ABSTRACT
BackgroundSleep disorder can adversely affect human physical and mental health， with important implications for socioeconomic development. And higher vocational college students are subject to various pressures and stimuli exerted by academic studies， job seeking and family socioeconomic status， which may contribute to the onset insomnia symptom or sleep disorder. ObjectiveTo discuss the sleep status and influencing factors among higher vocational college students， and to provide references for improving their sleep status. MethodsIn January and February， 2022， a stratified random sampling method was utilized to enroll 3 300 students from five higher vocational colleges in Wenjiang district of Chengdu city. All the participants were assessed using Insomnia Severity Index （ISI）， Patient Health Questionnaire Depression Scale-9 item （PHQ-9） and Generalized Anxiety Disorder Scale-7 （GAD-7）. Pearson correlation analysis was conducted to test the correlation of ISI with PHQ-9 and GAD-7 scores， and the Logistic regression analysis was performed to identify the influencing factors of insomnia symptom in higher vocational college students. ResultInsomnia symptom was detected in 81.90% （2 497 / 3 300） of higher vocational college students. The detection rate of insomnia symptom among vocational college students yielded statistical difference in terms of gender， family socioeconomic status， being an only child or having siblings， degree of psychological pressure exerted by academic studies or job seeking， amount of hours spent on Internet per day， frequency of physical exercise， and the presence or absence of anxiety symptom and depression symptom （χ2=21.032， 22.172， 8.983， 75.939， 36.781， 32.350， 54.512， 86.561， P<0.01 or 0.05）. Among higher vocational college students， ISI score was positively correlated with GAD-7 and PHQ-9 scores （r=0.620， 0.714， P<0.01）， and GAD-7 score was positively correlated with PHQ-9 score （r=0.824， P<0.01）. Gender， family socioeconomic status， degree of psychological pressure exerted by academic studies or job seeking， amount of hours spent on Internet per day， frequency of physical exercise， and the presence or absence of anxiety symptom and depression symptom were effective factors in predicting the insomnia symptom in higher vocational college students （P<0.01 or 0.05）. ConclusionFemale gender， average and below average family socioeconomic status， moderate-to-severe degree of psychological pressure exerted by academic studies or job seeking， spending 2~5 h， 5~7 h or >7 h on Internet per day， inadequate physical exercise and presence of depressive symptom are the risk factors for insomnia symptom in higher vocational college students.［Funded by Sichuan Provincial Primary Health Development Research Center in 2022， North Sichuan Medical College （number， SWFZ22-C-89）］
ABSTRACT
Objective:To investigate the medication rules of Xin'an medicine for the treatment of melancholia and further analyze the medication ideas of Xin'an physicians in the treatment of melancholia.Methods:The documents of Xin'an physicians treating melancholia in the fifth edition of the Chinese Medical Code and the online database of ancient Chinese medicine were retrieved. Excel was used to extract the prescription information to establish the database. R language was used to analyze the data regarding the medication frequency, nature and taste, association rules, and clustering of the traditional Chinese medicine used in the prescription. Results:A total of 127 effective prescriptions were sorted out, and 177 kinds of Chinese medicines were used with a total medication frequency of 1 031 times. The top three Chinese medicines with the highest frequency of use were Poria cocos (57 times), Licorice (46 times), and Paeonia Lactiflora (40 times). The main nature of herbs was plain and warm nature. The warm herbs were the most frequently used (298 times). The first five flavors of the herbs which were the most used were pungent taste (475 times, 28.70%), bitter taste (459 times, 27.73%), and sweet taste (453 times, 27.37%). The commonly used herbs with confidence coefficient > 0.800 were Licorice + Angelica sinensis, Licorice + Angelica sinensis and Paeonia Lactiflora, Licorice + Bupleurum, Licorice + Atractylodes macrocephala, Cyperus root + Ligusticum Chuanxiong, Angelica sinensis + Atractylodes macrocephala and Licorice, Paeonia Lactiflora + Angelica sinensis and Poria cocos, Licorice + Angelica sinensis and Poria cocos, Licorice + Atractylodes macrocephala and Angelica sinensis, Licorice + Bupleurum and Paeonia Lactiflora, Licorice + Atractylodes macrocephala and Ginseng, Licorice + Ginseng and Angelica sinensis, Cyperus root + Medicated leaven, Ginseng + Astragalus mongholicus, Licorice + Astragalus mongholicus.Conclusion:Xin'an medicine for the treatment of melancholia mainly uses pungent, bitter, sweet, and warm herbs. It can adjust the chill and fever, Yin and Yang of the human body, diminishes the urgency, and regulates the flow of Qi.
