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Effect of the COVID-19 Pandemic on Psychiatric Service Use Among Psychiatric Outpatients. COVID-19大流行对精神科门诊患者精神科服务使用的影响
Pub Date : 2025-01-13 DOI: 10.5080/u27455
Cengiz Kılıç, Özge Türkoğlu, Kezban Burcu Avanoğlu, Elif Anıl Yağcıoğlu, Berna Uluğ

Objective: Both general medical and mental health services were disrupted during the pandemic. It is unclear how these disruptions played out for people with various mental health diagnoses. We compared change in mental health status and use of mental health services between four psychiatric groups: schizophrenia spectrum disorders, bipolar disorder, unipolar depression, and anxiety/obsessive-compulsive disorder (OCD).

Method: Using a semi-structured interview, 492 outpatients with psychiatric disorders who had used psychiatric services at a university hospital before the pandemic were assessed on the phone during the pandemic.

Results: About half of the sample reported a need for contact with mental health services during the pandemic, half of whom actually used services. Need for contact was much lower in the schizophrenia group than other diagnostic groups, whereas actual use of services was lower in the unipolar depression and anxiety/OCD groups.

Conclusions: Patients with severe mental disorders, such as schizophrenia or bipolar disorders, may not be in a more disadvantageous position in terms of psychiatric service use during the pandemic. The pandemic response structure of mental health services should be modified to fit the needs of anxiety/depression spectrum patients.

目的:在大流行期间,一般医疗和精神卫生服务都中断了。目前尚不清楚这些干扰对患有各种心理健康诊断的人有何影响。我们比较了精神分裂症谱系障碍、双相情感障碍、单相抑郁症和焦虑/强迫症(OCD)四个精神病学组的心理健康状况变化和心理健康服务的使用情况。方法:采用半结构化访谈法,在流感大流行期间通过电话对492名在流感大流行前曾在某大学医院接受过精神科服务的精神障碍门诊患者进行评估。结果:大约一半的样本报告说,在大流行期间需要接触精神卫生服务,其中一半实际上使用了服务。与其他诊断组相比,精神分裂症组对接触的需求要低得多,而单极抑郁症和焦虑/强迫症组对服务的实际使用要低得多。结论:在大流行期间,严重精神障碍患者,如精神分裂症或双相情感障碍患者在使用精神科服务方面可能不会处于更不利的地位。应修改精神卫生服务的大流行应对结构,以适应焦虑/抑郁谱系患者的需要。
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引用次数: 0
The Changes in ICD-11 Related to Sexual Health and Dysfunction and Their Implication for Clinical Practice. ICD-11 中与性健康和性功能障碍相关的变化及其对临床实践的影响。
Pub Date : 2025-01-13 DOI: 10.5080/u27559
Koray Başar

The classification of sexual health-related conditions was reformulated in 11th revision of International Classification of Diseases (ICD-11) following current evidence, best practice, and taking human rights into consideration, which is expected to reflect and provide guidance for more integrative clinical approaches. Overcoming the artificial, yet historical, distinction between "organic" and "non-organic" conditions, sexual dysfunctions classified in the "Mental and Behavioral Disorders" and "Disorders of Genitourinary System" in ICD-10 were listed in a new chapter called "Conditions Related to Sexual Health." In practice, this approach has been consistently recommended. However, diagnostical clasification was not congruent with the recommendation. Dysfunctions, defined with a non-normative but individual-based threshold, are categorized according to different stages of the sexual response cycle, similar to ICD-10 and Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5). However, similarities and distinctions in the clinical presentation of the dysfunction in men and women were also considered, resulting in differences from the DSM-5 approach. Gender Incongruence is classified in this newly formed "Conditions Related to Sexual Health" chapter, not with mental disorders as in the earlier version, reflecting the current non-pathologizing understanding of gender diversity. Furthermore, the criteria for these conditions were revised to embrace the variability in the experience of gender identity. In addition, the residuals of sexual orientation-related diagnostic categories were removed. Paraphilic disorders categories replaced "Disorders of sexual preference" in ICD-10, with significant modifications in conceptualization and classification.

