World Journal of Psychiatry最新文献

{"title":"Clinical efficacy of Baijin pills in the treatment of generalized tonic-clonic seizure epilepsy with cognitive impairment.","authors":"Jing-Bo Li, Jing Jiang, Lian Xue, Shuai Zhao, Hong-Quan Liu","doi":"10.5498/wjp.v14.i6.938","DOIUrl":"10.5498/wjp.v14.i6.938","url":null,"abstract":"<p><strong>Background: </strong>The generalized tonic-clonic seizure (GTCS) is the most usual variety of epileptic seizure. It is mainly characterized by strong body muscle rigidity, loss of consciousness, a disorder of plant neurofunction, and significant damage to cognitive function. The effect of antiepileptic drugs on cognition should also be considered. At present, there is no effective treatment for patients with epilepsy, but traditional Chinese medicine has shown a significant effect on chronic disease with fewer harmful side effects and should, therefore, be considered for the therapy means of epilepsy with cognitive dysfunction.</p><p><strong>Aim: </strong>To investigate the clinical efficacy of Baijin pills for treating GTCS patients with cognitive impairment.</p><p><strong>Methods: </strong>This prospective study enrolled patients diagnosed with GTCS between January 2020 and December 2023 and separate them into two groups (experimental and control) using random number table method. The control group was treated with sodium valproate, and the experimental group was Baijin pills and sodium valproate for three months. The frequency and duration of each seizure, the Montreal Cognitive Assessment Scale (MoCA), and the Quality of Life Rating Scale (QOLIE-31) were recorded before and after treatment.</p><p><strong>Results: </strong>There were 85 patients included (42 in the control group and 43 in the experimental group). After treatment, the seizure frequency in the experimental group was significantly reduced (<i>P</i> < 0.05), and seizure duration was shortened (<i>P</i> < 0.01). The total MoCA score in the experimental group significantly increased compared to before treatment (<i>P</i> < 0.01), and the sub-item scores, except naming and abstract generalization ability, significantly increased (<i>P</i> < 0.05), whereas the total MoCA score in the control group significantly decreased after treatment (<i>P</i> < 0.05). The QOLIE-31 score of the experimental group increased significantly after treatment compared to before treatment (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>Baijin pills have a good clinical effect on epilepsy with cognitive dysfunction.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564594","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}

{"title":"Impact of thoracic paravertebral block and sufentanil on outcomes and postoperative cognitive dysfunction in thoracoscopic lung cancer surgery.","authors":"Dan-Dan Wang, Hong-Yu Wang, Yan Zhu, Xi-Hua Lu","doi":"10.5498/wjp.v14.i6.894","DOIUrl":"10.5498/wjp.v14.i6.894","url":null,"abstract":"<p><strong>Background: </strong>Postoperative pain management and cognitive function preservation are crucial for patients undergoing thoracoscopic surgery for lung cancer (LC). This is achieved using either a thoracic paravertebral block (TPVB) or sufentanil (SUF)-based multimodal analgesia. However, the efficacy and impact of their combined use on postoperative pain and postoperative cognitive dysfunction (POCD) remain unclear.</p><p><strong>Aim: </strong>To explore the analgesic effect and the influence on POCD of TPVB combined with SUF-based multimodal analgesia in patients undergoing thoracoscopic radical resection for LC to help optimize postoperative pain management and improve patient outcomes.</p><p><strong>Methods: </strong>This retrospective analysis included 107 patients undergoing thoracoscopic radical resection for LC at The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital between May 2021 and January 2023. Patients receiving SUF-based multimodal analgesia (<i>n</i> = 50) and patients receiving TPVB + SUF-based multimodal analgesia (<i>n</i> = 57) were assigned to the control group and TPVB group, respectively. We compared the Ramsay Sedation Scale and visual analog scale (VAS) scores at rest and with cough between the two groups at 2, 12, and 24 h after surgery. Serum levels of epinephrine (E), angio-tensin II (Ang II), norepinephrine (NE), superoxide dismutase (SOD), vascular endothelial growth factor (VEGF), transforming growth factor-β1 (TGF-β1), tumor necrosis factor-α (TNF-α), and S-100 calcium-binding protein β (S-100β) were measured before and 24 h after surgery. The Mini-Mental State Examination (MMSE) was administered 1 day before surgery and at 3 and 5 days after surgery, and the occurrence of POCD was monitored for 5 days after surgery. Adverse reactions were also recorded.