Salud mental

Salud 精神
  • 文章类型: Systematic Review
    背景:创伤事件会引起社会紧张,焦虑,恐慌和其他心理危机,甚至会导致创伤后应激障碍(PTSD)和自杀。体力活动对心理健康有很好的促进作用,在创伤事件后的个体心理干预中具有很大的应用前景。然而,到目前为止,还没有发表关于影响许多人的创伤事件后身体活动与个人心理健康之间关系的系统综述,这使得人们无法从整体的角度来理解该领域的研究现状。目的:探讨体力活动与个体心理的关系,生理学,创伤事件后的主观生活质量和幸福感,从而为创伤事件后的个体心理干预提供一些有价值的线索或启示。方法:在5个数据库中检索相关文献,总结,整理和研究。结果:本综述包括33篇研究论文,主要研究结果包括:(1)创伤事件后体力活动与个体心理弹性和主观幸福感呈正相关,与焦虑呈负相关,抑郁症,紧张和创伤后应激障碍。(2)体力活动水平较高的人在创伤事件后的心理健康状况优于那些不经常从事体力活动的人。(3)体力活动可以促进睡眠质量,自我效能感,经历创伤事件的人的主观生活质量和各种生理功能。(4)身体活动(包括运动)被认为是缓冲精神压力和维护创伤事件患者身心健康的首选护理措施之一。结论:创伤事件发生前后体力活动水平与个体身心健康呈正相关。体力活动可以作为创伤事件后改善个体心理健康的有效措施之一。
    身体活动可以作为改善创伤事件患者心理健康的重要措施之一。有规律的体育活动可以减少创伤事件对心理健康的影响,之前和之后的事件。
    Background: Traumatic events can cause social tension, anxiety, panic and other psychological crises, and can even cause post-traumatic stress disorder (PTSD) and suicide. Physical activity has a good role in promoting mental health, and has a great application prospect in individual psychological intervention after traumatic events. However, no systematic review of the relationship between physical activity and individual mental health after traumatic events affecting many people has been published so far, which makes it impossible for people to understand the research status in this field from a holistic perspective.Objective: This review explores the relationship between physical activity and individual psychology, physiology, subjective quality of life and well-being after traumatic events, so as to provide some valuable clues or enlightenment for individual psychological intervention after traumatic events.Method: Relevant literature was searched in five databases, summarised, sorted and studied.Results: Thirty-three study papers were included in this review, the main study findings include: (1) Physical activity is positively correlated with individual mental resilience and subjective well-being after traumatic events, and negatively correlated with anxiety, depression, tension and PTSD. (2) Individuals with higher levels of physical activity have better mental health status after traumatic events than those who do not regularly engage in physical activity. (3) Physical activity can promote sleep quality, self-efficacy, subjective quality of life and various physiological functions of those experiencing traumatic events. (4) Physical activity (including exercise) is regarded as one of the preferred nursing measures to buffer against mental stress and maintain physical and mental health for those experiencing traumatic events.Conclusion: The level of physical activity is positively correlated with individual physical and mental health before and after traumatic events. Physical activity can be used as one of the effective measures to improve individual mental health after traumatic events.
    Physical activity can be used as one of the important measures to improve mental health of those experiencing traumatic events.Regular physical activity can reduce the impact of traumatic events on mental health, both before and after the events.
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  • 文章类型: Journal Article
    背景:自然灾害发生后,紧张的事件经常继续积累,以与最初灾难不同的方式影响个人从未发生过。然而,很少有研究研究这些关联,压力事件对心理健康结果的累积影响,以及社会支持的作用。这项研究调查了累积压力事件与心理健康问题之间的前瞻性关联以及社会支持在年轻人中的作用。方法:695名参与者提供了有关地震暴露的可用数据,童年虐待,其他负面生活事件,和基线的社会支持。在基线和地震后10年(T10y)评估抑郁症状和创伤后应激障碍。累积应激事件指数用于评估累积应激事件的水平。线性回归用于探索预测效果。结果:在695名参与者中,41.3%,28.5%,7.9%的人报告了一个,两个,和三个紧张的事件,分别。在T10y时,累积压力事件与心理健康问题之间的关联呈现剂量反应模式:经历过三个事件的人发生心理健康问题的风险最高。其次是经历了两个事件的人和报告了一个事件的人。此外,较高的社会支持部分降低了累积压力事件对心理健康的负面影响。结论:累积压力事件与10年后年轻地震幸存者的心理健康问题有关。社会支持可以减少负面影响,但是当压力事件积累到最高水平时,它的保护作用就消失了。这些发现强调了评估年轻灾难幸存者可获得的压力事件和社会支持的累积影响并进行干预以防止更糟糕的心理健康结果的重要性。
    10年累积压力事件与心理健康问题之间的关联呈现剂量反应模式。社会支持可以缓冲负面影响,但是当压力事件积累到最高水平时,它的保护作用就消失了。至关重要的是评估压力事件的累积影响和年轻灾难幸存者可获得的社会支持,以防止更糟糕的心理健康后果。
    ABSTRACTBackground: After a natural disaster, stressful events often continue to accumulate, affecting individuals in a different manner than the original disaster never occurred. However, few studies have examined these associations, the cumulative impacts of stressful events on mental health outcomes, and the role of social support. This study examined the prospective association between cumulative stressful events and mental health problems and the role of social support in young adults.Methods: 695 participants provided available data on earthquake exposure, childhood maltreatment, other negative life events, and social support at baseline. Depressive symptoms and posttraumatic stress disorder were assessed at baseline and 10 years after the earthquake (T10y). A cumulative stressful events index was used to evaluate the levels of cumulative stressful events. Linear regressions were used to explore the predictive effects.Results: Of 695 participants, 41.3%, 28.5%, and 7.9% reported one, two, and three stressful events, respectively. The associations between cumulative stressful events and mental health problems at T10y presented a dose-response pattern: those who experienced three events had the highest risk of mental health problems, followed by those who experienced two events and those who reported one event. Additionally, higher social support partially reduced the negative impact of cumulative stressful events on mental health.Conclusions: Cumulative stressful events are associated with mental health problems 10 years later in young earthquake survivors. Social support could reduce the negative impact, but its protective role disappears when stressful events accumulate at the highest level. These findings highlight the importance of assessing the cumulative impacts of stressful events and social support available to young disaster survivors and intervening to prevent worse mental health outcomes.
