Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.04
Eva Morovicsová, L. Valuš
No study that would deal with the prevalence of burnout syndrome in psychiatrists has been carried out in Slovakia to date, even though it is a high-risk profession. We have therefore investigated the symptoms of burnout in physicians within all Slovak psychiatric workplaces, in relation to individual differences. The participants filled in the Maslach Burnout Inventory and the Questionnaire for Identification of Stress Level and Burnout Syndrome. We aimed to detect their levels of emotional exhaustion, depersonalization, and personal accomplishment as well as physical, psychological, emotional, and social symptoms of work-related stress and burnout. The remaining items of our interest concerned the participants’ age, length of practice, gender, provision of the institutional emergency care, and type of workplace. Over one third of Slovak psychiatrists expressed a low degree of personal accomplishment, one quarter reported a high level of depersonalization and nearly one half suffered a high level of emotional exhaustion. Not only the levels of emotional and physical symptoms, but also the overall level of burnout, were significantly higher in female psychiatrists. More experienced psychiatrists as well as those who do not provide the institutional emergency care expressed higher levels of personal accomplishment. To address the issues revealed both in our study and the previous research we recommend implementation of measures focused on the support of mental health of healthcare workers across the whole society. In addition, more attention is needed to the active use of preventive measures at all psychiatric workplaces by both the employers and the psychiatrists themselves.
{"title":"Burnout Syndrome in Psychiatrists in Slovakia: A National Survey","authors":"Eva Morovicsová, L. Valuš","doi":"10.20471/dec.2022.58.02.04","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.04","url":null,"abstract":"No study that would deal with the prevalence of burnout syndrome in psychiatrists has been carried out in Slovakia to date, even though it is a high-risk profession. We have therefore investigated the symptoms of burnout in physicians within all Slovak psychiatric workplaces, in relation to individual differences. The participants filled in the Maslach Burnout Inventory and the Questionnaire for Identification of Stress Level and Burnout Syndrome. We aimed to detect their levels of emotional exhaustion, depersonalization, and personal accomplishment as well as physical, psychological, emotional, and social symptoms of work-related stress and burnout. The remaining items of our interest concerned the participants’ age, length of practice, gender, provision of the institutional emergency care, and type of workplace. Over one third of Slovak psychiatrists expressed a low degree of personal accomplishment, one quarter reported a high level of depersonalization and nearly one half suffered a high level of emotional exhaustion. Not only the levels of emotional and physical symptoms, but also the overall level of burnout, were significantly higher in female psychiatrists. More experienced psychiatrists as well as those who do not provide the institutional emergency care expressed higher levels of personal accomplishment. To address the issues revealed both in our study and the previous research we recommend implementation of measures focused on the support of mental health of healthcare workers across the whole society. In addition, more attention is needed to the active use of preventive measures at all psychiatric workplaces by both the employers and the psychiatrists themselves.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42606847","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.05
Z. Ghiasi, Fatemeh Tarighi, S. Moallemi
Considering the importance of perceived level of temptation on treatment programs in substance users and the role of cognitive aspects, this study was conducted to investigate the effect of sense of failure and alexithymia on perceived temptation. Materials and Methods: In this study, the effect of sense of failure and alexithymia on the perceived temptation in substance users in Saravan [south of IR. Iran] was investigated. In this cross-sectional descriptive study, 270 addicts living in addiction treatment centers in Saravan in the first four months of 2018 were selected by convenience sampling method. The Defeat Scale, the Alexithymia Scale, and the Drug Perceived Temptation Questionnaire-20 were used to assess variables. SPSS software version 22, Pearson correlation test and multiple regression were used to analyze the data. Results: The results showed that there is a relationship between inactivity, sense of loser and satisfaction with temptation [r = 0.32, 0.51, - 0.46]. There is also a significant relationship between alexithymia, difficulty in identifying emotions, difficulty in describing emotions and objective thinking with temptation [r = 0.60, 0.51, 0.48, 0.30]. Based on regression analysis, alexithymia [R2 = 0.37] and sense of failure [R2 = 0.32] can negatively predict temptation. Based on the results of the study, considering the sense of failure, alexithymia, and receiving appropriate care can play an important role in reducing perceived temptation.
