Social

Social
  • 文章类型: Journal Article
    患有精神分裂症(SCZ)或分裂型特征(ST)的人在社交场合中很难预测未来的快乐和不快乐。然而,没有制定自我报告量表来专门捕捉这些能力。本研究旨在开发和验证社会情感预测量表(SAFS),并检查SCZ中预期的愉悦和不愉悦与ST和临床症状的相关性。
    研究1招募了666名大学生的主要样本和927名大学生的验证样本,以完成SAFS和其他快感缺失的测量。探索性因子分析(EFA)验证性因子分析(CFA),并行分析,并进行了测量不变性分析。研究2招募了2655名大学生,47名SCZ患者和47名对照者完成SAFS。相关分析,回归分析,并进行独立t检验。
    EFA和CFA均表示4因素模型,该模型在验证样品中得到平行分析的支持。SAFS表现出良好的内部一致性,收敛有效性,和强烈的性别不变性。SCZ中ST的人际关系特征和阴性症状与积极社会事件的预期愉悦减少有关。
    SAFS似乎是评估未来社会和非社会事件的预期快乐和不快乐的可靠量表,可用于研究ST患者和SCZ患者的社会快感缺失。
    UNASSIGNED: People with schizophrenia (SCZ) or schizotypal traits (ST) have difficulties in anticipating future pleasure and displeasure in social situations. However, no self-report scale has been developed to specifically capture these abilities. This study aimed to develop and validate the Social Affective Forecasting Scale (SAFS), and to examine how anticipated pleasure and displeasure are associated with ST and clinical symptoms in SCZ.
    UNASSIGNED: Study 1 recruited a main sample of 666 college students and a validation sample of 927 college students to complete the SAFS and other measurements for anhedonia. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), parallel analysis, and measurement invariance analysis were conducted. Study 2 recruited 2655 college students, 47 people with SCZ and 47 matched controls to complete the SAFS. Correlation analysis, regression analysis, and independent t-tests were performed.
    UNASSIGNED: Both EFA and CFA indicated a 4-factor model which was supported by parallel analysis in the validation sample. The SAFS showed good internal consistency, convergent validity, and strong invariance across sex. Interpersonal features of ST and negative symptoms in SCZ were associated with reduced anticipated pleasure for positive social events.
    UNASSIGNED: The SAFS appears to be a reliable scale for evaluating anticipated pleasure and displeasure for future social and nonsocial events, and can be applied to study social anhedonia in individuals with ST and individuals with SCZ.
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  • 文章类型: Journal Article
    教育工作者面临的一个障碍是,教室不再局限于物理位置,而是学生和教授可以通过互联网见面,在COVID19之前,远程或远程学习是学生们的事情,总的来说,可以选择是否参与其中。学生可以选择参加“在线课程”,无论是同步远程学习还是异步在线课程。的确,许多研究都集中在调查远程学习和在线学习的许多不同方法的有效性。不幸的是,COVID19要求快速过渡到远程学习,随着这种强制的改变,一些学生称之为“变焦疲劳”[1]。许多学生报告感到筋疲力尽,不知所措,并因COVID大流行所需的强制性远程教育的急剧增加而脱离。在这段时间里,视频会议已经成为教育的“灵丹妙药”,学生们在屏幕前花费了前所未有的时间,通常他们会在教室里。迄今为止,这种独特的教育方法以及减少的对等互动导致了学生参与的问题[2]。
    目标:由于强制在线学习和缺乏同伴互动,在COVID19期间,学生的参与度和表现有所下降。
    目标:我们假设创建一个非分级的,有趣,放松以生理为重点的琐事之夜将增加学生的参与度和总结性评估的表现。
    方法:引入自愿的“琐事之夜”审查会议,以增加同伴之间的互动并审查呼吸生理学材料。
    One hurdle that educators are presented with is that the classroom is no longer limited to a physical location but rather students and professor can meet via the internet and, before COVID19, distance or remote learning was something that students, by and large, had the option of choosing in which whether to engage. Students had the option to take \"online courses\", whether those be synchronous remote learning or asynchronous online courses. Indeed, numerous studies have focused on investigating the efficacy of many different approaches to distance and online learning. Unfortunately, COVID 19 mandated a rapid transition to remote learning and with this forced change has come what some students describe as \"Zoom Fatigue\"[1]. Many students reported feeling exhausted, overwhelmed, and disengaged by the dramatic increase in mandated distance education required by the COVID pandemic. Video conferencing has become the \"go to\" panacea for education during this time and students are spending unprecedented amounts of time in front of a screen where normally they would be in a classroom. This heretofore singular and unique approach to education coupled with decreased peer-to-peer interaction has caused a problem with student engagement [2].
