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Skin Excoriation Disorder with Comorbid Schizophrenia 皮肤刮伤障碍伴精神分裂症
Pub Date : 2023-01-16 DOI: 10.33140/ijp.08.01.01
Skin-picking Disorder (SPD) or Excoriation Disorder is an Obsessive Compulsive Spectrum Disorder where one compulsively picks at his skin. Obsessive Compulsive Spectrum Disorder is commonly seen to be associated with Schizophrenia
抠皮症(SPD)或撕皮症是一种强迫谱系障碍,患者会强迫性地抠自己的皮肤。强迫性谱系障碍通常与精神分裂症有关
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引用次数: 0
Playing Bridge Dementia Prevention or Therapy As Well 玩桥牌预防或治疗痴呆症
Pub Date : 2022-12-12 DOI: 10.33140/ijp.07.04.02
We conducted two experiments: first in Alzheimer’s Center in Warsaw and second in two Welfare Houses in Toruń. In April 2018 Alzheimer’s Center in Warsaw accepted bridge lessons for their patients with Mild Cognitive Impairment. We checked if MCI patients could learn new skills and play a simple version of the game bridge. Thirteen out of twenty patient -volunteers played one year every 3 hours a week. Patients and the control group were tested with MMSE initially and after one year. An average loss of MMSE results in the „playing group” was more than two and a half times lower than in the control. In 2019 we applied bridge lessons to patients of Welfare Houses, mostly MCI. Initially and after 20 weeks of intervention, we checked them with MMSE, Geriatric Depression Scale (GDS), and PERMA. Unlucky, due to COVID-19, we couldn’t complete the MMSE results. In effect, depression, initially close to pathological, almost disappeared, and well-being rose significantly. In both experiments, social relations were created within playing tables, what’s surprising, especially in the Alzheimers Center case. Playing bridge has been accepted there as one of the essential therapies.
我们进行了两个实验:第一个是在华沙的阿尔茨海默氏症中心,第二个是在托卢奇的两个福利院。2018年4月,华沙阿尔茨海默病中心接受了轻度认知障碍患者的桥牌课程。我们检查了轻度认知障碍患者是否能够学习新技能并玩一个简单版本的桥牌游戏。20个病人志愿者中有13个每周玩3个小时。患者和对照组分别在最初和一年后进行MMSE测试。“游戏组”的MMSE平均损失比对照组低2.5倍以上。2019年,我们将桥牌课程应用于福利院的患者,主要是轻度认知障碍患者。干预最初和20周后,我们用MMSE、老年抑郁量表(GDS)和PERMA对他们进行检查。不幸的是,由于COVID-19,我们无法完成MMSE的结果。实际上,最初接近病态的抑郁几乎消失了,幸福感显著上升。在这两个实验中,社会关系都是在玩桌子的过程中建立起来的,令人惊讶的是,尤其是在阿尔茨海默病中心的案例中。在那里,打桥牌被认为是必不可少的治疗方法之一。
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引用次数: 0
Rehabilitation For Hospitalized Patients With Schizophrenia 精神分裂症住院患者的康复治疗
Pub Date : 2022-11-17 DOI: 10.33140/ijp.07.04.01
The World Health Organization (WHO), in 1969, defines rehabilitation as part of the medical assistance in charge of developing the functional and psychological capacities of the individual and activating their compensation mechanisms, in order to allow them to lead an autonomous and dynamic existence. The objective is measured in functional parameters, in the restoration of their mobility, personal care, manual dexterity and communication [1].
1969年,世界卫生组织(卫生组织)将康复定义为负责发展个人的功能和心理能力并激活其补偿机制的医疗援助的一部分,以便使他们能够自主和充满活力地生活。目标是通过功能参数来衡量的,包括恢复他们的活动能力、个人护理、手的灵活性和沟通能力。
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引用次数: 0
The Body in Anorexia: Gaze, Denial and Jouissance 厌食症中的身体:凝视、否认与愉悦
Pub Date : 2022-09-20 DOI: 10.33140/ijp.07.03.04
Anorexia nervosa is one of the most widespread psychopathological disorders of the 21st century. At the center of this pathological condition, we find an existential suffering expressed through the body. The author, with the aid of the phenomenological and psychoanalytical perspective, defines the body of the anorexic subject as a dead body, a body without desire. Through the rejection of food, the anorexic subject rejects the other of language, locking himself in a spiral of pure jouissance that distances him from the world. In existential terms, the closure to the world represents the crucial element of the clinic of anorexia, a closure that is expressed through a loss of desire. The anorexic subject thus appears interested in preserving only the physiological dimension of the body, rejecting the affective-pulsional part. Following the difference made by Merleau-Ponty between corpe propre and corps objectif, the author observes how anorexia is characterized by a logic focused on having a body, rejecting the dimension of being a body. The final part of the article also discusses the position of the anorexic subject with respect to the dimension of space and time from a phenomenological perspective.
