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Questionnaires for Ages and Stages Adaptation and Validation Screening Scale for Social-Emotional Development in Children Aged 2–5 Years 2-5岁儿童社会情感发展年龄阶段适应问卷及验证筛选量表
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.10.005
Faridah Faridah , Anies Anies , Martha I. Kartasurya , Bagoes Widjanarko , Ika Febrian Kristiana , Costrie Ganes Widayanti

Introduction

Ages and Stages Questionnaires: Social-Emotional Second Edition or ASQ: SE2 is a set of questionnaires to identify the social-emotional development of children from 6 to 60 months of age and is one of the most reliable measures of social development. This questionnaire has been adapted into several languages, but there is no version in Indonesian. This study aims to adaptation and validation the Ages and Stages Scale Social-Emotional Questionnaires – 2 (ASQ: SE2) for ages 2–5 for Indonesian children.

Methods

Research procedures based on the guidelines for Translating and Adapting Tests, Second Edition, namely, forward translation, backward translation, and expert judgment to analyze the suitability of the adapted version item with the original version and confirmation through validity and reliability tests. The participants were 350 mothers with children aged 2–5 years. Test validity and reliability with confirmatory factor analysis (CFA).

Results

The CFA results of the ASQ: SE2 questionnaire aged 2–5 years obtained all indicators resulted in a loading factor value of >0.3. Construct Reliability (CR) values >0.7 and goodness of fit indicate that, on average, values have met three criteria for fit integrity. ASQ: SE2 for the age group of 2–5 years is declared valid and reliable.

Conclusions

The ASQ: SE2 questionnaire is suitable to be applied as a measuring tool for screening social-emotional development in Indonesian children aged 2–5 years.
年龄和阶段问卷:社会情感第二版或ASQ: SE2是一套确定6至60个月儿童社会情感发展的问卷,是社会发展最可靠的衡量标准之一。这份调查表已被译成几种语言,但没有印尼语版本。本研究的目的是适应和验证年龄和阶段量表社会情绪问卷- 2 (ASQ: SE2)为2 - 5岁的印度尼西亚儿童。方法根据《翻译与改编测试指南(第二版)》,采用前向翻译、后向翻译、专家判断等方法,分析改编版项目与原文的适宜性,并通过效度和信度检验进行确认。参与者是350位有2-5岁孩子的母亲。验证性因子分析(CFA)检验效度和信度。结果2 ~ 5岁儿童ASQ: SE2问卷的CFA结果得到所有指标,加载因子为>;0.3。构建信度(CR)值>;0.7和拟合优度表明,平均而言,这些值满足拟合完整性的三个标准。ASQ: SE2在2-5岁年龄组被宣布有效和可靠。结论ASQ: SE2问卷适合作为筛查印尼2-5岁儿童社交情感发展的测量工具。
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引用次数: 0
Factors Associated With the Severity of Suicide Attempts by Poisoning in Adolescents 青少年中毒自杀企图严重程度的相关因素
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.11.003
Giovanna Cristina Spagnuolo Brunello , Daniela Frizon Alfieri , Camilo Molino Guidoni , Edmarlon Girotto

Objective

To analyze factors associated with more severe outcomes of suicide attempt due to toxicological events in adolescents.

Methods

A cross-sectional study involving adolescents between 10 and 19 years of age treated due to attempted suicide from 2017 to 2020. The dependent variable was the final severity, divided into two categories: asymptomatic or mild and moderate, severe or fatal, and the independent variables were those related to patients, exposure, and clinical conditions. For association analyses, logistic regression was used, with the calculation of the odds ratio (OR) and 95% confidence interval (95% CI).

Results

A total of 1462 suicide attempts in adolescents were evaluated, and 21.1% (N = 306) were classified moderate, severe or fatal outcome. Suicide attempts due to toxicological events in adolescents showed a higher prevalence of the moderate, severe or fatal outcome in males (OR 1.52; 95% CI 1.11–2.07), in the summer months (OR 1.81; 95% CI 1.31–2.48) and in cases whose time until attendance was equal to or greater than 300 min (OR 1.72; 95% CI 1.29–2.29), with evidence of increasing severity of cases over the years (2019: OR 1.87; 95% CI 1.21–2.98; 2020: OR 2.80; 95% CI 1.31–2.48).

