BackgroundThe issue of school absenteeism due to school refusal in adolescents has become increasingly prominent. Acceptance and Commitment Therapy （ACT） has been applied successfully to improve depression， anxiety， and psychological flexibility in adolescents， while few studies have tested the effect of ACT intervention on above-mentioned psychological aspects and return-to-school rate in adolescents with school absenteeism. ObjectiveTo explore the effect of ACT on depression， anxiety， psychological flexibility and return-to-school rate in school absenteeism adolescents， and to provide a broader evidence base for clinical interventions. MethodsFrom May to June 2024， a sample of 50 adolescents with Shenzhen school registration who had been suspended from school for more than a consecutive month for school refusal were recruited based on Wechat official account platform. The adolescents were divided into study group and control group by random number table method. Both groups received psychological education with the theme of 'Causes and Coping Strategies of School Refusal'， and study group added a 6-week ACT intervention with weekly 1-hour sessions. At baseline and after treatment， Patients’ Health Questionnaire Depression Scale-9 item （PHQ-9）， Generalized Anxiety Disorder Scale-7 item （GAD-7） and Comprehensive assessment of Acceptance and Commitment Therapy processes （CompACT） were used for the clinical evaluation. ResultsA total of 45 （90.00%）adolescents completed the study， including 25 in study group and 20 in control group. Analysis revealed that study group scored higher on PHQ-9 and GAD-7， while lower on total CompACT score， openness dimension and awareness dimension compared with control group， with statistical significance （F=7.786， 10.334， 12.922， 14.374， 3.075， P<0.05 or 0.01）. After intervention， the rate of return-to-school was higher in study group than in control group （40.00% vs 10.00%， χ²=5.114， P<0.05）. ConclusionACT intervention for adolescents with school absenteeism may alleviate depression and anxiety， improve their psychological flexibility and increase return-to-school rate.［Funded by the "14^th Five Year Plan" for Social Sciences Project in Jiangxi Province （number， 24JY41D）； Science and Technology Planning Project of Shenzhen Municipality （number， 20210617155253001）］

Objective To determine whether the aberrant white matter network is shared by patients with schizophrenia and their healthy siblings.Methods Fourteen-three first-episode,treatment-naive patients with schizophrenia (patients),40 healthy siblings (siblings),and 55 healthy controls (controls)were scanned with 3.0T MRI scanner and diffusion tensor imaging tractography was used to construct the whiter matter brain network.The differences of white matter network were compared with analysis of variance among the 3 groups.Results The white matter network connectivity strength and the global efficiency significantly reduced in both patients (5.14 ±0.36,0.25 ±0.02) and their siblings (5.25 ±0.27,0.25 ±0.01) comparing to controls (5.41 ± 0.24,0.26 ± 0.01 ; F =16.55 P ＜ 0.01),without significant difference between patients and siblings (P ＞ 0.05).The degree in left precuneus,left anterior cingulate and right orbitofrontal gyrus was significantly lower in patients (7.42 ± 1.04,7.58 ± 1.25 and 3.72 ± 1.46)and siblings (7.51 ± 1.18,7.87 ± 1.10 and 4.42 ± 1.09) than controls (8.22 ± 1.07,8.31 ±0.99 and 4.80 ±0.92,P ＜0.05,FDR corrected); patients was also lower than siblings in right orhitofrontal gyrus (P ＜ 0.05,FDR corrected).Additionally significantly reduced betweenness centrality in left precuneus,left anterior cingulate and right orbitofrontal gyrus in patients (0.31 ± 0.02,0.32 ± 0.03 and 0.25 ± 0.03) and siblings (0.31 ±0.02,0.33 ±0.02 and 0.27 ±0.03) compared to controls (0.32 ±0.02,0.34 ± 0.02and 0.28 ± 0.02,P ＜ 0.05,FDR corrected) ; patients was also lower than siblings in right orbitofrontal gyrus (P ＜ 0.05,FDR corrected).Conclusions These findings suggest that schizophrenia patients and their healthy siblings share the aberrant white matter network,which may be the susceptibility biological marker for schizophrenia.

