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Background@#Numerous studies among the western population have been demonstrated that the intolerance of uncertainty can cause mental disorders such as OCD, anxiety disorder major depressive disorder. The lack of research in this field among the eastern population, especially the Mongolians, is the basis of our study. Material and Methods The study was designed as a cross-sectional study with a self-report questionnaire and conducted between December 5th and February 5th of 2022. The Intolerance of Uncertainty scale (IUS-12) is for measuring intolerance of uncertainty, Patient health questionnaire (PHQ-9), and Generalized anxiety disorder (GAD-7) were used to measuring mental health among study participants. The present study was undertaken following ethical approval from the MNUMS scientific research ethics committee (approval number: 2021/3-06). Statistical analysis was performed using SPSS version 24. @*Purpose@#The current study was aimed to explore the impact of intolerance of uncertainty on students’ mental health. @*Results@#Total of 3137 students (2440 Chinese, 697 Mongolian), 65.7% of them were female students participated in the current study. The mean score of IUS-12 was 33.53±7.72 among Chinese students, while 38.65±8.48 among Mongolians. This reveals the statistically significant (p=0.003) difference intolerance level between Chinese and Mongolian students. Moreover, Chinese students were less depressed and less anxious than Mongolian students. The anxiety and depression level was directly impacted by the influence of intolerance of uncertainty. @*Conclusion@#Chinese students are more tolerant toward uncertainties than Mongolian students. The intolerance of uncertainty causes depression and anxiety, regardless of nationality.
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Introduction@#In a report from the WHO 2013 it states that, 23% of children between the ages of 13 and 17 had suicidal ideation and 9.3% attempted suicide in the last 12 months. According to the research of Bayarmaa V et al, the prevalence of behavioral and emotional disorder among adolescents is between 8.7% & 9.4%. As a result of these researches, it can be concluded that evaluating the mental health of adolescents and learning the risk factors that can affect it has become an urgent matter in Mongolia.@*Goal@#To establish the prevalence, the factors that influence it and the type of signs and symptoms common to this behavioral and emotional disorder in adolescents of the Gobi-Altai province.@*Material and Method@#No ethical errors were reported during the implementation of this study. We used various versions of the Strengths and Difficulties Questionnaire (SDQ) applicable for children, adolescents, parents and teachers and determined exhibition of emotional and behavioral problems by cross-sectional analysis. 2192 adolescents between the ages of 11-18 years old, 1808 parents and caregivers and 102 teachers from the secondary school in Gobi-Altai province were screened from March to December of 2018.@*Results@#In our study, 50.5% (n=1107) of participants were boys, 49.5% (n=1085) were girls and totally 2192 participants were involved. Regarding the survey results, 58.6% of adolescents in Gobi-Altai province were healthy, 36.1% of them had emotional and behavioral problems and 5.2% of them had emotional and behavioral disorders. For the mental health of adolescent, peer bullying (child 1.4 times higher, parents 6.4 times higher), moving house (child 2 times higher), domestic disputes between parents (child 1.6 times higher), loneliness (child 1.4 times high), hormonal change (teacher 7.7 times high, parents 2 times high), obtaining a qualification for a better life (teacher 6.4 times high) are the factors affecting their mental health negativ ely and creating a mental health problem.@*Conclusion@#58.6% of adolescents in Gobi-Altai province were healthy, 36.1% of them had emotional and behavioral problems and 5.2% of them were with emotional and behavioral disorders. Peer bullying, moving house, domestic disputes between parents, loneliness, hormonal change are the factors affecting the mental health of adolescents negatively.
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The term ‘‘learning styles’’ refers to the concept that individuals differ in regard to what mode of instruction or study is most effective for them. There are some types of learning style model in the world and one of them is VARK model which was developed by N.Fleming. Teaching willbecome more effective when determine learning styles of students and teach them suitable way with their learning styles. The main goal of our study is to determine learning styles of nursing students. A descriptiveconfidential questionnaire survey was conducted on 100 students who are learning at Nursing School of MNUMS. They filled VARK questionnaire with 16 question.There are most common learning style was kinesthetic one and it means teaching will be more effective when simulation, close handed and practical sets are used and increased practice hours in the curriculum.
