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1.
Exp Psychol ; 67(1): 23-30, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32520665

RESUMO

Although recent studies have investigated the effect of alexithymia on moral judgments, such an effect remains elusive. Furthermore, moral judgments have been conflated with the moral inclinations underlying those judgments in previous studies. Using a process dissociation approach to independently quantify the strength of utilitarian and deontological inclinations, the present study investigated the effect of alexithymia on moral judgments. We found that deontological inclinations were significantly lower in the high alexithymia group than in the low alexithymia group, whereas the difference in the utilitarian inclinations between the two groups was nonsignificant. Furthermore, empathic concern and deontological inclinations mediated the association between alexithymia and conventional relative judgments (i.e., more utilitarian judgments over deontological judgments), showing that people with high alexithymia have low empathic concern, which, in turn, decreases deontological inclinations and contributes to conventional relative judgments. These findings underscore the importance of empathy and deontological inclinations in moral judgments and indicate that individuals with high alexithymia make more utilitarian judgments over deontological judgments possibly due to a deficit in affective processing.


Assuntos
Sintomas Afetivos/complicações , Julgamento , Adolescente , Adulto , Empatia , Teoria Ética , Feminino , Humanos , Masculino , Adulto Jovem
2.
Ideggyogy Sz ; 73(05-06): 199-205, 2020 05 30.
Artigo em Inglês | MEDLINE | ID: mdl-32579310

RESUMO

Background and purpose: Cognitive dysfunction (CD) is a common non-motor symptom of Parkinson's disease (PD). Alexithy-mia is a still poorly understood neuropsychiatric feature of PD. Cognitive impairment (especially visuospatial dysfunction and executive dysfunction) and alexithymia share com-mon pathology of neuroanatomical structures. We hypo-thesized that there must be a correlation between CD and alexithymia levels considering this relationship of neuroanatomy. Objective - The aim of this study was to evaluate the association between alexithymia and neurocognitive function in patients with PD. Methods: Thirty-five patients with PD were included in this study. The Toronto Alexithymia Scale-20 (TAS-20), Geriatric Depression Inventory (GDI) and a detailed neuropsychological evaluation were performed. Results: Higher TAS-20 scores were negatively correlated with Wechsler Adult Intelligence Scale (WAIS) similarities test score (r =-0.71, p value 0.02), clock drawing test (CDT) scores (r=-0.72, p=0.02) and verbal fluency (VF) (r=-0.77, p<0.01). Difficulty identifying feelings subscale score was negatively correlated with CDT scores (r=-0.74, p=0.02), VF scores (r=-0.66, p=0.04), visual memory immediate recall (r=-0.74, p=0.01). VF scores were also correlated with difficulty describing feelings (DDF) scores (r=-0.66, p=0.04). There was a reverse relationship bet-ween WAIS similarities and DDF scores (r=-0.70, p=0.02), and externally oriented-thinking (r=-0.77,p<0.01). Executive function Z score was correlated with the mean TAS-20 score (r=-62, p=0.03) and DDF subscale score (r=-0.70, p=0.01). Conclusion: Alexithymia was found to be associated with poorer performance on visuospatial and executive function test results. We also found that alexithymia was significantly correlated with depressive symptoms. Presence of alexithymia should therefore warn the clinicians for co-existing CD.


Assuntos
Sintomas Afetivos/diagnóstico , Transtornos Cognitivos/fisiopatologia , Depressão/psicologia , Doença de Parkinson/complicações , Adulto , Sintomas Afetivos/complicações , Sintomas Afetivos/psicologia , Idoso , Transtornos Cognitivos/complicações , Transtornos Cognitivos/psicologia , Disfunção Cognitiva , Depressão/complicações , Emoções , Humanos , Testes Neuropsicológicos , Doença de Parkinson/psicologia , Escalas de Graduação Psiquiátrica
3.
BMC Psychol ; 8(1): 30, 2020 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-32252831