在《国际疾病分类》(ICD-11)第11版中,根据目前的证据、最佳做法并考虑到人权,重新制定了与性健康有关的疾病分类,预计这将反映出更为综合的临床方法并为其提供指导。克服了“器质性”和“非器质性”疾病之间的人为而又历史的区别,在ICD-10中被分类为“精神和行为障碍”和“泌尿生殖系统障碍”的性功能障碍被列入了一个名为“与性健康有关的疾病”的新章节。在实践中,这种方法一直被推荐。然而,诊断分类与建议不一致。功能障碍的定义具有非规范性但基于个体的阈值,根据性反应周期的不同阶段进行分类,类似于ICD-10和精神障碍诊断与统计手册第5版(DSM-5)。然而,在男性和女性的功能障碍的临床表现的异同也被考虑,导致与DSM-5方法的差异。性别不一致被分类在这个新形成的“与性健康有关的条件”章节中,而不是像以前的版本那样与精神障碍一起分类,反映了当前对性别多样性的非病理理解。此外,对这些条件的标准进行了修订,以包括性别认同经验的可变性。此外,去除与性取向相关的诊断类别的残差。在ICD-10中,性倾向障碍类别取代了“性偏好障碍”,在概念和分类上有了重大的修改。
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引用次数: 0
The Mediating Role of Social Comparison Between Parental Self- Efficacy and Sharenting. 社会比较在父母自我效能感与养育子女之间的中介作用。
Pub Date : 2025-01-13 DOI: 10.5080/u27387
Fatih Bayraktar, Dilek Çelik

Objective: The aim of this study was to examine the relationship of sharenting with variables that are theoretically related with the concept. Sharenting includes the basic motivation to share parental practices with others and can be associated with social comparison and parental selfefficacy. In this context, we hypothesized that the social comparison could be a mediating variable between parental self-efficacy and sharing.

Method: The participants were 558 parents (456 mothers 81.7% and 102 fathers 18.3%) from Türkiye and Northern Cyprus. The age range was 19 to 53 (M=33.59, SD=5.98). Sharenting Questionnaire, Parental Social Comparison Orientation Measure and The Self-Efficacy for Parenting Tasks Index were used as measurement tools. The data was collected online by using convenience sampling method.

Results: In two separate Hierarchical Regression Analyses (HRA) parental social comparison predicted sharenting and perceived parental emotional availability predicted parental social comparison significantly. Mediation analysis indicated that parental social comparison mediated between parental emotional availability and sharenting.

Conclusion: Sharenting can be used to strengthen the parent-child relationship. Our research indicated that the parents who compare themselves with other parents were less available emotionally in their relationship with their children.

目的:本研究的目的是检验与理论上相关的概念变量的关系。分享包括与他人分享父母行为的基本动机,并可能与社会比较和父母自我效能有关。在此背景下,我们假设社会比较可能是父母自我效能感与分享之间的中介变量。方法:研究对象为来自塞浦路斯基耶岛和北塞浦路斯的558对父母,其中母亲456对(81.7%),父亲102对(18.3%)。年龄19 ~ 53岁(M=33.59, SD=5.98)。以育儿问卷、父母社会比较取向量表和育儿任务自我效能指数为测量工具。数据采用方便抽样法在线采集。结果:在两个独立的层次回归分析(HRA)中,父母社会比较显著地预测了育儿行为,父母情感可得性感知显著地预测了父母社会比较。中介分析表明,父母社会比较在父母情感可得性与分担行为之间起中介作用。结论:亲子关系的亲子关系可以通过分享来加强。我们的研究表明,那些把自己和其他父母比较的父母,在与孩子的关系中,情感上的可用性更低。
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引用次数: 0
Is Artificial Intelligence hallucinating? 人工智能出现幻觉了吗?
Pub Date : 2024-10-14 DOI: 10.5080/u27587
Mahmut Özer
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引用次数: 0
Is Artificial Intelligence hallucinating? 人工智能出现幻觉了吗?
Pub Date : 2024-10-14 DOI: 10.5080/u27587
Mahmut Özer
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引用次数: 0
The use of Artificial Intelligence in Psychotherapy: Practical and Ethical Aspects. 人工智能在心理治疗中的应用:实践与伦理方面。
Pub Date : 2024-10-14 DOI: 10.5080/u27603
Hayri Can Özden
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引用次数: 0
Ukraine, Crisis and Mental Health Resources. 乌克兰、危机和心理健康资源。
Pub Date : 2024-10-01 DOI: 10.5080/u27153
Amnuay Keebayon, Pathum Sookaromdee, Viroj Wiwanitkit
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引用次数: 0
And What About Secondary Catatonia? 继发性紧张症又是怎么回事?
Pub Date : 2024-10-01 DOI: 10.5080/u27453
João Gama Marques
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引用次数: 0
Neuroleptic Malignant Syndrome with Low-dose Quetiapine After Venlafaxine Withdrawal: A Case Report. 文拉法辛停药后使用小剂量喹硫平引发的神经性恶性综合征:病例报告。
Pub Date : 2024-09-19 DOI: 10.5080/u27497
Hayri Can Özden, Şeref Can Gürel