{"title":"The Effect of Sense of Failure and Alexithymia on Perceived Temptation in Substance Users","authors":"Z. Ghiasi, Fatemeh Tarighi, S. Moallemi","doi":"10.20471/dec.2022.58.02.05","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.05","url":null,"abstract":"Considering the importance of perceived level of temptation on treatment programs in substance users and the role of cognitive aspects, this study was conducted to investigate the effect of sense of failure and alexithymia on perceived temptation. Materials and Methods: In this study, the effect of sense of failure and alexithymia on the perceived temptation in substance users in Saravan [south of IR. Iran] was investigated. In this cross-sectional descriptive study, 270 addicts living in addiction treatment centers in Saravan in the first four months of 2018 were selected by convenience sampling method. The Defeat Scale, the Alexithymia Scale, and the Drug Perceived Temptation Questionnaire-20 were used to assess variables. SPSS software version 22, Pearson correlation test and multiple regression were used to analyze the data. Results: The results showed that there is a relationship between inactivity, sense of loser and satisfaction with temptation [r = 0.32, 0.51, - 0.46]. There is also a significant relationship between alexithymia, difficulty in identifying emotions, difficulty in describing emotions and objective thinking with temptation [r = 0.60, 0.51, 0.48, 0.30]. Based on regression analysis, alexithymia [R2 = 0.37] and sense of failure [R2 = 0.32] can negatively predict temptation. Based on the results of the study, considering the sense of failure, alexithymia, and receiving appropriate care can play an important role in reducing perceived temptation.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44155816","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.11
R. Jamaluddin, Ooi Yit Tyse, Aimi Izwani Mohd Nazli, Munirah Syakirah Ab Rahman, Sim Ru Min
Effective fall risk assessment tool is important for preventive measures to be instituted among psychiatric inpatients. Our study aimed to compare the sensitivity and specificity of Wilson-Sims Fall Risk Assessment Tool (WSFRAT), clinical judgment and Morse Fall Scale (MFS) in the assessment of the risk of fall among psychiatric inpatients. All psychiatric inpatients who were admitted to psychiatric ward of Hospital Tuanku Fauziah, Malaysia from April 1st, 2019, till December 31st, 2020 were assessed for their risk of fall using WSFRAT, clinical judgment and MFS. The frequency and characteristics of actual fall event during period of hospitalization was documented. The study included a total of 400 psychiatric inpatients. Clinical judgment stratified 17 patients as high risk of fall (Mean age: 50.9 ± 12.13 years old, male predominance at 76.5 % and otherwise physically healthy), among which, five actually fell. Among these, four were considered as high risk by WSFRAT and two by MFS. The WSFRAT demonstrated higher sensitivity of fall detection as compared to MFS (60 % vs. 40 %), while the sensitivity of clinical judgment alone without specific fall risks tools was 80 % and a specificity of 96.7 %. Clinical judgement is derived from a comprehensive psychiatric assessment. The value of any objective assessment tool proved to be superior when an element of clinical judgement is concurrently added.
