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Ghrelin and Obestatin in Adolescent Patients with Anorexia Nervosa: Is There an Association with Disordered Eating, Depression, and Obsessive-Compulsive Symptoms? 青少年神经性厌食症患者的Ghrelin和Obestatin:是否与饮食紊乱、抑郁和强迫症状有关?
Pub Date : 2022-09-19 DOI: 10.3390/psychiatryint3030020
A. Dutkiewicz, M. Tyszkiewicz-Nwafor, K. Bilska, E. Paszyńska, M. Roszak, Weronika Zwolińska, N. Pytlińska, A. Słopień, M. Dmitrzak-Węglarz
Anorexia nervosa (AN) is an eating disorder characterized by restrictive eating and significant weight loss. In the course of AN, changes are observed in appetite regulation, including orexigenic ghrelin and potentially anorexigenic obestatin. The study aimed to determine if any changes in serum ghrelin and obestatin levels during treatment of AN are observed, while investigating the correlations between these peptides and the severity of disturbed eating attitudes, depression, and anxiety. Thirty adolescent inpatients with AN (examined twice: before hospitalization treatment AN-BT and after treatment AN-AT) and thirty healthy age- and height-matched girls (CG) participated in the study. Anthropometric, serum ghrelin and obestatin concentrations and psychometric evaluations (Eating Attitudes Test 26 Item-EAT-26, Beck Depression Inventory-BDI, Hamilton Depression Rating Scale-HDRS, and Yale Brown Obsessive-Compulsive Scale-Y-BOCS) were performed. The study revealed significantly higher ghrelin and obestatin levels in AN-BT than in AN-AT. A trend toward lower levels during treatment provided partial normalizations. Analyzing correlations in the AN-BT vs. CG group, correlations of peptides with EAT-26, BDI, and HDRS scores were detected. These results suggest a potential role for ghrelin and obestatin in the context of defense mechanisms regulating appetite and body weight in the course of AN and in terms of psychopathological changes co-occurring with this eating disorder.
神经性厌食症(AN)是一种以限制性饮食和显著体重减轻为特征的饮食失调。在AN过程中,观察到食欲调节的变化,包括厌氧生长素和潜在的厌氧性肥胖抑制素。该研究旨在确定在AN治疗期间是否观察到血清胃饥饿素和肥胖抑制素水平的任何变化,同时调查这些肽与进食态度紊乱、抑郁和焦虑的严重程度之间的相关性。30名青少年AN住院患者(入院前AN- bt和治疗后AN- at检查两次)和30名年龄和身高匹配的健康女孩(CG)参加了研究。进行了人体测量、血清生长素和肥胖抑制素浓度和心理测量评估(饮食态度测试26项目- eat -26、贝克抑郁量表- bdi、汉密尔顿抑郁评定量表- hdrs和耶鲁布朗强迫症量表- y- bocs)。研究显示,与AN-AT相比,AN-BT中的生长素和肥胖抑制素水平明显更高。在治疗过程中,向较低水平的趋势提供了部分正常化。分析AN-BT组与CG组的相关性,检测肽与EAT-26、BDI和HDRS评分的相关性。这些结果表明,胃饥饿素和肥胖抑制素在AN过程中调节食欲和体重的防御机制以及与这种饮食失调共同发生的精神病理变化方面具有潜在的作用。
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引用次数: 0
Anxious Temperament Predicts Poor Acceptance of Self and Life in Bipolar Disorder during the COVID-19 Pandemic 新冠肺炎大流行期间焦虑的气质预测双相情感障碍患者对自我和生活的接受度差
Pub Date : 2022-08-11 DOI: 10.3390/psychiatryint3030019
E. Fleischmann, F. Fellendorf, J. Ortner, S. Bengesser, M. Ratzenhofer, R. Pilz, M. Lenger, A. Birner, R. Queissner, M. Platzer, A. Tmava-Berisha, C. Hamm, A. Maget, J. Wagner-Skacel, E. Reininghaus, N. Dalkner
The coronavirus disease (COVID-19) pandemic and the social distancing resulting thereof are having a great impact on psychological well-being. Studies investigating resilience found that it impacts mental health during crises. This study aimed to evaluate the influence of pre-crisis temperament on resilience in individuals with bipolar disorder during the COVID-19 pandemic. An online survey was conducted in Austria between April and June 2020, including 36 individuals with bipolar disorder and 39 healthy controls. Resilience was assessed with the 13-item resilience scale, and temperament was measured with the Temperament Evaluation of Memphis, Pisa, Paris and San Diego-autoquestionnaire (TEMPS-A). The bipolar disorder group showed lower resilience than the control group, and scored higher on the TEMPS-A for depressive, cyclothymic, and anxious temperaments. Resilience could be predicted by anxious temperament in individuals with bipolar disorder, and correlated negatively with depressive symptoms in both groups. The results suggest that anxious temperament influences the resilience of individuals with bipolar disorder, likely more than temporary hardships, such as the first months of the COVID-19 crisis. It is therefore important to improve the resilience of individuals with bipolar disorder not only by short-term interventions, but by strengthening resilience and reducing anxious temperament in the long term.
