Frontiers in Psychiatry最新文献

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Risk factors for psychiatric disorders following traumatic brain injury: a multivariate logistic regression analysis.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1499894
Hanyu Liu, Tongjun Yi
{"title":"Risk factors for psychiatric disorders following traumatic brain injury: a multivariate logistic regression analysis.","authors":"Hanyu Liu, Tongjun Yi","doi":"10.3389/fpsyt.2024.1499894","DOIUrl":"10.3389/fpsyt.2024.1499894","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the incidence and risk factors of psychiatric disorders following traumatic brain injury (TBI).</p><p><strong>Methods: </strong>A total of 232 patients with closed TBI admitted to our hospital from January 2021 to January 2023 were included. Basic demographic data, injury circumstances, and psychiatric conditions during hospitalization were collected. Patients were followed up at 9 months post-injury, and based on clinical interviews, symptoms, and questionnaires, they were categorized into those with post-TBI psychiatric disorders and those without. The study aimed to explore the predictive factors for psychiatric disorders after TBI.</p><p><strong>Results: </strong>Among the 232 patients, 104 developed psychiatric disorders by the end of the 9-month follow-up, resulting in an incidence rate of 44.83%. The employment rate was significantly lower in the psychiatric disorder group compared to the non-psychiatric disorder group. Additionally, the GCS scores upon admission were significantly higher in the psychiatric disorder group, along with a greater proportion of limb injuries, post-traumatic coma, intracranial hematomas, and frontal lobe injuries. The results of the multivariate logistic regression analysis indicated that unemployment (caused by poor recovery from TBI), lower GCS scores at admission, limb injuries, post-traumatic coma, frontal lobe injuries, and the presence of psychiatric symptoms during hospitalization were independent predictors of psychiatric disorders following TBI.</p><p><strong>Conclusion: </strong>Unemployment, lower GCS score on admission, limb injury, post-traumatic coma, frontal lobe injury, onset of psychiatric symptoms during hospitalization was identified as independent predictors of post-traumatic psychiatric disorders. Routine mental health screenings for conditions such as depression and anxiety should be integrated into the care of TBI patients.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1499894"},"PeriodicalIF":3.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The evaluation of depressive, anxiety symptoms and sleep disturbance in college students post- pandemic era across UAE: a multicentric survey.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1489292
Fathima Firoz, Ammar Ali Saleh Jaber
{"title":"The evaluation of depressive, anxiety symptoms and sleep disturbance in college students post- pandemic era across UAE: a multicentric survey.","authors":"Fathima Firoz, Ammar Ali Saleh Jaber","doi":"10.3389/fpsyt.2024.1489292","DOIUrl":"10.3389/fpsyt.2024.1489292","url":null,"abstract":"<p><p>The COVID-19 epidemic has had a significant worldwide impact, requiring measures such as quarantine, social isolation, and the closing down of educational institutions, increasing concerns about student safety. This study evaluated the mental health and sleep status of 201 college students in the UAE after the epidemic. The sample consisted primarily of females (72.1%) and students aged 21-23 years (42.3%), with the majority residing in Dubai (62.7%). The findings revealed unsettling levels of insomnia risk and significant gender variations in emotional states, with females displaying higher degrees of distress. These findings underscore the negative consequences of the pandemic on student well-being and the importance of having access to mental health care, as well as calling for specialized treatments to address the individual needs of various student groups.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1489292"},"PeriodicalIF":3.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enduring effects of psychotherapy, antidepressants and their combination for depression: a systematic review and meta-analysis.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1415905
Ulrich Voderholzer, Barbara B Barton, Matthias Favreau, Eva M Zisler, Winfried Rief, Marcel Wilhelm, Elisabeth Schramm
