This review aims to gain a deeper understanding of the psychological state of elderly patients with femoral fractures and provide more theoretical and practical support for clinical treatment and care.Through a litera...This review aims to gain a deeper understanding of the psychological state of elderly patients with femoral fractures and provide more theoretical and practical support for clinical treatment and care.Through a literature analysis,we found that elderly patients with femoral fractures face various psychological issues such as anxiety,depression,sleep disorders,and social isolation.The application of systematic nursing interventions in clinical practice,including cognitivebehavioral therapy,mindfulness therapy,family therapy,art therapy,interpersonal therapy,emotion-focused therapy,and relaxation training,has yielded significant results.Systematic psychological interventions can improve the psychological state and quality of life of elderly patients with femoral fractures.Therefore,promoting the application and practice of systematic psychological interventions in the clinical care of elderly patients with fractures will provide more effective psychological services to a wider group of patients with fractures in the future.展开更多
AIM To determine the placebo response rate associated with different types of placebo interventions used in psychological intervention studies for irritable bowel syndrome. METHODS Randomized controlled trials compari...AIM To determine the placebo response rate associated with different types of placebo interventions used in psychological intervention studies for irritable bowel syndrome. METHODS Randomized controlled trials comparing psychological interventions(stress management/relaxation therapy(cognitive) behavioral therapy, short-term psychodynamic therapy, and hypnotherapy) for the treatment of adult patients with irritable bowel syndrome(IBS) diagnosed with the Manning or Rome criteria with an adequate placebo control treatment and reporting data on IBS symptom severity were identified by searching Pub Med, Embase, the Cochrane Library, CINAHL and Psyc INFO databases. Full-text articles that were written in English and published between 1966 and February 2016 in peer-reviewed journals were selected for the present review. Placebo interventions were considered to be adequate if the number of sessions and the amount of time spent with the therapist were the same as in the active treatment. The placebo response rate(PRR) was computed for IBS symptom severity(primary outcome measure) as well as for anxiety, depression and quality of life(secondary outcome measures). RESULTS Six studies, with a total of 555 patients met the inclusion criteria. Four studies used an educational intervention, whereas two studies used a form of supportive therapy as the placebo intervention. The PRR for IBS symptom severity ranged from 25% to 59%, with a pooled mean of 41.4%. The relative PRR for the secondary outcome measures ranged from 0% to 267% for anxiety, 6% to 52% for depression 20% to 125% for quality of life. The PRR associated with pharmacological treatments, treatment with dietary bran and complementary medicine ranged from 37.5% to 47%. Contrary to our expectations, the PRR in studies on psychological interventions was comparable to that in studies on pharmacological, dietary and alternative medical interventions.CONCLUSION The PRR is probably determined to a larger extent by patient-related factors, such as expectations and desire for the treatment to be effective, than the content of the placebo intervention.展开更多
Background: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the ...Background: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the present review was to analyze and synthesize the current literature concerning collegiate athletes' utilization of mental health services, including the facilitators of and barriers to use of these services.Methods: The analysis was guided and organized using a socio-ecological framework, which considered the unique context in which collegiate athletes study and perform. A total of 21 articles, published between 2005 and 2016, which concern U.S. collegiate athletes' mental health services utilization(MHSU) were selected and included for the final analysis. Conceptualizations and operationalizations of MHSU were compared and contrasted. Facilitators of and barriers to athletes MHSU were examined and summarized while appropriately considering the proximity of each factor(facilitator or barrier) to the athletes.Results: Results showed variations in conceptualizations and operationalizations of MHSU in the articles analyzed, which made interpretation and cross comparison difficult. Collegiate athletes are willing to utilize mental health services, but gender, perceived stigma, peer norms—for athletes and coaches—plus service availability impact their MHSU.Conclusion: Key stakeholders, administrators, and public health officials should partner to eliminate MHSU barriers, support facilitators, and generally empower collegiate athletes to actively manage their mental health.展开更多
