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Cross-cultural adaptation and psychometric properties of the Iowa-Netherlands Comparison Orientation Measure for the Brazilian context. 爱荷华-荷兰比较取向测量法在巴西的跨文化适应性和心理测量特性。
IF 2.1
Trends in Psychiatry and Psychotherapy Pub Date : 2024-01-01 Epub Date: 2023-01-19 DOI: 10.47626/2237-6089-2022-0573
Gessyka Wanglon Veleda, Giulia Rodrigues Seoane, Gabriely Ribeiro Ezequiel, Caroline Machado Ferreira, Vera Lúcia Marques de Figueiredo, Tharso de Souza Meyer, Jaciana Marlova Gonçalves Araújo, Luciana Rizo, Taiane de Azevedo Cardoso, Kyara Rodrigues de Aguiar, Luciano Dias de Mattos Souza
{"title":"Cross-cultural adaptation and psychometric properties of the Iowa-Netherlands Comparison Orientation Measure for the Brazilian context.","authors":"Gessyka Wanglon Veleda, Giulia Rodrigues Seoane, Gabriely Ribeiro Ezequiel, Caroline Machado Ferreira, Vera Lúcia Marques de Figueiredo, Tharso de Souza Meyer, Jaciana Marlova Gonçalves Araújo, Luciana Rizo, Taiane de Azevedo Cardoso, Kyara Rodrigues de Aguiar, Luciano Dias de Mattos Souza","doi":"10.47626/2237-6089-2022-0573","DOIUrl":"10.47626/2237-6089-2022-0573","url":null,"abstract":"<p><strong>Introduction: </strong>The Iowa-Netherlands Comparison Orientation Measure (INCOM) was developed to measure individual differences in social comparison orientation and has been widely used in research and various different settings.</p><p><strong>Objectives: </strong>The aim of this study was to adapt the online version of the INCOM and to evaluate its psychometric parameters when applied to a Brazilian population of university students.</p><p><strong>Methods: </strong>The procedures were divided into two steps: step 1 - cross-cultural adaptation and analysis of content validity, and step 2 - assessment of psychometric characteristics. Step 1 comprised the processes of translation, evaluation by an expert committee, evaluation by the target population, and back-translation. For step 2, 1,065 university students were recruited and then factor analysis, analysis of reliability, and analysis of validity based on external measures were performed.</p><p><strong>Results: </strong>The adaptation process yielded satisfactory results, including good indicators of content validity. Exploratory factor analysis revealed a two-dimensional structure and adequate factor loadings, except for item 11, which was excluded from the final version. Additionally, the final version of the scale had adequate fit indices (χ2 = 148.45, degrees of freedom [df] = 26; p < 0.001; root mean square error of approximation [RMSEA] = 0.06; comparative fit index [CFI] = 0.99; and Tucker-Lewis index [TLI] = 0.98). Evidence of reliability (Cronbach's alpha = 0.83) was observed and there were positive correlations with negative affect (r = 0.36) and negative correlations with positive affect and self-esteem (r = -0.15; r = -0.41, respectively).</p><p><strong>Conclusion: </strong>The Brazilian version of the INCOM presents satisfactory psychometric parameters and can thus be used to measure social comparison orientation.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":"e20220573"},"PeriodicalIF":2.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10605593","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
Staying grounded in turbulent times: The power of mindfulness for maintaining mental well-being during COVID-19. 在动荡时期保持脚踏实地:在2019冠状病毒病期间,正念对保持精神健康的力量。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-11-17 DOI: 10.47626/2237-6089-2023-0699
Kyara Rodrigues de Aguiar, Marília Silva de Souza
{"title":"Staying grounded in turbulent times: The power of mindfulness for maintaining mental well-being during COVID-19.","authors":"Kyara Rodrigues de Aguiar, Marília Silva de Souza","doi":"10.47626/2237-6089-2023-0699","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0699","url":null,"abstract":"","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399665","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
