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Objective:To explore the influence of sub-threshold autistic traits on social avoidance and distress of senior high school freshmen, as well as the mediating effect of perspective taking, and to investigate the intervention effect of perspective taking intervention project on improving the ability of perspective taking and reducing social avoidance and distress behavior of high sub-threshold autistic traits individuals.Methods:A total of 1 401 subjects were investigated with the autism-spectrum quotient (AQ), interpersonal reactivity index-C (IRI-C) and social avoidance and distress (SAD) from September 1st to September 30th, 2018. According to the screening criteria of 27% statistically, totally 378 subjects were selected according to the scores of autistic spectrum quotient scale from high to low as the high sub-threshold autistic traits group. The top 32 subjects with high scores of autistic spectrum quotient scale were selected and randomly divided into intervention group and control group with 16 subjects in each group. The modified viewpoint selection group counseling program was used to conduct intervention research on 16 subjects with high sub-threshold autistic traits. SPSS 26.0 was used for common method deviation test, descriptive analysis, correlation analysis and repeated measurement variance analysis, and SPSS 26.0 PROCESS plug-in was used for intermediary effect analysis.Results:(1) The scores of sub-threshold autistic traits, perspective taking, social avoidance and distress of freshmen in senior high school were (113.26±11.35), (12.34±3.95) and (10.84±6.42) respectively. (2) Sub-threshold autistic traits, perspective taking, social avoidance and distress were significantly correlated with each other( r=-0.11-0.52, all P<0.01). (3) Sub-threshold autistic traits had a significant direct effect on social avoidance and distress, with a direct effect value of 0.28, accounting for 96.55% of the total effect.The total indirect effect of perspective taking on social avoidance and distress was significant, with the total indirect effect value of 0.01, accounting for 3.45% of the total effect. (4) In the intervention group, the perspective taking score of the post-test (15.69±3.86) was significantly higher than that of the pre-test (10.56±4.18) ( P<0.01). In the control group, there was no significant difference in the scores of perspective taking before and after the test((10.63±3.69), (11.44±3.03)) ( P>0.05). (5) In the intervention group, the scores of social avoidance and distress in the post-test (6.38±5.01) were significantly lower than that in the pre-test (15.00±6.07) ( P<0.001). In the control group, the score of social avoidance and distress in the post-test (15.81±6.33) was lower than that in the pre-test (19.00 ±5.38) ( P<0.05), but the scores of social avoidance and distress in the intervention group decreased even more. Conclusion:Perspective taking plays an mediating role between sub-threshold autistic traits and social avoidance and distress. Group counseling based on perspective taking was helpful to improve the perspective taking ability of people with high sub-threshold autistic traits and reduce social avoidance and distress behaviors.
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: Emerging adult patients with Type 1 diabetes mellitus (T1DM) appear to have a reduced opportunities on learning and exercise, a decreased skill in learning and work, a lower degree of social support due to fear and avoidance of social interaction. This study aimed to assess the level of social avoidance and distress in emerging adults with T1DM, and to explore the correlation between social avoidance and distress and self-management or glycemic control. : A total of 342 T1DM patients aged 18-30 years old were recruited from 8 tertiary hospitals in Hunan Province from September 2014 to February 2019. The questionnaire included general information questionnaire, the Social Avoidance and Distress Scale (SAD), and Self-management Scale of Type 1 Diabetes for Chinese Adults (SMOD-CA). The total scores of SAD in emerging adult patients with T1DM were compared with those of norm. Correlation between glycated hemoglobin (HbA1c) and social avoidance and distress of emerging adult patients with T1DM was analyzed. : The total score of SAD (11.13±6.18) in emerging adults with T1DM was significantly higher than that in healthy adults (=77.06, <0.01). Pearson correlation analysis showed that the scores of SAD, social avoidance subscale, and social distress subscale were negatively correlated with the scores of SMOD-CA (all <0.01), and they were positively correlated with HbA1c (all <0.01). Multivariate linear regression analysis showed that social avoidance and distress, self-management, gender, and educational level were independent influential factors for HbA1c in emerging adults with T1DM. : The degree of social avoidance and distress of emerging adult patients with T1DM is higher than that of healthy people. The higher the degree of social avoidance and distress, the lower the level of self-management and the worse the control of blood sugar. Attention should be paid to social avoidance and distress in emerging adults with T1DM, and targeted interventions should be formulated.
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Adolescent , Adult , Humans , Young Adult , Blood Glucose , Cross-Sectional Studies , Diabetes Mellitus, Type 1 , Glycated Hemoglobin , Self-Management , Surveys and QuestionnairesABSTRACT
Objective: Psychosocial stress has been implicated in the genesis of psychiatric disorders such as memory deficits, depression, anxiety and addiction. Aqueous leaf extract of Cymbopogon citratus (CYC) otherwise known as lemongrass tea has antidepressant, anxiolytic and anti-amnesic effects in rodents. This study was designed to evaluate if C. citratus could reverse the neurobehavioral and biochemical derangements induced by social defeat stress (SDS) in the resident/intruder paradigm. Methods: Intruder male mice were divided into five groups (n = 7): group 1 received saline (10 mL/kg, p.o.; non-stress control), group 2 also received saline (10 mL/kg, p.o.; SDS control) while groups 3–5 had C. citratus (50, 100 and 200 mg/kg, p.o.) daily for 14 d. The SDS was carried out 30 min after each treatment from day 7 to day 14 by exposing each intruder mouse in groups 2–5 to a 10 min confrontation in the home cage of an aggressive resident counterpart. The neurobehavioral features (spontaneous motor activity-SMA, anxiety, memory, social avoidance and depression were then evaluated. The concentrations of nitrite, malondialdehyde and glutathione as well as acetylcholinesterase activity in the brain tissues were also determined. Results: C. citratus (50, 100 and 200 mg/kg) attenuated hypolocomotion, heightened anxiety, depressive-like symptom, memory deficit and social avoidance induced by SDS. The altered levels of oxidative stress and acetyl-cholinesterase in SDS-mice were positively modulated by C. citratus. Conclusion: The results of this study suggest that C. citratus might mitigate psychosocial stress-induced neurologic diseases in susceptible individuals.