Conclusions

Since adolescents need a more rigorous psychosocial follow-up due to the adversities inherent to the age group, there is a clear need for better identification of striking prodromal signs of suicide attempts in order to develop therapeutic interventions and preventive strategies.
目的分析青少年毒理学事件导致自杀倾向加重的相关因素。方法一项横断面研究,涉及2017年至2020年因自杀未遂而接受治疗的10至19岁青少年。因变量是最终严重程度,分为两类:无症状或轻度和中度,严重或致命,自变量是与患者,暴露和临床条件相关的变量。关联分析采用logistic回归,计算优势比(OR)和95%置信区间(95% CI)。结果共评估青少年自杀企图1462例,其中21.1%(306例)为中度、重度或致命结局。青少年毒理学事件导致的自杀企图在男性(or 1.52; 95% CI 1.11-2.07)、夏季(or 1.81; 95% CI 1.31-2.48)和距离就诊时间等于或大于300分钟的病例(or 1.72; 95% CI 1.29-2.29)中显示出较高的中度、重度或致命性结果,并且有证据表明,随着时间的推移,病例的严重程度越来越高(2019年:or 1.87; 95% CI 1.21-2.98; 2020年:or 2.80; 95% CI 1.31-2.48)。结论:由于青少年这个年龄段固有的逆境,需要更严格的心理社会随访,因此显然需要更好地识别自杀未遂的显著前驱症状,以便制定治疗干预和预防策略。
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引用次数: 0
Stress, Resilience, Moral Distress, and Depression–Anxiety Among Oncology Care Providers in Colombia During the COVID-19 Pandemic 2019冠状病毒病大流行期间哥伦比亚肿瘤医护人员的压力、恢复力、道德困境和抑郁焦虑
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.10.004
Nicolás Martinez , María del Pilar García , Timothy P. Hanna , Claudio N. Soares , Miguel Uribe , Richard Sullivan , Christopher Booth , Raúl Murillo

Objective

To describe the impact of COVID-19 on oncology care providers’ self-reported perceived stress, resilience, moral distress, anxiety, and depression in Colombia.

Methods

During 2020, a cross-sectional survey was carried out among oncology care providers. The Perceived Stress Scale, Connor–Davidson Resilience Scale, Moral Distress Thermometer, and the PHQ-4 were used. Basic socio-demographic and occupational characteristics are described, and bivariate and multivariate analyses were done to investigate their association with a high PHQ-4 score (>6).

Results

148 participants (mean age 43.1 years, 54.6% women, 72.3% medical specialists) were recruited. The major source of stress was not being infected, but spreading COVID-19. A low prevalence of depression/anxiety was found, as well as low resilience and moral distress. Women reported lower resilience and higher depression/anxiety. History of depression and lack of adequate coping strategies were associated with higher levels of depression/anxiety.