{"title":"Comparing the Sensitivity and Specificity of Wilson-Sims Fall Risk Assessment Tool, Clinical Judgment and Morse Fall Scale in the Assessment of Fall Risk among Psychiatric Inpatients","authors":"R. Jamaluddin, Ooi Yit Tyse, Aimi Izwani Mohd Nazli, Munirah Syakirah Ab Rahman, Sim Ru Min","doi":"10.20471/dec.2022.58.02.11","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.11","url":null,"abstract":"Effective fall risk assessment tool is important for preventive measures to be instituted among psychiatric inpatients. Our study aimed to compare the sensitivity and specificity of Wilson-Sims Fall Risk Assessment Tool (WSFRAT), clinical judgment and Morse Fall Scale (MFS) in the assessment of the risk of fall among psychiatric inpatients. All psychiatric inpatients who were admitted to psychiatric ward of Hospital Tuanku Fauziah, Malaysia from April 1st, 2019, till December 31st, 2020 were assessed for their risk of fall using WSFRAT, clinical judgment and MFS. The frequency and characteristics of actual fall event during period of hospitalization was documented. The study included a total of 400 psychiatric inpatients. Clinical judgment stratified 17 patients as high risk of fall (Mean age: 50.9 ± 12.13 years old, male predominance at 76.5 % and otherwise physically healthy), among which, five actually fell. Among these, four were considered as high risk by WSFRAT and two by MFS. The WSFRAT demonstrated higher sensitivity of fall detection as compared to MFS (60 % vs. 40 %), while the sensitivity of clinical judgment alone without specific fall risks tools was 80 % and a specificity of 96.7 %. Clinical judgement is derived from a comprehensive psychiatric assessment. The value of any objective assessment tool proved to be superior when an element of clinical judgement is concurrently added.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47036551","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}
Pub Date : 2022-10-20DOI: 10.20471/may.2022.58.02.08
D. Holik, Andrea Milostić Srb, Boris Dumenčić, Z. Bosnić, Bruno Popić, Ljiljana Trtica Majnarić
Due to the imposition of social media, a large number of adolescents face problems related to physical appearance and social contact. The research objectives were to examine the degree of satisfaction of high school students in Eastern Croatia, Vinkovci, regarding their physical appearance and self-esteem based on their gender, type of high school and the differences in socioeconomic status. The study was designed as a cross-sectional research and included 278 students from medical schools and high schools. Data was collected using a survey on the demographic and socio-economic status of participants. The Body Image Questionnaire was used in a modified and validated version in Croatia and contained fourteen questions to examine the level of satisfaction with the body image. Using Rosenberg’s ten-question test, the level of self-esteem was examined. The Median age of students was 18 years. The female students in high school were significantly more concerned about their physical appearance than the male students in the same school (χ² = 23.6, p < 0.001). The linear correlation between the degree of satisfaction regarding physical appearance and self-esteem confirmed the association between body image satisfaction and gender of students in medical schools (r = 0,157; p = 0,04) and students in high school (r = 0,371; p < 0,001). Adolescents in this region of Croatia are not overly concerned about their physical appearance despite relatively decreased self-esteem. Alcohol consumption has proven to be a big problem especially for high school students, which can be a result of stress due to maintaining excellent grades.
{"title":"The Relationship Between Appearance Satisfaction and Self-Esteem Among High School Students in Eastern Croatia","authors":"D. Holik, Andrea Milostić Srb, Boris Dumenčić, Z. Bosnić, Bruno Popić, Ljiljana Trtica Majnarić","doi":"10.20471/may.2022.58.02.08","DOIUrl":"https://doi.org/10.20471/may.2022.58.02.08","url":null,"abstract":"Due to the imposition of social media, a large number of adolescents face problems related to physical appearance and social contact. The research objectives were to examine the degree of satisfaction of high school students in Eastern Croatia, Vinkovci, regarding their physical appearance and self-esteem based on their gender, type of high school and the differences in