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Telework and bipolar disorder 远程工作与双相情感障碍
Pub Date : 2024-04-24 DOI: 10.17352/2455-5460.000092
Bourin Michel
Telework developed considerably during and after the COVID-19 pandemic. It seems interesting to evaluate the consequences of the use of teleworking in the population of bipolar patients. Increasingly accessible thanks to new technological and digital tools, it is however losing notoriety, because it presents some disadvantages, both for employees and for their employers. Yet, one of the essential benefits for bipolar people seems to be working at times when bipolar people are most productive due to their sleep/wake cycle for example.
在 COVID-19 大流行期间和之后,远程工作得到了长足的发展。对双相情感障碍患者使用远程工作的后果进行评估似乎很有意义。由于新技术和数字工具的出现,远程工作越来越容易获得,但它的名声却越来越小,因为它对雇员和雇主都有一些不利之处。然而,对于躁郁症患者来说,其中一个重要的好处似乎是,由于睡眠/觉醒周期等原因,在躁郁症患者工作效率最高的时候工作。
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引用次数: 0
Anxiety and depression from military medical aspects 从军事医学角度看焦虑症和抑郁症
Pub Date : 2024-02-12 DOI: 10.17352/2455-5460.000090
Gyorfy Agnes
Anxiety and depression are the most common issues of mental health problems. In military medicine, healthcare professionals are facing even more of it because the military population is taken out to tasks that are more likely to lead to these kinds of symptoms and/or disorders even with attention, training, and preventive measures. The military medical system focuses on that and in special cases like disasters and pandemics the civilian side could also profit from its experiences.
焦虑和抑郁是最常见的心理健康问题。在军事医学领域,医疗保健专业人员面临的问题甚至更多,因为军人被派去执行的任务更有可能导致这类症状和/或失调,即使有关注、培训和预防措施也是如此。军事医疗系统重点关注这一点,在灾难和大流行病等特殊情况下,民事方面也可以从其经验中获益。
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引用次数: 0
Underlying processes in the Norwegian Universal Preventive Program for social anxiety 挪威社交焦虑普遍预防计划的基本过程
Pub Date : 2024-01-23 DOI: 10.17352/2455-5460.000088
Aune Tore, Aune Sigrid Flatås
Objective: Social Anxiety Disorder (SAD) is among the most common, widespread, and incapacitating psychiatric disorders, also among children and adolescents. Although efficient treatments have been reported, few children and adolescents receive adequate treatment. A universal prevention program has been shown to be efficacious both among those with syndromal and subsyndromal social anxiety. However, few universal prevention investigations undergo testing of mechanistic hypotheses or how an intervention works across levels of social anxiety. This study aims to test and report the processes underlying the effectiveness of an RCT prevention program to reduce social anxiety in a population-based sample of preadolescents. Method: A parallel multiple mediator model was used to examine the mediation of outcomes from the Norwegian Universal Prevention Program for Social Anxiety (NUPP-SA) by five intermediary variables that well approximate established DSM-5 social anxiety disorder diagnostic criteria. The sample consisted of 1748 pupils between 11 years - 14 years (SD = 1.1) of age assessed twice during a one-year period. Results: The NUPP-SA works differently for the total sample compared to those with social anxiety disorder symptoms. Among the former, the NUPP-SA intervention works via public performance, avoidance, physical/cognitive, and assertiveness factors. For the latter, the NUPP-SA works via the public performance factor. The intervention did not work for either group via the social encounter factor. Conclusion: Universal prevention programs are essential for reducing the impacts of chronic disorders at the individual, institutional, and societal levels. The results from this study support the notion that many children with various levels of social anxiety can be impacted with a Universal prevention intervention program specifically aimed at reducing public performance anxiety.