RESUMO

BACKGROUND: Several studies indicate the role of psychosocial factors in the management and control of chronic diseases in adolescents. In this regard, the roles of attachment and alexithymia in the management of type 1 diabetes in adolescents and related gender-specific patterns have rarely been the focus of empirical research. In this study we investigate the gender-specific relationship of alexithymia and attachment with self-care and blood glucose level in adolescents with type1 diabetes. METHODS: This is a cross-sectional study conducted on adolescents aged 12-18 years, with type 1 diabetes. Participants were recruited from diabetes clinics and the Iranian Diabetes Society. Data were collected using the Farsi versions of the Toronto Alexithymia Scale (FTAS-20), the Inventory of Parent and Peer Attachment (IPPA) and the Summary of Diabetes Self-Care Activities Scale (SDSCA). Blood glucose levels were measured by determining HbA1c which were abstracted from medical records. Data were analyzed using SPSS21 software. RESULTS: Participants were 150 adolescents (57% female), mean age 14.97 ± 2.30. Alexithymia (ß = 0.10, P = 0.01), difficulty identifying feelings (ß = 0.15, P = 0.03) and communication with mothers (ß = - 0.08, P = 0.03) predicted HbA1c in girls, whereas no significant relationships were observed for HbA1c with alexithymia and attachment in boys. Factors that predicted self-care in girls were alexithymia (ß = - 0.04, P = 0.02), difficulty identifying feelings (ß = - 0.06, P = 0.04); in boys however in addition to these two factors predicting self-care [alexithymia (ß = - 0.07, P = 0.01) and difficulty identifying feelings (ß = - 0.11, P = 0.01)], we also found difficulty describing feelings (ß = - 0.16, P = 0.02), communication with mother (ß = 0.04, P = 0.04), alienation to mother (ß = - 0.06, P = 0.03), to father (ß = - 0.06, P = 0.01) and to peers (ß = - 0.09, P = 0.03). CONCLUSIONS: Our results suggest that, in a gender-specific pattern, alexithymia and attachment could affect self-care and blood glucose level in adolescents with type 1 diabetes; findings that can be used to facilitate more effective treatment strategies and interventions in this age group.


Assuntos
Sintomas Afetivos/complicações , Complicações do Diabetes/psicologia , Diabetes Mellitus Tipo 1/psicologia , Diabetes Mellitus Tipo 1/terapia , Adolescente , Sintomas Afetivos/psicologia , Criança , Estudos Transversais , Emoções , Feminino , Humanos , Irã (Geográfico) , Masculino , Grupo Associado , Fatores Sexuais
4.
Clin Ter ; 171(2): e120-e129, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32141483

RESUMO

Alcohol use disorders (AUD) are among the most common and undertreated mental disorders in developed countries. The co-occurrence of psychiatric comorbidity and AUD has already been well documented. Moreover, alexithymia was found associated with heavy drinking and alcohol dependence. A large part of AUD individuals, between 45 and 67%, have been identified as alexithymics. Both psychiatric comorbidity and alexithymia can negatively impact the course of recovery from alcohol. Alcohol consumption has also been shown to significantly influence autonomic responses. Chronic use of alcohol may induce significant changes in heart rate variability, respiratory frequency, electrodermal activity and skin temperature. To date, only a few studies have comprehensively investigated the comorbidity of alexithymia in AUD individuals with dual diagnosis. Thus, the aim and also the novelty of the present investigation were to disclose in individuals with AUD the emotional and cognitive stress responses to selected physiological parameters measured by ProComp5 Infiniti™ encoder in AUD patients suffering alexithymia with or without concomitant dual diagnosis. Quite interestingly, in AUD subjects with concomitant dual diagnosis we found that the alexithymia elevated skin temperature, heart rate variability and decreased respiratory frequency. Alexithymia, if associated with the dual diagnosis condition in AUD individuals, can be considered as a further vulnerability factor to stressing factors, impacting psychosomatic processing and inducing alterations in physiological parameters. In this paper, we discuss the implications of these findings in the early treatment of alexithymic AUD individuals.


Assuntos
Sintomas Afetivos/psicologia , Alcoolismo/psicologia , Adulto , Sintomas Afetivos/complicações , Consumo de Bebidas Alcoólicas , Alcoolismo/complicações , Comorbidade , Diagnóstico Duplo (Psiquiatria) , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
5.
Int J Behav Med ; 26(6): 673-679, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31745728

RESUMO

BACKGROUND: This cohort study was aimed to verify whether subjects at their first acute coronary syndrome (ACS) were more alexithymic than healthy controls (HC) and whether alexithymia can predispose patients with coronary artery disease to new major adverse cardiac events (MACE) during a 24-month follow-up period. METHODS: The sample included 100 HC with no history of depression or ACS and 304 never depressed patients with a first-ever ACS. A total of 266 patients completed the 2-year follow-up. RESULTS: Patients and HC reported similar Toronto Alexithymia Scale (TAS-20) scores. During the follow-up, 69 (22.69%) patients developed incident depression and 57 (18.75%) developed a new MACE. In a proportional hazard model, developing a first-ever depressive episode, but not alexithymia (hazard ratio = 1.008, 95% confidence interval = 0.984-1.033; p = 0.500), was associated with almost 3 times the risk of a recurrent cardiac event. CONCLUSION: Incident depression, but not TAS-20 scores, represented risk factor for MACE.