Randomized Clinical Trial on the Comparison of Effect of Asynchronous Mobile Application and Guided Brief Cognitive Behavioral Therapy in Managing Anxiety among Medical Students. 异步移动应用与引导简短认知行为疗法治疗医学生焦虑的随机对照临床试验
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-11-17 DOI: 10.47626/2237-6089-2023-0713
Andrian Fajar Kusumadewi, Carla Raymondalexas Marchira, Doni Widyandana, Ronny Tri Wirasto
{"title":"Randomized Clinical Trial on the Comparison of Effect of Asynchronous Mobile Application and Guided Brief Cognitive Behavioral Therapy in Managing Anxiety among Medical Students.","authors":"Andrian Fajar Kusumadewi, Carla Raymondalexas Marchira, Doni Widyandana, Ronny Tri Wirasto","doi":"10.47626/2237-6089-2023-0713","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0713","url":null,"abstract":"<p><strong>Introduction: </strong>Medical students are a population at increased risk for anxiety due to their demanding schedule and concerns about potential stigmatization, which often leads to discouragement when seeking help. COVID-19 pandemic has been reported to worsen this issue by restricting social interaction and mobility. To address this problem, an innovative method known as Asynchronous Digital Cognitive Education GAMA-AIMS (DCE GAMA-AIMS) has been introduced. Compared to traditional therapy, this modality can be accessed independently without the guidance of a therapist.</p><p><strong>Objectives: </strong>To compare the effectiveness of DCE GAMA-AIMS in reducing anxiety scores compared to guided brief Cognitive Behavioral Therapy (guided bCBT).</p><p><strong>Methods: </strong>A non-blinding RCT was conducted on 66 medical students. The participants were equally divided into two groups, namely intervention and control. The intervention group was given DCE GAMA-AIMS, while the control was administered with guided bCBT. The data obtained were analyzed using independent t-test and ANOVAs.</p><p><strong>Results: </strong>The application had a significant effect on reducing anxiety scores from the 2nd week (M TMAS = 18) to the 8th week (M TMAS = 13). A faster and more significant improvement was observed in the intervention group from the 1st to the 2nd week compared to the control, which began to improve in the 4th week. Furthermore, the intervention group had larger effect sizes (1.32) compared to the control (0.79) from the 1st to 8th week.</p><p><strong>Conclusion: </strong>Asynchronous DCE GAMA-AIMS and guided bCBT could reduce TMAS scores in medical students with anxiety, but DCE GAMA-AIMS yielded a greater effect size.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399664","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
The Impact of Family Stress and Resilience on Child Development: a scope review. 家庭压力和心理弹性对儿童发展的影响:范围综述。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-11-17 DOI: 10.47626/2237-6089-2022-0556
Marília M Mendes-Sousa, Marina B Perrone, Rafael B de Melo, Marcos V V Ribeiro, Qiong Chao, Carolina Torres, Zila M Sanchez, Pamela J Surkan, Silvia S Martins, Thiago M Fidalgo, Sheila C Caetano
{"title":"The Impact of Family Stress and Resilience on Child Development: a scope review.","authors":"Marília M Mendes-Sousa, Marina B Perrone, Rafael B de Melo, Marcos V V Ribeiro, Qiong Chao, Carolina Torres, Zila M Sanchez, Pamela J Surkan, Silvia S Martins, Thiago M Fidalgo, Sheila C Caetano","doi":"10.47626/2237-6089-2022-0556","DOIUrl":"https://doi.org/10.47626/2237-6089-2022-0556","url":null,"abstract":"<p><strong>Introduction: </strong>Children grow up spending most of their time within the family social environment, where they can experience stressful situations such as marital conflict, a non-cohesive environment, parental alcohol use disorder, parental depression, and other parental mental health issues. All these factors are associated with children's developmental delays.</p><p><strong>Objective: </strong>We aimed to conduct a scoping review on family stress and family resilience associated with child development delays to examine familial conditions associated with child development.