ADHD WITH NON-ORGANIC ENURESIS AND BORDERLINE INTELLIGENT QUOTIENT

Symptoms of Attention Deficit Hyperacitivity Disorder (ADHD) can be associated with nocturnal enuresis. Nocturnal enuresis cases are common occur in children with Mental Retardation. There are several hypotheses underlying this comorbidity, such as genetic, neurophysiological, environmental and psychosocial factors. We report the case of a 7 year old boy with symptoms such as inability to concentrate, active movement, talk a lot, unable to wait his turn, unable to delay desires, easy fighting and behaving and speaking harshly. Patients still wet the bed at night at least 3-4 times a week The Abbreviated Conners Score rating scale assessed by the mother at the start of treatment was 21. The IQ test score was 71 and the Strength and Difficulty Questionnaire (SDQ) score was 35. The patient's symptoms were reduced after 4-month therapy with 2x5mg of methylphenidate administration, psychoeducation of parents to implement toilet training and behavior therapy for patients, apply reward and punishment with the principle of token economy. In the development process of children and adolescents, parenting is an important factor. Many studies shows that parenting can impact the resilience and vulnerability of a child to behavioral disorders. In children with ADHD with borderline IQ and enuresis, parenting with a high parental control component can cause psychological symptoms to worsen without being balanced with the attitude of parents who are responsive to the psychological needs of the child.

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ADHD WITH NON-ORGANIC ENURESIS AND BORDERLINE INTELLIGENT QUOTIENT

Journal of Psychiatry Psychology and Behavioral Research ◽

10.21776/ub.jppbr.2021.001.01.1 ◽

2021 ◽

Vol 1 (1) ◽

pp. 1-3

Author(s):

Frilya Putri ◽

◽

Herman Yosef ◽

Keyword(s):

Nocturnal Enuresis ◽

Rating Scale ◽

Psychological Symptoms ◽

Psychological Needs ◽

Token Economy ◽

Toilet Training ◽

Active Movement ◽

Borderline Iq ◽

And Behavior ◽

Conners Score

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Somatization in patients with predominant diarrhoea irritable bowel syndrome: the role of the intestinal barrier function and integrity

BMC Gastroenterology ◽

10.1186/s12876-021-01820-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Laura Prospero ◽

Giuseppe Riezzo ◽

Michele Linsalata ◽

Antonella Orlando ◽

Benedetta D’Attoma ◽

...

Keyword(s):

Irritable Bowel Syndrome ◽

Barrier Function ◽

Rating Scale ◽

Psychological Symptoms ◽

Intestinal Barrier ◽

Intestinal Barrier Function ◽

Fatty Acid Binding ◽

Gastrointestinal Symptom Rating Scale ◽

Gi Symptoms ◽

Irritable Bowel

Abstract Background Irritable bowel syndrome (IBS) is characterised by gastrointestinal (GI) and psychological symptoms (e.g., depression, anxiety, and somatization). Depression and anxiety, but not somatization, have already been associated with altered intestinal barrier function, increased LPS, and dysbiosis. The study aimed to investigate the possible link between somatization and intestinal barrier in IBS with diarrhoea (IBS-D) patients. Methods Forty-seven IBS-D patients were classified as having low somatization (LS = 19) or high somatization (HS = 28) according to the Symptom Checklist-90-Revised (SCL-90-R), (cut-off score = 63). The IBS Severity Scoring System (IBS-SSS) and the Gastrointestinal Symptom Rating Scale (GSRS) questionnaires were administered to evaluate GI symptoms. The intestinal barrier function was studied by the lactulose/mannitol absorption test, faecal and serum zonulin, serum intestinal fatty-acid binding protein, and diamine oxidase. Inflammation was assessed by assaying serum Interleukins (IL-6, IL-8, IL-10), and tumour necrosis factor-α. Dysbiosis was assessed by the urinary concentrations of indole and skatole and serum lipopolysaccharide (LPS). All data were analysed using a non-parametric test. Results The GI symptoms profiles were significantly more severe, both as a single symptom and as clusters of IBS-SSS and GSRS, in HS than LS patients. This finding was associated with impaired small intestinal permeability and increased faecal zonulin levels. Besides, HS patients showed significantly higher IL-8 and lowered IL-10 concentrations than LS patients. Lastly, circulating LPS levels and the urinary concentrations of indole were higher in HS than LS ones, suggesting a more pronounced imbalance of the small intestine in the former patients. Conclusions IBS is a multifactorial disorder needing complete clinical, psychological, and biochemical evaluations. Trial registration: https://clinicaltrials.gov/ct2/show/NCT03423069.

