Trajectories of glucose and lipid metabolism of schizophrenic patients in long-term hospitalization： a real-world study / 四川精神卫生

ObjectiveTo picture the trajectory of changes in glucose and lipid metabolism among schizophrenic patients in long-term hospitalization. MethodsA total of 109 inpatients of Shenzhen Kangning Hospital from 2014 to 2022， who were diagnosed with schizophrenia based on the International Classification of Diseases， tenth edition （ICD-10） criteria， were recruited as subjects. Real-world follow-up data on longitudinal glucose metabolism （fasting blood glucose， glycosylated hemoglobin， C-peptide） and lipid metabolism （triglycerides， low density lipoprotein， high density lipoprotein， total cholesterol） were observed. The frequency of visit was once a year， with a total of 9 visits over 8 years. ResultsIn terms of glucose metabolism parameters， fasting blood glucose level decreased to 4.87 mmol/L at the 7th visit， lower than the baseline level （P<0.01）. Glycated hemoglobin level was 6.08% at the 9th visit， higher than the baseline level （P<0.05）. C-peptide level was 3.14 ng/mL at the 7th visit， higher than the baseline level （P<0.01）. As for the trajectory of lipid metabolism parameters， high-density lipoprotein level were significantly lower than baseline level at the second visit （P<0.01） and stayed basically stable thereafter. Total cholesterol levels at the last three visits were 4.06， 4.07 and 3.95 mmol/L， respectively， all lower than the baseline level （P<0.01）. ConclusionThe changes of glycolipid metabolism parameters in long-term inpatients with schizophrenia were generally smooth during the 8-year follow-up period.

Parenting characteristics of children with attention deficit hyperactivity disorder and conduct problems / 中华实用儿科临床杂志

Objective:To explore the parenting characteristics of children with attention deficit hyperactivity disorder (ADHD) and conduct problems.Methods:This was a cross-sectional study involving 84 ADHD children with conduct problems and 75 ADHD children without conduct problems treated in the Outpatient Department of Children′s Health and Mental Health Center, Shenzhen Children′s Hospital from September 2017 to December 2019, and 54 healthy control children (healthy children in ordinary primary and secondary schools in Shenzhen) were included.The Egna Minnen av Barndoms Uppfostran (EMBU) scale was used to access the parenting styles of participants. ANCOVA was used to compare the different score of all factors in EMBU among these 3 groups and Tukey′s post-hoc comparisons were also performed.All comparisons were corrected for age and sex. Results:Among the factor scores of EMBU scale, ADHD children with conduct problems scored significantly higher on parental and maternal harsh/punishment [Parental (22.10±4.92) scores vs.(19.40±4.01) scores vs.(17.40±2.51) scores; Maternal (15.10±3.54) scores vs.(13.70±2.78) scores vs.(12.40±1.97) scores] and the reject/deny factors [Parental(10.60±2.49)scores vs.(9.40±2.06)scores vs.(8.90±1.61)scores, Maternal(13.90±3.28)scores vs.(12.40±2.64)scores vs.(11.60±2.19)scores] than ADHD children without conduct problems and the healthy control group (all P<0.001). On parental overprotection factors, both ADHD groups scored higher than the healthy control group [(10.30±2.03) scores vs.(9.80±2.13) scores vs.(8.70±1.92) scores, P<0.001], while on maternal over-interference factor, ADHD children with conduct problem scored significantly higher than ADHD children without conduct problems and the healthy controls [(36.00±4.64) scores vs.(34.60±4.38) scores vs.(33.30±4.92) scores, P=0.009]. Conclusions:Parents of ADHD children with conduct problems tend to use more negative parenting skills like punishment, over-interference, rejection and denial.This kind of negative parenting style, to some extent, causes the conduct problems in children with ADHD.

Specific learning disorder / 中华实用儿科临床杂志

Specific learning disorder (SLD) is one of the most common neurodevelopmental disorders with a biological origin manifested by difficulties in the acquisition or use of academic skills.The onset is usually during the years of formal schooling and may occur across the life span with profound and extensive influences.The purpose of this article is to review the prevalence,etiological factors,neuropsychological mechanism,clinical manifestation,diagnosis,differential diagnosis,comorbidity and treatment of SLD.

An Experiment Study on the Eye Movement of Reading Disorder Children during Apperceiving Pictures / 中国心理卫生杂志

Objective: To explore the eye-movement characters and the visual cognitive processing traits of Chinese children with reading disorder (RD) during apperceiving pictures. Methods: 14 children with reading disorder and 14 normal controls were collected. Their eye-movements during apperceiving pictures were recorded with Eye-link II High-Speed Tracker. Results:The only significant difference between the two groups existed in the score of average saccade amplitude for picture 3 (RD children scored less 3.79?0.69/ 4.86?1.67,t=-2.29,P0.05).Conclusions:The remember and process capability to the pictures are not the main characters of the Chinese RD children. If the background of picture is complicated, the attention span of children suffered RD will be more limited, and their fixation efficiency will be depressed.

The Clinical Characteristics of Chinese Children with Reading Disorder / 中国心理卫生杂志

Objective: Evaluation the clinical characteristics of Chinese reading disorder children.Methods:Use WSIC-CR, PRS and the questionnaire for parents on children's reading and writing abilities to investigate and evaluate 17 Chinese children with SRD (specific reading disorder) and 32 normal children.Results:The VIQ、FIQ、VC、M/C of Chinese SRD children scored in WISC-CR were lower than normal children(98.3?13.5/111.7?13.7,97.1?14.5/110.2?14.3,40.4?9.2/47.6?7.7,25.9?6.3/32.0?7.3,OR=0.88~0.94,P