</p><p><strong>Results: </strong>There were no significant time point, between-group, and interaction effects in Ramsay sedation scores between the two groups (<i>P</i> > 0.05). Significantly, there were notable time point effects, between-group differences, and interaction effects observed in VAS scores both at rest and with cough (<i>P</i> < 0.05). The VAS scores at rest and with cough at 12 and 24 h after surgery were lower than those at 2 h after surgery and gradually decreased as postoperative time increased (<i>P <</i> 0.05). The TPVB group had lower VAS scores than the control group at 2, 12, and 24 h after surgery (<i>P <</i> 0.05). The MMSE scores at postoperative days 1 and 3 were markedly higher in the TPVB group than in the control group (<i>P</i> < 0.05). The incidence of POCD was significantly lower in the TPVB group than in the control group within 5 days after surgery (<i>P <</i> 0.05). Both groups had elevated serum E, Ang II, and NE and decreased serum SOD levels at 24 h after surgery compared with the preoperative levels, with better indices in the TPVB group (<i>P</i> < 0.05). Marked elevations in serum l","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564603","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}

{"title":"Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis.","authors":"Chun-Xia Huang, Xiao-Yan Xu, Dong-Mei Gu, Hui-Ping Xue","doi":"10.5498/wjp.v14.i6.913","DOIUrl":"10.5498/wjp.v14.i6.913","url":null,"abstract":"<p><strong>Background: </strong>Severe acute pancreatitis (SAP) is a familiar critical disease in the intensive care unit (ICU) patients. Nursing staff are important spiritual pillars during the treatment of patients, and in addition to routine nursing, more attention needs be paid to the patient's psychological changes.</p><p><strong>Aim: </strong>To investigate the effects of psychological intervention in ICU patients with SAP.</p><p><strong>Methods: </strong>One hundred ICU patients with SAP were hospitalized in the authors' hospital between 2020 and 2023 were selected, and divided into observation and control groups per the hospitalization order. The control and observation groups received routine nursing and psychological interventions, respectively. Two groups are being compared, using the Self-rating Anxiety Scale (SAS), Self-Determination Scale (SDS), Acute Physiology and Chronic Health Evaluation (APACHE) II, and 36-item Short Form Health Survey (SF-36) scores; nursing satisfaction of patients; ICU care duration; length of stay; hospitalization expenses; and the incidence of complications.</p><p><strong>Results: </strong>After nursing, the SDS, SAS, and APACHE II scores in the experimental group were significantly lower than in the control group (<i>P</i> < 0.05). The SF-36 scores in the observation group were significantly higher than those in the control group (<i>P</i> < 0.05). The nursing satisfaction of patients in the experimental group was 94.5%, considerably higher than that of 75.6% in the control group (<i>P</i> < 0.05). The ICU care duration, length of stay, and hospitalization expenses in the observation group were significantly lower than those in the control group, and the incidence of complications was lower (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>For patients with SAP, the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564545","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}

{"title":"Correlation between pre-anesthesia anxiety and emergence agitation in non-small cell lung cancer surgery patients.","authors":"Fen Yan, Li-Hua Yuan, Xiao He, Kai-Feng Yu","doi":"10.5498/wjp.v14.i6.930","DOIUrl":"10.5498/wjp.v14.i6.930","url":null,"abstract":"<p><strong>Background: </strong>Preoperative anxiety is a common emotional problem during the perioperative period and may adversely affect postoperative recovery. Emergence agitation (EA) is a common complication of general anesthesia that may increase patient discomfort and hospital stay and may be associated with the development of postoperative complications. Pre-anesthetic anxiety may be associated with the development of EA, but studies in this area are lacking.</p><p><strong>Aim: </strong>To determine the relationship between pre-anesthetic anxiety and EA after radical surgery in patients with non-small cell lung cancer (NSCLC).