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Developing a virtual reality for people with dementia in nursing homes based on their psychological needs: a feasibility study

BMC Geriatrics ◽

10.1186/s12877-021-02125-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jung-Hee Kim ◽

Seonmin Park ◽

Hyeongji Lim

Keyword(s):

Virtual Reality ◽

Nursing Homes ◽

Intervention Program ◽

Psychological Symptoms ◽

Likert Scale ◽

Psychological Needs ◽

Second Phase ◽

People With Dementia ◽

The Mean ◽

Behavioral And Psychological Symptoms

Abstract Background The purpose of this study was (1) to develop a virtual reality (VR) intervention program based on the psychological needs of patients residing in nursing facilities in South Korea to alleviate their behavioral and psychological symptoms and (2) to confirm the possibility of utilizing VR in patients with dementia. Methods In the first phase, patients with dementia residing in nursing homes and experiencing behavioral and psychological symptoms were recruited. Surveys and questionnaires were used to identify activities that alleviated the behavioral and psychological symptoms of dementia (BPSD) among the patients. These activities were classified into five types of psychological needs. In the second phase, a fully immersive, interactive, easy-to-use VR platform was developed that reflected these psychological needs. Patients with dementia experienced the VR content. The researchers assessed the level of the participants’ immersion, preference, and interaction with the VR using a 5-point Likert scale. Results In the feasibility test, 10 nursing home residents were recruited. The mean immersion score was 4.93 ± 0.16 points, the mean preference score was 4.35 ± 0.41 points, and the mean interaction score was 3.84 ± 0.43 points using a 5-point Likert scale. Higher mean scores indicated a more positive outcome. Six of the 10 participants required assistance while using the VR. The mean VR experience duration was 10.00 ± 3.46 min. Conclusions The VR-based intervention program that was developed to reduce BPSD was feasible for the participants and provided them with a high degree of satisfaction and immersion. Furthermore, this study also confirmed the convenience and safety of the program. These findings support the potential use of VR-based BPSD intervention programs to treat patients with dementia.

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Gender Differences in Psychological Outcomes Following Surf Therapy Sessions among U.S. Service Members

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094634 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4634

Author(s):

Lisa H. Glassman ◽

Nicholas P. Otis ◽

Betty Michalewicz-Kragh ◽

Kristen H. Walter

Keyword(s):

Gender Differences ◽

Positive Affect ◽

Rating Scale ◽

Psychological Symptoms ◽

Positive Impact ◽

Psychological Outcomes ◽

Future Research ◽

Pain Rating ◽

Men And Women ◽

Therapy Sessions

Surf therapy is increasingly being used as an intervention to address various health problems, including psychological symptoms. Although recent research supports the positive impact of surf therapy on psychological outcomes, it is unclear whether these outcomes differ between men and women. This study compared changes in depression/anxiety (Patient Health Questionnaire-4), positive affect (Positive and Negative Affect Schedule), and pain (Numerical Pain Rating Scale) between U.S. service men and women (N = 74) during six weekly surf therapy sessions. Overall, participants reported decreased depression/anxiety (p < 0.001) and increased positive affect (p < 0.001), but no change in pain rating following each session (p = 0.141). Significant gender differences were found in the magnitude of changes in depression/anxiety (B = −1.01, p = 0.008) and positive affect (B = 4.53, p < 0.001) during surf sessions, despite no differences in pre-session scores on either outcome. Women showed greater improvements in depression/anxiety and positive affect compared with men—an important finding, given that surfing and military environments are often socially dominated by men. Future research is needed to replicate these findings in other samples, extend this research to other underrepresented populations, and identify barriers and facilitators of the sustainable implementation of surf therapy across populations.

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The association between physical activity and menopause-related quality of life

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2020.0118 ◽

2021 ◽

Vol 28 (5) ◽

pp. 1-11

Author(s):

Cyanna Joseph D'souza ◽

Santhakumar Haripriya ◽

Harish Sreekantan Krishna

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Rating Scale ◽

Psychological Symptoms ◽

Short Form ◽

Hormone Replacement ◽

Menopausal Symptoms ◽

Activity Levels ◽

Cross Sectional

Background/aims Menopause can cause drastic changes that trigger severe symptoms in women and, in turn, influence their quality of life. Many women no longer prefer hormone replacement therapy because of its potential adverse effects. Hence, it is crucial to establish alternate interventions to alleviate menopausal symptoms. The aim of this study was to estimate the relationship between quality of life and level of physical activity in menopausal women. Methods A total of 260 postmenopausal women were recruited in this cross-sectional study. The Menopause Rating Scale and International Physical Activity Questionnaire – Short Form were used to assess quality of life and physical activity respectively. Results Women with higher levels of physical activity had fewer total menopausal, somato-vegetative and psychological symptoms (P<0.001); no differences were found in vasomotor and urogenital symptoms. Conclusions Women with low physical activity levels presented with greater menopausal symptoms. Regular physical activity can be recommended to alleviate symptoms following menopause, thereby improving quality of life.

