Psychiatry Journal最新文献_第10页

Burden of Misconception in Sexual Health Care Setting: A Cross-Sectional Investigation among the Patients Attending a Psychiatric Sex Clinic of Bangladesh. 性卫生保健机构的误解负担:孟加拉国一家精神科性诊所患者的横断面调查。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-06-27 DOI: 10.1155/2017/9827083

S M Yasir Arafat, Srijony Ahmed

{"title":"Burden of Misconception in Sexual Health Care Setting: A Cross-Sectional Investigation among the Patients Attending a Psychiatric Sex Clinic of Bangladesh.","authors":"S M Yasir Arafat, Srijony Ahmed","doi":"10.1155/2017/9827083","DOIUrl":"https://doi.org/10.1155/2017/9827083","url":null,"abstract":"Background: Bangladesh is a country in South Asia with about 160 million people and achieved health related Millennium Development Goals (MDG) significantly. But sexual health is still an untapped issue with predominant myths and misconception.Objective: We aimed to look into the proportions of patients attending sexual health care services due to misconceptions.Methods: The descriptive, cross-sectional study was conducted among 110 patients attending Psychiatric Sex Clinic (PSC) of Bangabandhu Sheikh Mujib Medical University. Respondents were included in the study with convenient sampling from November 2016 to March 2017. Data were collected through face-to-face interview with semistructured preformed, pretested questionnaire and analyzed by SPSS software 16.0 version.Results: Most of the patients (93%) were male, 60% were married, 62% were urban habitant, 42% were under grade 10, and 33% were service holder. Total 55% of the patients had misconceptions and 29% visited only for misconception; 14% had Premature Ejaculation; and 12% had desire disorder. 32% of the patients had psychiatric disorders and among them depression was most common, 13%.Conclusion: Positive openness in sexual health and appropriate strategy should be taken to improve the quality of sexual life as well as reduce the misconception in the people of Bangladesh.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/9827083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35196026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Patients' Experience of Winter Depression and Light Room Treatment. 冬季抑郁症患者与光室治疗的体会。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-02-15 DOI: 10.1155/2017/6867957

Cecilia Rastad, Lennart Wetterberg, Cathrin Martin

{"title":"Patients' Experience of Winter Depression and Light Room Treatment.","authors":"Cecilia Rastad, Lennart Wetterberg, Cathrin Martin","doi":"10.1155/2017/6867957","DOIUrl":"https://doi.org/10.1155/2017/6867957","url":null,"abstract":"Background. There is a need for more knowledge on the effects of light room treatment in patients with seasonal affective disorder and to explore patients' subjective experience of the disease and the treatment. Methods. This was a descriptive and explorative study applying qualitative content analysis. A purposeful sample of 18 psychiatric outpatients with a major depressive disorder with a seasonal pattern and a pretreatment score ≥12 on the 9-item Montgomery-Åsberg Depression self-rating scale was included (10 women and 8 men, aged 24-65 years). All patients had completed light room treatment (≥7/10 consecutive weekdays). Data was collected two weeks after treatment using a semistructured interview guide. Results. Patients described a clear seasonal pattern and a profound struggle to adapt to seasonal changes during the winter, including deterioration in sleep, daily rhythms, energy level, mood, activity, and cognitive functioning. Everyday life was affected with reduced work capacity, social withdrawal, and disturbed relations with family and friends. The light room treatment resulted in a radical and rapid improvement in all the major symptoms with only mild and transient side effects. Discussion. The results indicate that light room treatment is essential for some patients' ability to cope with seasonal affective disorder.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/6867957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34812306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Substance Use as a Strong Predictor of Poor Academic Achievement among University Students. 药物使用是大学生学业成绩差的一个强有力的预测因子。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-06-07 DOI: 10.1155/2017/7517450

