1.The effect of self-stigma on self-esteem and social support in mental illness
Chinese Journal of Behavioral Medicine and Brain Science 2014;23(8):701-703
Objective To explore how the self-stigma of mental illness influence self-esteem and social support.Methods 109 mental illness from Jinan,Tianjin and Harbin were asked to finish a questionnaire integrated from the ISMI,SES,PSSS,and the data were calculated by SPSS18.0.Results According to the regression of self-stigma and its five attributes on the self-esteem,self-stigma was negative correlated with self-esteem,with self-alienated was the most significant attribute,the next being the public relations avoidance and the incompetent sensation,while the flight from reality and the discrimination experience were not remarkable attributes (Y =4.585-0.722x(F=59.508,P<0.001) and Y =4.470-0.388x1 +0.813x2-0.198x3-0.064x4-0.192x5 (F=16.609,P< 0.001)).According to the regression of self-stigma and its five attributes on social support,self-stigma was negatively correlated with social support,self-alienated was the most remarkable attribute,and the next were the public relations avoidance and the discrimination experience,while the flight from reality and the incompetent sensation were not remarkable to the social support.(Y =3.710-0.354x(F=9.116,P<0.01) ; Y =3.474-0.391x1 +0.102x2+ 0.301x3+0.047x4-0.301x5 (F=5.695,P<0.001)).Conclusion The self-stigma of mental illness has negative influence on the self-esteem and social support.
2.Research on experiential avoidance, cognitive fusion and type D personality of pregnant
Hui ZHU ; Yunlong CUI ; Zhuohong ZHU
Chinese Journal of Behavioral Medicine and Brain Science 2016;25(9):847-850
Objective To explore the relationship among experiential avoidance,cognitive fusion and type D personality in pregnant women.Methods 309 pregnant women were assessed with self-made general information questionnaire,acceptance and action questionnaire-2nd edition (AAQ-Ⅱ),cognitive fusion questionnaire(CFQ) and type D personality scale(DS14).Results Average score of AAQ-Ⅱ and CFQ of 309 pregnant women were (16.41±7.55) and (24.24± 10.90),respectively.According to the type D personality questionnaire scores,the subjects were divided into four groups.Average score of each group on AAQ-Ⅱ and CFQ was respectively (21.25 ± 8.18) and (31.12± 10.99) for type D personality group (Group 1),(19.80±6.14) and (27.67±9.76) for negative emotion group(Group 2),(15.12±6.40) and (22.16±9.56)for social inhibition group (group 3) and (14.02±6.61) and (21.18±10.03) for group without negative emotions and social inhibition (group 4).The differences between groups were statistically significant (F=19.44,17.372,all P<0.01).Correlation analysis revealed that AAQ-Ⅱ and CFQ were positively related to NA and SI (r=0.484,0.251,0.477,0.302,P<0.05).NA and SI all entered the AAQ-Ⅱ regression equation and CFQ regression equation respectively:Y1 =4.655+ 1.032X1 + 0.836X2,Y2 =8.013+ 1.233X1 + 0.745X2 (Y1 as AAQ-Ⅱ,Y2 as CFQ,X1 as NA,X2 as SI).Conclusion Pregnant women with type D personality have the worst psychological flexibility.The two demensions of type D personality are predictive to experiential avoidance and cognitive fusion.
