Psychological wellbeing

心理健康
  • 文章类型: Journal Article
    以聚焦为导向的心理治疗在心理治疗领域有着悠久的历史和影响。通过“清除空间”和“聚焦”,“个人可以增强他们的情绪意识,提高他们的自我调节能力。这些任务在心理肿瘤学的背景下特别相关,尽管关于它们对癌症患者的潜在益处的研究是有限的。此外,这些任务在小组或在线环境中的应用尚未得到彻底探索。
    这项研究旨在检查基于关注癌症诊断参与者的两次在线干预的有效性及其对他们的心理健康和福祉的影响。该研究涉及三名诊断为结直肠癌的参与者,他们正在接受姑息治疗。我们采用了定性和定量两种方法。PFC-2用于评估参与者的任务完成情况;FMS用于评估聚焦态度的变化,而CORE-OM,和PWBS-RV被用作心理健康困扰和心理健康指标;参与者反馈通过问卷和半结构化访谈收集。
    结果表明,这些任务导致了更大的自我意识,加强自我反省,和参与者的解脱感。
    这些发现表明,基于在线聚焦会话的团体干预方案可能对更广泛的应用有用。
    UNASSIGNED: Focusing-Oriented Psychotherapy has had a long history and influence on the field of psychotherapy. By \"clearing a space\" and \"focusing,\" individuals can enhance their emotional awareness and improve their ability to self-regulate. These tasks are particularly relevant in the context of Psycho-Oncology, although the research on their potential benefits for cancer patients is limited. Furthermore, the application of these tasks in a group or online setting has not been thoroughly explored.
    UNASSIGNED: This study aimed to examine the effectiveness of a two-session online intervention based on Focusing for cancer-diagnosed participants and its impact on their mental health and wellbeing. The study involved three participants with a diagnosis of colorectal cancer who were undergoing palliative treatment. We used both qualitative and quantitative methods. PFC-2 was used to assess participants\' accomplishment of the task; FMS was used to assess the change in the focusing attitude, while CORE-OM, and PWBS-RV were used as mental health distress and psychological wellbeing measures; participant feedback was collected through questionnaires and a semi-structured interview.
    UNASSIGNED: The results suggest that the tasks led to greater self-awareness, heightened self-reflection, and a sense of relief for the participants.
    UNASSIGNED: These findings suggest that the group intervention protocol based on online Focusing sessions is potentially useful for broader applications.
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  • 文章类型: Journal Article
    老年人会经历健康和社会挑战,例如孤独,抑郁症,缺乏社会联系。有必要制定计划和方法来解决老年人社会孤立和孤独感日益增加的问题。旨在应对这些挑战的一项举措是“体育记忆”计划。该计划是在英国开发的,并于2019年获得南澳大利亚的许可。该计划目前在六个社区地点交付。
    这项研究的目的是探索参与者对南澳大利亚体育记忆计划的看法。在定性研究的基础上,进行了三个焦点小组,由一位经验丰富的面试官领导。焦点小组发生在六个地点中的三个,包括一个日间休息中心,辅助生活中心和政府社区中心。研究小组对数据进行了主题分析。
    有16名65岁以上的参与者,包括4名女性和12名男性。开发了三个关键主题:“可以自由谈论任何事情,\"\"感觉不被忽略\"和\"一个分享和学习的机会。“集体,参与者反思了他们是如何建立社会关系的,感到安全和包容,并更多地了解彼此。
    体育记忆计划为老年人提供了一个团体计划,让他们聚在一起,发展新的友谊。对于报告社会福利和计划继续参加的参与者来说,将运动作为一种回忆的手段被认为是相关的。他们重视通过该计划进行的学习,该计划通过拥有一位对运动知识渊博的推动者而得到了增强。
    UNASSIGNED: Older people can experience health and social challenges such as loneliness, depression, and lack of social connectedness. There is need for programs and approaches that address the growing incidence of social isolation and loneliness for older people. One initiative that aims to address these challenges is the Sporting Memories program. This program was developed in the United Kingdom and licensed to South Australia in 2019. The program is currently delivered across six community locations.
