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ObjectiveTo explore the correlation of sleep quality with negative life events and coping styles in adolescents based on structural equation modeling， and to provide references for improving the adolescents' sleep quality. MethodsFrom December 2021 to May 2022， a total of 767 junior middle school students from three schools in Chongqing were enrolled， and assessed using Pittsburgh Sleep Quality Index （PSQI）， Adolescent Self-rating Life Events Checklist （ASLEC） and Simplified Coping Style Questionnaire （SCSQ）. Then the structural equation model was applied to discuss the correlation of sleep quality with negative life events and coping styles in adolescents. ResultsA total of 222 adolescents （28.94%） were found to have sleep disorders. PSQI score was positively correlated with ASLEC score and negative coping dimension score of SCSQ （r=0.612， 0.590， P<0.01）， and negatively correlated with positive coping dimension score of SCSQ （r=-0.435， P<0.01）. The structural equation model of the relationship between negative life events， coping styles and sleep quality denoted that negative life events exhibited both direct and indirect positive effects on sleep quality （β=0.448， 0.322， P<0.05）， positive coping style had direct negative effects on sleep quality （β=-0.368， P<0.05）， and negative coping style had direct positive effects on sleep quality （β=0.442， P<0.05）. ConclusionNegative life events and negative coping style cause adverse effects on adolescents' sleep quality， while positive coping style exerts positive effects on adolescents' sleep quality.
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Abstract Based on the importance of the stress phenomenon, this research sought to evaluate the relationship between stress, coping strategies, negative life events and biological markers, based on the Transactional Stress Model. A general hypothesis of mediation was formulated: coping strategies would mediate the relationship between negative life events and biological markers. The sample consisted of 96 users of a biomedical school laboratory, in which 77.78% were female. Participants answered the Brief COPE questionnaire, as well as a questionnaire on negative life events. Laboratory tests were collected shortly after the application of the questionnaires. Mediations were found between Venting, Red Blood Cells and Hemoglobin. The research aimed to contribute to the knowledge in the field of stress and coping, as well as to serve as a possible empirical study of the Transactional Stress model.
Resumo Dada a importância do fenômeno do estresse, esta pesquisa procurou avaliar a relação entre estresse, estratégias de enfrentamento, eventos negativos na vida e marcadores biológicos baseados no modelo transacional de estresse. A hipótese geral de mediação é que as estratégias de enfrentamento seriam mediadoras à relação entre eventos negativos na vida e os marcadores biológicos. A amostra consistiu de 96 usuários de um laboratório escola em que 77,78% eram mulheres. Participantes responderam ao questionário Brief-COPE, assim como o questionário de eventos negativos na vida. Os testes laboratoriais foram coletados logo após a aplicação dos questionários. As mediações foram encontradas entre auto-distração células vermelhas e hemoglobina. A pesquisa buscou contribuir com o conhecimento na área de estresse e estratégias de enfrentamento, assim como servir como estudo empírico do Modelo Transacional de Estresse.
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ObjectiveTo explore the effects of negative life events on suicidal ideation in adolescents with depressive disorder and the mediating role of mother-child attachment， so as to provide references for reducing suicidal ideation in adolescents with depression. MethodsA total of 145 adolescents underwent psychiatric inpatient and outpatient treatment in the First Affiliated Hospital of Chongqing Medical University From May 2020 to April 2021 and met the International Classification of Diseases， tenth edition （ICD-10） criteria for depressive episode were enrolled， and all selected individuals were assessed using the Adolescent Self-rating Life Events Checklist （ASLEC）， the Inventory of Parent and Peer Attachment （IPPA） and Beck Scale for Suicide Ideation-Chinese Version （BSI-CV）. Then Bootstrap method was used to test the mediating effect. ResultsBSI-CV score in adolescents with depressive disorder was positively correlated with ASLEC score （r=0.453， P<0.01）， and negatively correlated with mother-child attachment score in IPPA （r=-0.165， P<0.01）. The partial mediating effect of mother-child attachment between negative life events and suicidal ideation was significant， with a mediating effect value of 0.008， accounting for 14.55% of the total effect value （0.055）. ConclusionSuicidal ideation in adolescents with depressive disorder may be related to loads of negative life events and poor mother-child attachment， moreover， mother-child attachment plays a mediating role in the relationship between negative life events and suicidal ideation.