冠状病毒疾病(新冠肺炎)大流行及其导致的社交距离对心理健康产生了巨大影响。调查复原力的研究发现,在危机期间,复原力会影响心理健康。本研究旨在评估危机前气质对新冠肺炎大流行期间双相情感障碍患者恢复力的影响。2020年4月至6月在奥地利进行了一项在线调查,包括36名双相情感障碍患者和39名健康对照者。复原力采用13项复原力量表进行评估,气质采用孟菲斯、比萨、巴黎和圣地亚哥的气质评估自动问卷(TEMPS-A)进行测量。双相情感障碍组表现出比对照组更低的恢复力,在抑郁、环胸和焦虑情绪的TEMPS-A评分更高。双相情感障碍患者的焦虑气质可以预测其恢复力,并且与两组的抑郁症状呈负相关。研究结果表明,焦虑情绪会影响双相情感障碍患者的恢复力,可能不仅仅是暂时的困难,例如新冠肺炎危机的头几个月。因此,重要的是,不仅要通过短期干预,还要通过加强恢复力和长期减少焦虑情绪来提高双相情感障碍患者的恢复力。
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引用次数: 1
Prescription Stimulants in College and Medical Students: A Narrative Review of Misuse, Cognitive Impact, and Adverse Effects 大学生和医学生的处方兴奋剂:滥用、认知影响和不良反应的叙述性综述
Pub Date : 2022-07-22 DOI: 10.3390/psychiatryint3030018
Amber N. Edinoff, Catherine A. Nix, S. McNeil, Sarah E. Wagner, Catherine A. Johnson, Brooke C. Williams, E. Cornett, K. Murnane, A. Kaye, A. Kaye
Stimulants are effective in treating attention-deficit/hyperactivity disorder (ADHD). Psychiatrist Charles Bradley first made this discovery in 1937 when he found that children treated with amphetamines showed improvements in school performance and behavior. Between 1995 and 2008, stimulants to treat ADHD increased six-fold among American adults and adolescents at an annual rate of 6.5%. Stimulants without a prescription, known as nonmedical use or misuse, have also increased. The highest rates of nonmedical prescription drug misuse in the United States are seen most notably in young adults between 18 and 25 years, based on data from the Substance Abuse and Mental Health Services Administration in 2021. Aside from undergraduate students, nonmedical prescription stimulant use is prevalent among medical students worldwide. A recent literature review reported the utilization of stimulants without a prescription in 970 out of 11,029 medical students. The percentages of medical students across the country misusing stimulants varied from 5.2% to 47.4%. Academic enhancement, reported in 50% to 89% of college students with stimulant misuse, is the most common reason for nonmedical stimulant use. With the increasing use of stimulants among adolescents and adults, it is unclear what long-term outcomes will be since little data are available that describe differences in how side effects are experienced for prescribed and non-prescribed users. The present narrative review focuses on these adverse effects in this population and the reasonings behind misuse and nonmedical use.
