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Enhancing self-esteem and self-compassion to mitigate suicide risk: A feasibility and acceptability study among Japanese university students 增强自尊和自我同情以降低自杀风险:日本大学生的可行性和可接受性研究
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104207
Nguyen Tan Dat , Nobuyuki Mitsui , Satoshi Asakura , Yuki Kako , Keisuke Takanobu , Yutaka Fujii , Ichiro Kusumi

Objectives

Suicide is a serious mental health problem among university students. The current study aimed to examine the effectiveness of a novel intervention that targets suicide risk by enhancing self-esteem and self-compassion.

Methods

Participants were recruited from the healthcare center at a Japanese University. Measurements of suicidal risk, self-compassion, self-esteem, and other psychological variables were collected at baseline, post-intervention, four-week follow-up, eight-week follow-up, and twelve-week follow-up. Participants also provided feedback on the program's acceptability.

Results

A total of 17 participants consented to participate in the intervention, 14 completed post-treatment assessment, 10 completed the four-week follow-up assessment, and 8 completed the eight-week and twelve-week follow-up assessment. Following the intervention, the study observed moderate to large improvements in self-esteem, self-compassion, hopelessness, depression, and suicide risk. The participants also reported reliable changes in clinical outcomes and positive perceptions of the program.

Conclusions

The psychoeducation program exhibited high acceptability and feasibility and promising early outcomes. Despite the small sample size and lack of a control group, these findings suggest potential benefits of the program. Further studies for examining the efficacy of the program are highly warranted.

目的自杀是大学生中一个严重的心理健康问题。本研究旨在探讨通过增强自尊和自我同情来降低自杀风险的新型干预措施的有效性。在基线、干预后、四周随访、八周随访和十二周随访时收集了自杀风险、自我同情、自尊和其他心理变量的测量数据。结果 共有 17 名参与者同意参与干预,14 人完成了治疗后评估,10 人完成了四周跟踪评估,8 人完成了八周和十二周跟踪评估。干预后,研究观察到参与者在自尊、自我同情、绝望、抑郁和自杀风险方面都有了中度到较大的改善。参与者还报告了临床结果的可靠变化以及对该计划的积极看法。尽管样本量较小,也没有对照组,但这些研究结果表明了该计划的潜在益处。我们非常有必要进一步研究该计划的有效性。
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引用次数: 0
Childhood trauma, resilience, psychopathology and social functioning in schizophrenia: A network analysis 精神分裂症患者的童年创伤、复原力、精神病理学和社会功能:网络分析
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104211
Simon S.Y. Lui , Yuk-Ling Wong , Yi-Hang Huang , Benny C.L. Chau , Ezmond S.L. Cheung , Christy H.Y. Wong , Raisie W.K. Wong , Siu-Kau Leung , Jenny P.H. Lam , Raymond C.K. Chan

The affective pathway to psychosis implicates affective symptoms and neuroticism as mediating steps between childhood trauma and symptoms of schizophrenia. Prior research seldom examined the interplay between childhood trauma, resilience, personality, social functioning and symptoms in schizophrenia patients. This study recruited 290 schizophrenia patients, and constructed a regularized partial correlation network of childhood trauma, resilience, big-five personality traits, symptoms and social functioning. We further applied flow diagram and shortest path analysis to clarify how different childhood trauma types would contribute to and reach different symptoms. In the network, emotional and physical abuse showed the highest expected influence, and resilience showed the highest strength. In flow diagrams, all nodes together contributed two-thirds of variance of social functioning (which had highest predictability). Among childhood trauma types, emotional abuse contributed most to positive symptoms; physical neglect contributed most to negative, depressive and disorganized symptoms. Childhood abuse reached positive symptoms via neuroticism and depressive symptoms, yet it reached negative symptoms via physical neglect and social functioning. Childhood neglect reached positive symptoms via resilience, conscientiousness, neuroticism and depressive symptoms, yet it reached negative symptoms via social functioning. Our findings support that different childhood trauma types contribute to different symptoms, and interacts with resilience, personality and social functioning.