    OBJECTIVE: Students engagement and performance have decreased during COVID 19 due to forced online learning and lack of peer interaction.
    OBJECTIVE: We hypothesize that creating a non-graded, fun, and relaxing physiology-focused trivia night will increase student engagement and performance on summative assessments.
    METHODS: Introduce a voluntary \"Trivia Night\" review session to increase interaction amongst peers and review respiratory physiology material.
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  • 文章类型: Journal Article
    患有围产期HIV(APHIV)的青少年经历情绪动荡,由于对青少年关系的实际或感知的负面影响而恶化,他们的职业抱负,和对家人的渴望。
    在林波波省Vhembe区,探讨APHIV在社会支持方面对其心理健康和总体福祉的经验。
    采用了混合方法的顺序探索性设计,在南非林波波省的Vhembe区进行了深入的一对一访谈。访谈是在选定的社区卫生中心和诊所进行的,为期四个月(2019年4月至2019年7月)。这项研究包括年龄在10岁至19岁之间的APHIV,他们在10岁之前开始接受抗逆转录病毒治疗。
    出现了两个主要主题。主题1-家庭内的经历-包括家庭内积极社会支持的次主题经历,家庭中缺乏支持。主题2-家庭以外的经历-包括诊所的次主题经历,社区层面的经验,以及在学校和朋友的经历。
    患有围产期艾滋病毒的青少年需要来自亲人和社区的社会支持。通过多学科小组整合服务来扩大家庭方案和干预可能有助于减轻社会支持需求,这将改善他们的心理健康和对治疗的依从性。
    UNASSIGNED: Adolescents with perinatal HIV (APHIV) experience emotional turmoil, which is worsened by real or perceived negative impacts on the adolescents\' relationships, aspirations for their careers, and aspirations for their families.
    UNASSIGNED: To explore the experiences of APHIV with regard to social support on their mental health and general well-being in the Vhembe District of Limpopo province.
    UNASSIGNED: A mixed-methods sequential exploratory design was employed to conduct in-depth one-on-one interviews in the Vhembe District of the Limpopo province of South Africa. The interviews were conducted in selected community health centres and clinics over a period of four months (April 2019 - July 2019). This study included APHIV between the ages of 10 years and 19 years who had been initiated on antiretroviral therapy before the age of 10 years.
    UNASSIGNED: Two major themes emerged. Theme 1 - Experiences within the family - included the sub-themes experience of positive social support within the family, and lack of support in the family. Theme 2 - Experiences outside the family - included the sub-themes experiences at the clinic, experiences at community level, and experiences at school and with friends.
    UNASSIGNED: Adolescents with perinatal HIV are in need of social support from their loved ones as well as the community. Expansion of household programmes and intervention through integration of services by the multidisciplinary team might assist with alleviating the social support needs which will improve their mental health and adherence to treatment.