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BACKGROUND@#To examine changes in psychological distress prevalence among pregnant women in Miyagi Prefecture, which was directly affected by the Great East Japan Earthquake and tsunami, and compare it with the other, less damaged areas of Japan.@*METHODS@#This study was conducted in conjunction with the Japan Environment and Children`s Study. We examined 76,152 pregnant women including 8270 in Miyagi Regional Center and 67,882 in 13 other regional centers from the all-birth fixed data of the Japan Environment and Children's Study. We then compared the prevalence and risk of distress in women in Miyagi Regional Center and women in the 13 regional centers for 3 years after the disaster.@*RESULTS@#Women in the Miyagi Regional Center suffered more psychological distress than those in the 13 regional centers: OR 1.38 (95% CI, 1.03-1.87) to 1.92 (95% CI, 1.42-2.60). Additionally, women in the inland area had a consistently higher prevalence of psychological distress compared to those from the 13 regional centers: OR 1.67 (95% CI, 1.18-2.38) to 2.19 (95% CI, 1.60-2.99).@*CONCLUSIONS@#The lack of pre-disaster data in the Japan Environment and Children's Study made it impossible to compare the incidence of psychological distress before and after the March 2011 Great East Japan Earthquake. However, 3 years after the Great East Japan Earthquake, the prevalence of pregnant women with psychological distress did not improve in Miyagi Regional Center. Further, the prevalence of mental illness in inland areas was consistently higher than that in the 13 regional centers after the disaster.
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Adolescent , Adult , Female , Humans , Pregnancy , Young Adult , Disasters , Earthquakes , Japan/epidemiology , Pregnancy Complications/psychology , Pregnant Women/psychology , Prevalence , Psychological Distress , TsunamisABSTRACT
BACKGROUND@#Limited published research has examined the relationships of negative life events and coping styles with sleep quality in Chinese junior high school students. We aimed to investigate the prevalence of poor sleep quality and to clarify the role of coping styles between negative life events and sleep quality.@*METHODS@#A cross-sectional study of 3081 students was conducted in Ganzhou City, Jiangxi Province, Southeastern China. Adolescent Self-Rating Life Events Checklist, Simplified Coping Style Questionnaire, and Pittsburg Sleep Quality Index were applied to assess negative life events, coping styles, and sleep quality, respectively. Descriptive analyses, independent-samples t tests, one-way analyses of variance, Pearson correlation analyses, and structural equation modeling (SEM) were applied to analyze the data.@*RESULTS@#The prevalence of poor sleep quality was 26.7%. Negative life events (B = 0.038, P 0.05). The association between negative life events and sleep quality was mediated by negative coping styles.@*CONCLUSIONS@#Our results indicated that poor sleep quality was common in these Chinese adolescents. Negative life events and negative coping style were associated with an increased prevalence of poor sleep quality, while the positive coping style was related to a decreased prevalence of poor sleep quality. A negative coping style mediated the association between negative life events and sleep quality.
