scholarly journals Altered Perception of Age in Pedophilia and Pedophilic Disorder

2020 ◽  
Vol 9 (1) ◽  
pp. 104-120
Author(s):  
L.Y. Demidova ◽  
N.V. Zobnina ◽  
N.V. Dvoryanchikov ◽  
G.E. Vvedensky ◽  
M.Yu. Kamenskov ◽  
...  
Keyword(s):  
Subjective Assessment ◽  
Control Group ◽  
Subjective Perception ◽  
Color Test ◽  
Sexual Crimes ◽  
Age Identity ◽  
Self Image ◽  
Icd 10 ◽  
Analytical Review ◽  
Pedophilic Disorder

The article presents data from an empirical study of the features for age perception in pedophilia (ICD-10) / pedophilic disorder (ICD-11). We consider a phenomenon of individuals with pedophilia what often want to be like children or feel themselves like them. An analytical review of the literature on the subjective perception of age and age identity is provided. The question is discussed on how the chronological assessment of the live time is transformed into a subjective assessment of one's own age, as well as the mechanisms underlying such kind of transformation (in particular, successful or unsuccessful experience of socialization). Three groups of individuals are compared: persons accused of sexual crimes with diagnosis of pedophilia (21 examinees), without such a diagnosis (21 examinees) and 45 examinees of the control group. All of them completed the test on “Age Identity”, “Color Test of Affective Tones” and “Coding”. According to the results the actual and ideal self-image in pedophilia is more infantile and similar to the image of a child. Obtained data indicate the immaturity of sexual sphere in examinees with pedophilia, they perceive sexuality in communicative and playing context.

scholarly journals Understanding of Emotional States in Persons with Pedophilia / Pedophilic Disorder

2018 ◽  
Vol 7 (3) ◽  
pp. 84-99
Author(s):  
L.Y. Demidova ◽  
N.V. Dvoryanchikov
Keyword(s):  
Emotional Regulation ◽  
Mental States ◽  
Control Group ◽  
Emotional States ◽  
Sexual Crimes ◽  
Sexual Drive ◽  
Emotional Perception ◽  
Wide Range ◽  
Icd 10 ◽  
High Level

This article highlights the problem of emotional perception in pedophilia (ICD-10) / pedophilia disorder (ICD-11). In present paper, emotional perception is considered as abilities of recognizing and identifying a wide range of mental states like emotions, affects, moods, feelings. The assumption about relations of alexithymia and disturbances in the recognition of emotions, perspective taking, empathy with pedophilia and regulatory mechanisms of activity verified empirically. Two groups of persons accused of sexual crimes are compared: 44 people with pedophilia, 32 people without the disorder; also 95 persons who haven't been accused were examined for the control group; as well intra-group comparison of pedophilic persons with egosyntonic and egodystonic attitude toward sexual drive was made. Contradictions of earlier studies are resolved in the result: it is shown that in pedophilia the ability of understanding emotional states remains normal at first sight (in comparison with the deficits found in the accused without pedophilia). However, the group with pedophilia is characterized by extremely high level of alexithymia and based on this the consistently conclusion is made about disturbances of emotional regulation in egosyntonic form of this disorder.

scholarly journals The subjective concept of morbidity: its assessment and connection with the motivation for treatment in persons who underwent psychosis

2020 ◽  
pp. 73-79
Author(s):  
N. B. Lutova ◽  
M. Y. Sorokin ◽  
O. V. Makarevich ◽  
V. D. Wied
Keyword(s):  
Negative Symptoms ◽  
Medication Compliance ◽  
Subjective Assessment ◽  
Russian Language ◽  
Subjective Perception ◽  
Treatment Motivation ◽  
Subjective Meaning ◽  
Icd 10 ◽  
Compensatory Reactions ◽  
Motivation For Treatment

Medication compliance and motivation for treatment, as adaptive- compensatory reactions of patients to the awareness of the fact of their own ill- being, are based on subjective perception of the disorder. To date, there is a shortage of objective methods for assessing the subjective concept of morbidity in psychotic patients.160 inpatients with psychosis in anamnesis were examined: nosologically according ICD-10 80%—F2, 11%—F3, 9%—F0. A self-questionnaire was adapted to the Russian language for determining the subjective meaning and significance of psychosis (Susi). The results of its internal and external (when compared with data on the severity of productive and negative symptoms, subjective assessment of the severity of the condition and treatment motivation of patients) validation are presented.Conclusions. The applicability of the concept of subjective morbidity in patients with mental disorders is shown. The role of the subjective attitude to the disease in case of its perception as a destructive life event is associated in patients with a violation of the structure of motivation for treatment. On the contrary, the ability of patients to form a subjective meaning of the disease can be considered as a guarantee of more intense therapeutic motivation.

