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Depersonalization

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https://www.readbyqxmd.com/read/29158882/the-mediating-role-of-a2a-adenosine-receptors-in-the-mitochondrial-pathway-of-apoptotic-hippocampal-cell-death-following-the-administration-of-mdma-in-rat
#1
Masoomeh Bakhshayesh, Fereshteh Golab, Fatemeh Kermanian, Mehdi Mehdizadeh, Amir Reza Katebi, Mansooreh Soleimani, Farzaneh Mohammadzadeh, Ronak Shabani, Elham Movahed, Majid Katebi
Introduction: The 3,4-methylenedioxymethamphetamine (MDMA, ecstasy) is a popular recreational drug and a major source of substance abuse, which ultimately leads to sensations of well-being, elation and euphoria, moderate derealization/depersonalization, and cognitive disruptions, as well as intense sensory awareness. The mechanisms involved in memory impairment induced by MDMA are not completely understood. Methods: The current study used 40 Sprague-Dawley rats, weighted 200 to 250 g...
July 2017: Basic and Clinical Neuroscience
https://www.readbyqxmd.com/read/29151098/the-alice-in-wonderland-syndrome
#2
Douglas J Lanska, John R Lanska
In 1955, English psychiatrist John Todd defined the Alice-in-Wonderland syndrome (AIWS) as self-experienced paroxysmal body-image illusions involving distortions of the size, mass, or shape of the patient's own body or its position in space, often accompanied by depersonalization and/or derealization. AIWS had been described by American Neurologist Caro Lippman in 1952, but Todd's report was the most influential. Todd named the syndrome for the perceptual disorder of altered body image experienced by the protagonist in Alice's Adventures in Wonderland (1865) by Lewis Carroll (Charles Lutwidge Dodgson)...
2018: Frontiers of Neurology and Neuroscience
https://www.readbyqxmd.com/read/29144883/what-was-once-essential-may-become-detrimental-the-mediating-role-of-depersonalization-in-the-relationship-between-childhood-emotional-maltreatment-and-psychological-distress-in-adults
#3
Aoife Ó Laoide, Jonathan Egan, Kristin Osborn
Depersonalization (DP) is a dissociative phenomenon, characterised by feeling "unreal" or detached from one's own emotions, thoughts and behaviour (APA, 2013). It is considered a defense mechanism, employed in response to overwhelming events, whereby thoughts and emotions are suppressed in order to enhance the individual's' capacity to function in traumatic environments. DP has been found to co-occur with anxiety and depressive disorders and childhood emotional maltreatment (EM) has been identified as an important predisposing factor...
November 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29134717/superior-colliculus-resting-state-networks-in-post-traumatic-stress-disorder-and-its-dissociative-subtype
#4
Isadora Olivé, Maria Densmore, Sherain Harricharan, Jean Théberge, Margaret C McKinnon, Ruth Lanius
OBJECTIVES: The innate alarm system (IAS) models the neurocircuitry involved in threat processing in posttraumatic stress disorder (PTSD). Here, we investigate a primary subcortical structure of the IAS model, the superior colliculus (SC), where the SC is thought to contribute to the mechanisms underlying threat-detection in PTSD. Critically, the functional connectivity between the SC and other nodes of the IAS remains unexplored. EXPERIMENTAL DESIGN: We conducted a resting-state fMRI study to investigate the functional architecture of the IAS, focusing on connectivity of the SC in PTSD (n = 67), its dissociative subtype (n = 41), and healthy controls (n = 50) using region-of-interest seed-based analysis...
November 13, 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/29133064/evaluation-of-abortion-stigma-in-the-workforce-development-of-the-revised-abortion-providers-stigma-scale
#5
Lisa A Martin, Jane A Hassinger, Meghan Seewald, Lisa H Harris
OBJECTIVES: We report on the development of a scale measuring abortion providers' experiences of stigma. STUDY DESIGN: Using previous measures, qualitative data, and expert review, we created a 49-item question pool. We administered questions to 315 abortion providers before participation in the Providers Share Workshop. We explored the factor structure and item quality using exploratory factor analysis. We assessed reliability using Cronbach's alpha. To test construct validity, we calculated Pearson's correlation coefficients between the stigma scales, the Maslach Burnout Inventory, and the K10 measure of psychological distress...
November 10, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29132912/humanization-in-healthcare-arises-from-the-need-for-a-holistic-approach-to-illness
#6
C de la Fuente-Martos, M Rojas-Amezcua, M R Gómez-Espejo, P Lara-Aguayo, E Morán-Fernandez, E Aguilar-Alonso
Suffering is not only exclusive to patients or their relatives, but also to the health professionals, who feel to be at the center of the depersonalization process. Over-technification and the fact that the disease process is sometimes the only focal point of our activities, together with the ever-increasing influence of institutional power seen in recent times, all cause the health professional to be the first in demanding a change in health institution dynamics. Following initial reflection from one of the most technified medical specialties (Intensive Care Medicine), classically isolated from the rest of the Hospital and from the community, we implemented a project aimed at securing integration and empathy in our approach to patients and their relatives in the Intensive Care Unit (ICU) of Infanta Margarita Hospital...