{"title":"Enduring effects of psychotherapy, antidepressants and their combination for depression: a systematic review and meta-analysis.","authors":"Ulrich Voderholzer, Barbara B Barton, Matthias Favreau, Eva M Zisler, Winfried Rief, Marcel Wilhelm, Elisabeth Schramm","doi":"10.3389/fpsyt.2024.1415905","DOIUrl":"10.3389/fpsyt.2024.1415905","url":null,"abstract":"<p><strong>Introduction: </strong>Although depressive disorders are frequently associated with relapses, the sustained efficacy of therapies after their termination has been insufficiently investigated.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the current evidence of enduring effects of psychotherapy, antidepressants and their combination after the end of treatment.</p><p><strong>Methods: </strong>PubMed and PsychINFO were systematically screened according to PRISMA guidelines (except for preregistration). Only randomized controlled trials (RCTs) between 1980 and 2022 comparing the efficacy of psychotherapy, antidepressants and their combination in adult depression at follow-up at least 12 months after termination of therapy, which could be acute phase, maintenance or relapse prevention therapy, were included. Risk of bias was assessed by using the Cochrane risk of bias tool.</p><p><strong>Results: </strong>In total 19 RCTs with a total of 1154 participants were included. Psychotherapy was significantly superior to pharmacotherapy regarding relapse rates and Beck Depression Inventory scores at follow-up after acute treatment in two of nine RCTs. Combined treatment performed significantly better than pharmacotherapy, but not psychotherapy, regarding relapse and remission in five out of nine RCTs at least 12 months after treatment termination. Pairwise meta-analyses indicated a superiority of combined treatment compared to pharmacotherapy alone regarding relapse, recurrence, and rehospitalization rates (RR=0.60, 95%-CI: 0.37-0.97, p=.041) and for psychotherapy compared to pharmacotherapy alone regarding relapse and recurrence rates (RR=0.58, 95%-CI: 0.38-0.89, p=.023), however comparative treatment effects between psychotherapy and combined treatment were insignificant.</p><p><strong>Conclusions: </strong>Current findings suggest a superiority of psychotherapy and combined treatment over pharmacotherapy alone in major depressive disorder depression. Major limitations were a low number of studies reporting follow-up data after termination of study periods and a heterogeneity in definitions of treatment outcomes. Practice guidelines and participatory decision-making processes for the choice of treatment should consider the current knowledge on long-term effects of antidepressant therapy methods more than has been the case to date.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1415905"},"PeriodicalIF":3.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A virtual reality-based self-guided training on identification of negative automatic thoughts in healthy adults: a mixed-methods feasibility study.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1479207
Bixi Yang, Chenxi Liao, Yuqing Yang, Binbin Shi, Caidi Zhang, Chunbo Li
{"title":"A virtual reality-based self-guided training on identification of negative automatic thoughts in healthy adults: a mixed-methods feasibility study.","authors":"Bixi Yang, Chenxi Liao, Yuqing Yang, Binbin Shi, Caidi Zhang, Chunbo Li","doi":"10.3389/fpsyt.2024.1479207","DOIUrl":"10.3389/fpsyt.2024.1479207","url":null,"abstract":"<p><strong>Background: </strong>Cognitive restructuring (CR) is an evidence-based psychological technique for depression. However, face-to-face CR is not easily accessible. Digital CR interventions often overlook the difficulties individuals experiencing depression encounter in identifying their negative automatic thoughts (NAT), leading to suboptimal outcomes. Virtual Reality (VR) has potential advantages in assisting the identification of NAT in CR intervention.</p><p><strong>Objective: </strong>The aim of this preliminary feasibility study is to assess the efficacy, acceptability and safety of a VR-based self-guided training on the identification of negative automatic thoughts (VR-STINAT) for depression, as well as to evaluate the user experience.</p><p><strong>Methods: </strong>In a mixed methods study, 20 healthy participants underwent VR-STINAT and completed a semi-structured interview, followed by post-training homework. The VR-STINAT includes three modules: psychological education, NAT identification training in VR scenarios, and practice in personally experienced scenarios. Effectiveness was measured via Thought Record Skills Assessment (TRSA) of homework and Cognitive Therapy Awareness Scale (CTAS). Acceptability was measured using an adapted Technology Acceptance Model and duration of training. Safety was measured via Simulator Sickness Questionnaire and self-reported negative emotions. Qualitative material was analyzed using thematic analysis.</p><p><strong>Results: </strong>The VR-STINAT was acceptable, with an average rating of 80.68%. The accuracy of NAT identification in TRSA reached 84.55%, and CTAS correctness reached 76.67%. The majority of participants experienced minimal or no side effects, although a few (10%, 2/20) reported relatively severe fatigue and craniofacial pain. Thematic analysis reviewed four themes: effectiveness, acceptability, advantages of VR, difficulties in use and suggestions for improvement. Most participants indicated that they've learned how to identify their NAT through VR-STINAT (85%, 17/20), which was engaging (90%, 18/20) and easy to use (60%, 12/20).</p><p><strong>Conclusion: </strong>This study provides preliminary evidence that self-guided training for the identification of negative automatic thoughts related to depression using VR is feasible. Future studies are needed to compare the efficacy of VR with other intervention modalities in people with depression.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1479207"},"PeriodicalIF":3.2,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal predictors for internalizing and externalizing symptomatology at age 4: KUNO-Kids cohort study.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1449108