Tesfa Mekonen, Wubalem Fekadu, Tefera Chane Mekonnen, Shimelash Bitew Workie

{"title":"Substance Use as a Strong Predictor of Poor Academic Achievement among University Students.","authors":"Tesfa Mekonen, Wubalem Fekadu, Tefera Chane Mekonnen, Shimelash Bitew Workie","doi":"10.1155/2017/7517450","DOIUrl":"https://doi.org/10.1155/2017/7517450","url":null,"abstract":"Background: Substance use is a growing concern globally and its association with students' academic performance is not well studied.Objective: This study was aimed to assess the prevalence of substance use (alcohol, tobacco, and khat) and its association with academic performance among university students.Methods: Cross-sectional study was conducted among Wolaita Sodo University students. A total of 747 students were selected by using cluster sampling technique. Data were collected by pretested self-administered questionnaire and examined using descriptive statistics and linear regression with 95% confidence intervals. Variables with p value of less than 0.05 were considered as statistically significant.Result: Prevalence of substance use (alcohol, tobacco, and khat) was 28.6%. Substance use (current smoking, chewing khat at least weekly, drinking alcohol on a daily basis, and having intimate friend who uses substance) was significantly and negatively associated with students' academic performance.Conclusion: Substance use among Wolaita Sodo University students was as common as other studies in Sub-Saharan countries and negatively associated with students' academic achievement. The common practice of substance use and its association with poor academic performance demand the universities to have a good control of substance and to implement youth friendly activities.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/7517450","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35144898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 68

Exploring Complexity of Deliberate Self-Poisoning through Network Analysis. 通过网络分析探讨蓄意自毒的复杂性。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-01-29 DOI: 10.1155/2017/3619721

Leila R Kalankesh, Mostafa Farahbakhsh, Rebecca A Fein, Nazila Moftian, Zahra Nasiry

{"title":"Exploring Complexity of Deliberate Self-Poisoning through Network Analysis.","authors":"Leila R Kalankesh, Mostafa Farahbakhsh, Rebecca A Fein, Nazila Moftian, Zahra Nasiry","doi":"10.1155/2017/3619721","DOIUrl":"https://doi.org/10.1155/2017/3619721","url":null,"abstract":"The purpose of this research was to examine the complexity of circumstances that result in deliberate self-poisoning cases. For the purposes of this paper, the cases were patients that presented for care and were admitted to the specialty hospital in Northwest of Iran. The research examined the problems preceding deliberate self-poisoning and the interrelations among them by applying network analysis methods. The network was scored for degrees of centrality and betweenness centrality. Structural analysis of network also was conducted using block modelling. The results showed that family conflicts had the highest score for degree of centrality among women, while the highest score for degree of centrality among men belonged to those dealing with drug addiction. Analysis for degree of betweenness centrality revealed that drug addiction had the highest score among men, whereas the highest score for women on betweenness centrality was related to physical illness. Structural analysis of the network showed differences in role that various problems played in intentional self-poisoning. The findings from this research can be used by public health authorities to create prevention programs that address the problems leading to deliberate self-poisoning.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/3619721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34775773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Corrigendum to "Epigenetic and Neural Circuitry Landscape of Psychotherapeutic Interventions". “心理治疗干预的表观遗传和神经回路景观”的勘误表。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-11-06 DOI: 10.1155/2017/6810473

Christopher W T Miller

引用次数: 0

Self-Reported Adverse Drug Reactions, Medication Adherence, and Clinical Outcomes among Major Depressive Disorder Patients in Ethiopia: A Prospective Hospital Based Study. 埃塞俄比亚重度抑郁症患者自述的药物不良反应、用药依从性和临床结果：一项基于医院的前瞻性研究。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-11-14 DOI: 10.1155/2017/5812817