通往精神病的情感途径表明,情感症状和神经质是童年创伤与精神分裂症症状之间的中介步骤。以往的研究很少研究精神分裂症患者的童年创伤、复原力、人格、社会功能和症状之间的相互作用。本研究招募了 290 名精神分裂症患者,构建了童年创伤、复原力、五大人格特质、症状和社会功能的正则化部分相关网络。我们进一步运用流程图和最短路径分析,阐明了不同的童年创伤类型如何导致和达到不同的症状。在该网络中,情感和身体虐待的预期影响最大,复原力最强。在流程图中,所有节点加在一起占社会功能变异的三分之二(可预测性最高)。在童年创伤类型中,情感虐待对积极症状的影响最大;身体忽视对消极、抑郁和混乱症状的影响最大。童年虐待通过神经质和抑郁症状产生积极症状,而通过身体忽视和社会功能产生消极症状。童年忽视通过复原力、自觉性、神经质和抑郁症状产生积极症状,而通过社会功能产生消极症状。我们的研究结果表明,不同的童年创伤类型会导致不同的症状,并与复原力、人格和社会功能相互作用。
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引用次数: 0
Development of the assessment for emotional and behavioral problems in school-aged children 开发学龄儿童情绪和行为问题评估系统
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104198
Kuan-Lin Chen , Kuan-Hsu Chen , Sio-Meng Lei , PoSen Lee , Chien-Yu Huang

Background

Several assessments have been developed to assess school-aged children’s emotional and behavioral problems (EBPs), but none based on the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision. This study aimed to develop the Assessment for Emotional and Behavioral Problems in School-aged children (AEBPS) fitting current knowledge of mental health disorders.

Materials and methods

This study included 2 phases. In Phase I, the assessment construct and its corresponding items were developed. In Phase II, the reliability and validity of the AEBPS were examined.

Results

The AEBPS contains 120 items in five subscales. The psychometric results showed that the AEBPS subscales had high internal consistency (Cronbach’s alpha = 0.83–0.97) and acceptable to good test–retest reliability (intra-class correlation coefficient = 0.65–0.93). The results of exploratory factor analysis showed that most items within each subscale of the AEBPS significantly contributed to their respective concepts. The AEBPS subscales had small to high correlations with the subscales of the Child Behavior Checklist (r = 0.37–0.87). The AEBPS had good discriminant validity to differentiate children with and without EBPs.

Conclusions

The newly-developed AEBPS fits the current knowledge of mental health diagnoses for assessing school-aged children’s EBPs and has sound psychometric evidence. The AEBPS can be reliably and validly used in a variety of settings.

背景为评估学龄儿童的情绪和行为问题(EBPs),已经开发了几种评估方法,但没有一种是基于《精神疾病诊断与统计手册》第五版文本修订版的。本研究旨在开发学龄儿童情绪和行为问题评估(AEBPS),以适应当前的心理健康疾病知识。在第一阶段,开发了评估结构及其相应的项目。结果AEBPS包含5个分量表中的120个项目。心理测量结果表明,AEBPS 各分量表具有较高的内部一致性(Cronbach's alpha = 0.83-0.97)和可接受至良好的测试-再测信度(类内相关系数 = 0.65-0.93)。探索性因素分析的结果表明,AEBPS 各分量表中的大多数项目都对各自的概念有显著的贡献。AEBPS 的各分量表与儿童行为检查表的各分量表有小到高的相关性(r = 0.37-0.87)。结论新开发的 AEBPS 符合当前用于评估学龄儿童 EBPs 的心理健康诊断知识,并具有良好的心理测量学证据。AEBPS 可在各种环境中可靠有效地使用。
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引用次数: 0
Secular trends in the prevalence of schizophrenia among different age, period and cohort groups between 1990 and 2019 1990 年至 2019 年不同年龄、时期和队列组精神分裂症患病率的长期趋势
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104192
Nanxi Li , Sihao Chen , Zitao Wu , Jiangwen Dong , Juan Wang , Yuyan Lei , Junjian Mo , Wei Wei , Tao Li

Background

Schizophrenia remains a major public health challenge, and designing efforts to manage it requires understanding its prevalence over time at different geographic scales and population groups.

