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This study deeply explores the cause of high incidence of PHE-associated psychological crisis in college students, and advocates the teaching management staffs to take full advantage of the present information technology on college students' psychological assessment, daily psychological education, and related information collection, with the current college information construction platforms. The aim is to build an early warning and intervention mechanism that is susceptible to college students' psychological crisis, and to better protect the mental health of college students.
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The nuclear accidents in Chernobyl and Fukushima had great impacts on the mental health of emergency rescue workers, who experienced a series of psychological problems shared by the accident victims. This paper analyzes the psychological symptoms suffered by emergency rescue workers in Chernobyl and Fukushima nuclear accidents, as well as the psychological crisis interventions for rescue personnel involved in major natural disasters and pandemics. Based on the special situations faced by emergency rescue workers in nuclear accidents, we propose psychological crisis interventions for rescue personnel during major nuclear accidents. These interventions include mental health assessment and training before accident, psychological assistance, self-adjustment, and crisis intervention during accident, and long-term psychological assistance after accident. The psychological impacts on emergency rescue workers can be reduced by effective psychological interventions.
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ObjectiveTo explore the prevalence rate and related risk factors of anxiety， depression and insomnia symptoms in close contacts of COVID-19 patients undergoing centralized quarantine and observation， so as to provide references for follow-up targeted psychological crisis intervention. MethodsFrom February 6 to 8， 2020， a total of 136 close contacts at designated quarantine sites in four districts and counties of Ya'an city were enrolled， and assessed using the general information questionnaire， Hospital Anxiety and Depression Scale （HAD） and Insomnia Severity Index （ISI）. ResultsA total of 26 quarantined individuals （19.12%） had various degrees of anxiety， depression or insomnia， including 16 cases （11.76%） with anxiety， 9 cases （6.62%） with depression and 16 cases （11.76%） with insomnia. Correlation analysis showed that HAD （A） score was positively correlated with HAD （D） score （r=0.642， P<0.01）. HAD （A） score was positively correlated with ISI score （r=0.590， P<0.01）. HAD （D） score was positively correlated with ISI score （r=0.329， P<0.01）. Multivariate Logistic regression analysis showed that the risk factor of anxiety was the first week of isolation （OR=3.290， P<0.05）， meantime， the risk factors of insomnia included the old age （OR=7.990， P<0.05） and the first week of isolation （OR=4.659， P<0.05）. ConclusionThe close contacts of COVID-19 infections undergoing centralized quarantine and observation in Ya’an have high prevalence rate of anxiety and insomnia， and the symptoms are most severe during the first week of quarantine.
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Objective To investigate the effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery, so as to provide reference for finding effective psychological intervention for patients with cervical cancer surgery. Methods A total of 134 patients with cervical cancer surgery from January 2016 to December 2017 were divided into treatment group and control group with 67 cases each by randomized digital table method. The control group received routine nursing intervention, while the treatment group combined with psychological crisis intervention. Postoperative follow-up for 6 months, the psychological crisis level, self-efficacy, quality of life and other indicators were compared between the two groups. Results A total of 63 cases in the treatment group and 60 cases in the control group completed the study. The scores of emotional, cognitive, and behavioral psychological crisis in the treatment group were (4.32±0.56), (3.45± 0.54), and (3.56±0.62) points, respectively, which were significantly lower than those in the control group (5.45 ± 0.72), (5.36 ± 0.74), and (4.24 ± 0.68) points, the difference was statistically significant (t =9.742, 16.408, 5.800, P<0.05 or 0.01). Self-decision, self-decompression, and positive attitude scores were (12.45±1.35), (43.12±5.45), and (64.35±7.32) points, respectively, which were higher than the control group (10.32±1.42), (40.12±4.65), and (57.36±6.52) points, the difference was statistically significant ( t =8.528, 3.277, 5.582, P <0.05 or 0.01). The cognitive function, social function, physical function and emotional function scores of the treatment group were (8.45 ± 1.10), (8.22 ± 1.14), (7.65 ± 0.72), (8.15±1.21) points, respectively, which were higher than those of the control group (7.12±0.84), (7.32± 1.10), (6.54 ± 0.70), (7.45 ± 1.10) points, the difference was statistically significant( t =3.352- 8.663, P <0.05 or 0.01). Conclusions Psychological crisis intervention can help resolve the psychological crisis of patients with cervical cancer surgery, promote the self-efficacy development and improve the quality of life.
