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Exploring the Role of Dark Personality Traits in Embitterment–Jealousy Dynamics: Insights from a Multi-Scale Analysis and Moderation Effects 探索黑暗人格特质在 "痛苦-嫉妒 "动力学中的作用:多尺度分析和调节效应的启示
Pub Date : 2024-06-06 DOI: 10.3390/psychiatryint5020019
Ãngela Leite, Rafaela Castro
This study aimed to explore how dark personality traits influence the interplay between embitterment and jealousy. We first assessed the appropriateness of the scales used to assess jealousy, personality, and embitterment for our study population, examining their performance across different relationship statuses and ensuring their reliability. Then, through correlation, regression, and moderation analyses, we investigated the relationships among these measures. Our results revealed that Machiavellianism and narcissism act as moderators in the embitterment–jealousy relationship. Specifically, Machiavellianism moderated associations between overall embitterment and its psychological state and behavioral jealousy, while narcissism moderated connections between total embitterment and its psychological state, behavioral jealousy, cognitive jealousy, and overall jealousy. Furthermore, the combined influence of a longer relationship duration and higher levels of embitterment and Machiavellianism contributed to total jealousy scores. These findings deepen our comprehension of jealousy’s intricacies and the underlying factors at play.
本研究旨在探讨黑暗人格特质如何影响苦恼与嫉妒之间的相互作用。我们首先评估了用于评估嫉妒、性格和痛苦的量表是否适合我们的研究人群,检查了它们在不同关系状态下的表现,并确保了它们的可靠性。然后,通过相关分析、回归分析和调节分析,我们研究了这些量表之间的关系。结果显示,马基雅维利主义和自恋在痛苦-嫉妒关系中起调节作用。具体来说,马基雅维利主义调节了总体苦恼与其心理状态和行为嫉妒之间的联系,而自恋则调节了总体苦恼与其心理状态、行为嫉妒、认知嫉妒和总体嫉妒之间的联系。此外,较长的关系持续时间、较高水平的苦恼和马基雅维利主义共同影响了嫉妒总分。这些发现加深了我们对嫉妒的复杂性和潜在因素的理解。
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引用次数: 0
Modifications to Enhance Outcomes of Family-Based Treatment for Anorexia Nervosa: A Scoping Review 提高神经性厌食症家庭治疗效果的修改方案:范围审查
Pub Date : 2024-05-15 DOI: 10.3390/psychiatryint5020015
S. Pedersen, Lasse Carlsson, Mette Bentz
Family-based treatment (FBT) is recommended for anorexia nervosa (AN) in young people (YP). However, a substantial proportion of YP undergoing FBT do not recover. Several modifications to standard FBT have been tested to improve recovery rates. This review provides an updated overview of empirically tested modifications to FBT for AN in YP and estimates whether such modifications increase the percentage recovering. Computerized searches performed in five databases resulted in the inclusion of 43 papers (representing 40 original studies), highlighting that a variety of modifications to standard FBT have been tested and appear promising. However, only 11 studies compared the results of a modification to standard FBT. In conclusion, some modifications, such as parent-focused treatment, the addition of home treatment, or interventions for families at risk of non-response, appear to have the potential to improve the recovery rate, either at the group or subgroup level. Other modifications, such as FBT-based guided self-help, virtually delivered FBT, or FBT delivered during in- or day-patient stays, enable the dissemination of FBT principles to other contexts and to patient groups with limited access. Small additions to FBT, such as a workshop or parent-to-parent consultation, do not seem to improve the recovery rate.
