Objective:To investigate the correlation of psychological resilience with family functioning in adolescents.Methods:This study was a cross-sectional study. A total of 1 300 students in the pre-junior to senior grades of three middle schools with medical-educational integration project in Shanghai Minhang District were selected by stratified cluster random sampling from November 2023 to April 2024. Psychological resilience levels and family functioning were assessed using the Resilience Scale for Children and Adolescents (RSCA) and the Family Assessment Device (FAD) among adolescents, respectively. The relationship between psychological resilience levels and family function, and the related influencing factors were examined by Pearson correlation analysis and multiple linear regression analysis.Results:A total of 1 217 valid questionnaires were obtained with an effective rate of 93.6%. There were 600 boys and 617 girls, with an mean age of (14.04±2.19) years. The average score of RSCA for was (87.07±15.96) points. Univariate analysis showed that genders, ethnicities, family structures, parents′ marital status, main caregivers, parenting styles, and having negative life events were significantly associated with psychological resilience levels of adolescents (all P<0.05). Multiple linear regression showed that problem-solving ( β=6.902, P<0.001) and total family function ( β=16.764, P<0.001) were positively correlated with adolescents′ psychological resilience, while emotional response ( β=-3.869, P=0.001), emotional involvement ( β=-4.948, P=0.001), and behavioral control ( β=-6.801, P=0.002) were negatively correlated with adolescents′ psychological resilience. The final model explained 31.7% of the influencing factors of psychological resilience in adolescents. Conclusion:The level of psychological resilience of adolescents in Minhang District of Shanghai is above the medium level, and family functioning has a significant impact on their mental toughness.

Objective:To investigate the correlation of psychological resilience with family functioning in adolescents.Methods:This study was a cross-sectional study. A total of 1 300 students in the pre-junior to senior grades of three middle schools with medical-educational integration project in Shanghai Minhang District were selected by stratified cluster random sampling from November 2023 to April 2024. Psychological resilience levels and family functioning were assessed using the Resilience Scale for Children and Adolescents (RSCA) and the Family Assessment Device (FAD) among adolescents, respectively. The relationship between psychological resilience levels and family function, and the related influencing factors were examined by Pearson correlation analysis and multiple linear regression analysis.Results:A total of 1 217 valid questionnaires were obtained with an effective rate of 93.6%. There were 600 boys and 617 girls, with an mean age of (14.04±2.19) years. The average score of RSCA for was (87.07±15.96) points. Univariate analysis showed that genders, ethnicities, family structures, parents′ marital status, main caregivers, parenting styles, and having negative life events were significantly associated with psychological resilience levels of adolescents (all P<0.05). Multiple linear regression showed that problem-solving ( β=6.902, P<0.001) and total family function ( β=16.764, P<0.001) were positively correlated with adolescents′ psychological resilience, while emotional response ( β=-3.869, P=0.001), emotional involvement ( β=-4.948, P=0.001), and behavioral control ( β=-6.801, P=0.002) were negatively correlated with adolescents′ psychological resilience. The final model explained 31.7% of the influencing factors of psychological resilience in adolescents. Conclusion:The level of psychological resilience of adolescents in Minhang District of Shanghai is above the medium level, and family functioning has a significant impact on their mental toughness.

Objective:To investigate the effect of horticultural therapy on social function of elderly inpatients with cognitive dysfunction.Methods:Ninety inpatients with cognitive dysfunction who met the diagnostic criteria of ICD-10 were randomly divided into horticultural research group and control group, with 45 patients in each group.Finally, totally 82 completed the test with 41 in each group.Patients in the two groups were both given drug therapy according to clinical symptoms.At the same time, patients in the research group were given horticultural therapy 3 times a week, 90 minutes each section, for 12 weeks.Scale of social function in psychosis inpatients(SSPI) was used to assess the social function of the patients in the two groups were at baseline, 4, 8 and 12 weekends of the treatment.SPSS 25.0 software was used to conduct chi-square test and independent sample t-test for demographic data of the two groups, and repeated measures ANOVA was performed for SSPI score. Results:The results of repeated measure analysis of variance showed that the group main effect ( F=7.226, F=13.428, F=24.817, F=19.793) and interaction effect between time and group were all statistically significant ( F=29.644, F=42.937, F=53.246, F=67.215)(all P<0.01) in daily living ability (factor Ⅰ), mobility and interaction (factor Ⅱ), social activity skills score (factor Ⅲ) and total score.Simple effect analysis showed there were no statistically significant differences in each factor score and total score between the two groups at the baseline ( P>0.05), and there were statistically significant differences in each factor scores and total score at the end of the 8th weekend ((9.95±2.41), (10.39±3.38), (6.56±3.24), (26.90±7.88) vs (8.10±2.45), (6.88±3.48), (2.81±2.50), (17.78±6.96))and 12th weekend((10.27±2.16), (11.61±3.07), (7.88±3.08), (29.76±7.40) vs (7.56±2.41), (5.78±3.21), (2.34±2.02), (15.68±6.24)) (all P<0.01). The pair-to-pair comparison within the group showed that the differences in factor Ⅱ, factor Ⅲ and total score of the research group at the end of the 12th weekend ((11.61±3.07), (7.88±3.08), (29.76±7.40)) were higher than those at the baseline((8.59±3.93), (4.56±3.32), (22.02±8.35)), 4th weekend((9.07±4.14), (5.12±3.35), (23.59±8.51)), and 8th weekend((10.39±3.38), (6.56±3.24), (26.90±7.88))(all P<0.05). Factor Ⅰ (10.27±2.16) showed a statistically significant difference compared with the baseline (8.88±2.65) and 4th weekend (9.39±2.63)(both P<0.05). All the scores showed an upward trend. Conclusion:Horticultural therapy can improve the social function of elderly inpatients with cognitive impairment.

Objective:To study the metabolic effect in in-patients chronic schizophrenia receiving horticultural therapy.Methods:One hundred and ten in-patients with schizophrenia meeting the criteria and signed informed consent at the rehabilitation wards were included.The random-number methods were used to classify patients into either the intervention group or the control group.The two groups both received normal medications while the intervention group alsoreceived horticultural therapy.The body weight and waist circumference were recorded at baseline,6 and 12-week-follow-up.And fasting blood sugar,triglyceride values were tested at the baseline,4th,8th,and 12th week-session.Results:Fifty-two patients of each group finished the evaluation.Covariance analysis results showed that the average waist circumference was much shorter in the intervention group than in the control group at 12-week-follow-up (F =13.98,P ＜ 0.001).When divided into 3subgroups according to the different drugs,after repeated ANOVA,the average waist circumference of the intervention group became shorter after intervention (olanzapine F =3.62,P ＜ 0.05;risperitone,F =4.46,P ＜ 0.05;aripiprazole,F =4.14,P ＜ 0.05) no matter what the antipsychotics they took.Conclusion:It suggests that horticultural therapy could effectively narrow waist circumferences in hospitalized patients with chronic schizophrenia whatever the antipsychotics the patients take.