Effects of intensive psychological intervention on treatment compliance,psychological status,and quality of life of patients with epilepsy

BACKGROUND Epilepsy is a nervous system disease characterized by recurrent attacks,a long disease course,and an unfavorable prognosis.It is associated with an enduring therapeutic process,and finding a cure has been difficult.Patients with epilepsy are predisposed to adverse moods,such as resistance,anxiety,nervousness,and anxiety,which compromise treatment compliance and overall efficacy.AIM To explored the influence of intensive psychological intervention on treatment compliance,psychological status,and quality of life(QOL)of patients with epilepsy.METHODS The clinical data of 105 patients with epilepsy admitted between December 2019 and July 2023 were retrospectively analyzed,including those of 50 patients who underwent routine intervention(control group)and 55 who underwent intensive psychological intervention(research group).Treatment compliance,psychological status based on the Self-Rating Anxiety Scale(SAS)and Depression Scale Self-Rating Depression Scale(SDS)scores,hope level assessed using the Herth Hope Scale(HHS),psychological resilience evaluated using the Psychological Resilience Scale,and QOL determined using the QOL in Epilepsy-31 Inventory(QOLIE-31)were comparatively analyzed.RESULTS Treatment compliance in the research group was 85.5%,which is significantly better than the 68.0%of the control group.No notable intergroup differences in preinterventional SAS and SDS scores were identified(P>0.05);however,after the intervention,the SAS and SDS scores decreased significantly in the two groups,especially in the research group(P<0.05).The two groups also exhibited no significant differences in preinterventional HHS,Connor-Davidson Resilience Scale(CD-RISC),and QOLIE-31 scores(P>0.05).After 6 months of intervention,the research group showed evidently higher HHS,CD-RISC,tenacity,optimism,strength,and QOLIE-31 scores(P<0.05).CONCLUSION Intensive psychological intervention enhances treatment compliance,psychological status,and QOL of patients with epilepsy.

Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

Analysis of public psychological status and related factors in Yichang during the closing of initial Covid-19

Objective:To investigate the psychological health status and influencing factors of the public during the epidemic of Covid-19 in Yichang,Hubei,and provide evidence for future psychological intervention.Methods:This study used snowball sampling,SCL-90 scale,and SSRS to conduct a questionnaire survey of 563 residents.Results:The state of public mental health during the closure of Covid-19 was worse than the national norm.Gender,age,and culture have an impact on mental health.There was a significant correlation between social support and the level of mental health.The effects of various variables on the public mental state from big to small:objective support,gender,occupation.Conclusion:The psychological problems of the public during the closure of the city of Covid-19 deserve attention.According to different influencing factors,corresponding measures should be implemented to improve the public’s psychological endurance and respond to public health emergencies with a healthy mentality.

The Effectiveness of Physical Exercise on Psychological Status, and Sleep Quality among Jordanian Patients Undergoing Hemodialysis: Literature Review

Background: Patients receiving hemodialysis are suffered from several psychological complications, and they required to receive safe, feasible, and applicable interventions to improve their psychological health. Practicing physical exercises were used in the literature as a possible intervention to improve patient’s outcomes. Purpose: The current literature review aimed to evaluate the effectiveness of physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis, and to detect the gab in the Jordanian literature about the effectiveness of practicing physical exercises on psychological status, and sleep quality among patients undergoing hemodialysis. Methods: The design of the current article was literature review of fifty studies. Results: The current review revealed that most of the research studies were conducted to describe the levels and prevalence’s of psychological and mental complication of hemodialysis process, and to evaluate the impact of different types and methods of physical exercises on physical, psychological, and functional outcomes among patients undergoing hemodialysis. However, there are no agreement about the type, time, and intensity of physical exercises, and its impact on patients’ psychological outcomes. In Jordanian context, there are no experimental studies were conducted about the effectiveness of physical exercises on psychological status and sleep quality among patients undergoing hemodialysis. Conclusion: It is imperative for researchers to fill the gap that existed in the body of knowledge regarding the effectiveness of physical exercises on psychological outcomes among patients undergoing hemodialysis in order to improve psychological well-being and improve both quality of life for patients, and quality of nursing care.