神经性厌食症是21世纪最普遍的精神病理学障碍之一。在这种病理状态的中心,我们发现一种通过身体表达的生存痛苦。作者借助现象学和精神分析的视角,将厌食症受试者的身体定义为一具尸体,一具没有欲望的身体。通过对食物的拒绝,厌食症患者拒绝了语言中的另一种,将自己锁定在一个纯粹的快乐螺旋中,使他与世界拉开距离。从存在主义的角度来看,对世界的封闭代表了厌食症诊所的关键要素,这种封闭是通过欲望的丧失来表达的。因此,厌食症受试者似乎只对保留身体的生理维度感兴趣,拒绝情感脉动部分。根据Merleau-Ponti在corpe propre和corps objectif之间的差异,作者观察到厌食症是如何以一种专注于拥有身体的逻辑为特征的,拒绝了作为身体的维度。文章的最后部分还从现象学的角度讨论了厌食症主体在空间和时间维度上的地位。
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引用次数: 0
The Shame and Psychopathology Effect on Somatization. A comparative Study Between Financial and Health Crisis Periods 羞耻感和精神病理对躯体化的影响。金融危机时期与健康危机时期的比较研究
Pub Date : 2022-09-12 DOI: 10.33140/ijp.07.03.03
The aim of this study is to investigate the similarities and the differences of the psychological reactions during the economic and the health crisis (Covid-19). In total 818 Greek citizens, 408 during the financial and 410 during health crisis, 611 female and 207 male, of median age of 24 years, participated in the study. The participants older than 30 years old found to suffer less psychological strain than the younger ones, and the age effect was larger during health than financial crisis. Women were more prone than men to report health-related symptoms at ages less than 30 years old and they characterized by larger shame and psychopathology scores. During the ongoing health crisis, shame had not a direct somatization effect. It is suggested that interventions aiming to improve the management of shame feelings will reduce the induced psychological tension as well as the consequent occurrence of somatization symptoms.
本研究旨在探讨经济危机与健康危机(新冠肺炎)期间心理反应的异同。共有818名希腊公民参与了这项研究,其中408人在金融危机期间,410人在健康危机期间,611名女性和207名男性,中位年龄为24岁。研究发现,30岁以上的参与者比年轻人承受的心理压力更小,而且在健康危机期间,年龄效应比金融危机更大。女性在30岁以下时比男性更容易报告与健康相关的症状,她们的特点是羞耻感和精神病理学得分更高。在持续的健康危机中,羞耻感没有直接的躯体化作用。建议旨在改善羞耻感管理的干预措施将减少诱发的心理紧张以及随之而来的躯体化症状的发生。
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引用次数: 0
Functional Vitamin B12 deficiency in Chronic Fatigue Syndrome 功能性维生素B12缺乏与慢性疲劳综合征
Pub Date : 2022-07-27 DOI: 10.33140/ijp.07.3.01
Chronic Fatigue Syndrome/Myalgic encephalomyelitis (CFS/ME) is a complex chronic condition, characterized by periods of extreme fatigue, for which an underlying medical condition has previously not been identified. Many of the symptoms of CFS/ME, are, though, similar to those with vitamin B12 deficiency. In contrast to nutritional vitamin B12 deficiency, the majority of individuals with CFS have been shown to have functional vitamin B12 deficiency as well as functional vitamin B2 deficiency. This functional B12 deficiency occurred despite elevated serum B12 being found, and hence presents as Paradoxical vitamin B12 deficiency. As such, CFS due to functional B2 deficiency presents as Paradoxical B12 deficiency. Maintenance of vitamin B12 functional activity is critically dependent upon functional B2 sufficiency, and hence resolution of CFS there must first be resolution of functional B2 deficiency before treatment with vitamin B12 can be effective.
