首页 > 最新文献

International neuropsychiatric disease journal最新文献

英文 中文
Mental Health Assessment of Medical Students in Tanta University: A Cross Sectional Study 坦塔大学医学生的心理健康评估:横断面研究
Pub Date : 2023-12-28 DOI: 10.9734/indj/2023/v20i4413
Aya M. El Neanay, A. Haiba, E. Hasby, Mai Abd Elraoof Eissa, Hossam Eldien Fathallah Elsawy
Background: Mental health disorders are common in university students, where the most common of them include substance abuse, anxiety, and mood disorders. College students are in a transitory age that’s accompanied by various stressors and during which diverse mental health problems usually appear for the 1st time. Objective: To assess presence of mental health disorders among under graduate medical students. Methods: 2900 students were invited to complete a survey that was built on Microsoft form app provided by information technology unit and directed to medical students in mentioned grads individually. An e-mail has been sent to each student's academic official e-mail which was provided to students in the first three academic years.  Email included GHQ-28 form associated with phrases fostering involvement in the study and assuring anonymity. Results: The response rate for the GHQ-28 survey was 25.9% of emailed students completing the questionnaire. The mean GHQ-28 score of 13.78 is considerably higher than general population norms. Conclusion: The majority of students (88.16%) scored above the threshold for psychological morbidity and were considered as a possible case indicating elevated psychological distress in this student sample.
背景:心理健康障碍在大学生中很常见,其中最常见的包括药物滥用、焦虑和情绪障碍。大学生正处于一个过渡时期,伴随着各种压力,在此期间,各种心理健康问题通常会首次出现。 调查目的评估医学专业本科生中是否存在心理健康障碍。 方法:邀请 2900 名学生完成一项调查,该调查由信息技术部门提供的微软表单应用程序制作而成,调查对象为在读医学生。电子邮件已发送到每个学生的官方学术邮箱,该邮箱在前三个学年提供给学生。 电子邮件中包括 GHQ-28 表格和短语,以促进学生参与研究并确保匿名。 结果在通过电子邮件填写问卷的学生中,GHQ-28 调查的回复率为 25.9%。GHQ-28 的平均得分为 13.78 分,大大高于一般人群的标准值。 结论大多数学生(88.16%)的得分超过了心理疾病的临界值,被视为可能的病例,表明该学生样本中的心理困扰程度升高。
{"title":"Mental Health Assessment of Medical Students in Tanta University: A Cross Sectional Study","authors":"Aya M. El Neanay, A. Haiba, E. Hasby, Mai Abd Elraoof Eissa, Hossam Eldien Fathallah Elsawy","doi":"10.9734/indj/2023/v20i4413","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4413","url":null,"abstract":"Background: Mental health disorders are common in university students, where the most common of them include substance abuse, anxiety, and mood disorders. College students are in a transitory age that’s accompanied by various stressors and during which diverse mental health problems usually appear for the 1st time. Objective: To assess presence of mental health disorders among under graduate medical students. Methods: 2900 students were invited to complete a survey that was built on Microsoft form app provided by information technology unit and directed to medical students in mentioned grads individually. An e-mail has been sent to each student's academic official e-mail which was provided to students in the first three academic years.  Email included GHQ-28 form associated with phrases fostering involvement in the study and assuring anonymity. Results: The response rate for the GHQ-28 survey was 25.9% of emailed students completing the questionnaire. The mean GHQ-28 score of 13.78 is considerably higher than general population norms. Conclusion: The majority of students (88.16%) scored above the threshold for psychological morbidity and were considered as a possible case indicating elevated psychological distress in this student sample.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139152864","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}
引用次数: 0
Influence of Psycho-Demographic Factors on Sexual Dysfunction among People Living with Disabilities 心理-人口因素对残疾人性功能障碍的影响
Pub Date : 2023-12-06 DOI: 10.9734/indj/2023/v20i4411
O. T. Oladele, A. O. Adejumo, S. F. Agberotimi, S. A. Ojedokun, O. A. Opadola, T. A. Alatishe
Background: Nigeria has roughly 12 million citizens living with disabilities. Prevalent social stigmas often discriminate against their social, physical and psychological well-being which directly or indirectly affects their sexual life. This study aimed to assess the influence of psycho-demographic factors on the sexual life of people living with disabilities. Methods: The study was carried out among 79 participants, 18 years old and above at the Rehabilitation Centre Moniya. The study was ex post facto research study. Purposive and snowball sampling techniques were used for the study. Data were analyzed using SPSS version 21. Results: Young subjects and male participants had higher mean scores (x=21.94) on the sexual dysfunction scale than female participants. Participants living with physical disability had higher means (x=22.21) on the sexual dysfunction scale than participants with hearing impairment. Age, gender, type of disability and religion statistically predicted sexual dysfunction among participants. Also, self-esteem and self-efficacy influence sexual dysfunction among participants living with physical disability and participants living with hearing impairment. Conclusion: Age, gender and nature of disability influence the sexual life of people living with disabilities. Moreso, sexual dysfunction reduces with an increase in self-esteem and self-efficacy. It is therefore recommended that attention is paid to individuals living with disabilities in in order to improve the quality of the sexual aspect of their lives and their psychological wellbeing.