An intervention study on the effectiveness of an anti-stress-app on psychophysiological acute and chronic stress (Preprint)

2018 ◽  
Author(s):  
Franziska Lautenbach
Keyword(s):  
Chronic Stress ◽  
Acute Stress ◽  
Physiological Stress ◽  
Stress Test ◽  
Experimental Studies ◽  
Trier Social Stress Test ◽  
Control Group ◽  
Subjective Perception ◽  
Face To Face ◽  
Acute And Chronic Stress

BACKGROUND Dealing with stress is of central importance. Lately, smartphone applications (apps) are deployed in stress interventions as they offer maximal flexibility for users. First results of experimental studies show that anti-stress apps effect subjective perception of stress positively (Ly et al., 2014). However, current literature lacks studies on physiological stress reactions (e.g., cortisol), although they are of special interest to health issues. OBJECTIVE Therefore, the aim of this study was to investigate the effectiveness of an anti-stress app in chronic and acute stress reduction on a physiological (cortisol) and psychological level (subjective perception of stress) in comparison to a face-to-face and a control group in a pre-post design, for the first time. METHODS Sixty-two participants took part in the pretesting procedure (drop-out of 53 %). Based on age, gender, physical activity and subjectively perceived acute stress due to the Trier Social Stress Test for groups (TSST-G; von Dawans et al., 2011) as well as based on subjectively chronic stress assessed during the pretest, participants were parallelized in three groups (anti-stress-app: n = 10, face-to-face: n = 11, control group: n = 9). RESULTS After six weeks of the cognitive-based resource-oriented intervention, participants were exposed to the TSST-G for post testing. Results did not show a change of cortisol secretion or cognitive appraisal of the acute stressor. Further, no changes were detected in the chronic physiological stress reaction. CONCLUSIONS Possible causes are discussed extensively. CLINICALTRIAL no

scholarly journals Bi-caudate ratio as a MRI marker of white matter atrophy in multiple sclerosis and ischemic leukocencephalopathy

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Dena Serag ◽  
Eman Ragab
Keyword(s):  
Multiple Sclerosis ◽  
White Matter ◽  
Surrogate Marker ◽  
Normal Subjects ◽  
Subjective Assessment ◽  
Linear Measurement ◽  
Control Group ◽  
Imaging Science ◽  
The Difference ◽  
Sensitivity Specificity

Abstract Background Brain atrophy measurement is now a cornerstone in basic neuro-imaging science. While assessment of white matter atrophy by visual inspection is subjective, volumetric approaches are time-consuming and not often feasible. Bi-caudate ratio represents a linear surrogate parameter of brain volume that can be derived from standard imaging sequences. This study highlights the value of the bi-caudate ratio (BCR) as a MRI marker of white matter atrophy in patients with multiple sclerosis and ischemic leukoencephalopathy and set a cut-off value to differentiate between patients with white matter atrophy and normal subjects. Results A total of 115 patients (54 males and 61 females) diagnosed with white matter leukoencephalopathy (MS in 51 patients and ischemic leukoencephalopathy in 64 patients) were included. Another group of 60 subjects with a normal white matter signal was recruited as a control group. BCR for the patient group ranged from 0.13 to 0.27 (mean (± SD) = 0.16 ± 0.02), while for the control group, it ranged from 0.05 mm to 0.13 (mean (± SD) = 0.09 ± 0.01). The difference between the two groups was statistically significant (P value < 0.001). A cut-off value of 0.13 was used to differentiate between the BCR in both patients and control groups with sensitivity, specificity, and accuracy of 99.2%, 100%, and 99%, respectively. The difference in BCR for patients diagnosed with MS and ischemic leukoencephalopathy was also statistically significant (P value < 0.001). Conclusion The bi-caudate ratio represents a linear measurement of subcortical atrophy that can be useful as a surrogate marker of global supra-tentorial white matter atrophy instead of the usually performed visual and therefore subjective assessment. It is an easily obtained measure that can be performed without complex time-consuming volumetric studies. Our findings also revealed that the BCR is higher in patients with ischemic leukoencephalopathy than in patients with MS.