建议对青少年厌食症(AN)进行家庭治疗(FBT)。然而,相当一部分接受家庭治疗的青少年并未痊愈。为了提高痊愈率,人们对标准的 FBT 进行了一些修改。本综述概述了经过实证测试的针对青少年自闭症的FBT改良方法,并估算了这些改良方法是否能提高康复率。通过在五个数据库中进行计算机检索,共收录了 43 篇论文(代表 40 项原创研究),这些论文强调了对标准 FBT 的各种修改已经过测试,并且似乎很有前景。然而,只有 11 项研究比较了对标准 FBT 进行修改的结果。总之,一些改进措施,如以家长为中心的治疗、增加家庭治疗或对有可能不作出反应的家庭进行干预,似乎有可能在群体或亚群体层面提高康复率。其他改良措施,如基于 FBT 的指导性自助、虚拟提供的 FBT 或在住院或日间留院期间提供的 FBT,都能将 FBT 原则推广到其他环境和机会有限的患者群体。在家庭支持疗法的基础上增加一些小的内容,如工作坊或家长对家长的咨询,似乎并不能提高康复率。
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引用次数: 0
How Moral Distress Contributes to Depression Varies by Gender in a Sample of Sub-Saharan African Nurses 在撒哈拉以南非洲护士样本中,道德压力对抑郁的影响因性别而异
Pub Date : 2024-05-06 DOI: 10.3390/psychiatryint5020014
John Bosco Chika Chukwuorji, Michael Onwe Nwogiji, C. M. Ifeagwazi, Okechukwu Hope Eke, Dumkelechuku Obed-Ohen, O. Osondu, Dwi Kartika Rukmi, Crystal Njoku, Adaeze Chike-Okoli
Although research has shown that moral distress harms mental health in diverse populations, information on potential moderators of such associations is scarce. In a sample of sub-Saharan African nurses, we examined the link between moral distress and depressive symptoms. We explored for whom and when such relationships may hold with regard to gender, age, and work experience. Participants consisted of 398 nurses drawn from a tertiary healthcare institution in southeastern Nigeria. Data were collected using the Moral Distress Questionnaire (MDQ) for clinical nurses, and the Center for Epidemiological Studies Depression Scale Revised (CEDS-R). Hayes regression-based macro results for the moderation effects indicated that the association of high moral distress with increased depressive symptoms was robust for women but not significant for men. Although older age and higher years of nursing experience were associated with reduced symptoms of depression, nurses’ age and years of work experience did not moderate the relationship between moral distress and depressive symptoms. To promote mental well-being and preserve the integrity of nurses, gender-based differentials in how morals contribute depressive symptoms should be considered in policy and practice.
尽管研究表明,精神痛苦会损害不同人群的心理健康,但有关这种关联的潜在调节因素的信息却很少。我们以撒哈拉以南非洲护士为样本,研究了道德困扰与抑郁症状之间的联系。我们探讨了这种关系在性别、年龄和工作经验方面可能对哪些人和何时有效。参与者包括来自尼日利亚东南部一家高等医疗机构的 398 名护士。使用临床护士道德压力问卷(MDQ)和流行病学研究中心抑郁量表修订版(CEDS-R)收集数据。基于 Hayes 回归的宏观调节效应结果表明,高道德压力与抑郁症状增加之间的关系对女性而言是稳健的,但对男性而言并不显著。虽然年龄越大、护理年限越长,抑郁症状越轻,但护士的年龄和工作年限并不能调节道德困扰与抑郁症状之间的关系。为了促进精神健康和维护护士的人格,在政策和实践中应考虑道德如何导致抑郁症状的性别差异。
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引用次数: 0
Violence and Child Mental Health Outcomes in Iraq: Mapping Vulnerable Areas 伊拉克的暴力与儿童心理健康结果:绘制脆弱地区地图
Pub Date : 2024-01-22 DOI: 10.3390/psychiatryint5010004
Ruaa Al Juboori
Few studies have been conducted in Iraq regarding the association of violence at multiple ecological levels and child mental health outcomes. Therefore, the study objectives were (1) to conduct a nationwide analysis to explore violence at multiple socio-ecological levels and children’s mental health outcomes, and (2) to identify the most vulnerable children according to the spatial distribution of Iraqi governorates. This cross-sectional study used the 2018 Iraq Multiple Indicator Cluster Survey (MICS 6), which included 12,358 mothers or caretakers who provided complete information regarding their parenting and disciplinary practices for their children between the ages of 5 and 14. Logistic regression was employed to examine the factors associated with children’s depression and anxiety. This study showed that 22% of children had depression, while 38% experienced anxiety. Notably, children residing in Iraq’s south/central regions, specifically in areas, like Nainawa, Najaf, and Basrah, exhibited notably higher anxiety and depression. The research also showed that living in unsafe neighborhoods, women’s acceptance of domestic violence, and the use of severe physical punishment as corporal discipline were all associated with the development of anxiety and depression. This study addresses the scarcity of information on children’s mental health outcomes in Iraq at national and governorate levels, emphasizing the need for urgent national-level policy discussions to achieve key Sustainable Development Goals related to ending all forms of violence against children by 2030.
