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[PMID]:28367936
[Au] Autor:Kobayashi T
[Ad] Endereço:Department of Food Science and Human Wellness, Rakuno Gakuen University.
[Ti] Título:Effects of sense of coherence on depressive symptoms after employment in the Japan Self-Defense Force among male young adults.
[So] Source:Nihon Koshu Eisei Zasshi;64(3):150-155, 2017.
[Is] ISSN:0546-1766
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:Objective The present study aimed to explore the effects of sense of coherence (SOC) on depressive symptoms after employment in the Japan Self-Defense Force among male young adults.Methods In April 2013, 953 new male members of the Japan Ground Self-Defense Force (JGSDF; age range: 18-24 years) participated in this study. Depressive symptoms were assessed using the 20-item version of the Center for Epidemiologic Studies Depression scale (CES-D), which defines a score of 16 or greater as indicating the presence of depressive symptoms. The SOC score was assessed using a 13-item version (SOC-13), in which a score of 59 or greater is as assigned to the high score group. A second survey was conducted two months later, in June of 2013. For the analysis, we selected participants without depressive symptoms at the baseline survey. The association between SOC scores at baseline and the onset of depressive symptoms was examined using a logistic regression analysis.Results The final analysis was conducted on data on 389 new male members of the JGSDF. The logistic regression analysis showed a significant reduction in the onset of depressive symptoms among the group with high SOC scores (odds ratios: 0.59, 95% confidence interval=0.35-0.98) as compared with that observed in the group with low SOC scores.Conclusions The present study clarified that SOC among male young adults has a buffering effect on the risk of developing depressive symptoms after employment in the Japan Self-Defense Force. Our results may be useful for improving the mental health of new employees.
[Mh] Termos MeSH primário: Depressão/psicologia
Militares/psicologia
Senso de Coerência
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Psiquiatria Militar
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.11236/jph.64.3_150


  2 / 1224 MEDLINE  
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[PMID]:27444881
[Au] Autor:McKinnon MC; Boyd JE; Frewen PA; Lanius UF; Jetly R; Richardson JD; Lanius RA
[Ad] Endereço:Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada; Mood Disorders Program, St. Joseph's Healthcare Hamilton, ON, Canada; Homewood Research Institute, Guelph, ON, Canada. Electronic address: mmckinno@stjoes.ca.
[Ti] Título:A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions.
[So] Source:Neuropsychologia;90:210-34, 2016 Sep.
[Is] ISSN:1873-3514
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Dissociative experiences, involving altered states of consciousness, have long been understood as a consequence or response to traumatic experiences, where a reduced level of consciousness may aid in survival during and after a traumatic event. Indeed, the dissociative subtype of post-traumatic stress disorder (PTSD-DS) was added recently to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Dissociative symptoms are present across a host of neuropsychiatric conditions, including PTSD, psychotic spectrum illnesses, anxiety and mood disorders. Transdiagnostically, the presence of dissociative symptoms is associated with a greater illness burden and reduced treatment outcomes. Critically, dissociative symptoms are related to impaired performance on measures of attention, executive functioning, memory, and social cognition and may contribute to the widespread cognitive dysfunction observed across psychiatric illnesses. Despite this knowledge, the relation between dissociative symptoms and reduced cognitive function remains poorly understood. Here, we review the evidence linking dissociative symptoms to cognitive dysfunction across neuropsychiatric disorders. In addition, we explore two potential neurobiological mechanisms that may underlie the relation between dissociative symptoms and cognitive dysfunction in trauma-related neuropsychiatric conditions. Specifically, we hypothesize that: 1) functional sensory deafferentation at the level of the thalamus, as observed in the defence cascade model of dissociation, may underlie reduced attention and arousal leading to progressive cognitive dysfunction and; 2) altered functional connectivity between key brain networks implicated in cognitive functioning may represent a critical neurobiological mechanism linking dissociative symptoms and cognitive dysfunction in patients with PTSD-DS and transdiagnostically.
[Mh] Termos MeSH primário: Transtornos Cognitivos/etiologia
Transtornos Dissociativos/etiologia
Transtornos da Memória/etiologia
Transtornos Mentais/complicações
Transtornos Mentais/psicologia
Comportamento Social
[Mh] Termos MeSH secundário: Função Executiva/fisiologia
Seres Humanos
Psiquiatria Militar
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170512
[Lr] Data última revisão:
170512
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE


