An analysis on the reliability and validity of a scoring system of house -tree -person test for depression / 预防医学

Objective To develop a quantitative scoring system for the House -Tree -Person (H -T -P)test.Methods By literature review and expert consultation,preliminary evaluation items were defined.After pilot test,the scoring system for assessing depression were defined.A total of 21 6 cases of patients with depressive mood disorder from the Tong De hosptial of the Zhejiang Province were tested.The reliability and validity of a scoring system of house -tree -person test for depression were analyzed.Results The scoring system of depression evaluation including 23 items and 5 factors,could explain 77.50% of the cumulative total variance.The split -half reliability of the system was 0.87 and 0.88,and the internal consistency reliability of the system was 0.81 .The Kappa coefficient of each item was 0.71 -0.89 (P <0.01 ). The standard validity of the scale was 0.65,and the criterion validity of each factor was 0.34 -0.60 (P <0.01 ).The critical point of positive demarcation was 4,and the critical point of positive demarcation of each factor was 1 .The Kappa value of the consistency test was 0.85 with the PHI Depression Inventory.Conclusion This study demonstrates H -T -P scoring system has acceptable validity and internal consistency.

A study on relationship between mental health and aggression among middle school students / 预防医学

Objective To explore the relationship between mental health and aggression among middle school students. Methods A total of 316 students were selected from a middle school in Hangzhou city by random sampling method and were assessed with the Mental Health Inventory of Middle -School (MMHI)and Junior Student Aggression Inventory. Results There were 177 students belonged to high level group of mental health(61.89%)and the total MMHI-60 score was 1.5 1 ±0.27 while 109 students belonged to low level group of mental health (38.1 1%)and the total MMHI-60 score was 2.52 ±0.47.The total and subscale scores of Aggression Inventory in the high level group of mental health were significantly lower than the low level group (both P<0.01 ).The total and subscale scores of Middle School Student Aggression Inventory were related to the total average scores of MMHI (P<0.01 ).Conclusion There is a negative correlation between mental health and aggression among middle school students.

A multilevel analysis on the association between socioeconomic status and psychiatric disorders / 中华流行病学杂志

Objective To explore the association between psychiatric disorders and socioeconomic status such as education,income,employment and area of community settings in Zhejiang province.Methods Data were from the epidemiological survey of mental illnesses aged 15 and older in 2001(n=14 632).Psychiatric disorders were measured by GHQ-12 with a cut-point 4.Logistic multilevel analysis was the main statistical method being used.Results The overall prevalence of psychiatric disorders was 18.5%(95% confidence intervals,17.9% to 19.1%),higher than the data from Hebei province(u=4.39,P＜0.001).Annual household income and employment were strongly associated with psychiatric disorders especially for those with low income(odds ratio 3.45,95%CI:1.72-6.67)and unemployment(odds ratio 2.03,95%CI:1.73-2.40).Factors as regional effect and education level showed weak or inconsistent association with psychiatric disorders after controlling on other indicators.Conclusion Inverse gradient relation between psychiatric disorders and SES seemed as the main result of low SES individual characteristics and some minor effects at the county level.

A multilevel cross-sectional study of mental disorder in community settings in Zhejiang Province / 中华预防医学杂志

<p><b>OBJECTIVE</b>To investigate the prevalence of mental disorder through the 12-item general health questionnaire (GHQ-12) survey and its related factors in community settings in Zhejiang Province.</p><p><b>METHODS</b>A muti-level model was analyzed using data of 14,632 respondents nested in counties (cities), townships (urban districts), villages (urban neighborhoods) from the epidemiological survey of mental illnesses above 15 years old.</p><p><b>RESULTS</b>The mean score measured by GHQ-12 was (1.54 +/- 2.15), which was lower than that of samples from four cities of Guangzhou, Chongqing, Taiyuan and Hangzhou (U = 11.08, P < 0.01). The mental disorder clustered within county (city) level, which represented 4.3% (chi(2) = 3.94, P < 0.05) of the total variance including four levels. After controlling for the county level, the mental disorder was associated with age, marital status, residency patterns, education, occupation and household incoming. In particular, it was reported that higher household incoming was significantly associated with better mental disorder among population in community settings.</p><p><b>CONCLUSION</b>The prevalence of mental disorder clustered at the county (city) level is relatively lower with vulnerable groups including divorced, widowed, unemployed, retired, lower-income ones in community settings in Zhejiang Province.</p>