</p><p><strong>Methods: </strong>We conducted a scoping review of observational studies published between January 2000 to July 2023, indexed in MEDLINE and LILACS databases. We included observational studies that evaluated the history of exposure to violence, and behavioral or emotional symptoms, or mental health problems among children aged 4-12. Data were independently extracted using a structured form.</p><p><strong>Results: </strong>Database searches identified 12,990 different records. A total of 43 articles were included in the review. Three main findings emerged: (1) parental mental health problems, especially depressive symptoms in mothers, were associated with child developmental delays and mental health problems; (2) better parenting practices and cohesive home environment were positively associated with child development, and (3) Vulnerable social environments (e.g., poverty and housing insecurity) may be linked to child mental health problems.</p><p><strong>Conclusions: </strong>Studies reviewed show that promoting better family dynamics and increasing family cohesion, as well as parenting abilities, are beneficial to a child's socio-emotional development and prevention of child mental health problems. Moreover, increasing family and children's resilience improves the quality of life within family units.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048171","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
Validation of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and Its Association with Functional Impairment in Brazilian Gamers. 十项网络游戏障碍测试(IGDT-10)的验证及其与巴西玩家功能损伤的关系。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-10-29 DOI: 10.47626/2237-6089-2023-0622
Daniel Tornaim Spritzer, Wagner de Lara Machado, Marina Balem Yates, Orsolya Király, Zsolt Demetrovics, Joël Billieux, Daniel Luke King, Katarzyna Kaliszewska-Czeremska, Stéphanie Laconi, Ives Cavalcante Passos, Simone Hauck
{"title":"Validation of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and Its Association with Functional Impairment in Brazilian Gamers.","authors":"Daniel Tornaim Spritzer,&nbsp;Wagner de Lara Machado,&nbsp;Marina Balem Yates,&nbsp;Orsolya Király,&nbsp;Zsolt Demetrovics,&nbsp;Joël Billieux,&nbsp;Daniel Luke King,&nbsp;Katarzyna Kaliszewska-Czeremska,&nbsp;Stéphanie Laconi,&nbsp;Ives Cavalcante Passos,&nbsp;Simone Hauck","doi":"10.47626/2237-6089-2023-0622","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0622","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the growing recognition of gaming disorder as a mental disorder, there is still debate about how it should be best screened for. This is especially relevant in countries where prevalence studies that could support evidence-based policymaking are still to be conducted. This study aims to evaluate the psychometric properties of the Brazilian Portuguese version of the Ten-Item Internet Gaming Disorder Test (IGDT-10) and to explore its association with functional impairment.</p><p><strong>Methods: </strong>An online convenience sample of 805 Brazilian adults who reported playing games completed the adapted version of IGDT-10 and World Health Organization Disability Assessment Schedule 2.0, as well as the Problematic Internet Use Questionnaire, the Center for Epidemiologic Studies-Depression Scale, the Rosenberg Self Esteem Scale and socio-demographic questions.</p><p><strong>Results: </strong>The Brazilian Portuguese version of IGDT-10 demonstrated a unidimensional structure in both confirmatory and exploratory factor analysis, with satisfactory internal consistency and adequate temporal stability. Participants who scored five or more on IGDT-10 presented higher levels of functional impairment compared to those who scored positive for four symptoms or less. The difference between the two groups was statistically significant and showed a moderate effect size. Network analysis showed a direct connection between IGDT-10 and functional impairment, and identified \"negative consequences\" as the most relevant item connecting these variables.</p><p><strong>Conclusion: </strong>The IGDT-10 is a brief, easy-to-understand, valid, and reliable instrument, proving to be a suitable candidate for screening gaming disorder in future epidemiological studies.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414631","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