  3 / 1224 MEDLINE  
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[PMID]:27120951
[Au] Autor:Yusupov VV; Ovchinnikov BV; Korzunin VA; Nagibovich OA; Goncharenko AY; Porozhnikov PA
[Ti] Título:[Modern state and prospects of development of medical-and-psychological support of military servicemen of the Armed Forces of the Russian Federation].
[So] Source:Voen Med Zh;337(1):22-8, 2016 Jan.
[Is] ISSN:0026-9050
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The authors analysed state and prospects of medical-and-psychological support of military servicemen, which is supposed to consider as a complex of measures aimed at monitoring of professional psychological health, professional-and-psychological expertise, psychophysiological and pharmacological, correction, and medical-and-psychological rehabilitation. Organisation and maintaince of the above mentioned measures should be carried out by specialists of medical--and-psychological support groups and medical-and-psychological correction.
[Mh] Termos MeSH primário: Medicina Militar
Militares
Psiquiatria Militar
Psicologia Militar
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Medicina Militar/métodos
Medicina Militar/normas
Psiquiatria Militar/métodos
Psiquiatria Militar/normas
Psicologia Militar/métodos
Psicologia Militar/normas
Federação Russa
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160428
[Lr] Data última revisão:
160428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160429
[St] Status:MEDLINE


  4 / 1224 MEDLINE  
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[PMID]:26926745
[Au] Autor:Lande RG; Pourzand M
[Ad] Endereço:Walter Reed National Military Medical Center, Building 8, 4th Floor, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600.
[Ti] Título:Components and Characteristics of a Psychiatric Partial Hospital Military Program.
[So] Source:Mil Med;181(3):213-8, 2016 Mar.
[Is] ISSN:1930-613X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes the components of a psychiatric partial hospital military program and the characteristics of referrals received over the 5-year period from 2009 to 2013. The 5-year study period included ongoing combat operations in Iraq and Afghanistan along with their subsequent troop withdrawals and change in mission. A total of 1,194 service members were referred for this level of care, and even with the changing battlefield conditions, the number of psychiatric referrals remained steady throughout the 5-year period, with a significant spike in admissions in 2013. The principal diagnoses were major depressive disorder and post-traumatic stress disorder. One-third of the admissions came from service members with 4 to 8 years' time in service and slightly more than one-third were employed in direct combat roles or medical support. In terms of gender, females accounted for one-quarter of the admissions.
[Mh] Termos MeSH primário: Hospital Dia/métodos
Hospital Dia/estatística & dados numéricos
Hospitais Militares
Transtornos Mentais/terapia
Militares/psicologia
Psiquiatria Militar/métodos
[Mh] Termos MeSH secundário: Adulto
Campanha Afegã de 2001-
Afeganistão
Feminino
Seres Humanos
Iraque
Guerra do Iraque 2003-2011
Masculino
Meia-Idade
Escalas de Graduação Psiquiátrica
Encaminhamento e Consulta/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170215
[Lr] Data última revisão:
170215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160302
[St] Status:MEDLINE
[do] DOI:10.7205/MILMED-D-14-00716


  5 / 1224 MEDLINE  
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[PMID]:26786704
[Au] Autor:McCroskey A; Nieves JE
[Ad] Endereço:Eastern Virginia Medical School, Norfolk, VA, USA. mccrosal@evms.edu.
[Ti] Título:Psychiatry Clerkships in Active Duty Military Installations: A Medical Student Experience.
[So] Source:Acad Psychiatry;40(2):394-5, 2016 Apr.
[Is] ISSN:1545-7230
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Cooperativo
Educação de Pós-Graduação em Medicina/métodos
Internato e Residência/métodos
Psiquiatria Militar/educação
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:COMMENT; LETTER
[Em] Mês de entrada:1606
[Cu] Atualização por classe:160223
[Lr] Data última revisão:
160223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160121
[St] Status:MEDLINE
[do] DOI:10.1007/s40596-016-0485-3


