Association of maternal salivary oxytocin levels with feeding patterns and depressive mood / 中华行为医学与脑科学杂志

Objective:To explore the association between different feeding patterns, emotional states, and salivary oxytocin (OT) levels during breastfeeding.Methods:From January to December 2019, 153 pairs of 3-month-old infants and their mothers were recruited from 4 maternal and child health hospitals in Chongqing, Liuzhou, Dalian and Hangzhou in China.Saliva samples were collected from the mothers at the first 5 minutes of feeding, 5 minutes during feeding, and 10 minutes after feeding.Edinburgh postnatal depression scale (EPDS) was used to evaluate maternal depression.Infants were divided into exclusive breastfeeding group and artificial feeding group according to feeding patterns.ELISA of salivary oxytocin was performed by ELISA kits, and the OT levels measured at the 3 time points were converted using linear interpolation.Area under the curve with respect to ground(OTAUCG) was used to represent the total concentration of salivary OT during the mother's breastfeeding.SPSS 25.0 software was used for statistical analysis.Multiple linear regression analysis and two factors analysis of variance were used to explore the association between different feeding methods, emotional state and salivary oxytocin during breastfeeding.Results:The results of the two factors analysis of variance showed that the interaction between feeding pattern and mother's emotion was not significant ( F=2.440, P=0.120), the main effect of mother's emotion was not significant ( F=0.380, P=0.539), and the main effect of feeding style was significant ( F=3.350, P=0.021). The level of OTAUCG under pure breastfeeding ((151 561.47±75 738.11) pg/mL) was higher than that under artificial feeding ((122 269.03±65 029.88) pg/mL), and the difference was statistically significant ( P=0.02). There was no statistically significant difference in OTAUCG levels between mothers with normal emotions ((146 106.37±75 106.76) pg/mL) and mothers with depressed emotions ((129 079.56±67 565.87) pg/mL) ( P=0.221). Multiple stepwise regression analysis showed that artificial feeding had a negative predictive effect on maternal salivary OT levels compared to exclusive breastfeeding( β=-0.211, t=-2.513, P=0.013). Conclusion:Feeding pattern is a factor that affects the mother's salivary OT level, and breastfeeding can improve the mother's OT level.

Relationship between depressive mood and non-suicidal self-injury in middle school students： the mediating role of impulsivity / 四川精神卫生

BackgroundNon-suicidal self-injury （NSSI） behavior poses a significant risk to the psychosomatic health of middle school students. However， the intrinsic mechanisms underlying the risk factors associated with NSSI behavior remain unclear. ObjectiveTo explore the relationship and underlying mechanism between depressive mood， impulsivity， and NSSI behavior in middle school students， and provide valuable insights for the prevention and intervention of NSSI behavior in this population. MethodsIn March 2021， 1 161 middle school students were recruited by cluster random sampling. They were assessed using Adolescent Non-Suicidal Self-Injury Assessment Questionnaire （ANSAQ）， Center for Epidemiologic Studies Depression Scale （CES-D）， and Barratt Impulsivity Scale （BIS-II）. Spearman's correlation analysis was used to examine the correlation between depressive mood， impulsivity and NSSI behavior in middle school students. Moreover， the Process mediation effect analysis was adopted to test the mediating role of impulsivity between depressive mood and NSSI behavior. ResultsTotal of 122 people（10.51%） with NSSI behavior were detected. CES-D score was positively correlated with the total score of BIS-II and scores of all dimensions （r=0.340~0.556， P<0.01）， and also were positively correlated with the total score of ANSAQ and scores of all dimensions （r=0.437~0.540， P<0.01）. Additionally， the total score and dimension scores of BIS-II were positively correlated with the total score and dimension scores of ANSAQ （r=0.157~0.437， P<0.01）. Impulsivity played a partial mediating role between depressive mood and NSSI behavior ［indirect effect=0.035 （95% CI： 0.004~0.067， P<0.01）， indirect effect accounted for 5.81% of the total effect］. ConclusionDepressive mood in middle school students has both a direct and indirect influence on NSSI behavior， partially mediated by impulsivity. Consequently， impulsivity plays a partial mediating role between depressive mood and NSSI behavior.［Funded by Humanities and Social Sciences Research Science Institute of Chongqing Municipal Education Commission （number， 23KSZ017）］

Prevalence and Associated Factors of Depression Among Karen Hilltribe Elderly Population in Thailand