慢性疲劳综合征/肌痛性脑脊髓炎(CFS/ME)是一种复杂的慢性疾病,其特征是周期性极度疲劳,其潜在的医学条件以前未被确定。然而,慢性疲劳综合症/ME的许多症状与维生素B12缺乏症相似。与营养性维生素B12缺乏症相反,大多数慢性疲劳综合症患者都有功能性维生素B12缺乏症和功能性维生素B2缺乏症。尽管发现血清B12升高,但功能性B12缺乏仍然发生,因此表现为矛盾的维生素B12缺乏。因此,功能性B2缺乏引起的CFS表现为矛盾的B12缺乏。维生素B12功能活性的维持严重依赖于功能性B2的充分性,因此,在使用维生素B12治疗有效之前,必须首先解决功能性B2缺乏症。
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引用次数: 0
Functional Vitamin B12 Deficiency in Sleep Disorders in Children 儿童睡眠障碍的功能性维生素B12缺乏
Pub Date : 2022-07-27 DOI: 10.33140/ijp.07.3.02
It has been known for some time that an absolute deficiency in vitamin B12 is often associated with sleep disorders in children. The mechanism for the sleep disorders, though, is not generally stated. We have identified a cohort of children, who suffered from long term sleep disorders, who were characterized by elevated serum vitamin B12 levels. Retrospective Organic Acid Analysis of the urine of the children identified many markers of functional vitamin B12 deficiency, despite the elevated serum B12. As such the children may have paradoxical B12 in which serum levels of vitamin B12 were normal or elevated, however they had elevated markers of functional vitamin B12 deficiency. This functional vitamin B12 deficiency appeared to be the result of functional vitamin B2 deficiency. The mechanism is discussed. Effective treatment required resolution of the functional vitamin B2 deficiency as well as high dose vitamin B12 administration.
一段时间以来,人们已经知道,维生素B12的绝对缺乏通常与儿童睡眠障碍有关。然而,睡眠障碍的机制并没有得到普遍的说明。我们已经确定了一组患有长期睡眠障碍的儿童,他们的特点是血清维生素B12水平升高。回顾性有机酸分析儿童尿液确定了许多功能性维生素B12缺乏症的标志物,尽管血清B12升高。因此,这些儿童的血清维生素B12水平正常或升高,但他们的功能性维生素B12缺乏症标志物升高。这种功能性维生素B12缺乏似乎是功能性维生素B2缺乏的结果。讨论了其机理。有效的治疗需要解决功能性维生素B2缺乏症以及高剂量的维生素B12治疗。
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引用次数: 0
Does Evidence Inform Intervention by Professionals? Reporting on Research into Auditory Stimulation for Auditory Processing Disorders in Children with ASD and Related Disorders 证据是否为专业人员的干预提供了依据?听觉刺激治疗ASD儿童听觉加工障碍及相关障碍的研究报告
Pub Date : 2022-05-28 DOI: 10.33140/ijp.07.02.10
Rosalie Elizabeth Seymour
Since the 1980’s there has been an acceleration of interest by neuroscientists in the Auditory Problems of Children with Autism Spectrum Disorder (ASD). The focus of study has largely shifted from attempting a differential diagnosis between the symptoms of ASD and of Auditory Processing Disorder (APD), towards an improved understanding of APD and its impact on the lives and wellness of people with this disorder. A large amount of research data has accumulated, and sheds light on the manner in which auditory brain potentials of children with ASD differ from those of the neurotypical learner. This article will offer a summarised overview of this data, and will discuss how this body of evidence is informing and directing our intervention strategies, both clinical and educational. The author will further summarise the most recently published research papers on the impact of Auditory Integration Training (AIT)– the Bérard Method (also named Filtered Sound Training - FST), The statistical significance and implications of this data for the planning of intervention programmes to remediate auditory problems of children with ASD will be discussed. In conclusion some new insights into the breadth of the impact of auditory processing problems on the social, emotional, learning, language and well-being of children with ASD will be mentioned. (208 words)
自20世纪80年代以来,神经科学家对自闭症谱系障碍(ASD)儿童的听觉问题的兴趣加速了。研究的重点已经在很大程度上从试图区分ASD和听觉处理障碍(APD)的症状,转向提高对APD及其对患者生活和健康的影响的理解。大量的研究数据已经积累,并阐明了自闭症儿童的听觉脑电位与神经正常学习者的不同之处。本文将提供这些数据的概要概述,并将讨论这些证据如何告知和指导我们的临床和教育干预策略。作者将进一步总结最近发表的关于听觉整合训练(AIT) - bsamrard方法(也称为过滤声音训练- FST)的影响的研究论文,并讨论这些数据的统计意义和对ASD儿童听觉问题的干预计划的影响。综上所述,本文将对听觉处理问题对自闭症儿童的社交、情感、学习、语言和健康的影响广度提出一些新的见解。(208字)
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引用次数: 0
Structured Solutions For Medical History Taking: A Historical Review 结构化解决方案的病史采取:历史回顾
