Modern psychodynamic psychotherapy of somatoform disorders: technology, effectiveness

Author(s):  
Igor Belokrylov ◽  
Semen Semikov

At the present stage psychodynamic (psychoanalytic) psychotherapy is one of the most commonly used methods of psychological treatment and somatoform disorders (SFR), second only to cognitive-behavioral psychotherapy. The trends of the method technology are the following: focusing interventions on the most important pathogenetic mechanisms of SFR, short-form preference, distant treatment via the Internet, combining the basic technique with nonanalytical methods (in particular, hypnosis). The studies highlighted in the review provide reliable information about the effectiveness of the psychodynamic psychotherapy of SFR, however currently the evidence database on this issue is not sufficient and needs to be replenished.

Author(s):  
Paolo Soraci ◽  
Ambra Ferrari ◽  
Enrico Bonanno ◽  
De Pace Rosanna ◽  
Emanuela Repice ◽  
...  

2020 ◽  
Author(s):  
Martin Weigl ◽  
Josefine Letzel ◽  
Felix Angst

Abstract Background: Recent clinical studies support the effectiveness of chronic neck pain specific multidisciplinary biopsychosocial rehabilitation programmes, but prognostic factors for improvement in pain and disability are unknown. The aim of this study was to identify predictors of improvement in patients with chronic neck pain after participation in a three-week multidisciplinary biopsychosocial rehabilitation programme. Methods: In this observational prospective cohort study patients were assessed at the beginning and the end of a multidisciplinary biopsychosocial rehabilitation programme. Inclusion for participation in the rehabilitation programme depended upon an interdisciplinary pain assessment. Consecutive patients who fulfilled the inclusion criteria were invited to participate in the study. A total of 112 patients participated. The primary outcomes, pain and disability, were measured by the Northern American Spine Society questionnaire (NASS), quantified by effect sizes (ES), and modelled with various co-factors. Secondary outcomes were mental health measured by the Short-Form 36 and total cervical active range of motion measured by a reliable, validated cervical range of motion instrument.Results: Patients’ mean age was 59.7 years (standard deviation=10.8); 70.5% were female. Patients improved significantly (p<0.001) in pain+disability (ES=0.56), mental health (ES=0.45) and cervical range of motion (ES=0.39). Prognostic factors for improvement in pain+disability were worse baseline scores (partial, adjusted correlation r=0.41, p<0.001), higher age (r=0.22, p=0.024), higher improvement in cervical range of motion (r=0.21, p=0.033) and higher improvement in mental health scale (r=0.20; p=0.047). Conclusions: Better outcomes for patients with improvement in neck range of motion, improvement of mental health, and higher age support the use of multidisciplinary biopsychosocial rehabilitation that combines physical and psychological treatment components. Furthermore, the results suggest that older patients may improve more compared to younger patients.


Author(s):  
E. S. Zinovieva

The article studies the processes of Internet governance at the international level in the context of the position and interests of Russia in this area. The theory of global governance was used as a theoretical and methodological framework of the study. Initially, Internet governance was carried out on the state level, with coordination carried out in the interests of the United States created the Internet. At the present stage states and other actors in world politics has to be integrated into the existing system of Internet governance, resulting in development of multi-level or multi-directional diplomacy, formation of the so-called "hybrid" organizations and new models of cooperation. There are new formats of regulation of international relations formed under the influence of scientific and technological progress. Russia's position on Internet governance is based on the goal to ensure equal consideration of interests of all states in the governance of the Internet.


2020 ◽  
Author(s):  
Lok Y J Poon ◽  
Hector W H Tsang ◽  
Tsan Y J Chan ◽  
Sze W T Man ◽  
Lok Y Ng ◽  
...  

BACKGROUND The Internet Gaming Disorder Scale–Short-Form (IGDS9-SF) is among the best with regard to its psychometric properties. Therefore, clinical psychologists are likely guided to use the IGDS9-SF if they want to assess or screen the disordered gaming in their practice. However, the information, especially psychometric evidence, concerning the IGDS9-SF has not been fully examined and summarized. OBJECTIVE This systematic review evaluated the psychometric properties of different language versions of the IGDS9-SF and assessed its methodological quality in order to improve the clinicians’ understanding of the IGDS9-SF and facilitate its use. METHODS Systematic literature searches were carried out using <i>Embase</i>, <i>MEDLINE</i>, <i>PsycINFO</i>, <i>PubMed</i>, <i>ScienceDirect</i>, <i>Scopus</i>, and <i>Web of Science</i>. The review included English-language studies of any research design that have reported at least one psychometric property of the IGDS9-SF, as defined by the COnsensus-based Standards for the selection of health status Measurement INstrument (COSMIN), and have aimed at testing the psychometric properties of the IGDS9-SF. RESULTS In total, 21 studies comprising 15 language versions of the IGDS9-SF were included. Overall, the IGDS9-SF showed adequate internal consistency (although some items did not have satisfactory item-total correlation [IT]), excellent criterion validity, and the ability to distinguish different subgroups with measurement invariance being supported across gender and age. In terms of factor structure, the IGDS9-SF was shown to have a unidimensional factor structure across all 21 studies. CONCLUSIONS Although there is insufficient evidence regarding the responsiveness and properties of the IGDS9-SF using item response theory, the existing evidence supports its use in assessing disordered gaming among individuals.