背景:尼日利亚大约有1200万残疾人。普遍存在的社会污名往往歧视她们的社会、身体和心理健康,直接或间接地影响她们的性生活。本研究旨在探讨心理人口学因素对残障人士性生活的影响。方法:在莫尼亚康复中心对79名18岁及以上的参与者进行研究。这项研究是事后调查研究。本研究采用目的性和滚雪球抽样技术。数据采用SPSS version 21进行分析。结果:年轻受试者和男性受试者性功能障碍量表的平均得分(x=21.94)高于女性受试者。身体残疾的参与者在性功能障碍量表上的平均值(x=22.21)高于听力障碍的参与者。年龄、性别、残疾类型和宗教在统计上预测了参与者的性功能障碍。此外,自尊和自我效能感对身体残疾和听力障碍参与者的性功能障碍也有影响。结论:年龄、性别和残疾性质影响残疾人的性生活。此外,性功能障碍随着自尊和自我效能的增加而减少。因此,建议对残疾人给予关注,以改善他们生活的性方面的质量和他们的心理健康。
{"title":"Influence of Psycho-Demographic Factors on Sexual Dysfunction among People Living with Disabilities","authors":"O. T. Oladele, A. O. Adejumo, S. F. Agberotimi, S. A. Ojedokun, O. A. Opadola, T. A. Alatishe","doi":"10.9734/indj/2023/v20i4411","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4411","url":null,"abstract":"Background: Nigeria has roughly 12 million citizens living with disabilities. Prevalent social stigmas often discriminate against their social, physical and psychological well-being which directly or indirectly affects their sexual life. This study aimed to assess the influence of psycho-demographic factors on the sexual life of people living with disabilities. \u0000Methods: The study was carried out among 79 participants, 18 years old and above at the Rehabilitation Centre Moniya. The study was ex post facto research study. Purposive and snowball sampling techniques were used for the study. Data were analyzed using SPSS version 21. \u0000Results: Young subjects and male participants had higher mean scores (x=21.94) on the sexual dysfunction scale than female participants. Participants living with physical disability had higher means (x=22.21) on the sexual dysfunction scale than participants with hearing impairment. Age, gender, type of disability and religion statistically predicted sexual dysfunction among participants. Also, self-esteem and self-efficacy influence sexual dysfunction among participants living with physical disability and participants living with hearing impairment. \u0000Conclusion: Age, gender and nature of disability influence the sexual life of people living with disabilities. Moreso, sexual dysfunction reduces with an increase in self-esteem and self-efficacy. It is therefore recommended that attention is paid to individuals living with disabilities in in order to improve the quality of the sexual aspect of their lives and their psychological wellbeing.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138596334","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}
引用次数: 0
Role of Primary Health Team in Promoting Mental Health of Adolescent Students: A Systematic Review 基层医疗团队在促进青少年学生心理健康中的作用:系统回顾
Pub Date : 2023-11-30 DOI: 10.9734/indj/2023/v20i4410
Thiago Nogueira Silva, Claudia Mara de Melo Tavares, Marilei de Melo Tavares, Marcia Cristina Moccellin, Marcelle Ignácio Rebello, Fabiana Ramos Vargas, Laís Mariano de Paiva, Luciana Silvério Alleluia Higino da Silva
Aim: The purpose of this study is to identify, through an integrative review, the strategies implemented in partnership with the primary care team that contribute to promoting the mental health of adolescents at school. Methods: 2,791 studies were identified, 389 in PubMed, 389 in Scopus, 320 in VHL, 04 in Scielo and 1,693 in GALE. After excluding duplicate studies and applying the eligibility criteria, 17 articles were selected. Results: The analysis of the studies revealed that 18% of the articles addressed the relevance of the characteristics of promoting adolescent mental health in school in partnership with the primary care team, while another 18% were related to barriers faced in this promotion. Additionally, 41% of the articles dealt with the strategies used in this context and 24% discussed the associated challenges. Discussion: Several strategies have been incorporated into the partnership between the education sector and Primary Health Care to promote the mental health of school adolescents. Conclusions: Identifying the potential of actions and strategies carried out by education and primary health professionals reinforces the need for investments in spaces, materials and training of professionals aimed at promoting adolescent mental health.
目的:本研究旨在通过综合综述,确定与初级保健团队合作实施的、有助于促进在校青少年心理健康的策略。 方法:研究人员在 PubMed、Scopus、VHL、Scielo 和 GALE 中分别找到了 389 项、389 项、320 项、04 项和 1,693 项研究,共 2,791 项研究。在排除重复研究并应用资格标准后,选出了 17 篇文章。 结果:对这些研究的分析表明,18%的文章探讨了与初级保健团队合作在学校促进青少年心理健康的特点的相关性,而另外 18%的文章则与促进过程中面临的障碍有关。此外,41%的文章讨论了在这种情况下使用的策略,24%的文章讨论了相关的挑战。 讨论情况:在教育部门和初级保健部门的合作中,已经纳入了多项策略,以促进在校青少年的心理健康。 结论教育和初级卫生保健专业人员所采取的行动和策略的潜力得到了确认,这进一步说明了在空间、材料和专业人员培训方面进行投资以促进青少年心理健康的必要性。
{"title":"Role of Primary Health Team in Promoting Mental Health of Adolescent Students: A Systematic Review","authors":"Thiago Nogueira Silva, Claudia Mara de Melo Tavares, Marilei de Melo Tavares, Marcia Cristina Moccellin, Marcelle Ignácio Rebello, Fabiana Ramos Vargas, Laís Mariano de Paiva, Luciana Silvério Alleluia Higino da Silva","doi":"10.9734/indj/2023/v20i4410","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4410","url":null,"abstract":"Aim: The purpose of this study is to identify, through an integrative review, the strategies implemented in partnership with the primary care team that contribute to promoting the mental health of adolescents at school. Methods: 2,791 studies were identified, 389 in PubMed, 389 in Scopus, 320 in VHL, 04 in Scielo and 1,693 in GALE. After excluding duplicate studies and applying the eligibility criteria, 17 articles were selected. Results: The analysis of the studies revealed that 18% of the articles addressed the relevance of the characteristics of promoting adolescent mental health in school in partnership with the primary care team, while another 18% were related to barriers faced in this promotion. Additionally, 41% of the articles dealt with the strategies used in this context and 24% discussed the associated challenges. Discussion: Several strategies have been incorporated into the partnership between the education sector and Primary Health Care to promote the mental health of school adolescents. Conclusions: Identifying the potential of actions and strategies carried out by education and primary health professionals reinforces the need for investments in spaces, materials and training of professionals aimed at promoting adolescent mental health.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139207001","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}
引用次数: 0
Sleep Disturbances as a Manifestation of Neurodevelopmental Disorders 睡眠障碍是神经发育障碍的一种表现形式
Pub Date : 2023-11-27 DOI: 10.9734/indj/2023/v20i4409
Kimberly Morton Cuthrell, Nikolaos Tzenios
Sleep disturbances are complex elements of many neurodevelopmental disorders, such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), intellectual and developmental disabilities, and insomnia. Sleep disturbances are caused by a variety of factors, resulting in short-term and long-term consequences that can affect self-care, daily functions, and well-being.  Sleep disturbances can compromise not only he general health of individuals but also on the health of caregivers   and support systems.  There is a need to understand the interaction between neurodevelopmental disorders and sleep disturbances to identify patterns of sleep fragmentations contributed to neurobiological and neurodevelopmental conditions determine appropriate treatment, improve the quality of life for individuals with neurological comorbidities.