兴奋剂对治疗注意力缺陷/多动障碍(ADHD)是有效的。精神病学家查尔斯·布拉德利于1937年首次发现这一发现,当时他发现接受苯丙胺治疗的儿童在学习成绩和行为方面都有所改善。1995年至2008年间,治疗多动症的兴奋剂在美国成年人和青少年中以6.5%的年增长率增长了六倍。未经处方的兴奋剂,即非药物使用或滥用,也有所增加。根据美国药物滥用和心理健康服务管理局2021年的数据,美国非药物处方药滥用率最高的人群是18至25岁的年轻人。除了本科生,非医学处方兴奋剂的使用在世界各地的医学生中很普遍。最近的一篇文献综述报道了11029名医学生中970人在没有处方的情况下使用兴奋剂的情况。全国医学生滥用兴奋剂的比例从5.2%到47.4%不等。据报道,50%到89%的滥用兴奋剂的大学生的学业成绩提高是非医学兴奋剂使用的最常见原因。随着青少年和成年人越来越多地使用兴奋剂,目前尚不清楚会有什么长期结果,因为几乎没有数据可以描述处方药和非处方药使用者在副作用方面的差异。目前的叙述性综述集中在这一人群中的这些不良影响以及滥用和非药物使用背后的原因。
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引用次数: 4
Political Party Affinity and Fear of Conventional and Nuclear War in Germany 德国政党对常规战争和核战争的认同与恐惧
Pub Date : 2022-07-01 DOI: 10.3390/psychiatryint3030017
A. Hajek, H. König
Aim: to clarify the association between political party affinity and fear of conventional and nuclear war in Germany. Methods: data were used from a nationally representative online survey (in terms of age bracket, sex and state; n = 3091 individuals; mid-March 2022). Multiple linear regressions were used to investigate the association between political party affinity and fear of conventional and nuclear war in Germany, adjusting for several covariates. Results: while, for example, individuals who had an affinity with the Social Democratic Party (SPD) of Germany reported the highest frequency of severe fear of a conventional war (58.0%), individuals who had an affinity with the Left Party (Die Linken, left-wing) reported a somewhat lower frequency of severe fear (48.2%) and individuals who had an affinity with the Alternative for Germany (AFD, right-wing) reported the lowest frequency (43.7%). Regressions showed that—compared to individuals who had an affinity with the SPD—individuals who had an affinity with the Free Democratic Party (FDP, liberal) and particularly individuals who had an affinity with the Alternative for Germany (AFD) reported a markedly lower fear of war (both fear of a conventional war and fear of a nuclear war). Conclusion: our study showed some interesting associations between political party affinity and fear of war in Germany. This knowledge may assist in characterising individuals at risk for higher levels of fear of war.
目的:阐明德国政党亲和力与对常规战争和核战争的恐惧之间的联系。方法:数据来自一项具有全国代表性的在线调查(按年龄段、性别和州划分;n=3091人;2022年3月中旬)。使用多元线性回归来调查德国政党亲和力与对常规战争和核战争的恐惧之间的关系,并对几个协变量进行了调整。结果:例如,与德国社会民主党有密切关系的人对常规战争的严重恐惧频率最高(58.0%),与左翼政党有密切关系的人(Die Linken,左翼)的严重恐惧发生率略低(48.2%),与德国另类选择党有密切关系(AFD,右翼)的人发生率最低(43.7%)。遗憾的是,与社民党有密切关系的人相比,与自由党有密切联系的人民主党(FDP,自由党),特别是与德国另类选择党(AFD)有密切关系的个人报告称,他们对战争的恐惧明显降低(既害怕常规战争,也害怕核战争)。结论:我们的研究表明,在德国,政党亲和力和对战争的恐惧之间存在一些有趣的联系。这些知识可能有助于描述面临更高程度战争恐惧风险的个人。
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引用次数: 3
Cautionary Observations Concerning the Introduction of Psychophysiological Biomarkers into Neuropsychiatric Practice 关于在神经精神病学实践中引入心理生理生物标志物的谨慎观察
Pub Date : 2022-05-25 DOI: 10.3390/psychiatryint3020015
P. Rapp, C. Cellucci, David M. Darmon, D. Keyser
The combination of statistical learning technologies with large databases of psychophysiological data has appropriately generated enthusiastic interest in future clinical applicability. It is argued here that this enthusiasm should be tempered with the understanding that significant obstacles must be overcome before the systematic introduction of psychophysiological measures into neuropsychiatric practice becomes possible. The objective of this study is to identify challenges to this effort. The nonspecificity of psychophysiological measures complicates their use in diagnosis. Low test-retest reliability complicates use in longitudinal assessment, and quantitative psychophysiological measures can normalize in response to placebo intervention. Ten cautionary observations are introduced and, in some instances, possible directions for remediation are suggested.
