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Review Article: Anxiety and Depressive Disorders in Pregnancy 评论文章:妊娠期焦虑症和抑郁症
Pub Date : 2023-07-10 DOI: 10.33140/ijp.08.04.02
Mini Review Article, E. Olose, Emmanuel Omamurhomu Olose1, Egbeh Owoidoho Udofia1, Samuel Otu2
Background: For most expectant mothers and their partners, pregnancy is a time of joy and expectations even more so in African cultures. Sadly, even though a significant number of women face emotional challenges during pregnancy, there was little interest in studying emotional health of pregnant women as it was thought that pregnancy was protective. Several factors may have contributed to this notion. It was widely held that hormonal changes like sudden withdrawal of ‘protective pregnancy hormones’ were responsible for the high ‘incidence’ of emotional disorders in the early post-partum period. Objectives: In this article, we intend to review journal articles on anxiety and depressive disorders in pregnancy with specific references to epidemiology of anxiety and depressive disorders, pregnancy and emotional health, neurobiology of anxiety and depressive disorders in pregnancy, psychosocial origins of anxiety and depressive disorders in pregnancy, overview of perinatal mental health disorders, anxiety and depression in pregnancy, and finally risk factors for anxiety and depression in pregnancy. Method: PubMed, google, Crossref, Medline were searched using several combinations of the following search terms: pregnancy, anxiety and depressive disorders, etiology, neurobiology, and epidemiology. Study Selection: All relevant papers published in English and reporting original data related anxiety and depressive disorders in pregnancy were included. Data Extraction: Studies were examined for data related to the prevalence, presentation, predictors/risk factors, new onset, course, and treatment of anxiety disorders during pregnancy. Data Synthesis: Anxiety and depressive disorders are common during pregnancy with varying reported rates of prevalence, incidence, and severity. Conclusions: New cases of anxiety and depressive disorders do occur in pregnancy. Burden of distressing symptoms may be higher in early pregnancy. More community studies are needed to generate findings that are more representative of all pregnant women. Women should be encouraged to book for antenatal care in early pregnancy and screening measures should be instituted to detect those with clinically significant symptoms so they can be helped.
背景介绍对于大多数准妈妈及其伴侣来说,怀孕是一个充满喜悦和期待的时刻,在非洲文化中更是如此。遗憾的是,尽管有很多妇女在怀孕期间面临情感挑战,但人们对研究孕妇的情感健康兴趣不大,因为人们认为怀孕具有保护作用。造成这种观念的因素可能有几个。人们普遍认为,荷尔蒙的变化,如 "保护性妊娠荷尔蒙 "的突然消失,是产后早期情绪失调 "发病率 "高的原因。目的:在本文中,我们将回顾有关妊娠期焦虑和抑郁障碍的期刊文章,具体内容包括:妊娠期焦虑和抑郁障碍的流行病学、妊娠与情绪健康、妊娠期焦虑和抑郁障碍的神经生物学、妊娠期焦虑和抑郁障碍的社会心理起源、围产期心理健康障碍概述、妊娠期焦虑和抑郁,以及妊娠期焦虑和抑郁的风险因素。研究方法使用以下检索词的多种组合对 PubMed、google、Crossref 和 Medline 进行检索:妊娠、焦虑和抑郁障碍、病因学、神经生物学和流行病学。研究选择:纳入所有以英文发表的、报告与妊娠期焦虑和抑郁障碍相关原始数据的相关论文。数据提取:研究内容包括孕期焦虑症的患病率、表现形式、预测因素/风险因素、新发病率、病程和治疗方法。数据综合:焦虑症和抑郁症是孕期常见疾病,其流行率、发病率和严重程度各不相同。结论:焦虑症和抑郁症的新发病例确实发生在孕期。孕早期焦虑症状的负担可能较重。需要进行更多的社区研究,以得出更能代表所有孕妇的研究结果。应鼓励妇女在孕早期预约产前检查,并采取筛查措施,以发现有临床症状的孕妇,从而为她们提供帮助。
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引用次数: 0
Improving Intervention Strategies for Autism Spectrum Disorders by Altering the Design of the Diagnostic Procedure 通过改变诊断程序的设计改进自闭症谱系障碍的干预策略
Pub Date : 2023-07-03 DOI: 10.33140/ijp.08.04.01
Short Communication, R. E. Seymour