睡眠障碍是自闭症谱系障碍 (ASD)、注意力缺陷/多动症 (ADHD)、智力和发育障碍以及失眠等许多神经发育障碍的复杂因素。睡眠障碍由多种因素引起,会造成短期和长期后果,影响自我护理、日常功能和幸福感。 睡眠障碍不仅会损害个人的总体健康,还会影响照顾者和支持系统的健康。 有必要了解神经发育障碍与睡眠障碍之间的相互作用,以确定神经生物学和神经发育状况导致的睡眠片段模式,从而确定适当的治疗方法,提高神经系统合并症患者的生活质量。
{"title":"Sleep Disturbances as a Manifestation of Neurodevelopmental Disorders","authors":"Kimberly Morton Cuthrell, Nikolaos Tzenios","doi":"10.9734/indj/2023/v20i4409","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4409","url":null,"abstract":"Sleep disturbances are complex elements of many neurodevelopmental disorders, such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), intellectual and developmental disabilities, and insomnia. Sleep disturbances are caused by a variety of factors, resulting in short-term and long-term consequences that can affect self-care, daily functions, and well-being.  Sleep disturbances can compromise not only he general health of individuals but also on the health of caregivers   and support systems.  There is a need to understand the interaction between neurodevelopmental disorders and sleep disturbances to identify patterns of sleep fragmentations contributed to neurobiological and neurodevelopmental conditions determine appropriate treatment, improve the quality of life for individuals with neurological comorbidities.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139231207","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}
引用次数: 0
A Comprehensive Review on Pathophysiology and Alternative Therapies for Parkinsons Disease 帕金森病的病理生理学和替代疗法综述
Pub Date : 2023-11-24 DOI: 10.9734/indj/2023/v20i4408
M. Gangaraju, P. Sravya, N. V. L. Suvarchala Reddy V, K. V. Srinija, K. Keerthana
A neurological disorder is one in which neurons in the cerebral or peripheral nerves gradually lose their ability to operate before dying. Unfortunately, there is presently no treatment for degenerative diseases, only an arrest down of the disease's progression. There are actually several symptomatic treatments available, however degenerative conditions are still incurable. There are certain advantages with western medical treatments, they are Deep brain stimulation, dopamine-producing treatments for Parkinson's disease (PD) and disorders of movement, cholinesterase inhibition for memory problems, antipsychotic medicines to combat the behavioural and mental manifestations of Alzheimer's disease, analgesic medicines for Inflammation, anti-inflammatory agents for transmission, and possibly antipsychotic drugs medications for memory impairment may be used to treat the severe and raising symptoms. Additionally, scientists have sought to discover treatments that might delay the onset of disorders, which include Analgesics (non-steroidal anti-inflammatory in nature drugs) treating dementia, Riluzole treatment fatal motor neuron disease, tremors, and Huntington's chorea. Although specialized medications may assist relieve a few of the signs. There nevertheless remain so many problems with them. Age significantly increases the individual's risk of having a condition that affects the brain. In the future decades, there may be an increase in neurodegenerative illnesses. To better understand the mechanisms behind diseases of the brain, we must come up with novel approaches to both therapy and prevention. Thus we started searching for more treatments for these diseases as a result of this, and we found some options. Such as plant medicine, physiotherapy, stem cell therapy, monoclonal antibiotics.