在伊拉克,很少有人研究多个生态层面的暴力与儿童心理健康结果之间的关系。因此,本研究的目标是:(1)在全国范围内进行分析,探讨多个社会生态层面的暴力与儿童心理健康结果的关系;(2)根据伊拉克各省的空间分布,确定最易受伤害的儿童。这项横断面研究采用了 2018 年伊拉克多指标类集调查(MICS 6),其中包括 12358 名母亲或看护人,他们提供了有关其 5 至 14 岁子女的养育和管教方法的完整信息。研究采用了逻辑回归法来检验与儿童抑郁和焦虑相关的因素。研究结果显示,22% 的儿童患有抑郁症,38% 的儿童患有焦虑症。值得注意的是,居住在伊拉克南部/中部地区的儿童,特别是在奈纳瓦、纳杰夫和巴士拉等地区的儿童,焦虑和抑郁的程度明显更高。研究还表明,居住在不安全的社区、妇女接受家庭暴力以及使用严厉的体罚作为体罚手段都与焦虑和抑郁的形成有关。本研究探讨了伊拉克国家和省一级儿童心理健康结果信息匮乏的问题,强调需要紧急开展国家级政策讨论,以实现到 2030 年结束一切形式暴力侵害儿童行为的关键可持续发展目标。
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引用次数: 0
Tangram Puzzles in Patients with Neurocognitive Disorders: A Pilot Study 神经认知障碍患者的七巧板拼图:试点研究
Pub Date : 2023-12-15 DOI: 10.3390/psychiatryint4040036
Jian Zhang, Narimasa Katsuta, Toshiki Takayama, Narihiro Orimo, Nobuto Shibata, Tadafumi Kato
Objective: The tangram puzzle is a serious math puzzle game used to promote mathematic development in children, which improves visuospatial function and creativity. A game to improve cognitive functions is useful for patients with neurocognitive disorders. This pilot study aimed to determine whether this game could improve cognitive function in patients with neurocognitive disorders. Materials: This study recruited patients with mild Alzheimer’s disease or mild cognitive impairment who were followed longitudinally by the Department of Psychiatry, Juntendo University Hospital, or Juntendo Tokyo Koto Geriatric Medical Center (Tokyo, Japan). Methods: Participants were asked to solve Tangram puzzles 2–3 times weekly, spending 30–40 min/session at home with or without family members for approximately 90 (Study 1) or 180 (Study 2) days. Mini-Mental State Examination (MMSE) in Study 1 as well as a Japanese version of the Montreal Cognitive Assessment and Trail Making Test in Study 2 were performed on the initial and final days. Results: Study 1 comprised eight participants and Study 2 comprised nine participants. Statistically significant improvement was observed in MMSE total score (p = 0.016) and orientation segment (p = 0.026) in Study 1. No statistically significant difference was noted in MMSE total score, orientation segment, or MoCA-J (Japanese version of Montreal Cognitive Assessment) score between the initial and final days in Study 2 (p = 0.764, p = 0.583, and p = 0.401, respectively). Conclusions: Study 1 revealed that Tangram puzzles may ameliorate the progression of cognitive functions in patients with neurocognitive disorders within a short time (3 months); however, Study 2 did not show a consistent result. Thus, randomized controlled trials are warranted to draw a conclusion.