Assuntos
Síndrome Coronariana Aguda/psicologia , Sintomas Afetivos/complicações , Depressão/complicações , Adulto , Estudos de Coortes , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Recidiva , Fatores de Risco
6.
Turk Psikiyatri Derg ; 30(2): 109-117, 2019.
Artigo em Turco | MEDLINE | ID: mdl-31487376

RESUMO

OBJECTIVE: In this cross-sectional study, childhood traumas, attachment security and alexithymia in adolescents with psychogenic nonepileptic seizures (PNES) were compared with those of adolescents without any psychiatric disorder using both semi-structured clinical interviews and self-report scales. METHOD: This study included 42 adolescents with PNES aged between 12-18 and 38 healthy adolescents who were matched with the study group in respect to socio-demographic variables. All adolescents and their parents were interviewed using Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version in order to evaluate psychiatric disorders. Clinician- Administered Posttraumatic Stress Disorder (PTSD) Scale for Children and Adolescents was used to examine the presence of PTSD symptoms. All adolescents completed the Childhood Trauma Questionnaire-28, Short Form of Inventory of Parent and Peer Attachment, Toronto Alexithymia Scale and Rosenberg Self Esteem Scale. RESULTS: Adolescents with PNES had more emotional and sexual traumatic experiences and PTSD symptoms compared to the control group. PNES group perceived higher "communication" but lower "trust" in attachment relationships with their mothers and fathers. Higher alexithymia and lower self-esteem were determined in the PNES group. Childhood traumas, lifetime PTSD symptoms and alexithymia were found to be significant risk factors for PNES in adolescents. CONCLUSION: Results indicate that comorbid psychiatric disorders, traumatic experiences, attachment problems and alexithymia need to be evaluated and treated in adolescents with PNES.


Assuntos
Sintomas Afetivos/psicologia , Transtorno Conversivo/psicologia , Convulsões/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Adolescente , Comportamento do Adolescente , Sintomas Afetivos/complicações , Criança , Transtorno Conversivo/complicações , Estudos Transversais , Feminino , Humanos , Masculino , Convulsões/complicações , Transtornos de Estresse Pós-Traumáticos/complicações , Inquéritos e Questionários
7.
Rehabil Psychol ; 64(4): 469-474, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31393153

RESUMO

PURPOSE/OBJECTIVE: Alexithymia refers to reduced emotional awareness and is associated with higher levels of burden and disability in adults with chronic pain. Limited research has examined alexithymia in adolescents with chronic pain. The current study aimed to (a) determine whether alexithymia was higher in adolescents with (vs. without) chronic pain and (b) examine the relationship between alexithymia and pain experiences in youth. Research Method/Design: We assessed alexithymia in 22 adolescents with chronic pain and in 22 adolescents without chronic pain (otherwise healthy), and its relation to pain experiences (i.e., self-reported pain intensity, pain bothersomeness, and pain interference), while controlling for the concomitant effects of psychological distress (i.e., depressive and anxiety symptoms). RESULTS: After controlling for psychological distress, adolescents with versus without chronic pain had higher total alexithymia scores (p = .042; η2 = .10), and specifically, greater difficulty identifying feelings (p = .001; η2 = .23). Difficulty identifying feelings was related to worse pain interference (r = .55; p = .015) and pain bothersomeness (r = .55; p = .015). CONCLUSIONS/IMPLICATIONS: These preliminary findings suggest that adolescents with chronic pain may have greater difficulty identifying their emotions, and that this might be related to increased pain interference and pain bothersomeness. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Sintomas Afetivos/complicações , Sintomas Afetivos/psicologia , Dor Crônica/complicações , Dor Crônica/psicologia , Adolescente , Feminino , Humanos , Masculino , Índice de Gravidade de Doença
8.
J Autism Dev Disord ; 49(11): 4559-4571, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31414264

RESUMO

Autistic people often show difficulty with facial expression recognition. However, the degree of difficulty varies widely, which might reflect varying symptom profiles. We examined three domains of autistic traits in the typical population and found that more autistic-like social skills were associated with greater difficulty labelling expressions, and more autistic-like communication was associated with greater difficulty labelling and perceptually discriminating between expressions. There were no associations with autistic-like attention to detail. We also found that labelling, but not perceptual, difficulty was mediated by alexithymia. We found no evidence that labelling or perceptual difficulty was mediated by weakened adaptive coding. Results suggest expression recognition varies between the sub-clinical expressions of autistic symptom domains and reflects both co-occurring alexithymia and perceptual difficulty.