The psychological status investigation on the nursing staff in a 3A‑level hospital during the prevalence of COVID‑19 and the analysis of its influencing factors

Objective:The objective of the study is to investigate the psychological status of nursing staff both working on nonfront line and on the front line during the epidemic period of COVID‑19 and to analyze the influencing factors related to mental health state,as well as to provide targeted psychological intervening measures for nursing staff in the face of this major public health event.Methods:We used data from January 28,2019,to February 08,2020,on the number of cases who worked in the 3A‑level hospital as nonfront‑line nurses(n=29,54%)and those who worked in Wuhan infectious hospital as the front‑line supporters(n=25,46%)came from the 3A‑level hospital.The participants completed the symptom checklist 90,and the researchers recorded data on demographics,psychological status,and the influencing factors.Results:In our baseline scenario,we estimated that the total symptom index was 1.676±0.654 for nurses who worked on the front line,1.260±0.304 for those who worked as the front‑line reserve nurses,and was 1.486±0.647 for those who worked as the nonfront‑line nurses.The results of correlation analysis show that the factors related to the psychological status of nurses include age,professional title,marital status,and family support;different factors have different effects on psychological status.Conclusion:In the face of major public health emergencies,both front‑line nursing staff and nonfront‑line staff are confronted with different degrees of psychological stress,so effective psychological support should be given to improve the working efficiency and enthusiasm of nurses.

A Study on the Psychological Status of the Caregivers to Patients Out of ICU after Craniocerebral Tumor Surgery and Their Factors

Objective: So as to provide a theoretical basis for the future development of intervention measures to reduce the negative psychological mood of caregivers. To investigate the psychological status of the main caregivers for patients who were transferred out of ICU after craniocerebral tumor surgery and analyze their factors. Methods: 112 patients with cerebral tumor surgery were reviewed from sun yat-sen university cancer hospital. The research object is caregivers. The general data questionnaire, hospital anxiety depression scale and migration of ICU patients’ family members stress questionnaire scale investigation are collected. Multiple linear regression analysis in cerebral tumor patients with postoperative ICU transition out main factors influencing the psychological condition of the caregivers. Results: The anxiety and depression scores were (15.60 ± 5.83) and (38.73 ± 3.23) respectively. The results of multiple regression analysis showed that the gender, education level, relationship with the patient and family monthly income of the primary caregivers of the patients were the influencing factors of anxiety, depression and migration stress psychological state (P < 0.05). Conclusion: The main caregivers of patients who were transferred out of ICU after craniocerebral tumor surgery had relatively severe anxiety, depression and migration stress. Medical staff should pay attention to the psychological status of caregivers and take effective measures to promote their physical and mental health.

Self-Reported Assessment of Health Status and Psychological Condition among Hospital Medical Residents in Iran

Psychological stress and illness among hospital residences have been subject to increasing scientific scrutiny;however very few studies have been published to describe the extent of health status and psychological stresses in residents in different specialties especially in our country that our study was mainly focused on this subject. Methods: The study subjects were medical residents in public hospitals covering 14 different specialties in Tehran in 2007. A self-administered questionnaire elicited information related to socio-demographic profile, specialty, duty hours, sleep quality, physical activity level, number of night shifts per month, mood changes, sense of depression after night shifts, fatigue, use of antidepressant and tranquilizer, and their opinion regarding their health status on a 4-point Likert scale. Results: 66.7% of participants were male with the mean age of 32.9 ± 4.2 years. 62.1% of the residents felt mood changes after nightly shifts that could adversely affect their daily living, quality of work, and social relationships. The overall prevalence of the use of antidepressant drugs was 20.0% which was significantly higher in women than men. Also, 24.4% of them reported consumption of sedative and hypnotic drugs. 15.6% reported complete healthy status while 9.4% reported partial illness. Complete healthy status was more reported among the residents of anesthesiology and pediatrics while illness was more reported by residents in pathology field. Residents’ satisfaction with their status was positively correlated with the year of residency and marriage, while dissatisfaction was more reported in divorced ones as well as in those with higher number of nightly shifts. Conclusion: Notable number of hospital residents in Iran experience significant stressors and emotional and mental health problems. Among all studies factors type of specialty, year of residency, female gender, number of nightly shifts, and single marital status were more important than other factors.

Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease

Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized.

Impact of specialized nursing outpatient case management on postcoronary artery bypass grafting patients

BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.