Author(s):  
Shilpa Suresh Bisen ◽  
Yogesh M Deshpande

The rationale of the article is to describe the use of the Internet for psychological treatment in a clinical setting. Internet-based psychotherapy as a therapeutic tool, that offers an anonymous way for people to search for information and participate in treatment. Research studies on web-based psychotherapy for the major depressive disorder, anxiety disorders and other psychological conditions has grown swiftly in the last decades. Findings revealed that some forms of Internet-based treatments often lead to results similar to those of traditional face to face psychotherapy. The advantages of Internet-based interventions are high-cost effectiveness, greater access to evidence-based treatment, and greater access to patients in remote locations. The deterioration of symptoms, the emergence of new psychological symptoms, a high rate of abandonment and the frustration caused by technical problems are some of the negative effects of Internet interventions. In conclusion, there is now ample evidence that Internet based-interventions work for common mental disorders such as depression, anxiety disorder, alcohol consumption, smoking cessation, eating disorders, headaches and insomnia. Research on interventions on the Internet is advancing at high speed, while the proliferation and prolonged implementation of interventions on the Internet in regular assistance is still in its infancy.


Author(s):  
Halley M Pontes ◽  
Mark D. Griffiths

Background: Following the growing concern about ‘gaming addiction', the American Psychiatric Association (APA) and numerous scholars have suggested the need for unification and consensus for the assessment of gaming addiction, which is now possible given the recent formal recognition of ‘Internet Gaming Disorder' (IGD) by the APA since its inclusion in the DSM-5. Aims: In light of this, the aim of this chapter is to present the main findings concerning the development of the Internet Gaming Disorder Test (IGD-20 Test) and the Internet Gaming Disorder Scale – Short-Form (IGDS9-SF), two newly developed psychometric tools aimed to measure the extent of gaming disorder in online and/or offline players. Conclusions: The present findings support the viability of the two newly developed measures as adequate standardized psychometrically robust tools for assessing internet gaming disorder. Consequently, the new instruments represent the first step towards unification and consensus in the field of gaming studies.


2019 ◽  
Vol 9 (2) ◽  
pp. 181-197
Author(s):  
Susan Pacey

In the UK, psychotherapeutic treatments for sexual problems are split between couple psychoanalytic or psychodynamic psychotherapy, which focuses on the mind, and psychosexual or sex therapy, which focuses on the body, principally using the intervention “sensate focus” (Masters & Johnson, 1970). Remarkably, there are few published papers on the integration of these two approaches, indicating a near-absence of debate and perpetuating the professional bifurcation. More contributions on this topic are needed. This article provides an overview of the field (psychoanalysis and sex therapy) and presents excerpts from the author’s recent doctoral study (Pacey, 2018), using Winnicottian theories to link the two paradigms and support the integration of sensate focus into psychoanalytic couple therapy.


Author(s):  
Marta Beranuy ◽  
Juan M. Machimbarrena ◽  
M. Asunción Vega-Osés ◽  
Xavier Carbonell ◽  
Mark D. Griffiths ◽  
...  

Online gaming is a very common form of leisure among adolescents and young people, although its excessive and/or compulsive use is associated with psychological impairments in a minority of gamers. The latest (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5, Section III) tentatively introduced Internet Gaming Disorder (IGD). Since then, a number of evaluation tools using the DSM-5 criteria have been developed, including the Internet Gaming Disorder Scale–Short Form (IGDS9-SF). The main objective of this study was to translate and adapt the IGDS9-SF into Spanish, as well as to obtain indicators relating to its validity and reliability. The Spanish version of four scales were administered: IGDS9-SF, Mobile Phone-Related Experiences Questionnaire (CERM), Online Gambling Disorder Questionnaire (OGD-Q), and KIDSCREEN-27. The sample comprised 535 Vocational Training students (mean age 18.35 years; SD±2.13; 78.5% males) who reported playing video games in the past 12 months. Confirmatory factor analysis yielded a one-dimensional model with a good fit while the reliability indicators were satisfactory. Findings indicated that 1.9% of gamers were classified with IGD (meeting five or more criteria for more than 12 months). Additionally, another 1.9% were considered gamers ‘at-risk’ because they endorsed four criteria. Positive and significant relationships were found between the IGDS9-SF, the CERM, and the OGD-Q. Participants classified with IGD had poorer health-related quality of life. In conclusion, the Spanish IGDS9-SF is a valid and reliable instrument to assess IGD according to the DSM-5.


2020 ◽  
Vol 23 ◽  
Author(s):  
Iván Sánchez-Iglesias ◽  
Mónica Bernaldo-de-Quirós ◽  
Francisco J. Labrador ◽  
Francisco J. Estupiñá Puig ◽  
Marta Labrador ◽  
...  

Abstract Since the inclusion of the Internet Gaming Disorder (IGD) in the Diagnostic and statistical manual of mental disorders (5th ed.) (DSM-5), the Internet Gaming Disorder Scale-Short Form (IGDS9-SF), a short nine items test, has become one of the most used standardized instruments for its psychometric evaluation. This study presents a validation and psychometric evaluation of the Spanish version of the IGDS9-SF. A sample of 2173 videogame players between 12 and 22 years old, comprising both genders, was employed, achieved with a randomized selection process from educational institutions in the city of Madrid. Participants completed the adapted version of the IGDS9-SF, the General Health Questionnaire (GHQ-12) and a negative cognitions scale associated with videogame use, as well as sociodemographic data and frequency of videogame play. A unifactorial structure with sufficient reliability and internal consistency was found through exploratory and confirmatory analyses. In addition, the instrument was found to have good construct validity; the scoring of the IGDS9-SF were found to show a positive association with gaming frequency, with general health problems, and to a greater extent, with problematic cognitions with regard to videogames. Factorial invariance was found concerning the age of participants. However, even though the factorial structure was consistent across genders, neither metric nor scalar invariance were found; for this reason, we present a scale for the whole sample and a different one for gender. These results suggest that this Spanish version of the IGDS9-SF is a reliable and valid instrument, useful to evaluate the severity of IGD in Spanish students, and we provide a scoring scale for measurement purposes.


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