  6 / 1224 MEDLINE  
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[PMID]:26141210
[Au] Autor:Finnegan A; Kip K; Hernandez D; McGhee S; Rosenzweig L; Hynes C; Thomas M
[Ad] Endereço:RCDM, British Army, Birmingham, UK.
[Ti] Título:Accelerated resolution therapy: an innovative mental health intervention to treat post-traumatic stress disorder.
[So] Source:J R Army Med Corps;162(2):90-7, 2016 Apr.
[Is] ISSN:0035-8665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Post-traumatic stress disorder (PTSD) is a disabling trauma and stress-related disorder that may occur after a person experiences a traumatic event, and evokes a combination of intrusion and avoidance symptoms, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Accelerated resolution therapy (ART) is an emerging psychotherapy that provides fast and lasting resolution for mental health problems such as PTSD. ART has been shown to achieve a positive result in one to five sessions, typically over a 2-week period, and requires no homework, skills practice or repeated exposure to targeted events. Initial research, including one randomised control trial, has demonstrated that ART interventions can significantly reduce symptoms of psychological trauma in both civilians and US service members and veterans. These results suggest that ART be considered as either a primary treatment option or for refractory PTSD in those with a suboptimal response to endorsed first-line therapies. Conservative estimates indicate substantial potential cost savings in PTSD treatment. Despite the need for more definitive clinical trials, there is increasing interest in ART in the USA, including in the US Army. The growing positive empirical evidence is compelling, and there appears to be sufficient evidence to warrant UK researchers undertaking ART research. The armed forces offer the potential for comparative international trials. However, equally important are veterans, emergency services personnel and those subjected to violence. ART appears to also have application in other conditions, including depression, anxiety disorders, and alcohol or drug misuse. ART can potentially help personnel traumatised by the unique challenges of war and conflict zones by providing brief psychotherapy in a readily accessible and culturally competent manner. ART facilitates the provision of interventions and resolutions in theatre, thus enhancing forces' fighting capability.
[Mh] Termos MeSH primário: Militares/psicologia
Psiquiatria Militar/métodos
Psicoterapia Breve/métodos
Transtornos de Estresse Pós-Traumáticos/terapia
Veteranos/psicologia
[Mh] Termos MeSH secundário: Transtornos de Ansiedade/psicologia
Transtornos de Ansiedade/terapia
Transtorno Depressivo/psicologia
Transtorno Depressivo/terapia
Dessensibilização e Reprocessamento através dos Movimentos Oculares
Seres Humanos
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos Relacionados ao Uso de Substâncias/psicologia
Transtornos Relacionados ao Uso de Substâncias/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160330
[Lr] Data última revisão:
160330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150705
[St] Status:MEDLINE
[do] DOI:10.1136/jramc-2015-000417


  7 / 1224 MEDLINE  
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[PMID]:26112376
[Au] Autor:de Burgh HT
[Ti] Título:The training value of working with armed forces inpatients in psychiatry.
[So] Source:J R Army Med Corps;162(2):85-7, 2016 Apr.
[Is] ISSN:0035-8665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Over the last 10 years, the UK armed forces (UKAF) have been involved in operations worldwide. Mental health in the armed forces (AF) has been the subject of considerable interest in part because of a perceived added risk of psychological distress in this population. Inpatient psychiatric services are provided through partnerships with NHS hospitals. The Cavell Centre, Peterborough's acute inpatient psychiatric unit has up to four beds for service personnel, under the care of a civilian consultant psychiatrist and his AF Foundation Year 2 doctor (F2). This was the only Ministry of Defence (MoD) inpatient unit which had a training post for an AF doctor, but the post ended in August 2014 with the closure of MoD Hospital Unit Peterborough (MDHU(P)). This article outlines the differences in civilian and AF inpatient care and discusses the training value of AF doctors managing service personnel who are psychiatric inpatients.
[Mh] Termos MeSH primário: Alcoolismo/terapia
Pacientes Internados
Serviços de Saúde Mental
Militares/psicologia
Psiquiatria Militar/educação
Transtornos de Estresse Pós-Traumáticos/terapia
[Mh] Termos MeSH secundário: Alcoolismo/psicologia
Seres Humanos
Transtornos Mentais/psicologia
Transtornos Mentais/terapia
Psiquiatria/educação
Medicina Estatal
Transtornos de Estresse Pós-Traumáticos/psicologia
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150627
[St] Status:MEDLINE
[do] DOI:10.1136/jramc-2015-000434


  8 / 1224 MEDLINE  
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[PMID]:26692001
[Au] Autor:Britt TW; Jennings KS; Cheung JH; Pury CL; Zinzow HM
[Ad] Endereço:Department of Psychology.
[Ti] Título:"The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel": Correction to Britt et al. (2015).
[So] Source:Psychiatr Rehabil J;38(4):379, 2015 Dec.
[Is] ISSN:1559-3126
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Reports an error in "The role of different stigma perceptions in treatment seeking and dropout among active duty military personnel" by Thomas W. Britt, Kristen S. Jennings, Janelle H. Cheung, Cynthia L. S. Pury and Heidi M. Zinzow (Psychiatric Rehabilitation Journal, 2015[Jun], Vol 38[2], 142-149). Six participants were included in the sample for the treatment-seeking analyses who scored 50 or above on the PTSD Checklist, but did not meet the specific criteria on the three PTSD subscales. Of these six participants, four screened positive for another problem. Removing the two participants who did not screen positive for another problem did not affect the significance of any of the predictors in the analyses. (The following abstract of the original article appeared in record 2015-12033-001.) OBJECTIVE: Many military personnel with mental health problems do not seek treatment from mental health professionals, and if they do seek treatment, they drop out of treatment before receiving the recommended number of sessions. The present study examined the role of 4 different stigma perceptions on these outcomes: perceived stigma to career, perceived stigma of differential treatment, self-stigma from seeking treatment, and stigmatizing perceptions of soldiers who seek treatment. METHOD: One thousand three hundred twenty-four active duty soldiers completed a self-report survey assessment that included measures of the 4 different stigma perceptions, indices of mental health symptoms, receipt of mental health treatment, and whether they had dropped out of treatment before it was completed. RESULTS: Participants screening positive for a mental health problem reported higher scores on all 4 stigma perceptions. All 4 stigma perceptions were each associated with a reduced likelihood of treatment seeking when considered individually, but only stigmatizing beliefs about those who seek treatment were uniquely associated with treatment seeking. Perceived stigma for one's career and differential treatment from others, along with self-stigma from treatment seeking, were associated with an increased probability of dropping out of mental health treatment. Self-stigma from treatment seeking was the only unique predictor of dropout. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Different stigma perceptions were associated with treatment seeking and dropout. Further longitudinal research is needed to examine how stigma perceptions influence these important outcomes. Practitioners need to be aware of how different stigma perceptions can influence treatment seeking and potentially target stigma perceptions during treatment to prevent dropout.
[Mh] Termos MeSH primário: Militares/psicologia
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Pacientes Desistentes do Tratamento/psicologia
Estigma Social
Transtornos de Estresse Pós-Traumáticos
[Mh] Termos MeSH secundário: Seres Humanos
Saúde Mental
Psiquiatria Militar/métodos
Técnicas Psicológicas
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
[Pt] Tipo de publicação:PUBLISHED ERRATUM
[Em] Mês de entrada:1609
[Cu] Atualização por classe:151222
[Lr] Data última revisão:
151222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151223
[St] Status:MEDLINE
[do] DOI:10.1037/prj0000170