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INTRODUCTION:It has been suggested that most of the patients with bipolar disorders (BD) have either parent sidewhich is mentally ill. Furthermore, 25-27% of the children have been affected by BD if either parentside has BD, or 50-75% is affected if theboth sides of parents have BD, respectively. Heritability ofBD in monozygotic twins is 40-70%, and it is 20% in dizygotic twins. Therefore we aimed to studyhereditary issues of patients with bipolar disorders.PURPOSE:To assess hereditary issues of patients with bipolar disorders.MATERIALS AND METHODS:The study sample comprises 31 male, 81 female patients referred to the inpatient settings of theNational Center for Mental Health. The participiants were examined by psychiatric interviewsincluding objective and subjective anamnesis to assess hereditary history of bipolar disorders.Pearson’s x2 test was used for the analysis between categorical variables, whereas simple logisticregression was used for the regression analysis.RESULTS:We covered 31 male (24.8%), 81 female (75.2%) participants between 14-62 years old, mean age:42.05±0.97. Among the participants, 60 (53.6%) of them were with the hereditary history of mentaldisorders whose father (11.6%), mother (25%), a sibling (21.7%),close relatives (38.3%), and a child(3.3%) were mentally ill. 46.7% of the relatives were diagnosed with mood disorders and 36.7% ofthem were diagnosed with schizophrenia and its spectrum disorders. Furthermore, there was anassociation between mental illness of a sibling and bipolar disorders. Also, the number of patientswith BD whose mother was diagnosed with BD (13%) is more prevalent than the patients with BDwhose mother or father or other relatives were diagnosed with any mental disorders (x2 test, P value= 0.012).CONCLUSION:Heritability of BD might be associated with autosomal dominant inheritance with incompletephenotype, and mostly relevant if the patient’s sibling is diagnosed with mental disorders. Keywords:bipolar disorders, depression,mania, heredity, risk factors.
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To analyze the results of the forensic psychiatric examination in the period of time from 2006 to 2013 year.We analyze retrospectively 7180 material of clients attended to forensic mental examination in the National center of mental health from 2006 to 2013 year.From all 7180 clients that attended to forensic mental examination in the 2006-2013 the 1165 clients or 16.2% were with mental disorders. The 543 clients or 7.5% of all attended to examination were with mental retardation and 59.8% of mentally retarded clients were with mild mental retardation, 33.8% with moderate, 5.3% with severe and 0.9% with profound mental retardation. The 97.3% (n=6989) of all clients investigated first time, 158 or 2.2% second time, and 33 or 0.45% third or fourth time. From 7062 criminal cases 4.98% or 352 investigated clientsdeemed incompetent and from 115 civil cases 57.3% or 66 clients deemed incompetent. From the clients with mental retardation deemed incompetent in criminal cases the 23.5% and 7.5% in civil cases.Results of the analysis show that about 16.2% of all investigated clients have some mental disorders and 46.6% of them have mild mental retardation.
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Stigmatization and discrimination against mental patients and their family members due to typical community misunderstanding about mental diseases are commonly occurred among population. Particularly, discrimination against alcoholic patients and stigmatization against theirfamily members are most common among Mongolian people, because prevalence of alcohol dependence problems is increased 2 times more in last decades. Our aim was to define current situation of stigmatization and discrimination against alcoholic patients. This survey has been conducted among total 90 inpatients with alcoholic problem, are have staying in National Center for Mental Health and Narcology Center. We conducted the study by descriptive and crossectional design.Totally 90 alcohol patients, aged 19-61 years were participated in our survey. 67 (74.4%) of them were male and 23(25.5%) were female and average age was 40.1±1.1. Level of job’s discriminationwas growingrelated to increasing the level of alcohol consumption (p<0.0016)and level of family’s stigma was growing related to increasing the level of alcohol dependence (p<0.0001). Most of patients (n=29), who are divorced from their couples were answering that main reason of their divorcing was alcohol problem and bad interfamily relationship.Furthermore, stigmatization and discrimination increasing due to increasing level of alcohol consumption (p<0.0001).Most of participants (60%; n=54) are answered, that stigma and discrimination against them were occurring from their family.