Conclusions

The impact of the COVID-19 pandemic on the mental health of oncology care providers was mild, probably due to the protection for oncology patients during this period; however, women reported a greater impact. The association of demographic and clinical variables with higher levels of depression/anxiety should inform further preventive measures to reduce the impact of prolonged public health crises on healthcare providers’ mental health.
目的探讨新冠肺炎疫情对哥伦比亚肿瘤医护人员自我报告的压力、恢复力、道德困扰、焦虑和抑郁的影响。方法在2020年期间,对肿瘤护理提供者进行横断面调查。采用感知压力量表、康纳-戴维森弹性量表、道德困扰温度计和PHQ-4量表。描述了基本的社会人口统计学和职业特征,并进行了双变量和多变量分析,以调查它们与高PHQ-4分数的关系(>6)。结果共纳入148人,平均年龄43.1岁,女性54.6%,专科医师72.3%。压力的主要来源不是被感染,而是COVID-19的传播。抑郁/焦虑的患病率较低,适应力和道德困扰也较低。女性的恢复力较低,抑郁/焦虑程度较高。抑郁史和缺乏适当的应对策略与较高的抑郁/焦虑水平相关。结论新冠肺炎疫情对肿瘤医护人员心理健康的影响较轻,可能与疫情期间对肿瘤患者的保护有关;然而,女性报告的影响更大。人口统计学和临床变量与较高水平的抑郁/焦虑之间的关联应该为进一步的预防措施提供信息,以减少长期公共卫生危机对医疗保健提供者心理健康的影响。
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引用次数: 0
Barriers to Access to Mental Health Services in Pregnant Women With Mental Pathology Residing in Colombia 居住在哥伦比亚的患有精神疾病的孕妇获得精神健康服务的障碍
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.11.004
Santiago Mora Martínez, Jorge Eliécer Gaitán Sánchez, Nathaly Berrío García, Mauricio Mora Ladino, Marta Cecilia Ceballos Giraldo, Daniela Katherin Rodríguez Chacón, Eilyn Dahiana Herrera Franco, Juan Sebastian Restrepo Marroquín, Sergio Daniel Hurtado Rivera, Susana Cadena Correa, Mariana García Peláez, Lizeth Páez Hernández, Valentina Villanueva Escobar, María José Álvarez Arbeláez, John Alexander Arango Enrriquez, Laura Alejandra González Montoya, Luis David Saldarriaga Agamez, Valentina Galeano Medina

Introduction

Pregnancy is associated with multiple physiological changes. Anxiety, depression, suicide, and consumption of psychoactive substances during gestation have been phenomena rarely studied by Colombian academia. These disorders are among the principal causes of maternal morbidity–mortality; however, the presence of barriers to care constitutes a public health problem that must be studied.

Method

A prospective longitudinal observational descriptive study was conducted, during one year, with 166 pregnant women. The prevalence of these diseases was evaluated and the most significant supply and demand barriers were identified, for which a battery of mental health measurement instruments was applied to identify the risk of consuming psychoactive substances, depression, and anxiety.

Results

The most-frequent mental pathology was gestational depression, occurring in 57.22% of the sample; the second most-frequent pathology was gestational anxiety, diagnosed in 46.98% of the patients. The disorder due to consumption of most-frequent substances was smoking; followed by cannabis and alcohol. Access barriers, both in supply and demand, were present in most of the population; 53.01% of the pregnant women were not evaluated by psychology. The principal supply barrier was not assigning appointments or, failing that, these were assigned for a very distant date.

Conclusions

A clear relationship exists among depression and anxiety, number of children and age, and supply barriers and access to specialized mental health care. Our findings suggest a high frequency of access barriers in the gestating population with mental pathology.
妊娠与多种生理变化有关。焦虑、抑郁、自杀和妊娠期间使用精神活性物质是哥伦比亚学术界很少研究的现象。这些疾病是孕产妇发病-死亡的主要原因;然而,保健障碍的存在构成了一个必须加以研究的公共卫生问题。方法对166名孕妇进行为期一年的前瞻性纵向观察性描述性研究。对这些疾病的流行程度进行了评估,并确定了最重要的供需障碍,为此应用了一系列心理健康测量工具,以确定消费精神活性物质、抑郁和焦虑的风险。结果最常见的精神病理为妊娠期抑郁,发生率为57.22%;第二常见的病理是妊娠焦虑,46.98%的患者诊断为妊娠焦虑。最常使用的物质是吸烟;其次是大麻和酒精。大多数人口在供应和需求方面都存在获取障碍;53.01%的孕妇未进行心理评估。主要的供应障碍不是分配约会,或者如果做不到这一点,这些约会就被分配到一个非常遥远的日期。结论儿童抑郁与焦虑、儿童数量与年龄、专业心理卫生服务供应障碍与可及性之间存在明显的关系。我们的研究结果表明,在患有精神疾病的妊娠人群中,访问障碍的频率很高。
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引用次数: 0
Association Between Precarious Employment and Disability in Adults Over 50 Years of Age in Mexico 墨西哥50岁以上成年人不稳定就业与残疾之间的关系
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.10.011
Dulce María Ramírez-González , Mireya Zamora-Macorra , Claudia Iveth Astudillo García

Background

The risk of disability increases when workers perform a precarious job, in unsafe conditions and without social benefits or any type of contract. The objective of the study was to identify the relationship between exposure to unstable employment and the prevalence of disability in men and women over 50 years of age.