双心护理联合冥想放松训练对冠心病心绞痛患者心绞痛发作情况、睡眠质量及心理韧性的影响

目的:探讨冠心病心绞痛患者采用双心护理联合冥想放松训练对心绞痛发作情况、睡眠质量及心理韧性的影响。方法:选取2021年2月-2022年6月鹰潭市人民医院收治的96例冠心病心绞痛患者作为研究对象,按随机数表法将其分为干预组(n=48)与对照组(n=48)。对照组给予常规护理干预,干预组给予双心护理联合冥想放松训练,对比两组患者心绞痛发作情况、睡眠质量、心理韧性及护理满意度。结果:干预后,干预组与对照组比较,心绞痛发作次数更少,持续时间更短,差异有统计学意义(t=4.000、5.528,P<0.05);干预后,干预组匹兹堡睡眠质量指数量表(PSQI)评分低于与对照组,差异有统计学意义(t=10.873,P<0.05);干预后,干预组心理弹性量表(CD-RISC)评分高于对照组,差异有统计学意义(t=15.424、9.031、7.428,P<0.05);干预组护理满意度高于对照组,差异有统计学意义(χ^(2)=4.360,P<0.05)。结论:双心护理联合冥想放松训练应用于冠心病心绞痛患者干预,能够缓解心绞痛发作情况,改善患者睡眠质量,增强心理韧性,促进护理满意度提高。

Psychological status and behavior changes of the public during the COVID-19 epidemic in China

Background:A cluster of pneumonia cases were reported by Wuhan Municipal Health Commission,China in December 2019.A novel coronavirus was eventually identified,and became the COVID-19 epidemic that affected public health and life.We investigated the psychological status and behavior changes of the general public in China from January 30 to February 3,2020.Methods:Respondents were recruited via social media(WeChat)and completed an online questionnaire.We used the State-Trait Anxiety Inventory,Self-rating Depression Scale,and Symptom Checklist-90 to evaluate psychological status.We also investigated respondents’behavior changes.Quantitative data were analyzed by t-tests or analysis of variance,and classified data were analyzed with chi-square tests.Results:In total,608 valid questionnaires were obtained.More respondents had state anxiety than trait anxiety(15.8%vs 4.0%).Depression was found among 27.1%of respondents and 7.7%had psychological abnormalities.About 10.1%of respondents suffered from phobia.Our analysis of the relationship between subgroup characteristics and psychological status showed that age,gender,knowledge about COVID-19,degree of worry about epidemiological infection,and confidence about overcoming the outbreak significantly influenced psychological status.Around 93.3%of respondents avoided going to public places and almost all respondents reduced Spring Festival-related activities.At least 70.9%of respondents chose to take three or more preventive measures to avoid infection.The three most commonly used prevention measures were making fewer trips outside and avoiding contact(98.0%),wearing a mask(83.7%),and hand hygiene(82.4%).Conclusions:We need to pay more attention to public psychological stress,especially among young people,as they are likely to experience anxiety,depression,and psychological abnormalities.Different psychological interventions could be formulated according to the psychological characteristics of different gender and age groups.The majority of respondents followed specific behaviors required by the authorities,but it will take time to observe the effects of these behaviors on the epidemic.

Adherence to Radiation Therapy among Cervical Cancer Patients at Cancer Diseases Hospital in Lusaka, Zambia

Background: Radiation therapy has the potential to improve cure rates and provide palliative relief for cervical cancer patients. Despite adherence to radiation therapy being a key treatment modality, patients rarely follow prescriptions. Poor adherence to radiation therapy is associated with low survival and high mortality rates. This study therefore sought to investigate the levels of adherence and factors influencing adherence to radiation therapy among cervical cancer patients being treated at Cancer Diseases Hospital. Methods: A cross-sectional analytical study design was used, 142 patients were selected from the outpatient department using a fishbowl sampling method. A structured interview schedule was used to collect data. Data was entered and analyzed using SPSS, the binary logistic regression analysis was used to predict levels of adherence to treatment and to identify factors associated with adherence to RT among cervical cancer patients. Results: The findings showed that 93% of the participants adhered to radiation therapy while 7% did not adhere to treatment. Majority of the patients 77.1% had experienced side effects of radiation therapy. About 28% of patients had severe psychological distress. By using binary logistic regression, there was a statistically significant association between adherence and perceived quality of health care services (p = 0.001). The analysis showed that patients who perceived poor quality of health care services were 0.005 (99.5%) times less likely to adhere to radiation therapy. The other independent variables were not statistically significant despite being associated with adherence among cervical cancer patients. Conclusions and Recommendations: The findings showed that patients who perceived good quality of health care services had higher chances of adherence compared to those who perceived poor quality of health care services. There is therefore a need for quality service provision which could include good maintenance of radiation machines. Furthermore, there is a need to develop guidelines for follow-up in case of any disease outbreak to avoid interference with patients’ treatment schedules and appointments for reviews.

