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Inhibition control characteristics in college students with different mobile phone addiction

Chinese Mental Health Journal.2015;(3):226-229. doi:10.3969/j.issn.1000-6729.2015.03.012

Objective:To investigate the inhibition control characteristics in college students with mobile phone addiction,then to design tactics to enhance their inhibition control ability.Methods:Totally 150 college students were surveyed with the Mobile Phone Addiction Index (MPAI)to filter out the high and low mobile phone addiction.Thirty students with more than eight affirmative answers to the seventeen MPAI items were selected as the mobile phone addiction group while another 30 students with less than eight affirmative answers were selected as non addicts group of MPAI.All participants were asked to complete task of stop signal.Results:In college students with mobile phone addiction,the stop-signal reaction times were longer than that in the students without mobile phone addiction [(292.0 ±89.4)ms vs.(241.1 ±95.7)ms,P <0.05],while the non-signal reaction times were shorter than that in those without mobile phone addiction [(494.2 ±103.8)ms vs.(597.6 ±108.9 )ms,P<0.01].Conclusion:It suggests that the college students with mobile phone addiction may have poorer inhibitory control.

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Different traits of gray matter volume in general anxiety disorder and obsessive compulsive disorder:A voxel-based morphometric study

Hao YAN ; Yueqin HUANG ; Zhaorui LIU ; Hongbin HAN ; Dai ZHANG

Chinese Mental Health Journal.2015;(3):217-225. doi:10.3969/j.issn.1000-6729.2015.03.011

Objective:To explore the traits of gray matter volume in general anxiety disorder (GAD)and ob-sessive compulsive disorder (OCD)by using magnetic resonance imaging (MRI)technique.Methods:Twenty-eight GAD,25 OCD and 39 normal controls were recruited.All patients were met the Diagnostic and Statistical Mannal of Mental Disorders,Fourth Edition,Text Revision (DSM-IV-TR)or the International Statistical Classifica-tion of Disease and Related Health Problems Tenth Revision (ICD-10)diagnostic criteria for GAD or OCD.All subjects underwent structural MRI scan.The severity of anxiety and OCD symptoms were rated in all patients with the Hamilton Anxiety Rating Scale (HAMA)and the Yale-Brown Obsessive Compulsive Scale (Y-BOCS).The gray matter volume (GMV)was compared between all groups by using the voxel-based morphometry (VBM)a- nalysis.The correlation analysis between GMV and total scores of HAMA and Y-BOCS was performed in GAD and OCD.Results:The GMV was increased in regions including left anterior cingulate cortex in GAD (P =0.016,small volume correction),while only decreased GMV was observed in OCD in bilateral orbitofrontal cortex (OFC)(P <0.001,uncorrected).GAD had larger GMV than OCD in several regions including bilateral OFC (P <0.001,un-corrected).The higher total score of HAMA was associated with increased GMV of right temporal cortex in GAD, and with the GMV of OFC in OCD (P <0.001,uncorrected).Conclusion:No sharing of GMV abnormalities in GAD and OCD was observed in the current study.The traits of brain structure and the potential neural substrate of anxiety symptom in GAD and OCD may be significantly different.

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A systematic review and meta-analysis of metabolic side effects of atypical antipsychoties

Jie LI ; Guizhong YAO ; Lijuan LIU ; Lei YANG

Chinese Mental Health Journal.2015;(3):210-216. doi:10.3969/j.issn.1000-6729.2015.03.010

Objective:To assess the metabolic side effects of the following atypical antipsychoties head-to-head:amisulpride,olanzapine,aripiprazole,quetiapine,risperidone,ziprasidone.Methods:We searched the MED-LINE,EMBASE,Cochrane Library,PubMed,CNKI,Web of science,Sinomed,WANGFANG DATA databases for randomized,blineded studies comparing the above mentioned atypical antipsychoties in the treatment of schizophre-nia or related disorders.At last three reviewers extracted the data independently.All the data would be analysed with meta ananlysis and the analysis software of the RevMan 5.1 provided by Cochrane network.Results:There were 49 studies in which 45 were written in English and 4 were written in Chinese included in the review.Olanzapine pro-duced statistically significantly more weight gain than all other second-generation antipsychotics.Risperidone pro- duced significantly more weight gain than amisulpride.Olanzapine produced statistically significantly more increase in glucose levels from baseline to endpoint than all other second-genetation antipsychotics.Risperidone produced statistically significantly more increase in glucose levels from baseline to endpoint than aripiprazole,quetiap-ine.Olanzapine produced statistically significantly more increase in cholesterol than aripiprazole,risperidone and zi-prasidone.Quetiapine produced significantly more increase in cholesterol than risperidone and ziprasi-done.Risperidone produced significantly more increase in cholesterol compared to aripiprazole and ziprasidone.Conclusion:Some atypical antipsychoties lead to substantially more metabolic side effects than other a-typical antipsychoties.When choosing an atypical antipsychotic agent for an individual patient these side effects with their potential cause of secondary diseases should be weighed against efficacy and characteristics of the individual patient.