Neuroleptic Malignant Syndrome (NMS) is an idiosyncratic and potentially life-threatening drug reaction. Although uncommon, NMS cases induced by oral quetiapine have been reported. Most reports have predisposing risk factors such as an organic brain disorder, concomitant use of other antipsychotics or lithium, overdose or rapid titration. NMS with low doses of quetiapine is a much rarer clinical picture. Venlafaxine is commonly associated with withdrawal upon discontinuation sometimes as soon as the next day. In this case report, a 40-year-old man treated with venlafaxine for generalized anxiety disorder with symptoms of full-blown NMS after venlafaxine withdrawal, induced by low-dose quetiapine (50 mg), is presented. In accordance with the previous reports, we speculate that venlafaxine withdrawal was a predisposing factor in our case however we also discussed other possible explanations for NMS. Acknowledging the risk of NMS, even with low doses of quetiapine in patients devoid of known risk factors, is of paramount importance for prompt diagnosis and mitigating morbidity and mortality. To our knowledge, this is the first case of NMS with such a low dose of quetiapine without any other known risk factors or substances. Keywords: Antipsychotics, NMS, Quetiapine, Venlafaxine, Consultation Liaison Psychiatry.

神经性恶性综合征(NMS)是一种特异性的、可能危及生命的药物反应。口服喹硫平诱发 NMS 的病例虽不常见,但也有报道。大多数报告都有诱发风险因素,如器质性脑部疾病、同时使用其他抗精神病药物或锂、用药过量或滴定过快。使用低剂量喹硫平出现 NMS 的临床表现更为罕见。文拉法辛在停药后通常会出现戒断症状,有时第二天就会出现。在本病例报告中,一名接受文拉法辛治疗广泛性焦虑症的 40 岁男性在低剂量喹硫平(50 毫克)诱导下停用文拉法辛后出现了全面的 NMS 症状。根据以往的报告,我们推测文拉法辛的停药是我们病例的诱发因素,但我们也讨论了 NMS 的其他可能解释。即使在没有已知风险因素的患者中使用小剂量喹硫平,认识到 NMS 的风险对于及时诊断、降低发病率和死亡率也是至关重要的。据我们所知,这是第一例使用如此低剂量的喹硫平而没有任何其他已知危险因素或物质的 NMS 患者。关键词抗精神病药物 NMS 喹硫平 文拉法辛 咨询联络精神病学
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引用次数: 0
Remission and follow-up of a bipolar depression patient treated with Accelerated Intermittent Theta Burst Stimulation protocol. 采用加速间歇θ脉冲刺激方案治疗双相抑郁症患者的缓解和随访情况。
Pub Date : 2024-09-19 DOI: 10.5080/u27553
Sercan Sivlim, Hayri Can Özden, A Elif Anıl Yağcıoğlu, Ş Can Gürel

No abstract available.

无摘要。
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引用次数: 0
期刊
Turk psikiyatri dergisi = Turkish journal of psychiatry
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