愿的匿名调查,调查内容包括Clance冒名者现象量表、感知压力量表和简略的Maslach倦怠评估。USLME第一步得分和学生对诊所准备的自我感知数据被收集作为常规课程监测的一部分。两组学生的入学人口统计数据非常相似。与传统学生相比,ACE学生的USMLE第一步分数更高(p <0.001),并认为自己为临床见习做了更好的准备(p <0.001)。ACE学生的压力得分低15% (p <0.05)。然而,这两组的“冒名顶替者”得分几乎是相同的,而且认同倦怠的学生比例也没有什么不同。这表明,在向临床培训过渡的过程中,冒充行为和倦怠并没有因能力的提高而减少,也与压力没有直接关系。
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引用次数: 0
Better to Not Be Alone: Relationships between Hurricane Related Trauma, Spiritual Support, and Social Support 不要孤独:飓风相关创伤、精神支持和社会支持之间的关系
Pub Date : 2023-04-06 DOI: 10.21926/obm.icm.2302017
Beren Crim Sabuncu, Wenyi Li, A. Ai
There has been a paucity in the literature on the protective effects of spiritual and social support as it pertains to trauma symptoms following a disaster. This secondary analysis investigated: a) the longitudinal analysis of the effect of perceived spiritual support (PSS; measured using PSSS-S2) on posttraumatic stress symptoms (PTSS); and b) the effect of social support and Wave-1 PTSS results on Wave-2 PTSS among Hurricane-Katrina (H-K) volunteers. We hypothesized that, 1. The shortform PSSS-S2 would have an adequate one-dimensional structure in our H-K sample; 2. PSSS-S2 would be inversely related to Wave-2 PTSS, after controlling for Wave-1 PTSS and other disaster factors; and 3. Wave-2 perceived social support would be inversely related to Wave-2 PTSS. In 2005, researchers of universities the Deep South conducted a questionnaire survey on H-K volunteers, some of whom were also disaster victims (N = 542; age = 29.66 + 9.10, African American = 55%). The Wave-1 survey was delivered at three-months after H-K, the Wave-2 survey was delivered six-months after H-K. Robust Confirmatory Factor Analysis was used to verify the single-item structure of PSSS-S2. Multiple regression analysis was employed using SPSS27. The Robust CFA results indicate good model fit. In our final regression model, Wave-1 PTSS (β = 0.527, p < 0.001) and other H-K stressors (β = 0.154, p < 0.035) were positively associated with Wave-2 PTSS. Being older, having experienced less PTSS in Wave-1, and perceiving higher rates of social support were negatively related with Wave-2 PTSS. The present study demonstrated the lasting nature of PTSS. The present study demonstrated the lasting nature of PTSS. The six-months follow-up is important because it was the time a diagnosis of posttraumatic stress disorder (PTSD) could be established for volunteers. Our findings underscore the importance of social support and perceived spiritual support in fending off the negative role of disaster-induced stressors [1].