Methods

Secondary analysis of the 2018 round of the National Survey on Health and Aging (ENASEM). A precarious employment variable was constructed using historical information on the main job; work activities were classified as cognitive or manual. Disability was assessed by limitations in performing the basic and essential activities of daily living. Bivariate analyses and a logistic regression model were conducted and stratified by sex to assess the association between employment and disability. An interaction between precarious employment and manual labor was calculated and adjusted for schooling and economic situation.

Results

The final sample consisted of 3480 adults over the age of 50. Fifty-eight percent of the population was classified as having had precarious employment throughout their working life. Associations were found between precarious employment and disability in women (OR 2.92, 95% CI: 1.33–18.87), as well as marginally significant associations with manual activities (OR 2.92, 95% CI: 0.99–8.59), and for the interaction between precarious employment and manual labor (OR 4.01, 95% CI: 0.96–16.61).

Conclusion

Disability is associated with precarious working conditions, especially in women.
当工人在不安全的条件下从事不稳定的工作,没有社会福利或任何类型的合同时,残疾的风险就会增加。这项研究的目的是确定接触不稳定就业与50岁以上男女残疾发生率之间的关系。方法对2018年全国健康与老龄化调查(ENASEM)进行二次分析。利用主要工作的历史信息构建了不稳定就业变量;工作活动分为认知活动和体力活动。残疾是通过日常生活中基本和必要活动的限制来评估的。进行了双变量分析和逻辑回归模型,并按性别分层,以评估就业与残疾之间的关系。计算了不稳定就业与体力劳动之间的相互作用,并根据学校教育和经济状况进行了调整。结果最终样本包括3480名50岁以上的成年人。58%的人在整个职业生涯中都处于不稳定的工作状态。发现不稳定就业与女性残疾之间存在关联(OR 2.92, 95% CI: 1.33-18.87),与体力活动之间存在边际显著关联(OR 2.92, 95% CI: 0.99-8.59),以及不稳定就业与体力劳动之间的相互作用(OR 4.01, 95% CI: 0.96-16.61)。结论残疾与不稳定的工作环境有关,尤其是女性。
{"title":"Association Between Precarious Employment and Disability in Adults Over 50 Years of Age in Mexico","authors":"Dulce María Ramírez-González ,&nbsp;Mireya Zamora-Macorra ,&nbsp;Claudia Iveth Astudillo García","doi":"10.1016/j.rcpeng.2025.10.011","DOIUrl":"10.1016/j.rcpeng.2025.10.011","url":null,"abstract":"<div><h3>Background</h3><div>The risk of disability increases when workers perform a precarious job, in unsafe conditions and without social benefits or any type of contract. The objective of the study was to identify the relationship between exposure to unstable employment and the prevalence of disability in men and women over 50 years of age.</div></div><div><h3>Methods</h3><div>Secondary analysis of the 2018 round of the National Survey on Health and Aging (ENASEM). A precarious employment variable was constructed using historical information on the main job; work activities were classified as cognitive or manual. Disability was assessed by limitations in performing the basic and essential activities of daily living. Bivariate analyses and a logistic regression model were conducted and stratified by sex to assess the association between employment and disability. An interaction between precarious employment and manual labor was calculated and adjusted for schooling and economic situation.</div></div><div><h3>Results</h3><div>The final sample consisted of 3480 adults over the age of 50. Fifty-eight percent of the population was classified as having had precarious employment throughout their working life. Associations were found between precarious employment and disability in women (OR 2.92, 95% CI: 1.33–18.87), as well as marginally significant associations with manual activities (OR 2.92, 95% CI: 0.99–8.59), and for the interaction between precarious employment and manual labor (OR 4.01, 95% CI: 0.96–16.61).</div></div><div><h3>Conclusion</h3><div>Disability is associated with precarious working conditions, especially in women.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 3","pages":"Pages 413-421"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145493130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and Preliminary Validation of a Narcissism Assessment Scale Based on the Hierarchical Taxonomy of Psychopathology (HiTOP) Model 基于层次精神病理学分类(HiTOP)模型的自恋评定量表的编制与初步验证
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.11.002
Lucas de Francisco Carvalho, Catarina Possenti Sette, Giselle Pianowski

Introduction

A sense of entitlement, thoughts of deserving more than others, and belief of having superior abilities compared to other people characterizes narcissistic personality disorder (NPD). Encompassing this personality disorder and other mental conditions, the Hierarchical Taxonomy of Psychopathology (HiTOP) is an evidence-based, dimensional model covering not only clinical symptoms but also pathological traits.