统计学习技术与大型心理生理数据数据库的结合,对未来的临床应用产生了浓厚的兴趣。本文认为,在将心理生理学措施系统地引入神经精神病学实践之前,必须克服重大障碍,才能缓和这种热情。本研究的目的是确定这一努力面临的挑战。心理生理指标的非特异性使其在诊断中的应用复杂化。低测试-重测信度使纵向评估的使用复杂化,定量心理生理测量可以在安慰剂干预后正常化。提出了十条告诫性意见,并在某些情况下提出了可能的补救方向。
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引用次数: 0
Addiction and COVID: Issues, Challenges, and New Telehealth Approaches 成瘾与新冠肺炎:问题、挑战和新的远程医疗方法
Pub Date : 2022-05-13 DOI: 10.3390/psychiatryint3020014
Amber N. Edinoff, S. Kaufman, Tyler M. Chauncy, Abigail P. Erwin, Katherine M. Russo, Meredith E. Nelson, E. Cornett, Mila Shah-Bruce, A. Kaye, A. Kaye
In recent decades, the United States has seen a substantial increase in the number of people diagnosed with substance use disorder (SUD). Both SUDs and COVID-19 separately have had, and continue to have, a widespread impact on our society. While they are two distinct entities, they are intricately related and have been shown to influence one another. Lockdown mandates intended to enhance public safety produced unintended consequences for people with SUDs by decreasing access to treatment and disrupting their current care. Telehealth could offer a solution to this disruption as its utilization expands the provider’s reach and increases access to treatment in underserved populations, including those with SUDs. The use of telemedicine seems to result in higher rates of patient satisfaction, compliance, and treatment retention rates while maintaining the need for social distancing. Even when pandemic restrictions resolve, telehealth can continue to provide invaluable benefits to individuals with addiction, particularly those in rural America. In summary, ongoing research regarding telehealth delivery and the expansion of telehealth is a byproduct of the pandemic and can advance the American healthcare system beyond the days of COVID-19. This manuscript will review studies regarding the use of telehealth in SUD with the hope that further research within and beyond the COVID-19 pandemic will lead to the increased use of telehealth by those involved in and those receiving care for SUDs.
近几十年来,美国被诊断为物质使用障碍(SUD)的人数大幅增加。SUV和新冠肺炎分别对我们的社会产生并将继续产生广泛影响。虽然它们是两个不同的实体,但它们之间有着错综复杂的关系,并已被证明会相互影响。旨在加强公共安全的封锁令减少了获得治疗的机会,扰乱了他们目前的护理,给SUD患者带来了意想不到的后果。远程医疗可以为这种中断提供解决方案,因为它的利用扩大了提供者的覆盖范围,并增加了服务不足人群(包括SUD患者)获得治疗的机会。远程医疗的使用似乎可以提高患者的满意度、依从性和治疗保留率,同时保持社交距离。即使疫情限制得到解决,远程医疗也可以继续为吸毒者,特别是美国农村的吸毒者提供宝贵的好处。总之,正在进行的关于远程医疗服务和远程医疗扩展的研究是大流行的副产品,可以推动美国医疗系统超越新冠肺炎时代。这份手稿将回顾关于在SUD中使用远程医疗的研究,希望新冠肺炎大流行内外的进一步研究将导致参与和接受SUD护理的人更多地使用远程医疗。
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引用次数: 6
Neurological and Psychiatric Symptoms of COVID-19: A Narrative Review COVID-19的神经和精神症状:叙述综述
Pub Date : 2022-05-07 DOI: 10.3390/psychiatryint3020013
Amber N. Edinoff, Maithreyi Chappidi, E. S. Alpaugh, Bailey C. Turbeville, Evan P. Falgoust, E. Cornett, K. Murnane, A. Kaye, A. Kaye
Recently dubbed Long COVID or Long-Haul COVID, those recovering from the initial COVID-19 infection may maintain clinical signs for longer than two or more weeks following the initial onset of the infection. The virus can gain entry into the CNS through axonal transport mediated through the olfactory nerve or hematogenous spread and can also cross the blood–brain barrier to access the temporal lobe and the brainstem. The neurologic and neuropsychiatric symptoms associated with COVID-19 patients are becoming a highly studied area due to the increased frequency of reported cases. Multiple hospital case