U-SMILE: a brief version of the Short Multidimensional Inventory on Lifestyle Evaluation. U-SMILE:生活方式评估多维简表的简要版本。
IF 2.1
Trends in Psychiatry and Psychotherapy Pub Date : 2023-10-19 DOI: 10.47626/2237-6089-2023-0722
Raquel B De Boni, Jurema C Mota, Felipe Barreto Schuch, Daniel Alvarez Pires, Thiago Sousa Matias, Renato Sobral Monteiro-Junior, Andrea C Deslandes, Danilo R Silva, Helena Ferreira Moura, Nicole Galvão-Coelho, Fabianna Resende de Jesus-Moraleida, Flavio Kapczinski, Vicent Balanzá-Martinez
{"title":"U-SMILE: a brief version of the Short Multidimensional Inventory on Lifestyle Evaluation.","authors":"Raquel B De Boni, Jurema C Mota, Felipe Barreto Schuch, Daniel Alvarez Pires, Thiago Sousa Matias, Renato Sobral Monteiro-Junior, Andrea C Deslandes, Danilo R Silva, Helena Ferreira Moura, Nicole Galvão-Coelho, Fabianna Resende de Jesus-Moraleida, Flavio Kapczinski, Vicent Balanzá-Martinez","doi":"10.47626/2237-6089-2023-0722","DOIUrl":"10.47626/2237-6089-2023-0722","url":null,"abstract":"<p><strong>Introduction: </strong>Lifestyle Medicine comprises six domains: diet, substance use, physical activity, stress management, social connection, and sleep. The comprehensive assessment of lifestyle is challenging, but the \"Short Multidimensional Inventory on Lifestyle Evaluation\" (SMILE) was developed to fill out this gap. In this paper, we describe the development and the psychometric properties (internal consistency, concurrent and convergent validity) of a shorter version of the SMILE among university students.</p><p><strong>Methods: </strong>Data from a cross-sectional study including 369 students from 10 Brazilian universities were used. Considering a theoretical nomological net, we performed exploratory factor analysis to obtain the most parsimonious, interpretable and good-fitting model.</p><p><strong>Results: </strong>The final model was called U-SMILE, comprised 24 items, and presented acceptable internal consistency (Cronbach's α = 0.73, McDonald's ω = 0.79). To evaluate the concurrent validity of the U-SMILE, we compared it to the original SMILE and found a high correlation between the instruments (Spearman's r= 0.94). Furthermore, we evaluated convergent validity by examining the U-SMILE correlation with the PHQ-9 (Spearman's r= -0.517), and GAD-7 (Spearman's r= -0.356), two validated instruments to screen for depression and anxiety, respectively.</p><p><strong>Discussion: </strong>Our findings suggest that the U-SMILE is a valid instrument for assessing lifestyle among university students. We recommend that the use of U-SMILE to evaluate overall lifestyle scores rather than individual domain scores. Finally, we discuss the importance of clarifying the definitions of lifestyle and related constructs in future research.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683476","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
Relationship between psychopathology and binge size in binge eating spectrum disorders. 暴饮谱系障碍患者的精神病理学与暴饮量的关系。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-10-10 DOI: 10.47626/2237-6089-2023-0644
Carla Mourilhe Silva, Gloria Valeria da Veiga, Carlos Eduardo de Moraes, Ronir Raggio Luiz, Phillipa Hay, Jose Carlos Appolinario
{"title":"Relationship between psychopathology and binge size in binge eating spectrum disorders.","authors":"Carla Mourilhe Silva,&nbsp;Gloria Valeria da Veiga,&nbsp;Carlos Eduardo de Moraes,&nbsp;Ronir Raggio Luiz,&nbsp;Phillipa Hay,&nbsp;Jose Carlos Appolinario","doi":"10.47626/2237-6089-2023-0644","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0644","url":null,"abstract":"<p><strong>Introduction: </strong>Food intake during binge eating episodes has been found to be associated with symptoms of depression and anxiety in individuals with eating disorders.