World Journal of Psychiatry最新文献

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Anxiety, depression, and coping styles among cervical cancer patients during radiotherapy and their correlations with uncertainty in illness. 宫颈癌放疗患者的焦虑、抑郁、应对方式及其与疾病不确定性的关系
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.103510
Chen-Ying Ma, Jing Shang, Lu Zhang, Jie Chen, Ke-Yan Qian, Ju-Ying Zhou
{"title":"Anxiety, depression, and coping styles among cervical cancer patients during radiotherapy and their correlations with uncertainty in illness.","authors":"Chen-Ying Ma, Jing Shang, Lu Zhang, Jie Chen, Ke-Yan Qian, Ju-Ying Zhou","doi":"10.5498/wjp.v15.i4.103510","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.103510","url":null,"abstract":"<p><strong>Background: </strong>Currently, there is limited research examining the relationship between anxiety, depression, coping styles, and illness uncertainty in patients with cervical cancer (CC) undergoing radiotherapy. Addressing this gap could provide valuable insights and more reliable evidence for clinical practice targeting this patient population.</p><p><strong>Aim: </strong>To analyze the anxiety, depression, and coping styles of patients with CC undergoing radiotherapy and explore their correlations with illness uncertainty.</p><p><strong>Methods: </strong>A total of 200 patients with CC undergoing radiotherapy at The First Affiliated Hospital of Soochow University between June 2018 and June 2022 were enrolled. Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS), comprising subscales for anxiety (HADS-A) and depression (HADS-D). Coping styles were evaluated using the Jalowiec Coping Scale (JCS-60), comprising dimensions such as confrontive, evasive, optimistic, fatalistic, emotive, palliative, supportive, and self-reliant. Illness uncertainty was measured using the Mishel Uncertainty in Illness Scale (MUIS), encompassing ambiguity, complexity, information deficit, and unpredictability. Correlations among anxiety, depression, coping styles, and illness uncertainty were analyzed.</p><p><strong>Results: </strong>During radiotherapy, the mean scores were 7.12 ± 3.39 for HADS-A, 6.68 ± 3.49 for HADS-D, 1.52 ± 0.23 for JCS-60, and 93.40 ± 7.44 for MUIS. Anxiety (HADS-A ≥ 8) was present in 39.5% of patients, depression (HADS-D ≥ 8) in 41.0%, and both in 14.0%. Anxiety was significantly positively correlated with ambiguity, unpredictability, and total MUIS score (<i>P</i> < 0.05). Depression was significantly positively correlated with ambiguity, information deficit, unpredictability, and total MUIS score (<i>P</i> < 0.05). Most patients adopted an optimistic coping style, whereas the emotive style was least utilized. Evasive, fatalistic, and emotive coping styles were significantly positively correlated with illness uncertainty, whereas the self-reliant style was significantly negatively correlated with unpredictability (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Anxiety, depression, and coping styles in patients with CC undergoing radiotherapy correlate significantly with their level of illness uncertainty. Medical staff should address patients' psychological status and coping strategies by providing targeted information to reduce negative emotions, foster adaptive coping styles, and decrease illness uncertainty.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"103510"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Degree centrality values in the left calcarine as a potential imaging biomarker for anxious major depressive disorder. 度中心性值表明左肌钙氨酸可作为焦虑性重度抑郁症的潜在成像生物标志物。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.100289
Yu-Jun Gao, Li-Li Meng, Zhao-Yuan Lu, Xiang-You Li, Ru-Qin Luo, Hang Lin, Zhi-Ming Pan, Bao-Hua Xu, Qian-Kun Huang, Zhi-Gang Xiao, Ting-Ting Li, E Yin, Nian Wei, Chen Liu, Hong Lin
{"title":"Degree centrality values in the left calcarine as a potential imaging biomarker for anxious major depressive disorder.","authors":"Yu-Jun Gao, Li-Li Meng, Zhao-Yuan Lu, Xiang-You Li, Ru-Qin Luo, Hang Lin, Zhi-Ming Pan, Bao-Hua Xu, Qian-Kun Huang, Zhi-Gang Xiao, Ting-Ting Li, E Yin, Nian Wei, Chen Liu, Hong Lin","doi":"10.5498/wjp.v15.i4.100289","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.100289","url":null,"abstract":"<p><strong>Background: </strong>Major depressive disorder (MDD) with comorbid anxiety is an intricate psychiatric condition, but limited research is available on the degree centrality (DC) between anxious MDD and nonanxious MDD patients.</p><p><strong>Aim: </strong>To examine changes in DC values and their use as neuroimaging biomarkers in anxious and non-anxious MDD patients.</p><p><strong>Methods: </strong>We examined 23 anxious MDD patients, 30 nonanxious MDD patients, and 28 healthy controls (HCs) using the DC for data analysis.