series and observational studies have found a headache to be a common symptom among patients who are symptomatic with the SARS-CoV-2 virus. The headache described by many of these patients is similar to new daily persistent headache (NDPH). NDPH potentially develops in response to pro-inflammatory cytokines during a persistent systemic or CNS inflammation, mostly due to the initial infection. The treatments investigated were high-dose steroids, tetracycline derivatives, onabotulinum toxin type A, and long-term multidrug regimens. Among the identified symptoms of post-COVID-19 viral illness, fatigue appears to be the most ubiquitous. High-dose vitamin C is currently a suggested therapy proposed for its antioxidant, anti-inflammatory, and immunomodulatory properties. The mental health consequences of this diagnosis are being identified among large portions of COVID-19 survivors. Among these consequences, cases of major depressive disorder (MDD) and anxiety are being reported and closely examined. The aim of this narrative review is to highlight the neurological and psychiatric symptoms that have been associated with Long-Haul COVID and their possible treatments.
最近被称为“长冠状病毒病”或“长途冠状病毒病”的人,从最初的COVID-19感染中恢复过来的人,在最初感染后可能会保持超过两周或更长时间的临床症状。病毒可通过嗅觉神经或血液传播介导的轴突转运进入中枢神经系统,也可穿过血脑屏障进入颞叶和脑干。由于报告病例的频率增加,与COVID-19患者相关的神经和神经精神症状正在成为一个高度研究的领域。多个医院病例系列和观察性研究发现,头痛是有SARS-CoV-2病毒症状的患者的常见症状。许多患者描述的头痛与新的每日持续性头痛(NDPH)相似。NDPH可能在持续全身或中枢神经系统炎症期间对促炎细胞因子的反应中发展,主要是由于初始感染。研究的治疗方法包括大剂量类固醇、四环素衍生物、A型肉毒杆菌毒素和长期多药治疗方案。在covid -19后病毒性疾病的已知症状中,疲劳似乎是最普遍的。由于其抗氧化、抗炎和免疫调节的特性,高剂量维生素C目前是一种建议的治疗方法。在大部分COVID-19幸存者中,这种诊断的心理健康后果正在得到确认。在这些后果中,重度抑郁障碍(MDD)和焦虑的病例正在被报道和仔细检查。这篇叙述性综述的目的是强调与长途COVID相关的神经和精神症状及其可能的治疗方法。
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引用次数: 2
Investigation of Loneliness and Social Support in Patients with Eating Disorders: A Case-Control Study 饮食障碍患者孤独感和社会支持的个案对照研究
Pub Date : 2022-04-24 DOI: 10.3390/psychiatryint3020012
E. Makri, I. Michopoulos, F. Gonidakis
Loneliness and, to a lesser degree, social support are considered under-researched topics in the literature on eating disorders (ED). This study attempted to expand the relevant body of research by examining loneliness in combination with social support in ED patients and in healthy controls (HC). Binge-eating problems, emotional eating, resilience, anxiety, and depression symptoms were also assessed. Thirty-two patients with ED and twenty-nine HC completed the following measures: UCLA Loneliness Scale, Social Support Questionnaire—Short Form, Binge Eating Scale, Emotional Eating Scale, Connor–Davidson Resilience Scale, Hospital Anxiety and Depression Scale, and the Eating Disorder Examination Questionnaire. Eating-disorder patients showed higher levels of loneliness and lower levels of social support—both in terms of perceived availability and satisfaction—than HC. Anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) subgroups did not differ significantly on either of these variables. In ED patients, loneliness was only correlated with Social Support Satisfaction (negatively) and depressive symptomatology (positively). Patients with ED appear to be lonelier and less satisfied with their social support compared to HC. We found similar levels of loneliness and social support between AN, BN, and BED sufferers. Decreased social support satisfaction and elevated symptoms of depression could account for ED patients’ high levels of loneliness.