Clinical study on treatment of obsessive compulsive neurosis by acupoint stimulating control / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To study the clinical effect of acupoint stimulating control (ASC) in treating obsessive compulsive neurosis.</p><p><b>METHODS</b>The comparative study was conducted in 65 patients with obsessive compulsive neurosis, they were divided into two groups, the 33 patients in the control group treated with chlorimipramine and the 32 in the tested group treated with ASC. The therapeutic efficacy and adverse reaction were assessed according to the standard for clinical efficacy evaluation by Yale-Brown scale for obsession (Y-BOCS)and adverse reaction scale.</p><p><b>RESULTS</b>The curative rate and markedly effective rate in the control group was 24.2% (8/33) and 27.3% (19/33), which in the tested group was 37.5% (12/32) and 34.4% (11/32) respectively. Significant difference was shown in comparison of Y-BOCS score between the two groups from the end of the 4th week of treatment (P < 0.05), indicating the efficacy in the tested group was better than that in the control group. Moreover, the occurrence of adverse reaction was higher in the control group than that in the tested group.</p><p><b>CONCLUSION</b>ASC is a treatment with good effect, less adverse reaction and favourable safety superior to the treatment by chlorimipramine.</p>

Epidemiological survey of mental illnesses in the people aged 15 and older in Zhejiang Province, China / 中华预防医学杂志

<p><b>OBJECTIVE</b>To describe the current prevalence and distribution of all types of mental disorders in Zhejiang Province and use this data to develop a provincial mental health plan.</p><p><b>METHODS</b>Stratified multi-stage cluster randomization was used to identify 14 counties (cities), 70 townships (urban districts), 140 villages (urban neighborhoods) and 15,000 subjects > or = 15 years of age. Psychiatric nurses used an expanded version of the General Health Questionnaire (GHQ) to identify subgroups of subjects at high, moderate and low risk of having a mental disorder, then psychiatrists determined their diagnoses by administering a structured psychiatric examination (SCID) that employs American diagnostic criteria for mental disorders (DSM-IV) to 100% of high-risk, 40% of moderate-risk and 10% of low-risk subjects.</p><p><b>RESULTS</b>14 639 subjects completed the screening and 4,788 completed the psychiatric examination. The adjusted overall current rate of mental disorders was 17.3% (95% CI = 16.0%-18.7%), which dropped to 13.4% (12.2%-14.7%) if the non-specific (NOS) disorders were excluded. The most common diagnostic groups were affective disorders (8.6%, 7.9%-9.5%), anxiety disorders (4.3%, 3.6%-5.1%), and substance use disorders (3.0%, 2.4%-3.8%). The most common specific disorders were major depressive disorder (4.3%, 3.7%-4.9%), alcohol use disorder (2.9%, 2.3%-3.7%), dysthymia (1.6%, 1.3%-1.9%) and specific phobias (1.2%, 0.8%-1.8%). The overall prevalence was higher in rural than in urban areas (RR = 1.23, 95% CI = 1.11-1.37) and slightly higher in women than in men (RR = 1.11, 1.00-1.22).</p><p><b>CONCLUSIONS</b>Mental disorders seriously affect the social and economic development of Zhejiang Province; they are a major public health problem that urgently needs to be addressed. To do this, it is necessary to develop and implement a comprehensive province-wide mental health plan and regularly evaluate its effectiveness.</p>