3.Psychological Crisis Intervention Model in Xiaotangshan Hospital of PLA
Zeqing WANG ; Zhuohong ZHU ; Hongw ZHU
Chinese Mental Health Journal 2002;0(09):-
Objective: To explore an effective model of psychological intervention to SARS patients Method:680 SARS inpatients were divided into experimental (n=483) group and control group Three interventions were provided to the patients once a day for one week, including hotline counseling (active versus passive), counseling through paper and pencil, and face-to-face crisis intervention (medical staff versus psychotherapists) SCL-90 and a self-designed assessing scale were administered to both groups when check in and before discharge to evaluate the effect of the interventions Result:SCL-90 assessing showed that patients had significantly higher score than local people, but the two groups had no significant difference at check-in This situation changed before discharge, the intervention group had significantly lower scores in many factors than control except for phobia, paranoia and psychotic Comparing different ways of intervention, the most effective one was active hotline counseling (effective rate 95 7%), the effective rate of face-to-face intervention was 80% for both medical staff after training and psychotherapists The paper-pencil method was the most ineffective (the rate was only 19 5%) Education had influence on the outcome of intervention, those patients with higher education had better results in hotline counseling and paper-pencil counseling Conclusion:Psychological crisis intervention is effective in patients infected by SARS Active hotline counseling is the most effective way
4.The relationship between mobile phone dependence and attachment, social support among adolescents
Xuhua GE ; Zhuohong ZHU ; Yali WANG
Chinese Journal of Behavioral Medicine and Brain Science 2013;22(8):736-738
Objective To explore the relationships among mobile phone dependence and attachment,social support among adolescent students.Methods 900 students from two vocational colleges in Shandong province were recruited by stratified sampling.They were assessed with Experiences in Close Relationships Inventory (ECR) Chinese version,Social Support Rating Scale and Mobile Phone Addiction Tendency Questionnaire.Results There were no significant differences of adolescent students'mobile phone dependence on gender,child status,and native place.The score of middle vocational school students'mobile phone dependence (45.84 ± 12.64)was significantly higher than that of higher vocational college students (40.68 ± 9.72),and there was significant difference between them (P < 0.01).Mobile dependence was significantly positively related with attachment anxiety (r =0.469,P < 0.01),and was significantly negatively related with social support (r =0.149,P < 0.01).Attachment anxiety and social support were the direct predictors of mobile phone dependence,and social support played the partial mediating role between attachment anxiety and mobile phone dependence.Conclusions Mobile phone dependence is a common phenomenon among adolescent students,and the middle vocational school students' mobile phone dependence is more serious than that of the higher vocational college students.There are close relationships between mobile phone and attachment,social support.Attachment anxiety is not only directly but also indirectly associated with mobile phone dependence by social support.
5.Relationship between posttraumatic stress symptoms and post-traumatic growth in adolescents
Jinfeng ZHANG ; Zhanbiao SHI ; Zhuohong ZHU
Chinese Journal of Behavioral Medicine and Brain Science 2013;22(8):739-742
Objective To investigate the relationship between post-traumatic stress symptoms and posttraumatic growth among adolescents.Methods In total,1123 junior middle school students sampled from the Wenchuan earthquake area were assessed in june 2011.Questionnaires included the UCLA PTSD Reaction Index for DSM-Ⅳ (Revision 1),Depression Self-Rating Scale for Children (DSRS),the Screen for Child Anxiety Related Emotional Disorders (SCARED),and Post-traumatic Growth Inventory (PTGI).Results The girls reported significantly higher levels of depression (girls 14.72 ± 5.49,boys 13.08 ± 5.83) and anxiety (girls 31.54 ±15.43,boys 27.03 ± 17.09) than boys (P < 0.05).The minorities reported significantly higher levels of PTG (minorities 59.97 ± 14.06,Han 57.71 ± 15.06),PTSD (22.05 ± 12.12,19.42 ± 12.78) and anxiety (30.36 ±16.35,28.01 ± 16.39) than the Han students (P<0.05).The students whose father had higher degree of education reported lower level of depression and higher level of PTG (P < 0.05).Correlation analysis showed that the PTSD total score,avoidance,arousal,DSRS and school avoidance scores were negatively related to PTGI score (r=-0.074,-0.091,-0.075,-0.360,-0.088,P < 0.05).Linear regression analysis showed that the DSRS score was negatively related to PTGI total score and its four sub-scores (β =-0.365,-0.332,-0.332,-0.315,0.284,P < 0.05).Conclusion Depression symptoms is negatively correlated with PTG and may be an adverse factor for post-traumatic growth in adolescents.