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Adolescent , Child , Humans , Adaptation, Psychological , China , Cross-Sectional Studies , Life Change Events , Psychology, Adolescent , Psychology, Child , SleepABSTRACT
Objective:To explore the chain mediating effect of depression and rumination between negative life events and non-suicidal self-injury(NSSI).Methods:Adolescents self-harm scale was used to investigate 1 000 students in a vocational school of Guizhou Province. A total of 333 vocational students with NSSI were screened through, and further investigated by adolescent self-rating life events check list (ASLEC), the center for epidemiological studies depression scale (CES-D), and ruminative Response Scale (RRS). SPSS 25.0 and Mplus 8.1 software were used for data analysis, and the bias corrected percentile Bootstrap method was used to test the mediating effect.Results:(1)The scores for negative life events, depression, rumination and NSSI were 67.00 (54.00, 79.00), 47.00 (39.00, 53.50), 64.00 (54.00, 76.00) and 7.00 (2.00, 10.00) respectively.(2)Negative life events were positively correlated with depression ( r=0.29, P<0.01), rumination ( r=0.40, P<0.01), and NSSI ( r=0.18, P<0.01). (3)The mediating effect size of depression between negative life events and NSSI was 0.07, accounting for 38.89% of the total indirect effect.The mediating effect size of rumination between negative life events and NSSI was 0.06, accounting for 33.33% of the total indirect effect.The chain mediating effect of depression and rumination between negative life events and NSSI was 0.05, accounting for 27.78% of the total indirect effect. Conclusion:Negative life events can indirectly affect NSSI of vocational education students through depression and rumination, as well as the chain mediating path.
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Objective:To investigate the relationship among five personality factors, negative life events and suicidal tendency of college students, so as to provide reference for college students' suicide prevention.Methods:A cross-sectional survey was conducted among 885 college students in Xi'an city, Shaanxi province. A comprehensive college, a science and engineering college and a liberal arts college were selected respectively. Three questionnaires were applied to all subjects, including big five personality questionnaire, life event questionnaire and scale of adolescents' suicide tendency. Hierarchical regression model was adopted to analyzed the relationship of big five personality traits, negative life events and suicide tendency. Pearson correlation analysis and mediating effect test were conducted by using SPSS 20.0 software.Results:There was no significant interaction between gender and negative life events on suicidal tendency ( β=-0.03, t=-0.96, P>0.05). Conscientiousness( β=-0.12, t=-4.06, P<0.01), neuroticism ( β=0.24, t=7.54, P<0.01), agreeableness( β=-0.15, t=-3.65, P<0.01), extroversion ( β=-0.27, t=-8.56, P<0.01) and openness ( β=-0.12, t=-3.38, P<0.01)in Big Five personality had significant moderating effect on the relationship between negative life events and suicidal tendency. High conscientiousness, high agreeableness, high extroversion and high openness had protective effect on the relationship between negative life events and suicidal ideation. High neuroticism was a risk factor of the relationship between negative life events and suicidal tendency. Conclusion:The five factors of personality are closely related with negative life events and suicidal ideation. The five factors of personality can regulate the relationship between life events and suicidal tendency.
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Objective To explore the multiple mediating effect of sleep quality and internet addiction between negative life events and mental health among college students.Methods A cross-sectional study was used to investigate 733 college students with adolescent self-rating life events checklist,Pittsburgh sleep quality index,the general health questionnaire and internet addiction scale for Chinese revision.SPSS and Bootstrap method were used to test the hypothetical model.Results The scores of Negative life events,sleep quality,interaet addiction and mental health were 46.0 (33.0,66.5),5.0 (3.0,7.0),44.0 (37.0,50.0) and 5.0(2.0,9.0) respectively,and they were positively correlated with each other (r=0.39-0.55,P＜0.01).Negative life events had a direct effect on mental health.The effect value was 0.013,and the effect size was 17.97％.The simple mediating effects of sleep quality and internet addiction between negative life events and mental health were significant.The effect values were 0.047 and 0.009,and the effect sizes were 64.85％ and 11.94％,respectively.The chain mediating effect of sleep quality-internet addiction was also significant,and the effect value was 0.004 and the effect size was 5.24％.Conclusion Negative life events not only directly affect mental health in college students,but also indirectly affect their mental health through the multiple mediating effects of sleep quality and internet addiction.