目的:社交焦虑症(SAD社交焦虑症(SAD)是最常见、最普遍、最令人丧失能力的精神疾病之一,在儿童和青少年中也是如此。虽然已有报道称其治疗有效,但接受适当治疗的儿童和青少年却寥寥无几。一项通用的预防计划已被证明对患有综合症和亚综合症的社交焦虑症患者都有疗效。然而,很少有普遍预防调查对机制假设或干预措施如何在不同程度的社交焦虑中发挥作用进行测试。本研究旨在测试和报告一项 RCT 预防计划在青少年群体中减少社交焦虑的有效性的基本过程。研究方法采用平行多重中介模型来检验挪威社交焦虑通用预防计划(NUPP-SA)的结果对五个中介变量的中介作用,这五个中介变量非常接近DSM-5社交焦虑症的诊断标准。样本包括1748名年龄在11岁至14岁(SD = 1.1)之间的学生,他们在一年时间内接受了两次评估。评估结果与有社交焦虑症症状的学生相比,NUPP-SA 对所有样本的作用有所不同。在前者中,NUPP-SA 干预通过公众表现、回避、身体/认知和自信等因素发挥作用。对于后者,NUPP-SA 通过公共表现因素发挥作用。在社会接触因素方面,干预对这两组人都不起作用。结论全民预防计划对于减少慢性疾病在个人、机构和社会层面的影响至关重要。本研究的结果支持了这一观点,即许多患有不同程度社交焦虑症的儿童都可以通过专门针对减少公共场合表现焦虑症的通用预防干预计划受到影响。
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引用次数: 0
The development of a depressive disorder management model amongst Thai labours in the Eastern Economic Corridor (ECC) 在东部经济走廊(ECC)的泰国劳工中开发抑郁障碍管理模式
Pub Date : 2024-01-09 DOI: 10.17352/2455-5460.000087
Wongsuttitum Sorut, Pokasem Boonyapa, Chernchomkul Chaweerat
Depression is a barrier to the human workforce. However, the lack of major policies and guidelines for depression disorder in Thailand hinders healthcare workers from addressing this issue. Therefore, this research examines ways to develop depressive disorders in laborers. This study used a qualitative approach to examine the context of depression management in labor. The results of this study presented factors related to depression management from individual to organizational contexts. This finding suggests that stakeholders should take the first step of depression prevention outside healthcare services.
抑郁症是人类劳动力的一个障碍。然而,泰国缺乏针对抑郁障碍的重大政策和指导方针,阻碍了医护人员解决这一问题。因此,本研究探讨了在劳工中发展抑郁障碍的方法。本研究采用定性的方法来考察劳动力抑郁管理的背景。研究结果显示了从个人到组织背景中与抑郁管理相关的因素。这一结果表明,利益相关者应在医疗保健服务之外迈出预防抑郁症的第一步。
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引用次数: 0
Role of self-awareness in the promotion of health and well-being of college students 自我意识在促进大学生身心健康中的作用
Pub Date : 2024-01-06 DOI: 10.17352/2455-5460.000086
Wagani Rekha, Gaur Pranita
The quest for knowing self is the most basic of human nature, which is long believed to be necessary for promoting good health and well-being. This research provides a theoretical and empirical examination of the role of Self-Awareness (SA) in health and well-being. It was proposed that self-awareness is a positivistic construct that would promote health and well-being. In order to achieve the above-stated purpose, two series of studies were planned. The first study aimed to find out the contribution of SA to various dimensions of health and well-being. A total of 300 college students equally drawn from both genders participated in the study. The self-awareness scale (developed by the researcher), health scale for college students (adapted for the present study), and WHO spirituality form were given to participants. Study I demonstrated that self-awareness predicted most health and well-being factors. The findings further suggested that self-awareness may promote health and well-being. In study II, 60 experimental-control group participants were recruited. Students were allocated into experimental and control groups. A specifically designed Self-awareness Intervention Program (SAIP) was held for five days for the participants in a controlled setting. The results showed a substantial increment in the health and well-being of the treatment group in comparison to the control group. A brief follow-up interview was conducted to understand the Intervention's results. A major implication of the present study is that SA can be used as a positivistic construct and that an intervention program can be taken as a low-cost strategy to promote the health and well-being of college students.
