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Looking Beyond the Mother: Investigating Relationship Characteristics and Postpartum Depression Risk Factors 超越母亲:调查关系特征和产后抑郁风险因素
Pub Date : 2023-01-29 DOI: 10.21926/obm.icm.2301010
Jennifer S. Jewell, A. Brooks-Russell, J. Leiferman
Postpartum depression (PPD) affects a notable number of women. While many of the risk and protective factors for PPD are specific to the mother, there are also factors that are related to the partner. However, the partner is often overlooked when assessing the landscape of PPD and potential treatment programs. This study sought to expand the knowledge on partner perceptions during the perinatal period. This online, cross-sectional survey of fathers who were in relationships with mothers who had given birth within the last five years or were currently pregnant, included the topics of PPD knowledge and experience, confidence and preparedness in dealing with postpartum changes, expected changes in the relationship, stress, relationship satisfaction, and communication quality. Results of the linear regression analyses indicated significant relationships between communication quality and confidence (p = 0.021), preparedness (p = 0.005), stress (p < 0.001), and postpartum relationship changes (p < 0.001). Relationship satisfaction was also significantly related to confidence (p < 0.001), preparedness (p < 0.001), stress (p < 0.001), and postpartum relationship changes (p < 0.001). These findings indicate that relationship characteristics may be a vital component in factors related to PPD. The increasing significance and strength of communication quality as a predictor of variables such as confidence in helping the mother cope with mental health struggles indicates that with increased communication skills and quality, couples can reduce their joint risk factors for PPD. Similar evidence was found for relationship satisfaction. This study supports the theory that partners are a vital component in the family system, and they have to ability to positively influence postpartum maternal mental health outcomes.
产后抑郁症(PPD)影响了相当多的女性。虽然PPD的许多风险和保护因素是母亲特有的,但也有一些因素与伴侣有关。然而,在评估PPD的前景和潜在的治疗方案时,合作伙伴往往被忽视。这项研究试图扩大对围产期伴侣认知的了解。这项针对与过去五年内分娩或目前怀孕的母亲有关系的父亲的在线横断面调查,包括PPD知识和经验、应对产后变化的信心和准备、关系的预期变化、压力、关系满意度和沟通质量等主题。线性回归分析结果表明,沟通质量与信心(p=0.021)、准备情况(p=0.005)、压力(p<0.001)和产后关系变化(p<0.001)之间存在显著关系,以及产后关系变化(p<0.001)。这些发现表明,关系特征可能是PPD相关因素的重要组成部分。沟通质量作为帮助母亲应对心理健康问题的信心等变量的预测指标,其重要性和强度越来越大,这表明,随着沟通技能和沟通质量的提高,夫妻可以减少PPD的共同风险因素。在关系满意度方面也发现了类似的证据。这项研究支持这样一种理论,即伴侣是家庭系统中的重要组成部分,他们必须有能力积极影响产后产妇的心理健康结果。
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引用次数: 0
Effects of Qigong Exercises on Patients with Parkinson’s Disease: A Follow-up Study 气功锻炼对帕金森病患者的影响:一项随访研究
Pub Date : 2023-01-28 DOI: 10.21926/obm.icm.2301008
Xiaolei Liu, Yanjie Zhang, Xiru Du, Yongzhi Ma, Ruike Jiang, Shihui Chen, Y. Wang
Qigong, a traditional Chinese exercise routine, has been used as a treatment for Parkinson’s disease (PD) in many studies, and the results have confirmed its effectiveness in reducing the symptoms of PD. However, no study has yet investigated the long-term effects and benefits of Qigong practices in improving the symptoms of PD. The purpose of this follow-up evaluation was to investigate the long-term effects of Qigong practices in improving the symptoms of PD. In this randomized controlled trial (RCT), patients in the moderate stage of PD (N = 15), who had been practicing Qigong exercises, agreed to participate in this follow-up measurement after the intervention. Two important indicators, the Timed Up and Go test (TUG) and the One-legged Blind Balance test, were used to measure the patients’ functional coordination and progressive balance capabilities. Results one year following the intervention were compared with data from the same patients at the 5th and 10th weeks in the previous RCT experimental group using repeated measures ANOVA. The results showed that the patients in this study demonstrated a significant improvement in the TUG test (P < 0.01) and balance ability test (P < 0.05). Qigong exercises can significantly improve the patients’ functional coordination and balance capabilities with moderate PD. Therefore, the Qigong exercise routine can be used as an effective long-term rehabilitation therapy for PD.