    UNASSIGNED: The aim of this study was to explore participants perspectives of the Sporting Memories program in South Australia. Underpinned by qualitative research, three focus groups were conducted, led by an experienced interviewer. Focus groups occurred at three of the six locations, including a day respite center, assisted living center and a government community center. The data were analyzed thematically by the research team.
    UNASSIGNED: There were 16 participants over 65 years old, including four women and 12 men. Three key themes were developed: \"free to talk about anything,\" \"not feeling left out\" and \"a chance to share and learn.\" Collectively, participants reflected on how they built social connections, felt safe and included and learnt more about each other.
    UNASSIGNED: The Sporting Memories program provides a group program for older people to come together and develop new friendships. The use of sports as a means of reminiscence was considered relatable for the participants who reported social benefits and plans to keep attending. They valued learning through the program which was enhanced by having a facilitator who was knowledgeable about sport.
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  • 文章类型: Journal Article
    目的:自闭症患者自杀死亡风险显著高于一般人群。在非自闭症样本中,心理健康已被证明可以缓解抑郁症与自杀念头和行为之间的关系。自我伤害的想法可能为自杀风险提供有用的指标。在这项纵向研究中,我们研究了(a)心理健康在缓解抑郁症状与自我伤害思想之间关系方面的潜在作用,以及(b)自闭症特征对自我伤害思想的贡献。
    方法:参与者是209名自闭症青少年和15至80岁的成年人(Mage=34.20,SD=15.38岁)。
    结果:在基线和2年随访时,35%的参与者报告了最近的自我伤害想法。健康与自闭症特征(r=-.350至-0.404)和抑郁(r=-.480至-0.759)相关。自我伤害的想法与自闭症特征和抑郁症呈正相关(r=0.242至0.659),与幸福感呈负相关(r=-.287至-0.609)。控制自我伤害的基线思维,抑郁症(β=0.254,p=.001)和自闭症特征(β=0.162,p=.007)显着预测了2年随访时的自我伤害想法。
    结论:尽管缺乏对健康会缓和抑郁与自残思想之间关系的假说的支持,相关数据表明,健康与抑郁和自我伤害的想法之间存在显着关联。未来的研究认为心理健康是自闭症患者自我伤害的潜在保护因素。
    OBJECTIVE: Autistic people have a significantly increased risk of death by suicide relative to the general population. In non-autistic samples, psychological wellbeing has been shown to moderate the relationship between depression and suicidal thoughts and behavior. Thoughts of self-harm may provide a useful indicator of suicidal risk. In this longitudinal study we examined (a) the potential role for psychological wellbeing to moderate the relationship between depressive symptoms and thoughts of self-harm and (b) the contribution of autistic traits to thoughts of self-harm.
    METHODS: Participants were 209 autistic adolescents and adults aged 15 to 80 years (Mage = 34.20, SD = 15.38 years).
    RESULTS: At both baseline and 2-year follow-up, 35% of participants reported recent thoughts of self-harm. Wellbeing was associated with autistic traits (r = - .350 to - 0.404) and depression (r = - .480 to - 0.759). Thoughts of self-harm were positively associated with autistic traits and depression (r = .242 to 0.659), and negatively associated with wellbeing (r = - .287 to - 0.609). Controlling for baseline thoughts of self-harm, depression (β = 0.254, p = .001) and autistic traits (β = 0.162, p = .007) significantly predicted thoughts of self-harm at 2-year follow-up.
    CONCLUSIONS: Despite a lack of support for the hypothesis that wellbeing would moderate the relationship between depression and thoughts of self-harm, correlational data demonstrated significant associations between wellbeing and both depression and thoughts of self-harm. Future research considering psychological wellbeing as a potential protective factor for self-harm in autistic people is warranted.