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  • 文章类型: Journal Article
    早产(<32周胎龄)与后期的社交和情感障碍有关,这可能是由于在脆弱性加剧期间边缘系统的脆弱性增强所致。证据表明,早期程序性疼痛可能是早期大脑网络的关键调节因素。在一项前瞻性队列研究中,早产(<30孕周)的新生儿在足月相当年龄(TEA)时接受MRI扫描,并收集临床数据(机械通气,镇痛药,镇静剂)。手术疼痛以皮肤破裂手术的次数进行操作。自动提取杏仁核体积。使用优势和困难问卷评估5岁(平均年龄67.5个月)时的社交情感结果。一般线性模型用于检查新生儿杏仁核体积和社会情绪结果之间的关系,以及作为调节因素的程序性疼痛暴露的时间和数量(在TEA出生的最初几周内)。适应生物性别,胎龄,5年评估年龄,机械通气天数和总脑容量。共有42名早产儿参加。TEA的右杏仁核体积与5岁时的亲社会行为有关(B=-0.010,p=0.005)。发现程序性疼痛可以减轻新生儿期的右杏仁核体积与5年时的行为问题之间的关系,这样,在生命的最初几周内经历的早期皮肤破裂程序加强了右杏仁核体积与行为问题之间的关联(B=0.005,p=0.047)。晚期皮肤破裂程序,在茶附近有经验,还加强了右杏仁核体积与行为问题之间的关联(B=0.004,p=0.048)。
    结论:早产儿杏仁核生长和成熟失调与早产儿社会功能的差异有关。早期生活程序性疼痛缓和了这些关联。当发育中的大脑可能最容易受到程序疼痛的不利影响时,检查敏感窗口可以告知疼痛管理实践。这是确定面临社会困难风险的儿童的关键,并可以导致有针对性的干预措施,以支持这一人群的社会发展。
    结论:●早产与社会情绪挑战相关。●评估足月同等年龄的杏仁核体积与学前社会情绪结果的关系。●足月相当年龄时右杏仁核体积较大与5岁时亲社会行为受损相关。●程序性疼痛减轻了新生儿杏仁核体积与5岁时行为问题之间的关系,早期或晚期皮肤破裂手术加强了这种关联。●早产儿杏仁核生长和成熟失调与5岁时的社会功能差异相关,早期生活中的程序性疼痛起着调节作用。
    Very preterm birth (< 32 weeks\' gestational age) is associated with later social and emotional impairments, which may result from enhanced vulnerability of the limbic system during this period of heightened vulnerability. Evidence suggests that early procedural pain may be a key moderator of early brain networks. In a prospective cohort study, neonates born very preterm (< 30 weeks\' gestation) underwent MRI scanning at term-equivalent age (TEA) and clinical data were collected (mechanical ventilation, analgesics, sedatives). Procedural pain was operationalized as the number of skin breaking procedures. Amygdala volumes were automatically extracted. The Strengths and Difficulties questionnaire was used to assess social-emotional outcomes at 5 years of age (mean age 67.5 months). General linear models were employed to examine the association between neonatal amygdala volumes and social-emotional outcomes and the timing and amount of procedural pain exposure (early within the first weeks of life to TEA) as a moderator, adjusting for biological sex, gestational age, 5-year assessment age, days of mechanical ventilation and total cerebral volumes. A total of 42 preterm infants participated. Right amygdala volumes at TEA were associated with prosocial behaviour at age 5 (B = -0.010, p = 0.005). Procedural pain was found to moderate the relationship between right amygdala volumes in the neonatal period and conduct problems at 5 years, such that early skin breaking procedures experienced within the first few weeks of life strengthened the association between right amygdala volumes and conduct problems (B = 0.005, p = 0.047). Late skin breaking procedures, experienced near TEA, also strengthened the association between right amygdala volumes and conduct problems (B = 0.004, p = 0.048).
    CONCLUSIONS: Dysregulated growth and maturation of the amygdala in preterm neonates is associated with differences in social functioning in children born preterm, with early life procedural pain moderating these associations. Examination of sensitive windows when the developing brain may be most vulnerable to the adverse effects of procedural pain may inform pain management practices. This is key in the identification of children at risk for social difficulties and can lead to targeted interventions to support social development in this population.
    CONCLUSIONS: ● Preterm birth is associated with social-emotional challenges.● Amygdala volumes at term equivalent age were assessed in relation to preschool social-emotional outcomes.● Larger right amygdala volumes at term-equivalent age were associated with impaired prosocial behaviour at age 5.● Procedural pain moderated the relationship between neonatal amygdala volumes and conduct problems at age 5, with early or late skin breaking procedures strengthening this association.● Dysregulated growth and maturation of the amygdala in preterm neonates were associated with differences in social functioning at 5 years old, with early life procedural pain playing a moderating role.