</p><p><strong>Results: </strong>Compared with HCs, the anxious MDD group reported markedly reduced DC values in the right fusiform gyrus (FFG) and inferior occipital gyrus, whereas elevated DC values in the left middle frontal gyrus and left inferior parietal angular gyrus. The nonanxious MDD group exhibited surged DC values in the bilateral cerebellum IX, right precuneus, and opercular part of the inferior frontal gyrus. Unlike the nonanxious MDD group, the anxious MDD group exhibited declined DC values in the right FFG and bilateral calcarine (CAL). Besides, declined DC values in the right FFG and bilateral CAL negatively correlated with anxiety scores in the MDD group.</p><p><strong>Conclusion: </strong>This study shows that abnormal DC patterns in MDD, especially in the left CAL, can distinguish MDD from its anxiety subtype, indicating a potential neuroimaging biomarker.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"100289"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Are dissociative psychosis and dissociative schizophrenia reality? 解离性精神病和解离性精神分裂症是现实吗?
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.102008
Hasan Belli
{"title":"Are dissociative psychosis and dissociative schizophrenia reality?","authors":"Hasan Belli","doi":"10.5498/wjp.v15.i4.102008","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102008","url":null,"abstract":"<p><p>Even if dissociation has various facets, it is clear that knowledge of dissociative psychosis and a dissociative schizophrenia-based viewpoint may provide new perspectives on mental disorders. Many researchers screening for comorbid symptoms of \"childhood traumatic experiences\" and \"dissociation\", where specific characteristics are significant to the presence of psychosis and schizophrenia, may lead to an acceptable definition. In recent years, researchers have also reported crucial advances in the understanding of dissociative psychosis and dissociative schizophrenia. Although clinical studies in this area have been ongoing for a long time, research has not demonstrated that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. However, some results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis and dissociative schizophrenia. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be a prominent part of dissociative psychosis and schizophrenia. The intense presence of negative symptoms may indicate classical schizophrenia. In research and clinical practice, researchers and clinicians may use psychometric tests to detect symptoms of dissociative psychosis. Psychotic persons with traumatic experiences likely benefit from treatment focused on trauma symptomatolgy.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102008"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effects of psychological intervention combined with education on psychological resilience and healthy behavior of patients with pulp disease. 心理干预结合教育对牙髓病患者心理弹性及健康行为的影响。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.100929
Qing-Feng Wang, Shi-Liang Guo, Hai-Yan Tang, Ying Wu
{"title":"Effects of psychological intervention combined with education on psychological resilience and healthy behavior of patients with pulp disease.","authors":"Qing-Feng Wang, Shi-Liang Guo, Hai-Yan Tang, Ying Wu","doi":"10.5498/wjp.v15.i4.100929","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.100929","url":null,"abstract":"<p><strong>Background: </strong>The two-way, three-stage psychological intervention for patients with dental pulp disease offers a reference for nursing interventions in such cases.</p><p><strong>Aim: </strong>To examine the effects of a three-stage psychological intervention on psychological resilience and health behaviors.</p><p><strong>Methods: </strong>A total of 114 patients with dental pulp disease treated between December 2022 and December 2023 were allocated into two groups according to the random lottery method, with 57 patients in each group. The control group adopted the teaching method, while the observation group used a three-stage psychological intervention combined with the teaching method. We compared psychological resilience, coping strategies, dental fear, health behavior habits, and stigma between the two groups.</p><p><strong>Results: </strong>The intervention group showed significantly improved scores on the psychological resilience scale (Connor-Davidson Resilience Scale) (<i>P</i> < 0.05); positive and negative response scores also improved after the intervention (<i>P</i> < 0.05); significant differences were observed between the observation and control groups in the Chinese version of the Stouthard Dental Fear Scale (Dental Anxiety Inventory), the Social Impact Scale, and health behavior score (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Combining a three-stage psychological intervention with the back-teaching method effectively reduces dental fear and stigma in patients with dental pulp disease. It also improves psychological resilience, coping strategies, and health behavior habits, achieving significant results.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"100929"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effect of Qi-based mindfulness therapy for mild-to-moderate depression. 正念气疗法治疗轻中度抑郁症的疗效观察。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.104450