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  • 文章类型: Journal Article
    背景:由于临床实习的复杂性和期望的增加,最后一年的护理专业学生可能会经历更高水平的压力。增强心理准备可能是增强护生向临床领域过渡的潜在策略。
    目的:评估向专业实践课程过渡的心理准备增强和为期10周的临床实习对学生心理健康的影响,弹性,练习准备和信心。
    方法:一种顺序混合方法方法,包括单组评估和描述性定性研究。
    方法:从新加坡一所自治大学招收本科护理专业的最后一年护理专业学生。
    方法:148名最后一年的护理学生参加了单组评估研究。在定性研究中招募了总共24名完成心理准备计划的参与者。
    方法:本研究包括两个阶段。第一阶段包括对混合心理准备计划和临床实习的评估。收集了三波数据,以评估护生的心理健康,弹性,练习准备和信心。在第二阶段,采用个人半结构化在线访谈进行了一项定性研究,以检查学生的心理准备计划和临床实习的经验。
    结果:心理准备计划导致学生焦虑和患者中心评分发生显著变化。心理准备和临床实习的累积效果表明,学生的实践准备和信心得到了显着改善。虽然抑郁症没有显著改善,压力和弹性分数,三波趋势有所改善。学生将这些改进归因于校友的心理准备计划和分享。
    结论:这项研究的发现为心理准备计划的制定奠定了基础。然而,应使用随机对照试验设计的大规模研究来确认这些干预措施的效果.
    BACKGROUND: Final year nursing students may experience higher levels of stress owing to the increasing complexity and expectations from their clinical practicums. Enhancing psychological readiness may be a potential strategy to enhance nursing students\' transition to the clinical area.
    OBJECTIVE: To evaluate the effects of a psychological readiness enhancement for transition to professional practice program and a 10-week clinical practicum on students\' psychological wellbeing, resilience, practice readiness and confidence.
    METHODS: A sequential mixed-methods approach comprising of a single-group evaluation and descriptive qualitative study.
    METHODS: Final year nursing students enrolled in an undergraduate nursing program from one autonomous university in Singapore was recruited.
    METHODS: 148 final year nursing students participated in the single-group evaluation study. A total of 24 participants who completed the psychological readiness program were recruited in the qualitative study.
    METHODS: This study included two phases. Phase I comprised of an evaluation of a blended psychological readiness program and clinical practicum. Data was collected across three waves to assess nursing students\' psychological wellbeing, resilience, practice readiness and confidence. In Phase II, a qualitative study using individual semi-structured online interviews was conducted to examine students\' experiences of the psychological readiness program and clinical practicum.
    RESULTS: The psychological readiness program led to significant changes in students\' anxiety and patient centeredness scores. The accumulated effects of the psychological readiness and clinical practicum showed significant improvements in students\' practice readiness and confidence. Although there were no significant improvements in depression, stress and resilience scores, there were improvements in the trend across three waves. Students attributed these improvements to the psychological readiness program and sharing by the alumni.
    CONCLUSIONS: The findings of this study laid the foundation for the development of psychological readiness programs. However, larger scale studies using randomized controlled trial designs should be used to confirm the effects of these interventions.
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  • 文章类型: Journal Article
    与COVID-19相关的健康危机导致对医疗保健中心的运营和社会组织的需求增加,这往往对医护人员的心理和社会福祉产生负面影响。为了解决这个问题,旨在通过各种参与性战略发展集体能力的干预计划。这项研究试图确定这种干预对变量集体功效的影响,心理健康,通过与对照组进行前测和后测比较,以及医护人员的社会福祉。
    使用非概率评估变量,来自科金博地区三个家庭医疗保健中心(CESFAM)的80名医护人员的目的样本,智利,在健康危机的背景下。干预组由自愿参与者组成,而对照组只完成评价。干预包括6个培训讲习班,重点是改善集体管理,群体协同作用,协作解决问题,交际策略,和整体团队护理。
    分析表明,集体能力干预对集体效能具有积极作用,心理健康,在COVID-19危机期间,参与的医护人员的社会福祉。只有这些变量的特定因素没有受到显著影响。
    这项研究的结果表明,旨在提高集体组织能力的干预措施,除了增加集体功效,在职业逆境的背景下,可以对医护人员的心理和社会福祉产生积极影响。
    UNASSIGNED: The health crisis associated with COVID-19 led to a period of increased demand on the operational and social organization of healthcare centers, which often had a negative impact on the psychological and social wellbeing of healthcare workers. In order to tackle this issue, an intervention plan was designed to develop collective competences through various participatory strategies. This study sought to determine the effect of this intervention on the variables collective efficacy, psychological wellbeing, and social wellbeing in healthcare workers by performing a pretest and posttest comparison with a control group.