</p><p><strong>Objective: </strong>To evaluate the association between caloric intake during binge eating episodes (BEE) and psychopathology in individuals with binge eating spectrum disorders (BSD).</p><p><strong>Methods: </strong>One-hundred and fourteen outpatients diagnosed with bulimia nervosa (BN) and binge eating disorder were sequentially assessed. MINI PLUS was used to assess psychiatric diagnoses. Validated self-report instruments were used to assess general and eating-related psychopathology. The assessment of caloric consumption during BEE was performed through Dietpro Clinical Program. Data analysis was performed with independent Student's t test, effect size (Cohen's d) and Pearson's correlation.</p><p><strong>Results: </strong>Participants with BSD comorbid with a depressive disorder consumed significantly more calories during BEE than those without depression. Furthermore, participants with BSD and higher levels of impulsivity had a greater caloric intake during the episode. Specifically, regarding BN, participants with greater disease severity consumed more calories during the episode than those with less severity.</p><p><strong>Conclusions: </strong>Overall, depression and high impulsivity were associated with a higher caloric intake during BEE in individuals with BSD. For those with BN, the disease severity was associated with greater caloric consumption during the episode. Our results support the relevance of early identification of psychiatric comorbidities and the implementation of strategies to control mood and impulsivity aiming at a better prognosis in the treatment of BSD.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183847","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
Does the intensity of dissociation predict antidepressant effects 24 hours after infusion of racemic ketamine and esketamine in treatment-resistant depression? A secondary analysis from a randomized controlled trial. 解离强度能否预测抗抑郁治疗难治性抑郁症患者输注外消旋氯胺酮和艾氯胺酮24小时后的抗抑郁效果?随机对照试验的二次分析。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-09-17 DOI: 10.47626/2237-6089-2022-0593
Mariana V F Echegaray, Rodrigo P Mello, Guilherme M Magnavita, Gustavo C Leal, Fernanda S Correia-Melo, Ana Paula Jesus-Nunes, Flávia Vieira, Igor D Bandeira, Ana Teresa Caliman-Fontes, Manuela Telles, Lívia N F Guerreiro-Costa, Roberta Ferrari Marback, Breno Souza-Marques, Daniel H Lins-Silva, Cassio Santos-Lima, Taiane de Azevedo Cardoso, Flávio Kapczinski, Acioly L T Lacerda, Lucas C Quarantini
{"title":"Does the intensity of dissociation predict antidepressant effects 24 hours after infusion of racemic ketamine and esketamine in treatment-resistant depression? A secondary analysis from a randomized controlled trial.","authors":"Mariana V F Echegaray,&nbsp;Rodrigo P Mello,&nbsp;Guilherme M Magnavita,&nbsp;Gustavo C Leal,&nbsp;Fernanda S Correia-Melo,&nbsp;Ana Paula Jesus-Nunes,&nbsp;Flávia Vieira,&nbsp;Igor D Bandeira,&nbsp;Ana Teresa Caliman-Fontes,&nbsp;Manuela Telles,&nbsp;Lívia N F Guerreiro-Costa,&nbsp;Roberta Ferrari Marback,&nbsp;Breno Souza-Marques,&nbsp;Daniel H Lins-Silva,&nbsp;Cassio Santos-Lima,&nbsp;Taiane de Azevedo Cardoso,&nbsp;Flávio Kapczinski,&nbsp;Acioly L T Lacerda,&nbsp;Lucas C Quarantini","doi":"10.47626/2237-6089-2022-0593","DOIUrl":"https://doi.org/10.47626/2237-6089-2022-0593","url":null,"abstract":"<p><strong>Background: </strong>Ketamine and esketamine have both shown significant antidepressant effects in treatment-resistant depression (TRD), and conflicting evidence suggests that induced dissociation by these drugs can be a clinical predictor of esketamine/ketamine's efficacy.</p><p><strong>Methods: </strong>This study is a secondary analysis from a bi-center, randomized, controlled trial. Participants were randomly assigned 1:1 to receive an IV infusion of esketamine (.25 mg/kg) or racemic ketamine (.50 mg/kg) over 40 minutes. Dissociative symptoms were assessed using the Clinician-Administered Dissociative State Scale (CADSS) 40 minutes following the beginning of the infusion. The variation in depression scores was measured with the Montgomery-Asberg Depression Rating Scale (MADRS), which was administered before the intervention as a baseline measure and 24 hrs, 72 hrs, and 7 days following infusion.