Objective To explore the effect of brief group psychological counseling in promoting students psychological health of high grade in primary school. Methods Two classes were randomly selected from a primary school in a community of Pudong New Area in Shanghai from October 2014 to November 2014, with stratified cluster sampling method in 4,5 grade ( the boy 30, the girl 24) as the research object, the other 2 classes (4,5 grade 1 classes;the boy 25,the girl 31) of students as control group, in the intervention group students brief group counseling was carried out, while the control group received the routine psychological health education course. Using the mental health diagnosis test (MHT) as a psychological assessment tool, MHT scores of two groups of students and factors were analyszed by the test analysis. Results Before intervention, the intervention group and the control group in the mental health diagnosis test (MHT) had no significant difference in each factor (P>0.05). After the intervention, significant were found differences between the intervention group and the control group in MHT learning anxiety, anxiety to people, self accusation tendency, allergic tendency, body symptom, terror tendency and the total score(6.46±3.01, 8.59±3.40; 3.04±1.91, 4.45±2.43; 3.56± 2.13, 5.30 ± 2.10; 4.37 ± 1.93, 5.84 ± 2.63; 3.76 ± 2.82, 5.46 ± 3.38; 2.15 ± 2.34, 3.91 ± 3.00; 32.44 ± 13.07, 44.52±17.59)(t=-3.47、-3.38、-4.30、-3.35、-2.87、-3.40、-4.10 ,P<0.05), and the average scores in the intervention group of each factor were lower than those of control group. Conclusion Brief group psychological counseling for higher-grade students of elementary school learning anxiety group, had better interventional effect on anxiety, self-blame tendency, the overall tendency of anxiety and other fields. It will have a positive impact on the allergic tendency, body symptom, terror tendency and other fields; it needs further evaluation in large sample for long-term effect.

Objective Systematic review of the epidemiology,risk factors,possible mechanisms and treatment of the depression among older adults with diabetes mellitus,and to provide new ideas for the early diagnosis,evaluation and treatment of the disease in the future.Methods Forty-one studies from 2000 to 2015 were identified manualy and online by using CBM,CNKI,VIP,Wanfang databases,PubMed,EMBASE and the Cochrane library.Results Among older adults with DM,depression was highly prevalent,and their clinical manifestations were not typical.The mechanisms of depression was not entirely clear and it less likely to cause the attention of patients and medical staff and it seriously affected the prognosis of diabetic patients.Early prevention and treatment were effective.Conclusion Diabetes mellitus and depression are frequently comorbid in older adult patients.Considering the negative synergistic effects on the health outcomes resulted by comorbid depression and DM.There are a lot of researches about the two disease's retrospective study,but the prospective study is less,especially the ran-domized double blind controlled study.Further study should be strengthened to improve the etiology,diagnosis,treatment and prognosis of the disease.