1.Emotion and mental health of soldiers under field training stress in field army
Min LI ; Yanzhang LI ; Meiyuan HUANG ; Daxi XIAO ; Jie SU ; Bo YUAN
Journal of Third Military Medical University 2003;0(19):-
Objective To explore the characteristics of emotion and mental health of soldier under field training stress. Methods Self-rating anxiety scale,self-rating depression scale and stressful psycho-behavior questionnaire were used to evaluate soldiers’ state under field training. Results At 3 months after training,there were 21.7% soldiers with SAS score higher than 50,and 6.4% soldiers higher than 60,but the scores were 11.6% and 4.2% respectively 2 months before field training; There were 45.7% soldiers with SDS score higher than 50 and 19.2% higher than 60 at 3 months after training,and only 25.3% and 11.6% at 2 months before training. Score of stressful psycho-behavior was (24.1?6.1) in 3 months after training,significantly higher than that of 2 months before training (18.3?4.7,P
2.Correlative analysis of long-term post-stroke depression and characteristics of infarcted lesions in elderly patients with first-episode ischemic stroke
Guifen CHU ; Hong ZHANG ; Yanzhang XIAO
Chinese Journal of Postgraduates of Medicine 2019;42(1):50-53
Objective To explore the correlation between long-term post-stroke depression (PSD) and characteristics of infarcted lesions in elderly patients with first-episode ischemic stroke (IS). Methods The clinical data of 118 elderly patients with first-episode IS from January 2013 to March 2016 were retrospectively analyzed. All patients underwent MRI examination to measure the location, side, volume and number of infarcted lesions. The patients were followed up for at least 2 years. The evaluation of PSD based on the 4th edition of American Psychiatric Association Diagnostic Manual for Mental Disorders (DSM-Ⅳ) standard and 17-item Hamilton Depression Scales (HAMD), and the HAMD score ≥ 7 scores was classified as depression. The correlation between long-term PSD and infarcted lesions was analyzed by unconditional multivariate Logistic regression analysis. Results Among 118 elderly patients with IS, 49 cases had long-term PSD (PSD group), of which 25 cases were mild, 15 cases moderate and 9 cases severe (infarcted lesion in frontal lobe in 5 cases); 69 cases had no long-term depression (non-PSD group). The proportion of frontal lobe and temporal lobe infarction, number of infarcted lesions and volume of infarcted lesions in PSD group were significantly higher than those in non-PSD group:40.8%(20/49) vs. 15.9%(11/69), 28.6%(14/49) vs. 8.7%(6/69), (2.6 ± 0.6) lesions vs. (1.7 ± 0.3) lesions and (3.6 ± 1.3) ml vs. (2.4 ± 1.2) ml, and there were statistical differences (P<0.05);there was no significant difference in lesion side between 2 groups (P>0.05). In PSD group, the numbers of infarcted lesions in mild, moderate and severe PSD patients were (1.7 ± 0.6), (2.2 ± 0.7) and (2.8 ± 1.0) lesions respectively, and the volume of infarcted lesions were (2.5 ± 1.0), (3.4 ± 1.1) and (3.8 ± 1.3) ml respectively, and there were significant differences among the 3 groups (F=6.462 and 7.391, P=0.025 and 0.022). Unconditional multivariate Logistic regression analysis result showed that frontal lobe and temporal lobe infarctions were independent risk factors for the occurrence of PSD in elderly patients with first-episode IS (OR = 2.935 and 3.581, 95% CI 1.191 to 6.717 and 1.244 to 10.395, P = 0.020 and 0.018). Conclusions The frontal lobe and temporal lobe infarctions are independent risk factors for long-term PSD in elderly patients with IS. Long-term PSD is more severe in more frontal lobe, more infarcted lesions, and larger volume of infarcted lesions.