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  • 文章类型: Journal Article
    释放期与发病率和死亡率风险增加有关。先前的研究已经发现监狱中精神病患者的释放前计划存在缺陷,特别是在还押设置中。
    我们的目标是确定爱尔兰主要还押监狱中精神病患者在社区和监狱环境中接受心理健康随访的比例,谁实现了与接收服务的面对面联系。
    这项回顾性观察队列研究基于爱尔兰主要的男性还押监狱,Cloverhill.参与者包括所有在监狱接触精神卫生小组中的人,他们在出院时被转介在社区和监狱环境中进行精神卫生后续行动,为期三年的监狱移交或释放,2015-2017。成功的护理转移(TOC)被定义为与接收服务进行面对面的接触,通过书面通信或后续电话确认。临床,记录了所有参与者的人口统计学和犯罪相关变量.
    在三年的研究期内,监狱接触心理健康小组有911人出院。其中,121人住院,166人被转移到其他监狱接触精神卫生服务机构,237人被转移到精神病门诊或初级保健机构的社区精神卫生随访。三分之一(304/911)的ICD-10诊断为精神分裂症或双相情感障碍(F20-31),而37.5%(161/911)的人无家可归。在其他监狱中,超过90%(152/166)的精神卫生小组取得了成功的TOC,第一次面对面评估的中位数为六天。总的来说,59%(140/237)转诊至社区精神科门诊或初级保健服务的人在获释后转诊后达到TOC,从发布到评估的中位数为9天。实现和未实现成功TOC的患者之间的临床和人口统计学变量没有差异,除了有PICLS住房支持服务的投入。
    可以使用系统方法在还押环境中成功转移护理,重点是早期和持续的机构间联络以及清晰的患者路径图。对于经历无家可归和精神健康障碍的被监禁者,提供住房支持服务与将护理成功转移到社区精神卫生支持的可能性增加相关。
    UNASSIGNED: The post-release period is associated with an increased risk of morbidity and mortality. Previous studies have identified deficits in pre-release planning for mentally ill people in prison, particularly in remand settings.
    UNASSIGNED: We aimed to determine the proportion of mentally ill people in Ireland\'s main remand prison who were referred for mental health follow up in community and prison settings, who achieved face to face contact with the receiving service.
    UNASSIGNED: This retrospective observational cohort study was based in Ireland\'s main male remand prison, Cloverhill. Participants included all those individuals on the caseload of the prison inreach mental health team who were referred for mental health follow up in community and prison settings at the time of discharge, prison transfer or release from custody over a three-year period, 2015 - 2017. Successful transfer of care (TOC) was defined as face-to-face contact with the receiving service, confirmed by written correspondence or by follow up telephone call. Clinical, demographic and offence related variables were recorded for all participants.
    UNASSIGNED: There were 911 discharges from the prison inreach mental health team within the three-year study period. Of these, 121 were admitted to hospital, 166 were transferred to other prison inreach mental health services and 237 were discharged to community based mental health follow up in psychiatric outpatient or primary care settings. One third (304/911) had an ICD-10 diagnosis of schizophreniform or bipolar disorder (F20-31) and 37.5% (161/911) were homeless. Over 90% (152/166) of those referred to mental health teams in other prisons achieved successful TOC, with a median of six days to first face-to face assessment. Overall, 59% (140/237) of those referred to community psychiatric outpatient or primary care services achieved TOC following referral on release from custody, with a median of nine days from release to assessment. Clinical and demographic variables did not differ between those achieving and not achieving successful TOC, other than having had input from the PICLS Housing Support Service.
    UNASSIGNED: Successful transfer of care can be achieved in remand settings using a systematic approach with an emphasis on early and sustained interagency liaison and clear mapping of patient pathways. For incarcerated individuals experiencing homelessness and mental health disorders, provision of a housing support service was associated with increased likelihood of successful transfer of care to community mental health supports.