    UNASSIGNED: The variables were evaluated using a non-probability, purposive sample of 80 healthcare workers from three Family Healthcare Centers (CESFAM) located in the Coquimbo Region, Chile, within health crisis context. The intervention group was composed of voluntary participants, while the control group only completed the evaluations. The intervention consisted in 6 training workshops focused on improving collective management, group synergy, collaborative problem-solving, communicative strategies, and overall team care.
    UNASSIGNED: The analysis shows that the collective competence intervention had a positive effect on the collective efficacy, psychological wellbeing, and social wellbeing of the participating healthcare workers during the COVID-19 crisis. Only specific factors of these variables did not undergo a significant impact.
    UNASSIGNED: The results of this study suggest that interventions aimed at improving collective organizational competences, apart from increasing collective efficacy, can have a positive impact on healthcare workers\' psychological and social wellbeing in a context of occupational adversity.
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  • 文章类型: Journal Article
    背景:由于医护人员在COVID-19大流行期间的作用,他们是心理健康困难的高危人群。已经实施了一些福利倡议来支持这一人口,但在它们对支持的接受者和提供者的影响方面,它们在很大程度上还没有经过测试。目标:研究工作人员支持提供者在向医护人员提供心理倡议方面的经验,以及获得他们对不同形式支持有效性的看法的反馈。方法:采用定量调查和定性焦点小组方法的混合方法设计。为北爱尔兰医护人员提供心理支持的84名心理治疗师的机会样本参加了一项在线调查。14家供应商参加了两个焦点小组。结果:大多数提供者认为一些支持是有用的(例如员工福利求助热线,医院触及),并找到了激励和令人满意的角色。主题分析产生了与提供支持有关的五个主题:(1)学习,应用和更改响应;(2)“召唤武器”,集体反应中的身份和创伤;(3)寻找价值;(4)新角色的经验;(5)前进。结论:虽然提供支持对提供者来说通常是一种积极的体验,对这一角色需求的适应取决于规划阶段需要考虑的重要因素(如临床经验).应制定强有力的指南,纳入这些发现,以确保在大流行期间和之后为医护人员提供有效的循证心理支持。
    在COVID-19期间,向医护人员提供福利支持的提供者认为它们是有用的,作用令人满意。应考虑关键因素(例如临床经验),以使角色易于管理。应制定指南,以确保提供适当的支持。
    Background: Healthcare staff represent a high-risk group for mental health difficulties as a result of their role during the COVID-19 pandemic. A number of wellbeing initiatives have been implemented to support this population, but remain largely untested in terms of their impact on both the recipients and providers of supports.Objective: To examine the experience of staff support providers in delivering psychological initiatives to healthcare staff, as well as obtain feedback on their perceptions of the effectiveness of different forms of support.Method: A mixed methods design employing a quantitative survey and qualitative focus group methodologies. An opportunity sample of 84 psychological therapists providing psychological supports to Northern Ireland healthcare staff participated in an online survey. Fourteen providers took part in two focus groups.Results: The majority of providers rated a number of supports as useful (e.g. staff wellbeing helplines, Hospital In-reach) and found the role motivating and satisfying. Thematic analysis yielded five themes related to provision of support: (1) Learning as we go, applying and altering the response; (2) The \'call to arms\', identity and trauma in the collective response; (3) Finding the value; (4) The experience of the new role; and (5) Moving forward.Conclusions: While delivering supports was generally a positive experience for providers, adaptation to the demands of this role was dependent upon important factors (e.g. clinical experience) that need to be considered in the planning phase. Robust guidance should be developed that incorporates such findings to ensure effective evidence-based psychological supports are available for healthcare staff during and after the pandemic.