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Objective To investigate the interaction between rs1800955 polymorphism of dopamine D4 receptor(DRD4) gene and negative life events on personality characteristics of Mongolian adolescents.Methods A total of 239 Mongolian adolescents aged 12-15 were assessed with Eysenck Personality Questionnaire(EPQ) and Adolescent Self-Rating Life Events Check List(ASLEC).The polymorphism of DRD4 gene rs1800955 was determined by improved multiple ligase detection reaction(iMLDR) technique.Results (1) The rs1800955 polymorphism of DRD4 gene was significantly correlated with psychoticism score of EPQ.The psychoticism score of individuals with CC genotype (4.94 ± 3.19) was higher than that of TT genotype (3.38±2.29),and the difference was statistically significant (P＜0.05).(2) The scores of psychoticism and neuroticism in Mongolian adolescents were positively correlated with the factors of negative life events(r=0.154-0.375,P＜0.05 or 0.01).(3) The interaction between the rs1800955 polymorphism of DRD4 gene and negative life events significantly affected the scores of psychoticism in Mongolian adolescents (C C genotype x interpersonal factor:B =-2.689,95 ％ CI =-4.589--0.789,x2 =7.695,P＜ 0.01).In individuals with CC genotype,the scores of psychoticism in those with high scores of interpersonal relatioriship factors were significantly higher than those with low scores of interpersonal relationship factors ((3.01 ± 0.71) vs (2.61 ±0.67);t =-3.066,P＜ 0.01).Conclusion The polymorphism of DRD4 gene rs 1800955 and its association with interpersonal factors play an important role in the psychoticism of Mongolian adolescents.The CC genotype is a risk factor of psychoticism,and the poor interpersonal relationship may increase the risk of individuals with CC genotype.
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Nonsyndromic orofacial clefts (NSOC) is a common but complicated congenital malformation, resulted from complex interplay of genetic and environmental factors. In this study, certain environmental factors was demonstrated, including drug, supplementation intake, occupational exposure, environmental pollution and psychosocial factor, to be associated with increasing risk of NSOC.
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@#Introduction: Depressive symptoms are major public health issues with significantly increasing rates during adolescence. Specific factors and mechanisms associated with depressive symptoms still need to be identified. The present study aimed to examine direct relationships between paternal attachment and negative life events (NLE) to depressive symptoms. Indirect effect of automatic thoughts on the relationships was also examined. Methods: A sample of 1030 adolescents aged between 13 and 19 years (mean=15.36) was recruited using probability proportional to size cluster sampling from selected states in Peninsular Malaysia to complete self-report measures on the study variables. Results: Structural equation modelling indicated that paternal attachment in terms of secure, approachability and anxious fearful were directly associated to depressive symptoms. Broadly, increases in secure and approachability attachments followed by decreases in depressive symptoms. Adolescents who experienced anxious fearful attachment seemed to be more vulnerable to depressive symptoms. Moreover, results from mediation analyses revealed that automatic thoughts mediated the effect of two attachment variables (i.e., anxious fearful and responsiveness) and NLE to depressive symptoms. Conclusion: These findings shed light on the concurrent effects of attachment and life events on depressive symptoms, providing evidence on how to reduce depressive symptoms among adolescents. The current study also expands knowledge on the role of automatic thoughts as potentially relevant mediator. Intervention and prevention programs aimed at preventing adolescents from the deleterious effects of depressive symptoms should involve both parents and adolescents in order to promote optimal attachment relationships and minimize depressive cognitions in adolescents
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DepressionABSTRACT
Objective To explore the relationships among negative life events,meaning in life and suicidal risk of college students.Methods A total of 897 students from southern medical university were surveyed by adolescent life events scale (ALES),suicidal behaviors questionnaire-revised (SBQ-R) and meaningful life measure-Chinese revised (MLM-CR).Results The scores of negative life events,meaning in life and suicidal risk were 1.03±0.88,124.32±20.35 and 4.17± 1.66,respectively.There were 64 (7.1％) college students with high risk of suicide.The overall stress score was positively correlated with total suicidal risk score (r=0.134,P＜0.01).Total suicidal risk score was negatively correlated with total score of meaning in life(r=-0.340,P＜0.01).Moderating effects of meaning in life between negative life events and suicidal risk were significant (P＜0.01).Meaning in life fully mediated the effects of negative life events on suicidal risk (P＜0.01),which accounted for 59.6％ of the total effects.Conclusion Meaning in life as a mediator and moderator between negative life events and suicidal risk.Meaning in life might play protective role in reducing the suicidal risk.