</p><p><strong>Methods: </strong>Eighty patients with NSCLC undergoing surgical treatment between June 2020 and June 2023 were conveniently sampled. We used the Hospital Anxiety and Depression Scale's (HADS) anxiety subscale (HADS-A) to determine patients' anxiety at four time points (T1-T4): Patients' preoperative visit, waiting period in the surgical waiting room, after entering the operating room, and before anesthesia induction, respectively. The Riker Sedation-Agitation Scale (RSAS) examined EA after surgery. Scatter plots of HADS-A and RSAS scores assessed the correlation between patients' pre-anesthesia anxiety status and EA. We performed a partial correlation analysis of HADS-A scores with RSAS scores.</p><p><strong>Results: </strong>NSCLC patients' HADS-A scores gradually increased at the four time points: 7.33 ± 2.03 at T1, 7.99 ± 2.22 at T2, 8.05 ± 2.81 at T3, and 8.36 ± 4.17 at T4. The patients' postoperative RSAS score was 4.49 ± 1.18, and 27 patients scored ≥ 5, indicating that 33.75% patients had EA. HADS-A scores at T3 and T4 were significantly higher in patients with EA (9.67 ± 3.02 <i>vs</i> 7.23 ± 2.31, 12.56 ± 4.10 <i>vs</i> 6.23 ± 2.05, <i>P</i> < 0.001). Scatter plots showed the highest correlation between HADS-A and RSAS scores at T3 and T4. Partial correlation analysis showed a strong positive correlation between HADS-A and RSAS scores at T3 and T4 (<i>r</i> = 0.296, 0.314, <i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>Agitation during anesthesia recovery in patients undergoing radical resection for NSCLC correlated with anxiety at the time of entering the operating room and before anesthesia induction.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564598","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}

{"title":"Effects of serum inflammatory factors, health index and disease activity scores on ankylosing spondylitis patients with sleep disorder.","authors":"Hui Wang, Jia-Ying Sun, Yue Zhang","doi":"10.5498/wjp.v14.i6.866","DOIUrl":"10.5498/wjp.v14.i6.866","url":null,"abstract":"<p><strong>Background: </strong>Patients with ankylosing spondylitis (AS) frequently suffer from comorbid sleep disorders, exacerbating the burden of the disease and affecting their quality of life.</p><p><strong>Aim: </strong>To investigate the clinical significance of serum inflammatory factors, health index and disease activity scores in patients with AS complicated by sleep disorders.</p><p><strong>Methods: </strong>A total of 106 AS patients with comorbid sleep disorders were included in the study. The patients were grouped into the desirable and undesirable prognosis groups in accordance with their clinical outcomes. The serum levels of inflammatory factors, including C-reactive protein, erythrocyte sedimentation rate, interleukin (IL)-6, tumour necrosis factor-α and IL-1β, were measured. Disease activity scores, such as the Bath AS functional index, Bath AS disease activity index, Bath AS metrology index and AS disease activity score, were assessed. The health index was obtained through the Short Form-36 questionnaire.</p><p><strong>Results: </strong>The study found significant associations amongst serum inflammatory factors, health index and disease activity scores in AS patients with comorbid sleep disorders. Positive correlations were found between serum inflammatory factors and disease activity scores, indicating the influence of heightened systemic inflammation on disease severity and functional impairment. Conversely, negative correlations were found between disease activity scores and health index parameters, highlighting the effect of disease activity on various aspects of health-related quality of life. Logistic regression analysis further confirmed the predictive value of these factors on patient outcomes, underscoring their potential utility in risk assessment and prognostication.</p><p><strong>Conclusion: </strong>The findings demonstrate the intricate interplay amongst disease activity, systemic inflammation and patient-reported health outcomes in AS patients complicated by sleep disorders. The results emphasise the need for comprehensive care strategies that address the diverse needs and challenges faced by these patients and underscore the potential relevance of serum inflammatory factors, health index and disease activity scores as prognostic markers in this patient population.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564600","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}

