OBJECTIVETo explore detection method on polysomnogram of post-stroke depression and changes in rats.

METHODSMale Sprague-Dawley rats were randomly assigned to control group, stroke group, and post-stroke depression (PSD) group. The establishment of PSD model generally adopted the combination of deligation bilateral common carotid artery permanently raising alone and stress exertion. And suturing electrode under the rat scalp for polysomnogram.

RESULTSThe polysomnogram could record the rats movement, electroencephalogram, electromyogram, and eye movement. The rapid eye movement (REM) latency of PSD group, and control group, stroke group were (108.2 +/- 16.1)s, (152.5 +/- 20.5)s, (145.1 +/- 18.7)s respectively. Compared with control, and stroke group, REM latency in PSD group were shortened (P < 0.01). The percentage of REM in PSD group, control group and stroke group were 5.2% +/- 1.2%, 8.3% +/- 1.4%, 7.9% +/- 1.6% respectively. Compared with control, and stroke group, REM latency in PSD group was decreased (P < 0.01).

CONCLUSIONThe method of suturing electrode under the rat scalp is suitable for polysomnogram. The polysomnogram could be a successful sign for PSD model.

Animals ; Depressive Disorder ; etiology ; physiopathology ; Disease Models, Animal ; Male ; Polysomnography ; Rats ; Rats, Sprague-Dawley ; Stroke ; complications

PURPOSE: This study was done to provide fundamental data for developing a depression prediction model by discovering main factors that affect depression in patients who do maintenance hemodialysis. METHOD: The subjects were 191 patients doing maintenance hemodialysis selected from outpatient dialysis clinics at 9 major general hospitals, The Instrument tools utilized in this study were adapted from depression, fatigue, sleep disturbance, stress, adaptation,symptoms, daily activities, and role limitation and thoroughly modified to verify reliability and validity. The collected data was analyzed with a SPSS-PC 11.0 Window Statistics Program for real numbers, percentage, average, standard deviation, and multiple regression. RESULTS: The correlation factor for depression was (M=2.54) fatigue(M=3.12), sleep disturbance (M=2.82), stress(M=3.04), adaptation(M=2.53), daily activities(M=2.24), symptoms(M=2.37), and role limitation(M=2.24). The strongest factor that affected depression was explained by symptoms of the patients who performed hemodialysis. The analysis of the factors that affected depression revealed a 58.4% prediction in symptoms, stress, role limitation, and adaptation. CONCLUSION: It has been confirmed that the regression equation model(Depression=7.351 + .266*symptoms + .260*stress -.189*adaptation + .057*fatigue) of this research may serve as a prediction factor for depression in Hemodialysis Patients.
Stress, Psychological/etiology ; Sleep Disorders/etiology ; Risk Factors ; Renal Dialysis/adverse effects/*psychology ; Middle Aged ; Male ; Humans ; Female ; Fatigue/etiology ; Depressive Disorder/diagnosis/*etiology ; Adult

OBJECTIVETo study the depression symptoms in chronic prostatitis (CP) patients, and explore the correlation between depression symptoms and CP.

METHODSThe Zung self-rating depression scale (SDS) , NIH-CPSI, IIEF-5, and a self-designed questionnaire were employed in 1500 cases of CP patients.

RESULTSA total of 1426 effective questionnaires were collected. The mean score of SDS was (44.24 +/- 10.20), significantly higher than that of the domestic norm (P = 0.000). With the score limitation set at > or = 53, 309 (21.7%) of the CP patients had symptoms of depression, of whom 176 (12.3%) were rated by SDS as in the mild, 114 (8.0%) in the moderate and 19 (1.3%) in the severe state of depression. The dominating symptoms as listed in SDS were exactly the stimulating and provoking factors of CP. The scores of SDS were significantly correlated with disease course, CPSI score, IIEF score and times and cost of treatment (P < 0.01), while no correlation was observed with age and WBC counts in EPS.

CONCLUSIONCP patients mostly have depression problems, which are closely correlated with CP and contribute to the recurrence, refractoriness and discontinued outcome of the disease.