Real and Perceived Physical Functioning in Italian Elderly Population: Associations with BADL and IADL

This study aimed to identify the key physical abilities (aerobic endurance, gait speed, balance, strength) and psychological variables associated with the level of basic (BADL) and instrumental (IADL) activities of daily living in an autonomous community-dwelling elderly population in Italy. 135 elderly people (63% women;mean age = 73.3, SD = 5.5) were included in the study. Stepwise regression was performed to verify the association between these variables and the level of BADL and IADL in the elderly participants. Results showed that balance (β = -0.21, p of physical functioning (β = 0.32, p L scores, and IADL score was associated with perception of physical functioning (β = 0.30, p 001) and upper limb strength (β = 0.21, p < 0.05). The results demonstrate a relationship between physical functioning and ADL, both real physical functioning and perceived physical functioning.

Ability of Therapists Trained in Mechanical Diagnosis and Therapy to Guess Pain Catastrophizing and Kinesiophobia Scores for Patients with Low Back Pain

Objective: To investigate whether a physical therapist trained through the Mechanical Diagnosis and Therapy (MDT) diploma program could guess psychological Patient Reported Outcome Measure (PROM) scores of individuals with low back pain (LBP) by taking patient history and completing a physical evaluation. Methods: Ten participants with LBP completed PROMs immediately before history taking and again after a physical evaluation. PROMs included the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Hospital Anxiety and Depression Scale, and Pain Coping Strategy Questionnaire. A physical therapist who completed the MDT diploma program took the patients’ history and completed their physical evaluation. The therapist completed the same PROMs immediately after both history taking and physical evaluation. Correlations between patient and therapist scores were calculated using Spearman’s ρ. Results: Statistically significant positive correlations were detected in the PCS (ρ = 0.65) and TSK (ρ = 0.78) before history taking, and in the PCS (ρ = 0.81) and TSK (ρ = 0.74) after physical evaluation. Discussion: The results are based on one MDT therapist and generalizability of the findings is limited. However, the current preliminary findings justify the need for further studies to explore effective post-graduate training to promote a patient centered approach.

20~30岁凸面型青年人笑容暴露量及其相关因素分析

目的探讨20~30岁凸面型青年人的笑容暴露量并分析其与面部美学指标、笑容满意程度之间的联系。方法本研究获得医院伦理审批,受试者知情同意及肖像授权。招募80名20~30岁的凸面型青年受试者,录制姿势位微笑和自发性大笑时的全过程并导入PhotoshopCC软件,选取关键帧,测量笑容暴露量。通过三维面扫获取受试者静息状态下的面部三维信息,测量面下1/3相关美学指标,评估受试者对自身笑容的满意程度,并对不同性别笑容暴露量与面下1/3相关美学指标、心理评分进行相关性分析。结果20~30岁不同性别间的笑容暴露量、笑容模式、面下1/3相关美学指标数据和主观心理测评评分均有统计学差异(P<0.05)。大笑时男、女间的开口度差距大,男性的平均开口度为女性的5倍,而男性的平均上颌中切牙牙龈暴露高度约为女性的1/2。男性的平均鼻唇角(99.80°±7.96°)大于女性(96.26°±7.31°)(P<0.05),而男性的平均上唇长度占面下1/3长度比例(33.73%±2.35%)小于女性(38.57%±2.76%)(P<0.05)。男性的平均心理评分(57.75±13.46)高于女性(53.69±17.95)(P<0.05)。微笑及大笑时的上颌软硬组织暴露量占口裂面积比例与鼻唇角呈正相关,大笑时口裂宽度与心理评分呈负相关。结论20~30岁凸面型男、女性的笑容暴露量和笑容模式不同,男性笑容开口度大,牙龈暴露量少,女性笑容开口度小,牙龈暴露量多。笑容暴露量与鼻唇角呈正相关,与笑容满意程度呈负相关。

