جستجوی مقالات مرتبط با کلیدواژه « Behavioral symptoms » در نشریات گروه « پزشکی »

Social anxiety is one of the most prevalent issues leading to significant functional and behavioral disorders in children. This study aims to investigate the effectiveness of neurofeedback intervention on the behavioral performance of children with social anxiety disorder (SAD).

A quasi-experimental study was conducted with a time series design and control group. The statistical population included all 6-8-year old children with SAD (according to the clinical interview and the cut-off score in Leibovitz’s social anxiety questionnaire) referring to the Ziai Counseling Clinic in Meybod City, Iran. A total of 10 children were selected by convenient sampling method and were randomly assigned to experimental and control groups. The experimental group received 16 sessions of neurofeedback intervention, while the control group received no special intervention. Goodman’s abilities and problems questionnaire was used to measure children’s behavioral performance in five phases, pre-test, fourth, eighth, and twelfth sessions of the intervention phase, and post-test. The data were analyzed using analysis of variance (ANOVA) with repeated measurements.

The results showed a significant difference between the mean scores of the experimental group and the control group in behavioral performance; additionally, in the experimental group, a significant difference was observed between the scores of behavioral performances in different phases of measurement, but this difference did not exist in the control group.

The neurofeedback intervention is effective in improving the behavioral performance of children with SAD and can be used as a complementary treatment alongside other psychological and drug treatments for these children.

Type 1 diabetes mellitus (T1DM) is one of the most common chronic diseases in childhood and adolescence, which is associated with various psychological problems. This study aims to compare the effect of group internet-delivered self-management training (iSMT) and “patient child” play (PCP) on externalizing and internalizing problems in children with T1DM in Isfahan City, Iran.

This randomized clinical trial was conducted from January 2020 to October 2021. From all children aged 8 to 11 years with T1DM diagnosed by endocrinologists, 75 children were selected based on inclusion and exclusion criteria and were randomly assigned into three groups, iSMT, PCP, and control (each group was 25). Their parents filled out the child behavior checklist (CBCL) for them in the pre and post-treatment stages. The iSMT group received 10 sessions of education via Skyroom and the playgroup performed PCP for 10 sessions. The control group did not receive any psychological intervention. All participants received routine diabetes medication. Data were analyzed using SPSS software, version 23 and analysis of variance (ANOVA) for 59 children in 3 groups (iSMT=19, PCP=20, and control=20).

The results showed that the PCP group had more improvement in SP compared to the iSMT group as well as a significant improvement in rule-breaking behaviors (RB) compared to the control group.

PCP is effective in improving SP and RB of children with T1DM and can be used as a complementary treatment for them.

Available treatments of depression have limited efficacy and unsatisfactory remission rates. This study aims to review randomized controlled trials (RCTs) investigating effects of glutamate receptor modulators in treating patients with resistant depression.

The study protocol was registered in PROSPERO (CRD42021225516). Scopus, ISI Web of Science, Embase, Cochrane Library, Google Scholar, and three trial registries were searched up to September 2020 to find RCTs evaluating glutamate receptor modulators for resistant depression. The difference between intervention and control groups in changing depression scores from baseline to endpoint was considered the primary outcome. Version 2 of the Cochrane risk-of-bias tool for randomized trials was used to assess the quality of the RCTs. No funding was received.

Thirty-eight RCTs were included. Based on the included studies, compelling evidence was found for ketamine (with or without electroconvulsive therapy, intravenous or other forms), nitrous oxide, amantadine, and rislenemdaz (MK-0657); the results for MK-0657, amantadine, and nitrous oxide were only based on one study for each. Lithium, lanicemine, D-cycloserine, and decoglurant showed mixed results for efficacy, and, riluzole, and 7-chlorokynurenic acid were mostly comparable to placebo. A limited number of studies were available that addressed drugs other than ketamine.