In order to let drug addicts withdraw their toxic ma-nia, the work of drug prohibiting must be launched extensively to construct a quiet environment, so we put forward a systematic engineering imagine, which includes ...In order to let drug addicts withdraw their toxic ma-nia, the work of drug prohibiting must be launched extensively to construct a quiet environment, so we put forward a systematic engineering imagine, which includes a comprehensive administration of medical psychology and society. Now we put forward the following report to explore the direction of the World Health Organization (WHO).展开更多
Quality of life and psychological health in the field of competitive sport are emergent research topics,specifically for issues such as sport anxiety and depression.With the rise of contemplative practices,yoga has st...Quality of life and psychological health in the field of competitive sport are emergent research topics,specifically for issues such as sport anxiety and depression.With the rise of contemplative practices,yoga has started to be used and included as part of athletes' mental training.This study aimed to systematically review the literature on the impact of yoga interven-tions on quality of life,performance anxiety and sport performance among healthy elite adult athletes.Based on PRISMA guidelines,this systematic review includes articles published up to December 2019.The search strategy was conducted in six databases (PUBMED,EMBASE,PsycINFO,SCOPUS,SportDiscuss and (E)rudit).Screened by two independent researchers,only six of the 37 articles drawn from the search met the preselected inclusion criteria and moved forward to the data extraction process.Data from six trials of poor quality (M =46.91%,SD =13.39,IRR of 92%) were included in this comprehensive literature search,indicating that elite athletes benefit from yoga interventions (with or without mindful-ness),in terms of changes in performance anxiety M =65% (SD =122.49),sport performance M =7.9% (SD =5.46) and life satisfaction.These interventions lasted on average 5.7 weeks (SD =2.07).Based on the collected evidence,methodological and measurement limitations of the sport psychology literature should be addressed to improve the replicability of reported results.Overall,this review provides encouraging but limited evidence for the value of yoga interventions in healthy adult athletes.However,the important reporting inconsistencies and theoretical limitations that have been raised highlight the need for trials with greater methodological rigor.展开更多
目的分析音乐护理联合系统心理防御在干燥综合征患者生活质量改善中的作用。方法选取2021年12月—2023年12月厦门大学附属第一医院风湿免疫科收治的86例干燥综合征患者为研究对象。根据不同护理方法分为研究组与对照组,各43例。对照组...目的分析音乐护理联合系统心理防御在干燥综合征患者生活质量改善中的作用。方法选取2021年12月—2023年12月厦门大学附属第一医院风湿免疫科收治的86例干燥综合征患者为研究对象。根据不同护理方法分为研究组与对照组,各43例。对照组采用常规护理,研究组采用音乐护理联合系统心理防御干预。对比2组防御方式、心理弹性、生活质量、疾病疼痛、疾病活跃度及负性情绪。结果干预后,研究组不成熟型防御机制评分、中间型防御机制评分分别为(3.25±0.34)分、(3.46±0.21)分,低于对照组的(4.38±0.51)分、(3.78±0.34)分,差异有统计学意义(P<0.05);研究组成熟性防御机制评分、掩饰度评分分别为(5.83±0.64)分、(6.97±0.42)分,高于对照组的(5.27±0.36)分、(6.45±0.51)分,差异有统计学意义(P<0.05)。研究组Connor-Davidson心理弹性量表(Connor-Davidson resilience scale,CD-RISC)评分及健康状况调查简表(the MOS item short from health survey,SF-36)评分分别为(80.63±10.25)分、(82.59±7.34)分,高于对照组的(69.47±12.33)分、(74.83±10.21)分,差异有统计学意义(P<0.05)。研究组干燥综合征疾病活动指数(Eurpoean League Against Rheumatism Sjögren syndrome disease activity index,ESSDAI)评分与干燥综合征患者报告指数(Eurpoean League Against Rheumatism Sjögren syndrome patient reported index,ESSPRI)评分分别为(2.34±1.02)分、(5.36±1.21)分,均低于对照组的(3.78±1.23)分、(7.45±2.33)分,差异有统计学意义(P<0.05)。研究组汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分分别为(8.36±1.29)分、(9.37±1.06)分,均低于对照组的(11.56±2.11)分、(12.53±2.41)分,差异有统计学意义(P<0.05)。结论音乐护理联合系统心理防御有利于改善干燥综合征患者的生活质量与心理状况。展开更多
目的系统综述关于身体活动对儿童青少年心理和行为健康影响的系统综述中的相关证据。方法检索PubMed、Web of Science、Scopus、PsycINFO、Cochrane Library和中国知网2014年1月至2024年1月公开发表的有关儿童青少年身体活动的心理和行...目的系统综述关于身体活动对儿童青少年心理和行为健康影响的系统综述中的相关证据。方法检索PubMed、Web of Science、Scopus、PsycINFO、Cochrane Library和中国知网2014年1月至2024年1月公开发表的有关儿童青少年身体活动的心理和行为健康效应的系统综述,并分析其证据。结果最终纳入10篇英文文献,涉及221580例儿童青少年,来自澳大利亚、中国、加拿大、美国和西班牙。纳入文献主要来源于儿科学、儿童保育健康与发展、心理学等领域期刊。研究对象5~18岁,健康状况包括健康状态和非健康状态,其中非健康状态涉及神经发育障碍、抑郁和肥胖。干预类型包括学校体育课程、社区身体活动项目、家庭锻炼计划、课外运动项目、课外体育活动和减少久坐行为干预。干预方式主要包括有氧运动、力量训练和游戏活动。干预频率为每次15~120 min,每周2~6次,干预强度为低~高,持续6~81周。健康结局主要体现为儿童青少年的注意力、执行功能、记忆力和学习能力改善,焦虑和抑郁症状减轻,自尊心和自我效能感提升,社会适应能力和生活满意度提高,肥胖率降低和生活方式改善。结论身体活动有助于儿童青少年改善注意力、执行功能、记忆力和学习能力,减轻焦虑和抑郁症状,提升自尊心和自我效能感,改善社会适应能力和生活满意度,降低肥胖率,形成积极的生活方式。展开更多
文摘This review aims to gain a deeper understanding of the psychological state of elderly patients with femoral fractures and provide more theoretical and practical support for clinical treatment and care.Through a literature analysis,we found that elderly patients with femoral fractures face various psychological issues such as anxiety,depression,sleep disorders,and social isolation.The application of systematic nursing interventions in clinical practice,including cognitivebehavioral therapy,mindfulness therapy,family therapy,art therapy,interpersonal therapy,emotion-focused therapy,and relaxation training,has yielded significant results.Systematic psychological interventions can improve the psychological state and quality of life of elderly patients with femoral fractures.Therefore,promoting the application and practice of systematic psychological interventions in the clinical care of elderly patients with fractures will provide more effective psychological services to a wider group of patients with fractures in the future.