Qiong-Wei Li, Yan Yang, Xue-Jiao Gao, Alexander Ma, Wei Sun
{"title":"Effect of Qi-based mindfulness therapy for mild-to-moderate depression.","authors":"Qiong-Wei Li, Yan Yang, Xue-Jiao Gao, Alexander Ma, Wei Sun","doi":"10.5498/wjp.v15.i4.104450","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.104450","url":null,"abstract":"<p><strong>Background: </strong>Depression is a disorder characterized by significant and persistent depressed mood, cognitive impairment, impaired voluntary activity, working memory, and somatic symptoms.</p><p><strong>Aim: </strong>To determine the efficacy of Qi-based mindfulness therapy (QMT) in treating anxiety, depression, and sleep disturbances in individuals with mild-to-moderate depression.</p><p><strong>Methods: </strong>A self-controlled before-after trial was conducted. The study invited online participants for recruitment between May and July 2023. Participants (<i>n</i> = 18) aged 18-65 years with mild-to-moderate depression, who were receiving QMT training for 4 weeks, were included. The primary efficacy indicators were the 17 Hamilton Depression Rating Scale and Hamilton Anxiety Scale scores. The secondary outcome indicators included the Zung Self-rating Depression Scale, the self-rating Anxiety Scale, and the Insomnia Severity Index. Pre- and post-intervention assessments were conducted. The patients' symptoms related to depression, anxiety, and insomnia were reassessed 4 weeks after the post-intervention evaluation.</p><p><strong>Results: </strong>Patients who underwent the QMT intervention for 4 weeks exhibited a statistically significant reduction in scores on the 17 Hamilton Depression Rating Scale, Hamilton Anxiety Scale, the Zung Self-Rating Depression Scale, the Self-Rating Anxiety Scale, and the Insomnia Severity Index relative to their pre-intervention scores (all <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>QMT training for 4 weeks is an effective nonpharmacological treatment for symptoms of depression, anxiety, and insomnia among patients with mild-to-moderate depression.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"104450"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Correlations of resilience with coping styles and quality of life in patients with malignancies. 恶性肿瘤患者心理弹性与应对方式和生活质量的相关性研究。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-04-19 DOI: 10.5498/wjp.v15.i4.100573
Xue-Jin Qin, Man-Man Kang, Fei Zhong, Jing-Jing Liu, Zheng-Chun Zhu, Di Zhang, Ke Han
{"title":"Correlations of resilience with coping styles and quality of life in patients with malignancies.","authors":"Xue-Jin Qin, Man-Man Kang, Fei Zhong, Jing-Jing Liu, Zheng-Chun Zhu, Di Zhang, Ke Han","doi":"10.5498/wjp.v15.i4.100573","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.100573","url":null,"abstract":"<p><strong>Background: </strong>Resilience is an individual's ability and psychological rebound capacity to adapt well after experiencing adversity, trauma, <i>etc.</i> Patients with strong resilience can face illnesses actively.</p><p><strong>Aim: </strong>To determine the association of resilience with coping styles and quality of life in patients with malignancies.</p><p><strong>Methods: </strong>This study included patients with malignant tumors who were hospitalized at Fuyang Hospital Affiliated to Anhui Medical University from March 2022 to March 2024. The Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire, Social Support Rating Scale, and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 were utilized to assess patients' resilience, coping styles, social support, and quality of life, respectively. Pearson correlation analysis was conducted to assess the correlations.