{"title":"Problem-solving model guided by stimulus-organism-response theory: State of mind and coping styles of depressed mothers after cesarean delivery.","authors":"Rui-Fang Yuan, Mei-Qin Jiang, Juan Li, Jing-Jing Zhang","doi":"10.5498/wjp.v14.i6.945","DOIUrl":"10.5498/wjp.v14.i6.945","url":null,"abstract":"<p><strong>Background: </strong>The use of a problem-solving model guided by stimulus-organism-response (SOR) theory for women with postpartum depression after cesarean delivery may inform nursing interventions for women with postpartum depression.</p><p><strong>Aim: </strong>To explore the state of mind and coping style of women with depression after cesarean delivery guided by SOR theory.</p><p><strong>Methods: </strong>Eighty postpartum depressed women with cesarean delivery admitted to the hospital between January 2022 and October 2023 were selected and divided into two groups of 40 cases each, according to the random number table method. In the control group, the observation group adopted the problem-solving nursing model under SOR theory. The two groups were consecutively intervened for 12 weeks, and the state of mind, coping styles, and degree of post-partum depression were analyzed at the end of the intervention.</p><p><strong>Results: </strong>The Edinburgh Postnatal Depression Scale and Hamilton Depression Scale-24-item scores of the observation group were lower than in the control group after care, and the level of improvement in the state of mind was higher than that of the control group (<i>P</i> < 0.05). The level of coping with illness in the observation group after care (26.48 ± 3.35) was higher than that in the control group (21.73 ± 3.20), and the level of avoidance (12.04 ± 2.68) and submission (8.14 ± 1.15) was lower than that in the control group (15.75 ± 2.69 and 9.95 ± 1.20), with significant differences (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Adopting the problem-solving nursing model using SOR theory for postpartum depressed mothers after cesarean delivery reduced maternal depression, improved their state of mind, and coping level with illness.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564606","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}

{"title":"Analysis of status and influencing factors of mental health in patients with systemic lupus erythematosus.","authors":"Xuan Zhang, Zhe Wang, Gui-Ling Lin, Fang-Zhi Wei, Yan-Ping Zhuang, Wen-Lu Xu, Qi Zhang, Hui-Tao Wu, Zi-Man He, Xi-Yu Yin, Ying Liu, Long Mi, Ai-Min Gong","doi":"10.5498/wjp.v14.i6.829","DOIUrl":"10.5498/wjp.v14.i6.829","url":null,"abstract":"<p><strong>Background: </strong>Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disorder with varied clinical courses and prognoses, not only did the patients suffer from physical impairment, but also various physical and psychiatric comorbidities. Growing evidence have suggested that mental disorders in SLE patients, can lead to various adverse consequences.</p><p><strong>Aim: </strong>To explored the features and influencing factors of mental health in patients with SLE and clarifying the correlations between mental health and personality characteristics and perceived social support. The results would provide a basis for psychological intervention in patients with SLE.</p><p><strong>Methods: </strong>The clinical data of 168 patients with SLE admitted at the First Affiliated Hospital of Hainan Medical University between June 2020 and June 2022 were collected. Psychological assessment and correlation analysis were conducted using the Symptom Checklist-90 (SCL-90) and Perceived Social Support Scale, and the collected data were compared with the national norms in China. The relevant factors influencing mental health were identified by statistical analysis. A general information questionnaire, the Revised Life Orientation Test, and Short-Form 36-Item Health Survey were employed to assess optimism level and quality of life (QoL), respectively.</p><p><strong>Results: </strong>Patients with SLE obtained higher scores for the somatization, depression, anxiety, and phobic anxiety subscales than national norms (<i>P</i> < 0.05). A correlation was identified between total social support and total SCL-90 score or each subscale (<i>P</i> < 0.05). The factors significantly affecting patients' mental health were hormone dosage and disease activity index (DAI) (<i>P</i> < 0.05). The average optimism score of patients with SLE was 14.36 ± 4.42, and 30 cases were in the middle and lower levels. A positive correlation was found between optimism level and QoL scores.</p><p><strong>Conclusion: </strong>Patients with SLE develop psychological disorders at varying degrees, which are significantly influenced by hormone dosage and DAI. Patients' mental health should be closely monitored during clinical diagnosis and treatment and provided adequate support in establishing positive, healthy thinking and behavior patterns and improving their optimism level and QoL.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564544","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}