中医特色护理在结直肠癌化疗中的应用效果研究

目的探讨中医特色护理在结直肠癌化疗中的应用效果。方法选取江西省上犹县人民医院2020年6月—2022年6月收治的114例结直肠癌患者,使用随机数字表法将其分为观察组及对照组,各57例。对照组行常规护理,观察组在对照组基础上加用中医特色护理,对比2组的护理效果。结果护理前,2组的各项癌因性疲乏评分、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,2组的各项评分均降低,且观察组低于对照组(P<0.05)。护理前,2组的各项癌症患者生活质量测定量表(EORCT QLQ-C30)评分比较,差异无统计学意义(P>0.05);护理后,2组的各项评分均升高,且观察组高于对照组(P<0.05)。观察组的不良反应发生率为1.75%(1/57),低于对照组12.28%(7/57)(P<0.05)。结论中医特色护理可有效缓解结直肠癌化疗患者的癌因性疲乏,改善心理状态,减少不良反应,提升生活质量及护理满意率。

以根本原因分析法为指导的干预在非小细胞肺癌化疗患者中的应用效果

目的 探讨以根本原因分析法(RCA)为指导的干预在非小细胞肺癌(NSCLC)化疗患者中的应用效果。方法 根据干预方式的不同将130例NSCLC化疗患者分为观察组(n=72,以RCA为指导的干预)和对照组(n=58,常规干预)。比较两组患者的生活质量[生活质量综合评定问卷(GQOLI-74)]、心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及不良反应发生情况。结果 干预后,两组患者GQOLI-74各维度评分均高于本组干预前,观察组患者GQOLI-74各维度评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SAS、SDS评分及PSQI各维度评分均低于本组干预前,观察组患者SAS、SDS评分及PSQI各维度评分均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者不良反应总发生率低于对照组,差异有统计学意义(P﹤0.05)。结论 以RCA为指导的干预可提高NSCLC化疗患者的生活质量和睡眠质量,改善患者的心理状态,降低不良反应发生率。

心理干预护理对维持性血液透析患者焦虑抑郁状况和生活质量水平的影响

目的探讨心理干预护理对维持性血液透析患者焦虑抑郁状况和生活质量的影响。方法将2013年6月至2015年6月我院收治的66例维持性血液透析患者随机分为干预组和对照组,各33例,对照组给予常规护理,观察组在常规护理的基础上加入心理护理干预。在试验前后分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对2组患者的焦虑及抑郁情况进行评估比较,并采用简易健康调查量表(SF-36)对2组患者的生活质量水平进行评估。结果经过护理干预后,干预组患者的焦虑、抑郁评分显著低于对照组(P<0.05),生活质量水平明显优于对照组(P<0.05)。结论对维持性血液透析患者应用心理护理干预不仅可以缓解患者的焦虑及抑郁状况,还能够提高其生活质量水平。

心理距离与决策者角色对风险决策的影响

采用改编的IOS量表测量自我与他人的心理距离,在收益和损失情境下,综合探讨了为他人和预测他人决策时心理距离对个体风险偏好的影响。结果发现:(1)与他人心理距离越远,个体决策时越偏好风险,且反应时越短;(2)个体预测他人决策时比为他人决策时更偏好风险,但两者反应时没有显著差异;(3)心理距离与决策者角色存在交互作用,即预测时个体认为远心理距离他人比近心理距离他人更冒险,而为他人决策时两者差异消失;(4)决策角色与决策框架、心理距离与决策框架存在交互作用:在收益框架下,自我他人心理距离较远时个体更偏好风险,且个体预测比为他人决策时更冒险,损失条件下无差异。依据相关理论对这些结果进行了分析讨论。

音乐治疗合并心理干预对高危孕妇孕期和产后焦虑抑郁情绪的影响

目的:探索音乐治疗合并心理干预对高危孕妇孕期和产后焦虑抑郁情绪的影响。方法:将195位孕16~20周的高危孕妇随机分为干预组(98例)和对照组(97例);孕24周时对干预组进行1次音乐治疗培训,之后在家中30 min/d的聆听音乐直到分娩;孕25~29周每周1次团体心理治疗。对照组按常规产科流程产前检查。入组时及孕6~9个月每月1次综合性医院焦虑/抑郁量表(HAD)评估;产后3~7 d、42 d及3个月时分别进行爱丁堡产后抑郁调查表(EPDS)评估。结果:孕7及8个月干预组HAD评分显著高于对照组(P均<0.05);分娩前干预组HAD评分较基线显著下降(P<0.05),但两组间差异无统计学意义。产后各时点EPDS评分干预组显著低于对照组(P<0.05或P<0.01)。结论:音乐治疗结合团体心理干预能减轻高危妊娠孕妇分娩前的焦虑、抑郁情绪及产后的抑郁症状。