Taiwanese Journal of Psychiatry最新文献_第9页

Loneliness in patients with schizophrenia 精神分裂症患者的孤独感

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_14_21

H. Liao, Y. Lee, S. Hsu, C. Yen

{"title":"Loneliness in patients with schizophrenia","authors":"H. Liao, Y. Lee, S. Hsu, C. Yen","doi":"10.4103/tpsy.tpsy_14_21","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_14_21","url":null,"abstract":"Background: The treatment goals for patients with schizophrenia are to address subjective well-being, quality of life, and recovery in recent decades. Loneliness is a negative subjective feeling and related to social isolation, which is thought to be a barrier to recovery. Few research exist to study loneliness in-depth in patients with schizophrenia. Methods: In this review, the authors intend to address the issues of the prevalence, the impacts, the associated factors, and the interventions of loneliness in patients with schizophrenia. Results: Studies showed that patients with schizophrenia have a greater degree of loneliness than those without. The physical and mental health problems associated with loneliness in patients with schizophrenia include hypertension, high blood level of glycated hemoglobin, activated hypothalamus–pituitary–adrenal axis, poor subjective quality of life, depression, anxiety, suicide, use of addictive substances, high perceived stress, low self-esteem, low sense of pleasure, pessimism, and low resilience. From an ecological approach, loneliness in patients with schizophrenia is associated with several personal disease factors, personal cognitive factors, personal socioeconomic factors, community integration, and residence. Social prescribing projects, cognitive behavioral therapy, mindfulness, and positive psychology interventions have been used to reduce loneliness in patients with schizophrenia. Conclusion: Loneliness is an important indicator of the physical and mental health in patients with schizophrenia. Several factors associated with loneliness in patients with schizophrenia have been identified in the past studies. Further intervention research are required for establish effective methods to reduce loneliness in patients with schizophrenia.","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83507500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Psychotropic drug prescription patterns and their predictors among older adult patients with schizophrenia in a tertiary-referral psychiatric hospital 精神科三级转诊医院老年精神分裂症患者的精神药物处方模式及其预测因子

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_16_21

Mun-Ju Lin, Hsing-Kang Chen

{"title":"Psychotropic drug prescription patterns and their predictors among older adult patients with schizophrenia in a tertiary-referral psychiatric hospital","authors":"Mun-Ju Lin, Hsing-Kang Chen","doi":"10.4103/tpsy.tpsy_16_21","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_16_21","url":null,"abstract":"Objective: Medical treatments for patients with refractory schizophrenia can be roughly divided into three strategies – clozapine administration, adjuvant use of mood stabilizers, and antipsychotic polypharmacy. Few studies exist on older adult patients with schizophrenia. In this study, we intended to assess the prevalence of clozapine administration, adjuvant use of mood stabilizers, and antipsychotic polypharmacy, and to find their predictors in those patients with schizophrenia. Methods: In this cross-sectional study, we collected information of patients' sociodemographic and clinical details. Their psychotic symptoms were evaluated using a clinical interview with a positive and negative syndrome scale (PANSS). Results: We enrolled 240 study participants, with 74 patients (30.8%) receiving clozapine, 40 patients (16.7%) receiving adjuvant use of mood stabilizers, and 42 patients (17.5%) receiving antipsychotic polypharmacy. Younger age (p < 0.05), higher PANSS general symptoms subscales (p < 0.001), and higher dosage of antipsychotics (p < 0.01) were significantly related to patients with clozapine administration. As to patients with adjuvant therapy with mood stabilizers, only younger age (p < 0.01) and male gender (p < 0.05) showed significant association. Finally, patients receiving antipsychotic polypharmacy were significantly related to lower body mass index (BMI) (p < 0.05), higher PANSS positive symptoms subscale (p < 0.05), and higher dosage of antipsychotics (p < 0.001). Conclusions: Our findings showed that patients with clozapine prescription were 30.8% in prevalence which is higher than other studies in Asia. The prevalence of adjuvant mood stabilizers and antipsychotic polypharmacy were 16.7% and 17.5%, respectively. Those two findings are lower than those in other studies in Asia.","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88579463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental health services and research and development in South Korea 韩国的精神卫生服务和研究与发展

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/TPSY.TPSY_22_21

Youngin Chung, Subin Park, Sun-sik Roh, Bomi Lee, Y. Lee, F. Rami, Ling Li, J. Shen