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  • 文章类型: Journal Article
    背景:社会因素在精神病的发展和维持中可以发挥重要作用。澄清这种关系对于推进理论理解和发展有针对性的干预措施至关重要。精神病越来越多地使用经验抽样方法(ESM)进行研究,它提供了一种生态有效的方法,这减少了召回偏见。尚未总结研究社会因素与精神病之间的短暂关联的研究。
    方法:我们通过预先注册的系统检索已发表文献,确定了29项ESM研究,调查社会因素与积极精神病经历之间的关联。
    结果:独处并不能预测精神病的增加;然而,与孤独相关的评价和感受,如社交脱节的感觉,孤独和不想要的。与熟悉的公司在一起被发现可以减少精神病经历,但当前公司的压力会增加精神病。
    结论:虽然样本量和可概括性的问题意味着这些结果应谨慎解释,可以得出一些推定的结论。有精神病或新出现症状的个人应提供干预措施,以改善社交网络,如同伴支持,社区参与和参与技能培训。这些人也可以从虚拟现实或基于同情心的干预中受益,这些干预旨在减轻感知到的社会威胁。此外,监测预测症状复发的社会变量变化的数字干预措施将允许早期干预以预防心理健康危机。
    BACKGROUND: Social factors can play an important role in the development and maintenance of psychosis. Clarifying this relationship is vital for advancing theoretical understanding and development of targeted interventions. Psychosis is increasingly researched with an experience sampling methodology (ESM), which provides an ecologically valid approach, that reduces recall biases. Studies examining momentary associations between social factors and psychosis have not yet been summarised.
    METHODS: We identified 29 ESM studies investigating associations between social factors and positive psychotic experiences through a pre-registered systematic search of the published literature.
    RESULTS: Being alone did not predict increase in psychosis; however, appraisals and feelings associated with being alone such as feeling socially disconnected, lonely and unwanted did. Being with familiar company was found to reduce psychosis experiences but feeling stressed by the current company increased psychosis.
    CONCLUSIONS: While issues with sample size and generalisability mean these results should be interpreted with caution, some putative conclusions can be made. Individuals with psychosis or emerging symptoms should be offered interventions that improve social networks such as peer support, community participation and engagement skills training. These individuals may also benefit from virtual reality or compassion-based interventions which aim to dampen perceived social threat. Moreover, digital interventions which monitor changes in social variables that predict relapse in symptoms would allow early intervention to prevent mental health crises.
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  • 文章类型: Journal Article
    社交和情感交流是生活质量和福祉的组成部分。功能连接的畸变可以改变许多疾病状态下的社会情绪行为,包括痴呆症.本文旨在回顾阿尔茨海默病中观察到的主要网络变化,重点是三网络模型。中央执行网络,默认模式网络,主要将讨论显着性网络,因为它们与痴呆症患者的病理和代偿行为表现有关。这些网络变化的心理和行为相关性将被审查,目的是增加对痴呆症患者使用的意识体验和沟通方式的理解。了解这一点可能会促进与护理提供者和亲人的有意义的沟通。本文进一步寻求通过结合当前的神经科学知识来重构痴呆症患者使用的社会情感交流方法,心理学,和以人为本的护理。这样,提出了一种观点,认为痴呆症患者所经历的情绪状态升高是一种潜在的补偿机制,在某些情况下可能具有实用价值。大脑适应生理和心理变化的许多方式,老化,伤害仍在探索中。在这方面,情绪处理可以提供对痴呆症主观体验的临床见解。情感,因此,可能有助于促进社会纽带,提供非语言交流的途径,并充当一种结构,以维持最终失去自主权的人的代理。
    Social and emotional communication is an integral tenant of life quality and well-being. Aberrations in functional connectivity can alter social emotional behavior in numerous disease states, including dementia. This paper aims to review the major network changes observed in Alzheimer\'s disease, with a focus on the tri-network model. The central executive network, default mode network, and principally the salience network will be discussed as they relate to both pathology and compensatory behavioral manifestations in persons with dementia. The psychological and behavioral correlates of these network changes will be reviewed with the intent of increasing understanding about the conscious experience and communication modalities utilized by persons with dementia, the understanding of which may promote meaningful communication with care providers and loved ones. This paper further seeks to reframe social emotional communication methods used by persons with dementia by marrying current knowledge of neuroscience, psychology, and person-centered care. In this way, a perspective is offered that considers the heightened emotional states experienced by persons with dementia as a potential compensatory mechanism that may hold practical value under some circumstances. The many ways in which the brain adapts to physical and psychological changes, aging, and injury are still under exploration. Emotion processing may provide clinical insight into the subjective experience of dementia in this regard. Emotions, therefore, may serve to promote social bonds, provide an avenue for non-verbal communication, and act as a construct to maintain agency in persons who ultimately lose autonomy.