Irina Jarvers, Stephanie Kandsperger, Angelika Ecker, Susanne Brandstetter, Michael Kabesch, Angela Köninger, Michael Melter, Sebastian Kerzel, Jochen Kittel, Christian Apfelbacher, Romuald Brunner
{"title":"Longitudinal predictors for internalizing and externalizing symptomatology at age 4: KUNO-Kids cohort study.","authors":"Irina Jarvers, Stephanie Kandsperger, Angelika Ecker, Susanne Brandstetter, Michael Kabesch, Angela Köninger, Michael Melter, Sebastian Kerzel, Jochen Kittel, Christian Apfelbacher, Romuald Brunner","doi":"10.3389/fpsyt.2024.1449108","DOIUrl":"10.3389/fpsyt.2024.1449108","url":null,"abstract":"<p><strong>Introduction: </strong>Numerous early-life risk factors are thought to significantly contribute to the development of psychological problems in toddlerhood. However, these factors have seldom been investigated concomitantly and longitudinally, and few studies include both mothers and fathers. This study examines the longitudinal impact of early environmental, parental, and child-specific risk factors on children's internalizing and externalizing symptomatology at age 4.</p><p><strong>Methods: </strong>Families were recruited from a perinatal center at birth and completed self-report questionnaires at birth, 4 weeks postpartum, 6 months postpartum, and annually thereafter. The final population-based sample consisted of <i>n</i> = 560 mothers (and fathers) who gave birth after June 2015, with children who turned 4 years old before March 31, 2021. The primary outcomes, children's internalizing and externalizing symptomatology at age 4, were measured using the Strengthsand Difficulties Questionnaire. Linear mixed effect models were used to estimate growth curves for predictors between 4 weeks and 4 years postpartum, which were subsequently entered into multivariable linear regressions to predict internalizing and externalizing symptomatology at age 4.</p><p><strong>Results: </strong>The study identified several key risk factors: environmental (lack of social support, lower parental education, male sex), parental (poor parental mental health, increased parenting stress, parental sleep difficulties) and child-specific (children's low physical health, children's reduced sleep quality, temperament).</p><p><strong>Discussion: </strong>The findings underscore that most identified risk factors are related to children's temperament, mental and physical health of parents, their experienced stress, and families' social support networks. These insights highlight the importance of targeted interventions focusing on improving parental mental health, reducing stress, and enhancing social support to mitigate early-life psychological problems in children.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1449108"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meat-egg-dairy consumption and depressive symptoms among Chinese older adults: exploring rural/urban and gender disparities.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1489387
Boyu Si, Keqing Zhang
{"title":"Meat-egg-dairy consumption and depressive symptoms among Chinese older adults: exploring rural/urban and gender disparities.","authors":"Boyu Si, Keqing Zhang","doi":"10.3389/fpsyt.2024.1489387","DOIUrl":"10.3389/fpsyt.2024.1489387","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines the association between Meat, Egg, and Dairy (MED) product consumption and depressive symptoms among older adults in China, focusing on rural/urban and gender differences.</p><p><strong>Methods: </strong>This study employed data from the latest wave (year 2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), and Ordinary Least Squares (OLS) models were applied to examine the association between MED consumption and depression levels.</p><p><strong>Findings: </strong>The findings revealed a consistent negative relationship between MED consumption and depression, with higher MED intake associated with lower depression levels. Urban residents and males exhibited higher MED consumption, which correlated with less depressive symptoms. However, the impact of MED consumption on depression varied by subgroups; urban older adults benefited more from MED consumption than their rural counterparts, and the relationship between MED intake and depression was more pronounced in males than in females. The study highlighted the influence of socio-demographic factors, such as literacy, income, and self-rated health, on depression levels.</p><p><strong>Discussion: </strong>The results suggested that MED consumption may offer protective effects on mental health in older adults, although the association may not be causal. The study underscored the need for further research to explore the complex interplay between diet and mental health in older adults, particularly in diverse cultural contexts.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1489387"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental health literacy and the public perception of persons with depression and schizophrenia in Vietnam.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1430272