追求认识自我是人类最基本的天性,长期以来一直被认为是促进健康和幸福的必要条件。本研究对自我意识(SA)在健康和幸福中的作用进行了理论和实证研究。研究提出,自我意识是一种能促进健康和幸福的积极建构。为了实现上述目的,计划开展两项系列研究。第一项研究旨在了解自我意识对健康和幸福感各方面的贡献。共有 300 名男女大学生参加了这项研究。研究人员向参与者发放了自我意识量表(由研究人员编制)、大学生健康量表(为本研究进行了改编)和世界卫生组织灵性表。研究 I 表明,自我意识可以预测大多数健康和幸福因素。研究结果进一步表明,自我意识可以促进健康和幸福。研究 II 征集了 60 名实验-对照组参与者。学生被分为实验组和对照组。在受控环境下,为参与者举办了为期五天的专门设计的自我意识干预计划(SAIP)。结果显示,与对照组相比,治疗组的健康和幸福感大幅提高。为了解干预结果,我们进行了简短的后续访谈。本研究的主要意义在于,SA 可以作为一种积极的建构,干预计划可以作为一种低成本的策略来促进大学生的健康和幸福。
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引用次数: 0
Drug therapy for bipolar disorder: A review of efficacy evidence 躁郁症的药物治疗:疗效证据综述
Pub Date : 2023-11-24 DOI: 10.17352/2455-5460.000085
Bourin Michel
The purpose of this article is to provide scientific evidence on mood stabilizers used in the treatment of bipolar disorder. Indeed, it has proven difficult to develop drugs for this disorder, particularly in long-term treatment for relapse prevention. We review the main drugs that have obtained approval for use in the European Union and the United States. We take again the clinical studies which provided the basis for the evaluations. These studies are few in number and relatively old as it is difficult to conduct them in bipolar disorder. These are studies in monotherapy but also in dual therapy which better reflects the daily use of these drugs.
本文旨在提供用于治疗躁郁症的情绪稳定剂的科学证据。事实证明,开发治疗这种疾病的药物非常困难,尤其是用于预防复发的长期治疗的药物。我们回顾了已获准在欧盟和美国使用的主要药物。我们再次以临床研究为基础进行评估。这些研究的数量很少,时间也相对较长,因为在双相情感障碍中进行这些研究很困难。这些研究既有单一疗法的研究,也有双重疗法的研究,后者更能反映这些药物的日常使用情况。
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引用次数: 0
“Perrotta Human Defense Mechanisms Questionnaire (PDM-Q-v2)”: Development, regulation and validation of a psychometric instrument for the identification of the functioning of individual Ego defense mechanisms “Perrotta人类防御机制问卷(PDM-Q-v2)”:一种用于识别个体自我防御机制功能的心理测量工具的开发、调节和验证
Pub Date : 2023-10-14 DOI: 10.17352/2455-5460.000084
Perrotta Giulio
Introduction: To date, theorizations on the workings of psychological ego defense mechanisms are affected by the psychodynamic influence and theoretical scaffolding of the last century. There is a need to update theories and models to make them more consistent and modern with recent innovations in psychotherapy. Materials and methods: A model related to the functioning of defense mechanisms was generated and the Perrotta Human Defence Mechanisms Questionnaire (PDM-Q-v2) was created to be administered to a selected population to compare it with the Defense Mechanisms Rating Scales-Self-Report-30 (DMRSSR- 30) and finally validate it. Results: Statistical analysis showed that the psychometric test has a well-defined and stable construct (r = 0.999; p ≤ 0.001), with the variables well represented (r = 0.818; p ≤ 0.001) and positively correlated with another construct already validated (r = 0.766; p ≤ 0.001). Conclusion: The Perrotta Human Defense Mechanisms Questionnaire (PDM-Q-v2) is a valid, efficient, and effective psychometric tool to identify the functioning or dysfunction of psychological ego defense mechanisms.
迄今为止,心理自我防御机制的理论工作受到心理动力学影响和上个世纪的理论框架的影响。有必要更新理论和模型,使它们与最近的心理治疗创新更加一致和现代化。材料与方法:建立了与防御机制功能相关的模型,并编制了Perrotta人类防御机制问卷(PDM-Q-v2),对选定人群进行管理,与防御机制评定量表-自我报告-30 (DMRSSR- 30)进行比较,最终验证其有效性。结果:统计分析表明,心理测量测验具有定义明确且稳定的结构(r = 0.999;P≤0.001),变量表现良好(r = 0.818;P≤0.001),并与另一个已验证的结构正相关(r = 0.766;P≤0.001)。结论:Perrotta人类防御机制问卷(PDM-Q-v2)是一种有效、有效的心理测量工具,可用于识别心理自我防御机制的功能或功能障碍。
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引用次数: 0
Potential of an antioxidant combination Twendee X® to treat depressive disorders 抗氧化剂组合Twendee X®治疗抑郁症的潜力
Pub Date : 2023-09-26 DOI: 10.17352/2455-5460.000083
You Fukka, Harakawa Yoshiaki, Yoshikawa Toshikazu, Inufusa Haruhiko