@#Introduction: Depression among older population in community has been identified as a significant problem to improve care and quality of life. Although prevalence rates for Thai older population have been established in many parts of Thailand, there are still an under-recognition of depression among ethnic minority older people in Thailand. Hence, this study aimed to investigate depression in Karen older population, one of hilltribe groups in the northern part of Thailand. The objective of the study was to find prevalence rate and associated factors related to depression in Karen hilltribe elderly in Doi-Luang district, Chiang Rai, Thailand. Methods: Cross sectional study was carried out in the outpatient primary care clinic of Doi-Luang hospital, a community hospital. Total 174 Karen elders aged ≥ 60 years were randomly selected and PHQ-9 was applied to assess depression by clinician researchers in the Karen version. Demographic characteristics and factors associated with depression were collected by structural questionnaire. Results: The average age of participants were 69 ± 8 years. The prevalence of depressive mood was 11.49% (95% CI 7.50 - 17.21). Binary logistic regression revealed that associated factor of depression among Karen older people was marital status (OR = 6.66, 95% CI 2.31-19.23, P<0.001). Conclusion: Depression was found to be one of mental health problems in Karen older people. A validated screening tool which considers the Karen culture and language is a useful tool for the detection of depression in the ethnic group elderly leading to its prevention and provision of care.

Adaptation and Factor Structure of the Hospital Anxiety and Depression Scale on Chilean Children and Adolescents / Adaptación y estructura factorial de la Escala de Ansiedad y Depresión Hospitalaria en niños y adolescentes chilenos

Abstract The high prevalence of mental disorders related to anxiety and depressive mood during childhood and adolescence requires a constant screening of the levels of such variables. For that purpose, instruments that are valid, reliable and easy to administrate are needed. The Hospital Anxiety and Depression Scale (HADS) represents an instrument with those characteristics. The aim of this study was to adapt the HADS, in a representative sample (between 8 and 16 years old) of Chilean children and adolescents. The study was conducted in four stages: cognitive interviews (N=10), confirmatory factor analysis (N=467), test-retest with two weeks (n=126) and one-month (n=227) intervals. The results indicated that the adapted HADS, with an extension of 12 items, would have a structure of two factors (anxiety and depressive mood), adequate reliability for the anxiety subscale (n = .75), but not for depression (n = .65), an absence of a significant correlation between factors, and differences according to gender and type of school. It is concluded that the adapted HADS is reliable for its use with Chilean adolescents. This study supports the two-factor structure of anxiety-depression. However, the structure of three factors also reached significant adjustment coefficients.

Resumen La alta prevalencia de trastornos mentales relacionados con la ansiedad y el estado de ánimo depresivo durante la infancia y la adolescencia requiere una detección oportuna de los niveles de tales variables en esta población. Para este propósito se requieren instrumentos válidos, confiables y fáciles de administrar. La Escala de Ansiedad y Depresión Hospitalaria (HADS) representa un instrumento con esas características. El objetivo de este estudio fue adaptar la HADS en una muestra representativa (entre 8 y 16 años) de niños y adolescentes chilenos. El estudio se realizó en cuatro etapas: entrevistas cognitivas (N = 10), análisis factorial confirmatorio (N = 467), test-retest en intervalos de dos semanas (n = 126) y un mes (n = 227). Los resultados indicaron que la HADS adaptada de 12 ítems, tendría una estructura de dos factores (ansiedad y ánimo depresivo), confiabilidad adecuada para la subescala de ansiedad (a = .75), pero no para el ánimo depresivo (a = .65), ausencia de correlación significativa entre factores y diferencias según género y tipo de escuela. Se concluye que la HADS adaptada es confiable para su uso con adolescentes chilenos. Este estudio apoya la estructura de dos factores de ansiedad-depresión, sin embargo, la estructura de tres factores también alcanzó coeficientes de ajuste significativos.