在饮食失调(ED)的文献中,孤独感和在较小程度上的社会支持被认为是研究不足的话题。这项研究试图通过检查ED患者和健康对照组(HC)的孤独感与社会支持的结合来扩大相关的研究范围。还评估了饮食问题、情绪性饮食、恢复力、焦虑和抑郁症状。32名ED患者和29名HC患者完成了以下测量:加州大学洛杉矶分校孤独感量表、社会支持问卷——简表、暴饮量表、情绪性饮食量表、Connor–Davidson韧性量表、医院焦虑和抑郁量表以及饮食障碍检查问卷。与HC相比,饮食障碍患者表现出更高的孤独感和更低的社会支持水平,无论是在感知可用性还是满意度方面。神经性厌食症(AN)、神经性贪食症(BN)和暴饮症(BED)亚组在这两个变量上都没有显著差异。在ED患者中,孤独感仅与社会支持满意度(负相关)和抑郁症状(正相关)相关。与HC相比,ED患者似乎更孤独,对自己的社会支持不太满意。我们发现AN、BN和BED患者的孤独感和社会支持水平相似。社会支持满意度下降和抑郁症状加重可能是ED患者高度孤独的原因。
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引用次数: 2
Cognitive Biases and Addictive Disorders: A Bibliometric Review 认知偏差与成瘾性障碍:文献计量学综述
Pub Date : 2022-04-08 DOI: 10.3390/psychiatryint3020011
M. Zhang
Introduction: Since the early 2000s, there have been extensive investigations into cognitive biases in addictive disorders. The advances in the field have led to the discovery that cognitive bias exists in substance disorders and could in turn be modified. To date, there have been primary studies and meta-analysis demonstrating the existence of these biases and the effectiveness of cognitive bias modification (i.e., whereby such biases are retrained). There remains a lack of understanding of how the field has progressed and the research gaps, in light of the evidences provided by these primary studies. Objectives: A bibliometric analysis of the publications to date was performed to provide a map of the work that has been done so far. This would help researchers to better understand the development of cognitive bias research, the direction of the research, and the recent trends. Methods: For the purposes of this bibliometric research, Web of Science (WOS) was used in the identification of relevant articles. To identify the relevant articles, the following search strategy was implemented, that of ((((((TS = (“cognitive bias”)) OR TS = (“attention bias”)) OR TS = (“approach bias”)) OR TS = (“avoidance bias)) OR TS = (“interpretative bias”))). Bibliometric data analysis was conducted based on the identified articles. Results: A total of 161 citations were eventually included. These citations were published between 1994 and 2022. The average number of citations per documents was 26.73. Of these 161 citations, 122 were articles, 2 were editorials, 3 were corrections to the original manuscript, 5 were reviews, and 29 were meeting abstracts. The analysis of the trend of topics has shown that researchers were focused on understanding and gaining insights into cognitive biases and potentially examining the association between cognitive biases and cravings and aggression in the early days. Over the years, there has been an evolution into examining specific unconscious biases, namely, that of attention and approach biases. In the most recent years, the investigations have been more focused on examining bias modification/retraining. Conclusions: From our knowledge, this is the first bibliometric analysis that has been undertaken to explore all the publications related to cognitive bias in the field of addiction. The insights gained from this article could inform future research.
