Ching-Ho Hu MD, Yu-Chuan Chiu MD, Shen-Ing Liu MD, PHD, Kai-ting Ko MD, MS
Delirium is a common neuropsychiatric condition in the general hospital population. Thus, the goal of the present study is to extend the use of diagnostic tools for delirium by developing and validating a Mandarin version of the Memorial Delirium Assessment Scale (MDAS).
谵妄是普通医院人群中常见的神经精神疾病。因此，本研究的目的是通过开发和验证中文版本的纪念谵妄评估量表(MDAS)来扩展谵妄诊断工具的使用。方法选取台北市和淡水市麦凯总医院的调查对象。委员会认证的精神科医生使用MDAS，混乱评估方法(CAM)和迷你精神状态检查(MMSE)评估患者。另一位咨询联络精神病医生证实了谵妄的诊断。我们评估了MDAS的信度和效度，并使用受试者工作特征曲线来确定识别谵妄的最佳截止点。结果61例患者中，29例被诊断为谵妄。谵妄患者的平均MDAS评分为16.7，非谵妄患者的平均MDAS评分为4.1。MDAS具有良好的内部一致性，Cronbach’s alpha系数为0.912。信度为0.996(95%可信区间[CI]: 0.992-0.998)。普通话版MDAS的诊断临界值为9，具有较高的敏感性(93.1%)和特异性(96.9%)。因子分析显示双因子结构;这些因素分别占方差的58.37%和14.42%。MDAS与CAM评分呈高度相关(r = - 0.849, p <.001)以及MMSE (r = - 0.875, p < .001)。国语MDAS对综合医院患者的评价具有良好的信度和效度。
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The Pacific Rim College of Psychiatrists (PRCP) works with its member countries around the Pacific rim to promote mental health and to encourage the highest possible standards of clinical practice and ethical behavior in psychiatry. The PRCP also works to secure the best outcomes for people with mental illness by promoting excellent mental health services, supporting the prevention of mental illness, training outstanding psychiatrists, promoting quality and research, setting standards and being the voice of psychiatry across the Pacific rim countries. The PRCP works to disseminate knowledge about evidence-based psychiatric treatments and values-based practice; to be a voice for the dignity and human rights of patients and their families; and to uphold the rights of psychiatrists where they may be challenged. Most importantly, it acts to facilitate communication and provide assistance to societies who are isolated or whose members work in impoverished circumstances. I suggest the following future agenda for the PRCP in my lecture: 1) Action on the socioeconomic inequalities in mental health; 2) Improving mental health care systems in the Pacific rim; 3) Fighting against stigma of psychiatric treatment; 4) Improving quality of psychiatric training and education; 5) Remaining up to date and educated in digital psychiatry; 6) Role of psychiatrists in post-pandemic era.
{"title":"Keynote Lecture","authors":"","doi":"10.1111/appy.12459","DOIUrl":"10.1111/appy.12459","url":null,"abstract":"The Pacific Rim College of Psychiatrists (PRCP) works with its member countries around the Pacific rim to promote mental health and to encourage the highest possible standards of clinical practice and ethical behavior in psychiatry. The PRCP also works to secure the best outcomes for people with mental illness by promoting excellent mental health services, supporting the prevention of mental illness, training outstanding psychiatrists, promoting quality and research, setting standards and being the voice of psychiatry across the Pacific rim countries. The PRCP works to disseminate knowledge about evidence-based psychiatric treatments and values-based practice; to be a voice for the dignity and human rights of patients and their families; and to uphold the rights of psychiatrists where they may be challenged. Most importantly, it acts to facilitate communication and provide assistance to societies who are isolated or whose members work in impoverished circumstances. I suggest the following future agenda for the PRCP in my lecture: 1) Action on the socioeconomic inequalities in mental health; 2) Improving mental health care systems in the Pacific rim; 3) Fighting against stigma of psychiatric treatment; 4) Improving quality of psychiatric training and education; 5) Remaining up to date and educated in digital psychiatry; 6) Role of psychiatrists in post-pandemic era.","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 S1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12459","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82379427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Results: b The average depression and anxiety levels in patients with IBD were not clinically significant, However, 35% of UC patients and 45% of CD patients complained of feeling depressive based on the PHQ-9 scale, whereas 25% of UC patients and those with CD had depressive mood based on the HADS-D In addition, 20% of UC patients and 14% of CD patients complained of anxiety B Results: b The COVID-19 patients showed severer symptoms including post-traumatic symptoms, depression, anxiety, somatic symptoms than comparison groups across all four screening scales (p < 001) When it comes to high-risk group, COVID-19 patients had an increased association for high-risk