Methods

Drawing on data from the Global Burden of Disease study 2019, annual percentage change of schizophrenia was assessed across different age, period and cohort groups at different geographic scales from 1990 to 2019. We examined associations of prevalence with the sociodemographic index.

Results

Global prevalence of schizophrenia in 2019 was 23.60 million (95 % uncertainty interval: 20.23–27.15), with China, India, the USA and Indonesia accounting for 50.72 % of it. Global prevalence increased slightly from 1990 to 2019, with an annual percentage change of 0.03 % (95 % confidence interval 0.01–0.05). Regions with intermediate sociodemographic index accounted for greater proportion of prevalence increasing than regions with high index. Prevalence decreased among those born after 1979 in regions with intermediate sociodemographic index, whereas it consistently improved among all birth cohorts in regions with low index. Regardless of sociodemographic index, prevalence was highest among individuals 30–59 years old than younger or older groups.

Conclusions

Prevalence of schizophrenia has shown small increases globally over the last three decades. The burden of disease is heavier in relatively less affluent regions, and it disproportionately affects individuals 30–59 years in all regions. Meanwhile, for regions with lower sociodemographic indices, the recent increasing burden among birth cohorts is more pronounced. These findings may help guide futural design of measures to manage or prevent schizophrenia in communities at higher risk.

背景精神分裂症仍然是一项重大的公共卫生挑战,要想设计出管理精神分裂症的方法,就必须了解其在不同地域范围和人群中的患病率。方法利用2019年全球疾病负担研究(Global Burden of Disease study 2019)的数据,评估了1990年至2019年不同地域范围内不同年龄、时期和队列组的精神分裂症年度百分比变化。结果2019年全球精神分裂症患病率为2360万(95%不确定区间:2023-2715),其中中国、印度、美国和印度尼西亚占50.72%。从 1990 年到 2019 年,全球患病率略有上升,年百分比变化为 0.03 %(95 % 置信区间:0.01-0.05)。与高指数地区相比,中等社会人口指数地区的患病率增长比例更大。在社会人口指数处于中等水平的地区,1979 年后出生的人群的患病率有所下降,而在社会人口指数较低的地区,所有出生人群的患病率均有所上升。无论社会人口指数如何,30-59 岁人群的患病率均高于年轻或年长人群。在相对不富裕的地区,疾病负担更重,而且在所有地区,30-59 岁人群的发病率都不成比例。与此同时,在社会人口指数较低的地区,出生组群中近来不断增加的负担更为明显。这些发现可能有助于指导今后在高风险社区设计管理或预防精神分裂症的措施。
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引用次数: 0
Measurement properties of the Mental Health Literacy Scale (MHLS): A systematic review 心理健康素养量表(MHLS)的测量特性:系统回顾
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104214
Rouwida ElKhalil , Mohamad AlMekkawi , Matt O'Connor , Emad Masuadi , Moustafa Sherif , Messaouda Belfakir , Luai A. Ahmed , Rami H. Al-Rifai , Rasha Bayoumi , Iffat Elbarazi

Background

Since its creation, the Mental Health Literacy Scale (MHLS) has been used worldwide in mental health literacy studies.

Objective

This study aimed to systematically evaluate, summarize, and compare the measurement properties of MHLS validation studies.

Methods

PsycINFO, CINAHL, ERIC, Scopus, Embase, MEDLINE, and PubMed databases were searched from May 30, 2015, to December 31, 2023. Peer-reviewed studies validating the MHLS and its measurement properties were included, irrespective of language, study population, and setting. Studies using the MHLS as an outcome measure, as a comparative instrument to validate another instrument, or using other MHL measures and grey literature was excluded.