Adolescent ; Adult ; Aged ; Chronic Disease ; Depressive Disorder ; epidemiology ; etiology ; Epidemiologic Studies ; Humans ; Male ; Middle Aged ; Prostatitis ; epidemiology ; psychology ; Surveys and Questionnaires

The current hypothesis of depression is limited by back reasoning from the action of antidepressant, because both the pharmacological and pathological mechanisms are not fully understood.Recent evidence shows that genes and early life stress are associated with depression, and the mechanisms are converged on those of neural plasticity. These developments open a new avenue to understand the pathological and pharmacological mechanisms of depression.
Antidepressive Agents ; pharmacology ; therapeutic use ; Depressive Disorder ; drug therapy ; etiology ; physiopathology ; Genetic Predisposition to Disease ; genetics ; Humans ; Neuronal Plasticity ; drug effects

PURPOSE: Hypertrophic scarring and depression are the principal problems of burn rehabilitation. This study was done to verify the effects of skin rehabilitation massage therapy (SRMT) on pruritus, skin status, and depression for Korean burn survivors. METHODS: A pretest-posttest design using a nonequivalent control group was applied to examine the effects of SRMT for 3 months in a group of 18 burn survivors. The major dependent variables-including pruritus, objective and subjective scar status, and depression-were measured at the beginning and at the end of the therapy to examine the effects of SRMT. RESULTS: Burn survivors receiving SRMT showed reduced pruritus, improved skin status, and depression. The remaining scar also showed improvement in skin pigmentation, pliability, vascularity, and height (compared to the surrounding skin) as measured on the Vancouver Scar Scale (VSS). CONCLUSIONS: The findings demonstrate that SRMT for burn survivors may improve their scars both objectively and subjectively, and also reduce pruritus and depression.
Adult ; Burns/complications/*rehabilitation ; Cicatrix, Hypertrophic/etiology/*prevention & control ; Depressive Disorder/etiology/*prevention & control ; Female ; Humans ; Male ; *Massage ; Pruritus/etiology/*prevention & control

OBJECTIVETo assess the co-morbidity of anxiety and depression in hospitalized patients and to analyze the degree of symptoms and the influential factors.

METHODSThirty patients with malignant tumor were injected with thymosin alpha 1 subcutaneously at the dose of 1.6 mg q.d. for the first month and q.o.d. for the following month. The number of T cell subgroups and the activity of NK cell in peripheral blood were detected and the quality of life of the patients were evaluated before treatment and at the end of treatment.

RESULT(1) About 39.9 % of the patients presented the symptoms of anxiety and depression and out of them 6.7 % were taken psychotropic medication. (2) Stepwise Logistic Regression showed that the factors related to anxiety and depression could be classified into four categories: economic factor, sleeping status, cognition of disease, the other factors such as course of disease and the environment of hospital. (3) Data analysis of oncology patients showed that the cognition of disease would be an important factor, which would affect anxiety and depression status.

CONCLUSIONMultiple factors can affect anxiety and depression symptoms of inpatients. The results suggest that psychological intervention such as cognitive therapy should be considered in clinical practice.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anxiety ; etiology ; therapy ; Depressive Disorder ; etiology ; therapy ; Female ; Hospitals, General ; Humans ; Inpatients ; Logistic Models ; Male ; Middle Aged ; Psychotherapy

PURPOSE: To determine the effects of music therapy on pain, discomfort, and depression for patients with leg fractures. METHODS: Data were collected from 40 patients admitted in an orthopedic surgery care unit. The subjects included 20 intervention group members and 20 control group members. Music therapy was offered to intervention group members once a day for 3 days for 30-60 minutes per day. Pain was measured with a numeric rating scale and by measuring vital signs. Discomfort and depression were measured with self-administered questionnaires. RESULTS: Patients who received music therapy had a lower degree of pain than patients who did not receive music therapy as measured by the numeric pain score (p<0.001), systolic blood pressure (p<0.01), diastolic blood pressure (p<0.001), pulse rate (p<0.001) and respiration (p<0.001). Patients who were provided with music therapy also had a lower degree of discomfort than patients who were not provided with this therapy (p<0.01). CONCLUSIONS: These results demonstrate that music therapy is an effective method for decreasing pain and dis-comfort for patients with leg fractures.
Adult ; Analysis of Variance ; Depressive Disorder/etiology/*prevention & control ; Female ; Fractures, Bone/*complications/psychology ; Humans ; *Leg ; Male ; Middle Aged ; *Music Therapy ; Pain/etiology/*prevention & control

OBJECTIVETo compare the incidence of emotional disorder in patients with acute or stable coronary heart disease.