group compared to comparison groups (PC-PTSD: OR = 17 31, 95% CI = 9 26-32 35 p < 001;PHQ-9: OR = 8 11, 95% CI = 4 75-13 84, p < 001;GAD-7: OR = 14 67, 95% CI = 8 59-25 07, p < 001 PHQ-15: OR = 5 68, 95% CI = 3 1-10 25, p < 001;P4: OR = 14 67, 95% CI = 8 95-25 07, p < 001) The interaction effect of early trauma exposure and a diagnosis of panic disorder on cortical Iseul An 1, Minji Bang 2, Sang-Hyuk Lee 2 1 Department of Clinical Counseling Psychology Graduate School, CHA University, Korea 2 Depar B Purpose: b Early trauma is a risk factor for adult psychiatric disorders EP-1051 Morphologic alterations in subregions of amygdala in adults with major depressive disorder Hyeyoung Kim 1, Byung-Joo Ham 1, Kyu-Man Han 1, Jee Soo Lee 2, Yoon Mi Woo 2, Aram Kim 3 1 Department of Psychiatry, Korea University College of Medicine, Korea 2 Department of Psych B Purpose: b Previous studies comparing the amygdala volume in major depressive disorder (MDD) patients with the amygdala volume in healthy controls (HC) showed inconsistent results [Extracted from the article] Copyright of Asia-Pacific Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
{"title":"Anxiety Disorders / Somatoform Disorders / Dissociative Disorders","authors":"","doi":"10.1111/appy.12462","DOIUrl":"10.1111/appy.12462","url":null,"abstract":"B Results: b The average depression and anxiety levels in patients with IBD were not clinically significant, However, 35% of UC patients and 45% of CD patients complained of feeling depressive based on the PHQ-9 scale, whereas 25% of UC patients and those with CD had depressive mood based on the HADS-D In addition, 20% of UC patients and 14% of CD patients complained of anxiety B Results: b The COVID-19 patients showed severer symptoms including post-traumatic symptoms, depression, anxiety, somatic symptoms than comparison groups across all four screening scales (p < 001) When it comes to high-risk group, COVID-19 patients had an increased association for high-risk group compared to comparison groups (PC-PTSD: OR = 17 31, 95% CI = 9 26-32 35 p < 001;PHQ-9: OR = 8 11, 95% CI = 4 75-13 84, p < 001;GAD-7: OR = 14 67, 95% CI = 8 59-25 07, p < 001 PHQ-15: OR = 5 68, 95% CI = 3 1-10 25, p < 001;P4: OR = 14 67, 95% CI = 8 95-25 07, p < 001) The interaction effect of early trauma exposure and a diagnosis of panic disorder on cortical Iseul An 1, Minji Bang 2, Sang-Hyuk Lee 2 1 Department of Clinical Counseling Psychology Graduate School, CHA University, Korea 2 Depar B Purpose: b Early trauma is a risk factor for adult psychiatric disorders EP-1051 Morphologic alterations in subregions of amygdala in adults with major depressive disorder Hyeyoung Kim 1, Byung-Joo Ham 1, Kyu-Man Han 1, Jee Soo Lee 2, Yoon Mi Woo 2, Aram Kim 3 1 Department of Psychiatry, Korea University College of Medicine, Korea 2 Department of Psych B Purpose: b Previous studies comparing the amygdala volume in major depressive disorder (MDD) patients with the amygdala volume in healthy controls (HC) showed inconsistent results [Extracted from the article] Copyright of Asia-Pacific Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 S1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12462","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63109697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In 2016, low-and-middle income countries (LMICs) accounted for 79% of the global suicide deaths. In LMICs, vulnerable groups—women, sexual minorities and refugees, and internally displaced persons (IDPs)—are at high risk of suicidal ideation, attempts and deaths by suicide, but information for designing targeted interventions for them is fragmented and missing, making it difficult to address gaps in the existing system. This review highlights these gaps by mapping: (a) risk factors associated with suicides and suicidal behavior including challenges in implementing targeted programmes for vulnerable groups; and (b) recommendations for effective suicide prevention interventions and strategies in LMICs as documented in the literature.
Methods
A descriptive mapping review of literature was conducted. Three electronic databases—PubMed, Google Scholar, and Refworld—were searched for specific keywords. The researchers mapped and reviewed 34 studies on suicide and suicide prevention across three main vulnerable groups.
Results
This review highlighted the need for gender-specific interventions for women and sexual minorities, addressing gender-based discrimination, access to healthcare, abuse and violence, while for refugees and IDPs, critical concerns are monitoring and understanding suicidal behaviors and to address psychological and emotional responses to resettlement.