气功作为一种传统的中国运动方式,在许多研究中被用于治疗帕金森病(PD),结果证实了气功在减轻PD症状方面的有效性。然而,尚无研究调查气功练习在改善PD症状方面的长期效果和益处。本随访评估的目的是探讨气功练习在改善帕金森症状方面的长期效果。在本随机对照试验(RCT)中,一直在进行气功锻炼的中度PD患者(N = 15)在干预后同意参加本随访测量。两项重要指标,即time Up and Go test (TUG)和单腿盲平衡测试,用于衡量患者的功能协调和渐进式平衡能力。结果在干预一年后,使用重复测量方差分析(repeated measures ANOVA)与先前RCT实验组同一患者在第5周和第10周的数据进行比较。结果显示,本研究患者在TUG测试(P < 0.01)和平衡能力测试(P < 0.05)中均有显著改善。气功锻炼可显著改善中度帕金森病患者的功能协调和平衡能力。因此,气功锻炼常规可以作为PD的一种有效的长期康复疗法。
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引用次数: 0
Expressive Arts for Grieving Youth: A Pilot Project 悲伤青年的表达艺术:一个试点项目
Pub Date : 2023-01-28 DOI: 10.21926/obm.icm.2301009
Moira A Law, Pamela J Pastirik, I. Shamputa
The experience of loss due to death, illness, and social mitigation was inevitable during the COVID-19 pandemic. Mental health services are chronically difficult to access in Canada, and this barrier is further exacerbated when trying to access certified art therapists to deliver expressive arts therapy. This pilot project attempted to provide an alternative to this service through an interprofessional alliance with a professional artist and certified counselors. A small group (n = 6) of vulnerable youth who had suffered the recent loss of a loved one and were at risk for mental health issues participated in an expressive arts therapy program, over a four-week period in the late Spring of 2021. Expressive arts activities such as clay mask making to express the emotions of grief, provided opportunities for the youth to learn healthy ways of coping with grief and loss. A mixed-methods approach involving quantitative data was collected with a battery of well-validated instruments to assess changes in depressive symptomatology, social and emotional loneliness and satisfaction with life. These measures were complemented with qualitative data collected during a focus group at the end of the program. Measures conducted before and after the program found decreases in loneliness, coupled with youth expressing the shared experience was comforting, reduced feelings of isolation, and increased a sense of belonging. Preliminary evidence supports that expressive arts programs for vulnerable youth may help to stabilize mood, decrease feelings of isolation/loneliness, and may generate a supportive community of peers, providing a safe space for the expression of grief through creative outlets.
