The correlation between thrombolysis decision-making anxiety and decision-making duration among surrogate decision-makers of patients with acute ischemic stroke / 中华行为医学与脑科学杂志

Objective:To explore the anxiety level, influencing factors among surrogate decision-makers of patients with acute ischemic stroke during thrombolysis decision-making, and their correlation with decision-making duration.Methods:Acute ischemic stroke patients and their surrogate decision-makers who visited the Emergency Department of the First Affiliated Hospital of Zhengzhou University from September 2019 to December 2021 were selected as the research subjects.Sociodemographic data and disease related data of patients and surrogate decision-makers were collected.Surrogate decision-makers were evaluated with the state-trait anxiety inventory, decision participation expectation scale, Wake Forest physician trust scale, and perceived social support scale.SPSS 26.0 software was used for data processing.Pearson correlation analysis, Spearman correlation analysis and ridge regression analysis were used for statistical analysis.Results:The score of state anxiety of decision-makers was (49.47±9.04), and 18.2% (70/383) of decision-makers had a decision duration exceeding 15 minutes.The score of state anxiety of decision-makers was positively correlated with decision duration ( r=0.189, P<0.001). The influencing factors of state anxiety level of decision-makers included sociodemographic factors (age of decision-makers and patients, relationship between payers and patients, whether decision-makers bear the current medical expenses, type of medical insurance for patients), psychological factors (trust level in physicians, perceived social support), factors related to patient disease (numbers of stroke relapses, National Institutes of Health stroke scale scores for patients), characteristics of the decision-making process (whether patients participate in the decision-making process, and the role of decision-makers in the decision-making process) (all P<0.05). Conclusion:Most surrogate decision-makers experience anxiety.Medical staff should pay attention to the emotions of decision-makers and adopt appropriate communication skills when communicating with informed consent for thrombolysis, alleviate the anxiety of surrogate decision-makers, so as so reduce the decision-making duration.

The intolerance of uncertainty on state worry and state anxiety of college students with medium and low trait anxiety / 中华行为医学与脑科学杂志

Objective:To investigate the effect of intolerance of uncertainty (IU) on state worry, state anxiety, and galvanic skin response in college students with medium and low trait anxiety.Methods:The trait anxiety inventory (TAI) and the intolerance of uncertainty scale (IUS) were used to investigate 1 378 college students in Beijing. A total of 537 individuals with medium or low trait anxiety (TAI score ≤54) were selected, from which high IU individuals (IUS score ≤58) and low IU individuals (IUS score > 58) were selected and allocated to uncertain group ( n=28) and certain group ( n=28) according to gender, age, education level and IU score. The modified NPU paradigm task, the penn state worry questionnaire(PSWQ)and the brief state anxiety measurement(BSAM) were used to assess the subjects' worry and anxiety.The galvanic skin response of individuals completing the NPU paradigm task was recorded.SPSS 26.0 was used for a two factor analysis of variance (classification: high IU, low IU; group: uncertain group, certain group). Results:The results of the two factor analysis of variance showed that the interaction between individual state anxiety classification and group was not significant( F(1, 55)=0.05, P>0.05, η2=2.16). The main effect of classification was significant( F(1, 55)=24.17, P<0.05, η2=1143.01). The anxiety level of individuals with high IU was significantly lower than that of individuals with low IU( P<0.05). The group main effect was not significant( F(1, 55)=0.03, P>0.05, η2=1.45), and there was no significant difference between the uncertainty group and the certainty group in terms of worry( P>0.05). The interaction between individual state anxiety classification and group was significant ( F(1, 55)=4.38, P<0.05, η2=3.02). The simple analysis results showed that in the uncertain group, the state anxiety of individuals with high IU was significantly lower than that of individuals with low IU ( P<0.05). In the certain group, there was no significant difference in state anxiety between individuals with high and low IU ( P>0.05). The interaction between individual galvanic skin response classification and group was not significant ( F(1, 55)=0.03, P>0.05, η2=0.00). The classification main effect was not significant( F(1, 55)=0.07, P>0.05, η2=0.00), and there was no significant difference in skin electrical activity between individuals with high and low IU ( P>0.05). But the main effect of the group was significant( F(1, 55)=4.86, P<0.05, η2=0.03). The skin electrical activity of the uncertain group was higher than that of the certain group( P<0.05). Conclusion:In the college students with medium and low trait anxiety, IU is an effective predictor of individual state worry and state anxiety under uncertain conditions.

The Agreement between State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) on Measuring Anxiety Level Among Adult Patients Before Venepuncture Procedure

