Journal of Nervous and Mental Disease最新文献_第7页

A Moderation Model for Bolstering Resilience to Suicidal Psychopathology: Positive Sociopsychological Constructs and Coping Flexibilities Buffering the Impact of Daily Life Stress Among Medical Students. 增强自杀心理病理学复原力的调节模型》（A Moderation Model for Bolstering Resilience to Suicidal Psychopathology）：积极的社会心理结构和应对灵活性缓冲医学生日常生活压力的影响。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-02-01 Epub Date: 2024-01-11 DOI: 10.1097/NMD.0000000000001741

Sunny Garg, Aakanksha Kharb

{"title":"A Moderation Model for Bolstering Resilience to Suicidal Psychopathology: Positive Sociopsychological Constructs and Coping Flexibilities Buffering the Impact of Daily Life Stress Among Medical Students.","authors":"Sunny Garg, Aakanksha Kharb","doi":"10.1097/NMD.0000000000001741","DOIUrl":"10.1097/NMD.0000000000001741","url":null,"abstract":"Abstract: Positive sociopsychological constructs and coping flexibility may be helpful for alleviating suicidal psychopathology, although relatively little research has examined this possibility among medical students. This survey aimed to investigate whether positive sociopsychological constructs and coping flexibility could buffer the negative impact of daily life stress and bolster the resilience to suicidal ideations and attempts among medical students. This cross-sectional model was based on a study of 787 Indian medical students (725 women and 62 men; mean age, 21.08 years; SD = 2.78; range, 19-37 years) who were asked to complete a battery of self-administered questionnaires. For the purpose of determining the independent and interaction impacts of potential variables of influence, hierarchical multiple linear regression models were used. The moderation analysis investigated that the association between daily life stress and suicidal ideation was buffered among the students having higher levels of positive mental health and coping flexibility, whereas this association was no longer significant at the highest level of positive mental health. Furthermore, the relationship between daily life stress and suicidal attempts continued to be buffered by above-average levels of coping flexibility, emotional stability (ES), and optimism. These findings represent that promoting positive mental health, coping flexibility, ES, and optimism may be a promising approach to mitigate suicidal thoughts and attempts in interventions for medical students at high risk. These modifiable moderating factors can be enhanced by empirically supported treatment and prevention efforts to bolster suicidal resilience.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139484540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thought Blocking as a Manifestation of Catatonia: A Case Report. 思维阻滞是卡他状态的一种表现形式：病例报告

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-02-01 DOI: 10.1097/NMD.0000000000001727

Omar Elmarasi, Safaa Abdelhady, Yassir Mahgoub

{"title":"Thought Blocking as a Manifestation of Catatonia: A Case Report.","authors":"Omar Elmarasi, Safaa Abdelhady, Yassir Mahgoub","doi":"10.1097/NMD.0000000000001727","DOIUrl":"10.1097/NMD.0000000000001727","url":null,"abstract":"Abstract: Catatonia is an underrecognized disorder that has been widely described as a psychomotor syndrome, with little emphasis on its thought and cognitive dimensions. The current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision describes only motor and behavioral presentations, whereas a few catatonia scales describe only one form of thought disorders, which is thought perseveration. Thought blocking, a disorder of the thought process, is characterized by regular interruptions in the thought stream. It was described by several scholars as a sign of schizophrenia, with few reports describing thought blocking in association with catatonia. In this article, we describe the course of a patient with bipolar I disorder who presented with catatonia and demonstrated thought blocking. Her catatonic symptoms and thought blocking improved with the addition of lorazepam, recurred upon lorazepam discontinuation, and improved with resumption of lorazepam, demonstrating a clear on/off phenomenon. This report highlights the importance of recognizing thought and cognitive manifestations of catatonia, as it can enhance recognition and improve treatment.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139642364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biopsychosocial Correlates and Individual Differences for Eliciting Moral Elevation in Veterans With PTSD: An Experimental Case Series. 创伤后应激障碍退伍军人获得道德提升的生物心理社会相关性和个体差异：一个实验案例系列。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-29 DOI: 10.1097/NMD.0000000000001725

Adam P McGuire, Binh An N Howard, Christina Burns, Laura Zambrano-Vazquez, Yvette Z Szabo