November 10, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/29119764/-is-burnout-a-syndrome-or-an-occupational-disease-instructions-for-occupational-physicians
#7
Francesco Chirico
Since Herbert Freudenberger described Burnout Syndrome (BOS) in 1974, thousands of scientific papers have been published on this syndrome and this trend does not seem to diminish. After being internationally known as a syndrome characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment in helping professions, its construct has been criticized, questioned, and subjected to profound modifications. To date, however, in Italy and in many other Countries it is not possible to diagnose this syndrome, because World Health Organization, in its last ICD-10, did not indicate any clinical criteria to diagnose it...
September 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29107117/burnout-and-stress-among-us-surgery-residents-psychological-distress-and-resilience
#8
Carter C Lebares, Ekaterina V Guvva, Nancy L Ascher, Patricia S O'Sullivan, Hobart W Harris, Elissa S Epel
BACKGROUND: Burnout among physicians affects mental health, performance and patient outcomes. Surgery residency is a high-risk time for burnout. We examined burnout and the psychological characteristics that may contribute to burnout vulnerability and resilience in a group of surgical trainees. STUDY DESIGN: An online survey was distributed in September, 2016, to all ACGME-accredited general surgery programs. Burnout was assessed with an abbreviated Maslach Burnout Inventory...
October 24, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29098444/what-is-a-task-an-ideomotor-perspective
#9
Stefan Künzell, Laura Broeker, David Dignath, Harald Ewolds, Markus Raab, Roland Thomaschke
Although multitasking has been the subject of a large number of papers and experiments, the term task is still not well defined. In this opinion paper, we adopt the ideomotor perspective to define the term task and distinguish it from the terms goal and action. In our opinion, actions are movements executed by an actor to achieve a concrete goal. Concrete goals are represented as anticipated sensory consequences that are associated with an action in an ideomotor manner. Concrete goals are nested in a hierarchy of more and more abstract goals, which form the context of the corresponding action...
November 2, 2017: Psychological Research
https://www.readbyqxmd.com/read/29097859/quantifying-burnout-among-emergency-medicine-professionals
#10
William Wilson, Jeffrey Pradeep Raj, Girish Narayan, Murtuza Ghiya, Shakuntala Murty, Bobby Joseph
Background: Burnout is a syndrome explained as serious emotional depletion with poor adaptation at work due to prolonged occupational stress. It has three principal components namely emotional exhaustion(EE), depersonalization(DP) and diminished feelings of personal accomplishment(PA). Thus, we aimed at measuring the degree of burnout in doctors and nurses working in emergency medicine department (EMD) of 4 select tertiary care teaching hospitals in South India. Methods: A cross sectional survey was conducted among EMD professionals using a 30-item standardized pilot tested questionnaire as well as the Maslach burnout inventory...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29094426/antecedents-and-associations-of-sickness-presenteeism-and-sickness-absenteeism-in-nurses-a-systematic-review
#11
Hana Brborović, Qëndresë Daka, Kushtrim Dakaj, Ognjen Brborović
AIMS: This study comprehensively analysed and systemized the elements associated with nursing sickness presenteeism (SP) and sickness absenteeism (SA). BACKGROUND: Both behaviours represent a real challenge to nursing departments because they can increase costs, cause health care adverse events, and impact the quality of health care. DESIGN: The systematic review of cohort studies was designed to be consistent with the PRISMA guidelines. DATA SOURCES: PubMed, ProQuest, and Emerald were systematically searched for peer-reviewed articles published from the 1950s to December 2016...
November 1, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29080235/cortical-thickness-alterations-linked-to-somatoform-and-psychological-dissociation-in-functional-neurological-disorders
#12
David L Perez, Nassim Matin, Benjamin Williams, Kaloyan Tanev, Nikos Makris, W Curt LaFrance, Bradford C Dickerson
BACKGROUND: Links between dissociation and functional neurological disorder (FND)/conversion disorder are well-established, yet the pathophysiology of dissociation remains poorly understood. This MRI study investigated structural alterations associated with somatoform and psychological dissociation in FND. We hypothesized that multimodal, paralimbic cingulo-insular regions would relate to the severity of somatoform dissociation in patients with FND. METHODS: FreeSurfer cortical thickness and subcortical volumetric analyses were performed in 26 patients with motor FND and 27 matched healthy controls...
October 28, 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/29063485/the-dissociative-subtype-of-post-traumatic-stress-disorder-research-update-on-clinical-and-neurobiological-features
#13
Jytte van Huijstee, Eric Vermetten
Recently, a dissociative subtype of post-traumatic stress disorder (PTSD) has been included in the DSM-5. This review focuses on the clinical and neurobiological features that distinguish the dissociative subtype of PTSD from non-dissociative PTSD. Clinically, the dissociative subtype of PTSD is associated with high PTSD severity, predominance of derealization and depersonalization symptoms, a more significant history of early life trauma, and higher levels of comorbid psychiatric disorders. Furthermore, PTSD patients with dissociative symptoms exhibit different psychophysiological and neural responses to the recall of traumatic memories...