目的七巧板是一种严肃的数学益智游戏,用于促进儿童的数学发展,提高视觉空间功能和创造力。改善认知功能的游戏对神经认知障碍患者很有帮助。本试验研究旨在确定该游戏能否改善神经认知障碍患者的认知功能。材料:本研究招募了由顺天堂大学医院精神科或顺天堂东京江东老年医疗中心(日本东京)进行纵向跟踪的轻度阿尔茨海默病或轻度认知障碍患者。研究方法要求参与者每周解2-3次七巧板,每次30-40分钟,与或不与家人一起在家中进行,持续约90天(研究1)或180天(研究2)。在研究 1 和研究 2 中,分别在最初和最后一天进行了迷你精神状态检查 (MMSE),以及日语版蒙特利尔认知评估和寻迹测试。研究结果研究 1 共有 8 名参与者,研究 2 共有 9 名参与者。在研究 1 中,MMSE 总分(p = 0.016)和定向部分(p = 0.026)均有统计学意义的明显改善。在研究 2 中,MMSE 总分、定向部分或 MoCA-J(蒙特利尔认知评估的日语版)得分在最初和最后一天之间无统计学差异(分别为 p = 0.764、p = 0.583 和 p = 0.401)。研究结论研究1显示,七巧板可以在短期内(3个月)改善神经认知障碍患者认知功能的发展;然而,研究2并未显示出一致的结果。因此,需要进行随机对照试验才能得出结论。
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引用次数: 0
Suicidal Ideation in People with Traumatic Spinal Cord Injury 创伤性脊髓损伤患者的自杀意念
Pub Date : 2023-12-06 DOI: 10.3390/psychiatryint4040035
Fabiana Faleiros, Flávia Binati, K. Bimbatti, Kelly Graziani Giacchero Vedana, Jonas Carvalho e Silva, Christoph de Oliveira Käppler, Luís Sousa, Helena José, I. Rabiais, António Almeida, Geyslane Albuquerque
Suicidal behavior is considered a worldwide social phenomenon and a serious public health problem. In this regard, people with traumatic spinal cord injury may be associated with low mood, depression, suicidal ideation, and behavior. To evaluate the factors associated with suicidal ideation in people with SCI, this is quantitative, cross-sectional, descriptive study was carried out in a virtual environment. In total, 200 people aged 18 or over with TSCI living in Brazil took part in the study. Data were collected using the Beck Scale for Suicidal Ideation, answered online by participants using SurveyMonkey®. The sample consisted of 200 participants, most of whom were male, from southeast Brazil, with a mean age of 36.22 years, a duration of injury of 134.4 months, and a 32.5% frequency of suicidal ideation, as suicidal ideation was also verified in relation to the variables of schooling, rehabilitation, and consequence of injury. A statistically significant relationship was found between the duration of injury and suicidal ideation. According to the results, a considerable percentage of these individuals still think about suicide. On the other hand, the duration of the injury showed a significant difference in relation to suicidal ideation, and it was observed that the shorter the duration of spinal cord injury, the greater the likelihood of suicidal ideation.
自杀行为被认为是一个世界性的社会现象,也是一个严重的公共卫生问题。在这方面,创伤性脊髓损伤患者可能与情绪低落、抑郁、自杀意念和行为有关。为了评估与脊髓损伤患者自杀意念相关的因素,这是一项在虚拟环境中进行的定量、横断面、描述性研究。共有200名居住在巴西的18岁或以上的TSCI患者参加了这项研究。数据使用贝克自杀意念量表收集,参与者使用SurveyMonkey®在线回答。样本包括200名参与者,其中大多数为男性,来自巴西东南部,平均年龄36.22岁,受伤时间134.4个月,自杀意念频率为32.5%,因为自杀意念也与学校教育、康复和伤害后果的变量有关。受伤时间与自杀意念之间存在显著的统计学关系。根据调查结果,这些人中有相当大比例的人仍然考虑过自杀。另一方面,脊髓损伤持续时间对自杀意念的影响有显著差异,脊髓损伤持续时间越短,产生自杀意念的可能性越大。
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引用次数: 0
Mental Health Peer-Led Cafés—A Complementary Approach to Traditional Crisis Care: A Protocol for a Systematic Scoping Review 精神健康同伴领导的cafei -传统危机护理的补充方法:系统范围审查的协议
Pub Date : 2023-11-14 DOI: 10.3390/psychiatryint4040033
Michael John Norton
Introduction: Psychiatric services are gradually becoming more recovery-orientated. With such orientation came the peer movement, a process which began during the civil rights movement of the 1960s and 1970s and has grown exponentially since. In June 2020, the Irish Department of Health released ‘Sharing the Vision’, a policy which envisioned the implementation of crisis cafés as part of mental health service provision. In addition to this, recovery and peer support movements allowed for the timely establishment of peer-led services, thus raising the question: can such crisis cafés as posited in current Irish mental health policy be peer-run? Methods and Analysis: A systematic scoping review is proposed within this paper, the aim of which is to investigate the effectiveness of peer-led cafés on an individual’s recovery journey along with its impact on mental health, safety, and coercion-based outcomes within mental health crisis care. To ensure a transparent and empirically sound approach to the search and reporting of this systematic scoping review, the PRISMA guidelines will be adhered to in this review. Additionally, Arksey and O’Malley’s original framework will be employed to support the adherence to the relevant methodological processes when reporting on this kind of review. Arksey and O’Malley’s original framework presents scoping reviews through a five-step process, which includes stating search terms and searching databases (CINAHL, psycINFO, psycARTICLES, and PubMed) and repositories (Google, Cochrane Online Library, and ETHos), for papers to be included, based on a pre-determined inclusion/exclusion criteria. Discussion: This protocol is the first, to the authors’ knowledge, that reports the qualitative, quantitative, and mixed method evidence into peer-run cafés for mental health crisis management. The use of the PRISMA guidelines and Arksey and O’Malley’s methodological framework enhances the methodological rigour, transparency, reproducibility, and accuracy of this review. The review is limited, as it does not report on study quality or risk of bias. This will not occur in order to maintain its adherence to Arksey and O’Malley’s original framework. The preprint protocol was added to the OSF Registries and is freely available. It will be updated once the paper is published.