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Objective@#To investigate the effect of psychological crisis intervention on the psychological crisis level and self-efficacy of patients with cervical cancer surgery, so as to provide reference for finding effective psychological intervention for patients with cervical cancer surgery.@*Methods@#A total of 134 patients with cervical cancer surgery from January 2016 to December 2017 were divided into treatment group and control group with 67 cases each by randomized digital table method. The control group received routine nursing intervention, while the treatment group combined with psychological crisis intervention. Postoperative follow-up for 6 months, the psychological crisis level, self-efficacy, quality of life and other indicators were compared between the two groups.@*Results@#A total of 63 cases in the treatment group and 60 cases in the control group completed the study. The scores of emotional, cognitive, and behavioral psychological crisis in the treatment group were (4.32±0.56), (3.45±0.54), and (3.56±0.62) points, respectively, which were significantly lower than those in the control group (5.45±0.72), (5.36±0.74), and (4.24±0.68) points, the difference was statistically significant (t=9.742, 16.408, 5.800, P<0.05 or 0.01). Self-decision, self-decompression, and positive attitude scores were (12.45±1.35), (43.12±5.45), and (64.35±7.32) points, respectively, which were higher than the control group (10.32±1.42), (40.12±4.65), and (57.36±6.52) points, the difference was statistically significant (t=8.528, 3.277, 5.582, P <0.05 or 0.01). The cognitive function, social function, physical function and emotional function scores of the treatment group were (8.45±1.10), (8.22±1.14), (7.65±0.72), (8.15±1.21) points, respectively, which were higher than those of the control group (7.12±0.84), (7.32±1.10), (6.54±0.70), (7.45±1.10) points, the difference was statistically significant(t=3.352- 8.663, P <0.05 or 0.01).@*Conclusions@#Psychological crisis intervention can help resolve the psychological crisis of patients with cervical cancer surgery, promote the self-efficacy development and improve the quality of life.
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Objective To explore the strategies of using psychological crisis intervention in public emergencies.Methods In the early stage,psychological crisis intervention concepts and behavioral responses were formed through literature research and qualitative research methods.Use three rounds of Delphi for expert advice.Three indexes including positive coefficient,authority and coordination were used to test the reliability of expert consultation.Results Overall,it passed 239 out of 269 entries.The first round passed item 210,modified item 18,no consensus item 41;In the second round,8 new entries were added,and 22 entries were deleted through 24 entries.In the third round,there were 5 entries and 16 entries were deleted.The authority coefficient was 0.859,indicating that the experts were very familiar with the items.The coordination coefficient of three rounds of consultations were 0.464,0.696,and 0.407 (P＜0.001)respectively,showing that the coordination degree of experts was excellent,the credibility of feedback was high,and results were highly reliable.Conclusions The strategies of field psychological crisis intervention for public emergencies developed in this study received the consensus by domestic psychological crisis intervention experts,it is will provide a basis for systematic,comprehensive and effective guidance for this work.
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Objective:To understand the characteristics of the callers with the diagnosis of mental disorders called Beijing Psychological Crisis Hotline for help,in order to provide specific psychological intervention services for them in future.Methods:From December 2002 to December 2008,24217 different callers'data collected from a computer-based operating system of the Beijing Psychological Crisis Hotline were analyzed.According to their self-reported of having the diagnoses of mental disorder or not,the callers were divided into the ones with diagnosis (n=6516)and the ones without diagnosis (n =17701).The callers'demographic characteristics,their main counseling problems and the suicide-related factors in the two groups were compared.Results:The top five main counseling problems in the group with diagnosis were mental problems,the mental illness related knowledge,the problems of family relationships,working problems and interpersonal problems.Mental problem ranked first in both groups.Compared to the group without diagnosis,the diagnosed ones were more likely to be found in such group of people as women,aged between 20 -29 and 30 -44,having 10 or more years of education and the unem-ployed.The results of the assessments of 11 suicide-related risk factors showed that callers with diagnoses had higher prevalence of most suicide-related factors than those in the other group(P <0.001 or 0.05),which included suicidal intention and behavior while calling,history of attempted suicide,severe depressive symptoms,severe physi-cal illness,history of being abused,afraid of being attacked,suicidal history of relatives or associates,severe of hopeless.Conclusion:The hotline counselors should be aware of the necessity of assessing the severity of depres-sion and other suicide-related factors for the callers with mental disorder diagnoses before providing any psychologi-cal intervention.Moreover,except for providing interventions on the callers'psychiatric problems,the hotline coun-selors should also identify and help to deal with the stress events in their lives.