Depression and other neuropsychiatric disorders have major impacts on the daily life. These disorders are triggered by stress and obstacles stemming from changes in people’s environment, relationships, finances, health, or in the case of many women, triggered by childbirth. An increase in the incidence of depression worldwide strongly correlates with modernization, economic downturns and the effects of major global events such as war and the COVID-19 pandemic. Despite the cause of the onset of depressive conditions, there is evidence that implicates Oxidative Stress (OS) as one of the major causes of depressive disorders. This strong association likely stems from the fact that compared to other organs, the brain is more vulnerable OS due to its high oxygen consumption, high lipid content, and weak antioxidant defense. In fact, decreased serum levels of antioxidants and a significant increase in MDA, a marker of lipid peroxidation, have been observed in depressed patients, indicating an elevated OS state. This state leads to not only cellular damage, but also inflammation and mitochondrial dysfunction. Therefore, addressing this lack of antioxidants could potentially alleviate depressive symptoms due to OS. Twendee X® (TwX) is a supplement that combines potent levels of eight active ingredients and has shown preventive effects in Alzheimer's Disease (AD). Studies using diabetes and aged mouse models, known risk factors for dementia, have shown that TwX has antioxidant capacity and mitochondrial protective effects, as well as inhibiting the age-related decline of neurogenesis and autophagy function. We theorized that these actions of TwX have been proposed to benefit depression by controlling OS. This literature review uses publications on PubMed and Google Scholar to explore the role of OS in psychiatric disorders and recent evidence of the therapeutic effects of antioxidants on such disorders. Publications also include those targeting TwX, which we theorize may be effective in neuropsychiatric disorders via its ability to possibly alleviate the effect of OS in the brain.
抑郁症和其他神经精神疾病对日常生活有重大影响。这些疾病是由人们的环境、关系、财务、健康变化所引起的压力和障碍引起的,或者对许多妇女来说,是由分娩引起的。世界范围内抑郁症发病率的增加与现代化、经济衰退以及战争和COVID-19大流行等重大全球事件的影响密切相关。尽管抑郁症的发病原因是什么,但有证据表明氧化应激(OS)是抑郁症的主要原因之一。这种强烈的联系可能源于这样一个事实,即与其他器官相比,大脑由于其高耗氧量、高脂质含量和较弱的抗氧化防御,更容易受到OS的伤害。事实上,抑郁症患者血清抗氧化剂水平下降,脂质过氧化标志物丙二醛(MDA)显著升高,表明OS状态升高。这种状态不仅会导致细胞损伤,还会导致炎症和线粒体功能障碍。因此,解决这种缺乏抗氧化剂的问题可能会潜在地减轻由OS引起的抑郁症状。Twendee X®(TwX)是一种补充剂,结合了八种有效成分的有效水平,并已显示出对阿尔茨海默病(AD)的预防作用。使用糖尿病和老年小鼠模型(已知的痴呆危险因素)进行的研究表明,TwX具有抗氧化能力和线粒体保护作用,以及抑制与年龄相关的神经发生和自噬功能下降。我们推测TwX的这些作用是通过控制OS对抑郁症有益的。本文献综述使用PubMed和Google Scholar上的出版物来探索OS在精神疾病中的作用以及抗氧化剂对此类疾病治疗效果的最新证据。出版物还包括那些针对TwX的,我们推测它可能通过其可能减轻OS对大脑的影响的能力而对神经精神疾病有效。
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引用次数: 0
Predictors of psychopathologic symptoms by work-related stress factors in Mental Health Professionals of a tertiary-level Psychiatric Hospital in Mexico City 墨西哥城某三级精神病院精神卫生专业人员工作压力因素对精神病理症状的预测
Pub Date : 2023-09-23 DOI: 10.17352/2455-5460.000082
Hernández Gutiérrez María Eugenia, Ortega-Andeane Patricia, Mendieta Danelia, García-Mejorado Karla Vanessa, Coballase-Urrutia Elvia, Barrera-Villalpando María Isabel, Zamora Anabel Flores, Irepan-Aguilar Maricela
Introduction: Mexico has a high prevalence of work stress; mental health professionals are a vulnerable group who experience demanding environments that place their own mental health at risk. Objective: The present study aimed to evaluate the work-related stress levels and development of psychopathology in mental health professionals of a tertiary-level psychiatric hospital in Mexico City. Methods: The study included 90 mental health professionals, utilizing two questionnaires: (1) to analyze the level of occupational stress, the Stress Work Instrument (SWI) for Mexican physicians was employed; and (2) for symptomatic distress, the Symptom Checklist-90-Revised (SCL-90-R) was applied. Two theoretical assumptions’ (‘Effort-Reward’ for Karasek and “Effort-Reward Imbalance” for Siegrist) were used to propose an analytical model based on structural equations. Results: The model obtained showed a high and positive structural coefficient (0.76). The goodness-of-fit for the model was acceptable (χ2 = 51.22, p = .02; CFI = .97; RMSEA = 0.08). This study showed a causal explanation for the generation of distress, and the model detected a strong and significant effect from work stress to distress. Conclusion: We conclude that the model obtained predicts a significant effect of work-related stress on mental health such as anxiety, depression, somatization, and feelings of inadequacy in mental health professionals. Therefore, work-related stress factors should be minimized thus preventing distress to ensure that psychiatric personnel enjoy physical and mental health enabling them for efficient and professional clinical practice.