6.Reliability and validity of the Chinese version of the meaning in life questionnaire among sergeants
Kexin ZHAO ; Pengdi XIONG ; Zhuohong ZHU
Chinese Journal of Behavioral Medicine and Brain Science 2014;23(6):566-568
Objective To examine the reliability and validity of the meaning in life questionnaire (MLQ) in Chinese sergeants.Methods Convenience sampling was applied to collect data from 574 sergeants.Part of the data randomly selected (n=278) was conducted exploratory factor analysis and the other (n=296) was used in confirmatory factor analysis.The satisfaction with life scale(SWLS),self-rating depression scale (SDS),and selfrating anxiety scale(SAS) were administered to test the criterion-related validity.Results (1) Exploratory factor analysis vertified a 2-factor model which consisted of presence of meaning (MLQ-P) and search for meaning (MLQ-S),and their cumulative contribution rate was 61.02%.The range of factor loading was between 0.62 and 0.85.Confirmatory factor analysis confirmed the hypothesized 2-factor model (x2 =32.82,GFI =0.97,AGFI =0.94,NFI =0.96,CFI =0.98,RMSEA =0.06).(2) The internal consistencies were good for the overall scale (Cronbach's alpha =0.79) and the subscales (Cronbach's alpha =0.80 and 0.78,respectively).(3) MLQ-P score was positively correlated with SWLS (r=0.21,P<0.01),while negatively correlated with SDS and SAS(r=-0.50,-0.43).MLQ-S had positive correlation with MLQ-P(r=0.31,P<0.01).(4)Scores of MLQ-p and MLQ-S in sergeants were higher than college students(t=38.13,P<0.001,t=25.07,P<0.001).Conclusion The Chinese version of MLQ is reliable and valid for application to Chinese sergeants.
7.Rural migrant workers' coping style,traditional personality and poverty attribution style
Shengtao WU ; Zhuohong ZHU ; Jianxin ZHANG
Chinese Journal of Behavioral Medicine and Brain Science 2009;18(10):930-932
ObjectiveTo explore the relative model for psychological resources and poverty attributions of migrant workers in adversities in the aim of understanding poverty problems in China Mainland and find out the factors for tolerance in systematic unjustness.MethodsChina Mainland Poverty Attribution Questionnaire (CMPAQ) ,Simple Coping Style Questionnaire(SCSQ),Resilience Scale (CD-RISC),Locus of Control subscale (I_E) and Thrift subscale (T_E) of CPAI-2 were used upon 398 rural migrant workers,in which 301 were valid.Results ①Deseription statistic: compared with national model,migrant workers score higher in positive coping style subsonic(1.92±0.45),and lower in negative coping style subscale (1.46±0.66),lower in CD-RISC (60.98±14.26) ,higher in I_E subscale (5.53±2.17) and lower in T_E subscale 7.48 + 1.77) ; Scores on the subscales of CMPAQ were separately overburden-fate (3.25±0.90),institution-unjustness (3.45±1.03),personal-competence(3.72±0.78),personal-quality (3.03±1.04),and geographical-environment (3.07±0.97).②Regress analysis:positive coping style can clearly positively predict personal-competence and personalquality attribution,while negative coping style can clearly positively predict all other factors.Resilience(CD-RISC)can clearly positively predict personal-competence attribution.The standard regression coefficient (β) of inner locus of control (I_E) to overburden-fate was negatively significant,while that of thrift (T_E) to all the poverty attribution factors was not significant.All variables other than negative coping style couldn' t clearly predict institution-unjustness attribution.ConclusionThe study discovered some positive psychological resources in rural migrant workers.These resources help them attribute poverty to personal competence but stand in tolerance for institutional unjustness.
