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Objective To explore the relationship between depression and anxiety and peripheral blood cell counts ( white blood cell ( WBC) ,neutrophil ( NEU) ,lymphocyte ( LYM) ,red blood cell ( RBC) and hemoglobin ( HGB) ) of heroin?dependent patients receiving methadone maintenance treatment ( MMT) . Methods Two hundred and fifty?two MMT heroin addicts, who had received peripheral blood tests within the week prior to the study,were administered with a general information questionnaire,SDS and SAS. The results of blood tests of these patients were compared with those of 109 healthy people in physical examina?tion. Multiple linear regression was used to analyze associations between indicators of peripheral blood cell counts and depressive and anxiety symptoms. Results Compared with healthy controls,MMT patients had significantly higher proportions of elevated WBC(14.7%vs 3.7%),NEU(12.7% vs 2.8%) and LYM(9.9%vs 2.8%) counts (all P<0.05),and low RBC(10.3%vs 4.6%) counts and HGB(11.5%vs 4.6%) concentra?tion (both P<0.05). Multivariate linear regression analysis showed that blood cell counts of WBC ( β=0.261, P<0.01),NEU ( β=0.264, P<0.01),LYM ( β=0.196, P=0.003) and RBC ( β=-0.144, P=0.021) were independently associated with depression;and blood cell counts of WBC ( β=0.298, P<0.01) and LYM ( β=0.269, P<0.01) were independently associated with anxiety. Conclusion Improving the in?flammatory and malnutrition status may be helpful for reducing depressive and anxiety symptoms of MMT her?oin addicts.
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Objective To explore the relationship between smoking and pain intensity in heroin-dependent patients (HDPs) receiving methadone maintenance treatment (MMT).Methods A total of 603 HDPs from MMT outpatients completed a socio-demographic and clinical characteristics questionnaire,a smoking questionnaire,Heaviness of Smoking Index,and Zung's Self-rating Depression Scale.Five-point Verbal Rating Scale was used to assess pain intensity.Results After adjustment for the confounding effects of socio-demographics,clinical characteristics,and depressive symptoms in the analysis of covariance,smokers had significantly higher pain intensity score compared with non-smokers (F=1 1.836,P=0.002).Multiple comparisons showed that the pain intensity level of patients with moderate-to-severe nicotine dependence was the highest,patients with mild nicotine dependence took the second place,and patients with no nicotine dependence was the lowest [(3.11±1.04) vs.(2.67±1.13) vs.(2.47± 1.15),all P＜0.05].Conclusion Smoking is significantly associated with pain in HDPs receiving MMT.The more severe the nicotine dependence that a HDP has,the intense the pain he/she has.
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Objective To analyze the role of sleep quality (SQ) in quality of life (QOL) ofheroin addicts receiving methadone maintenance treatment (MMT).Methods A total of 603 heroin addicts completed the socio-demographic questionnaire,Pittsburgh Sleep Quality Index (PSQI),and the World Health Organization'sQuality of Life Questionnaire-Brief Version (WHOQOL-BREF).Hierarchical Multiple Linear Regression was used to examine the unique contribution of SQ in the explanation of QOL.Results The overall unique contributions of the seven components in PSQI,measured by △R2,ranged from 0.139 to 0.216,which could account for 41.3％ ～55.7％ of the total explainable variance in the four domains of WHOQOL-BREF.Conclusion SQ is an important predictor of Q0L in heroin addicts receiving MMT.QOL can be improved through the intervention of low SQ.
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Objective To analyze the family and clinical characteristics of talking about killing self (TAKS) among children and adolescents and its relationship with social competency.Methods One thousand nine hundred and seventy-five 7-17-year-old students from 12 schools (each four for primary,middle and high schools) of Wuhan area,were approached through multistage random cluster sampling,and administered with a self-designed general information questionnaire and the Chinese version of Children' s Depression Inventory.In addition,subjects' parents completed Achenbach' s Child Behavior Checklist (CBCL).TAKS was judged based on item 91 (talk about killing self) of CBCL.Multiple Logistic Regression was used to identify factors associated with TAKS.Results The half-year prevalence rate (95％ CI) of parent-reported TAKS was 4.1％ (3.2％,5.0％).TAKS was significantly associated with bad marital status of parents (OR=2.29),unemployment of fathers (OR=2.07),frequently jangling between father and mother (OR=2.23),parents ever having fought with each other intensely (OR=2.00),being frequently bullied by classmates (OR=2.11),internal behavior problem (OR=2.28),external behavior problem (OR=2.50) and depressive symptoms (OR=4.83).TAKS subjects had significantly lower social compctency score than non-TAKS subjects((18.8±7.6) vs.(20.9±6.9),P=0.007).Conclusion The prevalence of TAKS is higher among children and adolescents with several disadvantaged family factors,behavior problems and depression.Children and adolescents with TAKS also have worse social competency.More close clinical attention should be paid to such phenomenon.
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Objective:To study the quality of life of elders enjoying five guarantees in rural welfare institute.Methods:By a multi-stage cluster sampling stratification method,549 rural elders enjoying five guarantees(A group)and 131 rural common elders(B group),aged 60 years and older,were randomly selected from 6 counties and cities in Hubei province.The Short-Form 36 Health Survey Scale(SF-36)was employed in the investigation by face-to-face interviews.Results:Group A had higher score than Group B in terms of role limitations due to physical health(RP),general health perceptions(GH),vitality(VT),role limitations due to emotional problems(RE),and mental health(MH )[e.g.,GH:(55.7±23.8)vs.(52.3±24.4),P<0.05].People in mountain areas had lower score than those in both plain and hill areas in terms of all factors of SF-36 scale[e.g.,PF(77.7±22.0),(72.4±25.5)vs.(65.5±26.7),P<0.05].Conclusion:The elders in rural welfare institute have a good quality of life,which is influenced by different geographical situation significantly.
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0.05) among wu-bao elders in each factor of SCL-90 on sex, marriage and education. 3. The score of SCL-90 of those wu-bao lived in mountain area and small hill area were higher than that lived in plain (143.8?44.5 and 144.5?48.3 vs. 128.6?32.6). 4. There were three important risk factors which led to the mind abnormal of rural wu-bao elders including the body health status, whether labor sometimes or not, and the satisfaction degree about service. Conclusions:1.The mental health status of rural wu-bao elders was the same as that of common elders.2. The mental health status of wu-bao elders in plain area was better than that of ones in hills area and in mountains area.3.There were three major factors which effected the mental health of wu-bao elders including the body health status、whether labor sometimes or not, and the satisfaction degree about service .