引言:自21世纪初以来,人们对成瘾性疾病的认知偏见进行了广泛的调查。该领域的进展导致人们发现,认知偏见存在于物质障碍中,并可能反过来被改变。到目前为止,已有初步研究和荟萃分析证明了这些偏见的存在以及认知偏见修正的有效性(即,对这些偏见进行再培训)。根据这些初步研究提供的证据,仍然缺乏对该领域进展情况和研究差距的了解。目的:对迄今为止的出版物进行了文献计量学分析,以提供迄今为止所做工作的地图。这将有助于研究人员更好地了解认知偏见研究的发展、研究方向和最近的趋势。方法:为了进行文献计量学研究,使用科学网(WOS)对相关文章进行鉴定。为了识别相关文章,实施了以下搜索策略,即(TS=(“认知偏见”)OR TS=(”注意偏见“)OR TS=(”接近偏见“)或TS=((”回避偏见“)OR TS=(“解释偏见”))。文献计量学数据分析是根据已确定的文章进行的。结果:共有161篇引文最终被收录。这些引文发表于1994年至2022年间。每份文献的平均引用次数为26.73次。在这161篇引文中,122篇是文章,2篇是社论,3篇是对原稿的更正,5篇是评论,29篇是会议摘要。对主题趋势的分析表明,研究人员专注于理解和深入了解认知偏见,并可能在早期研究认知偏见与渴望和攻击之间的联系。多年来,研究特定的无意识偏见已经发生了演变,即注意力和方法偏见。在最近几年中,调查更多地集中在检查偏差修正/再培训上。结论:据我们所知,这是第一次对成瘾领域中与认知偏见相关的所有出版物进行文献计量分析。从这篇文章中获得的见解可以为未来的研究提供信息。
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引用次数: 0
Association between Mothers’ Attachment Styles and Parenting Stress among Japanese Mothers with Toddlers 日本幼童母亲依恋类型与养育压力的关系
Pub Date : 2022-03-28 DOI: 10.3390/psychiatryint3020010
A. Kit, K. Arima, Yasuyo Abe, S. Mizukami, Yoshihito Tomita, Maiko Hasegawa, Y. Sou, Takayuki Nishimura, M. Ohnishi, K. Aoyagi
Parenting stress is affected by various factors, including maternal attachment; however, the number of studies focusing on Japanese samples is limited. As such, we explored the association between mothers’ attachment styles and parenting stress among Japanese mothers with 18-month-old toddlers. This cross-sectional study was conducted in Sasebo City, Japan between 2018 and 2019. Anonymous self-reported questionnaires were distributed to 1399 mothers who attended an infant health check-up. We categorized maternal attachment style as secure, anxious/ambivalent, or avoidant, and conducted a multiple logistic regression analysis to evaluate the associations between each attachment style and parenting stress. Of the 1399 mothers, 529 responded to the survey (37.8%). About 40% reported experienced parenting stress. Further, approximately two-thirds showed a secure attachment style, 20% had an anxious/ambivalent style, and 15% had an avoidant style. In the multiple logistic regression analysis, the ambivalently attached mothers had a significantly higher level of parenting stress than those with secure attachment (odds ratio = 2.4, 95% confidence interval (1.5, 3.9)), but avoidantly attached mothers did not have a significantly higher level of parenting stress than those with secure attachment (odds ratio = 0.9, 95% confidence interval (0.5, 1.6)). The findings demonstrate that an anxious/ambivalent attachment style is associated with a higher level of parenting stress than a secure style. Thus, it is important for experts to understand the mother’s attachment style when offering childrearing support.
养育压力受多种因素影响,包括母亲依恋;然而,针对日本样本的研究数量有限。因此,我们在日本有18个月大幼儿的母亲中探讨了母亲依恋类型和养育压力之间的关系。这项横断面研究于2018年至2019年在日本佐世保市进行。向参加婴儿健康检查的1399名母亲分发了匿名自我报告的调查问卷。我们将母亲依恋类型分为安全型、焦虑型/矛盾型和回避型,并进行了多元逻辑回归分析,以评估每种依恋类型与养育压力之间的关系。在1399名母亲中,有529人回应了调查,占37.8%。约40%的人表示经历过养育压力。此外,大约三分之二的人表现为安全型依恋,20%的人表现为焦虑/矛盾型依恋,15%的人表现为逃避型依恋。多元logistic回归分析发现,矛盾依恋母亲的育儿压力水平显著高于安全型依恋母亲(优势比为2.4,95%可信区间为1.5,3.9),而回避依恋母亲的育儿压力水平不显著高于安全型依恋母亲(优势比为0.9,95%可信区间为0.5,1.6)。研究结果表明,焦虑型/矛盾型依恋类型比安全型依恋类型与更高水平的养育压力相关。因此,专家在提供育儿支持时,了解母亲的依恋类型是很重要的。
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Psychiatry international
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