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OBJECTIVES: Family members of patients in a vegetative state have relatively high rates of anxiety and distress. It is important to recognize the problems faced by this population and apply psychological interventions to help them. This exploratory study describes the psychological stress experienced by family members of patients in a vegetative state. We discuss the effectiveness of a psychological crisis intervention directed at this population and offer suggestions for future clinical work. METHODS: A total of 107 family members of patients in a vegetative state were included in the study. The intervention included four steps: acquisition of facts about each family, sharing their first thoughts concerning the event, assessment of their emotional reactions and developing their coping abilities. The Symptom Check List-90 was used to evaluate the psychological distress of the participants at baseline and one month after the psychological intervention. Differences between the Symptom Check List-90 scores at the baseline and follow-up evaluations were analyzed. RESULTS: All participants in the study had significantly higher Symptom Check List-90 factor scores than the national norms at baseline. There were no significant differences between the intervention group and the control group at baseline. Most of the Symptom Check List-90 factor scores at the one-month follow-up evaluation were significantly lower than those at baseline for both groups; however, the intervention group improved significantly more than the control group on most subscales, including somatization, obsessive-compulsive behavior, depression, and anxiety. CONCLUSION: The results of this study indicate that the four-step intervention method effectively improves the mental health of the family members who received this treatment and lessens the psychological symptoms of somatization, obsessive-compulsive behavior, depression and anxiety.
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Adult , Aged , Female , Humans , Middle Aged , Crisis Intervention , Family/psychology , Persistent Vegetative State/psychology , Stress, Psychological/therapy , China , Educational Status , Follow-Up Studies , Marital StatusABSTRACT
Objective Provided the basis on psychological treatment for the earthquake wounded, through investigated the psychological healthy condition of them in Yushu, Qinghai Province. Method To investigated the 102 cases earthquake wounded from 15 - 18 April 2010 who transported from Yushu, Qinghai to West China hospital of Sichuan University; Accept standard: The wounded (96 cases) who could cooperated this investigative; Adopted the Hamiton anxiety scale( HAMA) to had a review investigation for the wounded in the from of talk, and used the SPSS statistics software to have the Wilcoxon Mann-Whitney test and correlation analysis for the investigation data. Results There were 55 of the 96 cases have been confirmed anxiety, HAMA > 14 points; 16 cases had serious anxiety (HAMA > 29 points); The average score in all of them equal to (17.3 ±10.8) points. And there was a remarkable difference between male and female. The age is possible have related degree with the wounded anxious. What the main in their characteristics of them was Psychic anxiety. Conclusions There was apparent anxiety of them whom came from Yushu, Qinghai, and they needed proactive psychological treatment, female、 middle-aged and elderly need more.
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Para evaluar los resultados de intervenciones en crisis en un servicio público, aplicamos el cuestionario Outcome Questionnaire 45.2 entre los años 2006 y 2009. Se analizan las características socio-demográficas e indicadores de respuesta terapéutica de un total de 335 casos evaluados, de los cuales tenemos medición pre-intervención (M1) de 221, 70 casos con dos mediciones (M2), y 23 contres (M3). La edad promedio de los 335 casos ingresados a la Unidad fue 41,4 años (DS 15,8), y el número promedio de atenciones 7,6 (DS 4,2). Se presentan los casos con Índice de Cambio Confiable en el OQ 45.2 y se clasifican de acuerdo al método de Jacobson y Truax. El puntaje global promedio al ingreso fue de 91 puntos (DS 24), que descendió a un promedio de 77,5 (DS 27,6) en M2, y a 60(DS 23,9) en M3. Se concluye que el principal problema en la evaluación naturalística de estas intervenciones, es el alto porcentaje de abandono. Por otra parte, los pacientes tratados en esta modalidad mejoran en promedio sus puntajes en esta escala, los mejores resultados se ven en los casos que persisten en terapia por lo menos ocho sesiones.