简介:精神科服务正逐渐变得更注重康复。有了这样的取向,就出现了同侪运动,这一进程始于20世纪60年代和70年代的民权运动,此后呈指数级增长。2020年6月,爱尔兰卫生部发布了"共享愿景"政策,设想将危机培训作为提供精神卫生服务的一部分实施。除此之外,康复和同伴支持运动使及时建立由同伴领导的服务成为可能,因此提出了一个问题:目前爱尔兰精神卫生政策中所假定的这种危机cafims能否由同伴管理?方法和分析:本文提出了一个系统的范围审查,其目的是调查同伴主导的cafims在个人康复过程中的有效性,以及它对心理健康危机护理中心理健康、安全和基于胁迫的结果的影响。为了确保在系统性范围审查的搜索和报告中采用透明和经验合理的方法,本次审查将遵循PRISMA指南。此外,在报告此类审查时,将采用Arksey和O 'Malley的原始框架来支持对相关方法过程的遵守。Arksey和O 'Malley的原始框架通过五步过程来展示范围审查,包括声明搜索词和搜索数据库(CINAHL, psycINFO, psycARTICLES和PubMed)和存储库(Google, Cochrane在线图书馆和ETHos),根据预先确定的纳入/排除标准,将论文纳入。讨论:据作者所知,该协议是第一个将定性、定量和混合方法证据报告到同行管理的精神健康危机管理cafims中的协议。PRISMA指南和Arksey和O 'Malley的方法学框架的使用提高了本综述方法学的严谨性、透明度、可重复性和准确性。该综述是有限的,因为它没有报告研究质量或偏倚风险。为了保持对Arksey和O 'Malley的原始框架的坚持,这种情况不会发生。预印本协议已添加到OSF注册表中,并可免费获得。论文发表后将进行更新。
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引用次数: 0
Suicide Risk Assessment and Prevention Tools in the UK: Current Landscape and Future Directions 自杀风险评估和预防工具在英国:现状和未来的方向
Pub Date : 2023-10-30 DOI: 10.3390/psychiatryint4040032
Abayomi Arowosegbe, Tope Oyelade
Suicide is a major global public health problem, with profound implications for individuals, families, and communities. In the United Kingdom (UK), despite efforts to detect and manage suicidal ideas, suicide rates persist, especially among middle-aged men and women, particularly those aged 45 to 54 years. Recent global challenges, such as the COVID-19 pandemic, climate change, conflict, and the environmental crisis, have raised concerns about an increase in suicide rates, particularly among young people. As a result, a population-wide preventive approach based on evidence is imperative to mitigate the projected increase in suicides. To evaluate the effectiveness of suicide prevention strategies, there is a need for an objective and universally accepted risk assessment approach that does not currently exist. This review examines the current landscape of suicide prevention in the United Kingdom and evaluates the strengths and limitations of existing suicide risk assessments tools. The current suicide prevention tools used, including machine learning and mobile applications are discussed. Also, the epidemiological trends in the various regions of the UK, risk factors including age, sex, and socio-economic status are assessed to provide context. Through this discourse, we hope to provide valuable insight for clinicians, researchers, and policy makers about the current landscape of suicide, especially within the United Kingdom, while presenting recommendations regarding areas that require further research and improvement. Accordingly, suicide prevention is and will continue to be a major focus of both the national health service and research in the UK in the strive to reduce the rate of suicide across all regions. Indeed, headways have been made in the use of technology in preventing suicide both locally and globally. However, research should in the future investigate the value of personalized interventions tailored to the various risk factors of suicide and based on appropriate screening and assessment tools.