Since the identification of the childhood disorder Autism by Dr Leo Kanner in 1943 and Dr Hans Asperger in 1944, our understanding of this condition has evolved. At first it was described as an attachment disorder, then it was described as a psycho-social-educational disorder, which is largely where our thinking on the topic has remained. This thinking determines the interventions applied. There is little expectation by physicians, parents or educators of significant emergence from ASD. It is common for parents to report that they receive no real advice as to what to do after the diagnosis other than placement of the child in a special school and to start Speech Therapy. The increasing incidence of ASD (1 in 44 births: CDC) means the mounting pressure on service providers is unmanageable. However there have been changes in thinking that brought some promise of brighter outcomes. For example since the 1990’s there has been increasing appreciation of the role of the biome, with reports of positive outcomes following metabolic interventions. Approaches have arisen that offer positive outcomes and have brought a greater understanding of the nature of ASD. This presentation proposes a change to the way the diagnostic protocol is executed in keeping with a more pervasive view of ASD. A new approach is needed in line with research and new developments, so that at the time of diagnosis parents get pointers for actions to follow that can greatly benefit the child, since all agree that early intervention brings better outcomes.
自 Leo Kanner 博士和 Hans Asperger 博士分别于 1943 年和 1944 年发现儿童自闭症以来,我们对这种疾病的认识一直在不断发展。起初,自闭症被描述为一种依恋障碍,后来又被描述为一种心理-社会-教育障碍。这种想法决定了所采用的干预措施。医生、家长或教育工作者几乎不期望 ASD 有明显的好转。家长们普遍反映,在确诊后,除了把孩子送进特殊学校和开始言语治疗外,他们没有得到任何真正的建议。ASD 的发病率越来越高(每 44 个新生儿中就有 1 个:疾病预防控制中心),这意味着服务提供者所面临的压力越来越大,难以承受。然而,思想的变化带来了一些光明的前景。例如,自 20 世纪 90 年代以来,人们越来越认识到生物群落的作用,有报告称,新陈代谢干预措施取得了积极成果。这些方法带来了积极的结果,也让人们对自闭症的本质有了更深入的了解。本讲座建议改变诊断方案的执行方式,以符合对 ASD 更为普遍的看法。我们需要一种与研究和新发展相一致的新方法,以便家长在诊断时就能获得对孩子大有裨益的行动指南,因为所有人都认为早期干预能带来更好的结果。
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引用次数: 0
Status, Associated Factors, and Reasons for Bypassing the Childbirth Center among Postpartum Women in the Dire Dawa Administration, Ethiopia: a Mixed Study 地位,相关因素,以及绕过分娩中心的产后妇女在埃塞俄比亚的迪勒达瓦管理:一项混合研究
Pub Date : 2023-06-21 DOI: 10.33140/ijp.08.03.01
Researc H Article, Aminu Mohammed, Aminu Mohammed1, Hassen Mosa3, Mickiale Hailu1, Tewodros Getnet2, Yibekal Manaye2
Background: Childbirth in nearby health facilities is an important strategy to reduce complications for mothers and newborns, including death. Bypassing nearby birthing health facilities is common in developing countries. However, there is a lack of data in the study area on the extent and reasons for bypassing. Therefore, this study was aimed at assessing these gaps. Methods: A facility-based mixed study was conducted at the Dire Dawa administration, Ethiopia, from December 1–30, 2022. Simple random (quantitative) and purposive (qualitative) sampling techniques were used. Data were collected through interviews using structured (quantitative) and semi-structured (qualitative) questionnaires. Quantitative data were entered and cleaned by Epi DATA (Version 3.1) and analyzed using SPSS (Version 22). A P-value of 0.05 or less at multivariate with 95% confidence intervals was considered statistically significant. Qualitative data were thematically analyzed. Results: 635 participants (quantitative) and twelve for the qualitative analysis were included. The overall bypass was 30.9%. Higher age group (AOR = 2.34, 95% CI: 1.43–3.82), rural residence (AOR = 1.89, 95% CI: 1.11-3.22), no formal education (AOR = 2.26, 95% CI: 1.23–4.16), obstetric care needs during antenatal care (AOR = 2.37, 95% CI: 1.33–4.22), and health professionals’ behavior (AOR = 3.10, 95% CI: 1.99–4.78) were associated with a higher likelihood of bypassing. Conclusion: Bypassing childbirth health facilities was moderate. Perception, health professionals, and facility-related factors were the main identified themes in the qualitative results. Stakeholders recommended improving obstetrics services and researchers conducting additional research.