Assuntos
Sintomas Afetivos/psicologia , Atenção , Transtorno Autístico/psicologia , Transtornos da Comunicação/psicologia , Reconhecimento Facial , Habilidades Sociais , Adolescente , Adulto , Sintomas Afetivos/complicações , Transtorno Autístico/complicações , Transtornos da Comunicação/complicações , Expressão Facial , Feminino , Humanos , Masculino , Caracteres Sexuais , Adulto Jovem
9.
J Psychosom Res ; 124: 109742, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31443801

RESUMO

OBJECTIVE: Overweight, obesity, and associated problems in metabolic health are an increasing public health concern. Personality traits and emotional processing styles may play a role in the regulation of food intake and reward. Alexithymia is a personality construct involving difficulties in identifying and expressing emotions and has been previously associated with eating disorders and metabolic problems. We examined associations between alexithymia dimensions, Body Mass Index (BMI) and gestational diabetes in pregnant women. METHODS: The participants were 1660 pregnant women living in Finland from the FinnBrain Birth Cohort Study. We investigated the associations between alexithymia and its dimensions as measured by the Toronto Alexithymia Scale (TAS-20), overweight, and gestational diabetes. The effects of age, education, and depressive symptoms were controlled for using hierarchical regression analysis. RESULTS: Alexithymic individuals had a higher prevalence of overweight compared to those with low or moderate levels of alexithymia (66.0% vs. 34.8%, OR 3.6, adjusted OR 3.6, CI95% 1.9-6.8, p < .001). The dimension of Externally Oriented Thinking (EOT) accounted for this association. Compared to the lowest quartile, women in the highest EOT quartile had a higher BMI (24.3 vs. 25.6, p < .001), and a higher prevalence of overweight [adjusted OR 1.94, CI95% 1.43-2.62, p < .001] and gestational diabetes [OR 1.75, CI95% 1.19-2.55, p = .005]. CONCLUSIONS: Alexithymia, and especially its dimension of EOT is associated with overweight and gestational diabetes in pregnant women. Future studies should clarify causality and examine potential mechanisms and associations with pregnancy outcomes and fetal health.


Assuntos
Sintomas Afetivos/epidemiologia , Índice de Massa Corporal , Diabetes Gestacional/epidemiologia , Parto , Adulto , Sintomas Afetivos/complicações , Estudos de Coortes , Diabetes Gestacional/psicologia , Feminino , Finlândia/epidemiologia , Humanos , Masculino , Gravidez , Resultado da Gravidez , Prevalência
10.
Gac. sanit. (Barc., Ed. impr.) ; 33(4): 377-380, jul.-ago. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-187995

RESUMO

Objetivo: Identificar qué factores de riesgo clásicos y qué dimensiones de la inteligencia emocional son buenos predictores de la enfermedad cardiovascular (ECV), en función del sexo. Método: La muestra está compuesta por 220 participantes (110 con ECV y 110 sin ECV). Se registran los datos demográficos y los factores de riesgo clásicos de cada participante y se evalúa la inteligencia emocional con dos cuestionarios (TMMS- 24 y PEC). Resultados: Los hombres con baja regulación emocional presentan mayor riesgo de padecer ECV (Exp(B) = 0,813; p <0,05). Las mujeres con baja comprensión intrapersonal (Exp(B) = 0,252; p ≤0,05) o baja regulación emocional (Exp(B) = 0,679; p <0,05) presentan mayor riesgo de ECV. Conclusiones: La regulación emocional predice la ECV tanto en hombres como en mujeres, y por tanto puede considerarse como un factor de riesgo para la salud cardiovascular en ambos sexos


Objective: To identify the classical risk factors and dimensions of emotional intelligence that are good predictors of cardiovascular disease according to sex. Method: The sample comprised 220 participants (110 with cardiovascular disease and 110 without cardiovascular disease). The demographic data and classic risk factors of each participant were recorded, and emotional intelligence evaluated through two questionnaires (TMMS-24 and PEC). Results: Men with low emotional regulation had an increased risk of cardiovascular disease (Exp(B) = 0.813; p <0.05). Women with low intrapersonal comprehension (Exp(B) = 0.252, p ≤0.05) or low emotional regulation (Exp(B) = 0.679; p <0.05) were more at risk. Conclusions: Emotional regulation predicts cardiovascular disease in both men and women and therefore can be considered as a risk factor in cardiovascular health, for both men and women


