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Escape: A Study in Conversion Disorder 逃避:转换障碍的研究
Pub Date : 2018-06-30 DOI: 10.23937/2572-4037.1510026
Kanaan Richard Antony Alexander, Jamroz Dorota
Culture is thought to be key determinant of conversion disorder presentation, with culturally-normed social expectations being one possible influence, yet this is rarely studied. We present a case of a young woman from a cultural background where social expectations were strong, now living in Australia, who developed conversion disorder in the context of struggling against these expectations, and expressed this as a desire to escape. We discuss the aetiological role this desire may take in cases of conversion disorder, and what that tells us about conversion disorder in other cultural contexts.
文化被认为是转换障碍表现的关键决定因素,文化规范的社会期望是一种可能的影响,但这很少被研究。我们提出了一个案例,一位来自强烈社会期望的文化背景的年轻女性,现居住在澳大利亚,她在与这些期望作斗争的背景下患上了转换障碍,并将其表达为逃避的愿望。我们讨论了这种欲望在转换障碍中可能起的病因学作用,以及它在其他文化背景下告诉我们的转换障碍。
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引用次数: 3
Effects of readiness to change, quit history, and health perceptions on depressive symptoms among young adult smokers. 改变意愿、戒烟史和健康认知对年轻成年吸烟者抑郁症状的影响
Pub Date : 2015-01-01 Epub Date: 2015-02-21 DOI: 10.23937/2572-4037.1510003
Dawn W Foster, Georges E Khalil, Samantha G Farris, Till W Bärnighausen, Alexander V Prokhorov

Background: The current study sought to evaluate the main and interactive effect of health perceptions, smoking quit attempt history, and readiness to change with respect to depressive symptoms among college student smokers.

Method: The present data came from baseline data from a randomized trial and included 495 undergraduate students (Mage = 23.84, SD = 4.92, 47.47% female) who reported smoking at least 1 cigarette per day.

Results: A three-way interaction emerged between smoking quit attempt history, health perceptions, and readiness to change with respect to depressive symptoms. Quit attempt history was positively associated with depressive symptoms, particularly among individuals high in readiness to change if they perceived their health as poorer relative to peers; however, quit attempt history was negatively associated with depressive symptoms, particularly among individuals high in readiness to change if they perceived their health as comparable or better than that of their peers.

Conclusion: These findings support the assertion that readiness to change, quit history and perceived health interact in a dynamic way to confer greater risk for poor outcomes including smoking- (e.g., cessation failure) and psychological-related outcomes (e.g., increased depressive symptoms). As such, development of informed interventions and programs targeting readiness to change to improve quit history and perceptions of health may provide unique benefit.

背景:本研究旨在评估健康认知、戒烟企图史和改变意愿对大学生吸烟者抑郁症状的主要和交互影响。方法:本研究数据来自一项随机试验的基线数据,纳入495名报告每天至少吸烟1支烟的本科生(Mage = 23.84, SD = 4.92,女性47.47%)。结果:戒烟企图史、健康认知和改变抑郁症状的意愿之间存在三方交互作用。戒烟企图史与抑郁症状呈正相关,特别是在那些认为自己的健康状况比同龄人差的人当中;然而,戒烟企图史与抑郁症状呈负相关,特别是在那些认为自己的健康状况与同龄人相当或更好的人当中。结论:这些发现支持以下断言,即改变意愿、戒烟史和感知健康以一种动态的方式相互作用,导致更大的不良后果风险,包括吸烟(如戒烟失败)和心理相关后果(如抑郁症状增加)。因此,制定明智的干预措施和规划,目标是准备改变,以改善戒烟史和健康观念,可能会提供独特的好处。
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引用次数: 1
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International journal of psychology and psychoanalysis
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