背景:在附近的卫生设施分娩是减少母亲和新生儿并发症(包括死亡)的重要策略。绕过附近的分娩保健设施在发展中国家很常见。然而,研究领域缺乏关于绕过的程度和原因的数据。因此,本研究旨在评估这些差距。方法:2022年12月1日至30日,在埃塞俄比亚Dire Dawa管理局进行了一项基于设施的混合研究。采用简单的随机(定量)和有目的(定性)抽样技术。数据是通过使用结构化(定量)和半结构化(定性)问卷的访谈收集的。定量数据通过Epi data(3.1版)输入和清理,并使用SPSS(22版)进行分析。在95%置信区间的多变量中,0.05或更小的P值被认为具有统计学意义。定性数据按主题进行分析。结果:635名参与者(定量)和12名定性分析参与者被纳入。总的绕过率为30.9%。年龄组越高(AOR=2.34,95%CI:1.43-3.82)、农村居住(AOR=1.89,95%CI:1.11-3.22)、没有受过正规教育(AOR=2.26,95%CI:1.23-4.16)、产前护理期间的产科护理需求(AOR=23.7,95%CI:1.33-4.22)和卫生专业人员的行为(AOR=3.10,95%CI:1.99-4.78)与绕过的可能性越高有关。结论:顺产保健设施是适度的。认知、卫生专业人员和设施相关因素是定性结果中确定的主要主题。利益相关者建议改善产科服务,研究人员进行更多研究。
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引用次数: 0
Covid-19 Pandemic and Its Psychological Effects On Health Care Workers In A SocioEconomically Challenged Environment; A Cross-Sectional Analytical Study 新冠肺炎大流行及其对社会经济挑战环境中医护人员的心理影响;横断面分析研究
Pub Date : 2023-04-17 DOI: 10.33140/ijp.08.02.03
Researc H Article, C. A. Iwu, Chinedu Anthony, Chinyere Aguocha1, Ositadinma Pius3, Victor Chibiko2, Kenechi Uwakwe1
Background: COVID-19 pandemic, an unprecedented global public health event, is a potential precipitating factor of psychological distress especially among Health Care Workers (HCWs) in developing countries already operating under challenging socioeconomic conditions. The study aims to assess the prevalence, sociodemographic patterns and predictors of stress, anxiety and depression during the COVID-19 Pandemic among HCWs in a socio-economically challenged environment. Methods: A cross-sectional analytical design used convenience and snowballing techniques to enrol 386 HCWs from public health institutions in Imo State, Nigeria from 2nd to 27th October 2021. A structured online questionnaire was used and the Kruskal Wallis H test and Logistic Regression were performed at a significance level, p≤ 0.05. Results: Prevalence and sample median levels of stress, anxiety and depression among the HCWs were 76.7% (18.0), 32.6% (43.8) and 33.4% (45.6) respectively. The median stress levels in the following subcategories were above the stress cut-off point (13.9) and were the highest amongst their respective subcategories. Those aged 20-29 years, female, single and also, those on the job for less than 1 year, who usually take public transport and are without training in infection, prevention and control (IPC). Similarly, the median anxiety levels in females and those without IPC training were above the anxiety cut-off point (49.9) and were highest amongst their respective subcategories and also, the median depression levels in females and single HCWs were above the depression cut-off point (52.9) and were highest amongst their respective subcategories. However, singles compared to married HCWs were significantly more likely to experience anxiety (OR: 1.84; p=0.049). and also, females compared to male HCWs were significantly more likely to experience either anxiety (OR: 1.76; p=0.013) or depression (OR: 1.88; p=0.006). Conclusion: The prevalence of stress, anxiety and depression appear to be high among HCWs, particularly in those that are young, female and single. Therefore, it is essential that even though, mental health and psychosocial support services should be accessible to all HCWs, priority services should be made available, accessible, and timely to those that are young, female and single.
