Stress and Stroke: Psychological Approach Patients in Middle Hospitalier

Introduction: Human beings are confronted with several trying situations that generate stress. Psychopathological manifestations such as anxiety, anxiety, depression, appear as an imbalance in the personality of individuals. Stroke and its increasing frequency in terms of death but especially morbidity has become one of the leading sources of disability in the world. Its appearance is medically described as caused by vascular risk factors. Our goal was to study the impact of stress on the onset and worsening of a stroke. Methodology: This was the clinical method, the aim of which was to identify any stressful event in the patient’s life and its psychological consequences in order to establish a link between the impact of stress and the stroke;of the semi-directive clinical interview in order to leave the subject a great possibility of expression on the themes associated with our objective then the inferential descriptive method for the evaluation of psychological factors using several scales including The CISS and the STAI. The inclusion criteria were the existence of a stroke, and the existence of a good state of cognitive functions. Results: In our summary analysis, it appears that the stroke would result from chronic stress objectively detected by coping from the CISS and the STAI. The most stressful events on the Holmes and Rahe Scale were;on the family level: the death of a loved one, the illness of a loved one, incessant arguments, family tensions, family violence. On a personal level: illness, sentimental disappointment, abandonment;alcohol, drugs;and finally on the professional level, dismissal and professional conflict. Conclusion: Stress is a psychological factor that increases the occurrence of a stroke, but also constitutes a determining disturbing element in patients with one or more vascular risk factors.

Are Pharmaceutical Treatments or Psychological Approaches a More Effective Way of Treating Depression?

Objective:To review the related researches on the treatment of depression around the world and to summarize the advantages and disadvantages of antidepressants and psychotherapy,so that to find a more effective treatment plan for depression.Methods:The principles of several common pharmaceutical treatment combined with psychological approach were analyzed,cognitive behavioral therapy,interpersonal psychotherapy and socia1 support therapy included.Results:Some experimental results were illustrated and the advantages of Pharmaceutical treatment combined with psychological approach was revealed.Conclusion:Research indicates when pharmaceutical treatment is available,the combination of drugs and psychotherapy is more effective than sole pharmaceutical treatment.

A Psychological Analysis on the Characterization of Elizabeth in Pride and Prejudice

Elizabeth,the heroine in Pride and Prejudice is generally considered to be an independent and subversive woman,who seeks her happiness regardless of the social class.This paper tries to prove Elizabeth is the dependent of the upper class based on the psychological approach.

Motivational interviewing and its application in the management of coronary heart disease

Objective:This review paper explores the concept,spirit,principles,and core skills of moti-vational interviewing(MI)as a psychological approach applied to CHD patients.Methods:Literature reviews based on English and Chinese articles.Results:The English and Chinese literature provided strong evidence for the effectiveness of MI in terms of behavior changes,blood pressure control,hyperglycemia and hyperlipidemia control,compliance improvement,and improving quality of life amongst chronic heart failure patients.The Happy Life Club(HLC)is the only randomized controlled trial(RCT)that examined the effects of MI on behavior changes and self-management improvements in Chinese patients with type 2 diabetes mellitus.The HLC pilot revealed positive outcomes,and RCTs will provide further evidence.Conclusion:MI has been expanded in its application to a wider range of lifestyle-related chronic diseases,including CHD.At the time of this review,MI represents a new concept and ap-proach in China for improving physical and mental health(body and mind)in patients with CHD.In order to integrate MI into medical practice,the authors suggest improving the medical education curriculum and strengthening vocational training,while conducting further research initiatives to assess the innovation and inform practice management.