Results

Of the 685 search results, 16 studies were deemed eligible. The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) RoB criteria showed 15/15 studies exhibited ‘Very Good’ or ‘Adequate’ internal consistency, 3/6 reliability, 1/8 content validity, 14/14 structural validity, 6/7 hypothesis testing for convergent validity, 2/7 hypothesis testing for known-group validity, and 0/1 error measurement. The Cronbach’s alpha ranged from 0.720 to 0.890, and the Intra-class Correlation Coefficient ranged from 0.741 to 0.99, while content validity was limited regarding the quality of evidence rating. The four-factor and unidimensional structures were 35.7 % and 28.6 %, respectively, the most common models.

Conclusion

The MHLS exhibited strong evidence of construct validity and reliability, ensuring consistent and accurate evaluation of MHL and improving research credibility and generalizability. However, the low number of identical language versions of MHLS studies prohibited statistical pooling and quantitative summaries.

背景心理健康素养量表(MHLS)自问世以来,一直被广泛应用于全球范围内的心理健康素养研究中。方法检索了2015年5月30日至2023年12月31日期间的PsycINFO、CINAHL、ERIC、Scopus、Embase、MEDLINE和PubMed数据库。不论语言、研究人群和环境如何,均纳入了验证 MHLS 及其测量特性的同行评议研究。排除了将 MHLS 作为结果测量指标、作为验证其他指标的比较工具或使用其他 MHL 测量指标的研究以及灰色文献。根据基于共识的健康状况测量工具选择标准(COSMIN)的 RoB 标准,15/15 项研究显示出 "很好 "或 "足够 "的内部一致性、3/6 的可靠性、1/8 的内容有效性、14/14 的结构有效性、6/7 的收敛有效性假设检验、2/7 的已知组有效性假设检验和 0/1 的误差测量。Cronbach's alpha 在 0.720 至 0.890 之间,类内相关系数在 0.741 至 0.99 之间,而内容效度在证据质量评级方面受到限制。四因素结构和单维结构分别占 35.7% 和 28.6%,是最常见的模型。结论 MHLS 显示出很强的建构效度和信度,确保了对 MHL 评估的一致性和准确性,提高了研究的可信度和可推广性。然而,由于相同语言版本的 MHLS 研究数量较少,因此无法进行统计汇总和定量总结。
{"title":"Measurement properties of the Mental Health Literacy Scale (MHLS): A systematic review","authors":"Rouwida ElKhalil ,&nbsp;Mohamad AlMekkawi ,&nbsp;Matt O'Connor ,&nbsp;Emad Masuadi ,&nbsp;Moustafa Sherif ,&nbsp;Messaouda Belfakir ,&nbsp;Luai A. Ahmed ,&nbsp;Rami H. Al-Rifai ,&nbsp;Rasha Bayoumi ,&nbsp;Iffat Elbarazi","doi":"10.1016/j.ajp.2024.104214","DOIUrl":"10.1016/j.ajp.2024.104214","url":null,"abstract":"<div><h3>Background</h3><p>Since its creation, the Mental Health Literacy Scale (MHLS) has been used worldwide in mental health literacy studies.</p></div><div><h3>Objective</h3><p>This study aimed to systematically evaluate, summarize, and compare the measurement properties of MHLS validation studies.</p></div><div><h3>Methods</h3><p>PsycINFO, CINAHL, ERIC, Scopus, Embase, MEDLINE, and PubMed databases were searched from May 30, 2015, to December 31, 2023. Peer-reviewed studies validating the MHLS and its measurement properties were included, irrespective of language, study population, and setting. Studies using the MHLS as an outcome measure, as a comparative instrument to validate another instrument, or using other MHL measures and grey literature was excluded.</p></div><div><h3>Results</h3><p>Of the 685 search results, 16 studies were deemed eligible. The COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) RoB criteria showed 15/15 studies exhibited ‘Very Good’ or ‘Adequate’ internal consistency, 3/6 reliability, 1/8 content validity, 14/14 structural validity, 6/7 hypothesis testing for convergent validity, 2/7 hypothesis testing for known-group validity, and 0/1 error measurement. The Cronbach’s alpha ranged from 0.720 to 0.890, and the Intra-class Correlation Coefficient ranged from 0.741 to 0.99, while content validity was limited regarding the quality of evidence rating. The four-factor and unidimensional structures were 35.7 % and 28.6 %, respectively, the most common models.</p></div><div><h3>Conclusion</h3><p>The MHLS exhibited strong evidence of construct validity and reliability, ensuring consistent and accurate evaluation of MHL and improving research credibility and generalizability. However, the low number of identical language versions of MHLS studies prohibited statistical pooling and quantitative summaries.</p></div>","PeriodicalId":8543,"journal":{"name":"Asian journal of psychiatry","volume":"101 ","pages":"Article 104214"},"PeriodicalIF":3.8,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876201824003071/pdfft?md5=d00e10d5140cc4525331b6330d47dc13&pid=1-s2.0-S1876201824003071-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142161967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trichobezoars in children – A psychological perspective 儿童中的三叶虫--心理学视角
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104217
Varun S. Kumar , Ankitha M. Shenoy , Aureen Ruby DCunha , Shishir Kumar , Rathika Damodara Shenoy