October 21, 2017: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/29043375/assessing-the-structure-and-meaningfulness-of-the-dissociative-subtype-of-ptsd
#14
Jana Ross, Gabriel Baník, Mária Dědová, Gabriela Mikulášková, Cherie Armour
PURPOSE: Studies conducted in the USA, Canada and Denmark have supported the existence of the dissociative PTSD subtype, characterized primarily by symptoms of depersonalization and derealization. The current study aimed to examine the dissociative PTSD subtype in an Eastern European, predominantly female (83.16%) sample, using an extended set of dissociative symptoms. METHODS: A latent profile analysis was applied to the PTSD and dissociation data from 689 trauma-exposed university students from Slovakia...
September 29, 2017: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29043298/professional-burnout-and-concurrent-health-complaints-in-neonatal-nursing
#15
Natalija Skorobogatova, Nida Žemaitienė, Kastytis Šmigelskas, Rasa Tamelienė
The aim of this study was to analyze nurses' professional burnout and health complaints and the relationship between the two components. METHODS: The anonymous survey included 94 neonatal intensive care nurses from two centers of perinatology. The Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to evaluate professional burnout; it consisted of 3 components, Emotional Exhaustion, Depersonalization, and Personal Accomplishments, with 22 items in total. Health complaints were evaluated by 21 items, where nurses were asked to report the occurrence of symptoms within the last year...
2017: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/29038094/transdiagnostic-psychodynamic-web-based-self-help-intervention-following-inpatient-psychotherapy-results-of-a-feasibility-study-and-randomized-controlled-trial
#16
Rüdiger Zwerenz, Jan Becker, Robert Johansson, Ronald J Frederick, Gerhard Andersson, Manfred E Beutel
BACKGROUND: Mental disorders have become a major health issue, and a substantial number of afflicted individuals do not get appropriate treatment. Web-based interventions are promising supplementary tools for improving health care for patients with mental disorders, as they can be delivered at low costs and used independently of time and location. Although psychodynamic treatments are used frequently in the face-to-face setting, there has been a paucity of studies on psychodynamic Web-based self-help interventions...
October 16, 2017: JMIR Mental Health
https://www.readbyqxmd.com/read/29031320/burnout-and-its-relationship-with-personality-factors-in-oncology-nurses
#17
Emilia I De la Fuente-Solana, José L Gómez-Urquiza, Gustavo R Cañadas, Luis Albendín-García, Elena Ortega-Campos, Guillermo A Cañadas-De la Fuente
PURPOSE: To assess burnout levels in oncology nurses, to evaluate at what stage of burnout suffering they are and to analyze the relationship between burnout with personality factors. METHOD: A quantitative, observational, cross-sectional multicenter study was done. Oncology nurses (n = 101) from the Andalusian Health Service (Andalusia, Spain) were included. The main variables were personality factors, assessed with the NEO-FFI questionnaire, anxiety and depression, assessed with the Educational-Clinical Questionnaire: Anxiety and Depression, and burnout, evaluated with the Maslach Burnout Inventory...
October 2017: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/29026930/-burnout-a%C3%A2-call-for-action
#18
REVIEW
C S Hartog
BACKGROUND: Burnout is an emerging topic and has recently been the subject of a position paper of the US American Society of Critical Care Medicine. OBJECTIVES: To give an overview over prevalence, causes, and relevance of burnout in intensive care unit (ICU) clinicians and point to potential prevention strategies MATERIALS AND METHODS: Narrative review. RESULTS AND CONCLUSION: Burnout is a job-related state which results from long-lasting, permanent work overload when short spells of recreation, for instance during the weekend, are not effective to reduce exhaustion, vegetative symptoms, loss of efficiency, and depersonalization...
October 12, 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/29016982/burnout-in-belgian-physicians-and-nurses
#19
S Vandenbroeck, E Van Gerven, H De Witte, K Vanhaecht, L Godderis
Background: Burnout in healthcare is a worldwide problem. However, most studies focus narrowly on work-related factors and outcomes in one health profession or speciality. Aims: To investigate the prevalence of burnout and its association with job demands, job resources, individual well-being, work-related attitudes and behaviour in physicians and nurses across different specialties. Methods: Multi-centre cross-sectional study of physicians and nurses working in Belgian hospitals...
September 6, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/28992145/burnout-syndrome-among-non-consultant-hospital-doctors-in-ireland-relationship-with-self-reported-patient-care
#20
Che Fatehah Che Sulaiman, Patrick Henn, Simon Smith, Colm M P O'Tuathaigh
Objective: Intensive workload and limited training opportunities for Irish non-consultant hospital doctors (NCHDs) has a negative effect on their health and well-being, and can result in burnout. Burnout affects physician performance and can lead to medical errors. This study examined the prevalence of burnout syndrome among Irish NCHDs and its association with self-reported medical error and poor quality of patient care. Methods: A cross-sectional quantitative survey-based design...
October 1, 2017: International Journal for Quality in Health Care
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