Tadesse Melaku Abegaz, Lamessa Melese Sori, Hussien Nurahmed Toleha

{"title":"Self-Reported Adverse Drug Reactions, Medication Adherence, and Clinical Outcomes among Major Depressive Disorder Patients in Ethiopia: A Prospective Hospital Based Study.","authors":"Tadesse Melaku Abegaz, Lamessa Melese Sori, Hussien Nurahmed Toleha","doi":"10.1155/2017/5812817","DOIUrl":"10.1155/2017/5812817","url":null,"abstract":"Background: There is paucity of data on prevalence of Adverse Drug Reactions (ADRs) and adherence and clinical outcomes of antidepressants. The present study determined the magnitude of ADRs of antidepressants and their impact on the level of adherence and clinical outcome.Methods: A prospective cross-sectional study was conducted among depression patients from September 2016 to January 2017 at Gondar University Hospital psychiatry clinic. The Naranjo ADR probability scale was employed to assess the ADRs. The rate of medication adherence was determined using Morisky Medication Adherence Measurement Scale-Eight.Results: Two hundred seventeen patients participated in the study, more than half of them being males (122; 56.2%). More than one-half of the subjects had low adherence to their medications (124; 57.1%) and about 186 (85.7%) of the patients encountered ADR. The most common ADR was weight gain (29; 13.2%). More than one-half (125; 57.6%) of the respondents showed improved clinical outcome. Optimal level of medication adherence decreased the likelihood of poor clinical outcome by 56.8%.Conclusion: ADRs were more prevalent. However, adherence to medications was very poor in the setup. Long duration of depression negatively affects the rate of adherence. In addition, adherence was found to influence the clinical outcome of depression patients.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5733980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35750166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Associated Factors of Suicidal Ideation and Attempt among People Living with HIV/AIDS at Zewditu Memorial Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study. 埃塞俄比亚亚的斯亚贝巴Zewditu纪念医院艾滋病毒/艾滋病感染者自杀意念和企图的流行率及相关因素:一项横断面研究

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-04-11 DOI: 10.1155/2017/2301524

Etsay Hailu Gebremariam, Mebratu Mitiku Reta, Zebiba Nasir, Fisseha Zewdu Amdie

{"title":"Prevalence and Associated Factors of Suicidal Ideation and Attempt among People Living with HIV/AIDS at Zewditu Memorial Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study.","authors":"Etsay Hailu Gebremariam, Mebratu Mitiku Reta, Zebiba Nasir, Fisseha Zewdu Amdie","doi":"10.1155/2017/2301524","DOIUrl":"https://doi.org/10.1155/2017/2301524","url":null,"abstract":"Background. Human Immune Deficiency Virus (HIV/AIDS) continues to be an underrecognized risk for suicidal ideation, suicidal attempt, and completion of suicide. Suicidal ideation and attempt in HIV/AIDS is not only a predictor of future attempted suicide and completed suicide. Methods. An institution based cross-sectional study was conducted among HIV-positive patients attending HIV care at Zewditu Memorial Hospital. Systematic random sampling technique was used to recruit 423 participants from April to May 2014. Composite International Diagnostic Interview was used to collect data. Multivariable logistic regression was computed to assess factors associated with suicidal ideation and attempt. Result. Suicidal ideation and suicidal attempt were found to be 22.5% and 13.9%, respectively. WHO clinical stage of HIV, not being on HAART, depression, family history of suicidal attempt, and perceived stigma were associated with suicidal ideation. WHO clinical stage, being female, not being on HAART, use of substance, and depression were associated with suicidal attempt. Conclusion. Early diagnosis and treatment of opportunistic infections, depression, and early initiation of ART need to be encouraged in HIV-positive adults. Furthermore, counseling on substance use and its consequences and early identification of HIV-positive people with family history of suicidal ideation have to be considered.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/2301524","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34983912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 36

Serious Psychological Distress and Emergency Room Use among Adults with Multimorbidity in the United States. 美国多重疾病成人的严重心理困扰和急诊室使用情况

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-09-11 DOI: 10.1155/2017/8565186