Trichobezoars or hairballs in the gastrointestinal tract occur as a complication of trichotillomania or compulsive hair pulling, and trichophagia, or compulsive eating of hair. The DSM-5 classifies trichotillomania as an obsessive-compulsive spectrum disorder. In this case series of four children with trichobezoar, we present the varied psychopathology that led to the same and discuss the current literature on complex issues underlying trichotillomania.

胃肠道中的毛球是毛发强迫症(强迫性拔毛)和毛发嗜食症(强迫性吃毛发)的并发症。DSM-5 将毛发强迫症归类为强迫症谱系障碍。在这组由四名患有毛发强迫症的儿童组成的病例中,我们介绍了导致毛发强迫症的各种心理病理学,并讨论了当前有关毛发强迫症复杂问题的文献。
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引用次数: 0
National study comparing psychiatric presentations among migrants and citizens in Qatar 比较卡塔尔移民和公民精神病发病情况的全国性研究
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104200
Javed Latoo , Ovais Wadoo , Yousaf Iqbal , Faisal Khan , Khizara Amin , Sami Ouanes , Shuja Reagu , Jinan Suliman , Ahmed Mohamed Younes Mohamed , Eslam Maher Gamal Khalaf , Aalia Omer Yousif , Majid Alabdulla

Arab countries host 10 % of the global migrant population, yet research on the mental health of migrant workers within this region is notably lacking. Addressing this gap, our study marks the inaugural nationwide investigation into psychiatric conditions among migrant workers compared to native Qatari citizens in an inpatient setting. Employing a retrospective cohort methodology, we scrutinized psychiatric presentations among two cohorts: migrant workers (cohort 1) and Qatari nationals (cohort 2) admitted to psychiatric inpatient facilities in Qatar. Our sample comprised 150 migrant workers and 138 Qatari inpatients, with a predominance of males in both cohorts and mean ages around 34–35 years. The median length of hospitalization was 13 days for migrant workers and 14 days for Qatari patients. Qatari inpatients exhibited a higher prevalence of prior psychiatric history and comorbid physical conditions. The primary diagnosis upon discharge for approximately one-third of patients in both groups was schizophrenia spectrum and other psychotic disorders, with bipolar disorder representing roughly one-quarter of cases in each cohort. Notably, migrant workers demonstrated a higher incidence of depressive disorders, trauma, and stress-related conditions, while Qatari patients were more frequently diagnosed with substance use disorder and displayed aggressive behaviors.