关于精神和社会支持对灾难后创伤症状的保护作用的文献很少。二级分析研究了:a)感知精神支持(PSS)效应的纵向分析;使用pssss - s2)测量创伤后应激症状(ptsd);b)社会支持和第一波创伤后应激压力对第二波创伤后应激压力的影响。我们假设是1。在我们的H-K样品中,简式pssss - s2具有足够的一维结构;2. 在控制1波ptsd及其他灾害因素后,PSSS-S2与2波ptsd呈负相关;和3。第二波感知社会支持与第二波ptsd呈负相关。2005年,美国深南大学的研究人员对H-K志愿者进行了问卷调查,其中一些志愿者也是灾难受害者(N = 542;年龄= 29.66 + 9.10,非裔美国人= 55%)。Wave-1测量在H-K后3个月交付,Wave-2测量在H-K后6个月交付。采用稳健验证性因子分析对PSSS-S2的单项结构进行验证。采用SPSS27进行多元回归分析。稳健的CFA结果表明良好的模型拟合。在我们的最终回归模型中,Wave-1 PTSS (β = 0.527, p < 0.001)和其他H-K应激源(β = 0.154, p < 0.035)与Wave-2 PTSS呈正相关。年龄越大、第一波ptsd经历越少、社会支持率越高与第二波ptsd呈负相关。本研究证明了创伤后应激障碍的持久性。本研究证明了创伤后应激障碍的持久性。六个月的随访很重要,因为这是对志愿者进行创伤后应激障碍(PTSD)诊断的时间。我们的研究结果强调了社会支持和感知到的精神支持在抵御灾害引起的压力源的负面作用方面的重要性。
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引用次数: 0
Optimizing Lymphedema Outcomes through Lifestyle 通过生活方式优化淋巴水肿结局
Pub Date : 2023-03-17 DOI: 10.21926/obm.icm.2301016
L. Keith, Robert Erkstam
Lymphedema, a chronic incurable condition characterized by edema, inflammation, reactive fibrosis, adipose proliferation, and compromised immune function, affects over 250 million people worldwide [1]. Further, a comorbidity of obesity increases the risk of developing lymphedema and can result in irreversible damage to lymphatic function. Access to appropriate and timely lymphedema treatment, performance of proper self-management strategies, and implementation of healthy lifestyle practices are critical for optimal outcomes for those affected. It is vitally important that a healthy lifestyle program for patients diagnosed with lymphedema include strategies for addressing both lymphedema and weight management. In this paper, we describe the essential elements of a successful program for lymphedema and weight management: ketogenic nutrition, exercise, stress resilience, and sleep.
淋巴水肿是一种以水肿、炎症、反应性纤维化、脂肪增殖和免疫功能受损为特征的慢性不治之症,影响着全球超过2.5亿人[1]。此外,肥胖的合并症会增加淋巴水肿的风险,并可能导致淋巴功能的不可逆损伤。获得适当及时的淋巴水肿治疗、实施适当的自我管理策略以及实施健康的生活方式对患者的最佳结果至关重要。至关重要的是,为诊断为淋巴水肿的患者制定健康的生活方式计划,包括解决淋巴水肿和体重管理的策略。在这篇论文中,我们描述了淋巴水肿和体重管理成功计划的基本要素:生酮营养、运动、压力恢复力和睡眠。
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引用次数: 0
Employee Support During COVID-19 Using Compassionate Mind Training 在COVID-19期间使用慈悲心培训的员工支持
Pub Date : 2023-02-17 DOI: 10.21926/obm.icm.2301015
A. Rose, Max Tupper, C. Irons
An individual’s wellbeing at work is now recognised as key, particularly for those in challenging environment’s such as health and social care. Focusing on the cultivation of (mindful) compassion has been shown to be an effective way of improving mental health. This service evaluation focused on a pilot drop-in group for council and NHS staff, informed by Compassionate Mind Training. It was facilitated during the COVID-19 pandemic, between April – August 2020. The group was evaluated by recording the number and characteristics of attendees and using a feedback survey focused on the acceptability of the group structure and content. Workload was a barrier to attendance. There were differences noted in terms of gender and area of employment of the attendees. The offer of a regular, short (30 minute) and virtual group during the working day seemed to facilitate participation. The group appeared acceptable as attendees indicated they improved their knowledge and understanding about group concepts and reported they had become more mindful and compassionate in everyday life. Participants appeared to value the range of meditations offered and group resources. The facilitators were struck by the sense of community that emerged. The group could be used in future research as a stand-alone programme to support staff wellbeing or perhaps as one part of a wider approach to support the development compassionate organisations.
