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Psychiatry In-patient Substance Profile Changes in COVID year 2020 from 2019 in a Teaching hospital of Eastern Nepal 尼泊尔东部一所教学医院2020年与2019年相比的精神病学住院患者物质谱变化
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/141
Dhana Ratna Shakya
Subsequent time, after declaration of COVID-19 pandemic, witnessed variable changes in various aspects due to COVID circumstances around the globe. We report and reflect here over the observation regarding substance use and use disorder scenario in initial COVID year 2020 in reference to 2019 (year preceding COVID-19 pandemic). It is an observation in psychiatry in-patient service of a teaching hospital of eastern Nepal. There were 420 (284 male, 136 female) and 279 (194 male and 85 female) admissions in 2019 and 2020 respectively. The most striking and significant change was seen for Nicotine, both overall and use disorder-wise. Over all, the proportion increased for Nicotine (34.05 to 48.03%) and Cannabis (16.67 to 17.92%) whereas decreased for Alcohol (38.33 to 31.18%), Opiote (7.62 to 6.81%), Benzodiazepine (6.43 to 5.73%) and other substance (0.71% to nil) among the in-patients in 2020. Categorically, both the Use and Dependence syndrome (ICD-10) increased for Nicotine (8.81 to 21.86%% and 25.24 to 26.17%) and Cannabis (10.71 to 11.47% and 5.72 to 6.45%). Proportion of Alcohol use and Harmful use decreased whereas Alcohol dependence increased, Opiote use increased whereas Harmful use and Dependence decreased, Benzodiazepine use and Dependence decreased and other substances decreased too. The observation shows various changes in the pattern of substance among the psychiatry in-patients which indicates the need for some strategic and policy changes to tackle this pandemic situation.
随后的一段时间,在宣布新冠肺炎大流行后,由于全球各地的新冠肺炎情况,各个方面都发生了变化。我们在此报告并反映了2020年新冠肺炎初始年份相对于2019年(新冠肺炎大流行前一年)的药物使用和使用障碍情况观察结果。这是在尼泊尔东部一家教学医院的精神病学住院服务中观察到的。2019年和2020年分别有420人(284名男性,136名女性)和279人(194名男性和85名女性)入院。尼古丁在总体和使用障碍方面都发生了最显著的变化。总的来说,2020年住院患者中,尼古丁(34.05%至48.03%)和大麻(16.67%至17.92%)的比例增加,而酒精(38.33%至31.18%)、阿片(7.62%至6.81%)、苯二氮卓类药物(6.43%至5.73%)和其他物质(0.71%至零)的比例下降。从类别上看,尼古丁(8.81至21.86%,25.24至26.17%)和大麻(10.71至11.47%,5.72至6.45%)的使用和依赖综合征(ICD-10)均增加。酒精使用和有害使用的比例下降,而酒精依赖增加,阿片使用增加,而有害使用和依赖下降,苯二氮卓类药物的使用和依赖性减少,其他物质也减少。观察结果显示,精神病住院患者的物质模式发生了各种变化,这表明需要进行一些战略和政策变革来应对这一流行病。
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引用次数: 0
The Effectiveness of Group Therapy in Supporting Adoptive Families 团体治疗在支持收养家庭中的效果
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/122
Shanika Lavi Wilson, K. DeGree, C. Solomon
Adopted children and their families have unique needs compared to non-adoptive families. Adoption research seeks to understand these unique needs and contribute to a growing field of adoption competent therapy. The purpose of this paper is to understand how adoption competent group therapy can benefit adoptive families, and provides analysis on secondary data collected in 2019 from pre and post measures for a weekly support group from post adoption program. The research included 8 participants who were adoptive parents of adolescent girls, and included quantitative and qualitative data about how parents and their children responded to the program. The questions covered a variety of topics regarding the child, adoptive parents, and the parent- child relationship as a while. The results showed that from a quantitative standpoint, minimal improvements were made after the group, but the qualitative data showed that the group provided numerous benefits for adoptive parents.