Material and methods

Our study aimed to develop a self-report scale, the IDCP-NPD, for screening pathological traits of NPD from the perspective of the HiTOP facets of the Personality Inventory for DSM-5 (PID-5), factors of the Computerized Adaptive Assessment of Personality Disorder-Static Form (CAT-PD-SF), scales of the Five-Factor Narcissism Inventory (FFNI), and the Hypersensitive Narcissism Scale (HSNS).

Results

The IDCP-NPD comprised 65 items in two factors: Antisocial Grandiosity and Interpersonal Dominance. Internal structure reliability was good (>.80). The factors showed associations with the expected external measures, and the groups based on the scores in the NPD external measures showed big to huge differences.

Conclusions

Our findings suggested the IDCP-NPD is a helpful measure to screen the NPD traits in the clinical context. Additionally, the structure observed for the IDCP-STPD confirms the spectrum level of the HiTOP.
自恋型人格障碍(NPD)的特征是权利意识、认为自己比别人更值得拥有的想法,以及相信自己比别人更有能力。包括这种人格障碍和其他精神疾病,精神病理学层次分类法(HiTOP)是一个基于证据的维度模型,不仅涵盖临床症状,还包括病理特征。材料与方法本研究拟编制自评量表IDCP-NPD,从DSM-5人格量表(PID-5)的HiTOP面、计算机自适应人格障碍静态形式评估量表(CAT-PD-SF)、五因素自恋量表(FFNI)和超敏感自恋量表(HSNS)的角度筛选NPD的病理特征。结果IDCP-NPD包括反社会浮夸和人际支配两个因素共65项。内部结构可靠度良好(>.80)。这些因素显示了与预期的外部测量的关联,基于NPD外部测量得分的组显示了很大到很大的差异。结论IDCP-NPD是临床筛选NPD特征的有效方法。此外,IDCP-STPD观测到的结构证实了HiTOP的光谱水平。
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引用次数: 0
Dimensionality and Measurement Invariance of the 5-Item Coronavirus Fear Scale in Brazilian General Population 巴西普通人群5项冠状病毒恐惧量表的维度和测量不变性
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.11.006
Carlos Arturo Cassiani-Miranda , Leonardo Fernandes Martins , Telmo Mota Ronzani , Orlando Scoppetta , Yinneth Andrea Arismendy-López , Andrés Felipe Tirado-Otálvaro

Introduction

The COVID-19 Fear Scale (FCV-19S) is the most widely used instrument to assess fear of coronaviruses. Although preliminary analyses of the Brazilian–Portuguese version showed promising data for the 7-item version, several studies in Latin America suggest that the 5- and 6-item versions present better psychometric indicators.

Objective

To replicate and compare the Brazilian–Portuguese version of the (FCV-5S), studying its homogeneity and dimensionality.

Methods

A total of 1003 adults between 18 and 78 voluntarily participated. The data were analyzed through exploratory factorial analysis and structural equations modeling. A Multiple Indicators and Multiples Causes model (MIMIC) was used to check the differential functioning of each item regressed on age. Likewise, Cronbach's alpha and McDonald's omega were calculated for FCV-5S. Finally, as a test of nomological validity, the mean scores and standard deviation between men and women were compared after testing similarity invariance.

Results

73.3% were younger adults (18–44 years old), 71.3% were women, and 59.7% had a university education. The 5-item version (FCV-5S) of the COVID-19 Fear Scale has better goodness-of-fit indicators than the 6-item version for a one-factor structure. FCV-5S accomplish with invariance by gender and partial invariance by age in the general population of Brazil.