阿拉伯国家的移民人口占全球移民人口的 10%,但有关该地区移民工人心理健康的研究却明显不足。为了填补这一空白,我们的研究首次在全国范围内调查了住院病人中外来务工人员与卡塔尔本地公民的精神状况。我们采用回顾性队列方法,仔细研究了两个队列中的精神病症状:在卡塔尔精神病院住院的外来务工人员(队列 1)和卡塔尔国民(队列 2)。我们的样本包括 150 名外来务工人员和 138 名卡塔尔住院病人,两组病人均以男性为主,平均年龄约为 34-35 岁。外来务工人员的住院时间中位数为 13 天,卡塔尔患者的住院时间中位数为 14 天。卡塔尔住院病人有精神病史和合并症的比例较高。两组患者中约有三分之一出院时的主要诊断是精神分裂症谱系和其他精神病性障碍,双相情感障碍约占两组病例的四分之一。值得注意的是,外来务工人员抑郁症、精神创伤和压力相关疾病的发病率较高,而卡塔尔病人则更常被诊断为药物使用障碍和攻击行为。
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引用次数: 0
Maternal emotion regulation abilities affect adolescent depressive symptoms by mediating their emotion regulation ability: An ERP study 母亲的情绪调节能力会影响青少年的抑郁症状:ERP研究
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104190
Panqi Liu , Qing Shen , Haitao Chen , Chunyu Yuan , Tianyi Zhu , Yannan Hu , Yuanlu Xiong , Yanli Zhao , Jiahua Xu , Shuping Tan

Adolescents with major depressive disorder (MDD) experience significant difficulties in emotion regulation. This study aimed to explore emotion regulation in adolescents with depression using an emotion regulation paradigm combined with event-related potentials (ERP) while investigating the relationship between maternal emotion regulation and adolescent depressive symptoms through a mediation model. Overall, 38 healthy controls (HC) and 57 adolescents with depression (MDD) rated the pictures they saw according to aversive reappraisal (reappraisal of an aversive picture or down-regulate aversive emotions), aversive watch, and neutral conditions. Adolescents with depression gave more negative ratings to aversive images, and the emotional regulation success index (ERSI) of adolescents with depression was lower than that of healthy individuals. ERP data revealed an elevation in late positive potential (LPP) amplitude during the aversive reappraisal and aversive watch conditions compared with that in the neutral condition in the MDD group. Compared with the HC group, adolescents with depression showed larger LPP amplitudes under aversive watch conditions. The aversive reappraisal condition evoked a larger LPP than that in the other conditions in the HC group in the late time windows. The ΔLPP (separating the variability in the ERP wave associated with emotion regulation) was larger in the HC group than in the MDD group. Mediation analysis revealed that maternal emotion regulation influenced adolescent depression levels through its effect on the adolescent’s emotion regulation. These findings provide important insights into the emotion regulation process in adolescents with depression and offer suggestions for clinical interventions.

患有重度抑郁症(MDD)的青少年在情绪调节方面会遇到很大困难。本研究旨在使用情绪调节范式结合事件相关电位(ERP)来探讨抑郁症青少年的情绪调节,同时通过中介模型研究母亲情绪调节与青少年抑郁症状之间的关系。总体而言,38 名健康对照组(HC)和 57 名抑郁症青少年(MDD)按照厌恶性重评(重评厌恶性图片或下调厌恶性情绪)、厌恶性观察和中性条件对他们看到的图片进行了评分。患有抑郁症的青少年对厌恶性图片给予了更多的负面评价,而患有抑郁症的青少年的情绪调节成功指数(ERSI)低于健康人。ERP数据显示,在厌恶重评和厌恶观看条件下,MDD组的晚期正电位(LPP)振幅比中性条件下的振幅高。与HC组相比,抑郁症青少年在厌恶观察条件下的LPP振幅更大。在晚期时间窗,厌恶性再评价条件下的 LPP 比 HC 组其他条件下的 LPP 更大。与 MDD 组相比,HC 组的ΔLPP(分离与情绪调节相关的 ERP 波的变异性)更大。中介分析显示,母亲的情绪调节通过对青少年情绪调节的影响来影响青少年的抑郁水平。这些发现为了解青少年抑郁症患者的情绪调节过程提供了重要启示,并为临床干预提供了建议。
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引用次数: 0
Discussion, implications, and recommendations of several alternative interventions to intervene suicidal ideation in youth with autism spectrum disorder 关于干预自闭症谱系障碍青少年自杀意念的几种替代干预方法的讨论、影响和建议
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104196
Dominikus David Biondi Situmorang

The purpose of this article is to provide an additional point of view containing discussion, implications, and recommendations for intervention to autistic persons who have suicidal ideation and behavior. Therefore, the author hopes that this article can complement reports on several previous studies that have had an extraordinary impact.