背景:新冠肺炎大流行是一场前所未有的全球公共卫生事件,是心理困扰的潜在诱因,尤其是在发展中国家已经在具有挑战性的社会经济条件下工作的医护人员中。该研究旨在评估新冠肺炎大流行期间,在社会经济困难的环境中,HCW中压力、焦虑和抑郁的患病率、社会人口统计模式和预测因素。方法:采用横断面分析设计,利用便利性和滚雪球技术,于2021年10月2日至27日从尼日利亚伊莫州公共卫生机构招募了386名HCW。使用结构化的在线问卷,进行Kruskal-Wallis H检验和Logistic回归,显著性水平为p≤0.05。结果:HCW中压力、焦虑和抑郁的患病率和样本中位数分别为76.7%(18.0)、32.6%(43.8)和33.4%(45.6)。以下子类别中的中值应力水平高于应力临界点(13.9),在各自的子类别中最高。20-29岁的人,女性,单身,工作时间不到1年,通常乘坐公共交通工具,没有接受过感染、预防和控制(IPC)培训。同样,女性和未接受IPC培训的女性的焦虑水平中位数高于焦虑临界点(49.9),在各自的子类别中最高,女性和单身HCW的抑郁水平中位数高于抑郁临界点(52.9),并在各自的亚类别中最高。然而,与已婚HCW相比,单身HCW更容易经历焦虑(OR:1.84;p=0.049)。此外,女性HCW与男性HCW相比更有可能经历焦虑(OR:1.76;p=0.013)或抑郁(OR:1.88;p=0.006)。结论:HCW中压力、焦虑和抑郁的患病率似乎很高,尤其是年轻人,女性和单身。因此,至关重要的是,尽管所有HCW都应该能够获得心理健康和社会心理支持服务,但年轻、女性和单身人士也应该及时获得优先服务。
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引用次数: 0
Is Tau Molecule Regarded as a Risk Factor for Human Suicide? Tau分子是人类自杀的危险因素吗?
Pub Date : 2023-04-10 DOI: 10.33140/ijp.08.02.02
Da-Yong Lu
Background Suicide is a major threat for human mortality [1-2]. However, its biological causality is still a mystery process for current knowledge and therapeutics [3-6]. Thus, it is difficult to predict and prevent in real clinical circumstances.