{"title":"Mental health services and research and development in South Korea","authors":"Youngin Chung, Subin Park, Sun-sik Roh, Bomi Lee, Y. Lee, F. Rami, Ling Li, J. Shen","doi":"10.4103/TPSY.TPSY_22_21","DOIUrl":"https://doi.org/10.4103/TPSY.TPSY_22_21","url":null,"abstract":"Background: South Korea or the Republic of Korea has an area of 100,412.6 km2, and population of 52 million (51,781,000). Methods: Besides our lifetime experiences in receiving training, teaching, and practicing psychiatry, the authors collected information from the literature pertinent to the mental health care in South Korea. This review is intended to familiarize the readers of the Taiwanese Journal of Psychiatry with the information of mental health-care service as well as research and development (R and D) in South Korea. Results: Despite consistent improvement in the overall health status in Korea, the mental health status of the population is low compared with other countries in the Organization for Economic Co-operation and Development (OECD). For example, Korea has the highest suicide-related mortality and more years of life lost due to mental/behavioral diseases, compared to those of the average and a longer-than-average duration of hospital stay, respectively, of the OECD. Conversely, the government has made efforts to overhaul the mental health system. Several remarkable changes have been made in the areas of community-based service, involuntary admission, and unequal treatment. Conclusion: The mental health status is closely associated with the mental health service system, prevalence of mental disorders, health insurance system, admission system, and R and D budget for mental health. To change attitudes related to mental health, strong leadership among mental health professionals is urgently needed.","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84372613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A pilot study of antidepressant therapy on sleep architecture in patients with depression in Congo 刚果抑郁症患者抗抑郁药物治疗睡眠结构的初步研究

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_17_21

H. Dhillon, S. Sasidharan

{"title":"A pilot study of antidepressant therapy on sleep architecture in patients with depression in Congo","authors":"H. Dhillon, S. Sasidharan","doi":"10.4103/tpsy.tpsy_17_21","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_17_21","url":null,"abstract":"Background: A pilot prospective cohort study was conducted to study the sleep architecture and correlated perceived sleep disturbances in depressed Congolese patients with objective changes in sleep architecture using polysomnography (PSG) before and after antidepressant therapy. Methods: Patients were recruited into the study after applying strict inclusion and exclusion criterion to rule out other comorbidities which could influence sleep. A diagnosis of depressive episode was made based on the International Classification of Diseases-10 Edition DCR. Patients were evaluated using Beck Depressive inventory (BDI) and (Hamilton Depression Rating Scale (HAM-D) insomnia subscale on day 1 of admission. Patients also received sleep study using polysomnography on day 3 of the hospitalization. Patients were started on antidepressant treatment after polysomnography. Patients received an eight-week adequate trial of antidepressants, and BDI score being lower than 9 was considered as being remitted from depression. Polysomnography was repeated after that the patients achieved remission. Statistical analysis was done using Kruskal–Wallis test and Pearson's correlation coefficient. Results: The study results showed that significantly improved polysomnographic findings existed in total sleep time (p < 0.001), sleep efficiency (p < 0.001), wake after sleep onset (p < 0.001), and percentage wake time (p < 0.001) after taking antidepressants. HAM-D insomnia subscale was correlated with total sleep time (p < 0.001), sleep efficiency (p < 0.001), wake after sleep onset (p < 0.001), total wake time (p < 0.001), and N2 stage percentage (p < 0.001). Conclusion: Antidepressant treatment effectively improved sleep architecture in depressive disorder. HAM-D insomnia subscale was correlated with objective findings of total sleep time, sleep efficiency, wake after sleep onset, as well as total wake time and duration of N2 stage of nonrapid eye movement (NREM).","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88825137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using early recollections to explore personality trait, self-efficacy, and insight in depressive patients 利用早期回忆探索抑郁症患者的人格特质、自我效能和洞察力

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_15_21

Wei- Chen, Frank Chou

{"title":"Using early recollections to explore personality trait, self-efficacy, and insight in depressive patients","authors":"Wei- Chen, Frank Chou","doi":"10.4103/tpsy.tpsy_15_21","DOIUrl":"https://doi.org/10.4103/tpsy.tpsy_15_21","url":null,"abstract":"Objective: Early life experience forms a template for the self-perception of an individual, and negative representations make individuals vulnerable to depression. To explore the deep inner world of patients with depression using objective early life experience measures is not easy. In the present study, we intended to clarify the use of subjective early recollections (ER) in exploring the inner world of depressive patients. Methods: We interviewed 80 depressive inpatients with ER and evaluated whether they had a feeling sense of belonging to their caregivers, and whether they had a positive self-image. They were also assessed using the Taiwanese version Type D Scale-14, Chinese version General Self-efficacy Scale, the Taiwanese version of the Mini-International Neuropsychiatric Interview, and Insight Interview. Results: Independent t-test was used to test the significant differences between feeling belonging/not feeling belonging groups and between positive or negative self-image groups on the variables of Type D personality traits, self-efficacy, illness insight, and comorbid psychiatric disorders with effect sizes ranging from 0.4 to 1.3. Conclusion: Our study showed that ER could function as a window through which depressive patients' inner life. Thus, we suggested that ER can be considered an important part of the clinical assessment methods for depressive patients.","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78583826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contemporary psychotherapeutic approaches to patients with schizophrenia in Taiwan 台湾精神分裂症患者的当代心理治疗方法