{"title":"This pain drives me crazy: Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome.","authors":"Marianna Mazza, Stella Margoni, Giuseppe Mandracchia, Guglielmo Donofrio, Alessia Fischetti, Georgios D Kotzalidis, Giuseppe Marano, Alessio Simonetti, Delfina Janiri, Lorenzo Moccia, Ilaria Marcelli, Greta Sfratta, Domenico De Berardis, Ottavia Ferrara, Evelina Bernardi, Antonio Restaino, Francesco Maria Lisci, Antonio Maria D'Onofrio, Caterina Brisi, Flavia Grisoni, Claudia Calderoni, Michele Ciliberto, Andrea Brugnami, Sara Rossi, Maria Chiara Spera, Valeria De Masi, Ester Maria Marzo, Francesca Abate, Gianluca Boggio, Maria Benedetta Anesini, Cecilia Falsini, Anna Quintano, Alberto Torresi, Miriam Milintenda, Giovanni Bartolucci, Marco Biscosi, Sara Ruggiero, Luca Lo Giudice, Giulia Mastroeni, Elisabetta Benini, Luca Di Benedetto, Romina Caso, Francesco Pesaresi, Francesco Traccis, Luca Onori, Luca Chisari, Leonardo Monacelli, Mariateresa Acanfora, Eleonora Gaetani, Monia Marturano, Sara Barbonetti, Elettra Specogna, Francesca Bardi, Emanuela De Chiara, Gianmarco Stella, Andrea Zanzarri, Flavio Tavoletta, Arianna Crupi, Giulia Battisti, Laura Monti, Giovanni Camardese, Daniela Chieffo, Antonio Gasbarrini, Giovanni Scambia, Gabriele Sani","doi":"10.5498/wjp.v14.i6.954","DOIUrl":"10.5498/wjp.v14.i6.954","url":null,"abstract":"<p><strong>Background: </strong>Interstitial cystitis/bladder pain syndrome (IC/BPS) is an at least 6-mo noninfectious bladder inflammation of unknown origin characterized by chronic suprapubic, abdominal, and/or pelvic pain. Although the term cystitis suggests an inflammatory or infectious origin, no definite cause has been identified. It occurs in both sexes, but women are twice as much affected.</p><p><strong>Aim: </strong>To systematically review evidence of psychiatric/psychological changes in persons with IC/BPS.</p><p><strong>Methods: </strong>Hypothesizing that particular psychological characteristics could underpin IC/BPS, we investigated in three databases the presence of psychiatric symptoms and/or disorders and/or psychological characteristics in patients with IC/BPS using the following strategy: (\"interstitial cystitis\" OR \"bladder pain syndrome\") AND (\"mood disorder\" OR depressive OR antidepressant OR depression OR depressed OR hyperthymic OR mania OR manic OR rapid cycl^asterisk OR dysthymi^asterisk OR dysphori^asterisk).</p><p><strong>Results: </strong>On September 27, 2023, the PubMed search produced 223 articles, CINAHL 62, and the combined PsycLIT/ PsycARTICLES/PsycINFO/Psychology and Behavioral Sciences Collection search 36. Search on ClinicalTrials.gov produced 14 studies, of which none had available data. Eligible were peer-reviewed articles reporting psychiatric/psychological symptoms in patients with IC/BPS, <i>i.e.</i> 63 articles spanning from 2000 to October 2023. These studies identified depression and anxiety problems in the IC/BPS population, along with sleep problems and the tendency to catastrophizing.</p><p><strong>Conclusion: </strong>Psychotherapies targeting catastrophizing and life stress emotional awareness and expression reduced perceived pain in women with IC/BPS. Such concepts should be considered when implementing treatments aimed at reducing IC/BPS-related pain.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564548","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}

{"title":"Assessing the current situation and the influencing factors affecting perceived stigma among older patients after leukemia diagnosis.","authors":"Xuan Tang, Shuang-Qin Chen, Jiang-Hua Huang, Cai-Feng Deng, Jie-Qiong Zou, Juan Zuo","doi":"10.5498/wjp.v14.i6.812","DOIUrl":"10.5498/wjp.v14.i6.812","url":null,"abstract":"<p><strong>Background: </strong>Psychological problems are becoming increasingly prominent among older patients with leukemia, with patients potentially facing stigmatization after diagnosis. However, there is limited research on the stigma experienced by these patients and the factors that may contribute to it.</p><p><strong>Aim: </strong>To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.