Prevalence of problematic online gaming among undergraduate medical students and its relation to well-being, self-esteem and depressive mood in Goa, India

Background: Online video games are one of the most popular recreational activities irrespective of age, gender and culture. Gaming disorder has been recently included in the 11th Revision of the international classification of diseases (ICD-11). Thus online video game addiction among people is a serious mental health issue and unfortunately, research on this addiction is still in its infancy. Thus the present study examines the prevalence of problematic online gaming among undergraduate medical students and its association with demographic variables, and health-related measures like well-being, self-esteem and depressive mood.Methods: The present cross-sectional study was conducted among the undergraduate students of Goa medical college using online survey method. Problematic online gaming was assessed using the problematic online gaming questionnaire short form (POGQ-SF). Additionally, well-being was assessed using the satisfaction with life scale (SWLS), self-esteem was assessed using Rosenberg’s self- esteem scale (RSES) and depressive mood was assessed using the patient health questionnaire (PHQ-9).Results: According to POGQ-SF, 8% of the study participants showed problematic online gaming. It was significantly associated with sex of the study participants, frequency of online gaming, duration of internet use per day and duration of a gaming session.Conclusions: Playing online games is a widespread activity among undergraduate medical students and a substantial proportion of these students exhibit addictive behaviours with regards to online gaming. Further research in terms of longitudinal studies involving larger samples of general population is needed to throw light on causal relationship between problematic online gaming and related factors.

The association between quality of direct supervisor's behavior and depressive mood in Korean wage workers: the 4th Korean Working Conditions Survey

BACKGROUND: Workers spend most of their social lives at work and have relationships of varying nature with people in the workplace. Direct supervisors, in particular, have a direct and lasting impact on workers, which may influence workers' mental health. Depression is very prevalent worldwide, and social concern about the disease is on the rise. The aim of this study is to investigate the effect of direct supervisors' behavior on the depressive mood of Korean wage workers. METHODS: We used data from the 4th Korean Working Conditions Survey held in 2014; 22,212 participants were included in the analysis. The quality of a direct supervisor's behavior was categorized from 0 (= lowest) to 5 (= highest) points. The degree of depressive mood was measured on a scale from “normal mood” to “likely depression” based on the 5-item World Health Organization Well-Being Index (WHO-5) questionnaire. Multiple logistic regression was used to analyze the association between the quality of the direct supervisor's behavior and the depressive mood of wage workers. RESULTS: After multivariable adjustment, significantly increased odds ratio (OR) for likely depression was found in the 4, 3, 2, 1, and 0 points of the quality of the direct supervisor's behavior compared to 5 points. After stratification for the level of satisfaction with working conditions, the OR of the unsatisfied groups was higher than that of the satisfied groups. CONCLUSIONS: Likely depression was found to be significantly associated with a low quality of direct supervisor's behavior. This association was stronger in workers who were not satisfied with their working conditions. This study suggests that proper management of the direct supervisor's behavior is needed to reduce the risk of depression among Korean wage workers.

Association between Nicotine Dependence and Depressive Mood among Patients of Smoking Cessation Clinic

BACKGROUND: This study evaluated the association between nicotine dependence and depressive mood in patients who visited a secondary hospital for smoking cessation treatment.METHODS: From March 2016 to February 2017, a total of 48 patients who visited the smoking cessation clinic of a secondary hospital in Seoul were surveyed through questionnaires. Nicotine dependence was assessed by the Fagerström Test for Nicotine Dependence. The Beck Depression Inventory (BDI) was used to assess depressive mood.RESULTS: The mean BDI score was positively associated with nicotine dependence (P=0.01). In multivariable logistic regression analysis, increasing BDI was associated with higher odds (1.21, 95% confidence interval; 1.02–1.44) of high nicotine dependence after adjusting for all confounding variables.CONCLUSION: Depressive mood was positively associated with nicotine dependence among patients who visited a smoking cessation clinic. Consideration of depressive mood in smoking cessation treatment may be helpful for smoking cessation among patients with a willingness to quit smoking.

Association between Alcohol Consumption and Mental Health (Perceived Stress, Depressive Mood, Suicidal Ideation, Quality of Life) in Koreans: The Sixth Korean National Health and Nutrition Examination Survey in 2015