个人在工作中的幸福感现在被认为是关键,特别是对于那些在健康和社会护理等具有挑战性的环境中的人。注重培养(正念)同情心已被证明是改善心理健康的有效方法。这项服务评估的重点是理事会和NHS工作人员的试点小组,由慈悲心培训告知。在2019冠状病毒病大流行期间(2020年4月至8月),该项目得到了促进。通过记录参与者的数量和特征,并使用反馈调查来评估小组的结构和内容的可接受性。工作量是出勤率的一个障碍。与会者在性别和就业领域方面存在差异。在工作日提供一个定期的、简短的(30分钟)虚拟小组似乎有助于参与。参与者表示,他们提高了对群体概念的认识和理解,并报告说他们在日常生活中变得更加专注和富有同情心,这个群体似乎是可以接受的。参与者似乎很重视提供的冥想范围和团体资源。促进者们被这种社区意识所震撼。在未来的研究中,这个小组可以作为一个独立的项目来支持员工的福利,或者作为一个更广泛的方法来支持富有同情心的组织的发展。
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引用次数: 0
Assessing Burnout and Well-Being in Higher Education Health Science Faculty 评估高等教育卫生科学学院的倦怠与幸福感
Pub Date : 2023-02-14 DOI: 10.21926/obm.icm.2301014
K. McHenry, M. Koster, Genevieve Ludwig, Yonggang Gao, J. Eichmeyer
This study aimed to examine and compare the extent of burnout among health science faculty at a higher education institution and their self-reported perception of well-being during the COVID-19 pandemic. The design of the study was cross-sectional, descriptive survey research. An electronic questionnaire was developed to measure the constructs of burnout and well-being. Validated instruments used in the survey included the Oldenburg Burnout Inventory (OLBI) and the World Health Organization-5 Well-being Index. The Qualtrics ® platform was used to distribute the survey to all full-time faculty within the College of Health Sciences. 45 respondents from nursing, community and environmental health, kinesiology, social work, respiratory care, allied health sciences, and radiologic sciences completed the survey. Significant differences were observed in the extent of burnout and perception of well-being between faculty members who had clinical teaching responsibilities within their faculty role compared to those who did not, p = 0.005, Partial Eta Squared = 0.318. Faculty with a 9-month contract appointment had significantly lower OLBI-Disengagement scores (p = 0.024) and OLBI-Full Burnout scores (p = 0.047) compared with those with another contract length. There was a significantly negative relationship between the extent of burnout and perception of well-being. In this sample of health science faculty, burnout, as characterized by increased exhaustion and disengagement, was moderately prevalent and associated with poorer well-being.
本研究旨在检查和比较新冠肺炎大流行期间高等教育机构卫生科学教师的倦怠程度及其自我报告的幸福感。本研究采用横断面描述性调查研究。开发了一份电子问卷来测量倦怠和幸福感的结构。调查中使用的经验证的工具包括奥尔登堡倦怠量表(OLBI)和世界卫生组织5幸福指数。Qualtrics®平台用于将调查分发给健康科学学院的所有全职教师。来自护理、社区和环境健康、运动机能学、社会工作、呼吸护理、联合健康科学和放射学的45名受访者完成了调查。在教师职责范围内承担临床教学职责的教师与不承担临床教学责任的教师在倦怠程度和幸福感方面存在显著差异,p=0.005,偏Eta平方=0.318。与其他合同期的教师相比,合同期为9个月的教师的OLBI脱离评分(p=0.024)和OLBI完全倦怠评分(p=0.047)显著较低。倦怠程度与幸福感呈显著负相关。在这一健康科学教师样本中,以疲惫和脱离为特征的倦怠适度普遍,并与较差的幸福感有关。
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引用次数: 2
Using Music to Manage Anxiety: A Mixed Methods Intervention Study Between Two Lockdowns 用音乐管理焦虑:两次封锁之间的混合方法干预研究
Pub Date : 2023-02-08 DOI: 10.21926/obm.icm.2301013
K. Mcferran, Carmen Cheong-Clinch, Jennifer Bibb, T. Chin
Lockdowns were a central strategy for managing the outbreak of COVID-19, and Melbourne, Australia had some of the most extensive restrictions globally during 2021. As a result, university students were faced with isolated living and challenging learning experiences. This pilot study occurred during 2021, close to both university assignment due dates and end of semester examinations and some of the longest lockdowns. Seventy-one participants responded to recruitment materials describing using music playlists to manage anxiety and avoid negative thinking patterns during stressful times. They then participated in a 1-hour live, virtual workshop incorporating didactic teaching and practice activities. Pre and post measures of musical engagement, wellbeing and anxiety were used, with additional qualitative data collected at post regarding the workshop, application of ideas, and quantitative data measuring uses of music for emotion regulation. Analysis of quantitative data did not reveal significant findings, but convergent analysis suggested patterns linking degree of anxiety with changed uses of music for regulation for some individuals. Participants described more intentional and informed uses of music that were less repetitive and more targeted. This was particularly apparent when rumination appeared to be prominent. Based on the results, the intervention seems most helpful as a psycho-educational tool, but the 1-hour workshop did not result in measurable changes for highly anxious participants.