与非收养家庭相比,被收养的儿童及其家庭有着独特的需求。收养研究旨在了解这些独特的需求,并为收养能力治疗领域的发展做出贡献。本文的目的是了解有收养能力的团体治疗如何使收养家庭受益,并对2019年从收养前和收养后计划的每周支持小组收集的二次数据进行分析。这项研究包括8名青少年女孩的养父母,并包括关于父母及其子女对该计划反应的定量和定性数据。这些问题涵盖了关于孩子、养父母以及亲子关系的各种话题。结果表明,从定量的角度来看,该组治疗后的改善微乎其微,但定性数据显示,该组为养父母提供了许多好处。
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引用次数: 0
The Effects of Colorism on Self Perception and Self-Esteem 色彩主义对自我感觉和自尊的影响
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/120
Shanika Lavi Wilson, Shaquila O’Shay Massey, Debriana Smith, C. Solomon
Colorism has been a historical racial dilemma for the African American community since slavery. Colorism can be defined as a form of bias, based upon different aspects of physical appearance including skin color, facial features, and hair that favors the facial appearance of Caucasian white Americans (Beopple, 2015). Over the last 10 years quantitative and qualitative data has been gathered to study the effect of colorism on the African American community with a specific focus on the psychological well-being of this population. A survey was conducted to evaluate the effects of colorism on African American women and their self-esteem and self-perception. A total of 25(N=25) surveys were gathered of women, ages 18-50, who all identified as black, African American or a person of color. The analyzed research results concluded that colorism, although has negatively impacted many participants, has not lowered or altered their self esteem or self perception.
自奴隶制以来,肤色主义一直是非裔美国人社区的一个历史性种族困境。肤色歧视可以被定义为一种偏见,基于身体外表的不同方面,包括肤色、面部特征和头发,有利于美国白人白人的面部外表(Beopple,2015)。在过去的10年里,人们收集了定量和定性的数据来研究肤色歧视对非裔美国人社区的影响,特别关注这一群体的心理健康。一项调查旨在评估肤色歧视对非裔美国女性及其自尊和自我认知的影响。总共收集了25项(N=25)针对18-50岁女性的调查,她们都是黑人、非裔美国人或有色人种。分析的研究结果得出结论,尽管色彩主义对许多参与者产生了负面影响,但并没有降低或改变他们的自尊或自我感知。
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引用次数: 0
Abused Children and their Relationships as Adults 受虐儿童和他们成年后的关系
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/144
A. Rokach, Karalyn MacFarlane
Intimate relationships are not just between lovers, but is also present in parenting as well as the individual’s relationship with the larger family and kin. This article sheds light on those who underwent abuse and have consequently been marked for life and in many areas of their personhood, their ability to relate, and to intimately connect with others.
亲密关系不仅存在于恋人之间,也存在于养育子女以及个人与更大的家庭和亲属的关系中。这篇文章揭示了那些遭受虐待的人,他们因此在生活和人格的许多方面都有标记,他们与他人建立联系和亲密联系的能力。
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引用次数: 0
Cariprazine in Therapy of Delusions with a Therapeutic Resistance due to Traumatic Brain Injury Randomized, Double-Blind Placebo-Controlled Study Cariprazine治疗创伤性脑损伤引起的具有治疗耐药性的妄想症的随机双盲安慰剂对照研究
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/143
N. Aliyev, Z. Aliyev
Objective: We studied cariprazine in therapy of delusions with a therapeutic resistance due to traumatic brain injury randomized, double-blind placebo-controlled study manner. Methods: to traumatic brain injury hundred patients (100 all men) whom we studied were under observation in Mental Health Center of the Ministry of Health of the Republic of Azerbaijan from January 2020 to June 2021. The method of randomization was given by lottery. Each patient was randomized to receive either in agreement of the instruction cariprazine (50 patients) over 5 day in dose 6 mg one times per os in morning after meet for 6 weeks or matched placebo (50 patients) in a double-blind manner. A structured clinical interview, for DSM-5Axis I Disorder, Patient Edition, was used to diagnose according to DSM-5 major or mild neurocognitive disorder due to traumatic brain injury. Result: All patients (50) treated with cariprazine treated participants responded by 6 weeks, versus two of the 50 placebo-treated participants (p<0.001). The most common and problematic side effect in the cariprazine group was not. Conclusion: The authors believe this to be the first double-blind placebo-controlled randomization study to test the efficacy of a cariprazine in the management of in therapy of delusions with a therapeutic resistance due to traumatic brain injury randomized, double-blind placebo-controlled study manner. They need to be replicated in a larger study group.