神经系统疾病是指大脑或周围神经中的神经元在死亡前逐渐失去活动能力。不幸的是,目前还没有治疗退行性疾病的方法,只能阻止疾病的发展。实际上,目前有几种对症治疗方法,但退行性疾病仍然无法治愈。西医疗法有一定的优势,如深部脑刺激疗法、帕金森病和运动障碍的多巴胺分泌疗法、治疗记忆问题的胆碱酯酶抑制剂、对抗阿尔茨海默病行为和精神表现的抗精神病药物、治疗炎症的镇痛药物、治疗传导的抗炎药物,以及可能用于治疗严重和加剧症状的治疗记忆障碍的抗精神病药物。此外,科学家们还试图发现可能延缓疾病发作的治疗方法,其中包括治疗痴呆症的镇痛药(非甾体类消炎药)、治疗致命运动神经元疾病的利鲁唑、震颤和亨廷顿舞蹈症。虽然专门的药物可以帮助缓解一些症状。然而,它们仍然存在许多问题。年龄会大大增加个人患上影响大脑的疾病的风险。在未来几十年中,神经退行性疾病可能会增加。为了更好地了解脑部疾病背后的机制,我们必须想出新颖的治疗和预防方法。因此,我们开始寻找更多治疗这些疾病的方法,并找到了一些选择。例如植物药、物理疗法、干细胞疗法、单克隆抗生素。
{"title":"A Comprehensive Review on Pathophysiology and Alternative Therapies for Parkinsons Disease","authors":"M. Gangaraju, P. Sravya, N. V. L. Suvarchala Reddy V, K. V. Srinija, K. Keerthana","doi":"10.9734/indj/2023/v20i4408","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4408","url":null,"abstract":"A neurological disorder is one in which neurons in the cerebral or peripheral nerves gradually lose their ability to operate before dying. Unfortunately, there is presently no treatment for degenerative diseases, only an arrest down of the disease's progression. There are actually several symptomatic treatments available, however degenerative conditions are still incurable. There are certain advantages with western medical treatments, they are Deep brain stimulation, dopamine-producing treatments for Parkinson's disease (PD) and disorders of movement, cholinesterase inhibition for memory problems, antipsychotic medicines to combat the behavioural and mental manifestations of Alzheimer's disease, analgesic medicines for Inflammation, anti-inflammatory agents for transmission, and possibly antipsychotic drugs medications for memory impairment may be used to treat the severe and raising symptoms. Additionally, scientists have sought to discover treatments that might delay the onset of disorders, which include Analgesics (non-steroidal anti-inflammatory in nature drugs) treating dementia, Riluzole treatment fatal motor neuron disease, tremors, and Huntington's chorea. Although specialized medications may assist relieve a few of the signs. There nevertheless remain so many problems with them. Age significantly increases the individual's risk of having a condition that affects the brain. In the future decades, there may be an increase in neurodegenerative illnesses. To better understand the mechanisms behind diseases of the brain, we must come up with novel approaches to both therapy and prevention. Thus we started searching for more treatments for these diseases as a result of this, and we found some options. Such as plant medicine, physiotherapy, stem cell therapy, monoclonal antibiotics.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139242289","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}
引用次数: 0
Burn Out and Psychological Distress among Care Givers of Dementia Patients Attending the Out Patient Geriatric Clinics of Two Nigerian Tertiary Health Institutions 尼日利亚两所三级医疗机构老年门诊痴呆患者护理人员的身心疲惫和心理困扰
Pub Date : 2023-10-25 DOI: 10.9734/indj/2023/v20i4407
Friday E. Okwaraji, Godwin C. Onyebueke, Okwor Esther Nwakaego
Aim: This study investigated burnout and psychological distress among 460 caregivers of dementia patients attending the outpatient geriatric clinics of two Nigerian tertiary health institutions. Study Design: The study used the descriptive cross sectional study design. Place and Duration of the Study: The study was conducted at the outpatient geriatric clinics of two tertiary health institutions in Enugu, South East Nigeria between the months of July and August 2023. Methodology: A total of 460 care givers of dementia patients, aged 18- 65 years, attending the outpatient geriatric clinics of two tertiary health institutions in Enugu, who consented to participate in the study, were assessed for burnout and psychological distress using the Maslach Burnout Inventory (MBI), and the General Health Questionnaire (GHQ-12). Results: Result showed that 23.9% had emotional exhaustion, 14.6% had depersonalization and 18.5% had reduced personal accomplishment, while psychological distress was present in 39.6% of the respondents. Significant relationships were noticed between age and psychological distress, (chi)2=57.36; p= 0.03; marital status and burnout (chi)2=10.95; P= 0.01 as well as education and psychological distress (chi)2=10.95; p= 0.05. Conclusion: High levels of burnout and psychological distress were present among the caregivers who participated in the study, in view of this there is need for government to ensure proper institutional care for dementia patients and provide some incentives for those who care for them. Policy formulation should also aim at establishing community caregiving centers were dementia patients can receive adequate attention from government agencies.
目的:本研究调查了尼日利亚两所三级医疗机构老年门诊460名痴呆患者护理人员的倦怠和心理困扰。研究设计:本研究采用描述性横断面研究设计。研究地点和时间:研究于2023年7月至8月在尼日利亚东南部埃努古的两家三级卫生机构的老年门诊诊所进行。方法:共有460名年龄在18- 65岁之间、在埃努古两所三级医疗机构的老年门诊就诊的痴呆症患者护理人员同意参与研究,使用Maslach倦怠量表(MBI)和一般健康问卷(GHQ-12)对他们的倦怠和心理困扰进行评估。结果:结果显示23.9% had emotional exhaustion, 14.6% had depersonalization and 18.5% had reduced personal accomplishment, while psychological distress was present in 39.6% of the respondents. Significant relationships were noticed between age and psychological distress, (chi)2=57.36; p= 0.03; marital status and burnout (chi)2=10.95; P= 0.01 as well as education and psychological distress (chi)2=10.95; p= 0.05. Conclusion: High levels of burnout and psychological distress were present among the caregivers who participated in the study, in view of this there is need for government to ensure proper institutional care for dementia patients and provide some incentives for those who care for them. Policy formulation should also aim at establishing community caregiving centers were dementia patients can receive adequate attention from government agencies.