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Inteligência Emocional , Doenças Cardiovasculares/diagnóstico , Emoções/classificação , Sintomas Afetivos/complicações , Ajustamento Emocional/classificação , Doenças Cardiovasculares/psicologia , Previsões , Risco Ajustado , Estudos de Casos e Controles , Distribuição por Sexo , Psicometria/instrumentação , Testes de Inteligência/estatística & dados numéricos
11.
Nord J Psychiatry ; 73(6): 340-348, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31259640

RESUMO

Purpose: This study examined a developmental model that links affect-regulation difficulties in childhood with three dimensions of alexithymia in adolescence (difficulty identifying feelings, difficulty describing feelings, and externally oriented thinking) and substance use and depression in adulthood, while accounting for cumulative contextual risk in childhood, and testing potential gender moderation. Methods: Multiple group path analyses were conducted using data from the Northern Finland Birth Cohort 1986 (N = 6963). Analyses used data collected during prenatal/birth, childhood, adolescence, and young adulthood periods. Results: Our examination of early precursors for alexithymia indicated that the associations of affect-regulation problems in childhood with alexithymia were stronger for girls, potentially putting girls with affect-regulation difficulties in childhood at higher risk for developing alexithymia in adolescence. The associations of cumulative contextual risk in childhood with alexithymia, substance use disorder, and depression diagnosis in adulthood were significant for both girls and boys. Our findings in regard to substance use and depression disorders revealed that alexithymia in adolescence predicted depression diagnosis in adulthood, particularly due to a contribution from the alexithymia domain of 'difficulties identifying feelings.' However, none of the alexithymia domains was directly associated with substance use disorder in adulthood. Conclusions: Our study contributes to research that links alexithymia with difficulties in affect regulation and cumulative contextual risk in childhood, yielding findings that may be relevant for preventive interventions.


Assuntos
Sintomas Afetivos/complicações , Depressão/complicações , Transtorno Depressivo/complicações , Psicologia do Adolescente , Transtornos Relacionados ao Uso de Substâncias/complicações , Adolescente , Adulto , Criança , Estudos de Coortes , Emoções , Feminino , Finlândia , Humanos , Masculino , Gravidez , Adulto Jovem
12.
Artigo em Russo | MEDLINE | ID: mdl-31317889

RESUMO

AIM: To assess the incidence of emotional and behavioral disorders in children and adolescents with frequent episodic or chronic tension type headaches (TTH). MATERIAL AND METHODS: One hundred and fifty patients with TTH (75 boys and 75 girls), aged 8-16 years, were included in the study. The severity of emotional and behavioral problems was analyzed in comparison with their healthy peers by means of parents' interviewing with the 'Strengths and Difficulties Questionnaire' (SDQ). RESULTS: Total difficulties scores measured by SDQ were significantly higher in boys (16.2±0.7) and girls (14.3±0.7) with TTH compared with their peers (7.9±0.4 and 7.7±0.4, respectively, p<0.001). Patients with TTH had significantly more prominent manifestations than their peers (p<0.001) on the four SDQ scales, including Hyperactivity and Inattention, Conduct problems, Emotional symptoms, Peer problems. Clinical examination revealed in many pediatric patients with TTH the following disorders: attention deficit hyperactivity disorder (45.3% boys and 13.3% girls), oppositional defiant disorder (26.7% boys, 18.7% girls), with co-occurrence of both disorders in some patients (17.3% boys, 10.7% girls). Moreover, most patients with TTH had anxiety disorders (68.0% boys, 77.3% girls). CONCLUSION: Clinical features and duration of TTH may be dependent on the severity of co-morbid emotional and behavioral disorders. This should be taken into account for individualized indication of drug therapy and non-pharmacological treatment approaches in pediatric TTH.


Assuntos
Sintomas Afetivos , Transtornos de Deficit da Atenção e do Comportamento Disruptivo , Comportamento Problema , Cefaleia do Tipo Tensional , Adolescente , Sintomas Afetivos/complicações , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/complicações , Criança , Comorbidade , Feminino , Humanos , Masculino , Inquéritos e Questionários , Cefaleia do Tipo Tensional/complicações
13.
Pain ; 160(5): 994-1006, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31009416