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Objective:To explore the effect of rumination and self-affirmation on the relations between negative life events and state-anxiety in college students.Methods:A total of 265 college students were assessed with the Adolescent Self-rating Life Events Checklist (ASLEC),State Anxiety subscale of Sate-Trait Anxiety Inventory (STAIA),Rumination Response Scale (RRS) and self-affirmation subscale of General Health Questionnaire (GHQ).The mediating effect was tested by multiple regression and bias-corrected percentile residual Bootstrap methods.The moderating effect was tested by multiple regression and simple slope analysis.Results:The state anxiety scores and self-affirmation scores were higher in students from cities than those from village(Ps ＜0.05).Negative life events negatively predicted state-anxiety directly(β =0.57,P ＜0.001).Rumination partly mediated the relationship between negative life events and state-anxiety,and the ratio of the mediating effect to the total effect was 29.7％.Self-affirmation was the moderator of the relationship between negative life events and state-anxiety(β =0.13,P ＜0.05).Conclusion:It suggests that negative life events could not only have a direct effect on state-anxiety,but also has an indirect effect through rumination.Self-affirmation could moderate the relations between negative life events and state anxiety.
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Objective:To explore the mediating effect of self-esteem and resilience,and the moderating role of left-behind experience on negative life events and depression in college students.Methods:Totally 879 college students were selected from 3 universities in Sichuan and Chongqing (396 college students with left-behind experience,483 college students without left-behind experience).The Adolescent Self-Rating Life Events Check List (ASLEC),Self-esteem Scale (SES),Resilience Scale of Chinese Adolescent (RSCA) and Self-Rating Depression Scale (SDS) were used to measure the negative life events,self-esteem,resilience and depression.The Bootstrap program and multiple-group analysis were used to test mediation effect and moderation effect.Results:Scores of ASLEC were higher in those with left-behind experience than in those without left-behind experience [(9.0 ± 3.8)vs.(6.8 ± 3.1),P ＜ 0.001].College students'left-behind experience was positively correlated with scores of ASLEC and SDS (r ＝0.22-0.22,Ps ＜0.01),while negatively correlated with scores of RSCA and SES (r ＝-0.29--0.56,Ps ＜0.01).The complete mediating effect of the scores of SES and RSCA between ASLEC score and SDS score was significant (mediating effect ＝ 0.08,0.13,0.07;Ps ＜ 0.01).It was significant that the mediaring roles of self-esteem and resilience (95％ CI:0.13-0.68).Left-behind experience played the moderating effect on self-esteem and resilience (the constraint model fitting degree of variation was △x2 ＝ 2120.68,△df＝ 8,P ＜ 0.001).Conclusions:Self-esteem and resilience completely mediates college students'negative events and depression,which is moderated by their previous left-behind experience.
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Objective To explore the role of mindfullness in the negative life events,depression,and poor sleep quality.Methods Using five facet mindfullness questionnaire(FFMQ),adolescents self-rating life events checklist (ASLEC),self-rating depression scale (SDS) and Pittsburgh sleep quality index (PSQI) to investigate 2 792 freshmen in a medical university in Guangzhou.Results The FFMQ score (126.02±12.14) was negatively correlated with ASLEC score(23.93±19.81),SDS score(35.89±7.31) and PSQI score (3.45±2.13) (r=-0.17,r=-0.44,r=-0.26,P＜0.01).The boys in the aspects of " mindfullnessinaction" scored significantly higher than that of girls (21.20 ± 3.36,20.52±2.88,P＜0.01).The girls scored significantly higher than boys in the PSQI,SDS (3.58±2.15,3.21 ±2.08,P＜0.05;36.22±7.26,35.27±7.35,P＜0.01).Mindfullness and sleep quality showed a chain-mediated effect between negative life events and depression,and the model fitting was good (RMSEA =0.048,CFI =0.962,TLI =0.943).The total mediating effect size was 61.41％.The mediating path through mindfullness,with the effect size of 16.71％,and the chain-mediating effect was 8.94％.Conclusion The higher the level of mindfullness,the lower the individual's depression score and the better the quality of sleep.Mindfullness and the sleep quality play a role of chain-mediating effect between negative life events and depression.