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  • 文章类型: Journal Article
    目的:本研究的目的是全面检查身体活动不足(PA)和认知活动(CA),和社会活动(SA)和肌少症的发展。
    方法:我们进行了两波调查。在第一波调查中,我们针对三个类别-PA中的每一个向参与者提出了五个问题,CA,SA。低活动组被定义为在五个问题中的一个或多个问题中属于下降类别的人。在第1波和第2波中,我们评估了参与者的肌少症状态。欧洲老年人肌肉减少症工作组2的修订定义用于确定肌肉减少症,和亚洲工作组的肌肉减少症标准被用于肌肉质量的截止点,握力,步行速度。
    结果:在第二波中,我们能够追踪2,530名参与者(平均年龄75.0±4.7岁,47.8%的男性)。多变量logistic回归显示,低PA参与者面临更高的发生肌少症的风险,多次填补之前和之后(比值比[OR]1.62,95%置信区间(CI)1.22-2.15;填补后OR1.62,95%CI1.21-2.18);低SA组在多次填补之前和之后也显示出较高的肌肉减少症发生率(OR1.31,95%CI1.05-1.64)。
    结论:每种低PA和SA都独立地导致生命后期的肌肉减少症。不仅鼓励PA,还有SA,可有效预防老年人的肌肉减少症。
    OBJECTIVE: The purpose of the present study was to comprehensively examine the association between inadequate physical activity (PA), cognitive activity (CA), and social activity (SA) and the development of sarcopenia.
    METHODS: We conducted a two-wave survey. In the first-wave survey, we asked participants five questions for each of the three categories-PA, CA, and SA. The low-activity group was defined as those who fell into the decline category for one or more of the five questions. In both Wave 1 and Wave 2, we assessed the sarcopenia status of our participants. The revised definition of the European Working Group on Sarcopenia in Older People 2 was used to determine sarcopenia, and the Asian Working Group for Sarcopenia criteria were used for cut-off points for muscle mass, grip strength, and walking speed.
    RESULTS: In the second wave, we were able to follow 2,530 participants (mean age 75.0 ± 4.7 years, 47.8% men). A multivariable logistic regression showed that low-PA participants face a higher risk of incident sarcopenia, both before and after multiple imputations (odds ratio [OR] 1.62, 95% confidence interval (CI) 1.22-2.15 before imputation; OR 1.62, 95% CI 1.21-2.18 after imputation); the low-SA group also showed a higher risk of incident sarcopenia both before and after multiple imputations (OR 1.31, 95% CI 1.05-1.64 before imputation; OR 1.33, 95% CI 1.07-1.65 after imputation).
    CONCLUSIONS: Each low PA and SA independently led to incident sarcopenia late in life. Encouraging not only PA, but also SA, may be effective to prevent sarcopenia among older adults.
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  • 文章类型: Journal Article
    体内平衡是生物学中的一个基本概念,通过保持生理过程的恒定来确保生命的稳定。近年来,人们对这些生理过程的研究兴趣激增,越来越多的人关注社会稳态的机制。这种焦点的转移强调了我们对社交互动的重要性及其对个人福祉的影响的日益理解。在这次审查中,我们探索了三个主要类别的相互联系的研究:理解影响设定点的神经机制,定义可以破坏社会稳态的当代因素,并确定社会平衡失败在精神疾病发展中的潜在贡献。我们还深入研究了前额叶皮层及其电路在调节社会行为中的作用,决策过程,以及抑郁和焦虑等神经精神疾病的表现。最后,我们研究了社交媒体曝光率增加和COVID-19大流行等最新因素对心理健康的影响,强调他们的破坏性影响。我们还通过分析研究趋势来确定当前文献中的差距,并提出未来的研究方向,以促进我们对社会稳态的理解。对心理健康干预有影响。
    Homeostasis is a fundamental concept in biology and ensures the stability of life by maintaining the constancy of physiological processes. Recent years have witnessed a surge in research interest in these physiological processes, with a growing focus on understanding the mechanisms underlying social homeostasis. This shift in focus underscores our increasing understanding of the importance of social interactions and their impact on individual well-being. In this review, we explore the interconnected research across three primary categories: understanding the neural mechanisms influencing set-points, defining contemporary factors that can disrupt social homeostasis, and identifying the potential contributions of social homeostatic failure in the development of psychiatric diseases. We also delve into the role of the prefrontal cortex and its circuitry in regulating social behavior, decision-making processes, and the manifestation of neuropsychiatric disorders such as depression and anxiety. Finally, we examine the influence of more recent factors such as growing social media exposure and the COVID-19 pandemic on mental health, highlighting their disruptive effects. We also identify gaps in current literature through the analysis of research trends and propose future research directions to advance our understanding of social homeostasis, with implications for mental health interventions.