RESUMO

Numerous studies have examined how alexithymia (difficulty identifying and describing one's emotions and a preference for externally oriented thinking) relates to chronic pain and associated disability. We conducted a systematic review and meta-analysis to summarize individual studies that either assessed alexithymia in individuals with chronic pain vs controls or related alexithymia to pain intensity, physical interference, depression, and anxiety. We searched MEDLINE, Embase, and PsycINFO from inception through June 2017; 77 studies met the criteria (valid assessment of alexithymia in adults or children with any chronic pain condition) and were included in analyses (n = 8019 individuals with chronic pain). Primary analyses indicated that chronic pain samples had significantly higher mean alexithymia scores compared with nonclinical (d = 0.81) and clinical nonpain (d = 0.55) controls. In chronic pain samples, alexithymia was significantly positively associated with pain intensity (d = 0.20), physical interference (d = 0.17), depression (d = 0.46), and anxiety (d = 0.43). Secondary meta-analyses of 14 studies that conducted partial correlations that controlled for negative affect-related measures revealed that alexithymia was no longer significantly related to pain intensity or interference. Meta-analysis findings demonstrated that alexithymia is elevated in individuals with chronic pain and related to greater pain intensity and physical interference, although the latter relationships may be accounted for by negative affect. Critical future work is needed that examines alexithymia assessed using non-self-report measures, develops a person-centered perspective on this construct, and identifies how alexithymia is relevant to the assessment and treatment of individuals with chronic pain.


Assuntos
Sintomas Afetivos/complicações , Ansiedade/complicações , Dor Crônica/complicações , Depressão/complicações , Sintomas Afetivos/psicologia , Ansiedade/psicologia , Dor Crônica/diagnóstico , Dor Crônica/psicologia , Depressão/psicologia , Humanos , Medição da Dor , Índice de Gravidade de Doença
14.
Zh Nevrol Psikhiatr Im S S Korsakova ; 119(1. Vyp. 2): 82-87, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31006797

RESUMO

AIM: To conduct a comprehensive examination of patients with controlled hypertension, including assessment of the functional state of the cardiovascular system, vegetative and psycho-emotional status. MATERIAL AND METHODS: The study involved 80 patients (51 men, 29 women) divided into 2 groups: 60 patients with essential hypertension (EH) without concomitant severe pathology and normal blood pressure during the preceding 3 months (group 1) and 20 healthy patients without EH (group 2). Anthropometric parameters (height, weight, body mass index), parameters of central hemodynamic (heart rate, systolic and diastolic blood pressure), vegetative status (vegetative Kerdo index), mental and emotional status (SCL-90R, Leonhard questionnaire, HADS, SF-36, MPQ) were assessed. RESULTS AND CONCLUSION: There were significant differences in the psycho-emotional status between patients with hypertension and patients with normal blood pressure. Significant correlations between anthropometric indicators, the state of the autonomic nervous system and psycho-emotional status of patients with hypertension were shown.


Assuntos
Sintomas Afetivos , Sistema Cardiovascular , Hipertensão , Sintomas Afetivos/complicações , Sistema Nervoso Autônomo , Pressão Sanguínea , Feminino , Frequência Cardíaca , Humanos , Hipertensão/tratamento farmacológico , Hipertensão/psicologia , Masculino
15.
Cir Cir ; 86(1): 38-43, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30951037

RESUMO

Introduction: The inability to identify, express feelings, and not distinguish between emotions and bodily sensations, is known as alexithymia. In 1988, it developed The Toronto Alexithymia Scale (TAS-20), consists of 20 items and three factors: a) difficulty of identifying feelings and differences between feelings and bodily sensations; b) difficulty of describing feelings; and c) externally oriented thinking. It's considered that people with eating disorders have specific deficits in identify and communicate their feelings. Objective: The present study has as purpose to the instrument validation. Methods: It was a cross-sectional study and psychometric character design of a single sample, formed of 435 persons suffering eating disorder (ED), with an age range of 12-68 years, of which 91% were women and 9% were men. To obtain the reliability of the instrument, applies internal consistency test, which resulted in an alpha of 0.89, then applied a factor analysis of principals components with oblimin rotation. Results: According to statistical analysis, were eliminated six items, so the scale finished with 14 items, and to analyze it observed that these items correspond with the two main factors of the original scale. The ED patients present alexithymia. Discussion: The scale satisfies the criteria of validity necessary for use in this population.