    Providers of wellbeing supports to healthcare staff during COVID-19 viewed them as useful and the role satisfying.Key factors (e.g. clinical experience) should be considered to make the role manageable.Guidance should be developed to ensure appropriate supports are delivered.
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  • 文章类型: Journal Article
    目的:本报告探讨了临床前医学生为学生经营的LGBTQ精神卫生诊所领导团体辩证行为疗法(DBT)的经验。
    方法:在诊所,经验丰富的临床医生对临床前医学生进行培训和监督,以促进DBT小组。作者进行了一项定性研究,以通过半结构化访谈了解DBT小组对学生主持人的影响,使用专题分析进行了评估。
    结果:该诊所在临床前医学生的协助下举办了9次DBT组迭代,涉及18名学生领袖和30名患者。采访了12名学生主持人。参与者有各种各样的专业兴趣,主要是受到早期临床经验的机会的激励。他们报告说临床技能有所改善,增加了对心理治疗作为一种治疗方式的认识,并增加了将心理治疗纳入未来实践的兴趣。此外,参与者报告使用DBT技能在职员年和个人生活中培养幸福感。
    结论:为临床前医学生提供领导团体DBT治疗的机会是一种新颖的教育模式,提供心理治疗技术的早期培训。在受监督的小组环境中进行早期直接患者体验的机会吸引了具有多种专业兴趣的医学生。该模型为医学生提供了特定的DBT技能,以在未来的患者护理互动中实施,并在整个医学培训中保持其个人健康。该计划的广泛吸引力和持久效果可能证明对其他机构有益。
    OBJECTIVE: This report explores the experiences of preclinical medical students who led group dialectical behavior therapy (DBT) for a student-run LGBTQ + mental health clinic.
    METHODS: In the clinic, experienced clinicians trained and supervised preclinical medical students to facilitate DBT groups. The authors conducted a qualitative study to understand the impact of the DBT groups on the student facilitators via semi-structured interviews, which were evaluated using thematic analysis.
    RESULTS: The clinic hosted nine iterations of group DBT facilitated by preclinical medical students, involving 18 student leaders and 30 patients. Twelve student facilitators were interviewed. Participants had a diverse array of specialty interests and were primarily motivated by the opportunity for early clinical experience. They reported improved clinical skills, increased appreciation of psychotherapy as a treatment modality, and increased interest in incorporating psychotherapy in their future practice. Furthermore, participants reported using DBT skills to cultivate wellbeing during clerkship year and in their personal lives.
    CONCLUSIONS: Offering preclinical medical students the opportunity to lead group DBT therapy is a novel educational model providing early training in psychotherapy techniques. This opportunity for early direct patient experience in a supervised group setting attracted medical students with a diverse range of specialty interests. This model provided medical students specific DBT skills to implement in future patient care interactions and to maintain their personal wellbeing throughout medical training. The broad appeal and lasting effects of this program may prove beneficial at other institutions.
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  • 文章类型: Journal Article
    自古以来,人们就认识到控制呼吸对认知和情感加工的影响,产生了多种旨在实现不同心理物理状态的实践,主要与精神清晰和专注有关,应力降低,和放松。先前的科学研究探索了强迫单侧鼻孔呼吸(UNB)对大脑活动以及情绪和认知功能的影响。一些证据得出结论,它有对侧作用,虽然其他研究提出了有争议的结果,很难做出明确的解释。此外,一些研究专门针对福祉。在本研究中,我们邀请了20名参与者的试点样本参加为期8天的呼吸训练计划,每个人被分配到单侧右鼻孔(URNB)或左鼻孔呼吸状况(ULNB).然后,每一天,我们使用他们的情绪和走神量表评估了参与者的幸福指数。结果显示,经过每天的练习,两组均报告了改善的健康感知。然而,该效应与所涉及的鼻孔有关。URNB在减轻压力和放松方面产生了更多的好处,而ULNB随着时间的推移显着并且越来越多地减少了思维游荡的发生。我们的结果表明,UNB可以有效地用于增加普通人群的福祉。此外,他们支持理解单侧呼吸对健康和认知的影响需要一个具有多个大脑网络的复杂解释模型来解决自下而上和自上而下的过程的观点.
