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971.
目的调查躯体性疼痛症状对初诊抑郁症患者生活质量评分影响。方法连续选择近期在我院门诊就诊或住院治疗的初诊抑郁症患者68例,入选对象接受了世界卫生组织(WHO)推荐的"中文版健康调查简易量表"(SF-36)评估,并按有无躯体性疼痛及疼痛程度(疼痛视觉模拟评分,VAS)进行分组比较。结果 68例初诊抑郁症患者中伴有躯体性疼痛症状者39例(57.35%),没有躯体性疼痛症状者29例(对照组)。躯体性疼痛症状组SF-36量表各维度评分均明显低于对照组(P均<0.05~0.01)。39例伴有躯体性疼痛症状抑郁症患者平均VAS评分为(3.95±1.04)分,VAS高分(≥3.95分,15例)患者的生活质量问卷中精神影响(t=1.943,P<0.05)、社会活动(t=2.475,P<0.01)、心理健康(t=2.238,P<0.01)、身体疼痛(t=2.331,P<0.01)、一般健康(t=2.360,P<0.01)以及其它维度评分均明显低于VAS低分组(<3.95分,24例,P均<0.05~0.01)。结论合并有躯体性疼痛症状抑郁症患者存在明显的生活质量评分下降,后者且与VAS程度相关。 相似文献
972.
《International journal of oral and maxillofacial surgery》2021,50(11):1464-1470
Post-traumatic stress disorder (PTSD) is a distressing consequence of a traumatic event associated with an increased suicide risk and reduced quality of life. Surgeons often have low confidence in identifying psychological problems. The prevalence of PTSD following facial trauma ranges from 23% to 41%. This highlights the importance of identifying and managing at-risk patients to optimize both mental and physical recovery. IMPARTS (Integrating Mental and Physical healthcare: Research, Training and Services) provides electronic screening tools to guide the non-mental health clinician in the ‘real-time’ identification, documentation, and management of potential mental health problems. The bespoke IMPARTS facial trauma screening tool was piloted in a UK oral and maxillofacial surgery trauma clinic from July 2015 to November 2017. A total of 199 patients completed screening, with 48 (24%) screening positive for possible PTSD. Further analysis of these 48 patients revealed that four (8%) had PTSD symptoms alone; three (6%) also screened positive for depression, 17 (35%) for co-existing symptoms of anxiety, and 24 (50%) for PTSD, anxiety, and depression. IMPARTS was found to be a highly effective tool aiding the non-mental health clinician to screen for PTSD and initiate prompt management. The data captured informs planning of the psychological support service. 相似文献
973.
Ra'ed Mohammed Ayoub Al-Delayme 《Saudi Dental Journal》2021,33(1):11-21
PurposeThe aim of this study was to evaluate the performance and to assess the postoperative sequel and quality of life after removal of impacted mandibular third molars using piezoelectric surgery compared with conventional rotatory osteotomy.Patients and methodsA single blinded, randomized, control clinical study was performed. Sixty-three patients (44 males, 19 females) who presented with bilaterally asymptomatic impacted mandibular third molars were included in this analysis. Each patient was treated, at two separate sessions approximately 4 weeks apart, with a conventional rotatory hand piece on one side of the mandible and a piezoelectric device on the contralateral side. Patients were followed up on postoperative days 1, 3, 5, 7, and 15 to rate the pain, swelling and trismus. Inferior alveolar nerve paresthesia was evaluated up to 12 months postoperatively.ResultsThe severity of the pain, trismus and swelling using the piezosurgery were significantly different from the rotary group. In both groups, pain was most intense and peaked during the first post-operative day, while swelling and trismus reached peak levels on the third postoperative day. The piezoelectric procedure resulted in a significantly longer procedural duration compared to the rotatory surgery (P < 0.001).ConclusionPiezoelectric surgery is considered a viable alternative technique compared to the conventional rotary systems and can improve a patient’s quality of life. Thus, piezoelectric surgery might be a preferred modality for patients undergoing complicated surgical extraction of impacted lower third molars. 相似文献
974.