{"title":"Burn Out and Psychological Distress among Care Givers of Dementia Patients Attending the Out Patient Geriatric Clinics of Two Nigerian Tertiary Health Institutions","authors":"Friday E. Okwaraji, Godwin C. Onyebueke, Okwor Esther Nwakaego","doi":"10.9734/indj/2023/v20i4407","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4407","url":null,"abstract":"Aim: This study investigated burnout and psychological distress among 460 caregivers of dementia patients attending the outpatient geriatric clinics of two Nigerian tertiary health institutions. Study Design: The study used the descriptive cross sectional study design. Place and Duration of the Study: The study was conducted at the outpatient geriatric clinics of two tertiary health institutions in Enugu, South East Nigeria between the months of July and August 2023. Methodology: A total of 460 care givers of dementia patients, aged 18- 65 years, attending the outpatient geriatric clinics of two tertiary health institutions in Enugu, who consented to participate in the study, were assessed for burnout and psychological distress using the Maslach Burnout Inventory (MBI), and the General Health Questionnaire (GHQ-12). Results: Result showed that 23.9% had emotional exhaustion, 14.6% had depersonalization and 18.5% had reduced personal accomplishment, while psychological distress was present in 39.6% of the respondents. Significant relationships were noticed between age and psychological distress, (chi)2=57.36; p= 0.03; marital status and burnout (chi)2=10.95; P= 0.01 as well as education and psychological distress (chi)2=10.95; p= 0.05. Conclusion: High levels of burnout and psychological distress were present among the caregivers who participated in the study, in view of this there is need for government to ensure proper institutional care for dementia patients and provide some incentives for those who care for them. Policy formulation should also aim at establishing community caregiving centers were dementia patients can receive adequate attention from government agencies.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135215991","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}
引用次数: 0
A Diet that is Gone too Far 饮食太过了
Pub Date : 2023-10-20 DOI: 10.9734/indj/2023/v20i4406
Asma Sagheer Khan, Nazish Zulfiqar, Iqra Tariq, Fazeelat Nazir, Tayyaba Bashir
Anorexia nervosa is a serious eating disorder characterized by extreme food restriction, intense fear of gaining weight, and a distorted body image. This literature review synthesizes key research on the psychological, neurobiological, and genetic factors associated with anorexia nervosa. The disorder predominantly affects adolescent girls and young women and can have severe medical and psychological consequences. Research shows that psychological factors like perfectionism, body dissatisfaction, and low self-esteem contribute to the development and maintenance of anorexia. Neuroimaging studies reveal differences in brain regions related to reward processing and cognitive control in individuals with anorexia compared to healthy controls. These neural patterns may underlie the rigid, ritualistic eating behaviors and difficulties in changing thought patterns associated with the disorder. There is also evidence for a genetic component, with studies identifying associations between anorexia and variations in genes related to serotonin regulation, anxiety, obsessive-compulsive behaviors, and other psychiatric disorders. Integrating psychological, neurobiological, and genetic research provides greater insight into the multifaceted origins of anorexia nervosa. Understanding the complex factors that lead to and perpetuate the disorder can inform more effective, evidence-based treatments. Family-based therapy and cognitive-behavioral approaches focused on normalizing eating, addressing thought distortions, and building coping skills show promise. With comprehensive treatment, recovery from anorexia is possible, but early intervention is critical.
神经性厌食症是一种严重的饮食失调,其特征是极度限制食物,强烈恐惧体重增加,以及扭曲的身体形象。本文综述了与神经性厌食症相关的心理、神经生物学和遗传因素方面的主要研究。这种疾病主要影响少女和年轻妇女,并可能造成严重的医疗和心理后果。研究表明,完美主义、对身体不满和自卑等心理因素会导致厌食症的发展和维持。神经影像学研究显示,与健康对照组相比,厌食症患者与奖励处理和认知控制相关的大脑区域存在差异。这些神经模式可能是僵化、仪式性饮食行为和难以改变与该疾病相关的思维模式的基础。也有证据表明厌食症与遗传因素有关,研究发现厌食症与血清素调节、焦虑、强迫行为和其他精神疾病相关的基因变异有关。综合心理学、神经生物学和遗传学研究为神经性厌食症的多方面起源提供了更深入的了解。了解导致和延续这种障碍的复杂因素可以为更有效的循证治疗提供信息。以家庭为基础的治疗和认知行为方法侧重于使饮食正常化、解决思维扭曲和建立应对技能,这些都显示出了希望。通过综合治疗,厌食症的恢复是可能的,但早期干预是至关重要的。
{"title":"A Diet that is Gone too Far","authors":"Asma Sagheer Khan, Nazish Zulfiqar, Iqra Tariq, Fazeelat Nazir, Tayyaba Bashir","doi":"10.9734/indj/2023/v20i4406","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4406","url":null,"abstract":"Anorexia nervosa is a serious eating disorder characterized by extreme food restriction, intense fear of gaining weight, and a distorted body image. This literature review synthesizes key research on the psychological, neurobiological, and genetic factors associated with anorexia nervosa. The disorder predominantly affects adolescent girls and young women and can have severe medical and psychological consequences. Research shows that psychological factors like perfectionism, body dissatisfaction, and low self-esteem contribute to the development and maintenance of anorexia. Neuroimaging studies reveal differences in brain regions related to reward processing and cognitive control in individuals with anorexia compared to healthy controls. These neural patterns may underlie the rigid, ritualistic eating behaviors and difficulties in changing thought patterns associated with the disorder. There is also evidence for a genetic component, with studies identifying associations between anorexia and variations in genes related to serotonin regulation, anxiety, obsessive-compulsive behaviors, and other psychiatric disorders. Integrating psychological, neurobiological, and genetic research provides greater insight into the multifaceted origins of anorexia nervosa. Understanding the complex factors that lead to and perpetuate the disorder can inform more effective, evidence-based treatments. Family-based therapy and cognitive-behavioral approaches focused on normalizing eating, addressing thought distortions, and building coping skills show promise. With comprehensive treatment, recovery from anorexia is possible, but early intervention is critical.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135617124","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}
引用次数: 0
Alzheimer's Repairs through the Role of Ketogenic Diet 生酮饮食对老年痴呆症的修复作用
Pub Date : 2023-10-16 DOI: 10.9734/indj/2023/v20i4405
Asma Saghir Khan, Nazish Zulfiqar, Saliha Naseer, Maryam Iftikhar
Alzheimer's disorder is a devastating neurodegenerative ailment characterized by cognitive decline and reminiscence loss. As the look for powerful treatments continues, researchers have begun investigating the ability of the ketogenic food regimen to manage the signs and symptoms and development of the disease. The ketogenic eating regimen, a low-carbohydrate, high-fat dietary approach, promotes the manufacturing of ketones as an alternative strength supply for the brain. This article affords an overview of the position of the ketogenic weight-reduction plan in Alzheimer's disease and explores its capacity to repair and improve cognitive function in affected people. We discuss the mechanisms behind the ketogenic eating regimen's impact on mind electricity optimization, neuroprotection, insulin sensitivity, and metabolic health. While the ketogenic weight loss program shows promise, its limitations and issues also are discussed, consisting of challenges of adherence and long-term sustainability, ability dietary imbalances, and personal versions. In addition, research is needed to completely apprehend the therapeutic capability of the ketogenic food regimen in Alzheimer's disease and to decide its most fulfilling implementation as part of a comprehensive treatment approach. Alzheimer's disorder (AD) is a progressive neurodegenerative ailment characterized by cognitive decline, memory loss, and impaired everyday functioning. Currently, there's no treatment for the advert, and available remedy options are limited in their efficacy. However, rising proof shows that the ketogenic eating regimen (KD), an excessive-fats, low-carbohydrate dietary technique, may preserve the ability to manage advert or even sell neuronal repair. The metabolic disorder discovered in ad brains, inclusive of decreased glucose metabolism and impaired mitochondrial function, has led researchers to explore opportunities for electricity resources for brain cells. The KD induces a metabolic kingdom called ketosis, where the frame normally relies on ketone our bodies derived from fats as its most important fuel supply. Ketones provide a greater efficient electricity supply to the brain, bypassing the impaired glucose metabolism in advert patients. Research utilizing animal models and early human trials have validated that the KD exerts numerous useful outcomes on advert pathology. Those outcomes include lowering amyloid- beta (Aβ) plaque accumulation, mitigating neuroinflammation, improving mitochondrial characteristics, and promoting the manufacturing of mind-derived neurotrophic component (BDNF), a protein crucial for neuronal increase and survival. Additionally, the KD has been proven to enhance cognitive characteristics and memory in ad sufferers, although further research is wanted to set up its lengthy-term outcomes and protection.