socioeconomic status. The study was designed as a cross-sectional research and included 278 students from medical schools and high schools. Data was collected using a survey on the demographic and socio-economic status of participants. The Body Image Questionnaire was used in a modified and validated version in Croatia and contained fourteen questions to examine the level of satisfaction with the body image. Using Rosenberg’s ten-question test, the level of self-esteem was examined. The Median age of students was 18 years. The female students in high school were significantly more concerned about their physical appearance than the male students in the same school (χ² = 23.6, p < 0.001). The linear correlation between the degree of satisfaction regarding physical appearance and self-esteem confirmed the association between body image satisfaction and gender of students in medical schools (r = 0,157; p = 0,04) and students in high school (r = 0,371; p < 0,001). Adolescents in this region of Croatia are not overly concerned about their physical appearance despite relatively decreased self-esteem. Alcohol consumption has proven to be a big problem especially for high school students, which can be a result of stress due to maintaining excellent grades.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42197612","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.06
V. Gaur, Geetika Chopra
Introduction: Donating one’s kidney can be a complicated psychological experience. This study was designed to evaluate and compare anxiety, depression and quality of life of married female renal donors during the pre and post donation phase. Methods: In this prospective longitudinal observational study, 39 consecutive female renal donors were assessed using PHQ-9, HAM-A and the WHO QoL-Bref Questionnaire 2 weeks before and 3 months after kidney donation. Results: The mean age of female kidney donors was 41.74 ± 8.85. After donation, prevalence of depression increased from 43.59 % (n = 17) to 53.84 % (n = 21), (t(38) = -2.089, p = 0.04) while prevalence of anxiety in donors increased from 58.97 (n = 23) to 69.23 % (n = 27) and the difference was found to be statistically significant (t(38) = 2.47, p = 0.01). Kidney transplantation resulted in a significant decrease in overall perception score of WHOQOL-Bref Questionnaire. (t(38) = 3.504, p = 0.001), overall perception score of health (t(38) = 3.504, p = 0.001), physical domain (t(38) = 4.180, p = 0.000) and psychological domain (t(38) = 2.469, p = 0.018) after donation. There were no significant changes in the social relationship (t(38) = -0.80, p = 0.936) and environmental health domain scores (t(38) = 0.991, p = 0.328). On multiple regression analysis, presence of pre-transplant depression was independently associated with overall score of WHOQOL-Bref Questionnaire (β = -0.14, p = 0.002), perception of health (β = -0.08, p = 0.001), physical health (β = -1.91, p = 0.08) and psychological health (β = -2.57, p = 0.02). Pre-transplant anxiety was negatively related to overall perception of health (β = -0.08, p = 0.01), physical health (β = -2.05, p = 0.01) and psychological health (β = -1.94, p = 0.02). Conclusion: Significant reduction in quality of life, perception of health, physical health and psychological domain of female renal donors was observed after donation.
捐献肾脏可能是一种复杂的心理体验。本研究旨在评估和比较已婚女性肾脏捐赠者在捐献前后的焦虑、抑郁和生活质量。方法:在这项前瞻性纵向观察研究中，对39名连续的女性肾脏供者在肾脏捐献前2周和捐献后3个月分别使用PHQ-9、HAM-A和WHO qol - brief问卷进行评估。结果:女性供肾者平均年龄为41.74±8.85岁。捐献后抑郁患病率由43.59% (n = 17)上升至53.84% (n = 21) (t(38) = -2.089, p = 0.04)，焦虑患病率由58.97% (n = 23)上升至69.23% (n = 27)，差异有统计学意义(t(38) = 2.47, p = 0.01)。肾移植导致whoqol - brief问卷总感知得分显著下降。捐献后的健康(t(38) = 3.504, p = 0.001)、生理领域(t(38) = 4.180, p = 0.000)和心理领域(t(38) = 2.469, p = 0.018)总体感知得分。社会关系(t(38) = -0.80, p = 0.936)和环境健康领域得分(t(38) = 0.991, p = 0.328)无显著变化。多元回归分析显示，移植前抑郁的存在与WHOQOL-Bref问卷总分(β = -0.14, p = 0.002)、健康感知(β = -0.08, p = 0.001)、身体健康(β = -1.91, p = 0.08)和心理健康(β = -2.57, p = 0.02)独立相关。移植前焦虑与整体健康感知(β = -0.08, p = 0.01)、身体健康(β = -2.05, p = 0.01)和心理健康(β = -1.94, p = 0.02)呈负相关。结论:女性肾供者在捐献肾后生活质量、健康感知、生理健康和心理领域均有显著下降。