8.Analysis on the relationship between psychological flexibility and the state of anxiety and depression of cancer patients
Lei HU ; Jing CAO ; Zhuohong ZHU
Chinese Journal of Behavioral Medicine and Brain Science 2015;24(6):517-520
Objective To explore the psychological flexibility,state of anxiety and depression of cancer patients and the relationship among them.Methods 168 cancer patients were chosen with handy sampling and the Acceptance and Action Questionnaire-Second Edition (AAQ-Ⅱ),Cognitive Fusion Questionnaire (CFQ),The Self-Rating Depression Scale(SDS),The Self-Rating Anxiety Scale(SAS) and the Meaning in Life Questionnaire (MLQ) were applied to all patients.144 effective questionnaire copies were selected and the data were processed with one-way analysis of variance,Pearson correlation analysis and stepwise multiple regression.Results The scores of anxiety and depression were significantly higher in cancer patients than the norm (t=236.58,P<0.01;t =11.76,P<0.01).MLQ had a significant negative correlation with AAQ-Ⅱ,CFQ,SAS,SDS(r=-0.188--0.468,P<0.05) while AAQ-Ⅱ,CFQ,SAS and SDS showed significant positive correlation(r=0.322-0.790,P<0.01);but the scores of different cancer types didn't show significant variation.The stepwise multiple regression showed that AAQ-Ⅱ and MLQ-P can explain 39% variation of anxiety and 29% of depression.Conclusion The level of anxiety and depression of cancer patients are significantly higher than normal people,the psychological flexibility have negative correlation with the state of anxiety and depression and powerful explanatory to them.
9.A follow-up study of mental health status of medical staff after caring for SARS patients
Jing LIU ; Zeqing WANG ; Zhuohong ZHU
Medical Journal of Chinese People's Liberation Army 1981;0(04):-
Objective To study the mental health status of medical staffs who had worked under strong stress in caring patients during SARS epidemic. Method 620 medical workers in Xiaotangshan Hospital of PLA were subjected to SCL-90 scale evaluation. The results were compared with Chinese norm. Results It was shown that the factor score of SCL-90, except psychoticism factor, were relatively higher than that of Chinese norm, and there was significant difference between them and that of Chinese norm. There was also significant difference among the five scores of every factor except psychoticism. Every factor score on the five phases were dynamic, the scores of anxiety and phobia were reduced gradually, but the scores of somatization, obsessive-compulsive, depression, paranoia were increased and then reduced, and the score of interpersonal sensitivity was reduced and then increased. During at the early three time intervals of work the score of hostility didn't show remarkable change, but scores were higher than before during the fourth and fifth time intervals. It indicated that the mental health status of medical staff in Xiaotangshan Hospital of PLA had become worse than that of Chinese norm after working under stress. Conclusion The symptom of anxiety, phobia, obsession, somatization were comparatively prominent. The results suggested that strong stress of work in the SARS wards could strongly influence the mental health of medical staffs.
10.Effect of psychological recuperation on the medical personnel working in SARS ward
Xiaoling FU ; Zeqing WANG ; Zhuohong ZHU
Medical Journal of Chinese People's Liberation Army 1983;0(05):-
Objective To approach the effect of psychological recuperation on the mental health of the medical personnel working in SARS ward. Methods A total of 131 medical workers working in SARS ward were randomly selected as the objects to be psychologically recuperated. Results Both groups' score on somatization, obsessive, interpersonal sensitivity, depression, anxiety and phobia anxiety is higher than that of the local norm before the training, there is no significant difference between the training group and the control group. After the training, there is no significant difference between the training group and the local norm except somatization; the control group's score in somatization, obsessive, interpersonal sensitivity, depression, hostility is higher than that of the local norm, while the training group′s scores in the five dimensions is obvious lower than that of control group. Conclusion Psychological behavior training played a positive role on the' mental health of the medical personnel working in SARS ward.