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_21_21

S. Li, K. Lee, Shu- Lu, W. Peng

引用次数: 0

Malingering by proxy presenting with symptoms of posttraumatic stress disorder: A case report of child abuse 以创伤后应激障碍症状为表现的代理装病:儿童虐待案例报告

Taiwanese Journal of Psychiatry Pub Date : 2021-04-01 DOI: 10.4103/tpsy.tpsy_12_21

Hsing-Jung Li, Frank Chou, Wen- Lin, Kuan-Hsin Chen, Ching-Hong Tsai

引用次数: 0

Munchausen syndrome and munchausen syndrome by proxy: A case report 孟乔森综合征和代用孟乔森综合征1例报告

Taiwanese Journal of Psychiatry Pub Date : 2021-01-01 DOI: 10.4103/TPSY.TPSY_9_21

Wei-Jen Lin, Y. Chan

引用次数: 0

Constructing the understanding of emerging clinical entity of flirtatious personality 建构对轻浮人格显现临床实体的认识

Taiwanese Journal of Psychiatry Pub Date : 2021-01-01 DOI: 10.4103/TPSY.TPSY_8_21

M. Sharma, S. Chaturvedi, S. Ganjekar

引用次数: 0

Required research activities to overcome addiction problems in Japan 需要开展研究活动以克服日本的成瘾问题

Taiwanese Journal of Psychiatry Pub Date : 2021-01-01 DOI: 10.4103/TPSY.TPSY_3_21

K. Ikeda, S. Ide, H. Takahashi-Omoe, M. Minami, H. Miyata, M. Kawato, Hitoshi Okamoto, T. Kikuchi, Yumiko Saito, T. Shirao, Y. Sekino, T. Murai, T. Matsumoto, M. Iseki, Y. Nishitani, M. Sumitani, Hidehiko Takahashi, S. Yamawaki, Tadashi Isa, Y. Kamio

{"title":"Required research activities to overcome addiction problems in Japan","authors":"K. Ikeda, S. Ide, H. Takahashi-Omoe, M. Minami, H. Miyata, M. Kawato, Hitoshi Okamoto, T. Kikuchi, Yumiko Saito, T. Shirao, Y. Sekino, T. Murai, T. Matsumoto, M. Iseki, Y. Nishitani, M. Sumitani, Hidehiko Takahashi, S. Yamawaki, Tadashi Isa, Y. Kamio","doi":"10.4103/TPSY.TPSY_3_21","DOIUrl":"https://doi.org/10.4103/TPSY.TPSY_3_21","url":null,"abstract":"Background: The term “addiction” encompasses both substance dependence and behavioral addiction and is associated with major societal problems. Measures to combat addiction are currently insufficient in Japan, and further research on addiction is necessary. Methods: Science Council of Japan (SCJ) has three subcommittees – the Addiction Subcommittee, Brain and Mind Subcommittee, and Neuroscience Subcommittee among others. Those three subcommittees are dealing directly or indirectly with addiction problems in Japan. Thus, all authors of this review, members of those subcommittees, collectively recommended what research activities are required in Japan for continuing effort in overcoming addiction problems in Japan. Results: We proposed the following measures. Proposal 1: Understand diversity in addiction and promote related research and education; Proposal 2: Promote personalized measures for patients with addiction disorders; Proposal 3: Foster addiction research personnel; Proposal 4: Develop new guidelines for the rehabilitation of patients with drug dependence; Proposal 5: Establish an institute specializing in addiction research and comprehensively handling information collection, research, countermeasures, treatment, and public relation related to addiction. Conclusion: The opinions of the review are based on the recommendations that were published in 2020 in Japanese by the Addiction Subcommittee, Brain and Mind Subcommittee, and Neuroscience Subcommittee of the SCJ. The authors here are sharing colleagues of Taiwanese Society of Psychiatry with these proposed research activities required to overcome addiction problems in Japan.","PeriodicalId":22278,"journal":{"name":"Taiwanese Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82994149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1