scholarly journals Influence of design of dentist’s chairs on body posture for dentists with different working experience

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
F. Huppert ◽  
W. Betz ◽  
C. Maurer-Grubinger ◽  
F. Holzgreve ◽  
L. Fraeulin ◽  
...  
Keyword(s):  
Work Experience ◽  
Dental Treatment ◽  
Subjective Assessment ◽  
Body Posture ◽  
Control Group ◽  
Sitting Position ◽  
Ergonomic Design ◽  
Sitting Posture ◽  
Working Posture ◽  
Working Postures

Abstract Background Musculoskeletal disorders (MSD) are a common health problem among dentists. Dental treatment is mainly performed in a sitting position. The aim of the study was to quantify the effect of different ergonomic chairs on the sitting position. In addition, it was tested if the sitting position of experienced workers is different from a non-dental group. Methods A total of 59 (28 m/31f) subjects, divided into two dentist groups according to their work experience (students and dentists (9 m/11f) < 10 years, dentists (9 m/10f) ≥ 10 years) and a control group (10 m/10f) were measured. A three-dimensional back scanner captured the bare back of all subjects sitting on six dentist’s chairs of different design. Initially, inter-group comparisons per chair, firstly in the habitual and secondly in the working postures, were carried out. Furthermore, inter-chair comparison was conducted for the habitual as well as for the working postures of all subjects and for each group. Finally, a comparison between the habitual sitting posture and the working posture for each respective chair (intra-chair comparison) was conducted (for all subjects and for each group). In addition, a subjective assessment of each chair was made. For the statistical analysis, non-parametric tests were conducted and the level of significance was set at 5%. Results When comparing the three subject groups, all chairs caused a more pronounced spinal kyphosis in experienced dentists. In both conditions (habitual and working postures), a symmetrical sitting position was assumed on each chair. The inter-chair comparisons showed no differences regarding the ergonomic design of the chairs. The significances found in the inter-chair comparisons were all within the measurementerror and could, therefore, be classified as clinically irrelevant. The intra-chair comparison (habitual sitting position vs. working sitting position) illustrated position-related changes in the sagittal, but not in the transverse, plane. These changes were only position-related (forward leaned working posture) and were not influenced by the ergonomic sitting design of the respective chair. There are no differences between the groups in the subjective assessment of each chair. Conclusions Regardless of the group or the dental experience, the ergonomic design of the dentist’s chair had only a marginal influence on the upper body posture in both the habitual and working sitting postures. Consequently, the focus of the dentist’s chair, in order to minimize MSD, should concentrate on adopting a symmetrical sitting posture rather than on its ergonomic design.

scholarly journals Application of the Modified Вagolini Test in the Diagnosis of Binocular Vision Disorders

2020 ◽  
Vol 17 (3) ◽  
pp. 435-441
Author(s):  
S. I. Rychkova ◽  
V. G. Likhvantseva
Keyword(s):  
Binocular Vision ◽  
Quantitative Assessment ◽  
Qualitative Evaluation ◽  
High Sensitivity ◽  
Qualitative Assessment ◽  
Control Group ◽  
Color Test ◽  
Functional Correction ◽  
Personalized Approach ◽  
The Right