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In 1992, the World Health Organization (WHO), developed a detailed set of criteria on oligophrenia diagnosis and differential diagnosis of clinically and recommends the methodology to test natural state of people’s psychology-intelligence development within the nation’s cultureand living environment and to define clinical characteristics. Thus, this study has been done upon the needs to localize some questions on IQ tests in close consideration of natural state of the Mongolians’ intelligence development within the nation’s culture.We had totally 340 individuals, who were sent by the stationary and ambulatory of the National Center for Mental Health, the Health Care Centers of Districts, the clinics in provinces, and Child Care and Protection Center for IQ tests as recommended by psychotherapists, as a target group and analyzed their test results with the WAIS test for defining their IQ levels.Totally 340 individuals of 15-58 year olds, including 178 males and 162 females were involved. According to the WAIS test, their IQ scores were between 32 and 120 with an average score: IQ=59.6%±0.8. According to the general knowledge scale test results, all the respondentseither from urban or rural areas were unable to answer two specific questions: “What is the name of the airplane inventor?” and “Who discovered the American continent?” out of the 25 questions in the test. Moreover, the 98.2% (n=334) of the respondents could also not answerthe question “What is the name of the Hamlet’s author?”.There were five respondents, who were able to answer the question and four of them were from the urban area. To the question “What centimeter is equal to 10 decimeter?” the 85% (n=289) of the respondents were unableto answer and the 92.2% (n=167, р=0,001) of the espondents from rural areas provided no any answer to the question.Test results are depending on the level of individual’s intelligence quotient (IQ). It is obvious that some respondents from rural areas more failed to answer the questions in, comparing to those provided by the respondents from urban areas. It would be caused anddirectly dependent on availabilities of information accessing sources, educational environment,and levels.
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Bullying or peers violation is one of adolescent`s truly urgent issue but it is not public discussion topic. We conducted a study in 3 different schools which began from 6th of October, 2014 to 13th of October, 2014. There are total 167 subjects aged between 13-18 were from classes of junior and senior- high at: Orchlon school, School of 1 and School of 13. We used 53- item Questionnaire consisted of 4 sections for our study. We concluded 98(58.7%) participants from School of 1, 26(15.6%) participants from School of 13 and 43(25.7%) participants from Orchlon school who were aged between 13-17 (M=14.7±0.1) which comprise of 84 (50.3%)male and 83 (49.7%) female in our study We assessed correlation of depression and bullying by linear regression. The result of it shows 1 more score of depression measuring scale-CES-D can rise score of Aggression scale 1 by 0.33 point and also it can rise score of Aggression scale 2 by 0.84 point. There is a positive correlation between bullying and depression which confirms high risk of bullying is associated with majordepression in significantly. (p value 0.000) The findings of the study reveals that high levels of bullying associated with high levels of depression.
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In pathopsychology, one branch of mental analysis, recently we are using qualitative analyzing methods for mental phenomena. But improvement of professional methods of study, generalization of the new computer based technology, children’s psychology assessment and many other problems are becoming an urgent issue in this field.Our study involved 45 children from orphanage and the High School Personality Questionnaire (HSPQ) computer based questionnaire is used to measure the personality characteristics of orphan children. Spielberg-Hanin test is used to reveal anxiety. Study is analyzed by SPSS program.In total, 45 children (age from 9 to 18), 22 boys and 23 girls participated in our survey. 8.9% of them measured as a high intelligence, 91.1% measured as a lower and an average intelligence. Interestingly, 60% of children were good at controlling their emotions and behavior. Thus 55.6%had symptoms of flexible mind, imagining and probability of affect illness. Having more stress is due to introverted preference and self-blaming, also a feeling of self-blaming is due to not being bold. 51.1% of them assessed that they have dependent, emulative personality and submissive behavior which was very considerably. The anxiety of condition was high in 34.1% of children andlow in 12.2% of them, thus anxiety of individual was high in 36.6% and low in 7.3% of children. Therefore, it’s essential to help orphan children and consider reducing anxiety and improving their self-independence.
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WHO informed that across world an average of 565 young people aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological onsequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study anxiety among abused adolescents, some physical parameters and level of cortisol in saliva.Total number of participants were 149 children aged between 11-16 years (number cases were 53, matched control subjects were 96). The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report uestionnaire that assesses multiple symptoms of childhood anxiety isorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, USA. Average age of all subjects in the study was 13.52±1.57 and 102 of all subjects were female and 47 were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (21.3±8.1 ng/ml) statistically significantly lower (p<0.01) than average amount of control group (31.56±16.9 ng/ml). Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.