文摘AIM To determine the placebo response rate associated with different types of placebo interventions used in psychological intervention studies for irritable bowel syndrome. METHODS Randomized controlled trials comparing psychological interventions(stress management/relaxation therapy(cognitive) behavioral therapy, short-term psychodynamic therapy, and hypnotherapy) for the treatment of adult patients with irritable bowel syndrome(IBS) diagnosed with the Manning or Rome criteria with an adequate placebo control treatment and reporting data on IBS symptom severity were identified by searching Pub Med, Embase, the Cochrane Library, CINAHL and Psyc INFO databases. Full-text articles that were written in English and published between 1966 and February 2016 in peer-reviewed journals were selected for the present review. Placebo interventions were considered to be adequate if the number of sessions and the amount of time spent with the therapist were the same as in the active treatment. The placebo response rate(PRR) was computed for IBS symptom severity(primary outcome measure) as well as for anxiety, depression and quality of life(secondary outcome measures). RESULTS Six studies, with a total of 555 patients met the inclusion criteria. Four studies used an educational intervention, whereas two studies used a form of supportive therapy as the placebo intervention. The PRR for IBS symptom severity ranged from 25% to 59%, with a pooled mean of 41.4%. The relative PRR for the secondary outcome measures ranged from 0% to 267% for anxiety, 6% to 52% for depression 20% to 125% for quality of life. The PRR associated with pharmacological treatments, treatment with dietary bran and complementary medicine ranged from 37.5% to 47%. Contrary to our expectations, the PRR in studies on psychological interventions was comparable to that in studies on pharmacological, dietary and alternative medical interventions.CONCLUSION The PRR is probably determined to a larger extent by patient-related factors, such as expectations and desire for the treatment to be effective, than the content of the placebo intervention.
文摘Background: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the present review was to analyze and synthesize the current literature concerning collegiate athletes' utilization of mental health services, including the facilitators of and barriers to use of these services.Methods: The analysis was guided and organized using a socio-ecological framework, which considered the unique context in which collegiate athletes study and perform. A total of 21 articles, published between 2005 and 2016, which concern U.S. collegiate athletes' mental health services utilization(MHSU) were selected and included for the final analysis. Conceptualizations and operationalizations of MHSU were compared and contrasted. Facilitators of and barriers to athletes MHSU were examined and summarized while appropriately considering the proximity of each factor(facilitator or barrier) to the athletes.Results: Results showed variations in conceptualizations and operationalizations of MHSU in the articles analyzed, which made interpretation and cross comparison difficult. Collegiate athletes are willing to utilize mental health services, but gender, perceived stigma, peer norms—for athletes and coaches—plus service availability impact their MHSU.Conclusion: Key stakeholders, administrators, and public health officials should partner to eliminate MHSU barriers, support facilitators, and generally empower collegiate athletes to actively manage their mental health.
文摘In order to let drug addicts withdraw their toxic ma-nia, the work of drug prohibiting must be launched extensively to construct a quiet environment, so we put forward a systematic engineering imagine, which includes a comprehensive administration of medical psychology and society. Now we put forward the following report to explore the direction of the World Health Organization (WHO).