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  • 文章类型: Journal Article
    团体干预是在神经心理康复服务中常规进行的,提高对脑损伤和损伤方面的认识。以团体方式提供的治疗可以带来额外的感知益处,比如合作学习。然而,很少有研究探索患者对此类干预措施的看法和经验。在本研究中,我们调查了对获得性脑损伤(ABI)后果进行基于小组的教育干预的经验,它非常注重情绪和情绪调节。
    使用定性的半结构化访谈(大约20分钟),这项研究探讨了参加七节课程的生活经验,识别感知功效越好,单个元素的显著性和价值。ABI的20名参与者参加了个人访谈,完成小组计划(脑损伤解决方案和情绪计划,BISEP).这项研究采用了描述性现象学哲学,它侧重于探索现象的生活经验(即BISEP的经验)。关于方法,该研究采用主题分析将经验聚类为意义主题。
    确定了五个主题:(1)“长期后果和心理需求”,这与伤害和调整的直接后果的持久性有关,以及这些如何导致对BISEP等干预措施的需求。(2)“参与该计划的积极经验”,指的是参与者对方案的总体经验和方案中的重要要素。其余主题将该计划称为(3)社会环境;(4)学习的地方;(5)促进积极情感体验的地方。
    与以前的研究类似,许多人报告说,该小组计划的可接受性和感知价值很高,以及它在促进调整和理解伤害方面的作用。特别重要的是有机会与“所有人都可以联系”的人交往,与社会康复的日益重视相一致。这些发现特别强调了以情感为中心的小组计划对ABI的相关性,促进情绪调节,以及乐观交付的实用工具。对实践和未来研究的进一步影响包括关注长期康复,社会环境,以及支持调整的策略。
    UNASSIGNED: Group interventions are carried out routinely across neuropsychological rehabilitation services, to improve understanding of brain injury and aspects of impairment. Treatment provided in a group modality can bring additional perceived benefits, such as co-operative learning. However, there are very few studies which explore patient perceptions and experiences of such interventions. In the present study we investigated the experience of attending a group-based educational intervention for the consequences of acquired brain injury (ABI), which had a strong focus on emotion and emotion regulation.
    UNASSIGNED: Using qualitative semi-structured interviews (approximately 20 minutes), the study explores the lived experience of participating in the seven-session programme, the better to identify the perceived efficacy, salience and value of individual elements. Twenty participants with ABI took part in individual interviews, after completion of the group programme (the Brain Injury Solutions and Emotions Programme, BISEP). The study adopted a descriptive phenomenological philosophy, which focuses on lived experience to explore a phenomenon (i.e. the experience of BISEP). As regards methods, the study employed thematic analysis to cluster experiences into themes of meaning.
    UNASSIGNED: Five themes were identified: (1) \'Long term consequences and psychological needs\', which related to the persistent nature of direct consequences of injury and adjustment, and how these result in a need for interventions such as BISEP. (2) \'Positive experiences of participating in the programme\', referred to participants\' overall experience of the programme and valued elements within it. The remaining themes referred to the programme as (3) a social milieu; (4) a place to learn; and (5) a place to promote positive emotional experiences.
    UNASSIGNED: Similar to previous studies, many people reported high acceptability and perceived value of the group programme, and its role in facilitating adjustment and understanding of injury. Of particular importance was the opportunity to socialise with people who \"can all relate\", in line with a growing emphasis on social rehabilitation. The findings especially highlight the relevance of emotion-focused group programmes for ABI, promoting emotion regulation, and practical tools that are delivered optimistically. Further implications for practice and future research include to focus on long term rehabilitation, a social milieu, and strategies to support adjustment.
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