阿尔茨海默病是一种毁灭性的神经退行性疾病,其特征是认知能力下降和记忆丧失。在寻找有效治疗方法的过程中,研究人员已经开始调查生酮饮食方案在控制疾病体征、症状和发展方面的能力。生酮饮食法,一种低碳水化合物,高脂肪的饮食方法,促进酮的制造,作为大脑的另一种力量供应。本文概述了生酮减肥计划在阿尔茨海默病中的地位,并探讨了其修复和改善患者认知功能的能力。我们讨论了生酮饮食对心电优化、神经保护、胰岛素敏感性和代谢健康的影响机制。虽然生酮减肥计划显示出希望,但它的局限性和问题也被讨论,包括坚持和长期可持续性的挑战,能力饮食不平衡,和个人版本。此外,需要进行研究,以完全了解生酮饮食方案在阿尔茨海默病中的治疗能力,并决定其作为综合治疗方法的一部分最令人满意的实施。阿尔茨海默病(AD)是一种进行性神经退行性疾病,以认知能力下降、记忆丧失和日常功能受损为特征。目前,还没有针对这则广告的治疗方法,可用的治疗方案的疗效也有限。然而,越来越多的证据表明,生酮饮食法(KD),一种高脂肪、低碳水化合物的饮食技术,可能保留管理能力,甚至出售神经元修复。在ad大脑中发现的代谢紊乱,包括葡萄糖代谢下降和线粒体功能受损,促使研究人员探索脑细胞电力资源的机会。KD诱导了一个叫做酮症的代谢王国,在这个王国中,我们的身体通常依赖于从脂肪中提取的酮,作为最重要的燃料供应。酮类为大脑提供更有效的电力供应,绕过了糖尿病患者受损的葡萄糖代谢。利用动物模型和早期人体试验的研究已经证实,KD对广告病理学有许多有用的结果。这些结果包括降低淀粉样蛋白- β (a β)斑块积累,减轻神经炎症,改善线粒体特征,促进脑源性神经营养成分(BDNF)的产生,BDNF是一种对神经元生长和存活至关重要的蛋白质。此外,KD已被证明可以增强ad患者的认知特征和记忆,尽管还需要进一步的研究来确定其长期结果和保护作用。
{"title":"Alzheimer's Repairs through the Role of Ketogenic Diet","authors":"Asma Saghir Khan, Nazish Zulfiqar, Saliha Naseer, Maryam Iftikhar","doi":"10.9734/indj/2023/v20i4405","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i4405","url":null,"abstract":"Alzheimer's disorder is a devastating neurodegenerative ailment characterized by cognitive decline and reminiscence loss. As the look for powerful treatments continues, researchers have begun investigating the ability of the ketogenic food regimen to manage the signs and symptoms and development of the disease. The ketogenic eating regimen, a low-carbohydrate, high-fat dietary approach, promotes the manufacturing of ketones as an alternative strength supply for the brain. This article affords an overview of the position of the ketogenic weight-reduction plan in Alzheimer's disease and explores its capacity to repair and improve cognitive function in affected people. We discuss the mechanisms behind the ketogenic eating regimen's impact on mind electricity optimization, neuroprotection, insulin sensitivity, and metabolic health. While the ketogenic weight loss program shows promise, its limitations and issues also are discussed, consisting of challenges of adherence and long-term sustainability, ability dietary imbalances, and personal versions. In addition, research is needed to completely apprehend the therapeutic capability of the ketogenic food regimen in Alzheimer's disease and to decide its most fulfilling implementation as part of a comprehensive treatment approach. Alzheimer's disorder (AD) is a progressive neurodegenerative ailment characterized by cognitive decline, memory loss, and impaired everyday functioning. Currently, there's no treatment for the advert, and available remedy options are limited in their efficacy. However, rising proof shows that the ketogenic eating regimen (KD), an excessive-fats, low-carbohydrate dietary technique, may preserve the ability to manage advert or even sell neuronal repair. The metabolic disorder discovered in ad brains, inclusive of decreased glucose metabolism and impaired mitochondrial function, has led researchers to explore opportunities for electricity resources for brain cells. The KD induces a metabolic kingdom called ketosis, where the frame normally relies on ketone our bodies derived from fats as its most important fuel supply. Ketones provide a greater efficient electricity supply to the brain, bypassing the impaired glucose metabolism in advert patients. Research utilizing animal models and early human trials have validated that the KD exerts numerous useful outcomes on advert pathology. Those outcomes include lowering amyloid- beta (Aβ) plaque accumulation, mitigating neuroinflammation, improving mitochondrial characteristics, and promoting the manufacturing of mind-derived neurotrophic component (BDNF), a protein crucial for neuronal increase and survival. Additionally, the KD has been proven to enhance cognitive characteristics and memory in ad sufferers, although further research is wanted to set up its lengthy-term outcomes and protection.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136112592","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}