Mahan Mobashery, Thi Minh Tam Ta, Duc Tien Cao, Kerem Böge, Luisa Eilinghoff, Van Phi Nguyen, Selin Mavituna, Lukas Fuchs, Sebastian Weyn-Banningh, Solveig Kemna, Malek Bajbouj, Eric Hahn
{"title":"Mental health literacy and the public perception of persons with depression and schizophrenia in Vietnam.","authors":"Mahan Mobashery, Thi Minh Tam Ta, Duc Tien Cao, Kerem Böge, Luisa Eilinghoff, Van Phi Nguyen, Selin Mavituna, Lukas Fuchs, Sebastian Weyn-Banningh, Solveig Kemna, Malek Bajbouj, Eric Hahn","doi":"10.3389/fpsyt.2024.1430272","DOIUrl":"10.3389/fpsyt.2024.1430272","url":null,"abstract":"<p><strong>Background: </strong>Vietnam's mental health care system is undergoing significant changes since the government has initiated large-scale programs to reform and develop the mental health care infrastructure. Cultural belief systems on mental illnesses influence help-seeking behavior and compliance. This study investigates the belief systems about people with schizophrenia and depression among people living in the Hanoi area.</p><p><strong>Method: </strong>1077 Vietnamese participants answered two open-ended questions after reading an unlabeled vignette describing a character with the symptoms of schizophrenia or depression. The answers were analyzed using thematic analysis.</p><p><strong>Results: </strong>Of all participants, 88,4% associated the presented cases with a mental illness, with 91,5% in the case of schizophrenia and 85,1% in the case of depression, so both disorders were conceptualized as mental illnesses. 18,6% mentioned depression when presented with the depression vignette, while only 3,6% recognized schizophrenia in the schizophrenia condition.</p><p><strong>Conclusions: </strong>Almost 9 out of 10 participants considered the presented cases as an example of mental illness, suggesting a high mental health awareness among our participants. The majority did not identify the presented cases as examples of schizophrenia or depression, reflecting little familiarity with Western mental health concepts. It could be interpreted as a sign of relatively low mental health literacy among the study participants.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1430272"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11629078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Suicide in older adults in Honduras: a retrospective analysis (2008-2022).
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1489874
María José Irías Escher, Virna Julisa López Castro, Pablo Yup de León
{"title":"Suicide in older adults in Honduras: a retrospective analysis (2008-2022).","authors":"María José Irías Escher, Virna Julisa López Castro, Pablo Yup de León","doi":"10.3389/fpsyt.2024.1489874","DOIUrl":"10.3389/fpsyt.2024.1489874","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines suicide among older adults in Honduras over a 15-year period (2008-2022).</p><p><strong>Methods: </strong>Data were collected from the National Violence Observatory attached to the University Institute of Democracy, Peace and Security of the National Autonomous University of Honduras (ONV-IUDPAS-UNAH), and 593 suicide cases were analyzed with a quantitative approach of descriptive scope, to identify suicide decedent characteristics and patterns in the cases.</p><p><strong>Results: </strong>It was observed that 94.1% of the suicide decedents were male, with an average age of 70 years, predominantly from urban areas; the highest prevalence was in 2021 (7.77), generally in the mornings and mostly by hanging or asphyxiation in private spaces.</p><p><strong>Discussion: </strong>There is a significant difference in the prevalence of suicide by gender (16 males per female). Similar to worldwide reports, an increase in post-pandemic suicides is observed. The aging of the population and the increasing incidence of suicide in older adults gives relevance to this study, which has been limited by the lack of systematic data collection and previous research that would allow a better understanding of the problem and, in turn, the generation of public policies focused on the mental health of older adults.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1489874"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of a virtual reality-based cognitive-behavioural therapy of social phobia in the treatment of inpatients diagnosed with schizophrenia and social anxiety - a feasibility study.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1379541
Izabela Stefaniak, Adrianna Aleksandrowicz