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@#Objective To investigate the situation of family intimacy and adaptability, and social avoidance and distress in severe burn patients, and explore the correlation between them, so as to provide basis for intervention. Methods From January, 2013 to June, 2015, 289 patients with severe burn were surveyed with self-designed general condition questionnaire, Family Adaptability and Cohesion Evaluation Scale (FACES Ⅱ) and Social Avoidance and Distress Scale (SADS), and analyed with Pearson correlation analysis. Results The real family intimacy and adaptability were lower in the severe burn patients than in national norm (t>3.830, P<0.01), and the ideal family intimacy, dis-satisfied intimacy level, ideal adaptability and dissatisfied adaptability level were higher in the severe burn patients than in national norm (t>3.857, P<0.01). The SADS score was higher in the severe burn patients than in national norm. The real intimacy, real adaptability and the to-tal score of FACES II negatively correlated with the scores of SADS (P<0.05), while the levels of dissatisfied intimacy and adaptability posi-tively correlated (P<0.05). Conclusion The social avoidance and distress exist in severe burn patients, which may associated with the family intimacy and adaptability, that some interventions may target to.
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Objective To evaluate the validity and reliability of social avoidance and distress scale (SAD) for conforming it' s applicability in Mongolian college students.Methods Social avoidance and distress scale (SAD)security scale (SQ),self-esteem scale (SES) and life satisfaction scale (AULC) was used to measure 399 undergraduates whose can understand Mongolian and Chinese language.Results The total scale reliability was 0.872,avoidance scale was 0.726,distress scale was 0.742,total scale heavy reliability (r) was 0.86,avoidance scale (r) was 0.789,distress scale (r) was 0.814.(2)the confirmatory factor analysis verified the effectiveness of the structure,the revised model fitting index x2/df=4.864,NFI =0.92,TLI =0.90,GFI =0.90,IFI =0.87,GFI =0.92,AGFI =0.93,RMSEA =0.06,model fitting was better.(3) There was a significant positive correlation between avoidance scale and distress scale (r=0.634,P＜0.01),and there was a negative correlation (r=0.202-0.499,P＜0.01) between avoidance scale and SES,SQ and AULC.There was a negative correlation between distress scale and SES,SQ and AULC (r=0.192-0.556,P＜0.01).Conclusion SAD (Chinese version) has a good reliability and validity in Mongolian college students.
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Objeetive To investigate the relationship among social avoidance and acceptance of disability in burn patients.Methods Totally 127 patients were investigated using Social Avoidance and Distress Scale (SADS),Acceptance of Disability Scale (AODS),demographic information questionnaire and disease related information sheet.Results The points of burn patients' SADS was (21.38±6.75),One-way ANOVA showed that gender,marital status,special parts burns,amputation affected social avoidance significantly.The total score and factors scores of acceptance of disability were all negatively related to the score of social avoidance.Regression analysis showed that acceptance of disability,head burns,gender were the independent risk factors of depression.Conclusions Acceptance of disability were negatively related to social avoidance; Nurse can help them accept the reality of disability,develop the confidence to partici-pate in social communication,and improve the social adaptability.
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Objective To understand self-harmonious state of medical college students at present,and explore the relationship between self-harmonious and social avoidance and distress(SAD).Methods 412 medical college students were assessed by self-consistency and congruence survey(SCCS),social avoidance and distal scores were 92.06±12.80).The self-harmonious of medical college students have differences in the grade.sex,one-child and area;and the difierences have not reached the remarkable level of statistics(P＞0.05),but the difference of self-rigidity between male students and female students(male:19.35±4.20;female:17.73±0.372,-0.152).Conclusion The self-harmonious level of medical college students Was low.And the bad SCCS state will lead to social avoidance or anxiety.
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Objective To explore the factors of the Pilots' social avoidance and distress.Methods 458 pilots were evaluated by Social Avoidance and Distress Scale(SAD),Symptom Checklist 90(SCL-90),Cattell's 16 Personality Factors(16-PF),Perceived Social Support Scale(PSSS),Trait Coping Style Questionnaire(TCSQ),Life Event Scale(LES).Data were analyzed with SPSS10.0.Results The results showed there were significant relationship between pilots' social avoidance and distress with mental health,personality,social support,trait coping style,life event;the social avoidance(F=3.09,P＜0.05)and the social distress(F=4.05,P＜0.01)of transports were significantly higher than other aircrafts;the social distress of diseases group was higher than the health group(t=2.74,P＜0.01).It was showed in the multiple correlation regression analysis that excitatory,persistency,boldness and disappearing coping style made the greatest contribution to the social avoidance(standardized coefficients are-0.346,0.230,-0.219,0.209 in turn).Disappearing coping style,excitatory,social support and boldness made the greatest contribution to the social distress(standardized coefficients are 0.591,-0.324,0.185,-0.1 29 in turn).Conclusion Personality,trait coping style,social support,mental health,life events,and other psyehosocial factors affected the pilots' social avoidance and distress.