</p><p><strong>Results: </strong>A total of 175 patients with malignant tumors demonstrated no marked difference in terms of age, education level, employment status, monthly household income, and disease staging (<i>P</i> < 0.05). Further, patients with malignancies demonstrated scores of 17.49 ± 1.20, 17.27 ± 1.46, and 11.19 ± 1.29 points in terms of coping styles in confrontation, avoidance, and resignation dimensions, respectively. Subjective support, objective support, and support utilization scores in terms of social support were 10.67 ± 1.80, 11.26 ± 2.08, and 9.24 ± 1.14 points, respectively. The total resilience score and tenacity, self-improvement, and optimism dimension scores were positively correlated with the confrontation coping style score, whereas the total resilience score and tenacity and self-improvement scores were negatively associated with avoidance and resignation coping style scores (<i>P</i> < 0.05). The total resilience score and the tenacity dimension score were positively associated with physical, role, cognitive, emotional, and social functions, as well as global health status (<i>P</i> < 0.05), and were inversely related to fatigue, insomnia, and economic difficulties (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The resilience of patients with malignancies is positively associated with the confrontation dimension in the coping style, the total and various social support domain scores, and the overall quality of life. Clinical medical staff need to pay attention to the effect of medical coping styles and social support on the resilience level of patients with malignancies to further improve their quality of life.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"100573"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Gender-based economic violence and the exploitation of women: A deep dive. 基于性别的经济暴力和对妇女的剥削:深入探讨。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-03-19 DOI: 10.5498/wjp.v15.i3.103725
Elif Sarac, Deniz Odabas
{"title":"Gender-based economic violence and the exploitation of women: A deep dive.","authors":"Elif Sarac, Deniz Odabas","doi":"10.5498/wjp.v15.i3.103725","DOIUrl":"10.5498/wjp.v15.i3.103725","url":null,"abstract":"<p><p>Economic violence is a form of domestic violence that extends beyond physical harm, affecting victims' economic stability and independence. This situation perpetuates gender inequality and also reinforces the cycle of gender-based violence. With definitions of economic violence broadening to encompass a range of coercive and manipulative behaviors - from financial abuse in domestic violence scenarios to the economic harassment faced by stay-at-home moms - understanding this form of exploitation is crucial for crafting effective interventions. This article aims to delve into various facets of economic violence, including its definition, prevalence, and the stark realities it creates for its victims. Following the search of international databases: Social Work Abstracts (EBSCO), Psychology Abstracts, Family and Women Studies Worldwide, Psychiatry Online, Psych INFO (including Psych ARTICLES), PubMed, Wiley, and Scopus, 60 peer-reviewed articles that met all inclusion criteria were included in the paper. Our review clarifies that looking forward, the call for a comprehensive understanding of economic violence, enhanced legal frameworks, and the strengthening of supportive networks underscore the multidisciplinary approach required to combat this issue effectively.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 3","pages":"103725"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effect of lattice CO2 laser combined with Kegel exercise mild moderate stress urinary incontinence and postpartum depression anxiety. 格点CO2激光联合凯格尔运动对轻度中度应激性尿失禁及产后抑郁焦虑的影响。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-03-19 DOI: 10.5498/wjp.v15.i3.103252
Zhao-Xia Lou, Shu-Ying Huang, Ze-Qiu Wan, Yun Chen, Hua-Ying Shan, Ling-Yan Wang
{"title":"Effect of lattice CO<sub>2</sub> laser combined with Kegel exercise mild moderate stress urinary incontinence and postpartum depression anxiety.","authors":"Zhao-Xia Lou, Shu-Ying Huang, Ze-Qiu Wan, Yun Chen, Hua-Ying Shan, Ling-Yan Wang","doi":"10.5498/wjp.v15.i3.103252","DOIUrl":"10.5498/wjp.v15.i3.103252","url":null,"abstract":"<p><strong>Background: </strong>Postpartum stress urinary incontinence (SUI) symptoms affect a patient's daily activities and quality of life and increase the negative emotions that they experience. At present, there is no research on the effect of fractional CO<sub>2</sub> laser treatment combined with Kegel exercise on postpartum SUI and postpartum depression and anxiety.</p><p><strong>Aim: </strong>To investigate the effect of lattice CO<sub>2</sub> laser treatment combined with Kegel exercise on mild to moderate postpartum SUI and its influence on postpartum depression and anxiety.