  9 / 1224 MEDLINE  
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[PMID]:26454923
[Au] Autor:Kuvshinov KE; Trishkin DV; Goncharenko AY; Shamrei VK; Borisov DN; Lobachev AV
[Ti] Título:[Prospects of IT usage in the field of military psychiatry].
[So] Source:Voen Med Zh;336(3):4-14, 2015 Mar.
[Is] ISSN:0026-9050
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Development of effective information support for monitoring of internal health, based on the principles of complex diagnostics, provides the necessary tools objektive evaluation and prediction of mental health in servicemen. Effectiveness of psychiatric prophylaxys technologies depends on compliance with a number of fundamental principles, the main of which should be considered as a multidimensional assessment of mental health in servicemen and real cooperation of different specialists (commanders, specialists of medical and psychological service) for its implementation. In this case, an introduction of information and communication technologies on the basis of the district (fleet) and the Central Military Hospital, as well as other bodies of military control will be almost justified only when creating a full-fledged "information field of military psychiatry" that implements the basic principles of the monitoring system of mental health and includes necessary infrastructure. The practical implementation of this system will allow to personjfyfy medical and psychological assistance to military personnel, to improve early diagnosis of mental disorders, addictive .and suicidal behaviour, and thus increase the effectiveness throughout psychiatric prophylaxis in the army.
[Mh] Termos MeSH primário: Informática Médica/organização & administração
Informática Médica/tendências
Saúde Mental
Psiquiatria Militar/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Militares
Psiquiatria Militar/organização & administração
Federação Russa
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1511
[Cu] Atualização por classe:151012
[Lr] Data última revisão:
151012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151013
[St] Status:MEDLINE


  10 / 1224 MEDLINE  
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[PMID]:26122348
[Au] Autor:Schnitzlein CW; Lee DJ; Wise JE; Warner CH
[Ad] Endereço:Bayne-Jones Army Community Hospital, Fort Polk, LA, USA.
[Ti] Título:Both Feet In: Maintaining an Academic Focus During the Transition from Residency to a First Military Assignment.
[So] Source:Acad Psychiatry;39(4):372-5, 2015 Aug.
[Is] ISSN:1545-7230
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Maintenance of an academic focus is difficult for military residents transitioning into their first duty assignment. METHOD: Building upon previous work on this subject, the authors present an updated and expanded junior faculty development model organized around seven overlapping domains: mentorship, scholarship, research, career planning, openness to experience, networking with other disciplines, and responsibility seeking. Using these seven domains as a platform for discussion, the authors focus on challenges facing early-career military psychiatrists and provide guidance based upon personal experience and limited applicable research. RESULTS: The authors believe that highly successful early-career psychiatrists wishing to maintain an academic focus possess a proactive attitude, obtain skillful mentoring, work well with others, and are able to adapt to new environments. CONCLUSION: Through conscious planning and goal setting, they are able to capitalize on opportunities as they become available.
[Mh] Termos MeSH primário: Escolha da Profissão
Docentes de Medicina
Internato e Residência
Militares
Psiquiatria Militar
[Mh] Termos MeSH secundário: Seres Humanos
Mentores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150710
[Lr] Data última revisão:
150710
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150701
[St] Status:MEDLINE
[do] DOI:10.1007/s40596-015-0369-y



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