在2019冠状病毒病大流行期间,死亡、疾病和社会缓解带来的损失是不可避免的。在加拿大,心理健康服务长期难以获得,当试图获得认证的艺术治疗师提供表达艺术治疗时,这一障碍进一步加剧。这个试点项目试图通过与专业艺术家和认证顾问的跨专业联盟提供这种服务的替代方案。一小群(n = 6)最近失去亲人并有心理健康问题风险的弱势青年参加了2021年春末为期四周的表达艺术治疗项目。表现艺术活动,例如制作泥面具,以表达悲伤的情绪,让青少年有机会学习如何健康地面对悲伤和失落。采用混合方法收集定量数据,使用一系列经过良好验证的工具来评估抑郁症状、社会和情感孤独以及生活满意度的变化。这些措施与在项目结束时焦点小组收集的定性数据相辅相成。在项目前后进行的测量发现,孤独感减少了,加上年轻人表达共同的经历是令人欣慰的,减少了孤立感,增加了归属感。初步证据表明,针对弱势青少年的表达性艺术项目可能有助于稳定情绪,减少孤立/孤独的感觉,并可能产生一个支持性的同伴社区,通过创造性的出口为表达悲伤提供一个安全的空间。
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引用次数: 0
Compassionate Mind Training Group Programme: Implementation and Evaluation within an NHS Physical Health & Rehabilitation Psychology Service 富有同情心的心灵训练小组方案:NHS身体健康和康复心理服务的实施和评估
Pub Date : 2023-01-16 DOI: 10.21926/obm.icm.2301006
Chloe Moran, Hannah Shaw, S. Black, K. Brewster
There is increasing evidence for the effectiveness of brief, group-based compassionate mind training (CMT) in reducing shame and self-criticism, and increasing self-compassion. The current evaluation of an 8-week CMT group programme in an NHS Physical Health Psychology Service supports these findings. Based on a cross-diagnostic sample of 25-39 participants with physical health difficulties, results demonstrate significant reduction in depression and anxiety, significant increase in perceived wellbeing and acceptance, and a significant increase in self compassion following attendance at the group. These findings indicate a potential benefit of compassionate mind training for individuals accessing NHS services due to physical health difficulties including chronic pain, cancer, and long-term conditions such as diabetes.
越来越多的证据表明,简短的、以群体为基础的同情心训练(CMT)在减少羞耻感和自我批评以及增加自我同情方面是有效的。目前在NHS身体健康心理服务中心进行的为期8周的CMT小组项目的评估支持了这些发现。基于对25-39名身体健康有困难的参与者的交叉诊断样本,结果表明,参加小组后,抑郁和焦虑显著减少,感知幸福感和接受度显著增加,自我同情显著增加。这些发现表明,对于那些由于身体健康问题(包括慢性疼痛、癌症和糖尿病等长期疾病)而获得NHS服务的个人来说,慈悲心训练有潜在的好处。
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引用次数: 0
Allostatic Mechanism of Mind-Body Medicine for Neuroinflammation 神经炎症的心身医学适应机制
Pub Date : 2023-01-12 DOI: 10.21926/obm.icm.2301005
Poppy L A Schoenberg, Katlyn M. Gonzalez
Chronic inflammatory diseases are the most significant cause of death in the world and entail severe impairment to quality of life. The World Health Organization (WHO) ranks chronic inflammatory diseases as the greatest threat to human health and wellbeing. Inflammation is epicentral to many clinical conditions and symptoms, and it is anticipated that the health, economic, and mortality burdens associated with chronic inflammation will steadily increase in the United States over the next 30 years. An inflammatory model of disease premises that peripheral injury/trauma/toxins release signaling mediators that activate glial components of peripheral and central cellular circuitry which if prolonged causes toxification of the central nervous system, or neuroinflammation. This inflammatory process is associated with an array of systemic symptomatology affecting somatic, neurocognitive, and affective domains, that can often be misdiagnosed and/or ineffectively treated in the clinic. Centralized neuroinflammation determines a range of conditions and their clinical trajectories, from autoimmune diseases, cancers, cardiovascular diseases, chronic pain, to neurological and psychiatric disorders. It is coming to light that mind-body medicine, defined here as mindfulness- and yoga-based interventions, appear to modulate peripheral cell signaling involved with inflammatory response. Translational mechanism nor intervention specificity of this early data is currently clearly delineated, posing an exciting and highly beneficial frontier for further empirical exploration in the field of integrative mind-body medicine. Here we initiate an allostasis model of working mechanism that aims to inform methodological design and ensuing empirical perspectives.