ABSTRACT
@#Objectives ， ， To analyze occupational stress depressive symptoms anxiety symptoms and related influencing factors Methods among bus drivers in Urumqi. A total of 709 bus drivers in Urumqi were selected as the research subjects using - ， - - judgment sampling method. The Effort Reward Imbalance Questionnaire Zung 's Self rating Depression Scale and Zung 's Self - （ ） ， rating Anxiety Scale were used to investigate the occupational stress in the effort reward imbalance ERI mode depression and Results ， anxiety symptoms of bus drivers. The detection rates of ERI mode occupational stress symptoms of depression and （ ）， （ ） （ ）， anxiety were 62.2% 441/709 30.2% 214/709 and 18.2% 129/709 respectively. The results of binary logistic regression ， ， analysis showed that education level length of service physical exercise and drinking were independent influencing factors of （ P ） occupational stress in ERI mode all <0.05 . Personal monthly income and physical exercise were the influencing factors （ P ）， （P ） of depression symptoms all <0.05 and physical exercise was the influencing factor of anxiety symptoms <0.05 . Conclusion ， The occupational stress depression and anxiety symptoms of bus drivers in Urumqi are serious. Attention should ， ， ， be paid to people with higher education long working age low personal monthly income no physical exercise habits and drinking behavior to prevent occupational stress and mental health problems.
ABSTRACT
Objective To investigate the clinical effect of acupoint catgut embedding therapy combined with Buzhong Decoction in the treatment of depression for spleen qi stagnation type gastroptosis. Methods From November 2015 to October 2017 due to ptosis of the stomach (spleen qi stagnation type) and on the basis of study, 60 patients in our hospital were randomly divided into two groups. 30 cases of control group was given Buzhongyiqi pill treatment and the observation group of 30 cases was given acupoint catgut embedding therapy combined with Buzhong Decoction for depression. Results After treatment, the observation group's lassitude, anorexia, abdominal distension and symptom score lower than the control group; total efficiency of observation group was 93. 33％ higher than that of the control group (28/30), 70％ (21/30). The difference was obvious, P＜0. 05. Conclusion Buzhong Decoction in treating gastroptosis for depression with catgut embedding(spleen qi stagnation type) has significant effects, which can effectively relieve the clinical symptoms and is worthy of promotion.
ABSTRACT
Objectives:To examine the relationship of social capital with anxiety and depression symptoms among urban elderly in China.Methods:A household survey by using self-administered questionnaires was conducted in 3 communities in Jinan,Shandong Province and the data of 925 people aged 60 years or over were collected.The social capital indicators according to its operational definition and Zung's Self-rating Depression Scale (SAS) and Zung's Self-rating Depression Scale were used.The social capital factors were extracted by using exploratory factor analysis and were dichotomized to conduct logistic regression analysis.Results:The average standard scores of SAS and SDS were (35.8 ±6.9) and (41.9 ±8.7),respectively.The proportion of anxiety symptom was 4.4％ and that of depression symptom was 19.0％.Logistic regression analysis showed that perceived social support,perceived trust,reciprocity and safety and social participation were associated with self-rating depression(Ps＜ 0.05).Perceived social support (OR ＝ 0.29,95 ％ CI:0.20-0.44),perceived trust,reciprocity and safety (OR ＝0.49,95％ CI:0.33-0.72) and social participation (OR ＝ 0.66,95％ CI:0.45-0.98) were protective factors of depression.No significant association between social capital factors and anxiety was found.Conclusion:It suggests that social capital could be a target for elderly people's mental health promotion in China.Additional efforts should be taken on enhancing the elderly people's perceived support,trust and safety from their families and communities,as well as providing more opportunities of social activities in the neighborhoods.
ABSTRACT
Objective To explore the association between the change of daily living activities and the suymtoms of depression in Chinese middle-age and elderly people.Methods People without symptoms on depression,emotional or spiritual diseases or memories related diseases in baseline survey (2011),those who were aged ≥45 years in the China Health and Retirement Longitudinal Survey (CHARLS) with two waves from 2011 to 2013 were invited to participate in this CHARLS study.Information related to demographic characteristics and health status of the subjects were collected through household-interview.Depression symptom was assessed with the Center for Epidemiological Studies of Depression (CES-D10) scale.Activities of daily living function was assessed by both Basic Activities of Daily Living (BADL) and Instrument Activities of Daily Living (IADL) scales.Symptoms of depression was compared and the differences in various BADL/IADL changing groups were analyzed with Log-rank test.Association between the changes of daily living activities and depression symptom was analyzed by Cox regression model.Results Results from the log-rank test showed that the differences of depression symptom hazard ratio were statistically significant in different BADL/IADL changing groups.Results from the Cox regression analysis showed that the BADL/IADL in the deteriorating groups was associated with the higher hazard ratio of depression symptom (P＜0.01),with the HR value (95％CI) for BADL and IADL deteriorate groups as 1.45 (1.20-1.76) and 1.64 (1.36-1.98),respectively,when comparing to the ‘stablized'group.This phenomenon appeared an urban-rural difference.Statistical significances on IADL also happened in both urban and rural areas while BADL only occurred in rurals.Conclusion There appeared an association between the change of daily living activities and depression symptom in Chinese middle-age and elderly people.Difference between IADL and BADL was also noticed between urban and rural areas.
