Objective:To explore the longitudinal relationship between adolescents' future self-continuity and depression, providing insights into their future development.Methods:A total of 419 adolescents from a school in Shandong Province were selected, and two followed-up surveys were conducted at 6-month intervals in April (T1) and October (T2) of 2023 using the future self-continuity questionnaire and Beck depression inventory-Ⅱ. Cross-lagged analysis was performed using Mplus 8.0.Results:The scores of future self-continuity were 36.01±8.69 at baseline (T1) and 35.89±9.92 after six months (T2), while the scores of depression were 2.00(0, 14.00) and 1.00(0, 9.00), respectively. There was a negative correlation between future self-continuity and depression at both time points (T1: r=-0.195, T2: r=-0.239, both P<0.01). Adolescents' future self-continuity could predict depression six months later ( β=-0.098, P<0.01), and depression also could predict the level of future self-continuity six months later ( β=-0.114, P<0.01). Conclusion:There is an interactively influence effect between adolescents' future self-continuity and depression.While enhancing adolescents' future self-continuity level to alleviate depression, attention should also be paid attention to the impact of depression on their future self-continuity, which can help adolescents overcome the interference of depressive emotions and grow into a better future self.

Objective:To explore the longitudinal relationship between adolescents' future self-continuity and depression, providing insights into their future development.Methods:A total of 419 adolescents from a school in Shandong Province were selected, and two followed-up surveys were conducted at 6-month intervals in April (T1) and October (T2) of 2023 using the future self-continuity questionnaire and Beck depression inventory-Ⅱ. Cross-lagged analysis was performed using Mplus 8.0.Results:The scores of future self-continuity were 36.01±8.69 at baseline (T1) and 35.89±9.92 after six months (T2), while the scores of depression were 2.00(0, 14.00) and 1.00(0, 9.00), respectively. There was a negative correlation between future self-continuity and depression at both time points (T1: r=-0.195, T2: r=-0.239, both P<0.01). Adolescents' future self-continuity could predict depression six months later ( β=-0.098, P<0.01), and depression also could predict the level of future self-continuity six months later ( β=-0.114, P<0.01). Conclusion:There is an interactively influence effect between adolescents' future self-continuity and depression.While enhancing adolescents' future self-continuity level to alleviate depression, attention should also be paid attention to the impact of depression on their future self-continuity, which can help adolescents overcome the interference of depressive emotions and grow into a better future self.

Objective To evaluate the clinical efficacy of Hybrid surgery for treatment of multi-level cervical spondylosis.Methods A total of 49 patients (26 males, 23 females) with cervical spondylosis treated with Hybrid surgery between June 2012 and April 2014 were retrospectively reviewed.There were 5 cases with cervical spondylitis radiculopathy (n=5), 10 cases with cervical spondylitis myelopathy (n=10) and 34 cases with mixed cervical spondylitis (n=34).Among the 49 patients, 10 underwent two-segment surgery (n=10) and 39 underwent three-segment surgery (n=39).The mean age of patients was 53.4 years (range from 43 to 62 years).Visual analogue scale (VAS), neck disability index (NDI) and Japanese Orthopedics Association Scores (JOA) were used to evaluate the clinical outcomes.Cervical radiography was used to observe the range of motions (ROM) in C2-C7 segments.Results Mean follow-up time was(42.6±2.2)months (ranging from 24 to 46 months).The mean VAS score for neck pain was significantly decreased from (6.9±1.4) preoperatively to (2.5±0.9) at 3 months postoperatively, and (0.7±0.6)during the last follow-up, respectively(P<0.05).The mean NDI score was significantly reduced from (24.6±8.6) preoperatively to (17.8±6.1) at 3 months postoperatively, and(13.8±4.2) during the last follow-up, respectively(P<0.05).The mean JOA scores increased from (11.9±2.8) preoperatively to(12.6±1.5)at 3 months postoperatively, and (14.8±1.4) during the last follow-up (P<0.05).The ROM of C2-C7 segment reduced from (44.2±8.1)°preoperatively to(34.1±6.8)°at 3 months postoperatively, and(30.4±9.5)°during the last follow-up(P<0.05).Conclusion The clinical outcomes of Hybrid surgery are excellent in the treatment of multilevel cervical spondylosis.The motion of the non-fusion segments is reserved and the decompression is complete.It could be an alternative treatment for multilevel spondylosis.