The study cannot determine the difference between statistical and clinical significance between the agents and placebo due to high heterogeneity among the RCTs. Nevertheless, ketamine could be used as an efficacious drug in TRD; still, additional studies are needed to delineate the optimum dosage, duration of efficacy, and intervals. Further studies are also recommended on the effectiveness of glutamatergic system modulators other than ketamine on treatment-resistant depression.

Dementia Care Mapping (DCM) was originally developed as an observation tool to examine person-centered care in long-term care facilities and to evaluate the quality of life and well-being of people with dementia (PwD). However, the effects of a music intervention using this tool have not been investigated so far. This leads to the following research question: How does a music intervention which involves music therapy and other music-based interventions affect the observed well-being and behavior of PwD living in nursing homes?

In this 14-week, non-controlled music intervention study, data from 30 PwD aged between 52 and 97 (M = 81.4 years) were analyzed. DCM coding involves continuous observation for five hours on four days in the baseline and intervention phase. In the follow-up phase PwD were mapped on two days for five hours. The DCM method were used to measure well-being and certain behaviors of PwD.

The well-being during the observation remained almost constant and corresponds to a neutral state of affect and focused contact, with no indication of positive or negative sensations. Significant improvements in certain behaviors were observed in the course from baseline to intervention phase. For example, it was shown that physical activities of the participants, such as (instructed) sports exercises, strengthening or physically challenging exercises in the intervention phase were significantly higher (M = 0.99, SD = 1.82) than at baseline phase (M = 0.00, SD = 0.00) (z = -2.37, p = .02, n = 26). Similar results were shown for expressive/creative activities or work-related activities (e.g. washing dishes).

In summary, it can be stated that music interventions can promote communication and movement. However, musical stimulation is not one of the essential components of improving behavioral and psychological symptoms or well-being for PwD in nursing homes.

India ranks 4th in the elderly population. Ageing play an important role in the well being and associated factors. The present study was conducted to understand the feeling of the elderly residing in urban and rural areas of Shivamogga, Karnataka southern India. 

The study was conducted on 200 elderly by a questionnaire on their socio- demographic profile, health, residing place, lifestyle, life satisfaction, dissatisfaction, culture, tradition, the role of technology and government. Data were analyzed with Pearson correlation coefficient.

For most of the analysed factors rural elders had shown strong positive correlation compared to urban elders. Health condition is positively significant in rural elders (rs = 0.76, p > 0.05), when compared to urban elders (rs = 0.67, p > 0.05), the place of residing is having strong correlation with rural (rs = 0.97, p > 0.05), because they reside in their own home then urban (rs = 0.56, p > 0.05), as they reside in rented house hence their attachment to rented house is less than own home. 

The elders of rural-urban areas of shivamogga had shown positive significance with the selected factors, but the strong inclination is towards rural elders. The rural-urban divide and emotional psychological behaviours need further investigation

Nowadays, forecasting models based on nonparametric models have been developed in many branches of science such as mathematics and economics. However, the relatively complicated structure of these models has made them less practical in medical sciences.

In this study, we investigated the application of a nonparametric regression model to predict the psychological symptoms appearing six months after mild traumatic brain injury. We also made a comparison between the performance of nonparametric regression and artificial neural network models in predicting the psychological symptoms.

In a six-month period during 2015 - 2017, information of 100 mild traumatic patients was included in a prospective cohort study. The data were then divided randomly into two groups of training (n = 50) and testing (n = 50) for 100 times. In the training group, the focus was on 100 artificial neural network and nonparametric regression models. However, in the testing group, a comparison was made between the values obtained using the two final models. To compare the models, the ROC curve and the accuracy rate were finally applied.

According to the obtained results, the nonparametric regression model showed an accuracy rate of 91.25% while the neural network model had an accuracy rate of 85.34%. In the experimental set for both neural network and nonparametric regression models, the area under the ROC curve appeared to be 81.51% and 85.73 %, respectively.

The nonparametric regression model appeared to be more powerful than the neural network model in predicting psychological symptoms.