John D Piette Jeremy B Sussman Paul N Pfeiffer Maria J Silveira Satinder Singh Mariel S Lavieri 《Journal of medical Internet research》2013,15(7)
Background
Interactive voice response (IVR) calls enhance health systems’ ability to identify health risk factors, thereby enabling targeted clinical follow-up. However, redundant assessments may increase patient dropout and represent a lost opportunity to collect more clinically useful data.Objective
We determined the extent to which previous IVR assessments predicted subsequent responses among patients with depression diagnoses, potentially obviating the need to repeatedly collect the same information. We also evaluated whether frequent (ie, weekly) IVR assessment attempts were significantly more predictive of patients’ subsequent reports than information collected biweekly or monthly.Methods
Using data from 1050 IVR assessments for 208 patients with depression diagnoses, we examined the predictability of four IVR-reported outcomes: moderate/severe depressive symptoms (score ≥10 on the PHQ-9), fair/poor general health, poor antidepressant adherence, and days in bed due to poor mental health. We used logistic models with training and test samples to predict patients’ IVR responses based on their five most recent weekly, biweekly, and monthly assessment attempts. The marginal benefit of more frequent assessments was evaluated based on Receiver Operator Characteristic (ROC) curves and statistical comparisons of the area under the curves (AUC).Results
Patients’ reports about their depressive symptoms and perceived health status were highly predictable based on prior assessment responses. For models predicting moderate/severe depression, the AUC was 0.91 (95% CI 0.89-0.93) when assuming weekly assessment attempts and only slightly less when assuming biweekly assessments (AUC: 0.89; CI 0.87-0.91) or monthly attempts (AUC: 0.89; CI 0.86-0.91). The AUC for models predicting reports of fair/poor health status was similar when weekly assessments were compared with those occurring biweekly (P value for the difference=.11) or monthly (P=.81). Reports of medication adherence problems and days in bed were somewhat less predictable but also showed small differences between assessments attempted weekly, biweekly, and monthly.Conclusions
The technical feasibility of gathering high frequency health data via IVR may in some instances exceed the clinical benefit of doing so. Predictive analytics could make data gathering more efficient with negligible loss in effectiveness. In particular, weekly or biweekly depressive symptom reports may provide little marginal information regarding how the person is doing relative to collecting that information monthly. The next generation of automated health assessment services should use data mining techniques to avoid redundant assessments and should gather data at the frequency that maximizes the value of the information collected. 相似文献975.
Tara Donker Katherine Petrie Judy Proudfoot Janine Clarke Mary-Rose Birch Helen Christensen 《Journal of medical Internet research》2013,15(11)
Background
The rapid growth in the use of mobile phone applications (apps) provides the opportunity to increase access to evidence-based mental health care.Objective
Our goal was to systematically review the research evidence supporting the efficacy of mental health apps for mobile devices (such as smartphones and tablets) for all ages.Methods
A comprehensive literature search (2008-2013) in MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, PsycINFO, PsycTESTS, Compendex, and Inspec was conducted. We included trials that examined the effects of mental health apps (for depression, anxiety, substance use, sleep disturbances, suicidal behavior, self-harm, psychotic disorders, eating disorders, stress, and gambling) delivered on mobile devices with a pre- to posttest design or compared with a control group. The control group could consist of wait list, treatment-as-usual, or another recognized treatment.Results
In total, 5464 abstracts were identified. Of those, 8 papers describing 5 apps targeting depression, anxiety, and substance abuse met the inclusion criteria. Four apps provided support from a mental health professional. Results showed significant reductions in depression, stress, and substance use. Within-group and between-group intention-to-treat effect sizes ranged from 0.29-2.28 and 0.01-0.48 at posttest and follow-up, respectively.Conclusions
Mental health apps have the potential to be effective and may significantly improve treatment accessibility. However, the majority of apps that are currently available lack scientific evidence about their efficacy. The public needs to be educated on how to identify the few evidence-based mental health apps available in the public domain to date. Further rigorous research is required to develop and test evidence-based programs. Given the small number of studies and participants included in this review, the high risk of bias, and unknown efficacy of long-term follow-up, current findings should be interpreted with caution, pending replication. Two of the 5 evidence-based mental health apps are currently commercially available in app stores. 相似文献976.
Bur?in ünlü Ince Pim Cuijpers Edith van 't Hof Wouter van Ballegooijen Helen Christensen Heleen Riper 《Journal of medical Internet research》2013,15(10)
Background
Turkish migrants living in the Netherlands have a high prevalence of depressive disorders, but experience considerable obstacles to accessing professional help. Providing easily accessible Internet treatments may help to overcome these barriers.Objective
The aim of this study was to evaluate the effectiveness of a culturally sensitive, guided, self-help, problem-solving intervention through the Internet for reducing depressive symptoms in Turkish migrants.Methods
A two-armed randomized controlled trial was conducted. The primary outcome measure was the severity of depressive symptoms; secondary outcome measures were somatic symptoms, anxiety, quality of life, and satisfaction with the treatment. Participants were assessed online at baseline, posttest (6 weeks after baseline), and 4 months after baseline. Posttest results were analyzed on the intention-to-treat sample. Missing values were estimated by means of multiple imputation. Differences in clinical outcome between groups were analyzed with a t test. Cohen’s d was used to determine the between-groups effect size at posttreatment and follow-up.Results
Turkish adults (N=96) with depressive symptoms were randomized to the experimental group (n=49) or to a waitlist control group (n=47). High attrition rates were found among the 96 participants of which 42% (40/96) did not complete the posttest (6 weeks) and 62% (59/96) participants did not complete the follow-up assessment at 4 months. No significant difference between the experimental group and the control group was found for depression at posttest. Recovery occurred significantly more often in the experimental group (33%, 16/49) than in the control group (9%, 4/47) at posttest (P=.02). Because of the high attrition rate, a completers-only analysis was conducted at follow-up. The experimental group showed significant improvement in depression compared to the control group both at posttest (P=.01) and follow-up (P=.01).Conclusions
The results of this study did not show a significant effect on the reduction of depressive symptoms. However, the effect size at posttest was high, which might be an indicator of the possible effectiveness of the intervention when assessed in a larger sample and robust trial. Future research should replicate our study with adequately powered samples.Trial Registration
Dutch Trial Register: NTR2303. http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2303 (Archived by WebCite at http://www.webcitation.org/6IOxNgoDu). 相似文献977.