目的:我们以随机、双盲、安慰剂对照的研究方式研究了卡哌嗪治疗创伤性脑损伤引起的具有治疗耐药性的妄想症。方法:于2020年1月至2021年6月,在阿塞拜疆共和国卫生部精神卫生中心对我们研究的100名创伤性脑损伤患者(100名均为男性)进行观察。随机分组的方法采用抽签法。每名患者被随机分组,在符合说明书的情况下接受为期5天的卡哌嗪(50名患者),剂量为6mg,在会面6周后每天早上口服一次,或以双盲方式接受匹配的安慰剂(50名病人)。根据DSM-5,采用结构化临床访谈(DSM-5轴I障碍,患者版)对创伤性脑损伤引起的严重或轻度神经认知障碍进行诊断。结果:所有接受卡哌嗪治疗的患者(50名)在6周内均有反应,而50名安慰剂治疗的参与者中有两名有反应(p<0.001)。卡哌嗪组最常见和最有问题的副作用不是。结论:作者认为这是第一项双盲安慰剂对照随机研究,旨在测试卡哌嗪在治疗创伤性脑损伤引起的治疗耐药性妄想症中的疗效。它们需要在一个更大的研究小组中复制。
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引用次数: 0
Emotional Responses to Food Pictures according to Caloric Value in Women with an Eating Disorder 饮食失调女性对食物图片的热值情绪反应
Pub Date : 2021-11-16 DOI: 10.31579/2637-8892/140
C. Gagnon, S. Grondin, M. Côté, M. Labonté
Objective: The aim of the current study was to improve the understanding of emotions evoked by food pictures in women with an eating disorder (ED), by distinguishing anorexia nervosa (AN) and bulimia nervosa (BN) diagnoses, while taking into account the caloric content of food and the influence of participants’ nutritional knowledge. Methods: Thirteen AN, 9 BN and 22 healthy controls (HC) women participated in the study. In a laboratory setting, participants first completed self-report questionnaires regarding their affective state. Then, an emotional rating task of food and non-food pictures was performed in order to examine participants’ emotional reactions to these pictures, depending on the caloric value of the food depicted and controlling for internal state. Finally, an energy density ranking task of food pictures was completed to investigate participants’ nutritional knowledge and its influence on their reactions to food. Results: Compared to HC, ED participants experienced more fear towards food, which was neither due to their internal state nor to their nutritional knowledge. In AN, fear occurred towards all food, whereas in BN, fear was observed for high-calorie products only. Conclusion: The key role of food-induced fear in ED was highlighted, particularly in AN.
目的:本研究的目的是通过区分神经性厌食症(an)和神经性贪食症(BN)的诊断,同时考虑食物的热量含量和参与者营养知识的影响,提高对饮食障碍(ED)女性食物图片引起的情绪的理解。方法:AN组13例,BN组9例,HC组22例。在实验室环境中,参与者首先完成关于他们情感状态的自我报告问卷。然后,对食物和非食物图片进行情绪评级任务,以检查参与者对这些图片的情绪反应,这取决于所描绘的食物的热量值和控制内部状态。最后,完成食物图片的能量密度排序任务,以调查参与者的营养知识及其对食物反应的影响。结果:与HC相比,ED参与者对食物有更多的恐惧,这既不是由于他们的内在状态,也不是由于他们的营养知识。在AN实验中,对所有食物都会产生恐惧,而在BN实验中,只会对高热量的食物产生恐惧。结论:食物引起的恐惧在ED中的关键作用,特别是在AN中。
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引用次数: 1
A Case of Recurrent Acute Abdomen in a Young Lady Masquerading as Somatoform Disorder 一例年轻女士伪装成躯体形式障碍的复发性急腹症
Pub Date : 2021-05-26 DOI: 10.31579/2637-8892/126
R. Gomes
Acute intermittent porphyria (AIP) is a rare autosomal dominant hereditary metabolic disorder having protean manifestations. It usually presents with short duration of gastrointestinal symptoms followed by rapidly progressive fulminant neurological syndrome. It is a neurological emergency and mimics many other psychiatric and medical disorders and can be fatal if it remains undiagnosed and untreated. Further, specific treatment in the form of Heme arginate is not universally available and very costly, so high clinical suspicion and early diagnosis and management of acute attack and prevention of further attacks are very important. Here, we report a 23 years old married female nurse presenting with recurrent acute abdomen requiring frequent hospital admissions along with convulsion during her last attack. The presence of porphyrins in urine confirms the diagnosis of AIP.