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Counselor verbal response modes of psychic hot-line counseling

Jianping YU ; Yan LI

Chinese Mental Health Journal.2015;(3):182-186. doi:10.3969/j.issn.1000-6729.2015.03.005

Objective:To explore the counselor verbal response modes of psychic hot-line counseling and its characteristics.Methods:Through a qualitative study with category analysis method,8 pieces of audio recordings were collected,in each of which the entire duration was between 30 minutes to 50 minutes.And all of these record-ings were transcribed word by word.Meaningful 1202 pieces were deeply analyzed.Results:There were 5 core counselor verbal response types in hot-line counseling,greeting response,set-up response,listening response,follow-up response,and affecting response,all of which had 24 concept categories.All of the online counselors used the 5 types of verbal response.The listening response and follow-up response were the highest frequent types.Greeting response and set-up response were used mostly in the initial stage of counseling.Listening response,and follow-up response were used mostly in the stage of describing problem.Affecting response was sharply increased in the stage of analyzing problem.Greeting response and set-up response were used mostly in last stage of counseling.Conclu-sion:It suggests that there are 5 core counselor verbal response types and 24 concept categories in hot-line counse-ling.The listening response and follow-up response are the highest frequent types.Different types of verbal re-sponse modes used by counselor in different stages due to different intention.

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An 8-week group positive psychotherapy intervention on depression associated self-efficacy and subjective well-being in female nursing students

Yufang GUO ; Shuwen LI ; Ouying CHEN ; Qinghua ZHANG ; Xiujie QI ; Jingping ZHANG

Chinese Mental Health Journal.2015;(3):172-177. doi:10.3969/j.issn.1000-6729.2015.03.003

Objective:To explore the effects of eight-week group positive psychotherapy intervention on de-pression associated self-efficacy and subjective well-being in female nursing students.Methods:Totally 74 female nursing students with mild to moderate depression [the score of Beck Depression Inventory (BDI-Ⅱ)was 14 to 28]were selected from three nursing colleges of Changsha.They were randomly divided into two groups,40 in the control group and 34 in the intervention group.Samples in the intervention group were given the eight-week group positive psychotherapy,while the control group was given nothing (the control group could receive the intervention when the intervention was proved to be effective or the control group needed treatments).The General Self-efficacy Scale(GSES)and Index of Well-being(IWB)were used to get the outcome of female nursing students'self-effica-cy,subjective well-being at baseline,the time after the intervention,3 month follow-up,6 month follow-up.Results:The interactive effect between group and time of self-efficacy,subjective well-being were statistically significant (Ps<0.05).Separate analyses showed that at baseline,there was no significant difference between two groups in all variables (Ps >0.05).At the end of the intervention,3 month follow-up and 6 month follow-up,the GSES score and IWB score in the intervention group were higher than those in the control group (Ps <0.05).Conclusion:Eight-week group positive psychotherapy could improve self-efficacy and subjective well-being of female nursing students who have mild to moderate depressive symptom.This intervention also has a long-term effect.

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Predictive effects of learning burnout on positive and negative mental health in college students

Kangjie QIAN ; Keli YIN ; Lirong ZHANG

Chinese Mental Health Journal.2015;(3):236-240. doi:10.3969/j.issn.1000-6729.2015.03.014