Objective To determine whether the aberrant white matter network is shared by patients with schizophrenia and their healthy siblings.Methods Fourteen-three first-episode,treatment-naive patients with schizophrenia (patients),40 healthy siblings (siblings),and 55 healthy controls (controls)were scanned with 3.0T MRI scanner and diffusion tensor imaging tractography was used to construct the whiter matter brain network.The differences of white matter network were compared with analysis of variance among the 3 groups.Results The white matter network connectivity strength and the global efficiency significantly reduced in both patients (5.14 ±0.36,0.25 ±0.02) and their siblings (5.25 ±0.27,0.25 ±0.01) comparing to controls (5.41 ± 0.24,0.26 ± 0.01 ; F =16.55 P ＜ 0.01),without significant difference between patients and siblings (P ＞ 0.05).The degree in left precuneus,left anterior cingulate and right orbitofrontal gyrus was significantly lower in patients (7.42 ± 1.04,7.58 ± 1.25 and 3.72 ± 1.46)and siblings (7.51 ± 1.18,7.87 ± 1.10 and 4.42 ± 1.09) than controls (8.22 ± 1.07,8.31 ±0.99 and 4.80 ±0.92,P ＜0.05,FDR corrected); patients was also lower than siblings in right orhitofrontal gyrus (P ＜ 0.05,FDR corrected).Additionally significantly reduced betweenness centrality in left precuneus,left anterior cingulate and right orbitofrontal gyrus in patients (0.31 ± 0.02,0.32 ± 0.03 and 0.25 ± 0.03) and siblings (0.31 ±0.02,0.33 ±0.02 and 0.27 ±0.03) compared to controls (0.32 ±0.02,0.34 ± 0.02and 0.28 ± 0.02,P ＜ 0.05,FDR corrected) ; patients was also lower than siblings in right orbitofrontal gyrus (P ＜ 0.05,FDR corrected).Conclusions These findings suggest that schizophrenia patients and their healthy siblings share the aberrant white matter network,which may be the susceptibility biological marker for schizophrenia.

Objective To study the association of transcription factor 7-like 2(TCF7L2)polymorphisms with tvpe 2 diabetes mellitus in Chinese Han population. Methods Two polymorphisms (rs7903146 and rs12255372)of TCF7L2 gene were genotyped in 446 patients with type 2 diabetes mellitus(T2DM group)and 303 normal subiects (NC group) by PCR-restriction fragment length polymorphism(PCR-RFLP).Waist circumference.body mass index,plasma glucose,serum insulin,lipid profiles,high-sensitivity C-reactive protein and non-esterified fatty acid were measured.Homeostasis model assessment of insulin resistance(HOMA-IR)and β-cell function(HOMA-β)were calculated.Results (1) In T2DM group,T allele frequency and CT,TY geno tvpe frequeneies of rs7903146 were significantly higher than those in NC group(0.093,0.150,0.018 vs 0.043, 0.079,0.003,respectively,a11 P

Objective To investigate the change of serum non-esterified fatty acid (NEFA) level in nondiabetic first-degree relatives of type 2 diabetics, and to explore the related factors in the change.MethodsSerum lipid profile, plasma glucose and insulin levels were measured in 186 type 2 diabetic patients, 565 nondiabetic first-degree relatives of type 2 diabetics and 149 normal controls. Results (1) The fasting NEFA level in first-degree relatives was significantly lower than that of type 2 diabetic patients [(0.53±0.28 vs 0.63±0.31) mmol/L,P＜0.01]and HOMA-IR was significantly higher than that of normal controls (0.98±0.51 vs 0.89±0.47,P＜0.01). (2) The fasting NEFA level in the first-degree relatives with higher body mass index (BMI), plasma glucose or area under curve of glucose concentration (AUCglu) was higher than that in those with lower BMI, plasma glucose , blood pressure or AUCglu (all P＜0.05). (3) NEFA showed significantly positive correlations with BMI, systolic blood pressure, diastolic blood pressure (DBP), AUCglu in the first-degree relatives by correlative analysis (r=0.12, r=0.148, r=0.21 and r=0.281 respectively, all P＜0.05). Stepwise linear regression analysis showed that DBP, AUCglu and age were the independent risk factors of NEFA (all P＜0.01). Conclusion Insulin resistance exists in nondiabetic first-degree relatives of type 2 diabetics, which seems to be related to elevated NEFA levels.