自杀是一个重大的全球公共卫生问题,对个人、家庭和社区都有深远的影响。在联合王国(UK),尽管努力发现和管理自杀想法,自杀率仍然存在,特别是在中年男性和女性中,特别是45至54岁的人。最近的全球挑战,如COVID-19大流行、气候变化、冲突和环境危机,引发了人们对自杀率上升的担忧,尤其是年轻人的自杀率上升。因此,必须采取基于证据的全民预防措施,以减轻预计的自杀增加。为了评估自杀预防策略的有效性,需要一种客观和普遍接受的风险评估方法,而这种方法目前尚不存在。本综述考察了英国自杀预防的现状,并评估了现有自杀风险评估工具的优势和局限性。讨论了目前使用的自杀预防工具,包括机器学习和移动应用程序。此外,对英国各地区的流行病学趋势、包括年龄、性别和社会经济地位在内的风险因素进行了评估,以提供背景。通过这篇文章,我们希望为临床医生、研究人员和政策制定者提供有价值的见解,了解当前自杀的现状,特别是在英国,同时就需要进一步研究和改进的领域提出建议。因此,预防自杀是并将继续是英国国民保健服务和研究的一个主要重点,以努力降低所有地区的自杀率。事实上,无论是在地方还是在全球,在利用技术预防自杀方面都取得了进展。然而,未来的研究应该调查针对各种自杀风险因素的个性化干预措施的价值,并基于适当的筛查和评估工具。
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引用次数: 0
Virtual Reality Mindfulness for Meta-Competence Training among People with Different Mental Disorders: A Systematic Review 虚拟现实正念在不同精神障碍人群中的元能力训练:系统综述
Pub Date : 2023-10-18 DOI: 10.3390/psychiatryint4040031
Eleni Mitsea, Athanasios Drigas, Charalabos Skianis
International psychiatry is facing major challenges due to the rapid increase in mental health issues. The forthcoming mental health crisis has opened the debate about the need to broaden the therapeutic horizons with the implementation of digitally assisted mindfulness practices within psychotherapeutic interventions. Mindfulness training is developing into a promising intervention for a variety of health problems and a booster of well-being. At the same time, virtual reality (VR) and especially immersive technologies are increasingly being used as assistive tools in the training of people with special education needs and disabilities (SEND). Μeta-competences refer to a set of self-development skills that incorporate meta-cognitive and meta-emotional attributes, enabling individuals to be self-conscious, self-regulated, and flexible in every aspect of human life. The current review aims to investigate (i) the efficacy of mindfulness strategies in meta-competence training for SEND and (ii) the role of VR as an assistive technology in mindfulness training. The PRISMA 2020 methodology was utilized to respond to the objectives and research questions. The database search provided 1380 records, and 29 studies met the inclusion criteria. The results showed that mindfulness training has the potential to train meta-cognitive and meta-emotional competences among people with different mental disorders, including Attention Deficit/Hyperactivity Disorder (ADHD), Autism Spectrum Disorder (ASD), Intellectual Disability (ID), Depressive Disorder, Stress Disorder, and Specific Learning Disorder. VR was found to be an effective assistive technology, providing significant advantages compared to conventional mindfulness interventions. Mindfulness training assisted by immersive technologies was found to significantly improve a wide range of cognitive and socio-emotional meta-competences, including self-awareness, inhibition control, attention regulation, flexibility, positive thinking, and emotional regulation. The results of this systematic review may provide positive feedback for creating inclusive digital training environments.