慢性炎症性疾病是世界上最重要的死亡原因,严重损害生活质量。世界卫生组织(世界卫生组织)将慢性炎症性疾病列为对人类健康和福祉的最大威胁。炎症是许多临床状况和症状的中心,预计未来30年,美国与慢性炎症相关的健康、经济和死亡率负担将稳步增加。一种疾病的炎症模型,前提是外周损伤/创伤/毒素释放信号介质,激活外周和中枢细胞回路的神经胶质成分,如果时间延长,会导致中枢神经系统中毒或神经炎症。这种炎症过程与一系列影响躯体、神经认知和情感领域的系统症状有关,这些症状在临床上经常被误诊和/或无效治疗。集中性神经炎症决定了一系列疾病及其临床轨迹,从自身免疫性疾病、癌症、心血管疾病、慢性疼痛到神经和精神疾病。人们发现,身心医学,在这里被定义为基于正念和瑜伽的干预,似乎可以调节与炎症反应有关的外周细胞信号。这些早期数据的转化机制和干预特异性目前尚不清楚,为身心综合医学领域的进一步实证探索提供了一个令人兴奋且非常有益的前沿。在这里,我们提出了一个工作机制的异质模型,旨在为方法设计和随后的经验视角提供信息。
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引用次数: 1
Promoting Advance Care Planning for Persons with Dementia: Study Protocol for the LEAD (Life-Planning in Early Alzheimer’s and Other Dementias) Clinical Trial 促进痴呆症患者的提前护理计划:LEAD(早期阿尔茨海默氏症和其他痴呆症的生活计划)临床试验的研究方案
Pub Date : 2023-01-06 DOI: 10.21926/obm.icm.2301004
Kara B. Dassel, E. Iacob, R. Utz, K. Supiano, Hollie Furhmann
Due to the insidious progression of Alzheimer's disease and related dementias (ADRD), surrogate decision-makers typically make medical and long-term-care decisions for a care recipient, most often a family care partner. Unfortunately, many care recipient/care partner dyads have failed to engage in advance care planning or have lost the opportunity to do so due to the cognitive decline of the care recipient. To address this need, our team created a validated dementia-focused advance care planning tool known as the LEAD Guide (Life-Planning in Early Alzheimer’s and Other Dementias). With funding from the National Alzheimer's Association and in consultation with our community advisory board, we developed a preliminary web-based intervention. This intervention integrates the LEAD Guide with self-paced educational modules that lead dyads through conversations and dementia-focused advance care planning processes. In this concept paper, we describe the aims of our funded R01 clinical trial (National Institute on Aging), where we aim to refine our preliminary web-based platform for use in a 5-month mixed-method NIH Stage-1 behavioral intervention. Using a sample of diverse community-based ADRD dyads (n = 60), we aim to: 1) describe the acceptability, usability, and feasibility of the intervention, 2) assess the initial efficacy of the intervention on the primary outcome (decision-making self-efficacy), and secondary outcomes (relationship quality, subjective well-being, anxiety) as perceived by both the care recipient and the care partner, and 3) examine advance care planning congruence as a mechanism of action. The LEAD clinical trial addresses public health challenges by guiding and supporting families through challenging advance care planning conversations, facilitating the transfer of knowledge regarding care preferences and values from the care recipient to the care partner, with the ultimate goal of improving the quality of life for both individuals with ADRD and their care partners.