Pub Date : 2022-05-28 DOI: 10.33140/ijp.07.02.11
H. Neto, M. Cavalcanti, D. T. Correia
Introduction: History taking (HT) is the basis for medical practice. Although its format lacks a standard, many HT Instruments (HTI) were developed, applied, and automated throughout history. Objective: To build a history line about HTI development, its pros and cons. Method: We accessed medline and lilacs database through the bvs search engine, using HT equivalents in english, portuguese, french, spanish, and german. Original papers and reviews about HTI aiming general practice were selected, and their content comprehensively analyzed and discussed, following PRISMA guidelines. Results: From 24904 initial entries about HT since 1900, 105 were selected for analysis. First HTI was identified before the 1st World War, mainly as mental screening tools. Later, other general practices HTI were developed, integrating statistical and branching reasoning. Two advantages were consistently reported about clinician time saving and improvement on information gathering. However, their use did not become widespread, restricted to research scenarios and specific guidelines for clinical intervention. Conclusions: HTI benefits may result from ht systematization, and it is not clear if clinical time-saving results in economic and quality of care improvement. However, the systematization of HT and the use of computational processing power may help medical practice and should not be overlooked. Better comprehension of the diagnostic HT clinical act will help comprehend how HTI may be useful for clinical practice, reasoning and doctor patient relationship.
引言:病史是医学实践的基础。尽管其格式缺乏标准,但历史上许多HT仪器(HTI)都是开发、应用和自动化的。目的:建立一条关于HTI发展、利弊的历史线。方法:我们通过bvs搜索引擎访问medline和丁香数据库,使用英语、葡萄牙语、法语、西班牙语和德语的HT等价物。根据PRISMA指南,选择了针对全科医学的HTI原创论文和综述,并对其内容进行了全面分析和讨论。结果:从1900年以来关于HT的24904个初始条目中,选择105个进行分析。第一次HTI是在第一次世界大战之前被确定的,主要是作为心理筛查工具。后来,开发了其他通用实践HTI,集成了统计和分支推理。关于临床医生节省时间和改进信息收集的两个优点一直被报道。然而,它们的使用并没有变得广泛,仅限于研究场景和临床干预的具体指南。结论:HTI的益处可能来自于ht系统化,目前尚不清楚临床省时是否能提高经济和护理质量。然而,HT的系统化和计算处理能力的使用可能有助于医疗实践,不应被忽视。更好地理解诊断性HT临床行为将有助于理解HTI如何对临床实践、推理和医患关系有用。
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引用次数: 1
Decoding State Vaccination Rate Using Educational Aptitude, Income, and Political Affiliation 利用教育能力、收入和政治派别解码州疫苗接种率
Pub Date : 2022-04-07 DOI: 10.33140/ijp.07.02.05
COVID-19 cost almost 700,000 (seven hundred thousand) deaths in the Unites States and low vaccination rates are widely seen as undermining individual and community protection. The objective of the study was to evaluate the risk factors associated with lower COVID-19 vaccination rates in the United States. The study evaluated the effect of red-blue political affiliation, and the effect of the US state’s average educational aptitude scores and per capita income on states vaccination rates. The study found that states with concomitantly lower income along with lower educational aptitude scores are less vaccinated while the states with higher income have higher vaccination rates even among those with lower educational aptitude scores. These findings stayed significant after adjusting for red-blue political affiliation where states with red political affiliation have lower vaccination rates. Further study is needed to evaluate how to stop online misinformation among states with low income and low educational aptitude scores; and whether such an effort will increase overall vaccination rates in the United States.
新冠肺炎在美国造成近70万(70万)人死亡,低疫苗接种率被广泛视为破坏个人和社区保护。该研究的目的是评估美国新冠肺炎疫苗接种率较低的相关风险因素。该研究评估了红蓝政治派别的影响,以及美国各州的平均教育能力得分和人均收入对各州疫苗接种率的影响。研究发现,收入较低、教育能力得分较低的州接种的疫苗较少,而收入较高的州接种率较高,即使在教育能力得分较高的州中也是如此。在对红蓝政治派别进行调整后,这些发现仍然具有重要意义,因为红蓝政治党派的州的疫苗接种率较低。需要进一步的研究来评估如何在低收入和低教育能力分数的州中阻止网上的错误信息;以及这种努力是否会提高美国的总体疫苗接种率。
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引用次数: 0
期刊
International journal of psychiatry
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