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BACKGROUNDThe term ‘‘learning styles’’ refers to the concept that individuals differ in regard to what mode of instruction or study is most effective for them. Assessment of learning styles has significant importance in a sense that trainers can update their curriculum and teaching methods by taking learning styles of learners into account.The main goal of our study isto determine learning styles of resident doctors.METHODSWe used descriptive methods and quantitative analysis for our study. Honey and Mumford learning style questionnaire was used to determinelearning styles of residents. 144resident doctorsout of 475 agreed to participate in the study and completed questionnaires.RESULTSAnalysis of learning styles revealed that most common styles for residents are reflector (63.9%) and theorist (16.7%) followed bypragmatist (10.4%) and activist (9.0%). CONCLUSIONSBased on our results, we must consider increasing the mutual study and behaviour changing activities in our curriculum to helpresidents to be more independent and productive by promoting their skills of self-expression, critical and creative thinking.
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Background. Acute alcohol delusions of persecution usually show up delusions of persecution, which is begun auditory hallucination, illusion, fair, anxiety in night time. The patient may conduct to attempt suicide or social harmful activities from the fair and the anxiety. Therefore, we studied types of delusion in alcohol related psychosis and risks of social harmful activities due to delusion. Aim. To identify types of delusion in alcohol related psychosis, risks of social harmful activities due to delusion.Materials and Methods. The study was conducted on the 110 cases of suicide (100 cases among males and 10 cases among females). In the study used special questionnaire with 45 chapters and 431 questions. The current mental condition was identified by the objective and subjective history of patients with Michigan scale questionnaire.Results. We were compared forms of alcohol related psychosis to delusion symptoms, there were occurred 29.6% of 64 patients with delusions of persecution during withdrawal state with delirium without convulsions (F10.40) and 34.4% of 64 patients with delusions of persecution during predominantly delusional psychotic disorder (F10.52). Those patients in 37 case (or 33.6%) were with suicidal thinking and 20 patients (or 18.2%) made suicidal attempts. 23.4% of 64 patients with delusions of persecution, 24.07% of 54 patients with hallucinatory delirium made suicidal attempts.Conclusions. Delusion symptoms in alcohol related psychosis are belonged to clinical form and were showed up many types.
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Psycho-neurological syndrome which is driver’s health status plays a crucial role in ensuring road traffic safety.GoalThe study aims to determine factors leading to traffic accidents by assessing psycho-neurological status of drivers who caused road traffic accidents.MethodsIt is a double-randomized and cross-sectional study. Drivers caused the traffic accidents in the territory of Bayanzurkh District of Ulaanbaatar city between September 2011 and May 2012 were involved.Following investigations were done:• Thorough neurological examination using a prepared clinical pathway;• EEG test;• Assessment of attention, memory, intellectual speed and anxiety of drivers using Lusher test and computer based test.SPSS 18 was applied in data analysis and chi square test was applied in differentiation the proportions.ResultsThe male-female ratio among 394 drivers was 61.9% and 38.1% respectively. 322 drivers (89.04%) had symptoms of episodic headache, dizziness, blurred vision and unsteadiness. 60 drivers (15.2%) had nystagmus which is the main symptom of vertigo (p<0.001). 159 (40.9%) drivers experienced an insomnia. Epileptic and nonepileptic seizure was observed in 155 cases. Out of 394 drivers 243 (61.6%) had symptoms of anxiety. It was observed that 64.6% had low level of anxiety, 27.9% had medium, 7% had high level and 0.4% had severe anxiety. According to the Shultz table, we found that 46.4% of drivers were disintegrated attention and 12.4% (49) were with slow intellectual speed. The hypomnesia was 27.4% (108).Conclusions:1. According to our study, anxiety is dominated among the drivers and attention is disintegrated and slow.2. EEG results (abnormal II and III) proved that drivers who have epileptic and nonepileptic seizures are involved in the traffic accidents.3. Recurrent neurological conditions like headache, dizziness, insomnia, blurred vision and unsteadiness are preconditions for attention dispel, slowing of attention distribution and anxiety of drivers who caused traffic accidents and those recurrent neurological conditions are prevalent among drivers.
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People with unexplained somatic complains are high-rate users of healthcare and often receive expensive, unnecessary tests and treatments.To study causes of unexplained somatic complains and some clinical symptoms.There were selected 25 consumers who diagnosed unexplained somatic complains according to ICD-X criteria in our study. In addition, qualitative research was used as semi-structure questionnaire for themMajority of study samples were living unpleasant environment in their family, conflicts of their parents relationship and substance abuse of parents. Most of the participants occurred change of sensation.This disorder is associated with negative family environment.