BACKGROUND: Causal hypotheses suggest that alcohol-related disorders may also cause psychiatric disorders and problems, or vice versa. The association between alcohol consumption and mental health is important from both research and therapeutic viewpoints. Therefore, we aimed to analyze the association between alcohol consumption and mental health (perceived stress, depressive mood, suicidal ideation, quality of life) in Korean adults over 19 years old.METHODS: We finally included 5,399 adults who had participated in the Korean National Health and Nutrition Examination Survey in 2015, and analyzed the association between alcohol consumption and mental health, using logistic regression.RESULTS: Perceived stress was associated with alcohol consumption in problem drinkers (odds ratio [OR]=1.35, 95% confidence interval [CI]=1.13–1.61). Depressive mood was associated with alcohol consumption in moderate and problem drinkers (OR=0.90, 95% CI=0.71–1.11 and OR=1.35, 95% CI=1.06–1.70, respectively). Suicidal ideation was not associated with alcohol consumption in moderate and problem drinkers (P=0.063 and P=0.068, respectively). Quality of life was associated with alcohol consumption in moderate and problem drinkers (OR=0.48, 95% CI=0.41–0.57 and OR=0.77, 95% CI=0.66–0.92, respectively).CONCLUSION: We found that moderate drinkers have a lower risk of depressive mood and a higher quality of life as compared to low drinkers. However, problem drinkers have a higher quality of life but a higher risk of perceived stress and depressive mood as compared to low drinkers.

Effect of Depressive Mood on Cellular Immunity of Inpatients in Sports Medicine Department and Humanistic Nursing Strategy / 中国医学伦理学

Objective:To investigate the influence of depressive mood of inpatients in sports medicine depart-ment on immunity and put forward nursing strategy. Methods:According to Hospital Anxiety and Depression Scale ( HADS) , the patients were divided into the depression group and non depression group, and their immune indexes were measured by flow cytometry. The immune indexes of patients between two groups were compared; Spearman correlation analysis was used to explore the relationship between depressive and immunity, and Multiple Linear Re-gression was used to analyze the effect of depressive on immunity. Results:In the 120 patients, there were 83 pa-tients showed depressive mood (69. 17％). The proportion of the NK cell and B cell in depression group was signif-icantly lower than that in the non depression group (P<0. 001). The patients' depression score was significantly negatively correlated with the proportion of NK cell and B cell ( P<0 . 001 ) . After adjusting for the socio-demo-graphic factors and disease status, depression score significantly influenced the proportion of NK cell and B cell ( P<0. 001). Conclusions:Patients' depressive mood is an influencing factor of their immunity. Nurses should pay attention to the patients' psychological condition and give them humanistic care.

Depressive Temperament in Relatives of Patients with Schizophrenia Is Associated with Suicidality in Patients with Schizophrenia

OBJECTIVE: Suicide is a major cause of death in patients with schizophrenia; thus, predicting and preventing suicide in patients with schizophrenia is examined in various studies. Affective temperaments which are accepted as precursors of mood disorders may be an important factor in predicting suicidality. This study investigated the relationship between affective temperaments of relatives of schizophrenia patients and suicidal thoughts and other clinical correlates of patients with schizophrenia. METHODS: Patients with schizophrenia and their first degree relatives are included to the study. All of the participants were evaluated with Structured Clinical Interview for DSM-IV axis I disorders and relatives with active psychiatric diagnosis were excluded. Positive and Negative Symptom Scale, Clinical Global Impression Scale, Turkish version of cognitive assessment interview were administered congruently to the patients. Relatives of the patients were evaluated with Temperament Evaluation of Memphis, Pisa, Paris and San Diego-Auto-questionnaire. RESULTS: Depressive temperament scores of relatives of schizophrenic patients who had suicidal thoughts were higher than the scores of the relatives of the patients who did not have suicidal thoughts. Depressive temperament also predicted number of suicide attempts in regression analysis. Number of suicide attempts was also related with number of hospitalization and functionality of the patient. CONCLUSION: Suicidality in schizophrenia is related with relatives’ affective temperaments and patients’ own positive symptom scores. The relationship between suicidal thoughts and depressive temperament is high lightened in this study

Effect of Nerve Physicians' Empathy Ability on Depressive Mood of Hospitalized Stroke Patients / 中国医学伦理学

Objective:To explore the effect of nerve physicians ' empathy on depressive mood of hospitalized stroke patients .Methods:Choosing hospitalized stroke patients in a hospital in Guangdong province from January 2017 to May 2017 ,we used the Hospital Anxiety and Depression Scale ( HADS) to measure their depressive mood;the Jefferson Scale of Empathy -Health Professionals ( JSE-HP) to measure their charge doctors ' empathy ability and analyzed the effect of doctors ' empathy on patients ' depressive mood .Results:The score of patients ' depres-sive mood was (7.48 ±4.75).Doctors' empathy ability and patients' family relationship were the influencing fac-tors of depressive mood of hospitalized stroke patients .After equilibrating other factors , when a one -point in-creased on the doctor ' s empathy score , the patient ' s depressive mood score decreased by 0 .135 points ( P <0 .001 ) .Conclusion:Hospitalized stroke patients managed by neurological physicians with high empathy ability are less likely to be depressive .Narrative medicine and empathy should be applied and deepened in the clinical prac -tice.