To evaluate the results of crisis interventions in a public psychiatric service in Santiago de Chile, we applied the Outcome Questionnaire (OQ 45.2) in a pre-intervention measurement (M1) to 221 patients of a total of 335 assisted between 2006 and 2009 with pre-intervention measurement (M1); 70 early treatment measurements (M2)and 23 advanced treatment measurements (M3). We present the socio-demographic characteristics of 335 and outcome indicators of 70 cases with two measurements and of 25 with three measurements. Mean age was 41,4years (DS 15,8), and mean number of sessions was 7,6 (DS 4,2). Cases are presented with Reliable Change Scores and are classified according to the method suggested by Jacobson and Truax. The mean score at intake was 91 points in the global scale (DS 24). This decreased to a mean of 77,5 (DS 27,6) in M2, and to 60 (DS 23,9) en M3. To evaluate a dose-response curve, we correlated the number of me sessions and change between M1 and M2 or M3, finding a Pearson correlation coefficient +0.38 for M1 M2 and the number of sessions, and one of -0.406 for M1 M3. The main problem in this naturalistic study was the high attrition rate. On the other hand, patients treated in a crisis intervention approach improve, with the better results in case that stay in therapy at least for eight sessions.
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Humans , Male , Female , Adult , Middle Aged , Crisis Intervention , Outcome and Process Assessment, Health Care/methods , Surveys and Questionnaires , Psychiatric Department, Hospital/statistics & numerical data , Age and Sex Distribution , Chile , Interpersonal Relations , Refusal to Treat/statistics & numerical data , Psychotherapy , Socioeconomic Factors , Treatment OutcomeABSTRACT
Objective To explore the construction of TCM psychological crisis interventional theoretical system.Methods Based on the experience of TCM psychological medical group participated in the crisis intervention therapy after the earthquake,we draw a theoretical conclusion and made arrangement from the perspective of the disciplinary development of TCM psychology.Result We developed some assumptions to build the TCM psychological crisis intervention theory which conformed to the Chinese situation.Conclusion The building of crisis intervention theory must conform to Chinese situation and Can be applicable to lead the practice.The theory in this article should be enriched and improved in practice later.
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Objective: To explore an effective model of psychological intervention to SARS patients Method:680 SARS inpatients were divided into experimental (n=483) group and control group Three interventions were provided to the patients once a day for one week, including hotline counseling (active versus passive), counseling through paper and pencil, and face-to-face crisis intervention (medical staff versus psychotherapists) SCL-90 and a self-designed assessing scale were administered to both groups when check in and before discharge to evaluate the effect of the interventions Result:SCL-90 assessing showed that patients had significantly higher score than local people, but the two groups had no significant difference at check-in This situation changed before discharge, the intervention group had significantly lower scores in many factors than control except for phobia, paranoia and psychotic Comparing different ways of intervention, the most effective one was active hotline counseling (effective rate 95 7%), the effective rate of face-to-face intervention was 80% for both medical staff after training and psychotherapists The paper-pencil method was the most ineffective (the rate was only 19 5%) Education had influence on the outcome of intervention, those patients with higher education had better results in hotline counseling and paper-pencil counseling Conclusion:Psychological crisis intervention is effective in patients infected by SARS Active hotline counseling is the most effective way
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This paper pondered thoroughly the analysis of the mental status of earthquake victims,the preparation,operational measures and steps,and remarkable issues in post-earthquake psychological crisis intervention,in order to provide mental support for the post-earthquake reconstruction.
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Combined with practices in colleges, the article elucidates the connotation of the psychological crisis among medical college students; analyses the origin of it; and propose the countermeasure of establishing the precautious system and intervention to prevent the crisis.
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The current mental health of college students can not be optimistic.This paper summarized college students' psychological crisis from the perspectives of psychological crisis and crisis intervention,came up with updated research outcomes and deficiencies,and pointed out the direction of its future research and development.
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By practicing psychological crisis intervention among medical college students after earthquake in Sichuan province,this project aims to release their pressure and adjust their emotions through investigating their mental health,elective courses,group counseling,students' activities,etc.
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Objective Through the conversion of civil passenger cars, to develop mobile psychological counseling and treatment centre that can afford field operation for our pilot. Methods The internal structure of 28-Seat-MQ6798 type King Dragon bus was rebuilt by installation of equipment related to psychological intervention, the development of psychological intervention plans, the broad participation of military exercises, force of mental health and education, the actual of sudden catastrophic events, and according to the verification results, field psychological counseling and treatment vehicle and psychological intervention plans were verified. Results The field psychological counseling and treatment centre exclusively includes anterior cabin, hinder cabin, storage rooms and psychological testing and psychological intervention equipment, which can be constituted not only the exchange platform of psychological block aid and information exchange on wartime, popularizing mental health knowledge for officers and soldiers at ordinary times, but also the intervention platform of catastrophic events, anti-terrorism and appeasing confusion and violence. Conclusion The field ambulance is necessary for keeping the mentality health of pilots under the wartime in the future.