由于心理健康问题的迅速增加,国际精神病学正面临重大挑战。即将到来的心理健康危机引发了一场辩论,即是否需要在心理治疗干预措施中实施数字辅助的正念练习,以拓宽治疗视野。正念训练正在发展成为一种有希望的干预各种健康问题和福祉的助推器。与此同时,虚拟现实(VR)尤其是沉浸式技术越来越多地被用作培训有特殊教育需求和残疾人士的辅助工具(SEND)。Μeta-competences指的是一套包含元认知和元情感属性的自我发展技能,使个体在人类生活的各个方面都具有自我意识、自我调节和灵活性。本综述旨在研究(i)正念策略在SEND元能力训练中的有效性,以及(ii) VR作为一种辅助技术在正念训练中的作用。使用PRISMA 2020方法来回答目标和研究问题。数据库检索提供1380条记录,29项研究符合纳入标准。结果表明,正念训练对不同精神障碍患者的元认知和元情感能力有潜在的训练作用,包括注意缺陷/多动障碍(ADHD)、自闭症谱系障碍(ASD)、智力障碍(ID)、抑郁症、应激障碍和特定学习障碍。研究发现,VR是一种有效的辅助技术,与传统的正念干预相比,具有显著的优势。研究发现,在沉浸式技术的辅助下,正念训练显著提高了认知和社会情绪元能力,包括自我意识、抑制控制、注意力调节、灵活性、积极思考和情绪调节。该系统审查的结果可能为创建包容性的数字培训环境提供积极反馈。
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引用次数: 0
COVID-19 Lockdown Effects on Mood: Impact of Sex, Age, and Underlying Disease COVID-19封锁对情绪的影响:性别、年龄和潜在疾病的影响
Pub Date : 2023-10-13 DOI: 10.3390/psychiatryint4040030
Pantea Kiani, Pauline A. Hendriksen, Jessica Balikji, Noortje R. Severeijns, Annabel S. M. Sips, Gillian Bruce, Johan Garssen, Joris C. Verster
Coronavirus 2019 (COVID-19) lockdown periods had a significant negative impact on people’s lives and psychological well-being. However, the impact of lockdowns differed between individuals. This study aimed to identify vulnerable groups and investigated the relationship between mood and perceived immune fitness and the number and severity of coronavirus 2019 (COVID-19) symptoms during the first COVID-19 lockdown in the Netherlands. In addition, the impact of emotion regulation and other preventive measures was considered. The aim of the study was to identify possible differences according to sex, age, and the presence of underlying disease. A two-part online survey among N = 1415 individuals of the Dutch population (18 to 94 years old) was conducted in the summer of 2020. N = 541 of these participants also completed part 2 of the survey. A series of questionnaires was completed on mood, quality of life, lifestyle, immune fitness, and the number and severity of COVID-19 symptoms. Retrospectively, the period before the first lockdown (15 January–14 March 2020) was compared with the first lockdown (15 March–11 May 2020). The analysis revealed that the lockdown period was associated with significantly poorer mood, poorer immune fitness, and reduced quality of life. Poorer mood was associated with a significantly reduced immune fitness and a significant increase in the number and severity of COVID-19 symptoms. Mood changes did not differ significantly between men and women. Some mood effects were significantly more pronounced for individuals with underlying diseases (depression, fatigue, and stress) and younger individuals (depression and loneliness). Regarding lifestyle factors, no significant lockdown effects were seen according to underlying disease status. During the lockdown period, women reported a decline in nutrition scores, which was not seen in men, whereas they reported receiving more support from family and friends than men. Regarding age, younger individuals reported a significantly greater negative impact on physical activity and being active than the older participants. No differential effects for the groups were found for health correlates. In conclusion, significant negative lockdown effects on mood, quality of life, and immune fitness were observed across the population. The effects were significantly more pronounced among young individuals and those with underlying disease.
2019冠状病毒(COVID-19)封锁期对人们的生活和心理健康产生了重大负面影响。然而,封锁的影响因人而异。本研究旨在确定弱势群体,并调查荷兰首次COVID-19封锁期间情绪和感知免疫适应性与COVID-19症状数量和严重程度之间的关系。此外,还考虑了情绪调节等预防措施的影响。这项研究的目的是根据性别、年龄和潜在疾病的存在来确定可能的差异。2020年夏天,一项由两部分组成的在线调查对荷兰人口(18至94岁)的N = 1415人进行了调查。其中541名参与者还完成了调查的第二部分。完成了一系列关于情绪、生活质量、生活方式、免疫健康以及COVID-19症状数量和严重程度的问卷调查。回顾性地将首次封城前(2020年1月15日至3月14日)与首次封城后(2020年3月15日至5月11日)进行比较。分析显示,封锁期与情绪明显变差、免疫能力下降和生活质量下降有关。情绪较差与免疫适应性显着降低以及COVID-19症状的数量和严重程度显着增加有关。男性和女性的情绪变化没有显著差异。对于有潜在疾病(抑郁、疲劳和压力)和年轻人(抑郁和孤独)的人来说,一些情绪影响更为明显。至于生活方式因素,根据潜在疾病状况,没有发现明显的封锁效应。在封锁期间,女性报告营养评分下降,这在男性中没有出现,而她们报告从家人和朋友那里得到的支持比男性更多。在年龄方面,年轻人对身体活动和活跃程度的负面影响明显大于老年人。在健康相关方面,两组之间没有发现差异效应。总之,在人群中观察到对情绪,生活质量和免疫健康的显着负面封锁效应。这种影响在年轻人和那些有潜在疾病的人中更为明显。
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Psychiatry international
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