Khalid Alhussain, Abdulkarim M Meraya, Usha Sambamoorthi

{"title":"Serious Psychological Distress and Emergency Room Use among Adults with Multimorbidity in the United States.","authors":"Khalid Alhussain, Abdulkarim M Meraya, Usha Sambamoorthi","doi":"10.1155/2017/8565186","DOIUrl":"10.1155/2017/8565186","url":null,"abstract":"Objectives: (1) To examine the association between serious psychological distress (SPD) and emergency room (ER) use in the past 12 months among adults with multimorbidity in the United States (US) and (2) to investigate the association between SPD and the reasons for ER use.Methods: The current study used a cross-sectional design with retrospective data from the 2015 National Health Interview Survey. Logistic regression models were used to assess the association between SPD and ER use among adults with multimorbidity. Among ER users, adjusted logistic regression models were conducted to examine the association between SPD and the reasons for the ER use.Results: After controlling for other variables, adults with multimorbidity and SPD were more likely to use ER than those with multimorbidity and no SPD (AOR = 1.61, 95% CI = 1.26, 2.04). Among ER users, there were no significant associations between SPD and the reasons for ER use after controlling for other variables.Conclusion: Adults with multimorbidity and SPD were more likely to use ER as compared to those with multimorbidity and no SPD. Among adults with multimorbidity, routine screening for SPD may be needed to reduce the ER use.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/8565186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35506623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Demography and Risk Factors of Suicide in Bangladesh: A Six-Month Paper Content Analysis. 孟加拉国的人口统计学和自杀风险因素:六个月的论文内容分析。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-10-10 DOI: 10.1155/2017/3047025

Md Mohsin Ali Shah, Srijony Ahmed, S M Yasir Arafat

{"title":"Demography and Risk Factors of Suicide in Bangladesh: A Six-Month Paper Content Analysis.","authors":"Md Mohsin Ali Shah, Srijony Ahmed, S M Yasir Arafat","doi":"10.1155/2017/3047025","DOIUrl":"https://doi.org/10.1155/2017/3047025","url":null,"abstract":"Background: Suicide is a global public health problem too often neglected by researchers and Bangladesh is not an exception. There is no suicide surveillance and nationwide study is yet to be conducted in the country.Objectives: This paper aimed to look into suicide based on newspaper reporting in Bangladesh focusing on the demographic variables and risk factors.Methods: 6 national newspapers were scrutinized from November 2016 to April 2017. Data were checked, cross-checked, and then analyzed with SPSS software.Results: In a duration of six months, a total of 271 cases were reported; age was found to be in the range of 11-70 years (26.67 ± 13.47). 61% of the reported cases were below 30 years of age, 58% were female, 24% were students, 17% were house makers, 61% were from rural background, and 45% were married. Hanging was found to be the commonest method (82.29%); marital and familial discord remained a noticeable risk factor (34.32%). Family members and neighbors noticed 103 cases, and only 3 cases were found to have suicide notes.Conclusion: Suicide is an underattended public health problem in Bangladesh with few researches and paucity of literature. Establishment of national suicide surveillance is now a time demanded step.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/3047025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35604587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 69

Epigenetic and Neural Circuitry Landscape of Psychotherapeutic Interventions. 心理治疗干预的表观遗传和神经回路景观。

Psychiatry Journal Pub Date : 2017-01-01 Epub Date: 2017-05-25 DOI: 10.1155/2017/5491812

Christopher W T Miller

{"title":"Epigenetic and Neural Circuitry Landscape of Psychotherapeutic Interventions.","authors":"Christopher W T Miller","doi":"10.1155/2017/5491812","DOIUrl":"10.1155/2017/5491812","url":null,"abstract":"The science behind psychotherapy has garnered considerable interest, as objective measures are being developed to map the patient's subjective change over the course of treatment. Prenatal and early life influences have a lasting impact on how genes are expressed and the manner in which neural circuits are consolidated. Transgenerationally transmitted epigenetic markers as well as templates of enhanced thought flexibility versus evasion can be passed down from parent to child. This influences gene expression/repression (impacting neuroplasticity) and kindling of neurocircuitry which can perpetuate maladaptive cognitive processing seen in a number of psychiatric conditions. Importantly, genetic factors and the compounding effects of early life adversity do not inexorably lead to certain fated outcomes. The concepts of vulnerability and resilience are becoming more integrated into the framework of \"differential susceptibility,\" speaking to how corrective environmental factors may promote epigenetic change and reconfigure neural templates, allowing for symptomatic improvement. Psychotherapy is one such factor, and this review will focus on our current knowledge of its epigenetic and neurocircuitry impact.","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2017/5491812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35329286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17