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Objective To explore the role of mindfullness in the negative life events,depression,and poor sleep quality.Methods Using five facet mindfullness questionnaire(FFMQ),adolescents self-rating life events checklist (ASLEC),self-rating depression scale (SDS) and Pittsburgh sleep quality index (PSQI) to investigate 2 792 freshmen in a medical university in Guangzhou.Results The FFMQ score (126.02±12.14) was negatively correlated with ASLEC score(23.93±19.81),SDS score(35.89±7.31) and PSQI score (3.45±2.13) (r=-0.17,r=-0.44,r=-0.26,P＜0.01).The boys in the aspects of " mindfullnessinaction" scored significantly higher than that of girls (21.20 ± 3.36,20.52±2.88,P＜0.01).The girls scored significantly higher than boys in the PSQI,SDS (3.58±2.15,3.21 ±2.08,P＜0.05;36.22±7.26,35.27±7.35,P＜0.01).Mindfullness and sleep quality showed a chain-mediated effect between negative life events and depression,and the model fitting was good (RMSEA =0.048,CFI =0.962,TLI =0.943).The total mediating effect size was 61.41％.The mediating path through mindfullness,with the effect size of 16.71％,and the chain-mediating effect was 8.94％.Conclusion The higher the level of mindfullness,the lower the individual's depression score and the better the quality of sleep.Mindfullness and the sleep quality play a role of chain-mediating effect between negative life events and depression.
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Objective To analyze the situation of health-risk behaviors of the students in specialty medical science college of Yunnan and its relationship with negative life events, and provide scientific evidence for lowering the occurrence rate of health-risk behaviors. Methods The stratified randomised cluster-sampling method was used to select 576 students of specialty medical science college, and the occurrence rate of health-risk behaviors and life events conditions were estimated by Youth Health-Risk Behavior Questionnaire and Adolescents Self-Rating Life Events Checklist. Descriptive statistic analysis, Chi-square test and Logistic regression analysis was used to analyze the data. Results Among the students of specialty medical science college in Yunnan, the rate of smoking was 3.1%,the rate of drinking was 4.9%,the rate of food refusal was 39.6%, the rate of fighting was 13.5%,the rate of obsessed with the internet was 26.4%, and the rate of substance abuse was 3.1%. There were significant differences between the students of different genders (P<0.05) or specialities (P<0.05) . Logistic regression analysis showed total score of negative life events had positive influence on drinking (OR=1.017,P<0.05), food refusal (OR=1.018,P<0.05), fighting (OR=1.021,P<0.05), obsessed with the internet (OR=1.025, P<0.05), substance abuse (OR=1.025, P<0.05) . The factor of interpersonal relationship had positive influence on drinking (OR=1.162,P<0.05), food refusal (OR=1.102,P<0.05), substance abuse (OR=1.260, P<0.05) . The factor of punished had positive influence on fighting (OR=1.144, P<0.05), and had negative influence on drinking (OR=0.891, P<0.05) . The factor of study pressure had positive influence on fighting (OR=1.143, P<0.05), and the factor of loss had negative influence on fighting (OR=1.144, P<0.05) . Conclusion Negative life events are influencing factors for health-risk behaviors of the students in specialty medical science college of Yunnan, and there is difference on the way that the factor of life events influencing health-risk behaviors.