Assuntos
Sintomas Afetivos/complicações , Sintomas Afetivos/epidemiologia , Autoavaliação Diagnóstica , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Adolescente , Adulto , Sintomas Afetivos/diagnóstico , Idoso , Criança , Estudos Transversais , Feminino , Humanos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Prevalência , Adulto Jovem
16.
Mil Med ; 184(Suppl 1): 168-173, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30901411

RESUMO

The occurrence of persistent postconcussive symptoms (PCS) associated with traumatic brain injury (TBI) is an increasing cause of disability and lost productivity. The reasons for these persistent symptoms in a percentage of even mild TBI are poorly understood. The existence of comorbid conditions such as post-traumatic stress disorder or other traumatic injuries may be factors that impact the presence of PCS. We expect that greater levels of affective symptoms will be associated with increases in PCS assessed on the Neurobehavioral Symptom Inventory (NSI). TBI subjects (N = 69) who were seen 1 year post-injury were recruited from a larger cohort study of TBI. Subjects were administered the NSI, Brief Symptom Inventory-18 (BSI-18) and the Post Traumatic Stress Disorder Checklist (PCL). Data were analyzed using Spearman's rho correlations and analysis of variances. We found significant correlations between the four NSI factors and the three BSI factors and the PCL total score. Mild TBI subjects were found to have the highest correlations between affective and somatic symptoms. These findings support our hypothesis that affective states are associated with higher PCS reporting and that early identification and treatment may decrease PCS.


Assuntos
Sintomas Afetivos/complicações , Concussão Encefálica/psicologia , Síndrome Pós-Concussão/psicologia , Adulto , Sintomas Afetivos/psicologia , Idoso , Análise de Variância , Concussão Encefálica/complicações , Estudos de Coortes , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Síndrome Pós-Concussão/etiologia , Autorrelato , Síndrome
17.
Arch Clin Neuropsychol ; 34(4): 563-574, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-30418516

RESUMO

OBJECTIVE: The relationship between depression and sports-related concussion is complex and has implications both pre- and post-injury. The current study established the construct validity, convergent and discriminant, of the affective symptom cluster of The Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) post-concussion symptom scale (PCSS) as a screening tool for depression. METHOD: Nine hundred and thirty (M = 695, F = 235) college athletes were assessed at baseline using the ImPACT PCSS and Beck-Depression Inventory-Fast Screen (BDI-FS). Previous factor analysis identified four symptom clusters on the PCSS: affective, physical, cognitive, and sleep. Clinically significant depression was operationalized as a BDI-FS score ≥4. Receiver Operating Characteristic curves (ROC) were used to determine the ideal cutoff, Chi-square tests of independence were calculated to establish convergent validity, and Fisher's r-to-z comparisons were used to establish discriminant validity of the affective symptom cluster. RESULTS: The 90th percentile cutoff yielded the highest sensitivity and specificity on the affective symptom cluster for males (4) and females (6). The correlation between BDI-FS and the 90th percentile cutoff was statistically significantly higher in females (φ = .96) than males (φ = .83), Z = 9.49, p < .001. When correlating the BDI-FS with each PCSS symptom cluster, the correlation with the affective symptom cluster was stronger than its correlation with cognitive, sleep, and physical clusters across gender. DISCUSSION: By utilizing a measure of depression within an existing and commonly used assessment, clinicians can easily screen for depression and identify athletes at risk for complicated recovery even in the absence of a supplemental depression assessment.


Assuntos
Sintomas Afetivos/diagnóstico , Atletas/psicologia , Traumatismos em Atletas/diagnóstico , Concussão Encefálica/complicações , Depressão/diagnóstico , Escalas de Graduação Psiquiátrica , Adolescente , Sintomas Afetivos/complicações , Traumatismos em Atletas/complicações , Concussão Encefálica/psicologia , Depressão/complicações , Análise Fatorial , Feminino , Humanos , Masculino , Estudos Prospectivos , Curva ROC , Valores de Referência , Sensibilidade e Especificidade , Estudantes/psicologia , Adulto Jovem
18.
Rheumatology (Oxford) ; 58(2): 274-283, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30247727

RESUMO

Objective: To identify and validate knee pain phenotypes in an older population across different pain-related domains over 10.7 years. Methods: A total of 963 participants (mean age 63 years) from a population-based older adult cohort study were studied at baseline and followed up at 2.6 (n = 875), 5.1 (n = 768) and 10.7 years (n = 563). Baseline demographic, psychological, lifestyle and comorbidities data were obtained and MRI was performed to measure knee structural pathology. WOMAC pain and pain at multiple sites were assessed by questionnaires at each time-point. Latent class analysis was used to identify knee pain phenotypes, considering sex, BMI, emotional problems, education level, comorbidities, number of painful sites and knee structural pathology. Results: Three pain phenotypes were identified: Class 1: high prevalence of emotional problems and low prevalence of structural damage (25%); Class 2: high prevalence of structural damage and low prevalence of emotional problems (20%); Class 3: low prevalence of emotional problems and low prevalence of structural damage (55%). Participants within Class 1 and 2 had greater BMI, more comorbidities, a higher prevalence of radiographic knee OA and knee structural pathology compared with Class 3. Furthermore, compared with Class 2 and 3, WOMAC pain and number of painful sites were consistently greater at each time-point over 10.7 years in Class 1. Results were similar when the analyses were restricted to participants with radiographic knee OA. Conclusion: Psychological and structural factors interact with each other to exacerbate pain perception, suggesting that tailored treatment approaches for older people with knee pain in clinical practice are needed.


