Association between social ability deficiency and core symptoms, emotional and behavioral problems in children and adolescents with attention deficit hyperactivity disorder / 中华行为医学与脑科学杂志

Objective:To investigate the characteristic of social ability in children and adolescents with attention deficit hyperactivity disorder (ADHD) and its relationship with core symptoms, emotional and behavioral problems.Methods:Fifty-nine children with ADHD aged 6-13 for outpatient department from June 2019 to June 2021 were selected as the ADHD group, and 62 normal children matched in age and sex were recruited as the typical development group(TD group). The social responsiveness scale (SRS), SNAP-Ⅳ rating scale and strengths and difficulties questionnaire (SDQ) were used to evaluate the social ability, core symptoms and emotional and behavioral problems of the subjects.SPSS 26.0 was used for statistical analysis.Non parametric test was used to compare and analyze the differences in social ability, emotional and behavioral problems between the two groups.Spearman correlation analysis was used to analyze the relationship between social ability and core symptoms, emotional and behavioral problems of ADHD group.Generalized linear regression was used to analyze the impact of gender, age, IQ, core symptoms, emotional and behavioral problems of ADHD group on social ability.Results:In the ADHD group, the total score of SRS (65(42, 83)), social perception (10 (8, 13)), social cognition (13 (9, 19)), social communication (19 (11, 29)), and autism like behavior (9 (5, 14)) were significantly higher than those of TD group(38 (27.5, 59.5), 7 (4, 12.5), 8 (6, 15), 12 (6.5, 20), 4 (2, 11)) ( Z=-2.97, -2.75, -2.41, -3.01, -2.64, all P<0.05) .The total score of SDQ difficulty, influence factors, mood, hyperactivity, conduct and peer interaction were significantly higher than those of TD group ( Z=-5.80, -6.89, -2.82, -8.59, -2.52, -3.81, all P<0.05). The total score of SRS and the scores of each subscale in ADHD group were positively correlated with the total score of SNAP -Ⅳ and the scores of each subscale ( r=0.33-0.71, all P<0.05). The total score of SRS and the score of social communication scale were positively correlated with the total score of SDQ difficulty, influencing factors, emotion, hyperactivity, conduct and peer interaction subscale ( r=0.29-0.65, all P<0.05). Social perception was positively correlated with the total score of difficulty, hyperactivity and the scores of peer interaction subscale ( r=0.56, 0.32, 0.45, all P<0.05). The scores of social cognition and autism like behavior subscale were positively correlated with the total scores of difficulty, influencing factors, emotion and peer interaction subscale ( r=0.27-0.55, all P<0.05). The scores of social motivation subscale were positively correlated with the total scores of difficulty, emotion, hyperactivity, conduct and peer interaction subscale ( r=0.29-0.55, all P<0.05). The total score of SRS and the scores of each subscale were negatively correlated with the scores of prosocial behavior subscale ( r=-0.63--0.49, all P<0.05). The total score of SRS was positively affected by gender, age, opposites and disobedience, emotion, hyperactivity and peer interaction ( B=0.05-0.23, all P<0.05), and negatively affected by the prosocial behavior subscale ( B=-0.07, P<0.05). Conclusion:ADHD children often have obvious social ability defects, which are clearly related to core symptoms, emotional and behavioral problems.The risk factors are opposition and disobedience, emotions and peer relationships, and the protective factor is prosocial behaviors.

Relationship between screen time with parent-child relation,preschooler's social ability and behavioral problems / 重庆医学

Objective To explore the relationships between the screen time with parent-child relations as well as social ability and behavioral problem in preschool children.Methods A total of 866 children aged 3-6 years old in Dazhou City conducted the sampling survey by adopting the children screen time questionnaire,parent-child relationship self-rating scale and young children's social ability and behavior assessment scale(SCBE-30).The single factor analysis and multinomial Logistic regression method were used to conduct the statistical analysis.Results The surveyed preschool children watching TV every day accounted for 99.31 ％,those playing mobile phones every day accounted for 81.87％ and those using computer accounted for 68.36％s.The average daily screen time at ordinary time was 1.75 h/d,those ≥2 h/d accounted for 16.05％;the average screen time at the weekend was 2.32 h/d,those ≥2 h/d accounted for 46.57％.The univariate analysis showed that the screen time in boy,left behind children,only child,mothers engaging in agriculture of peasant-worker or housewife was longer(P＜0.05);the screen time affected the social ability and behavior problems of children(P＜0.05).The longer the time children spent with their parents every day,the higher the parent-child relationship score(P＜0.05);the screen content affected the parent-child relationship and anxiety withdrawal behavior (P＜0.05).The polynormial regression analysis between the children's screen time with social ability,behavior problems,parent-child relation and contacting screen mode showed that the screen time had the negative effect relation with the social ability and parent-child relation(parents and children questionnaire) score(β=-1.115,-1.728,-1.909,P＜0.05),and had the positive effect relation with the scores of anger attack behavior and anxiety retreat behavior,and individual contacting screen (β=0.982,1.474,0.877,P＜0.05).Conclusion The screen time in preschool children is related with parent-child relation,social ability and behavioral problems.The parental accompany is beneficial to the development of parentchild relations in preschool children.