{"title":"Female Renal Donors: Impact of Donation on Anxiety, Depressive Symptoms and Quality of Life","authors":"V. Gaur, Geetika Chopra","doi":"10.20471/dec.2022.58.02.06","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.06","url":null,"abstract":"Introduction: Donating one’s kidney can be a complicated psychological experience. This study was designed to evaluate and compare anxiety, depression and quality of life of married female renal donors during the pre and post donation phase. Methods: In this prospective longitudinal observational study, 39 consecutive female renal donors were assessed using PHQ-9, HAM-A and the WHO QoL-Bref Questionnaire 2 weeks before and 3 months after kidney donation. Results: The mean age of female kidney donors was 41.74 ± 8.85. After donation, prevalence of depression increased from 43.59 % (n = 17) to 53.84 % (n = 21), (t(38) = -2.089, p = 0.04) while prevalence of anxiety in donors increased from 58.97 (n = 23) to 69.23 % (n = 27) and the difference was found to be statistically significant (t(38) = 2.47, p = 0.01). Kidney transplantation resulted in a significant decrease in overall perception score of WHOQOL-Bref Questionnaire. (t(38) = 3.504, p = 0.001), overall perception score of health (t(38) = 3.504, p = 0.001), physical domain (t(38) = 4.180, p = 0.000) and psychological domain (t(38) = 2.469, p = 0.018) after donation. There were no significant changes in the social relationship (t(38) = -0.80, p = 0.936) and environmental health domain scores (t(38) = 0.991, p = 0.328). On multiple regression analysis, presence of pre-transplant depression was independently associated with overall score of WHOQOL-Bref Questionnaire (β = -0.14, p = 0.002), perception of health (β = -0.08, p = 0.001), physical health (β = -1.91, p = 0.08) and psychological health (β = -2.57, p = 0.02). Pre-transplant anxiety was negatively related to overall perception of health (β = -0.08, p = 0.01), physical health (β = -2.05, p = 0.01) and psychological health (β = -1.94, p = 0.02). Conclusion: Significant reduction in quality of life, perception of health, physical health and psychological domain of female renal donors was observed after donation.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48071412","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.13
Nicholas Tze Ping Pang
“The Tempest” is one of Shakespeare’s great late-period plays focusing on isolation. This article examines a viewing during Covid-19 lockdown of “The Tempest” as a reflection on the stressors and difficulties of medical professionals facing Covid-19, both at work and in society. It discusses the difficulties of adapting to the new normal, the physical and psychological isolation of tending to patients with Covid-19, stigma associated with Covid-19, and the effects of burnout on healthcare professionals, through reflections on various pertinent segments of the play. The reflection also focuses on the crucial role of leadership styles and organisational management in dealing with Covid-19 through the conceit of a viewing of “The Tempest”. In conclusion, the article reminds the readers that like all tempests, Covid-19 will end too.
{"title":"The Tempest: a Reflection in Pandemic Loneliness","authors":"Nicholas Tze Ping Pang","doi":"10.20471/dec.2022.58.02.13","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.13","url":null,"abstract":"“The Tempest” is one of Shakespeare’s great late-period plays focusing on isolation. This article examines a viewing during Covid-19 lockdown of “The Tempest” as a reflection on the stressors and difficulties of medical professionals facing Covid-19, both at work and in society. It discusses the difficulties of adapting to the new normal, the physical and psychological isolation of tending to patients with Covid-19, stigma associated with Covid-19, and the effects of burnout on healthcare professionals, through reflections on various pertinent segments of the play. The reflection also focuses on the crucial role of leadership styles and organisational management in dealing with Covid-19 through the conceit of a viewing of “The Tempest”. In conclusion, the article reminds the readers that like all tempests, Covid-19 will end too.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44416603","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}
Pub Date : 2022-10-20DOI: 10.20471/may.2022.58.02.14
Vjekoslav Peitl, Darko Vlahović
Daridorexant belongs to a class of drugs known as dual orexin receptor (OX1R and OX2R) antagonists. It achieves its function by blocking the binding of wake-promoting neuropeptides orexins. This novel mechanism is believed to turn down overactive wakefulness and as we know so far, most other treatments for insomnia can be sedating.