{"title":"Biopsychosocial Correlates and Individual Differences for Eliciting Moral Elevation in Veterans With PTSD: An Experimental Case Series.","authors":"Adam P McGuire, Binh An N Howard, Christina Burns, Laura Zambrano-Vazquez, Yvette Z Szabo","doi":"10.1097/NMD.0000000000001725","DOIUrl":"10.1097/NMD.0000000000001725","url":null,"abstract":"Abstract: A promising approach to enhancing trauma-focused treatment is moral elevation-feeling inspired by witnessing a virtuous act. This study explored potential links between eliciting elevation and relevant outcomes in a series of case examples. Veterans with probable posttraumatic stress disorder completed experimental tasks including a written trauma narrative exercise and watching elevation-eliciting videos. Participants also completed baseline assessments, repeated measures of trauma-related cognitions, emotions, elevation, and saliva sample collection. Four cases were identified and reviewed: two positive responders (high elevation after videos) and two nonresponders (restricted elevation response). Positive responder cases reported decreased cognitions, emotions, and moral injury distress from after the trauma narrative to after elevation exercises, whereas nonresponders reported minimal to no changes. Positive responders also demonstrated decreases in cortisol, whereas nonresponders demonstrated increases in cortisol. Future work should examine whether elevation contributes to changes in biopsychosocial outcomes and identify individual factors that indicate who might benefit from elevation-based interventions.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41182840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Kvetch: Assessment, Pathogenesis, and Treatment of Patients Who Are Clinically Impaired by Chronic Complaining. Kvetch：慢性抱怨临床损害患者的评估、发病机制和治疗。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-26 DOI: 10.1097/NMD.0000000000001717

Joel Yager, Jerald Kay

{"title":"The Kvetch: Assessment, Pathogenesis, and Treatment of Patients Who Are Clinically Impaired by Chronic Complaining.","authors":"Joel Yager, Jerald Kay","doi":"10.1097/NMD.0000000000001717","DOIUrl":"10.1097/NMD.0000000000001717","url":null,"abstract":"Abstract: Clinicians often encounter patients whose presentations are characterized by long lists of complaints about their biological, psychological, interpersonal, and social conditions. The problems on which the complaints are based are variably reality-based and variably modifiable. Some of these patients display chronic complaining as a core, distinguishing feature. Accordingly, the aims of this article are to consider excesses of chronic complaining as psychiatric phenomena, explore possible pathogenetic contributions, describe approaches for treating conditions marked by clinically pertinent chronic complaining, and suggest areas for future research. Based on clinical observations enhanced by selective narrative literature review, we delineate and differentiate four groups of patients: 1) situational complainers; 2) chronic complainers due to unidentified medical problems; 3) mood-induced chronic complainers; and 4) personality-driven pan-dimensional chronic complainers. The last-mentioned group consists of help-seeking versus help-rejecting subtypes, the latter including a subset we designate as malignant chronic complainers. Strategies for managing these patients begin with detailed assessment of all complaints, ascertaining reality-based contributions to the complaints, including those initiated by patients themselves. Management approaches use specific biopsychosocial techniques based on patient-centered particulars. Psychotherapeutic strategies center on compassionate, empathic witnessing. Specific tactics include attending to unresolved grief and trauma, behavioral activation, cognitive and narrative restructuring and reframing methods, mentalizing and imaginal approaches, and psychodynamic methods including attention to attachment issues and transference. Sources of countertransference reactions to these patients should be identified and can be addressed. The many questions raised by these patients' presentations merit further research.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond One's Attitude Toward the Self: The Role of Social Anxiety in Self-Stigma Among Individuals With Schizophrenia. 超越对自我的态度：社交焦虑在精神分裂症患者自我羞辱中的作用。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-10-06 DOI: 10.1097/NMD.0000000000001724

Adi Lavi-Rotenberg, Noa Frishman, Libby Igra, Eva Gilboa-Schechtman, Ilanit Hasson-Ohayon