Esquizofrenia: intervenção em instituição pública de saúde / Schizophrenia: intervention in public health institutes / Schizophrénie: intervention dans une institution de santé / Esquizofrenia: intervención en la institución pública de la salud

Os primeiros conceitos de esquizofrenia contemplavam definições inespecíficas sobre o transtorno esquizofrênico. Somente em 1980 Crow propôs a classificação mais conhecida para o transtorno: a dicotomização em subtipos I e II ou positivo/negativo, sendo os sintomas da síndrome positiva alucinações e delírios e da síndrome negativa, o embotamento afetivo e a pobreza do discurso. Embora a farmacoterapia tenha apresentado avanços no tratamento da doença, indica-se a psicoterapia para reverter os prejuízos sociais e interpessoais que ela acarreta. O objetivo deste estudo é relatar uma intervenção comportamental, em um Centro de Atenção Psicossocial, em paciente de 19 anos com emprego de Treinamento de Habilidades Sociais (THS) como uma possibilidade para o tratamento da esquizofrenia. Tal procedimento contribuiu para diminuir para a jovem o estereótipo da doença, visto que ampliou o seu repertório social e possibilitou avanços nas esferas psicológicas, sociais e vocacionais

The first schizophrenia concepts contemplated unspecific definitions regarding the schizophrenic disorder. Only in 1980 Crow proposed the most well known classification concerning this disorder: the dycotomizationin subtypes I and II or positive/negative, with symptoms of the positive syndrome presenting as hallucinations and delirium, and of the negative syndrome presenting as emotional blunting and poverty of speech. Even though pharmacotherapy has presented advances in the treatment of this disease, psychotherapy is indicated to revert the social and interpersonal damages that this disorder causes. The aim of this study is to report a behavioral intervention, in a Psychosocial Attention Center, in a 19 year-old patient, with the use of Social Ability Training (SAT) as a possibility in schizophrenia treatment. This procedure contributed to reduce the disease stereotype for this young woman, since it amplified her social rapport and allowed for advances in the psychological, social and vocational spheres

Les premiers concepts de schizophrénie comprenaient des définitions non-spécifiques sur le trouble schizophrénique. Ce n'est qu'en 1980 que Crow a proposé la classification la plus connue pour ce trouble: la distinction en soustypes I et II, de symptomatologie positive ou négative, les symptômes du syndrome positif correspondant aux hallucinations et aux délires et ceux du syndrome négatif au repli affectif et à la pauvreté du discours. Bien que la thérapie médicamenteuse présente des avancées dans le traitement de la maladie, la psychothérapie est la plus indiquée pour remédier aux préjudices sociaux et interpersonnels que celle-ci provoque. L'objectif de cette étude est de relater une intervention comportementale, dans un Centre de Soins Psychosocial, auprès d'une patiente de 19 ans, en utilisant des Exercices de Réadaptation Psychosociale (SAT) en tant que la possibilité de traitement de la schizophrénie. Ce processus a contribué à une réduction du stéréotype de la maladie chez la jeune patiente, considérant qu'elle a élargi son répertoire social et a rendu possible des avancées dans les sphères psychologique, sociale et professionnelle

Los primeros conceptos de la esquizofrenia contemplaban inespecíficas definiciones sobre el trastorno esquizofrénico. Sólo en 1980 Crow ha propuesto la clasificación más conocida para el trastorno: una división en subtipos I y II, positivo/negativo, siendo los síntomas del síndrome positivo las alucinaciones y los delirios y del síndrome negativo, el aplanamiento del afecto y la pobreza del lenguaje. Aunque la farmacoterapia ha conseguido avances en el tratamiento de la enfermedad, la psicoterapia es indicada para revertir los daños sociales y interpersonales que se presentan. El objetivo de este estudio es un informe de intervención de conducta en un Centro de Atención Psicosocial, con una paciente de 19 años con el uso de Entrenamiento de las Habilidades Sociales (THS) como posibilidad del tratamiento de la esquizofrenia. Tal procedimiento contribuyó para reducir el estereotipo de la enfermedad para la jóven, puesto que amplíó su repertorio social y hizo avances possibles em los ámbitos psicológico, social y vocacional

The relationship between behavior and social ability development of urban 2～3 years old toddlers / 中华行为医学与脑科学杂志

Objective To explore the relationship between the behavior and social ability development of Chinese urban 2 ～ 3 years old toddlers. Methods The number of 2601 toddlers aged 2～3 years old were involved by random cluster sampling under the cross-sectional study from 14 large-media cities in China and surveyed by Child Behavior Checklist(CBCL 2/3) and Chinese Toddler Social and Emotional Assessment CTSEA) Questionnaire. The multiple stepwise regression analysis was used to analyze the surveyed results. Results In 2601 toddlers,there were 194 toddlers detected positive about the behavior, the rate was 7. 5% , including boys 107 (4.11%) and girls 87 (3. 34%),and there was gender differences in positive rates of the behavior(t = 2.36,P< 0.05). Otherwise,268 toddlers were detected positive about social-emotional ability,the rate was 10.3% .including boys 139 (5.34%) and girls 129 (4.96%), there also was gender differences in suspected positive rates of social-emotional ability(t = 3.60, P<0.01). The multiple stepwise regression analysis results indicated that attacks, damage,depression,withdrawal were correspond correlated with compliance,empathy,prosocial-peer-relations and imitation. Conclusion Cultivating good habits would promote the development of children' s social ability.

Relationship between Social Disability and Anxiety and Depression in Patients with Irritable Bowel Syndrome / 中国康复理论与实践

@# ObjectiveTo investigate the relationship between the social disability and emotion disorder of the patients with irritable bowel syndrome (IBS). Methods168 patients with IBS were assessed with Social Disability Screening Schedule (SDSS), Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale. The patients with SDSS≥2 were divided into 2 groups, and accepted the medical routine therapy and explanatory psychotherapy for 2 months, while the patients in the research group (n=35) received the antidepressive. Then they were assessed with SDSS again. ResultsThe incidence of social disability in IBS patients was 40.5%, and increased in those who combined with anxiety and/or depression. The SDSS score of the research group was lower than that of the control group after the treatment. ConclusionThe social disability can be found in the patients of IBS, especially in those with emotion disorder, and can be improved by the antidepressive.