Effect of Nerve Physicians' Empathy Ability on Depressive Mood of Hospitalized Stroke Patients / 中国医学伦理学

Objective:To explore the effect of nerve physicians ' empathy on depressive mood of hospitalized stroke patients .Methods:Choosing hospitalized stroke patients in a hospital in Guangdong province from January 2017 to May 2017 ,we used the Hospital Anxiety and Depression Scale ( HADS) to measure their depressive mood;the Jefferson Scale of Empathy -Health Professionals ( JSE-HP) to measure their charge doctors ' empathy ability and analyzed the effect of doctors ' empathy on patients ' depressive mood .Results:The score of patients ' depres-sive mood was (7.48 ±4.75).Doctors' empathy ability and patients' family relationship were the influencing fac-tors of depressive mood of hospitalized stroke patients .After equilibrating other factors , when a one -point in-creased on the doctor ' s empathy score , the patient ' s depressive mood score decreased by 0 .135 points ( P <0 .001 ) .Conclusion:Hospitalized stroke patients managed by neurological physicians with high empathy ability are less likely to be depressive .Narrative medicine and empathy should be applied and deepened in the clinical prac -tice.

A twin study on influential factors of adolescent depressive symptoms / 中国神经精神疾病杂志

Objective To explore the influence of genetic and environmental factors on adolescents depressive symptoms. Methods The depressive mood were investigated in 107 twin pairs from Chongqing (aged from 11 to 18 years old) using Beck Depression Inventory (BDI). The Parenting Styles and Dimensions Questionaire (PSDQ), Family Stresses Questionnaire (FSQ), Family Adaptability and Cohesion Scale 2nd Edition Chinese Version (FACES II-CV) and Stressful Life Event (SLE) were applied to assess their environment factors. The blood samples were collected to identify zygosity of twins. Structural equation model was performed to evaluate the effects of the additive genetic factors (A), shared envi?ronment factors (C) and individual specific environmental factors (E) on the adolescents depressive mood. Results The scores of depressive mood were negatively correlated with father’s education level (r=-0.15, P=0.03), mother’s educa?tion level (r=-0.17, P=0.01), scores of the authoritative-parenting-style (r=-0.18, P0.05). The effects of A and E on adolescents depressive symptoms were 0.37 (95%CI:0.14~0.57) and 0.63 (95%CI:0.43~0.86), respectively. Conclusion The authoritative-parenting-style and fami?ly adaptability are negatively correlated with depressive mood. Family stresses are positively correlated with depressive mood. Adolescents depressive mood is influenced by genetic factors and, to a greater extent, specific environmental factors.

The correlation of serum concentration of copper and prevalence of depressive mood in psychiatric night shift nurses / 中国实用护理杂志

Objective The aim of this study was to investigate the correlation of serum copper levels and mental health in psychiatric shift nurses.Methods The participants were divided into day shift nurses(control group,n=60) and night shift nurses(n=60).The concentrations of trace mineral,serum biochemical levels,inflammatory and oxidative markers in blood samples of 120 shift nurses were measured.The depressive mood was measured with second edition of Chinese version of the Beck Depression Inventory,(BDI-Ⅱ).Results The night shift nurses showed moderate-to-severe depression levels,which were significantly higher than those of the day shift nurses,23.3％ (14/60) and 11.7％ (7/60) vs.6.7％ (4/60)and 1.7％ (1/60),x2=6.536,4.82,P ＜ 0.05.Night-shift nurses also had higher levels of serum copper,hs-CRP,IL-6,T-SOD and Cu-Zn SOD than the control group,(19.57±4.14) μmol/L vs.(18.03±3.20) μmol/L,1.32(0.78-1.89) rng/L vs.0.89(0.45-1.44) mg/L,68.54 (51.43-96.78) ng/L vs.56.39 (35.56-78.71) ng/L,(66.78±14.72) kU/L vs.(47.32±17.84) kU/L,(54.22±14.91) kU/L vs.(48.17±17.23) kU/L,t=-3.133～-2.057,P ＜0.01 or 0.05.BDI-Ⅱ scores correlated positively with serum copper,hs-CRP,IL-6,T-SOD and Cu-Zn SOD,r=0.248-0.457,all P ＜ 0.01.In night shift group,multivariate regression analysis showed that serum copper,hs-CRP,IL-6 and T-SOD (β=0.097-5.340,P＜ 0.01 or 0.05) were independently related factors influencing BDI-Ⅱ scores (R2 =0.609,P =0.000).Conclusions Serum copper may serve as an evaluation index for depressive mood in psychiatric shift nurses,and serum copper concentrations in night shift nurses should be monitored regularly.Clinical Trial Registry Chinese Clinical Trial Registry,ChiCTR-OOC-14005540.