Conclusions

The FCV-5S has a dimensional structure with partial invariance by gender and age and can be used to assess COVID-19 fear in the general population in Brazil.
COVID-19恐惧量表(FCV-19S)是最广泛使用的评估冠状病毒恐惧的工具。虽然对巴西-葡萄牙语版本的初步分析显示了7项版本的有希望的数据,但拉丁美洲的一些研究表明,5项和6项版本提供了更好的心理测量指标。目的复制和比较巴西-葡萄牙版本的FCV-5S,研究其同质性和维度。方法1003名年龄在18 ~ 78岁的成人自愿参与。通过探索性因子分析和结构方程建模对数据进行分析。采用多指标多原因模型(MIMIC)检验各项目随年龄回归的差异功能。同样,计算了FCV-5S的Cronbach's alpha和McDonald's omega。结果青年(18-44岁)占73.3%,女性占71.3%,受过大学教育的占59.7%。新冠肺炎恐惧量表的5项版本(FCV-5S)比单因素结构的6项版本具有更好的拟合优度指标。FCV-5S在巴西一般人群中具有性别不变性和年龄部分不变性。结论FCV-5S具有不同性别和年龄的部分不变性维度结构,可用于评估巴西普通人群的COVID-19恐惧程度。
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引用次数: 0
Relationships Between Alcohol Consumption and Violence: The Role of Empathy and the Executive Function 酒精消费与暴力的关系:共情和执行功能的作用
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.11.005
Mariana Beatriz López , María Cristina Richaud

Introduction

Alcohol consumption has been linked to increased aggressiveness and to different types of violence. It has been suggested that both the empathic disposition and the executive function (EF) are mediators and moderators of aggression in alcoholic patients and during alcohol intoxication. In this work, we analyze the cognitive-affective profile that mediates or modulates the relationship between alcohol consumption and violence in social drinkers.

Methods

An intentional sample of adults (aged 21–65; n = 393) was assessed through an online platform. Usual alcohol consumption patterns were assessed and the following standardized instruments were included: Alcohol Use Disorders Identification Test (AUDIT); Interpersonal Reactivity Index (IRI) and Reading the Mind in the Eyes Test (RME), to assess dimensions of empathy; Adult Executive Inventory (ADEXI) and Cognitive Flexibility Scale (CFS), to assess dimensions of EF. The cognitive-affective profile of the participants, classified according to their usual alcohol consumption patterns, was analyzed through ANOVA. Following that, several models of the relationship between alcohol consumption, the cognitive-affective variables and violence were tested through Structural Equation Modeling (SEM).

Results

Significant differences were found among alcohol abstainers, light drinkers, moderate drinkers and heavy drinkers in the variables working memory F(3.389) = 3.32; p = .022, inhibition F(3.389) = 8.89; p < .000 and perspective taking F(3.389) = 6.62; p < .000. According to the post hoc testing, the differences in working memory, inhibition and perspective taking were significant among the group of heavy drinkers and the other drinkers groups, but not between abstainers, light and moderate drinkers. The SEM which showed better fit was the one in which inhibition mediates or modulates the relationship between alcohol consumption and violence (CMIN/DF = 1.890; CFI = 926; RMSEA = .048).

