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与黎巴嫩人群焦虑相关的因素:述情障碍、自尊、酒精使用障碍、情绪智力以及压力和倦怠的作用。

Factors associated with anxiety among the Lebanese population: the role of alexithymia, self-esteem, alcohol use disorders, emotional intelligence and stress and burnout.

机构信息

Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.

Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.

出版信息

Int J Psychiatry Clin Pract. 2020 Jun;24(2):151-162. doi: 10.1080/13651501.2020.1723641. Epub 2020 Feb 7.

Abstract

To assess factors associated with anxiety among a sample of the Lebanese population. A cross-sectional, conducted between November 2017 and March 2018, enrolled 789 participants. Anxiety was measured using the Hamilton Anxiety Scale. A cluster analysis was then performed with the identified factor scores to identify the different profiles of the participants. A cluster analysis based on the three factors derived three mutually exclusive clusters, which form 29.62%, 34.54%, and 35.84% of all participants, respectively. The first cluster represented people in distress (low emotional intelligence, high depersonalisation, alcohol use disorder, burnout, stress, alexithymia and low self-esteem); the second one represented people with wellbeing (High emotional intelligence, low depersonalisation, low alcohol use disorder, low burnout, low stress, low alexithymia and high self-esteem), whereas cluster 3 represented people in between. Higher age (Beta  =  0.065) was significantly associated with higher anxiety, whereas being in cluster 2 (people with wellbeing) (Beta = -12.37) and cluster 3 (people in between) (Beta = -5.426) were significantly associated with lower anxiety compared to being in cluster 1 (people in distress). The findings of this study are overall consistent with those of epidemiologic community-based surveys and may help inform structural models of classification and prediction of anxiety disorders (ADs).

摘要

评估黎巴嫩人群样本中焦虑相关因素。横断面研究于 2017 年 11 月至 2018 年 3 月进行,共纳入 789 名参与者。焦虑使用汉密尔顿焦虑量表进行评估。然后对确定的因子得分进行聚类分析,以确定参与者的不同特征。基于三个因素的聚类分析得出了三个相互排斥的聚类,分别占所有参与者的 29.62%、34.54%和 35.84%。第一个聚类代表处于困境中的人(情绪智力低、人格解体高、酒精使用障碍、倦怠、压力、述情障碍和自尊心低);第二个聚类代表幸福感高的人(情绪智力高、人格解体低、酒精使用障碍低、倦怠低、压力低、述情障碍低和自尊心高),而第三个聚类则处于两者之间。较高的年龄(β=0.065)与较高的焦虑显著相关,而与处于第 2 聚类(幸福感高的人)(β=-12.37)和第 3 聚类(处于两者之间的人)(β=-5.426)相比,处于第 1 聚类(处于困境中的人)的人焦虑程度显著降低。本研究的结果总体上与基于社区的流行病学调查结果一致,可能有助于为焦虑障碍(AD)的分类和预测提供结构模型。

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