急性间歇性卟啉(AIP)是一种罕见的常染色体显性遗传性代谢紊乱,有多种表现。它通常表现为短暂的胃肠道症状,随后是快速进行的暴发性神经综合征。这是一种神经系统紧急情况,模仿了许多其他精神和医学疾病,如果未经诊断和治疗,可能会致命。此外,以精氨酸血红素形式进行的特殊治疗并不普遍,而且成本非常高,因此高度临床怀疑、急性发作的早期诊断和管理以及预防进一步发作非常重要。在此,我们报告了一位23岁的已婚女护士,她在最后一次发作时出现复发性急腹症,需要频繁入院,并伴有抽搐。尿液中卟啉的存在证实了AIP的诊断。
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引用次数: 0
Who Experience Higher Level of Anxiety During COVID-19 Outbreak? 新冠肺炎爆发期间,谁的焦虑程度更高?
Pub Date : 2020-11-20 DOI: 10.31579/2637-8892/093
A. Zadeh
This study was conducted with the assumption that there would be a significant and negative relationship between Coronavirus Anxiety (CVA) and Psychological Well-Being (PWB). However, the findings did not meet our assumption because one of the components of PWB named “purposefulness-in-life” had a strong and positive correlation with CVA, meaning that those participants with a strong goal orientation would experience higher level of CVA. To our knowledge, this finding could be considerable in the new situation of COVID-19 pandemic. In the following analysis, the moderation effects of age and gender on the relationship between CVA and purposefulness-in-life were found significant.
本研究假设冠状病毒焦虑(CVA)与心理健康(PWB)之间存在显著的负相关关系。然而,研究结果并不符合我们的假设,因为PWB的一个组成部分“生活中的目的性”与CVA有很强的正相关,这意味着目标取向强的参与者会经历更高的CVA水平。据我们所知,这一发现在COVID-19大流行的新形势下可能是相当重要的。在接下来的分析中,我们发现年龄和性别对CVA与生活目的的关系有显著的调节作用。
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引用次数: 1
Teachers’ Training: Impact on Mental Health, Knowledge and Skills 教师培训:对心理健康、知识和技能的影响
Pub Date : 2020-08-08 DOI: 10.31579/2637-8892/101
G. Tomé
Teachers have a fundamental role in transforming the school’s environment into a context of well-being and in promoting young people’s mental health. The main goal of ES´COOL training is to promote adolescents’ mental health by empowering teachers and school staff with skills that will enable them to build a balanced school environment. The aim of this study was to analyse the impact that teacher training in the area of mental health had on their skills and knowledge regarding mental health. The sample was constituted by 276 teachers who work in schools in Portuguese mainland and participated in the ES’COOL training. Two evaluation moments were carried out, the initial evaluation - one week before the beginning of the training, and the final evaluation - one week after the end of the training. Results show that teachers improved most of the assessed skills and knowledge after training. Problem-solving, motivation and leadership were the skills that increased the most after the training.
教师在将学校环境转变为幸福的环境和促进青年人的心理健康方面发挥着根本作用。ES ' COOL培训的主要目标是通过赋予教师和学校工作人员技能,使他们能够建立一个平衡的学校环境,从而促进青少年的心理健康。这项研究的目的是分析心理健康领域的教师培训对他们在心理健康方面的技能和知识的影响。样本由276名在葡萄牙大陆学校工作并参加ES 'COOL培训的教师组成。我们进行了两次评估,第一次评估是在训练开始前一周,最后一次评估是在训练结束后一周。结果表明,教师在培训后提高了大部分被评估的技能和知识。解决问题、激励和领导能力是培训后提高最多的技能。
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引用次数: 0
Medical Child Abuse: When Parents Harm Their Children 医疗虐待儿童:当父母伤害他们的孩子
Pub Date : 2020-08-08 DOI: 10.31579/2637-8892/102
A. Rokach
This brief review of medical child abuse and treatment approaches is meant to highlight a problem which gains in frequency lately. That of a parent, usually, who is expected to love and care for the child actually harming that child in ways that may result in many medical examinations, painful invasive procedures, and even unnecessary surgeries.
这篇关于医疗虐待儿童和治疗方法的简要综述旨在强调一个最近越来越频繁的问题。通常,父母被期望爱和照顾孩子,但实际上却伤害了孩子,可能会导致许多医疗检查、痛苦的侵入性手术,甚至不必要的手术。
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引用次数: 0
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Psychology and mental health care : open access
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