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Objective:To explore the relationship of negative life events,parent-child relationship,teacher-child relationship with the altruistic prosocial behaviors in migrant and unattended primary school children. Methods:Totally 1198 migrant children and 1631 unattended children were recruited. The dimension ofaltruistic prosocial behaviorof Child and Adolescent Prosocial Behavior Questionnaire (CAPBQ-A)was used to evaluate altruistic prosocial behaviors,Life Event Questionnaire (LEQ)was used to evaluate negative life events,parent trust and support dimensionof Social Psychological Relationship Questionnaire(SPRQ-P)to evaluate par-ent-child relationship, and teacher trust and support dimension (SPRQ-T ) to evaluate teacher-child relationship. Results:The CAPBQ-A scores were higher in migrant children than in the unattended children (P<0. 001). Being migrant or unattended children (β=-0. 07),LEQ score (β=-0. 04),SPRQ-P score (β=0. 13) and SPRQ-T score (β=0. 31 )predicted the CAPBQ-A score significantly. The SPRQ-P score had significantly stronger predictive effect on the migrant children compared to the unattended children (β=-0. 06 ). Yet the SPRQ-T score predicted the unattended children stronger (β=0. 06 ,Ps<0. 0 1 ). Conclusion:The unattended children's al-truistic prosocial behaviors are much worse than the migrant children. Personal relationships seem to play a more important role than negative life events in shaping children's altruistic prosocial behaviors. Moreover,the parent-child relationship seems to be more important to the migrant children,whereas the teacher-child relationship is more important to the unattended children.
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Objective To explore the influence of personality and negative life events on the development of pulmonary tuberculosis among diabetic patients.Methods A hospital-based case-control study was conducted from March 2005 to February 2006.158 newly-diagnosed pulmonary tuberculosis patients with diabetes (DMPTB) were reemited as cases and 281 diabetic patients (DM) as control group.Information on personality and negative life events was collected using Eysenck Personality Questionnaire (EPQ) and Life Events Scale (LES),respectively.Odds ratios(OR) and 95% confidence intervals (95% CI) were estimated using logistic regression models and the potential confounding bias was controlled through adjusted by education,income,glycemic control,previous maximal BMI,weight loss ratio,physical xercises,smoking,negative life events or personality.Results The proportions of introversion,medium,extroversion personality in DM-PTB and DM group were 38.6% ,11.4% ,50.0% vs.53.0% ,11.1% ,35.9% (X~2=9.280,P=0.010).Those with introversion personality had 1.91 (1.26～2.90) times higher risk of DM-PTB than those with extroversion personality,while this association became insignificant after adjustment(P=0.111) ; 35.4% and 19.6% in the two groups had experienced life events during the last one year,and such persons had 2.26(1.15～3.50) (unadjusted) or 1.82(1.07～3.10)(adjusted) higher risk of DM-PTB than those without life events,especially among male and younger (＜60y) diabetics.Conclusion Negative life events are the independent risk factor of pulmonary tuberculosis among male and younger diabetics.Thus,mental measures should be taken in corresponding risk populations to improve their capability of dealing with life events.
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Objective To explore the influence of psychosocial factors and depression-anxiety on the intellectual impairment in early period of cerebral infarct.Method We compared the correlation of the occurence of intellectual impairment and depression-anxiety,negative life events among 98 cerebral infarct dementia index cases and 80 cerebral infarct without dementia index cases and 87 control subjects.Result Anxiety states have 74.49％ cerebrol infarct dementia index cases,60％ cerebrol infarct without dementia index cases,and 14.94％ control subjects,Depression states have 74.49％ cerebrol infarct dementia index cases,51.25％ cerebrol infarct without dementia index cases,and 20.69％ control subjects,Negative life events have 78.57％ cerebrol infarct dementia index cases,63.75％ cerebrol infarct witout dementia index cases and 13.79％ contrbl subjects.Conclusion The mood and sensibilities problems of depression anxity(especially of anxity) have a neagative status on the intellegence impirment of cerebral infarct.The correlates of post stroke depression-anxity states analysis were paralysis and position of focal lesion.The negative life events influenced the occuring of intelligence imparement post-cerebral infarct without anxity-depression mood and sensibilities problemes.