文摘Quality of life and psychological health in the field of competitive sport are emergent research topics,specifically for issues such as sport anxiety and depression.With the rise of contemplative practices,yoga has started to be used and included as part of athletes' mental training.This study aimed to systematically review the literature on the impact of yoga interven-tions on quality of life,performance anxiety and sport performance among healthy elite adult athletes.Based on PRISMA guidelines,this systematic review includes articles published up to December 2019.The search strategy was conducted in six databases (PUBMED,EMBASE,PsycINFO,SCOPUS,SportDiscuss and (E)rudit).Screened by two independent researchers,only six of the 37 articles drawn from the search met the preselected inclusion criteria and moved forward to the data extraction process.Data from six trials of poor quality (M =46.91%,SD =13.39,IRR of 92%) were included in this comprehensive literature search,indicating that elite athletes benefit from yoga interventions (with or without mindful-ness),in terms of changes in performance anxiety M =65% (SD =122.49),sport performance M =7.9% (SD =5.46) and life satisfaction.These interventions lasted on average 5.7 weeks (SD =2.07).Based on the collected evidence,methodological and measurement limitations of the sport psychology literature should be addressed to improve the replicability of reported results.Overall,this review provides encouraging but limited evidence for the value of yoga interventions in healthy adult athletes.However,the important reporting inconsistencies and theoretical limitations that have been raised highlight the need for trials with greater methodological rigor.
文摘目的分析音乐护理联合系统心理防御在干燥综合征患者生活质量改善中的作用。方法选取2021年12月—2023年12月厦门大学附属第一医院风湿免疫科收治的86例干燥综合征患者为研究对象。根据不同护理方法分为研究组与对照组,各43例。对照组采用常规护理,研究组采用音乐护理联合系统心理防御干预。对比2组防御方式、心理弹性、生活质量、疾病疼痛、疾病活跃度及负性情绪。结果干预后,研究组不成熟型防御机制评分、中间型防御机制评分分别为(3.25±0.34)分、(3.46±0.21)分,低于对照组的(4.38±0.51)分、(3.78±0.34)分,差异有统计学意义(P<0.05);研究组成熟性防御机制评分、掩饰度评分分别为(5.83±0.64)分、(6.97±0.42)分,高于对照组的(5.27±0.36)分、(6.45±0.51)分,差异有统计学意义(P<0.05)。研究组Connor-Davidson心理弹性量表(Connor-Davidson resilience scale,CD-RISC)评分及健康状况调查简表(the MOS item short from health survey,SF-36)评分分别为(80.63±10.25)分、(82.59±7.34)分,高于对照组的(69.47±12.33)分、(74.83±10.21)分,差异有统计学意义(P<0.05)。研究组干燥综合征疾病活动指数(Eurpoean League Against Rheumatism Sjögren syndrome disease activity index,ESSDAI)评分与干燥综合征患者报告指数(Eurpoean League Against Rheumatism Sjögren syndrome patient reported index,ESSPRI)评分分别为(2.34±1.02)分、(5.36±1.21)分,均低于对照组的(3.78±1.23)分、(7.45±2.33)分,差异有统计学意义(P<0.05)。研究组汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分分别为(8.36±1.29)分、(9.37±1.06)分,均低于对照组的(11.56±2.11)分、(12.53±2.41)分,差异有统计学意义(P<0.05)。结论音乐护理联合系统心理防御有利于改善干燥综合征患者的生活质量与心理状况。
文摘目的系统综述关于身体活动对儿童青少年心理和行为健康影响的系统综述中的相关证据。方法检索PubMed、Web of Science、Scopus、PsycINFO、Cochrane Library和中国知网2014年1月至2024年1月公开发表的有关儿童青少年身体活动的心理和行为健康效应的系统综述,并分析其证据。结果最终纳入10篇英文文献,涉及221580例儿童青少年,来自澳大利亚、中国、加拿大、美国和西班牙。纳入文献主要来源于儿科学、儿童保育健康与发展、心理学等领域期刊。研究对象5~18岁,健康状况包括健康状态和非健康状态,其中非健康状态涉及神经发育障碍、抑郁和肥胖。干预类型包括学校体育课程、社区身体活动项目、家庭锻炼计划、课外运动项目、课外体育活动和减少久坐行为干预。干预方式主要包括有氧运动、力量训练和游戏活动。干预频率为每次15~120 min,每周2~6次,干预强度为低~高,持续6~81周。健康结局主要体现为儿童青少年的注意力、执行功能、记忆力和学习能力改善,焦虑和抑郁症状减轻,自尊心和自我效能感提升,社会适应能力和生活满意度提高,肥胖率降低和生活方式改善。结论身体活动有助于儿童青少年改善注意力、执行功能、记忆力和学习能力,减轻焦虑和抑郁症状,提升自尊心和自我效能感,改善社会适应能力和生活满意度,降低肥胖率,形成积极的生活方式。