{"title":"Beyond One's Attitude Toward the Self: The Role of Social Anxiety in Self-Stigma Among Individuals With Schizophrenia.","authors":"Adi Lavi-Rotenberg, Noa Frishman, Libby Igra, Eva Gilboa-Schechtman, Ilanit Hasson-Ohayon","doi":"10.1097/NMD.0000000000001724","DOIUrl":"10.1097/NMD.0000000000001724","url":null,"abstract":"Abstract: Self-stigma is associated with a variety of negative self-perceptions among people coping with schizophrenia, as well as with different aspects of social behaviors. We explored the associations between self-compassion, self-esteem, social anxiety, and self-stigma among people coping with schizophrenia. The baseline data of 56 adults with schizophrenia who were enrolled in a Metacognitive Reflection and Insight Therapy trial were used. Participants filled out self-report questionnaires measuring self-compassion, self-esteem, social anxiety, and self-stigma. Self-esteem and self-compassion were negatively correlated with self-stigma and social anxiety. Self-compassion was not found to contribute beyond self-esteem to the prediction of self-stigma. Importantly, self-esteem and social anxiety were found to mediate the effects of self-compassion on self-stigma. Thus, it seems that social variables, in addition to self-variables, may lead to the formation of self-stigma among people with schizophrenia. Therefore, alongside addressing self-esteem and self-compassion, integrating therapeutic elements related to coping with social anxiety into interventions would seem to be an important factor in reducing self-stigma among people with serious mental illness.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41236097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"The Demons Made Me Do It": When Delusions of Possession Lead to Attempted Inpatient Suicide. "恶魔逼我这么做"：当占有妄想症导致住院病人自杀未遂时。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001720

Jacob R Weiss, Monica Sharobeam, Justin Faden

引用次数: 0

Proximal and Distal Factors Distinguishing Between Individuals With Suicidal Ideation Only and Suicide Attempters. 区分仅有自杀念头的个人和自杀未遂者的近端和远端因素。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-23 DOI: 10.1097/NMD.0000000000001718

Jana Serebriakova, Georg Kemmler, Eberhard A Deisenhammer

引用次数: 0

Terminal Lucidity in a Pediatric Oncology Clinic. 儿科肿瘤诊所的晚期清醒。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 Epub Date: 2023-09-13 DOI: 10.1097/NMD.0000000000001711

Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott

{"title":"Terminal Lucidity in a Pediatric Oncology Clinic.","authors":"Philip Roehrs, Peter Fenwick, Bruce Greyson, Allan Kellehear, Karalee Kothe, Michael Nahm, Chris Roe, Natasha Tassell-Matamua, Marjorie Woollacott","doi":"10.1097/NMD.0000000000001711","DOIUrl":"10.1097/NMD.0000000000001711","url":null,"abstract":"Abstract: The sporadic occurrence of unusually enhanced mental clarity before death has been documented over time and cultures, and reported in patients with and without neurodegenerative diseases, psychiatric disorders, and other neurocognitive deficits, as well as those with nonterminal and terminal conditions. Using a purposive sampling method via existing professional networks, clinical presentations of terminal lucidity in pediatric populations, as witnessed by pediatric oncologists and medical personnel, were solicited. We document clinical presentations suggestive of terminal lucidity in children, which were compiled by their attending physician at two large tertiary pediatric hospitals. Unanticipated and unexplained changes in mental clarity, verbal communication, and/or physical capability in the days and hours before the death of the pediatric patients were observed. Each patient's medical condition should not have allowed for such changes. The phenomenon known as terminal lucidity provides a conceptual framework for these deviations, although more systematic documentation and clinical research is required before definitive conclusions can be drawn.","PeriodicalId":16480,"journal":{"name":"Journal of Nervous and Mental Disease","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

John Andrew Talbott Memorial Statement. 约翰-安德鲁-塔尔博特纪念声明。

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001765

引用次数: 0

Videos for Psychiatric Education: Could Deidentification Technology Make it Possible to Use Video Recordings of Patients for Psychiatric Education? 用于精神科教育的视频：去身份化技术能否使病人的视频录像用于精神科教育？

IF 1.9 4区医学

Journal of Nervous and Mental Disease Pub Date : 2024-01-01 DOI: 10.1097/NMD.0000000000001742

Barbara Schildkrout

引用次数: 0