由于阿尔茨海默病和相关痴呆症(ADRD)的潜在进展,代理决策者通常会为护理对象(通常是家庭护理伙伴)做出医疗和长期护理决策。不幸的是,由于护理接受者的认知能力下降,许多护理接受者/护理伙伴二人组未能参与预先的护理计划,或失去了这样做的机会。为了满足这一需求,我们的团队创建了一个经过验证的以痴呆症为重点的预先护理规划工具,称为LEAD指南(早期阿尔茨海默氏症和其他痴呆症的生活规划)。在国家阿尔茨海默病协会的资助下,并与我们的社区咨询委员会协商,我们开发了一种初步的基于网络的干预措施。这种干预措施将LEAD指南与自定节奏的教育模块相结合,引导二人组进行对话和以痴呆症为重点的预先护理计划过程。在这篇概念论文中,我们描述了我们资助的R01临床试验(国家老龄化研究所)的目标,我们的目标是完善我们的初步网络平台,用于为期5个月的混合方法NIH阶段1行为干预。使用不同的基于社区的ADRD二人组样本(n=60),我们的目标是:1)描述干预的可接受性、可用性和可行性,2)评估干预对主要结果(决策自我效能)和次要结果(关系质量、主观幸福感、焦虑)的初始疗效,如护理接受者和护理伙伴所感知的,以及3)将预先护理计划的一致性作为一种行动机制进行审查。LEAD临床试验通过指导和支持家庭进行富有挑战性的预先护理计划对话来应对公共卫生挑战,促进护理接受者向护理伙伴传递有关护理偏好和价值观的知识,最终目标是提高ADRD患者及其护理伙伴的生活质量。
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引用次数: 0
Acknowledgment to Reviewers of OBM Integrative and Complementary Medicine in 2022 对2022年《OBM整合与补充医学》审稿人的感谢
Pub Date : 2023-01-05 DOI: 10.21926/obm.icm.2301003
Obm Integrative and Complementary Medicine Editorial Office
The editors of OBM Integrative and Complementary Medicine would like to express their sincere gratitude to the following reviewers for assessing manuscripts in 2022. We greatly appreciate the contribution of expert reviewers, which is crucial to the journal's editorial process. We aim to recognize reviewer contributions through several mechanisms, of which the annual publication of reviewer names is one. Reviewers receive a voucher entitling them to a discount on their next LIDSEN publication and can download a certificate of recognition directly from our submission system. Additionally, reviewers can sign up to the service Publons (https://publons.com) to receive recognition. Of course, in these initiatives we are careful not to compromise reviewer confidentiality. Many reviewers see their work as a voluntary and often unseen part of their role as researchers. We are grateful to the time reviewers donate to our journals and the contribution they make.
《OBM综合与补充医学》的编辑们对以下审稿人在2022年对稿件进行评估表示衷心的感谢。我们非常感谢专家评审员的贡献,这对杂志的编辑过程至关重要。我们的目标是通过多种机制来表彰评论者的贡献,每年公布评论者姓名就是其中之一。评论者将收到一张代金券,使他们有权在下一期LISEN出版物上获得折扣,并可以直接从我们的提交系统下载认可证书。此外,评审员可以注册Publons服务(https://publons.com)以接收识别。当然,在这些举措中,我们非常谨慎,不会损害审查人员的保密性。许多评论者将他们的工作视为他们作为研究人员角色中自愿的、经常看不见的部分。我们感谢审稿人为我们的期刊捐赠的时间和他们所做的贡献。
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引用次数: 0
Compassion-Focused Therapy and People with Intellectual Disabilities: A Renewed Focus 以同情为中心的治疗和智障人士:一个新的焦点
Pub Date : 2023-01-04 DOI: 10.21926/obm.icm.2301002
Lizzy Goad
Compassion-Focused Therapy is an integrative therapeutic model with a wealth of evidence behind its efficacy. Its accessibility leads it to be a helpful therapeutic modality for the intellectual disability population. Its ability to aid the understanding of the person, us as clinicians, and the wider context around us give a depth of understanding not prioritised across all therapeutic models. This article explores Compassion-Focused Therapy in the context of working alongside people with intellectual disabilities. It focuses on how understanding archetypal and social mentality processes can aid understanding in people with intellectual disabilities as well as exploring some of the clinical implications and practical applications. It ends with a call to consider more readily, the use of Compassion-Focused Therapy in people with intellectual disabilities.