Objective:To explore the predictive role of learning burnout on positive and negative mental in college students.Methods:By convenience sampling method,786 college students were selected.They were as-sessed with the Learning Burnout Scale of Undergraduates (LBUS;including three factors:dejection,improper be-havior and reduced personal accomplishment)to investigate the learning burnout,the Mental Health Continuum Short Form (adult version)(MHC-SF;reflecting positive mental health states:languishing,moderately mentally healthy and flourishing)to investigate positive mental health,and the General Health Questionnaire-28 (GHQ-28;dividing negative mental health levels:pathological one or not)to investigate negative mental health.Results:The total scores and three factors scores of LBUS were negatively correlated with MHC-SF scores (r = -0.48 --0.14,Ps <0.01).The total scores and sub-scores of dejection and improper behavior were positively correlated with GHQ-28 scores (r =0.14 -0.41,Ps <0.01 ).The results of discriminate analysis showed that the learning burnout could predict the positive mental health,the correct prediction rates of three mental health symptoms,lan- guishing,moderately mentally healthy and flourishing were 63.2%,51.2%,and 64.1%,respectively.The total forecast was at a rate of 56.4%,and three factors of learning burnout had the contribution to predict positive psy-chological health.Logistic regression analysis showed that learning burnout of undergraduates could positively pre-dict negative psychological health,the pathological and non-pathological rate of correct prediction were 67.5% and 55.9%,and the total correct prediction rate was 62.0%.Depression could positively predict negative mental health (OR =1.11).Conclusion:Learning burnout could effectively predict both positive and negative mental health in college students.

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Relation of fear of success to self-esteem,self-handicapping, and defensive pessimism in college students

Ming HONG ; Zhaoxiong FAN

Chinese Mental Health Journal.2015;(3):230-235. doi:10.3969/j.issn.1000-6729.2015.03.013

Objective:To explore the relation of fear of success to self-esteem,academic self-handicapping, and defensive pessimism in college students.Methods:Totally 291 college students were surveyed with the Self-Es-teem Scale (SES ),Academic Self-handicapping Questionnaire (ASHQ ),Defensive Pessimism Questionnaire (DPQ)and Fear of Success Questionnaire for Undergraduates (FOSQ).The structural equation modeling (SEM) and mediation analysis were used to test the hypotheses.Results:Self-esteem negatively predicted quality of life (β=-0.16),working pressure (β=-0.17)and interpersonal relationship (β=-0.14).In the 95% level of confi-dence,the lower range output of Bootstrapping in the path model of self-esteem through self-handicapping,defen-sive pessimism to a fear of success respectively was -0.29 and -0.14.The upper range output of those respec-tively was -0.14 and -0.01.Conclusion:Academic self-handicapping and defensive pessimism may play a medi-ating role in the relationship between self-esteem and fear of success.

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Somatic symptoms and dynamic changes after treatment in elderly inpatients with depression:A 1-year follow-up study

Guichun ZHAO ; Ying LIANG ; Xiao WANG ; Tao LI ; Yao CHENG ; Xinyu SUN

Chinese Mental Health Journal.2015;(3):204-209. doi:10.3969/j.issn.1000-6729.2015.03.009

Objective:To explore the characteristics of somatic symptoms and their dynamic changes after treatment in elderly inpatients with depression,so as to give supported data in differential diagnosis and management of somatic symptoms in the elderly patients.Methods:Totally 69 consecutively hospitalized depression patients(≥60 years)were enrolled in the study,and 62 of them completed the 12-month follow-up.The diagnoses were made according to International Statistical Classification of Diseases and Related Health Problem-10th revision(ICD-10) criteria.The Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)and Somatic Symptom Self-rat-ing Scale-Somatic factor(SSS-S)were used to assess the severity of depression,anxiety and somatic symptoms, which were evaluated at baseline,2 weeks,4 weeks and the end of 12-monthr espectively.The Minimum Mental State Examination(MMSE)were used to evaluate cognitive function,and Global Assessment Function(GAF)were used to evaluate social function at the end of 12-month follow-up.Result:Somatic symptoms presented in the all patients at the stages of depressive episode.The most common ones were gastrointestinal symptoms(91%),dizzi-ness or headache(66%),cardiovascular symptoms(59%).SSS-S scores at 2 weeks and 4 weeks of antidepressant treatment were significantly improved compared with those of baseline,[(13.6 ±3.2),(12.4 ±2.8)vs.(17.1 ± 4.8),analyzed by repeated measures of ANOVA,P <0.05].The changes of SSS-S scores were positive associated to the changes of anxiety symptoms and the effect of physical diseases,analyzed by hierarchical linear model analy-sis.At the stages of rehabilitation,residual somatic symptoms were positive associated to the degree of anxiety symptoms(OR =2.132,P <0.05),and unrelated to the level of HAMD,MMSE and GAF scores analyzed by logis-tic regression analysis.Conclusion:Somatic symptoms are various in elderly inpatients with depression during the a-cute phase,which are improved greatly as effective antidepressant treatment,and still have residual somatic symp-toms at the stage of rehabilitation.The effect of physical diseases and anxiety symptoms have influence on somatic symptoms.