The work is devoted to one of the most actual problems of current strabismology — the development of effective ways to study binocular vision.The purpose — to study the effectiveness of the developed modification of the Bagolini test in the diagnostics of binocular disorders.Patients and methods. 240 patients with non-paralytic strabismus aged from 6 to 17 (on average 10.8 ± 0.24) years were observed. There were 190 patients with converging strabismus and 50 patients with diverging strabismus. The control group consisted of 180 children aged also from 6 to 17 (on average 10.9 ± 0.3) years without ophthalmopathology. All children were examined for the character of vision using a Worth-test, the classic Bagolini test (CTB), and the developed modified Bagolini test (MTB). If the patient has a strabismus angle, the study was performed in two variants: without prismatic deviation compensation (under the subjective angle of strabismus — SU) and under full prismatic compensation (under the objective angle of strabismus — OU). For qualitative assessment of binocular vision with MTB, static presentation of the test image was used, for quantitative assessment — alternating (alternate presentation of details corresponding to the right and left eyes).Results. The qualitative evaluation data obtained with the help of MTB made it possible to differentiate patients with non-permanent regional functional scotoma of suppression (FSP) and patients with stable bifoveal fusion among children with binocular vision by color test, and to distinguish patients with regional stable FSP and total FSP among children with monocular vision by color test. In the study under SU, the sensitivity of the method was 97.8 % and specificity 96.2 %, under OU — 96.6 % and 92.7 %, correspondingly. Using quantitative evaluation, it was found that the minimum duration of monocular phases required to eliminate functional inhibition in children with total FSP is twice as long as in children with regional FSP (z = 6,303, df 52, p < 0.001 according to the Mann — Whitney criterion).Conclusion. Thus, the modified Bagolini test developed by us is an effective way of qualitative and quantitative assessment of the state of binocular vision. The method has a high sensitivity and specificity, combines the capabilities of anaglyphic and phase haploscopy, and can be used for a personalized approach to the selection of conditions and modes of functional correction of binocular disorders, as well as for monitoring binocular vision during treatment. 

scholarly journals The influence of a relaxing massage on stress levels in women

2021 ◽  
Vol 10 (1) ◽  
pp. 19-22
Author(s):  
Marta Majewska-Pulsakowska ◽  
◽  
Martyna Mączka ◽  
Keyword(s):  
Perceived Stress ◽  
Research Group ◽  
Research Method ◽  
Negative Symptoms ◽  
Subjective Assessment ◽  
The Body ◽  
Control Group ◽  
Stress Scale ◽  
Stress Levels ◽  
Lower Education

One of the factors that negatively affect the human body is susceptibility to stress. The inability to react to negative emotions and reduce tensions in the body causes many negative symptoms that affect people every day. A relaxing massage is one of the ways to reduce stress levels. The aim of the study was to attempt to assess the effect of a relaxing massage on the level of stress in women aged 25-45 years. The research group consisted of 60 women. The research group underwent a proprietary relaxing massage, while the control group used manicures or pedicures. As the research method an original questionnaire and the PSS-10 (Perceived Stress Scale) was used. The subjective assessment of the level of stress based on the proprietary survey and the PSS-10 questionnaire among the respondents after the relaxing massage was statistically signifi cantly lower. How ever, no statistically signifi cant differences in the decrease in stress levels were found between the two groups. On the other hand, a statistically signifi cant relationship between education and the level of stress was proved. Subjects with lower education were characterized by a higher level of stress.

scholarly journals Olfactory evaluation in hospitalised and self-isolated patients with COVID-19: a single-centre experience on 55 cases

2021 ◽  
pp. postgradmedj-2021-140315
Author(s):  
Maja Klarendic ◽  
Eva Zupanic ◽  
Mateja Zalaznik ◽  
Dejan Georgiev ◽  
Janez Tomazic ◽  
...  
Keyword(s):  
Subjective Assessment ◽  
Acute Onset ◽  
Control Group ◽  
Common Symptom ◽  
Self Assessment ◽  
Olfactory Loss ◽  
Hospitalised Patients ◽  
Olfactory Impairment ◽  
And Control ◽  
Smell Loss

BackgroundSmell loss is a common symptom of COVID-19 infection. Majority of the studies that evaluated olfactory impairment in COVID-19 used questionnaires (subjective smell evaluations) and did not compare the results with objective or semiobjective measures of smell. We performed smell testing in hospitalised and self-isolated patients with COVID-19 and control participants.MethodsFifty-five COVID-19 and 44 control participants underwent smell testing, using Burghart Sniffin’ Sticks ‘Screening 12 Test’. Participants also rated their smelling capability on the numerical scale. Differences between groups and correlation between smell loss and time from acute onset of symptoms were tested, as well as correlation between results of smell test and subjective assessment of smell.ResultsHospitalised patients with COVID-19 correctly determined 6.5/12 odorants compared with 10/12 in the self-isolated and 11/12 in the control group (p<0.001). Hyposmia or anosmia were present in 87.5% of hospitalised and 29.0% of self-isolated patients (p<0.001). The correlation between subjective self-assessment and results of smell testing was non-significant in both groups of patients with COVID-19, while there was a moderate positive correlation (p=0.001, Spearman’s correlation coefficient=0.499) in control participants.ConclusionContrary to some previous reports suggesting that the presence of olfactory loss may predict milder course of disease, our study found that a vast majority of hospitalised patients with COVID-19 had prominent olfactory impairment. The absence of correlation between self-rated and objective smell evaluation in patients with COVID-19 indicates that subjective smell assessment is unreliable.