{"title":"Application of a virtual reality-based cognitive-behavioural therapy of social phobia in the treatment of inpatients diagnosed with schizophrenia and social anxiety - a feasibility study.","authors":"Izabela Stefaniak, Adrianna Aleksandrowicz","doi":"10.3389/fpsyt.2024.1379541","DOIUrl":"10.3389/fpsyt.2024.1379541","url":null,"abstract":"<p><p>The co-occurrence of social anxiety symptoms and schizophrenia is a significant clinical problem. So far, social anxiety symptoms have been treated as an integral symptom of schizophrenia, receiving little attention as a target of direct therapeutic interventions. However, some evidence indicates that a high level of social anxiety in this group of patients may be a barrier to the recovery process. This feasibility study evaluated the use of a standard protocol for cognitive-behavioural therapy in the treatment of social phobia, in which social exposure was implemented with the usage of virtual reality (CBT + VRET). The study was conducted in a group of inpatients in a clinical psychiatric unit. Twenty inpatients diagnosed with schizophrenia and comorbid social anxiety symptoms were examined. Eleven patients were assigned to 10 weekly individual CBT+VRET interventions and nine to the control condition. Baseline and post-treatment assessments of social anxiety, psychotic symptoms, stigma, self-esteem, and depressive symptoms were measured before and after intervention. There was a decrease in social anxiety in the CBT+VRET group, while no such decrease was noted in the control group. This study provides preliminary evidence that CBT+VRET is acceptable, safe, and initial data that bears on the question of effectiveness for treating social anxiety disorder in people with schizophrenia. Future research should investigate the efficacy of CBT+VRET for the treatment of social anxiety symptoms and co-morbid schizophrenia in a larger randomised controlled trial.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1379541"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of "Internet +" continuous emotion management training in patients with depression.
IF 3.2 3区 医学
Frontiers in Psychiatry Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI: 10.3389/fpsyt.2024.1452717
Yanping Zhang, Jiaxin Wang, Linlin Qiao, Yating Li, Runing Hou, Xiaojing Gu, Jingyuan Zhao, Fang Yan
{"title":"Application of \"Internet +\" continuous emotion management training in patients with depression.","authors":"Yanping Zhang, Jiaxin Wang, Linlin Qiao, Yating Li, Runing Hou, Xiaojing Gu, Jingyuan Zhao, Fang Yan","doi":"10.3389/fpsyt.2024.1452717","DOIUrl":"10.3389/fpsyt.2024.1452717","url":null,"abstract":"<p><strong>Objective: </strong>Explore the application effects of \"Internet +\" continuous emotional management training in depression patients and analyze the feasibility of innovative rehabilitation training methods.</p><p><strong>Methods: </strong>Conveniently selected 100 discharged patients meeting the diagnostic criteria for depression from the Second Affiliated Hospital of Xinxiang Medical University between August 2022 and January 2023 as study subjects. They were divided into an intervention group and a control group according to their discharge time, with 50 patients in each group. The control group received routine monthly telephone follow-ups and \"Internet +\" health popularization. The intervention group received \"Internet +\" continuous emotional management training in addition to the control group's protocol. Before and after the intervention, the Hamilton Depression Rating Scale (HAMD), the Chinese version of the Cognitive Emotion Regulation Questionnaire (CERQ-C), and the Social Adaptation Function Evaluation Scale (SAFE) were used to compare the differences in depression relief, cognitive emotion regulation levels, and social functions between the two groups.</p><p><strong>Results: </strong>Two patients in the control group and three patients in the intervention group were lost to follow-up during the intervention, Ultimately, 48 patients in the control group and 47 patients in the intervention group completed the study. Before the intervention, there were no statistically significant differences between the two groups in HAMD scores, CERQ-C subscale scores, and SAFE scores (<i>P</i> < 0.05). After the intervention, the intervention group had significantly lower HAMD and SAFE scores compared to the control group (<i>P</i> < 0.05). In the CERQ-C questionnaire, the intervention group scored lower in self-blame, rumination, catastrophizing, and blaming others but higher in acceptance, positive refocusing, refocusing on planning, positive reappraisal, and putting into perspective compared to the control group, with statistically significant differences (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>\"Internet +\" continuity emotion management training can reduce the severity of depression in post-discharge patients and enhance their emotional management and social adaptability. This approach is feasible in clinical practice.</p>","PeriodicalId":12605,"journal":{"name":"Frontiers in Psychiatry","volume":"15 ","pages":"1452717"},"PeriodicalIF":3.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11628513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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