本文旨在提供一个新的视角,包含对有自杀意念和行为的自闭症患者进行干预的讨论、影响和建议。因此,作者希望这篇文章能对之前几项影响非凡的研究报告起到补充作用。
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引用次数: 0
A 12-year comparison of patients with Alzheimer’s dementia with their informants in eight Asian countries 八个亚洲国家阿尔茨海默氏症痴呆症患者与其信息提供者 12 年的对比研究。
IF 3.8 4区 医学 Q1 PSYCHIATRY Pub Date : 2024-08-30 DOI: 10.1016/j.ajp.2024.104204
Kai-Ming Jhang , Pornpatr A. Dharmasaroja , Vorapun Senanarong , Jacqueline Dominguez , Linda CW Lam , Zhaohua Huo , Kenichi Meguro , Mari Kasai , Miwako Shoji , Cuibai Wei , YongSoo Shim , Pukovisa Prawiroharjo , Rocksy Fransisca V. Situmeang , Wen-Fu Wang , Ling-Chun Huang , Yuan-Han Yang

Background

The number of patients with Alzheimer’s disease (AD) has increased dramatically in Asia.

Objective

To update the demographic characteristics of patients with AD and their informants in eight Asian countries and compare them from 12 years prior.

Methods

The A1–A3 components of the Uniform Dataset (UDS), version 3.0, were administered in Taiwan, Beijing, Hong Kong, Korea, Japan, Philippines, Thailand, and Indonesia. Data were compared with patients with AD in the first registration using the UDS version 1.0 from 2010–2014 in the same regions.

Results

A total of 1885 patients with AD and their informants were recruited from 2022 to 2024 and were compared with 2042 patients recruited a decade prior. Each country had its own unique characteristics that changed between both eras. The mean age of the patients and informants was 79.8±8.2 years and 56.5±12.1 years, respectively. Compared with the first registration, the patients were older (79.8 vs 79.0, p=0.002) and had worse global function (mean CDR-SB scores 6.1 vs 5.8, p<0.001); more informants were children (56 % vs. 48 %, p<0.001), and their frequency of in-person visits increased significantly if not living together. A total of 11 %, 4.5 %, 11 %, and 0.4 % of the patients had a reported history of cognitive impairment in their mothers, fathers, siblings, and children, respectively; all percentages, except children, increased significantly over the past decade.

Conclusion

The present study reports the heterogeneous characteristics of patients with AD and their informants in Asian countries, and the distinct changes in the past decade. The differences in dementia evaluation and care between developing and developed countries warrant further investigation.

背景亚洲阿尔茨海默病患者的人数急剧增加:更新八个亚洲国家阿尔茨海默病患者及其信息提供者的人口统计学特征,并与 12 年前进行比较:方法:在台湾、北京、香港、韩国、日本、菲律宾、泰国和印度尼西亚进行了统一数据集(UDS)3.0 版 A1-A3 部分的调查。数据与2010-2014年在同一地区使用UDS 1.0版首次登记的AD患者进行了比较:结果:从2022年到2024年,共招募了1885名AD患者及其信息提供者,并与十年前招募的2042名患者进行了比较。每个国家都有自己独特的特征,这两个时代之间也有所变化。患者和信息提供者的平均年龄分别为(79.8±8.2)岁和(56.5±12.1)岁。与首次登记相比,患者年龄更大(79.8 vs 79.0,P=0.002),整体功能更差(CDR-SB 平均分 6.1 vs 5.8,P=0.002):本研究报告了亚洲国家注意力缺失症患者及其信息提供者的不同特征,以及过去十年间的显著变化。发展中国家和发达国家在痴呆症评估和护理方面的差异值得进一步研究。
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Asian journal of psychiatry
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