</p><p><strong>Results: </strong>Sixty-one patients were included in the analysis. Examining CADSS scores of 15 or below, for every 1-point increment in the CADSS score, there was a mean change of -0.5 (SD = 0.25; p-value 0.04) of predicted MADRS score from baseline to 24 hrs. The results for 72 hrs and 7 days following infusion were not significant. Limitations: This study was not designed to assess the relationship between ketamine or esketamine-induced dissociation and antidepressant effects as the main outcome, therefore confounding variables for this relationship were not controlled.</p><p><strong>Conclusion: </strong>We suggest a positive relationship between dissociation intensity, measured by CADSS, and antidepressant effect 24 hours after ketamine and esketamine infusion for a CADSS score of up to 15 points.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10633570","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
Effectiveness of acceptance and commitment therapy upon distress, emotion regulation, and self-compassion in patients with cardiovascular disease: a randomized clinical trial. 接受和承诺治疗对心血管疾病患者痛苦、情绪调节和自我同情的有效性:一项随机临床试验
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-09-17 DOI: 10.47626/2237-6089-2023-0685
Arash Fattahi, Fatemeh Mazini, Nasrin Jaberghaderi, Fatemeh Rajabi, Mehdi Derakhshani, Mohammad Laki
{"title":"Effectiveness of acceptance and commitment therapy upon distress, emotion regulation, and self-compassion in patients with cardiovascular disease: a randomized clinical trial.","authors":"Arash Fattahi,&nbsp;Fatemeh Mazini,&nbsp;Nasrin Jaberghaderi,&nbsp;Fatemeh Rajabi,&nbsp;Mehdi Derakhshani,&nbsp;Mohammad Laki","doi":"10.47626/2237-6089-2023-0685","DOIUrl":"https://doi.org/10.47626/2237-6089-2023-0685","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular patients experience various psychological problems due to the conditions caused by their disease, which make it worse if left untreated.</p><p><strong>Objective: </strong>The purpose of the current study was to evaluate the effects of acceptance and commitment therapy on distress, emotion regulation, and self-compassion in patients with cardiovascular disease.</p><p><strong>Methods: </strong>This study was a randomized clinical trial with pre-test, post-test and two-month and four-month follow-up periods accompanying a control group. At four stages, patients filled out questionnaires on depression, anxiety, stress (DASS-21), emotion regulation (ERQ), and self-compassion (SCS). The experimental group underwent a treatment protocol based on acceptance and commitment therapy. Data were then analyzed using SPSS-25 with repeated measures analysis of variance.</p><p><strong>Results: </strong>Act significantly reduced depression, anxiety, and stress, enhanced self-compassion, and improved emotion regulation in cardiac patients. Between-subjects (Group) partial etas for depression, anxiety, stress, reappraisal, suppression, and self-compassion were 0.61, 0.64, 0.66, 0.62, 0.66, and 0.65, respectively. Treatment efficacy was maintained during the 2- and 6-month follow-up visits.</p><p><strong>Conclusion: </strong>The results of this study suggest that treating cardiac patients' psychological problems in a way focused on acceptance and commitment therapy may have an impact on how well they respond to their treatment.</p>","PeriodicalId":46305,"journal":{"name":"Trends in Psychiatry and Psychotherapy","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2023-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10338518","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
Associations between the triarchic traits and mental health symptoms: the role of coping styles as mediators. 三元人格特征与心理健康症状的关系:应对方式的中介作用。
IF 2.6
Trends in Psychiatry and Psychotherapy Pub Date : 2023-09-17 DOI: 10.47626/2237-6089-2023-0625
Lucas de Francisco Carvalho, Cibelle de Oliveira, Maria Clara Romão Pontes Rolim Garcia, Gisele Magarotto Machado
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