Objective To explore the variation and influential factors of high sensitive C-reactive protein (hs-CRP) level in type 2 diabetic family members. Methods A total of 427 type 2 diabetic patients, 377 non-diabetic first-degree relatives of type 2 diabetics and 135 normal control subjects without diabetic family history were recruited. Serum hs-CRP, clinical and biochemical parameters were measured. The relations among indicators were analyzed. Results Compared with normal control subjects, serum hs-CRP levels in type 2 diabetics and first-degree relatives were significantly increased (both P＜0.05), and the increment was even marked in type 2 diabetics than that in first-degree relatives (P＜0.01). The serum hs-CRP levels in type 2 diabetics and first-degree relatives were positively associated with body mass index, waist-hip ratio, abdominal circumference, postgrandial 2 h plasma glucose, fasting and postgrandial 2 h serum insulin, HOMA-IR, triglyceride, creatinine and negatively correlated with high density lipoprotein-cholesterol. In first-degree relatives, serum hs-CRP level was positively associated with systolic blood pressure and HOMA-β. Conclusion As in type 2 diabetic patients, there exists inflammatory reaction in the non-diabetic first-degree relatives of type 2 diabetics, which may play an important role in the pathogenesis of type 2 diabetes mellitus.

The polymorphism in the exon 4 of FcRL3 gene was evaluated by PCR-FPLR in 506 patients with Graves' disease (GD), 80 with Hashimoto thyroiditis (HT) and 261 normal subjects in Chongqing. The data suggest that 82G allele in exon 4 of FcRL3 gene may be susceptible to GD in male patients of Chongqing Hart nationality.

Serum cortisol levels during oral glucose tolerance test (OGTY) were measured in subjects of type 2 diabetic pedigrees. The results showed that cortisol levels during OGTF were higher in type 2 diabetic patients than those in non-diabetic first-degree relatives and normal controls. Fasting cortisol level was positively correlated with fasting plasma glucose level in type 2 diabetic pedigree members. These results suggest that the dysregulation of hypothalamic-pituitary-adrenal axis may coexist in type 2 diabetic patients.

Objective To study the mRNA expression and function of TGF-?1, TGF-?RⅡ and CD105 in the lesional, non-lesional skin of psoriasis and of normal human skin. Methods The RNA of skin tissue was extracted using single-step method of RNA isolation by acid guanidinium thiocyanate. Reverse transcription polymerase chain reaction (RT-PCR) was used to measure the expression of mRNA. Results The mRNA expression of TGF-?1 and TGF-?RⅡ was lower in the epidermis of psoriatic lesion than that of non-lesional psoriatic and normal human skin(P

Objective To investigate the regulatory effect of calcitonin gene-related peptide (CGRP) on the mRNA and protein expression of neuronal nitric oxide synthase (NOS), as well as the release of nitric oxide (NO) in cultured human keratinocyte line HaCaT. Methods NO level in the supernatant of cell culture medium was detected with an enzymatic NO detecting kit, the mRNA expression of neuronal NOS was studied with reverse transcription polymerase chain reaction(RT-PCR), and the protein expression of neuronal NOS was studied with immunochemical technique(SP). Results Compared with that in normal culture condition, the mRNA and protein expression of neuronal NOS and the release of NO was significantly upregulated by CGRP in HaCaT cells. Whereas, the expression of neuronal NOS and the release of NO in HaCaT cells induced by CGRP was inhibited by CGRP-8-37, an inhibitor of CGRP receptor. Conclusion The expression of neuronal NOS in keratinocytes and the release of NO from keratinocytes could be upregulated by CGRP.