The Effect of Circadian Types and Depressive Mood on Internet Addiction in Korean College Students

OBJECTIVES: The purpose of this study was to investigate the relationships among circadian types, depressive mood and internet addiction and to identify the mediating effect of depressive mood between circadian types and internet addiction in Korean College Students. METHODS: A total of 2632 participants completed questionnaires, which included the Korean translation of the Composite Scale of Morningness (CSM), the Patient Health Questionnaire (PHQ-9), and the Korean version of the Internet Addiction Test (KIAT). Statistical analyses were done using correlation analysis, analysis of covariance and multiple linear regression. RESULTS: The CSM score was negatively associated with the PHQ-9 score (r = -0.226, p < 0.001) and the KIAT score (r = -0.218, p < 0.001). The eveningness group showed higher scores in depressive mood and internet addiction than the morningness group (p < 0.001). Depressive mood showed a partial mediating effect between circadian types and internet addiction (β = 0.255, p < 0.001). CONCLUSIONS: Internet addiction was associated with circadian types and depressive mood. These results suggest that depression and circadian rhythm management would contribute to the prevention of internet addiction.

Hot flushes and night sweats in midlife: why do some women have them and others do not? / Afrontamentos e suores noturnos na meia-idade: porque é que algumas mulheres os têm e outras não?

This study investigated what predicts the occurrence of hot flushes (HF) and night sweats (NS). A community sample of 992 women (42-60 years) answered a questionnaire to collect socio-demographic, health and menopause-related, as well as lifestyle information. Depressive mood and stress, as well as HF and NS (in terms of presence, frequency and intensity), were also assessed. Structural equation modelling was used to build a structural model to predict the occurrence of both vasomotor symptoms. Results: Stress predicted NS (ß =.154; p =.006), whereas depressive mood was linked to the occurrence of HF's (ß =.149; p =.006). Being peri-menopausal and post-menopausal, among several other characteristics, were also significant predictors of the occurrence of both HF and NS. This study supports a distinguished influence of stress and depressive mood in NS and HF respectively, probably due to the nature of psychological symptoms. Moreover, significant associations between vasomotor symptoms and socio-demographic, health and menopause-related characteristics, and alcohol were confirmed. (AU)

Este estudo investigou os preditores da ocorrência de afrontamentos (Af) e de suores noturnos (SN). Foi utilizada uma amostra comunitária de 992 mulheres (42-60 anos), que respondeu a um questionário para a recolha de informação sociodemográfica, de estado de saúde e menopausa, e sobre o estilo de vida. Os níveis de humor deprimido e estresse, tal como a ocorrência, frequência e intensidade dos Af e SN, foram avaliados. Modelos de equações estruturais foram utilizados para construir o modelo estrutural para predizer a ocorrência de ambos os sintomas vasomotores. Os resultados indicaram que estresse predisse os SN (ß =0,154; p =0,006), enquanto o humor deprimido associou-se à ocorrência de Af (ß =0,149; p =0,006). Estar na peri-menopausa ou na pós-menopausa, entre outras características, associou-se igualmente à ocorrência de Af e SN. Este estudo suporta uma influência diferenciada do estresse e do humor deprimido na ocorrência de SN e Af, respetivamente, provavelmente devido à natureza dos sintomas psicológicos. Adicionalmente confirmou-se uma associação significativa entre os sintomas vasomotores e características sociodemográficas, de saúde, de menopausa e consumo de álcool. (AU)

Fatigue and Its Association with Socio-Demographic and Clinical Variables in a Working Population / 정신신체의학