METHODSA total of 298 patients with suspected coronary heart disease (CHD) were designed into three groups based on of coronary angiography results: acute coronary syndrome (ACS, n = 128), stable angina pectoris (SAP, n = 108) and non-CHD (n = 62). All patients were evaluated by Zung Self-rating Depression Scale (SDS), Zung Self-rating Anxiety Scale(SAS) and Hamilton Depression Rating Scale (HRSD) for depression and anxiety before coronary angiography (CAG), 3 days after CAG, and 1 day before discharge.

RESULTSIncidences of depression and anxiety were significantly higher the ACS group (65.6%and 78.9% before CAG; 60.9% and 70.3% 3 days post CAG; 45.3%and 64.8% before discharge) compared patients with SAP (18.5% and 26.9% before CAG; 17.6% and 28.7% 3 days post CAG; 15.7% and 26.9% before discharge, all P < 0.05 vs. ACS) and non-CHD patients (32.3% and 25.8% before CAG; 27.4% and 24.2% 3 days post CAG; 29.0% and 30.6% before discharge, all P < 0.05 vs. ACS) while the depression and anxiety incidences were similar between patients with SAP and non-CHD in this cohort (P > 0.05).

CONCLUSIONEmotional disorder is common in patients with suspected heart diseases, especially in patients with ACS. Psychological distress of patients with suspected heart disease should be evaluated and treated.

Acute Coronary Syndrome ; psychology ; Adult ; Aged ; Anxiety Disorders ; etiology ; Coronary Disease ; psychology ; Depressive Disorder ; etiology ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Risk Factors

PURPOSE: Chronic kidney disease (CKD) is a condition characterized by the gradual loss of kidney function over time. Self-management programs have been widely applied to chronic disease education programs, which are designed to delay deteriorating kidney functions, preclude depression, and improve quality of life. This study aims to analyze effectiveness of self-management programs in bettering CKD patients' eGFR, mitigating depression symptoms and improving quality of life in randomized control or clinical trials. METHODS: Using key terms, a search was conducted in English-language, peer-reviewed journals on CKD that were published between 2002 and 2014 on databases including CINAHL, Cochrane Library, MEDLINE. The measurable variables included CKD patients' eGFR, depression, and quality of life. Random and fixed effects meta analysis were applied with standard error and correlation based measure of effect size. RESULTS: Eight studies met the inclusion criteria. A self-management program significantly impacted CKD patients' depression and mental quality-of-life dimensions, with an effect size of .29 [95% confidence interval (CI) (0.07, 0.53)] and −.42 [95% CI (−0.75, −0.10)]. However, the intervention of a self-management program had no significant effect on patients' eGFR as well as physical quality-of-life dimensions, with effect sizes of .06 [95% CI (−0.69, 0.81)] and −.16 [95% CI (−0.81, 0.50)]. CONCLUSIONS: Self-management programs of patients with chronic kidney disease can improve the depression and mental quality of life. Aside from providing more objective evidence-based results, this study provides a reference for clinical health care personnel who tend to patients with CKD.
Cognitive Therapy/methods ; Depressive Disorder/*etiology/therapy ; Glomerular Filtration Rate/*physiology ; Humans ; *Quality of Life ; Randomized Controlled Trials as Topic ; Renal Insufficiency, Chronic/physiopathology/psychology/*therapy ; Self Care/*methods

OBJECTIVETo investigate the prevalence of depressive disorder in patients undergoing general surgical operations.

METHODSOne hundred and four patients who had undergone general surgical operations were investigated. Each patient filled in the self rating depression scale (SDS) as the baseline data.

RESULTSAmong these patients 40.4% of them had depressive disorder. The major factors for the prevalence of depression were sex, educational background and malignant diseases.

CONCLUSIONSA certain proportion of patients undergoing general surgical operations have depressive disorder. It is important to recognize and treat for this disorder.

Adult ; Aged ; Aged, 80 and over ; Depressive Disorder ; epidemiology ; etiology ; Female ; Humans ; Male ; Middle Aged ; Prevalence ; Surgical Procedures, Operative ; adverse effects ; psychology