    The associations between cumulative stressful events and mental health problems 10 years presented a dose–response pattern.Social support could buffer the negative impacts, but its protective role disappears when stressful events accumulate at the highest level.It is critical to assess the cumulative impacts of stressful events and social support available to young disaster survivors to prevent worse mental health consequences.
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  • 文章类型: Journal Article
    There is growing recognition that caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health for caregivers. A quantitative cross-sectional design and standardized instruments were used to collect data from 355 primary caregivers of adults in outpatient care with schizophrenia in China. Structural equation modeling was used to examine the association between caregiver burden and mental health among primary caregivers and whether this association is influenced by personality, coping style, and family functioning, based on a diathesis-stress perspective. Goodness-of-fit indices (χ2 /df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmed that the modified model fit the data well. In line with the diathesis-stress model, and with this study\'s hypotheses, we found that caregiver burden was significantly related to mental health outcomes directly. The final model showed that personality traits, coping style, and family function influenced the relationship between caregiver burden and mental health. The neuroticism personality traits have a direct effect on caregiver burden and family functioning in this sample. Coping style had a direct effect on the caregiver burden, and family functioning had a direct effect on the caregiver burden. Our final model about primary caregivers can be applied clinically to predict mental health outcomes from caregiver burden.
    Cada vez se reconce más que cuidar a un paciente con esquizofrenia generalmente resulta en niveles altos de sobrecarga percibida y en una peor salud mental general para los cuidadores. Se utilizó un diseño transversal cuantitativo e instrumentos estandarizados para recopilar datos de 355 cuidadores principales de adultos con esquizofrenia en atención extrahospitalaria en China. Se utilizaron modelos de ecuaciones estructurales para analizar la asociación de la sobrecarga del cuidador y la salud mental entre cuidadores principales, y si esta asociación está influenciada por la personalidad, el estilo de afrontamiento y el desempeño familiar sobre la base de una perspectiva diátesis-estrés. Los índices de bondad de ajuste (χ2 /df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmaron que el modelo modificado se ajustó bien a los datos. De acuerdo con el modelo de diátesis-estrés y con las hipótesis de este estudio, descubrimos que la sobrecarga del cuidador estuvo considerablemente relacionada con las consecuencias en la salud mental directamente. El modelo definitivo demostró que los rasgos de la personalidad, el estilo de afrontamiento y el desempeño familiar influyeron en la relación entre la sobrecarga del cuidador y la salud mental. Los rasgos de personalidad de neuroticismo tienen un efecto directo en la sobrecarga del cuidador y el desempeño familiar en esta muestra. El estilo de afrontamiento tuvo un efecto directo en la sobrecarga del cuidador y el desempeño familiar tuvo un efecto directo en la sobrecarga del cuidador. Nuestro modelo definitivo acerca de los cuidadores principales puede aplicarse clínicamente para predecir las consecuencias de la sobrecarga del cuidador en su salud mental.
    人们逐渐意识到照顾一个精神分裂症患者经常会导致照料人高水平感知到的负担和整体精神健康下降。我们使用一个定量横截设计和标准工具来收集来自中国335位成年精神分裂症门诊病人主要照料人的数据。基于综合压力视角,我们使用结构等式模型来考察照料人负担和主要照料人精神健康之间的关联以及这一关联是否受个性,应对风格以及家庭功能的影响。拟合优度指标(χ2 /df = 1.406, GFI = 0.919, CFI = 0.957, etc.) 确认调整后模型和数据吻合。我们发现照料人负担直接而且明显和精神健康结果相关,这和综合压力模型以及该研究假设一致。最终模型显示人格特点,应对风格,以及家庭功能影响照料人负担和精神健康之间的关系。在这一样本中神经质性格特点直接影响照料人负担以及家庭功能。应对风格对照料人负担有直接影响,而家庭功能对照料人负担有直接影响。我们最终关于主要照料人的模型可以应用于临床预测照料人负担的精神健康结果。.
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