    The impact of controlled breathing on cognitive and affective processing has been recognized since ancient times, giving rise to multiple practices aimed at achieving different psychophysical states, mostly related to mental clarity and focus, stress reduction, and relaxation. Previous scientific research explored the effects of forced unilateral nostril breathing (UNB) on brain activity and emotional and cognitive functions. Some evidence concluded that it had a contralateral effect, while other studies presented controversial results, making it difficult to come to an unambiguous interpretation. Also, a few studies specifically addressed wellbeing. In the present study, we invited a pilot sample of 20 participants to take part in an 8-day training program for breathing, and each person was assigned to either a unilateral right nostril (URNB) or left nostril breathing condition (ULNB). Then, each day, we assessed the participants\' wellbeing indices using their moods and mind wandering scales. The results revealed that, after the daily practice, both groups reported improved wellbeing perception. However, the effect was specifically related to the nostril involved. URNB produced more benefits in terms of stress reduction and relaxation, while ULNB significantly and increasingly reduced mind-wandering occurrences over time. Our results suggest that UNB can be effectively used to increase wellbeing in the general population. Additionally, they support the idea that understanding the effects of unilateral breathing on wellbeing and cognition requires a complex interpretive model with multiple brain networks to address bottom-up and top-down processes.
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  • 文章类型: Journal Article
    最近,人们对情绪健康越来越感兴趣,甚至从教育的早期阶段开始。为了在学生中工作,必须分析正在教学和与孩子一起工作的教师的福祉。这项研究调查了幼儿(0-6岁)和小学教师(6-12岁)的心理健康。该研究包括236名幼儿和小学教师-76名男性(32.2%)和160名女性(67.8%)-年龄在25至61岁之间(平均37.69岁-s.d.=2.47)。这项研究调查了心理健康(幸福,Eudemonic福祉,自尊,和生活满意度)和几个社会人口统计学变量(性别,年龄,多年的工作,合同类型,和教育阶段)。参与者回答了临时的社会人口统计学问卷和主观幸福感,Eudemonic福祉,自尊,和生活满意度标准问卷。幼儿教师的幸福感相关得分更高。所有与福祉相关的变量都被发现彼此相关,除了幸福和自尊.发现在不同教育阶段工作的教师的幸福感相关分数显着不同。第一次,网络分析显示,幼儿教育和初等教育教师之间所研究变量的关联存在差异。因此,虽然幸福感和生活满意度在两组中都是相关的,在幼儿教育教师中发现了自尊和幸福之间更强的相关性,而在小学教师中,与生活满意度相关,这表明幼儿教师提出了更大的精神和存在的理解,导致eudaimonic的福祉。教育阶段之间的这些差异被认为是非常重要的。结论是需要更多的研究,理想情况下,通过更广泛和纵向的研究,理解和描述个人甚至结构变量与幸福之间的关系。
    Recently, there has been a growing interest in emotional wellbeing, even from the early stages of education. In order to work wellbeing among the students it is essential to analyze the wellbeing of the teachers who are teaching and working with the children. This study examines psychological wellbeing in early childhood (0-6 years) and primary school teachers (6-12 years). The study comprised 236 early childhood and primary school teachers - 76 men (32.2%) and 160 women (67.8%) - with ages ranging from 25 to 61 years (average 37.69 years - s.d.=2.47). The study examined psychological wellbeing (happiness, eudemonic wellbeing, self-esteem, and life satisfaction) and several sociodemographic variables (gender, age, years in the job, type of contract, and educational stage). Participants answered an ad-hoc sociodemographic questionnaire and subjective happiness, eudemonic wellbeing, self-esteem, and life satisfaction standard questionnaires. Early childhood schoolteachers yielded higher wellbeing-related scores. All the wellbeing-related variables were found to be correlated with one another, except for happiness and self-esteem. Teachers working in different educational stages were found to yield significantly different wellbeing-related scores. For the first time, network analysis revealed differences in the associations of the variables under study among Early Childhood Education and Primary Education teachers. Thus, while happiness and satisfaction with life were found to be correlated in both groups, stronger correlations between self-esteem and eudaimonic wellbeing were found in early childhood education teachers, while in primary education teachers the correlation was with satisfaction with life, which indicates that early childhood teachers present greater spiritual and existential understanding, leading to eudaimonic wellbeing. These differences between educational stages are considered greatly significant. It was concluded that more research is needed, ideally with broader and longitudinal studies, to understand and describe the relationship between personal and even structural variables and wellbeing.