{"title":"Daridorexant","authors":"Vjekoslav Peitl, Darko Vlahović","doi":"10.20471/may.2022.58.02.14","DOIUrl":"https://doi.org/10.20471/may.2022.58.02.14","url":null,"abstract":"Daridorexant belongs to a class of drugs known as dual orexin receptor (OX1R and OX2R) antagonists. It achieves its function by blocking the binding of wake-promoting neuropeptides orexins. This novel mechanism is believed to turn down overactive wakefulness and as we know so far, most other treatments for insomnia can be sedating.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49353273","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.10
Therese Mansour Moriarty, Cary Lane Mitchell
Homelessness is a global health and well-being crisis that impacts millions of people annually. Individuals without housing experience higher rates of alcohol and drug use problems than the general community. They also report more trauma exposure and are at increased risk for trauma-related symptoms. Faith-based organizations are among the institutions that provide treatment and recovery programs for homeless persons with substance use problems. The aim of this study was to explore the relationship of trauma history, substance use problems, and religious coping methods to trauma symptoms in a sample of homeless men in a faith-based residential treatment program. An ethnically diverse sample of 98 men participated; their mean age was 42.5 years. Measures included a brief trauma history screener, the Alcohol Use Disorders Identification Test (AUDIT), the Drug Abuse Screening Test (DAST-20), the Brief Religious Coping Scale (Brief RCOPE), and the Trauma Symptom Inventory (TSI). As predicted, trauma history, AUDIT scores, DAST-20 scores, and negative religious coping were positively associated with trauma symptoms. Racial identity also accounted for significant variance in TSI scores, especially regarding trauma-related anxious and depressive symptoms. Positive religious coping appeared essentially unrelated to trauma symptoms. These findings support the utility of the instruments used for assessment with homeless persons in residential treatment programs for substance abuse.
{"title":"The Relationship of Trauma History, Substance Misuse, and Religious Coping to Trauma Symptoms among Homeless Men in Residential Treatment: A Preliminary Study","authors":"Therese Mansour Moriarty, Cary Lane Mitchell","doi":"10.20471/dec.2022.58.02.10","DOIUrl":"https://doi.org/10.20471/dec.2022.58.02.10","url":null,"abstract":"Homelessness is a global health and well-being crisis that impacts millions of people annually. Individuals without housing experience higher rates of alcohol and drug use problems than the general community. They also report more trauma exposure and are at increased risk for trauma-related symptoms. Faith-based organizations are among the institutions that provide treatment and recovery programs for homeless persons with substance use problems. The aim of this study was to explore the relationship of trauma history, substance use problems, and religious coping methods to trauma symptoms in a sample of homeless men in a faith-based residential treatment program. An ethnically diverse sample of 98 men participated; their mean age was 42.5 years. Measures included a brief trauma history screener, the Alcohol Use Disorders Identification Test (AUDIT), the Drug Abuse Screening Test (DAST-20), the Brief Religious Coping Scale (Brief RCOPE), and the Trauma Symptom Inventory (TSI). As predicted, trauma history, AUDIT scores, DAST-20 scores, and negative religious coping were positively associated with trauma symptoms. Racial identity also accounted for significant variance in TSI scores, especially regarding trauma-related anxious and depressive symptoms. Positive religious coping appeared essentially unrelated to trauma symptoms. These findings support the utility of the instruments used for assessment with homeless persons in residential treatment programs for substance abuse.","PeriodicalId":8294,"journal":{"name":"Archives of Psychiatry Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47935242","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}
Pub Date : 2022-10-20DOI: 10.20471/dec.2022.58.02.12
Din Duraković, A. Silić, V. Peitl, D. Vlahović, Daniela Vojnović, D. Karlović
The paper deals with a case report of a 41-year-old man who in search of the meaning of life in a so-called “shamanic ritual” drank tea made from the San Pedro cactus as well as paste made of the same plant. The hallucinations were post poned and started after 9.5 hours caracterised by a psychotic reaction with symptoms of catatonia. He was admitted to our Department of Psychiatry where he was administered a second generation antipsychotic. The clinical presentation disappeared about 60 hours after the ingestion of mescaline mainly because of the antagonistic effect the antipsychotic has on the serotoninergic 5-HT2A receptors.
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