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Epidemiologic study on sleep quality of community population aged 18 years or over in Tianjin

Yan GU ; Guangming XU ; Huifang YIN

Chinese Mental Health Journal.2015;(3):199-203. doi:10.3969/j.issn.1000-6729.2015.03.008

Objective:To investigate the sleep quality and relative factors of the people aged 18years or over in Tianjin Municipality.Methods:The participants came from the Tianjin Mental Health Survey conducted from Ju-ly to December in 2011.Total of 11618 residents aged 18 years or over were selected randomly among the general population and finished the Pittsburgh Sleep Quality Index (PSQI)for assessment of sleep quality and General Health Questionnaire (GHQ-12)for screening out the individual with possible mental disorders.The PSQI total score >7 was defined as poor sleep quality.Chi-square test and Wilcoxon rank sum test was used to conduct univa-riable analysis,and logistic regression was used to analyze the related factors to poorer sleep quality.Results:In this sample,980 people had poorer sleep quality,with the adjusted prevalence rate in Tianjin was 6.6%.Logistic regres-sion analysis showed risk factors to poorer sleep quality were female (OR =1.47,95%CI:1.19 -1.82),older age (30 -39 years old,40 -49 years old,50 -59 years old,60 -69 years old,70 years or older,OR =1.72(95%CI:1.10 -2.69),2.55(95%CI:1.66 -3.91),4.41 (95%CI:2.85 -6.83),5.34(95%CI:3.32 -8.59),5.40(95%CI:3.21 -9.08),at his/her own expense on medicare (OR =1.52,95%CI:1.15 -2.00),unemployment (OR =1.46,95%CI:1.05 -2.03)or retirement (OR =1.45,95%CI:1.02 -2.06),smoking (OR =1.49,95%CI:1.22-1.83),difficulty to engage in daily work or activities due to physical illness (OR =2.30,95%CI:1.85 -2.85), and GHQ -12 score ≥ 4 (OR =6.51,95%CI:5.46 -7.46).Conclusion:Although the prevalence rate of poorer sleep quality in the people aged 18 years or over in Tianjin is lower,the problem is common and should not to be ignored.

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Prevalence and related factors of suicidal ideation in adolescents from China and Philippine

Rui QIN ; Yusui ZHAO ; Le FANG ; Min YU

Chinese Mental Health Journal.2015;(3):193-198. doi:10.3969/j.issn.1000-6729.2015.03.007

Objective:The study is to compare the prevalence and related factors of suicidal ideation in ado-lescents between China and Philippine.Methods:Our research data was downloaded from the website of world health organization (WHO).It was the data of China and Philippine from the Global school-based student health survey(GSHS)which was launched by the WHO,and 9173 students in China and 7338 students in Philippine aged 11 -16 years were involved.The situations of being serious injury,being bullied,sense of loneliness,insomnia, sense of hopelessness,friends,smoking,alcohol consumption,drug abuse and exercise were assessed by the ques-tionnaire.The definition of suicidal ideation was that ever thinking of suicide seriously in the last 12 months.Results:The rate of having suicidal ideation in China and Philippine were 17.4% (1544 /8881 )and 19.3% (1371 /7089),respectively.Multivariate analysis showed that female (OR =1.45),grade two and three of middle school (OR =1.29,1.43),being serious injury (OR =1.35),being bullied (OR =1.87),sense of loneliness (OR =1.47),insomnia (OR =1.55),sense of hopelessness (OR =3.36),alcohol consumption (OR =1.45)and drug abuse (OR =1.55)were the risk factors to suicidal ideation in China adolescents,and having good friends (OR=0.66)and exercise regularly (OR =0.78)were the protective factors.However,the female,grade,sense of lone-liness,insomnia and drug abuse were not the risk factors to suicidal ideation in Philippine adolescents,and other fac-tors were similar to China sample.Conclusion:There may be differences in the prevalence rate of suicidal ideation between adolescents in China and Philippine,with lower rate in China.Meanwhile,there are similarities in the relat-ed factors on the adolescent suicidal ideation of the two countries,with more risk factors in China sample.Therefore,the individualized targeted measures should be taken to prevent suicide in China and Philippine respectively.

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