ABSTRACT
Objective To explore the association between the change of daily living activities and the suymtoms of depression in Chinese middle-age and elderly people.Methods People without symptoms on depression,emotional or spiritual diseases or memories related diseases in baseline survey (2011),those who were aged ≥45 years in the China Health and Retirement Longitudinal Survey (CHARLS) with two waves from 2011 to 2013 were invited to participate in this CHARLS study.Information related to demographic characteristics and health status of the subjects were collected through household-interview.Depression symptom was assessed with the Center for Epidemiological Studies of Depression (CES-D10) scale.Activities of daily living function was assessed by both Basic Activities of Daily Living (BADL) and Instrument Activities of Daily Living (IADL) scales.Symptoms of depression was compared and the differences in various BADL/IADL changing groups were analyzed with Log-rank test.Association between the changes of daily living activities and depression symptom was analyzed by Cox regression model.Results Results from the log-rank test showed that the differences of depression symptom hazard ratio were statistically significant in different BADL/IADL changing groups.Results from the Cox regression analysis showed that the BADL/IADL in the deteriorating groups was associated with the higher hazard ratio of depression symptom (P＜0.01),with the HR value (95％CI) for BADL and IADL deteriorate groups as 1.45 (1.20-1.76) and 1.64 (1.36-1.98),respectively,when comparing to the ‘stablized'group.This phenomenon appeared an urban-rural difference.Statistical significances on IADL also happened in both urban and rural areas while BADL only occurred in rurals.Conclusion There appeared an association between the change of daily living activities and depression symptom in Chinese middle-age and elderly people.Difference between IADL and BADL was also noticed between urban and rural areas.
ABSTRACT
ObjectiveTo observe the status and related factors of depression symptoms in elders.MethodsRandomized multi-stage sampling method was used to select subjects.504 elders ( aged ≥65 years) in Jining were investigated and assessed by using the scales of Geriatric Depression Scale15 ( GDS-15 ),Katz-activity of daily liying (Katz-ADL) and Lawton instrumental ADL (IADL).ResultsThe GDS scores of males (2.24 ±2.12 ) were significantly lower than that of females ( 3.35 ± 3.49) ( t '=4.236,P ＜ 0.01 ).There were significant differences in GDS scores among different subgroups of age,single or not,physical activity,sleep quality,self-reported health,living condition,economic status and lonely feeling.GDS scores were significantly correlated to lonely feeling,IADL,living condition,economic status,self-reported health and age (F =27.47,P ＜ 0.001 ; R2 =0.372,R'2 =0.358 ),with the total contribution of 35.8％.ConclusionAmong elders,the main factors influencing depression symptoms are lonely feeling,IADL,female,health condition,economic condition and single,respectively.Enhancing IADL of elders can contribute to reduce the risk factors of depression.
ABSTRACT
OBJECTIVES: We focused on the relationship between symptoms of depression and emotional labor to investigate the mental health status of workers. METHODS: In this cross-sectional study, a total of 2,346 workers among bankers were our study subjects. A self-administered questionnaire was used to assess the socio-demographics, job characteristics, emotional labor and, the Center for Epidemiologic Studies-Depression scale (CES-D). We used multiple logistic regression analysis to estimate the relationship between emotional labor and the symptoms of depression. RESULTS: The prevalence of symptoms of depression among the survey subjects was 20.6%. After adjusting for confounding factors, emotional effort (OR: 1.7, 95% CI=1.28~2.31) and, emotional disharmony (OR: 4.5, 95% CI=3.13~6.44) in men and emotional effort (OR: 1.9, 95% CI=1.33~2.75), emotional disharmony (OR: 6.1, 95% CI=4.12~9.09) in women showed a statistically significant association with symptoms of depression. CONCLUSIONS: These results suggest that emotional disharmony and emotional effort are related to symptoms of depression. Managing emotional disharmony is important in managing symptoms of depression.
Subject(s)
Female , Humans , Male , Cross-Sectional Studies , Depression , Logistic Models , Mental Health , Prevalence , Surveys and QuestionnairesABSTRACT
Objective:To explore the depressive symptom of nurses and its relationship with trait coping style,role perceive and personal control.Methods:425 nurses in the 2nd Hangzhou general hospital completed a battery of questionnaires consisted of part items of SCL-90,Trait Coping Style Questionnaire(TCSQ) and Role Perceive and Personal Control Scale.Results:There are significant correlation among the SCL-90 score,the coping styles,and the control feeling and role conflict.Based on depression factor ,factors of negative coping style,control feeling,role conflict and positive coping style were included in stepwise regression equation.Conclusion:Depressive symptom of nurses was related to trait coping style,role perceive and personal control.