Assuntos
Articulação do Joelho/diagnóstico por imagem , Osteoartrite do Joelho/complicações , Dor/etiologia , Sintomas Afetivos/complicações , Idoso , Idoso de 80 Anos ou mais , Doenças da Medula Óssea/diagnóstico por imagem , Doenças da Medula Óssea/patologia , Cartilagem Articular/diagnóstico por imagem , Cartilagem Articular/patologia , Estudos de Coortes , Escolaridade , Feminino , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Osteoartrite do Joelho/diagnóstico por imagem , Osteoartrite do Joelho/patologia , Dor/diagnóstico por imagem , Dor/patologia , Dor/psicologia , Medição da Dor/métodos , Percepção da Dor , Fenótipo , Estudos Prospectivos , Radiografia , Sinovite/diagnóstico por imagem , Sinovite/patologia
19.
Dysphagia ; 34(1): 43-51, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-29872993

RESUMO

Medically unexplained oropharyngeal dysphagia (MUNOD) is a rare condition. It presents without demonstrable abnormalities in the anatomy of the upper aero-digestive tract and/or swallowing physiology. This study investigates whether MUNOD is related to affective or other psychiatric conditions. The study included patients with dysphagic complaints who had no detectible structural or physiological abnormalities upon swallowing examination. Patients with any underlying disease or disorder that could explain the oropharyngeal dysphagia were excluded. All patients underwent a standardized examination protocol, with FEES examination, the Hospital Anxiety and Depression Scale (HADS), and the Dysphagia Severity Scale (DSS). Two blinded judges scored five different FEES variables. None of the 14 patients included in this study showed any structural or physiological abnormalities during FEES examination. However, the majority did show abnormal piecemeal deglutition, which could be a symptom of MUNOD. Six patients (42.8%) had clinically relevant symptoms of anxiety and/or depression. The DSS scores did not differ significantly between patients with and without affective symptoms. Affective symptoms are common in patients with MUNOD, and their psychiatric conditions could possibly be related to their swallowing problems.


Assuntos
Sintomas Afetivos/complicações , Ansiedade/complicações , Transtornos de Deglutição/psicologia , Depressão/complicações , Sintomas Inexplicáveis , Adulto , Sintomas Afetivos/diagnóstico , Idoso , Ansiedade/diagnóstico , Estudos Transversais , Deglutição/fisiologia , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/fisiopatologia , Depressão/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Questionário de Saúde do Paciente , Índice de Gravidade de Doença , Adulto Jovem
20.
J Clin Psychol Med Settings ; 26(2): 200-219, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30206746

RESUMO

This study investigates (a) the prevalence of psychological distress, alexithymia and alcohol misuse in psoriasis patients; and (b) the relationship between psoriasis severity, alexithymia, alcohol and psychological distress in patients with psoriasis. A cross-sectional study was conducted. Outpatients (n = 184) with moderate to severe psoriasis completed a psychological screening battery. Measures included the Hospital Anxiety and Depression Scale, the Penn State Worry Questionnaire, the twenty-item Toronto Alexithymia Scale, the Dermatology Life Quality Index, the Psoriasis Area and Severity Index, the Self-Administered Psoriasis Area and Severity Index, and the Alcohol Use Disorders Identification Test. Demographic, clinical details and information on knowledge of psychosocial issues, alcohol and confidence on coping with distress and talking to others about psoriasis was also gathered. Alexithymia was associated with anxiety, depression and worry; subjective psoriasis severity was associated with worry. Alcohol misuse was related to anxiety and worry, but not to depression. Appropriate identification and treatment of alcohol difficulties and psychological distress of patients with psoriasis is needed.


Assuntos
Sintomas Afetivos/complicações , Alcoolismo/complicações , Alcoolismo/psicologia , Psoríase/complicações , Psoríase/psicologia , Angústia Psicológica , Adolescente , Adulto , Sintomas Afetivos/psicologia , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
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