Contribution to the Diagnosis of Idiopathic Femoral Head Necrosis by Scintigraphy with 99mTc-MDP Assessed Quantitatively by Computer

1983 ◽  
Vol 22 (05) ◽  
pp. 232-236 ◽  
Author(s):  
J. Pardo-Montaner ◽  
O. Caballero-Carpena
Keyword(s):  
Femoral Head ◽  
Gamma Camera ◽  
Lumbar Vertebra ◽  
Subjective Assessment ◽  
The Other ◽  
Femoral Head Necrosis ◽  
Control Group ◽  
Histopathological Analysis ◽  
Femoral Heads ◽  
Abnormal Uptake

The authors have studied by quantification the bone uptake of 99mTc-MDP in femoral head necrosis in order to evaluate in an objective manner conventional scintigraphy, and thus to increase the sensitiveness and efficacy of an exploration for an early diagnosis of these patients. Twenty cases of femoral necrosis have been studied, diagnosed in all cases by histopathological analysis; in twelve of them the process was unilateral and in the other eight bilateral. All explorations were carried out with 99mTc-MDP, a gamma camera and a PDP 11/40 computer for the quantitative study with the obtention of indices relating the activity between the femoral heads and, of these, to a normal vertebra. Quantification in the control group showed that the uptake of the nuclide was similar in both femoral heads and is lower than this in the vertebra. In all cases of unilateral necrosis the abnormal deviations of the indices relating the pathological head to the contralateral head and the lumbar vertebra were significant. In bilateral femoral head necrosis, an increase has been observed in all indices, although only the index relating the contralateral femoral head suspect of a lesion to vertebral activity was statistically significant. The proposed method for quantifying can be carried out easily and is very useful for diagnosing femoral necrosis since it improves the results of a subjective assessment of the scintigraphic image and can earlier detect the abnormal uptake of the lesion.

scholarly journals Improvements in Pain, Well-being, Arterial Pressure, and Lower Limb Volume Following Andullation Therapy in Healthy and Unhealthy Humans

Dose-Response ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 155932581984083
Author(s):  
Alba Parras-Moltó ◽  
Juan Ribas-Serna
Keyword(s):  
Arterial Pressure ◽  
Lower Limb ◽  
Pain Threshold ◽  
Pain Perception ◽  
Well Being ◽  
The Body ◽  
Control Group ◽  
Subjective Perception ◽  
Limb Volume ◽  
Random Fashion

Our aim was to test the effects of Andullation therapy on pain threshold, pain perception, feeling of well-being, arterial pressure, and leg volume in healthy and unhealthy patients. We used a multidirectional vibration (frequency range: 5–40 Hz; peak-to-peak amplitude: 2–8 mm; acceleration: 0.4–2 m/s2) in an undulatory way through the surface of the body when the patient was in contact with a mattress (“andullation”). The vibes traveled from the heel to the head in a random fashion while the participants (N = 50) were lying on the mattress. We measured the pain threshold using an algometer; pain perception and well-being through a visual analog scale (VAS); arterial pressure with an electronic sphygmomanometer; and leg volume with Kuhnke’s technique. Measurements were made just before the first andullation session and after the fifth andullation session. Every participant received andullation sessions of 30 min a day for 5 consecutive days. The patients’ pain threshold significantly ( P < .001) increased by 34.48% and 25.79% in the lumbar and trapezius zones, respectively, after 5 sessions of therapy. The subjective perception of pain decreased by 52.3% and the feeling of well-being increased by 45.1%. The systolic and diastolic pressures significantly ( P < .001) decreased by 6.44 and 4.68 mm Hg on average, respectively. Leg volume significantly decreased ( P < .01) by 64.39 mL after the fifth andullation session. Despite not including a control group in our study, the andullation intervention showed an improvement in pain, well-being, arterial pressure, and lower limb volume in the studied population.

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