以同情为中心的治疗是一种综合治疗模式,其有效性背后有丰富的证据。它的可及性使它成为智力残疾人群的一种有益的治疗方式。它能够帮助我们理解人,我们作为临床医生,以及我们周围更广泛的背景,这给了我们在所有治疗模式中都没有优先考虑的深度理解。本文在与智障人士一起工作的背景下探讨了以同情为中心的治疗。它侧重于理解原型和社会心理过程如何帮助理解智障人士,并探索一些临床意义和实际应用。报告最后呼吁人们更容易地考虑在智障人士中使用以同情为中心的疗法。
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引用次数: 1
The Way is in Training: Martial Arts-informed Compassionate Mind Training to enhance CFT Therapists’ Compassionate Competencies 训练之道在:以武术为基础的同情心理训练,以提高CFT治疗师的同情能力
Pub Date : 2023-01-04 DOI: 10.21926/obm.icm.2301001
N. Clapton, S. Hiskey
Traditional Martial Arts practice(s) can be construed as forms of fully embodied Compassionate Mind Training (CMT). Integration of these body-mind systems can be a powerful means to cultivate and entrain important therapist competencies in compassionate engagement and action. Through such training and personal practice, compassion-focused therapists can develop and enhance their abilities to stimulate and access compassionate motivation at a deeply embodied level. Martial arts-informed CMT thus has the potential to afford therapists greater sensitivity, attunement, distress tolerance, courage and compassionate responsiveness, particularly in difficult therapeutic encounters such as alliance ruptures.
传统武术练习可以被理解为一种充分体现同情心的心理训练。这些身心系统的整合可以成为培养和调动治疗师在同情参与和行动中的重要能力的有力手段。通过这种培训和个人实践,以同情为中心的治疗师可以发展和增强他们的能力,在深层次激发和获得同情动机。因此,以武术为基础的CMT有可能为治疗师提供更高的敏感性、协调性、痛苦容忍度、勇气和同情心,尤其是在联盟破裂等困难的治疗遭遇中。
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引用次数: 0
Complementary Medicine and Expressive Arts Therapy: Adjuvant for Recovery Following Neurosurgical Procedures. 辅助医学与表达艺术疗法:辅助神经外科手术后的恢复。
Pub Date : 2023-01-01 Epub Date: 2023-01-17 DOI: 10.21926/obm.icm.2301007
Ashley M Carter, Emma R Dioso, Bethsabe Romero, Christopher E Clinker, Brandon Lucke-Wold

Art as a way of healing is primordial in many cultures. Expressive Arts Therapy (ExAT) uses art, music, dance, and writing to help individuals navigate their healing journey. Patient self-expression as a mode of recovery has been observed in patients with Parkinson's disease, epilepsy, Amyotrophic Lateral Sclerosis (ALS) and cancer. Complementary medical approaches such as acupuncture and mindfulness have also demonstrated benefits in patients suffering from neurological injury. Complementary medicine and ExAT are not mainstream approaches following neurosurgical procedures. There are very few systematic studies evaluating the benefits of expressive arts in neurosurgery. Advances in telemedicine and mobile applications may facilitate the incorporation of complementary medicine and ExAT into patient recovery. The purpose of our study is to explore the use of complementary medicine and ExAT in neurosurgical recovery. We start with a brief introduction of ExAT followed by available treatments offered. We discuss the benefits of multidisciplinary care and emerging technologies and how they can facilitate incorporation of complementary medicine and ExAT in neurosurgery. Finally, we review several clinical studies that have demonstrated success in using complementary medicine. Our goal is to provide alternative approaches to neurosurgery recovery so that patients may receive with the best care possible.

在许多文化中,艺术都是最原始的治疗方式。表现性艺术疗法(ExAT)利用艺术、音乐、舞蹈和写作来帮助患者完成康复之旅。在帕金森病、癫痫、肌萎缩侧索硬化症(ALS)和癌症患者身上,可以观察到患者将自我表达作为一种康复模式。针灸和正念等辅助医疗方法也显示出对神经损伤患者的益处。补充医学和 ExAT 并非神经外科手术后的主流方法。很少有系统性研究对神经外科手术中表达性艺术的益处进行评估。远程医疗和移动应用的进步可能会促进补充医学和 ExAT 与患者康复的结合。我们的研究旨在探索在神经外科康复中使用辅助医疗和 ExAT 的情况。我们首先简要介绍了 ExAT,然后介绍了可提供的治疗方法。我们讨论了多学科护理和新兴技术的益处,以及它们如何促进补充医学和 ExAT 在神经外科中的应用。最后,我们回顾了几项证明使用补充医学取得成功的临床研究。我们的目标是提供神经外科康复的替代方法,让患者尽可能得到最好的治疗。
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引用次数: 0
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