自杀是人类死亡的主要威胁[1-2]。然而,其生物学因果关系在目前的知识和治疗中仍然是一个谜[3-6]。因此,在实际的临床情况下,难以预测和预防。
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引用次数: 0
Blame Gabriel: Acute Grief Following Death Of a Loved One a Study 0f Self Empowerment Therapy 责备加布里埃尔:亲人去世后的极度悲伤——自我赋权疗法的研究
Pub Date : 2023-03-01 DOI: 10.33140/ijp.08.02.01
David Kaye
Objective The objective of this study is to investigate the effectiveness of Self Empowerment Therapy in the treatment of acute grief following the death of a loved one. Design Study is a single case study and questionnaire administration design. Method A 26 year old patient diagnosed with acute grief following the death of her partner of 10 years was seen for therapy for 1.50 hours per week for 18 months. Intervention consisted of Self Empowerment Therapy within the framework of the universal psychotherapy modality, using rapport as a barometer to test the effectiveness of interpretations. Results Following the death of a loved one, utilizing a structured approach in establishing and maintaining a satisfactory level of functioning in the life domains of health, family, relationships, profession, education, finances and self, yielded significant outcomes in the treatment of acute grief. This study demonstrates that following the death of a loved one, to establish and maintain an integrated self, a person needs to reduce the discrepancies between actual, ought and ideal selves, whilst at the same time reducing their undesirable behaviors and tendencies. Conclusions Confronting the death of a loved one is one of the most traumatic experiences in life and brings us face to face with our own mortality. Maintaining an integrated self is challenging as the death of a loved one forces the person left behind to redefine their sense of self. An integrated self is achieved by reducing discrepancies between actual - ought self and actual - ideal self, whilst at simultaneously reducing congruency between actual - undesirable self life domains. Self Empowerment Therapy provides a structured approach in managing acute grief following the death of a loved one. This study provides high efficacy for Self Empowerment Therapy in treating acute grief but requires further investigation
目的本研究旨在探讨自我授权疗法在治疗亲人死亡后急性悲痛中的有效性。设计研究是一个单一的案例研究和问卷管理设计。方法一名26岁的患者在其10年的伴侣去世后被诊断为急性悲伤,她每周接受1.50小时的治疗,持续18个月。干预包括在普遍心理治疗模式的框架内进行自我授权治疗,使用融洽关系作为晴雨表来测试解释的有效性。结果在亲人去世后,采用结构化的方法在健康、家庭、人际关系、职业、教育、财务和自我等生活领域建立并保持令人满意的功能水平,在治疗急性悲痛方面取得了显著成果。这项研究表明,在所爱的人去世后,为了建立和维持一个完整的自我,一个人需要减少实际的、应该的和理想的自我之间的差异,同时减少他们的不良行为和倾向。结论面对亲人的死亡是人生中最痛苦的经历之一,它让我们面对自己的死亡。保持完整的自我是一项挑战,因为亲人的去世迫使被遗弃的人重新定义他们的自我意识。一个完整的自我是通过减少实际应该的自我和实际理想的自我之间的差异来实现的,同时减少实际不希望的自我生活领域之间的一致性。自我授权疗法提供了一种结构化的方法来管理亲人去世后的急性悲痛。这项研究为自我授权疗法治疗急性悲伤提供了很高的疗效,但需要进一步研究
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引用次数: 0
A Response To ‘Another Attempt To Move Beyond The Cross-Sectional U Shape Of Happiness: A Reply’ By Galambos, Krahn, Johnson And Lachman (2021) 对Galambos、Krahn、Johnson和Lachman的“另一次超越幸福横截面U形的尝试:回应”(2021)
Pub Date : 2023-01-31 DOI: 10.33140/ijp.08.01.04
David Rauner
This is a reply to GKJL2’s response to the Blanchflower and Graham – henceforth BG -response to Galambos et al original paper on this topic (GKJL1) [1, 2]. As such, this paper is a point-by-point response to GKJL2 (2021). This review aims to highlight errors in most of the points raised, as well as a very large difference in views on what is appropriate statistical analysis and inference. There is absolutely nothing here to challenge BG’s argument that the evidence for a U-shape is ‘overwhelming’.