OBJECTIVES: We aimed to explore the relationship among fatigue and perceived stress, depressive mood in the working population. We also examined associations with demographic and life style factors and investigated the effect of individual coping skills on these associations. METHODS: Fatigue Severity Scale(FSS), Perceived Stress Scale(PSS), Brief Encounter Psychosocial Instrument - Korean version(BEPSI-K), Beck Depression Inventory(BDI), Stress Coping Skill Questionnaire were administered to 621 civil servants. All of above and other demographic factors are self-administered questionnaire survey and this study is cross sectional. RESULTS: Mean FSS score was 3.04 which was lower than 3.22, the severity cut off score. FSS, PSS, BEPSI-K, BDI were all higher in female. Subjects with active coping skills showed relatively low fatigue, perceived stress, depressive mood than those with passive coping skills. Logistic regression analyses indicated that the PSS, BDI, BEPSI-K in working population increase the risk of fatigue and regular exercise lowers the risk. CONCLUSIONS: Adults who were afflicted by stress, experienced depressive mood or were physically inactive were at much higher risk of feeling fatigue. Since no other large data sets are available for fatigue, the results from this study could serve a very useful purpose, to furnish a basis for comparison with future research results based on more complete data.

Effects of activities of daily living and life care on depressive mood for elderly in community / 中华行为医学与脑科学杂志

Objective To investigate the prevalence of the depression and the activities of daily living in the elderly population in Hebei province.Methods In this cross-sectional study,3 176 subjects aged over 60 were selected from 4 urban communities in Hebei Province.The demographic data was collected,and the Center for Epidemiological Survey,Depression Scale,(CES-D) and the activities of daily living Scale (ADL) were used to assess their depression status and activities of daily living.Results Among the 3 176 subjects,268 cases (8.4％) got the CES-D scores of over 15 and 232 cases (7.3％) got the ADL scores of over 26.14.2％ of depression group needed life care,27.9％ of depression group had absence of daily living activities.Multivariate logistic results showed that gender (OR=2.142),diseases situation (OR=2.214),marriage (OR=0.484),and life abilities like shower (OR =1.333),walk around home (OR=1.275),wear clothes(OR=2.129),moving on a wheelchair(OR=1.118) had significant effect on depression.Conclusion Elder people population who have characteristics like female,single,illness,can't take shower by themselves,life care depended,more likely get higher CES-D scores and depression.

Behavioural and Psychological Symptoms of Dementia

Behavioural and psychological symptoms of dementia (BPSD) are common in dementia. They cause significant distress to people with dementia and their carers. In managing BPSD, medical causes such as delirium must be excluded. Non pharmacological management, such as environmental and behavioural interventions are effective first line strategies. Medication may be useful in moderate to severe BPSD but must be used carefully in view of the risk of side-effects.

Effects of meta-cognitive therapy on middle depressive mood in 70 aged people / 中华行为医学与脑科学杂志

Objective To investigate effectiveness of meta-cognitive intervention on aged people with middle depression. Methods Geriatrist Depression Scale(GDS) and Hamilton's Depression Scale ( HAMD-17 ) were used to screen out 70 aged people with middle depression from 850 retired soldier cadres dwelling in cpla dalian sanitarium. They were randomly divided into study group( n = 35 ) and control group( n = 35 ). The experimental group received meta-cognitive intervening and general nursing care for 8 weeks, while the control group only received general nursing care for 8 weeks. HAMD-17, GDS, global assessment scale(GAS) and the Metacognitions Questionnaire(MCQ-30) were administered both at the start and the end of the 8th week. Results The total scores in HAMD and GDS were decreased significantly in study group ( HAMD: ( 1 1.54 ± 2.50 ) vs ( 13.06 ±2.82),t= -2.378, P=0. 020;GDS:(12.51 ±2.43) vs (16.06 ±2.48), t= -6. 031, P=0. 000;GAS:(77.71 ±3.03) vs (75.63 ± 3.24), t = 2. 785, P = 0. 007 ). At the end of 8th week, the MCQ total score was significantly decreased in study group (38.69 ± 4. 17,81.37 ± 5.98, t = 34. 652, P ＜ 0. 01 ). Conclusion For aged people with middle depression,good effects are got by the meta-cognitive intervening technique and meta-cognitive intervening technique improve the meta-cognitive level of aged people with middle depressive mood.