双相情感障碍非自杀性自伤行为流行前后的比较

IF 1.6 4区 医学 Q3 CLINICAL NEUROLOGY Journal of Nervous and Mental Disease Pub Date : 2023-12-01 Epub Date: 2023-08-24 DOI:10.1097/NMD.0000000000001572
Yanfang Deng, Jinai He
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引用次数: 0

摘要

摘要:本研究旨在探讨大流行前后双相情感障碍患者非自杀自伤行为的特征变化。采用韦氏儿童智力量表(第四版)、《学龄期儿童情感障碍和精神分裂症量表》(现在版和终生版)及相关量表对115例自伤青少年进行评估。与2017年组相比,女性性别、边缘型人格障碍、自我报告的内化障碍、焦虑/抑郁和思维障碍都与2021年和2019年组有关。2019年的群体与各种身体问题有关。消极的生活经历、欺凌、饮食失调、社会问题、抑郁情绪、表现和社交焦虑以及拒绝情绪都与自伤有关。大流行之前和期间的共同和不同特征可能代表双相情感障碍患者自伤诊断和预防性干预措施的可能变化。因此,医生应根据大流行之前和期间的特征变化来调整治疗策略。
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A Comparison Between Before and During the Pandemic in Nonsuicidal Self-Injury Behaviors of Bipolar Disorder.

Abstract: The aim of this study was to assess the feature change of nonsuicidal self-injury (NSSI) behaviors in bipolar disorder before and during the pandemic. A total of 115 adolescents with NSSI were evaluated using a Wechsler Intelligence Scale for Children-Fourth Edition, Kiddie Schedule for Affective Disorders and Schizophrenia for School-Aged Children-Present and Lifetime Version, and some related scales. In comparison with the 2017 group, female sex, borderline personality disorder, self-reported internalizing disorders, anxiety/depression, and thinking disorders were all related with the 2021 and 2019 groups. The 2019 group was linked to a variety of somatic issues. Negative life experiences, bullying, eating disorders, social issues, depressed feelings, performance and social anxiety, and rejection sentiments were all linked to NSSI. Both shared and differential features between before and during the pandemic may represent possible change for diagnostic and preventative interventions of NSSI in patients with bipolar disorder. Therefore, the doctor should adjust the treatment strategy based on changing of features between before and during the pandemic.

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来源期刊
CiteScore
2.90
自引率
5.30%
发文量
233
审稿时长
3-8 weeks
期刊介绍: The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.
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