这是GKJL2对Blanchflower和Graham(以下简称BG)对Galambos等人关于该主题的原始论文(GKJL1)[1,2]的回应。因此,本文是对GKJL2(2021)的逐点响应。这篇综述的目的是强调提出的大多数观点中的错误,以及在什么是适当的统计分析和推断的观点上的巨大差异。这里绝对没有什么可以挑战BG的观点,即u型曲线的证据是“压倒性的”。
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引用次数: 2
AuDHD therapist Alina Kislenko creates Pi Model, a fun and revolutionary method for ADHDers & Autistics to heal trauma without a therapist AuDHD治疗师Alina Kislenko创建了Pi模型,这是ADHDers和自闭症患者在没有治疗师的情况下治愈创伤的一种有趣而革命性的方法
Pub Date : 2023-01-31 DOI: 10.33140/ijp.08.01.05
AuDHD therapist Alina Kislenko creates Pi Model, a fun and revolutionary method for ADHDers & Autistics to heal trauma without a therapist
adhd治疗师Alina Kislenko创造了Pi模型,这是一种有趣而革命性的方法,可以让adhd和自闭症患者在没有治疗师的情况下治愈创伤
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引用次数: 0
The Effect of A Life Skills Education Program on Mental Health and Social Competencies Among Young Prisoners In Cambodia: An Intervention Study 生活技能教育计划对柬埔寨年轻囚犯心理健康和社会能力的影响:一项干预研究
Pub Date : 2023-01-25 DOI: 10.33140/ijp.08.01.03
Introduction: Numerous studies globally confirmed that young prisoners are more susceptible to mental health problems compared to adult prisoners and the general population. The lack of life skills has been reported as one of the main reasons for this vulnerability. This study aimed to assess the effectiveness of a life skills education program on mental health and life skills among young prisoners in Cambodia. Method: This is an intervention study, applying a ‘difference-in-difference’ analysis. The life skills education program was implemented to promote essential skills for mental health and social competence among young prisoners. Mental health and life skills competence were evaluated using the Youth Self-Report and Life Skills Development – Adolescent Form scales, respectively. Four prisons were selected from a total of 24 prisons in Cambodia, a post-conflict country in Southeast Asia. A total of 412 young prisoners aged 15–24 years participated in the study and were randomly assigned to intervention and control groups. Results: Both the intervention and control groups reported decreased mental health problems (DiD=3.78, p=0.34) and improved life skills competencies (DiD=0.39, p=0.80) after the intervention; however, the differences were not statistically significant. Conclusion: The life skills intervention program had no significant effect on young prisoners’ mental health and life skills competencies. Further studies should be conducted to evaluate the impact of the life skills education program in the prison setting, particularly in low- and middle-income countries (LMICs) such as Cambodia.
导言:全球许多研究证实,与成年囚犯和一般人群相比,年轻囚犯更容易出现心理健康问题。据报道,缺乏生活技能是造成这种脆弱性的主要原因之一。本研究旨在评估柬埔寨年轻囚犯心理健康和生活技能生活技能教育方案的效果。方法:这是一项干预研究,采用“差异中差异”分析。实施了生活技能教育方案,以促进年轻囚犯的心理健康和社会能力的基本技能。心理健康和生活技能能力分别使用青少年自我报告和生活技能发展-青少年形式量表进行评估。柬埔寨是东南亚的一个冲突后国家,从柬埔寨总共24所监狱中选出了4所监狱。共有412名15-24岁的年轻囚犯参与了这项研究,并被随机分配到干预组和对照组。结果:干预组和对照组均报告干预后心理健康问题减少(DiD=3.78, p=0.34),生活技能能力提高(DiD=0.39, p=0.80);然而,差异没有统计学意义。结论:生活技能干预方案对青少年囚犯的心理健康和生活技能能力无显著影响。应该进行进一步的研究,以评估生活技能教育项目在监狱环境中的影响,特别是在柬埔寨等低收入和中等收入国家。
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引用次数: 0
Variety and Variability in the diagnosis of Parkinson’s disease. A Look from the Relational Cybernetics 帕金森病诊断的多样性和变异性。从关系控制论看
Pub Date : 2023-01-18 DOI: 10.33140/ijp.08.01.02
The diagnosis of Parkinson’s disease is one of the current challenges in the medical field of neurology. For this reason, there is a need to look for new models that, based on transdisciplinary conceptions, contribute to its early diagnosis to greatly improve the quality of life of those who suffer from it. This work intends to be a proposal to build a diagnosis on the following conceptual triad: co-autonomy, centralization and variety not required, which radically change the position of the clinical observer, on a general cybernetic basis and a systemic relational vision
帕金森病的诊断是当前神经病学医学领域的挑战之一。因此,有必要在跨学科概念的基础上寻找有助于早期诊断的新模型,以极大地提高患者的生活质量。这项工作旨在提出一个基于以下三个概念的诊断建议:不需要共同自主、集中和多样性,它从根本上改变了临床观察者的位置,在一般控制论的基础上和系统的关系愿景
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引用次数: 0
期刊
International journal of psychiatry
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