</p><p><strong>Methods: </strong>A retrospective analysis was conducted using clinical data obtained from questionnaire surveys, interviews, and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023. The data obtained included participants' basic demographic information, medical history, leukemia type, family history of leukemia, average monthly family income, pension, and tendency to conceal illness. The Chinese versions of the Social Impact Scale (SIS), Perceived Social Support Scale (PSSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess indicators related to stigma, social support, and mental health status. We used Pearson's correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale, and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.</p><p><strong>Results: </strong>Data from 120 patients with leukemia aged 65-80 years were analyzed. The total score on the SIS and PSSS was 43.60 ± 4.07 and 37.06 ± 2.87, respectively. The SAS score was 58.35 ± 8.32 and the SDS score was 60.58 ± 5.97. The stigma experienced by older leukemia patients was negatively correlated with social support (<i>r</i> = -0.691, <i>P</i> < 0.05) and positively correlated with anxiety and depression (<i>r</i> = 0.506, 0.382, <i>P</i> < 0.05). Age, education level, smoking status, average monthly family income, pension, and tendency to conceal illness were significantly associated with the participants' level of stigma (<i>P</i> < 0.05). Age, smoking status, social support, anxiety, and depression were predictive factors of stigmatization among older leukemia patients after diagnosis (all <i>P</i> < 0.05), with a coefficient of determination (R²) of 0.644 and an adjusted R² of 0.607.</p><p><strong>Conclusion: </strong>Older patients commonly experience stigmatization after being diagnosed with leukemia. Factors such as age, smoking status, social support, and psychological well-being may influence older patients' reported experience of stigma.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564589","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}

{"title":"Change in self-image pressure level before and after autologous fat breast augmentation and its effect on social adaptability.","authors":"Jian Li, Hui-Min Wang, Yang Jiang, Zhen-Nan Liu, Bai-Hui He","doi":"10.5498/wjp.v14.i6.920","DOIUrl":"10.5498/wjp.v14.i6.920","url":null,"abstract":"<p><strong>Background: </strong>There is an increasingly strong demand for appearance and physical beauty in social life, marriage, and other aspects with the development of society and the improvement of material living standards. An increasing number of people have improved their appearance and physical shape through aesthetic plastic surgery. The female breast plays a significant role in physical beauty, and droopy or atrophied breasts can frequently lead to psychological inferiority and lack of confidence in women. This, in turn, can affect their mental health and quality of life.</p><p><strong>Aim: </strong>To analyze preoperative and postoperative self-image pressure-level changes of autologous fat breast augmentation patients and their impact on social adaptability.</p><p><strong>Methods: </strong>We selected 160 patients who underwent autologous fat breast augmentation at the First Affiliated Hospital of Xinxiang Medical University from January 2020 to December 2022 using random sampling method. The general information, self-image pressure level, and social adaptability of the patients were investigated using a basic information survey, body image self-assessment scale, and social adaptability scale. The self-image pressure-level changes and their effects on the social adaptability of patients before and after autologous fat breast augmentation were analyzed.</p><p><strong>Results: </strong>We collected 142 valid questionnaires. The single-factor analysis results showed no statistically significant difference in the self-image pressure level and social adaptability score of patients with different ages, marital status, and monthly income. However, there were significant differences in social adaptability among patients with different education levels and employment statuses. The correlation analysis results revealed a significant correlation between the self-image pressure level and social adaptability score before and after surgery. Multiple factors analysis results showed that the degree of concern caused by appearance in self-image pressure, the degree of possible behavioral intervention, the related distress caused by body image, and the influence of body image on social life influenced the social adaptability of autologous fat breast augmentation patients.</p><p><strong>Conclusion: </strong>The self-image pressure on autologous fat breast augmentation patients is inversely proportional to their social adaptability.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564592","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}