引用次数: 0
Psychimmunological Aspects and Quality of Life in Patients with Irritable Bowel Syndrome 肠易激综合征患者的心理免疫方面和生活质量
Pub Date : 2023-10-06 DOI: 10.9734/indj/2023/v20i3404
Ibrahim Mohamed El-Mrasey, Gamal Taha Shamaa, Mai Abd EL-Raouf Issa, Mohamed Zakaria Hussein, Ahmed Fawzy Selim
Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder and may coexist with psychiatric disorders. We aimed to establish new directions for diagnosis of psychiatric disorders in IBS patients by assessment of the quality of life (QOL) and the immunological role in IBS. Methods: This study was carried out on 80 subjects aged from 18 to 65 years old, both sexes, assigned into two groups: group I included 60 patients were diagnosed with IBS according to ROM-IV diagnostic criteria and were further divided according to age into two groups, first group is (18-40) years and second group is (41-65) years. Group II: Included 20 subjects as a healthy Control group. Results: The younger age group of patients with IBS have a significantly better overall QOL and its domains than the older age group. Hamilton Rating Scale of Depression scores were significantly higher in female patients and older age groups. Patients with psychiatric comorbidity had a lower QOL and its domains than patients without psychiatric comorbidity with a significant difference between both groups. There was a significant difference in serum Interlukin-6 between patients with IBS and healthy control group. Also in serum Interlukin-6 patients with IBS comorbid psychiatric disorders and patients without psychiatric comorbidity with. Conclusions: Psychiatric symptoms are presented earlier in Egyptian IBS. A higher percentage of psychiatric disorders are presented with severe forms of IBS affecting the prognosis of IBS and subsequently the QOL and health costs.
背景:肠易激综合征(IBS)是一种可与精神疾病共存的功能性胃肠疾病。我们旨在通过IBS患者的生活质量(QOL)评估和免疫学作用,为IBS患者的精神障碍诊断建立新的方向。方法:本研究选取80例年龄在18 ~ 65岁的男女患者,分为两组:一组60例根据ROM-IV诊断标准确诊为IBS的患者,再根据年龄分为两组,第一组年龄为(18 ~ 40)岁,第二组年龄为(41 ~ 65)岁。第二组:选取20名受试者作为健康对照组。 结果:年轻组IBS患者的总体生活质量及其领域明显优于老年组。汉密尔顿抑郁量表得分在女性患者和老年人群中显著较高。精神合并症患者的生活质量及其范围低于无精神合并症患者,两组间差异有统计学意义。IBS患者血清白细胞介素-6水平与健康对照组比较差异有统计学意义。同时在IBS伴发精神疾病患者和无精神疾病伴发患者的血清中也有白细胞介素-6;结论:埃及IBS患者出现精神症状较早。较高比例的精神障碍表现为严重形式的肠易激综合征,影响肠易激综合征的预后,进而影响生活质量和医疗费用。
{"title":"Psychimmunological Aspects and Quality of Life in Patients with Irritable Bowel Syndrome","authors":"Ibrahim Mohamed El-Mrasey, Gamal Taha Shamaa, Mai Abd EL-Raouf Issa, Mohamed Zakaria Hussein, Ahmed Fawzy Selim","doi":"10.9734/indj/2023/v20i3404","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i3404","url":null,"abstract":"Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder and may coexist with psychiatric disorders. We aimed to establish new directions for diagnosis of psychiatric disorders in IBS patients by assessment of the quality of life (QOL) and the immunological role in IBS.
 Methods: This study was carried out on 80 subjects aged from 18 to 65 years old, both sexes, assigned into two groups: group I included 60 patients were diagnosed with IBS according to ROM-IV diagnostic criteria and were further divided according to age into two groups, first group is (18-40) years and second group is (41-65) years. Group II: Included 20 subjects as a healthy Control group.
 Results: The younger age group of patients with IBS have a significantly better overall QOL and its domains than the older age group. Hamilton Rating Scale of Depression scores were significantly higher in female patients and older age groups. Patients with psychiatric comorbidity had a lower QOL and its domains than patients without psychiatric comorbidity with a significant difference between both groups. There was a significant difference in serum Interlukin-6 between patients with IBS and healthy control group. Also in serum Interlukin-6 patients with IBS comorbid psychiatric disorders and patients without psychiatric comorbidity with.