Szilvia Csóka Péter Simor Gábor Szabó Mária S. Kopp Róbert Bódizs 《Attachment & human development》2013,15(2):125-140
Early maternal separation is a particularly stressful experience. Current models of nightmare production emphasize negative emotionality as having a central role in determining dream affect. Our aim is to test the hypothesis that persons who experienced early maternal separation (before one year of age and lasting at least one month) report more frequent nightmare experiences and bad dreams as adults. In the frame of the Hungarostudy Epidemiological Panel, 5020 subjects were interviewed. Significant associations were found between early maternal separation and both frequent nightmare experience in adulthood and increased frequency of oppressive and bad dreams. Current depression scores fully mediated the association between early separation and nightmares, but not the association between early separation and negative dream affect. We interpret these findings as a trait-like enhancement of negative emotionality in adults who experienced early maternal separation. This enhancement influences the content of dreams and, when it takes the form of depression, also influences the frequency of nightmares. 相似文献
978.
Sheree L. Toth Dante Cicchetti Jenny MacFie Angeline Maughan Kirsten Vanmeenen 《Attachment & human development》2013,15(3):271-305
This study examined narrative representations of parents and of self, as well as child behavior during the assessment, in maltreated (N = 56) and demographically comparable non-maltreated (N = 37) pre-school-aged children in a one-year longitudinal study. Maltreated children evidenced more negative representations of parents and of self at Time 2, including the juxtaposition of both a negative and a grandiose self. Over time there was a marginal interaction such that maltreated children portrayed fewer disciplining parent representations and nonmaltreated children portrayed more. Also over time, maltreated children portrayed marginally more grandiose self-representations and nonmaltreated children fewer. Furthermore, maltreated children demonstrated less responsivity to the examiner over time and nonmaltreated children demonstrated more. The deleterious effects of maltreatment on representations of self and of others, especially as development proceeds, are discussed, and the importance of providing attachment-informed intervention prior to the consolidation of these negative representations is highlighted. 相似文献
979.
目的:了解上海市社区老年人对老年抑郁症相关知识的知晓情况以及老年抑郁症状与老年抑郁症认知的相关性,探讨提高社区老年人抑郁症认知水平的可行性护理干预措施。方法:选取上海市浦东新区两个社区的老年人为调查对象。采用方便抽样对入选的398名老年人运用老年抑郁量表、老年抑郁症知识和态度问卷进行调查。结果:上海市社区老年人抑郁症状的发生率为18.3%;老年抑郁症知识得分与态度得分呈正相关;老年抑郁症的知识和态度得分与老年抑郁症量表得分呈负相关。结论:上海市社区老年人对抑郁症的认知水平相对较低,尤其对抑郁症的躯体症状、治疗方式和求助机构的知晓率较低,且老年人对抑郁症的知晓水平越低,抑郁倾向越明显。 相似文献
980.
目的:了解我国护理人文关怀量表的研制与应用现状。方法:采用文献计量法和内容分析法对我国2010年1月—2019年12月发表的护理人文关怀量表研制与应用的相关文献进行分析。结果:共纳入文献21篇,其中学位论文14篇(66.67%),期刊文献7篇(33.33%)。第一作者分布于我国11个省、1个直辖市。发文量排名前3位的为湖北省(3篇)、重庆市(3篇)、贵州省(3篇)。发文量排名前3位的单位为遵义医学院(3篇)、南方医科大学(2篇)、华中科技大学(2篇)。研究的核心对象为临床护士与护士长。结论:近10年我国有关护理人文关怀能力测评工具的研究数量逐渐增多;研究对象相对集中,且逐渐细分化;研究以独著为主且缺乏持续性。 相似文献