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ASSOCIATION BETWEEN MENARCHE AGE AND MENOPAUSAL SYMPTOMS

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i6.17706 ◽

2017 ◽

Vol 10 (6) ◽

pp. 168 ◽

Cited By ~ 2

Author(s):

Muharam R ◽

Muhammad Ikhsan ◽

Herdinda Erudite Rizkinya

Keyword(s):

Statistical Analysis ◽

Rating Scale ◽

Psychological Symptoms ◽

Cross Sectional Study ◽

Menopausal Symptoms ◽

Sectional Study ◽

Cross Sectional ◽

Urogenital Symptoms ◽

Menarche Age ◽

Menopause Rating Scale

Objective: The objective of this study was to assess the association between menarche age and menopausal symptoms.Methods: A cross-sectional study with 100 perimenopause subjects. Every subject was assessed of their menopausal symptoms with validated menopause rating scale (MRS) questionnaire. Menopause symptoms were classified into somato-vegetative, psychological, and urogenital symptoms. Statistical analysis was used to assess menarche age and menopause symptoms associations.Results: Out of 100 subjects, somato-vegetative, psychological, and urogenital symptoms were found in 46%, 68%, and 74% cases, respectively. Menarche age was varied between 10 and 17-year-old. There was a significant correlation between menarche age and psychological symptoms (p=0.034). However, there was no significant correlation between menarche age and somato-vegetative as well as urogenital symptoms (p=0.257; p=0.093).Conclusion: There was a significant association between menarche age and psychological symptoms in perimenopause women. However, there was no association between menarche age and somato-vegetative as well as urogenital symptoms in perimenopause women.

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The psychological impact of COVID-19 on ‘hidden’ frontline healthcare workers

International Journal of Social Psychiatry ◽

10.1177/0020764020950772 ◽

2020 ◽

pp. 002076402095077 ◽

Cited By ~ 2

Author(s):

Winnie Z.Y. Teo ◽

Yap Eng Soo ◽

Christina Yip ◽

Ong Lizhen ◽

Lee Chun-Tsu

Keyword(s):

Healthcare Workers ◽

Rating Scale ◽

Psychological Impact ◽

Depression Scale ◽

Psychological Needs ◽

Numeric Rating Scale ◽

Depression Score ◽

Poor Sleep ◽

Online Questionnaire ◽

Frontline Healthcare Workers

Background: The novel coronavirus disease (COVID-19) pandemic has led to rising death tolls and stressed healthcare systems, resulting in an unprecedented psychological stress on healthcare workers worldwide. However, the majority of studies only accounted for frontline healthcare workers with direct patient exposure. Aim: This study aims to look at the psychological impact of COVID-19 in a specific, vulnerable and yet hidden group of healthcare workers, namely laboratory healthcare workers who are at high risk exposure to SARS-CoV-2 virus from handling infected patients’ blood samples, in addition to a marked increase in workload. Method: A multicentre study was conducted in Singapore via online questionnaire looking at psychological and physical impact of COVID-19 on laboratory healthcare workers. The Generalized Anxiety Disorder 7-item (GAD-7) scale, Zung Self-Rating Depression Scale (SDS) and Numeric rating scale on fear (NRS) were validated scores used in this study. Data analysis was performed using SPSS statistical software version 23 (IBM Corp). Results: A total of 122 staffs participated and more than half of the cohort experienced mild to severe fear, anxiety and depression. Increase in depression score was also found to be associated with increased physical exhaustion (OR = 6.1, 95% CI 1.4–29.1, p = .02), loss of appetite (OR = 2.7, 95% CI 1.2–6.0, p = .02), poor sleep quality (OR = 7.5, 95% CI 2.9–19.4, p = .005), and the use of sedative (OR = 3.9, 95% CI 1.1–13.5, p = .03). Conclusions: Hence, it is imperative that prompt action needs to be taken to address the psychological needs of this vulnerable group of healthcare workers as the pandemic continues.