 Conclusions: Psychiatric symptoms are presented earlier in Egyptian IBS. A higher percentage of psychiatric disorders are presented with severe forms of IBS affecting the prognosis of IBS and subsequently the QOL and health costs.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135350583","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}
引用次数: 0
The Potential Role of Sleep in Post-stroke Motor Learning 睡眠在中风后运动学习中的潜在作用
Pub Date : 2023-10-03 DOI: 10.9734/indj/2023/v20i3403
Duncan James Brearley
Stroke is the primary contributor to the commencement of adult disability in the United Kingdom, and individuals who survive a stroke frequently encounter challenges in reacquiring motor abilities, which has a substantial influence on their overall well-being. Sleep disturbance is a prevalent issue affecting approximately 50% of those who have experienced a stroke. The established literature demonstrates the advantageous impacts of sleep on motor learning in individuals without health complications. However, the precise contribution of sleep to motor learning in individuals recovering from stroke remains inadequately comprehended. The objective of this review was to analyze and consolidate the available research pertaining to motor learning after stroke, with the intention of ascertaining the presence and mechanisms of this association. Sleep-induced motor learning has two distinct phases, namely sleep preceding learning (SBL) and sleep after learning (SAL). These stages facilitate the consolidation of memory and reinforce the connections between different regions of the cerebral cortex, thereby decreasing the need for the medial temporal lobe (MTL) to bind information. There is a limited yet promising body of evidence suggesting that sleep has a role in modulating motor learning and rehabilitation outcomes following a stroke. There is evidence suggesting that sleep has a positive impact on motor learning following a stroke. Several studies have shown that stroke patients exhibit increased tracking accuracy after a night of sleep compared to those who do not sleep. Sleep disruptions have an adverse effect on the functional recovery of those who have experienced a stroke, with a special emphasis on those who have suffered from moderate strokes. There exists a correlation between suboptimal sleep patterns and impaired motor recovery following a stroke, however the use of sedative medications does not yield substantial enhancements in sleep quality or rehabilitation outcomes. Moreover, the utilization of sedatives may potentially have adverse effects on memory function and neural connectivity. Although the current research shows promise, it is important to acknowledge its limitations, which include the use of subjective sleep assessments and cross-sectional study designs. In order to demonstrate a more conclusive relationship between sleep and post-stroke motor recovery, future research endeavors should incorporate objective sleep assessment techniques, longitudinal methodologies, and randomized crossover designs. In summary, the current body of research suggests a potentially beneficial impact of sleep on motor learning following a stroke. However, it is important to exercise caution when interpreting these findings due to limitations in the methodologies employed. In order to comprehensively comprehend the influence of sleep on post-stroke motor recovery, it is imperative to conduct further research employing robust study designs and objective sle
在英国,中风是导致成人残疾的主要原因,在中风中幸存下来的人经常在重新获得运动能力方面遇到挑战,这对他们的整体健康有重大影响。睡眠障碍是一个普遍的问题,影响了大约50%的中风患者。已有的文献表明,睡眠对没有健康并发症的个体的运动学习有有利的影响。然而,睡眠对中风患者运动学习的确切作用仍然没有得到充分的理解。本综述的目的是分析和巩固有关中风后运动学习的现有研究,目的是确定这种关联的存在和机制。睡眠诱发运动学习有两个不同的阶段,即学习前睡眠阶段和学习后睡眠阶段。这些阶段促进了记忆的巩固,并加强了大脑皮层不同区域之间的联系,从而减少了对内侧颞叶(MTL)绑定信息的需求。有一个有限但有希望的证据表明,睡眠在中风后的运动学习和康复结果中起着调节作用。有证据表明,睡眠对中风后的运动学习有积极影响。几项研究表明,与不睡觉的人相比,中风患者在睡了一晚后,追踪的准确性有所提高。睡眠中断对中风患者的功能恢复有不利影响,尤其是中度中风患者。次优睡眠模式与中风后运动恢复受损之间存在相关性,然而镇静药物的使用并不能显著改善睡眠质量或康复结果。此外,镇静剂的使用可能对记忆功能和神经连通性有潜在的不利影响。虽然目前的研究显示出希望,但重要的是要承认它的局限性,包括使用主观睡眠评估和横断面研究设计。为了证明睡眠与中风后运动恢复之间的关系,未来的研究应结合客观的睡眠评估技术、纵向方法和随机交叉设计。总之,目前的研究表明,睡眠对中风后的运动学习有潜在的有益影响。然而,由于所采用的方法的局限性,在解释这些发现时必须谨慎。为了全面了解睡眠对脑卒中后运动恢复的影响,有必要采用稳健的研究设计和客观的睡眠评估技术进行进一步的研究。此类调查有可能加强康复工作并减少医疗保健费用。
{"title":"The Potential Role of Sleep in Post-stroke Motor Learning","authors":"Duncan James Brearley","doi":"10.9734/indj/2023/v20i3403","DOIUrl":"https://doi.org/10.9734/indj/2023/v20i3403","url":null,"abstract":"Stroke is the primary contributor to the commencement of adult disability in the United Kingdom, and individuals who survive a stroke frequently encounter challenges in reacquiring motor abilities, which has a substantial influence on their overall well-being. Sleep disturbance is a prevalent issue affecting approximately 50% of those who have experienced a stroke. The established literature demonstrates the advantageous impacts of sleep on motor learning in individuals without health complications. However, the precise contribution of sleep to motor learning in individuals recovering from stroke remains inadequately comprehended. The objective of this review was to analyze and consolidate the available research pertaining to motor learning after stroke, with the intention of ascertaining the presence and mechanisms of this association. Sleep-induced motor learning has two distinct phases, namely sleep preceding learning (SBL) and sleep after learning (SAL). These stages facilitate the consolidation of memory and reinforce the connections between different regions of the cerebral cortex, thereby decreasing the need for the medial temporal lobe (MTL) to bind information. There is a limited yet promising body of evidence suggesting that sleep has a role in modulating motor learning and rehabilitation outcomes following a stroke. There is evidence suggesting that sleep has a positive impact on motor learning following a stroke. Several studies have shown that stroke patients exhibit increased tracking accuracy after a night of sleep compared to those who do not sleep. Sleep disruptions have an adverse effect on the functional recovery of those who have experienced a stroke, with a special emphasis on those who have suffered from moderate strokes. There exists a correlation between suboptimal sleep patterns and impaired motor recovery following a stroke, however the use of sedative medications does not yield substantial enhancements in sleep quality or rehabilitation outcomes. Moreover, the utilization of sedatives may potentially have adverse effects on memory function and neural connectivity. Although the current research shows promise, it is important to acknowledge its limitations, which include the use of subjective sleep assessments and cross-sectional study designs. In order to demonstrate a more conclusive relationship between sleep and post-stroke motor recovery, future research endeavors should incorporate objective sleep assessment techniques, longitudinal methodologies, and randomized crossover designs. In summary, the current body of research suggests a potentially beneficial impact of sleep on motor learning following a stroke. However, it is important to exercise caution when interpreting these findings due to limitations in the methodologies employed. In order to comprehensively comprehend the influence of sleep on post-stroke motor recovery, it is imperative to conduct further research employing robust study designs and objective sle","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135738959","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}
引用次数: 0
期刊
International neuropsychiatric disease journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1