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  • 文章类型: Journal Article
    目的:小纤维神经病(SFN)是一种明确定义的慢性疼痛状况,会导致严重的个人和社会负担。虽然已经描述了情绪障碍,尚未对SFN患者的认知和行为特征进行调查。
    方法:34名疼痛的SFN患者接受了综合认知,行为,心理,生活质量(QoL),和使用经过验证的问卷进行人格评估。作为对照样品,我们纳入了36例病因混合的疼痛性周围神经病变(PPN)患者和30例健康对照(HC).神经性疼痛的临床措施,持续时间,频率,并记录评估时的疼痛强度.进行组间和相关性分析,并对多重比较进行校正。
    结果:在SFN和PPN之间没有发现临床测量的差异,所有组的认知特征相似.与PPN和HC相比,SFN患者表现出更高水平的焦虑和述情障碍(p<0.005),还考虑疼痛强度。适应不良的应对策略以两组患者为特征,但只有SFN显示对疼痛的接受程度更高(p<.05)。疼痛强度和神经性症状与情绪有关,低QoL和灾难性(p<.001),特别是,感知到的疼痛强度越高,适应不良应对策略的使用率越高(p<.001)。人格评估在SFN和PPN中均显示出明显的无价值感和躯体化特征(p<.002vs.HC)。
    结论:我们的结果表明,SFN患者具有正常的认知特征,虽然他们的行为特征是情绪障碍,述情障碍,适应不良的应对策略,和可怜的QoL,和其他慢性疼痛一样,可能与疼痛强度有关。人格评估表明,躯体化和无价值的感觉,这可能会使神经心理学状况恶化,在考虑患者的治疗方法时,值得临床关注。同时,高水平的疼痛接受度对于基于心理支持的治疗方法是有希望的.
    Small fiber neuropathy (SFN) is a well-defined chronic painful condition causing severe individual and societal burden. While mood disorders have been described, cognitive and behavioral profiles of SFN patients has not been investigated.
    Thirty-four painful SFN patients underwent comprehensive cognitive, behavioral, psychological, quality of life (QoL), and personality assessment using validated questionnaires. As control samples, we enrolled 36 patients with painful peripheral neuropathy (PPN) of mixed etiology and 30 healthy controls (HC). Clinical measures of neuropathic pain, duration, frequency, and intensity of pain at the time of assessment were recorded. Between-group and correlation analyses were performed and corrected for multiple comparisons.
    No differences in clinical measures were found between SFN and PPN, and all groups had similar cognitive profiles. SFN patients showed higher levels of anxiety and alexithymia (p < .005) compared to PPN and HC, considering also pain intensity. Maladaptive coping strategies characterized both patient groups, but only SFN revealed higher levels of acceptance of pain (p < .05). Pain intensity and neuropathic symptoms were associated with mood, low QoL and catastrophism (p < .001), particularly, the higher the perceived pain intensity, the higher the use of maladaptive coping strategies (p < .001). The personality assessment revealed significant feelings of worthlessness and somatization traits both in SFN and PPN (p < .002 vs HC).
    our results suggest that SFN patients had a normal-like cognitive profile, while their behavioral profile is characterized by mood disorders, alexithymia, maladaptive coping strategies, and poor QoL, as other chronic pain conditions, possibly related to pain intensity. Personality assessment suggests that somatization and feelings of worthlessness, which may worsen the neuropsychological profile, deserve clinical attention when considering patients\' therapeutic approaches. At the same time, the high level of acceptance of pain is promising for therapeutic approaches based on psychological support.
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