Conclusion
In LMICs, specific and unique socio-cultural and environmental factors may increase the risk of vulnerable groups to suicidal behaviors. In order to develop effective and comprehensive suicide prevention strategies, it is crucial to evaluate these differential risk factors and develop culturally appropriate and sensitive interventions and strategies.
2016年，低收入和中等收入国家占全球自杀死亡人数的79%。在低收入和中等收入国家，弱势群体——妇女、性少数群体和难民以及国内流离失所者——有自杀意念、企图和自杀死亡的高风险，但为他们设计有针对性干预措施的信息支离破碎和缺失，因此难以解决现有制度中的差距。本次审查通过绘制地图来突出这些差距:(a)与自杀和自杀行为相关的风险因素，包括在为弱势群体实施有针对性的规划方面面临的挑战;(b)文献记载的中低收入国家有效自杀预防干预措施和策略的建议。方法对文献进行描述性制图复习。三个电子数据库——pubmed, Google Scholar和refworld被搜索特定的关键词。研究人员绘制并回顾了34项关于三个主要弱势群体的自杀和自杀预防的研究。结果:本次审查强调需要对妇女和性少数群体采取针对性别的干预措施，解决基于性别的歧视、获得保健、虐待和暴力问题，而对难民和国内流离失所者来说，关键问题是监测和了解自杀行为，并解决对重新安置的心理和情感反应。结论在中低收入人群中，特定且独特的社会文化和环境因素可能会增加弱势群体的自杀行为风险。为了制定有效和全面的自杀预防策略，评估这些不同的风险因素并制定文化上适当和敏感的干预措施和策略至关重要。
{"title":"A descriptive mapping review of suicide in vulnerable populations in low and middle countries","authors":"Lakshmi Vijayakumar, Somidha Ray, Tanya Nicole Fernandes, Soumitra Pathare","doi":"10.1111/appy.12472","DOIUrl":"10.1111/appy.12472","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In 2016, low-and-middle income countries (LMICs) accounted for 79% of the global suicide deaths. In LMICs, vulnerable groups—women, sexual minorities and refugees, and internally displaced persons (IDPs)—are at high risk of suicidal ideation, attempts and deaths by suicide, but information for designing targeted interventions for them is fragmented and missing, making it difficult to address gaps in the existing system. This review highlights these gaps by mapping: (a) risk factors associated with suicides and suicidal behavior including challenges in implementing targeted programmes for vulnerable groups; and (b) recommendations for effective suicide prevention interventions and strategies in LMICs as documented in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive mapping review of literature was conducted. Three electronic databases—PubMed, Google Scholar, and Refworld—were searched for specific keywords. The researchers mapped and reviewed 34 studies on suicide and suicide prevention across three main vulnerable groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review highlighted the need for gender-specific interventions for women and sexual minorities, addressing gender-based discrimination, access to healthcare, abuse and violence, while for refugees and IDPs, critical concerns are monitoring and understanding suicidal behaviors and to address psychological and emotional responses to resettlement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In LMICs, specific and unique socio-cultural and environmental factors may increase the risk of vulnerable groups to suicidal behaviors. In order to develop effective and comprehensive suicide prevention strategies, it is crucial to evaluate these differential risk factors and develop culturally appropriate and sensitive interventions and strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"13 3","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/appy.12472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25560835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EP-1185 Altered gut microbiota in youth with autism spectrum disorder associated with the attention problems Susan Shur-Fen Gau (Taiwan) EP-1187 Crisis response and intervention in the schools: A survey of psychiatrist's experiences and perceptions Soo-Young Bhang (Korea) OE-1021 Depression among adolescents living in orphanage Nway Nway Ei (Myanmar) EP-1038 Cerebellar gray matter volume and its role in executive function, and attention: Gender differences by age in adolescents Hayeon Kim (Korea) DOI: 10.1111/appy.12458
{"title":"PRCP 2021 E‐Poster Exhibition","authors":"S. Bhang","doi":"10.1111/appy.12458","DOIUrl":"https://doi.org/10.1111/appy.12458","url":null,"abstract":"EP-1185 Altered gut microbiota in youth with autism spectrum disorder associated with the attention problems Susan Shur-Fen Gau (Taiwan) EP-1187 Crisis response and intervention in the schools: A survey of psychiatrist's experiences and perceptions Soo-Young Bhang (Korea) OE-1021 Depression among adolescents living in orphanage Nway Nway Ei (Myanmar) EP-1038 Cerebellar gray matter volume and its role in executive function, and attention: Gender differences by age in adolescents Hayeon Kim (Korea) DOI: 10.1111/appy.12458","PeriodicalId":8618,"journal":{"name":"Asia‐Pacific Psychiatry","volume":"51 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76068736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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