Conclusions

The deficit in cognitive functions, particularly in the inhibitory response, constitutes a key factor in understanding the violence linked to alcohol consumption and, in a more general way, the social conflicts among people who drink alcohol.
酒精消费与攻击性增加和不同类型的暴力有关。研究表明,共情倾向和执行功能是酒精中毒患者攻击行为的调节因子和调节因子。在这项工作中,我们分析了在社交饮酒者中调解或调节酒精消费与暴力之间关系的认知情感概况。方法通过在线平台对成年人(21-65岁,n = 393)进行抽样调查。评估了通常的酒精消费模式,并包括以下标准化工具:酒精使用障碍鉴定测试(审计);人际反应指数(IRI)和眼读心性测试(RME)评估共情维度;成人执行量表(ADEXI)和认知灵活性量表(CFS),评估EF的各维度。参与者的认知情感概况,根据他们通常的饮酒模式分类,通过方差分析进行分析。随后,通过结构方程模型(SEM)测试了酒精消费,认知情感变量和暴力之间关系的几个模型。结果不饮酒者、轻度饮酒者、中度饮酒者和重度饮酒者在工作记忆变量F(3.389) = 3.32上存在显著差异;p = 0.022,抑制F(3.389) = 8.89;p < .000,透视F(3.389) = 6.62;p <;事后测试显示,重度饮酒者和其他饮酒者在工作记忆、抑制和观点接受方面存在显著差异,而不饮酒者、轻度饮酒者和中度饮酒者之间差异不显著。抑制介导或调节酒精消费与暴力之间关系的SEM拟合较好(CMIN/DF = 1.890; CFI = 926; RMSEA = 0.048)。结论:认知功能的缺陷,特别是抑制反应的缺陷,是理解与饮酒有关的暴力行为的关键因素,从更广泛的角度来说,是理解饮酒者之间的社会冲突的关键因素。
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引用次数: 0
Anxiety Disorders in Pregnant Women and its Effects on Choosing the Delivery Method 孕妇焦虑障碍及其对分娩方式选择的影响
Pub Date : 2025-07-01 DOI: 10.1016/j.rcpeng.2025.10.010
Seyyedeh Neda Kazemi , Roya Vaziri-harami , Saharnaz Vaziri-harami , Faeze Sadat Mousavian

Objectives

Cesarean section is usually limited to cases where natural childbirth is not possible or is associated with serious risks to the fetus and mother. In the past few years, cesarean section has become a preferred method of delivery among women who are not medically indicated for the procedure. This study aimed to investigate the prevalence of anxiety in pregnant women and its relationship with choosing delivery methods and other demographic parameters.

Methods

In this study, 300 mothers referring to the hospitals of Shahid Beheshti University of Medical Sciences were selected by convenience sampling. The medical history of all patients was obtained, and the Beck questionnaire was used to determine the levels of anxiety.

Results

57% of mothers chose cesarean section as the method of delivery and the frequency of mild, moderate, and severe anxiety was estimated to be 36.33%, 19.33%, and 2.33%, respectively. It was seen that the preference for cesarean section was associated with higher levels of anxiety, higher education, older age, having a history of previous abortion, first pregnancy, and a gestation period of over 28 weeks.

Conclusions

Due to the high prevalence of cesarean section in our country and its progress to higher percentages, it seems that the design and implementation of effective programs and interventions, including providing painless delivery, education, and psychological interventions.
目的剖宫产术通常局限于不能自然分娩或对胎儿和母亲有严重危险的病例。在过去的几年里,剖宫产已经成为没有医学指示的妇女分娩的首选方法。本研究旨在探讨孕妇焦虑的患病率及其与分娩方式选择和其他人口统计学参数的关系。方法采用方便抽样的方法,选取在沙希德·贝赫什蒂医科大学附属医院就诊的产妇300名。获得所有患者的病史,并使用Beck问卷来确定焦虑水平。结果57%的产妇选择剖宫产分娩,轻度、中度和重度焦虑发生率分别为36.33%、19.33%和2.33%。研究发现,选择剖宫产与焦虑程度较高、受教育程度较高、年龄较大、有流产史、第一次怀孕和妊娠期超过28周有关。结论我国剖宫产的高发率和剖宫产的高发率,需要设计和实施有效的方案和干预措施,包括提供无痛分娩、教育和心理干预。
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引用次数: 0
Exploring Depressive and Anxiety Symptoms Among Employees from a General Hospital in Need of Mental Health Treatment: A Cross-sectional Study 某综合医院需要心理健康治疗的员工抑郁和焦虑症状的横断面研究
Pub Date : 2025-04-01 DOI: 10.1016/j.rcpeng.2025.10.008
Nilson Siva , Anderson Sousa Martins-da-Silva , Lucas Pequeno Galvão , Júlio Torales , Antonio Ventriglio , João Mauricio Castaldelli-Maia , Sergio Baldassin

Objective

This study aimed to investigate the association between occupation and depressive/anxiety symptoms, and education levels, among professionals from a Brazilian General Hospital in need of mental health treatment.

Design and setting

This is a cross-sectional study, involving professionals from a teaching hospital in São Paulo.

Methods

Socio-demographic data were collected as well as two standardized scales for depression and anxiety symptoms.