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Relationships between emotional schemas, mindfulness, self-compassion and unconditional self-acceptance on the regulation of psychological needs

Research in Psychotherapy Psychopathology Process and Outcome ◽

10.4081/ripppo.2020.442 ◽

2020 ◽

Vol 23 (2) ◽

Cited By ~ 1

Author(s):

Bruno Faustino ◽

António Branco Vasco ◽

Ana Nunes Silva ◽

Telma Marques

Keyword(s):

Experiential Avoidance ◽

Clinical Decision Making ◽

Psychological Symptoms ◽

Well Being ◽

Clinical Decision ◽

Psychological Needs ◽

Self Report ◽

Cross Sectional ◽

Self Compassion ◽

Self Acceptance

Emotional schemas are pervasive mental structures associated with a wide array of psychological symptoms, while mindfulness, self-compassion, and self-acceptance are viewed as adaptive psychological constructs. Psychological needs may be described as the cornerstone of mental health and well-being. However, a study of the relationships between emotional schemas, mindfulness, self-compassion, and self-acceptance with psychological needs was not performed. For this purpose, 250 subjects (M=20.67, SD=4.88, Male=33, Female=217), were evaluated through self-report questionnaires, in a cross-sectional design. Negative correlations were found between emotional schemas, mindfulness, self-compassion, unconditional self-acceptance, and psychological needs. Symptomatology was positively correlated with emotional schemas. Mindfulness, self-compassion, and unconditional self-acceptance predicted the regulation of psychological needs and mediated the relationship between emotional schemas and psychological needs. Emotional schemas may be associated with a tendency for experiential avoidance of internal reality, self-rejection/shame and self-criticism which may impair the regulation of psychological needs. These variables may be targets of integrative case conceptualization and clinical decision making focused on patient’s timings, styles of communication and needs.

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Mental healthcare and palliative care: barriers

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2019-001986 ◽

2020 ◽

pp. bmjspcare-2019-001986 ◽

Cited By ~ 2

Author(s):

Kelly O'Malley ◽

Laura Blakley ◽

Katherine Ramos ◽

Nicole Torrence ◽

Zachary Sager

Keyword(s):

Mental Health ◽

Palliative Care ◽

Psychological Symptoms ◽

Mental Healthcare ◽

Well Being ◽

Psychological Needs ◽

Treatment Team ◽

Advanced Illness ◽

Palliative Care Teams ◽

The Usa

ContextPsychological symptoms are common among palliative care patients with advanced illness, and their effect on quality of life can be as significant as physical illness. The demand to address these issues in palliative care is evident, yet barriers exist to adequately meet patients’ psychological needs.ObjectivesThis article provides an overview of mental health issues encountered in palliative care, highlights the ways psychologists and psychiatrists care for these issues, describes current approaches to mental health services in palliative care, and reviews barriers and facilitators to psychology and psychiatry services in palliative care, along with recommendations to overcome barriers.ResultsPatients in palliative care can present with specific mental health concerns that may exceed palliative care teams’ available resources. Palliative care teams in the USA typically do not include psychologists or psychiatrists, but in palliative care teams where psychologists and psychiatrists are core members of the treatment team, patient well-being is improved.ConclusionPsychologists and psychiatrists can help meet the complex mental health needs of palliative care patients, reduce demands on treatment teams to meet these needs and are interested in doing so; however, barriers to providing this care exist. The focus on integrated care teams, changing attitudes about mental health, and increasing interest and training opportunities for psychologists and psychiatrists to be involved in palliative care, may help facilitate the integration of psychology and psychiatry into palliative care teams.

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Shen-Zhi-Ling Oral Liquid Improves Behavioral and Psychological Symptoms of Dementia in Alzheimer’s Disease

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2014/913687 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Weidong Pan ◽

Qiudong Wang ◽

Shin Kwak ◽

Yu Song ◽

Baofeng Qin ◽

...

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Rating Scale ◽

Psychological Symptoms ◽

Fluctuation Analysis ◽

Double Blind ◽

Oral Liquid ◽

Detrended Fluctuation ◽

Behavioral And Psychological Symptoms

We evaluated the effects of the traditional Chinese medicine (TCM) Shen-Zhi-Ling oral liquid (SZL) on the behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer’s disease (AD). Among 98 patients with AD and BPSD enrolled (mean age, 57.2 ± 8.9 years old), 91 (M = 55,F = 36; mean age, 57.2 ± 9.7 years old) completed the study. Patients took either SZL (n=45) or placebo granules (n=46) in a double-blind manner for 20 weeks while maintaining other anticognitive medications unchanged. Changes in BPSD between week 0, week 10, week 20, and week 25 were assessed using the behavioral pathology in Alzheimer’s disease (BEHAVE-AD) rating scale and the neuropsychiatric inventory (NPI), detrended fluctuation analysis (DFA) represented by diurnal activity (DA), evening activity (EA), and nocturnal activity (NA) according to actigraphic recordings. SZL but not placebo oral liquid delayed the development of BPSD significantly according to the changes in some of the clinical scores and the EA and NA parameters of DFA at week 20 compared with week 0. No side effects were observed in laboratory tests. The results indicate that SZL might delay the development of BPSD in AD patients and thus is a potentially suitable drug for long-term use.

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