墨西哥的工作压力患病率很高;精神卫生专业人员是一个弱势群体,他们所经历的苛刻环境将他们自己的精神健康置于危险之中。目的:了解墨西哥城某三级精神病院精神卫生专业人员的工作压力水平和精神病理发展情况。方法:采用两份问卷对90名心理卫生专业人员进行调查:(1)采用墨西哥医师压力工作量表(SWI)分析其职业压力水平;(2)对症状性窘迫采用症状检查表90-修订版(SCL-90-R)。利用Karasek的“付出-回报”和Siegrist的“付出-回报失衡”两个理论假设,提出了一个基于结构方程的分析模型。结果:模型具有较高的正结构系数(0.76)。模型的拟合优度为可接受的(χ2 = 51.22, p = 0.02;Cfi = 0.97;Rmsea = 0.08)。本研究为痛苦的产生提供了一个因果解释,模型发现工作压力对痛苦的影响是强烈而显著的。结论:本模型预测了工作压力对心理健康人员焦虑、抑郁、躯体化和不足感等心理健康的显著影响。因此,应尽量减少与工作有关的压力因素,从而防止痛苦,以确保精神科人员享有身心健康,使他们能够进行有效和专业的临床实践。
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引用次数: 0
“Perrotta Affective Dependence Questionnaire (PAD-Q)”: Development, regulation and validation of a psychometric instrument for the diagnosis of the affective dependence “情感依赖问卷(PAD-Q)”:一种情感依赖诊断心理测量工具的开发、规范与验证
Pub Date : 2023-09-13 DOI: 10.17352/2455-5460.000081
Perrotta Giulio
Introduction: The construct of affective dependence is now considered a behavioural addiction, but the framework underlying the Perrotta Affective Dependence Model (PAD-M) considers it to be a manifested symptom of a specific psychopathological personality framework, and based on this theorization, the questionnaire (PAD-Q) was constructed to take into account the identification of 7 dysfunctional sub-styles related to the construct of affective dependence (neurotic, dependent, histrionic, masochist, borderline, covert narcissist and psychotic). Methods: Using the PAD-M, the population was selected to validate a new psychometric test, then compared with the Love Addiction Screening Test (LAST). Results: Statistical analysis showed that the psychometric test has a well-defined and stable construct (R = 0.999; p ≤ 0.001), with the variables well represented (R = 0.955; p ≤ 0.001) and positively correlated with another construct already validated (R = 0.961; p ≤ 0.001). Conclusion: The Perrotta Affective Dependence Questionnaire (PAD-Q) is a valid, efficient, and effective psychometric tool to diagnose the clinically relevant condition of affective dependence to improve the structural and functional framing of the patient and the appropriate therapy to pursue.
作品简介:情感依赖结构现在被认为是一种行为成瘾,但Perrotta情感依赖模型(PAD-M)的基础框架认为它是一种特定的精神病理人格框架的表现症状,并基于这一理论,构建了问卷(PAD-Q),以考虑与情感依赖结构相关的7种功能失调子风格的识别(神经型,依赖型,戏剧型,受虐型,边缘,隐蔽的自恋者和精神病患者)。方法:采用PAD-M量表对人群进行心理测试,并与LAST量表进行比较。结果:统计分析表明,心理测量测验具有定义明确且稳定的结构(R = 0.999;p≤0.001),变量表现良好(R = 0.955;p≤0.001),并与另一个已验证的结构正相关(R = 0.961;P≤0.001)。结论:Perrotta情感依赖问卷(PAD-Q)是一种有效、有效的心理测量工具,可用于诊断情感依赖的临床相关状况,以改善患者的结构和功能框架,并寻求适当的治疗。
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引用次数: 0
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Archives of depression and anxiety
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