封锁是管理COVID-19爆发的一项核心战略,澳大利亚墨尔本在2021年实施了全球范围内最广泛的一些限制措施。因此,大学生面临着孤立的生活和充满挑战的学习经历。这项试点研究发生在2021年,接近大学作业截止日期和学期考试结束,也接近一些最长的封锁。71名参与者对招聘材料做出了回应,这些材料描述了在压力大的时候使用音乐播放列表来管理焦虑和避免消极的思维模式。然后,他们参加了一个1小时的现场虚拟研讨会,包括教学和实践活动。研究人员使用了音乐投入、幸福感和焦虑的前后测量方法,并在工作后收集了关于工作坊、思想应用的额外定性数据,以及测量音乐用于情绪调节的定量数据。定量数据的分析并没有揭示出显著的发现,但趋同分析表明,对一些人来说,焦虑程度与改变音乐的使用有关。参与者描述了更有意识和更有见地的音乐使用,这些音乐的重复更少,更有针对性。当反刍表现突出时,这一点尤为明显。基于结果,干预似乎是最有效的心理教育工具,但1小时的研讨会并没有给高度焦虑的参与者带来可测量的变化。
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引用次数: 0
Chasing Bodily-Self Ghost: Interoception-Aided Hypnosis in the Treatment for Depersonalization-A Case Study 追逐身体-自我幽灵:内接受辅助催眠治疗去人格化个案研究
Pub Date : 2023-02-06 DOI: 10.21926/obm.icm.2301012
Yossi Ehrenreich
This paper aims to introduce a relatively novel approach for Hypnosis to treat Depersonalization-derealization Disorder (DPRD). Depersonalization is conceptualized as a disrupted interoceptive process disorder. Based on this conceptualization, Hypnotic intervention is tailored to counter the flawed process. It is exemplified by a case of a young man suffering from depersonalization disorder who couldn't bear looking at himself in the mirror. The hypnotic intervention used in this case is then explained by predictive coding theory.
本文旨在介绍一种相对新颖的催眠治疗去人格化-现实感障碍(DPRD)的方法。人格解体被定义为一种内感受性过程障碍。基于这一概念,催眠干预是针对有缺陷的过程量身定制的。一个例子就是一个患有人格解体障碍的年轻人,他无法忍受看着镜子里的自己。在这种情况下使用的催眠干预可以用预测编码理论来解释。
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引用次数: 0
On the Relationship Between Teacher Stress, Student Age, and Social-Emotional Competence 教师压力、学生年龄与社会情绪能力的关系研究
Pub Date : 2023-02-01 DOI: 10.21926/obm.icm.2301011
Robin Junker
Stress in teaching leads to many teachers suffering from burnout or leaving the profession. Therefore, it is important to identify specific correlates of teacher stress. The role of student age and social-emotional competence in teacher stress emergence is still unclear To further clarify this relationship, 284 teachers were surveyed using a questionnaire that measured teacher stress, student year grade, and student social-emotional competence. Results show a strong negative relationship between grade level and teacher stress and a positive relationship between variance in students’ social-emotional competence and teacher stress. Social-emotional competence did not mediate between student year grades and teacher stress. Directions for further research and practical implications for teacher education are discussed.
教学中的压力导致许多教师精疲力竭或离职。因此,确定教师压力的具体相关性是很重要的。学生年龄和社会情绪能力在教师压力出现中的作用尚不清楚。为了进一步阐明这种关系,284名教师接受了问卷调查,该问卷测量了教师压力、学生年级和学生社会情绪能力。结果表明,年级水平与教师压力呈显著负相关,学生社会情绪能力的差异与教师压力呈正相关。社会情感能力在学生年级成绩和教师压力之间没有中介作用。讨论了进一步研究的方向和对教师教育的实际意义。
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引用次数: 0
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OBM integrative and complimentary medicine
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