</p><p><strong>Methods: </strong>Using a retrospective study, data from 82 cases of mild to moderate postpartum SUI in Huzhou Maternal & Child Health Care Hospital from January to April 2024 were retrospectively collected. The cases were divided into groups according to the different treatment methods, namely Group S (41 cases, only receiving lattice CO<sub>2</sub> laser treatment) and Group L (41 cases, receiving lattice CO<sub>2</sub> laser combined with Kegel exercise treatment). The baseline data of the two groups were compared. In addition, we analyzed and compared the scores of the international commission on urinary incontinence questionnaire short form (ICI-Q-SF), incontinence quality of life questionnaire (I-QOL), Edinburgh postnatal depression scale (EPDS), and postpartum specific anxiety scale (PSAS) before treatment, at the end of treatment, and 3 months after the end of treatment between the two groups. Furthermore, the clinical efficacy and adverse reactions of the two groups were analyzed and compared at the end of treatment and 3 months after the end of treatment.</p><p><strong>Results: </strong>There was no significant difference in the baseline data and the ICI-Q-SF, I-QOL, EPDS, and PSAS scores between the two groups before treatment. However, at the end of treatment, the ICI-Q-SF, I-QOL, EPDS, and PSAS scores between Groups L and S were significantly different. The overall effective rate of treatment in Group L was significantly higher than that in Group S. During the 3-month follow-up after treatment, it was found that the ICI-Q-SF, EPDS, and PSAS scores of Group L were still lower than those of Group S. In comparison, the I-QOL score and total effective rate of treatment were still higher in Group L than those in Group S, and this difference was significant. There was no significant difference in the adverse reactions between Group L and Group S.</p><p><strong>Conclusion: </strong>The combination of dot lattice CO<sub>2</sub> laser and Kegel exercise has a significant therapeutic effect on mild to moderate postpartum SUI. It can prolong the duration of therapeutic effects, improve a patient's quality of life, and alleviate postpartum depression and anxiety.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 3","pages":"103252"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery. ADIET沟通及分娩预演对阴道试产焦虑、产程及结局的影响。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-03-19 DOI: 10.5498/wjp.v15.i3.99509
Ling-Mei Liu, Hao-Yu He, Jing-Xian Lu
{"title":"Effects of ADIET communication and delivery rehearsal on anxiety, labor process, and outcomes in vaginal trial delivery.","authors":"Ling-Mei Liu, Hao-Yu He, Jing-Xian Lu","doi":"10.5498/wjp.v15.i3.99509","DOIUrl":"10.5498/wjp.v15.i3.99509","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the obstetrics department has advocated vaginal delivery to reduce the rate of cesarean sections. However, in clinical practice, pregnant women are prone to anxiety before childbirth, making it difficult to perform a vaginal trial delivery smoothly. The combined approach of ADIET communication and delivery rehearsal for vaginal trial delivery can provide a reference for reducing prenatal anxiety, shortening labor duration, facilitating a smooth delivery, and ensuring the safety of both mothers and babies.</p><p><strong>Aim: </strong>To analyze the effect of AIDET communication combined with labor rehearsal on vaginal trial delivery.</p><p><strong>Methods: </strong>A study conducted between January 2023 and December 2023 included 200 vaginal trials. Women were randomly assigned to an observation group (100 women), which received ADIET communication plus delivery intervention, and a control group (100 women), which received routine communication plus delivery intervention. This study aimed to compare antenatal anxiety status as measured using the Maternal Anxiety Scale, labor duration, delivery efficacy as assessed using the simplified Chinese version of the Childbirth Self-Efficacy Inventory, and delivery outcomes.</p><p><strong>Results: </strong>After the intervention, the observation group had a lower Maternal Anxiety Scale score and higher Childbirth Self-Efficacy Inventory score (<i>P</i> < 0.05) than the control group (<i>P</i> < 0.05), whereas the observation group had higher natural delivery, cesarean delivery, vaginal delivery, and neonatal asphyxia rates (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>For women undergoing vaginal trial delivery, a combination of AIDET communication and delivery rehearsal can relieve prenatal anxiety, enhance delivery efficiency, shorten labor duration, and somewhat improve delivery outcomes.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 3","pages":"99509"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Understanding patients' emotional needs to strengthen therapeutic relationships: A deep insight into narrative nursing. 理解病人的情感需求以加强治疗关系:对叙事护理的深刻洞察。
IF 3.9 4区 医学
World Journal of Psychiatry Pub Date : 2025-03-19 DOI: 10.5498/wjp.v15.i3.103093
Wen-Jue Pan, Shu-Fen Wang
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