Results

Data from 506 employees seeking mental health assistance have been described: mean age was 34.6 years, 46.2% of them worked in the administrative sector, 35.0% were nursing assistants, 7.5% were nursing technicians, 6.7% were nurses, and 4.5% reported other occupations. According to the International Classification of Diseases-10th edition (ICD-10) criteria, the rates of diagnosis of depressive disorders and anxiety disorders were 60.9% and 37%, respectively. Nursing technicians and nursing assistants reported higher somatic cluster Beck Depression Inventory (BDI) scores (P = 0.012) than other professionals of technical staff, but they were less inclined to receive a psychiatric diagnosis.

Conclusions

Our study demonstrated prevalence rates higher than similar studies in university hospitals, fact that associated with difficulties of the studied population as seeing themselves as sick, and the social discrimination suffered by people with mental disorders can make this problem even worse.
目的本研究旨在调查巴西一家综合医院需要心理健康治疗的专业人员的职业与抑郁/焦虑症状和教育水平之间的关系。设计和环境:这是一项横断面研究,涉及来自圣保罗一家教学医院的专业人员。方法收集社会人口学资料及抑郁、焦虑两种标准化量表。结果对506名寻求心理健康援助的员工的数据进行了描述:平均年龄为34.6岁,46.2%的人在行政部门工作,35.0%为护理助理,7.5%为护理技术员,6.7%为护士,4.5%为其他职业。根据国际疾病分类第十版(ICD-10)标准,抑郁症和焦虑症的诊断率分别为60.9%和37%。护理技术人员和护理助理的躯体群集贝克抑郁量表(BDI)得分高于其他专业技术人员(P = 0.012),但他们接受精神病学诊断的倾向较低。结论我们的研究表明患病率高于大学医院的类似研究,事实上,与被研究人群难以将自己视为有病相关的事实,以及精神障碍患者所遭受的社会歧视可能使这一问题更加严重。
{"title":"Exploring Depressive and Anxiety Symptoms Among Employees from a General Hospital in Need of Mental Health Treatment: A Cross-sectional Study","authors":"Nilson Siva ,&nbsp;Anderson Sousa Martins-da-Silva ,&nbsp;Lucas Pequeno Galvão ,&nbsp;Júlio Torales ,&nbsp;Antonio Ventriglio ,&nbsp;João Mauricio Castaldelli-Maia ,&nbsp;Sergio Baldassin","doi":"10.1016/j.rcpeng.2025.10.008","DOIUrl":"10.1016/j.rcpeng.2025.10.008","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the association between occupation and depressive/anxiety symptoms, and education levels, among professionals from a Brazilian General Hospital in need of mental health treatment.</div></div><div><h3>Design and setting</h3><div>This is a cross-sectional study, involving professionals from a teaching hospital in São Paulo.</div></div><div><h3>Methods</h3><div>Socio-demographic data were collected as well as two standardized scales for depression and anxiety symptoms.</div></div><div><h3>Results</h3><div>Data from 506 employees seeking mental health assistance have been described: mean age was 34.6 years, 46.2% of them worked in the administrative sector, 35.0% were nursing assistants, 7.5% were nursing technicians, 6.7% were nurses, and 4.5% reported other occupations. According to the International Classification of Diseases-10th edition (ICD-10) criteria, the rates of diagnosis of depressive disorders and anxiety disorders were 60.9% and 37%, respectively. Nursing technicians and nursing assistants reported higher somatic cluster Beck Depression Inventory (BDI) scores (<em>P</em> <!-->=<!--> <!-->0.012) than other professionals of technical staff, but they were less inclined to receive a psychiatric diagnosis.</div></div><div><h3>Conclusions</h3><div>Our study demonstrated prevalence rates higher than similar studies in university hospitals, fact that associated with difficulties of the studied population as seeing themselves as sick, and the social discrimination suffered by people with mental disorders can make this problem even worse.</div></div>","PeriodicalId":74702,"journal":{"name":"Revista Colombiana de psiquiatria (English ed.)","volume":"54 2","pages":"Pages 196-204"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Revista Colombiana de psiquiatria (English ed.)
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