@#Introduction: Venepuncture procedure is painful and anxiety associated with venepuncture is common. There are many tools for assessing anxiety levels in an outpatient setting. Hence, this study is to compare the degree of agreement between State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) for measuring anxiety levels among adult patients before venepuncture procedure. Methods: A cross-sectional pilot study was conducted among patients while waiting for a venepuncture procedure in the Phlebotomy Unit, UiTMMC in April 2020. The Malay-validated version of the State-Trait-Anxiety-Inventory (STAI) and Beck Anxiety Inventory (BAI) were used to assess the anxiety level. Differences between sets of data were plotted as described by Bland-Altman to determine the agreement between these two assessment tools. Results: A total of 330 patients participated in the study with a mean age of 46.34 ± 14.34 years old and gender was equally distributed. The scores of state-anxiety (STAI-S), trait-anxiety (STAI-T) and BAI score were 30.04 ± 20.74; 29.51 ± 19.11; and 40.98 ± 20.45, respectively. The score of anxiety using BAI was higher compared to STAI-S (p<0.001) and STAI-T (p<0.001). The mean difference between the STAI-S and BAI was -10.94 (95%CI: -53.01, 26.87) and between the STAI-T and BAI was -11.47 (95%CI: -42.26, 19.32). However, very few patients’ scores outside the 95% LOA for both differences. Conclusion: The STAI and BAI are concordances in measuring anxiety levels among these patients. However, the anxiety score using BAI was higher than STAI. Thus, both assessment tools can be used in clinical practice in measuring anxiety in the out-patients setting.

Bienestar psicológico y ansiedad en adultos mayores con osteoartrosis de rodilla / Psychological well-being and anxiety in older adults with knee osteoarthritis

Introducción: El envejecimiento poblacional en Cuba ha incrementado los casos de osteoartrosis de rodilla. Como alternativa terapéutica se utiliza el plasma rico en plaquetas autólogo, en aras de potenciar el bienestar físico y psicológico de los pacientes. Objetivo: Caracterizar la relación entre el bienestar psicológico y la ansiedad de los adultos mayores con osteoartrosis de rodilla tratados con plasma rico en plaquetas autólogo. Métodos: Se utilizó un enfoque cuantitativo, con un alcance descriptivo-correlacional, y un diseño expost-facto retrospectivo simple. El muestreo fue intencional, no probabilístico, y quedó conformado por 300 pacientes. Se aplicó la Adaptación de la Escala de Bienestar Psicológico de Ryff y el Inventario de Ansiedad Rasgo-Estado. Para el análisis de los datos se realizaron tres cortes: antes del tratamiento regenerativo y a los tres y seis meses de evolución. Resultados: Hubo cambios de niveles medio-bajo a niveles altos de bienestar psicológico. Disminuyeron los niveles de ansiedad estado, pero no los de ansiedad rasgo. El bienestar psicológico no se correlacionó con la ansiedad rasgo y la relación estadística positiva fue muy débil con la ansiedad estado. Conclusiones: Se identificaron cambios favorables del bienestar psicológico y de la ansiedad estado, con persistencia de niveles altos de ansiedad rasgo(AU)

Introduction: The population aging in Cuba has caused the increase of osteoarthrosis of the knee in the elderly. As a therapeutic alternative, it was used the clinical use of autologous platelet-rich plasma, in order to promote well-being, not only physical, but also psychological. Objective: To characterize the relationship between psychological well-being and anxiety state and feature of elderly adults with osteoarthrosis of the knee, who are subjected to regenerative treatment with autologous platelet-rich plasma. Methods: A quantitative research approach was used, with a descriptive-correlational scope, and a simple retrospective expost-fact design. Sampling was intentional, non-probabilistic and consisted of 300 older adults. The Adaptation of the Ryff Psychological Well-Being Scale and the Trait-State Anxiety Inventory were applied. For the analysis of the data, three cuts were made: before the regenerative treatment, and after three and six months of evolution. Results: There were changes from medium-low levels to high levels of psychological well-being. Levels of state anxiety decreased, but trait anxiety did not. Psychological well-being did not correlate with trait anxiety and there was a weak positive statistical relationship with state anxiety. Conclusions: Changes were identified that favor psychological well-being and trait anxiety, with persistent high levels of trait anxiety(AU)

Effect of state anxiety on sleep-wake cycle in mice / 中国药理学通报

Aim To observe the effect of state anxiety on the sleep-wake cycle of mice in the Triple test.Methods Eighteen male ICR mice were selected, and the electroencephalogram(EEG)and electromyogram(EMG)electrodes were embedded in the cortex and neck muscles of the mice under the conditions of anesthesia.There was a continuous 24 h tracing of mice under normal conditions after the recovery period.The model replication and behavioral evaluation of the state anxiety took place in the Triple test and the mouse sleep for 24 h was recorded for 7 consecutive days after the daily test.Results The behavioral evaluation showed that compared with 1st d, the time spent in central and% time in OF on 3 ?4 ?5 ?7 d of modeling was significantly reduced(P<0.05; P<0.01); the number of entries and% time of 4-7 d in EPM signifi-cantly increased(P<0.01); 2nd and 4th day of time spent in dark compartment of LDB increased significantly(P<0.05; P<0.01).The results of EEG analysis showed that compared with the sleep-wake cycle under normal conditions, the sleep and wake cycles had undergone significant changes, and the awakening time and its proportion were significantly prolonged(P<0.05; P<0.01), NREM sleep and its proportion markedly decreased on the 1-5 and 7 d(P<0.05; P<0.01), and a significant increase occurred in REM sleep and its proportion on 1st, 2nd, and 4th day(P<0.05).Conclusion The sleep-wake cycle of state anxiety mice replicated with the Triple test changes, and the impact on daytime sleep is more obvious.

Light/dark box as an animal model of state anxiety in Kunming mouse: Conditions and factors / 中国药理学通报

Aim To explore the factors on behavior patterns of light/dark box(LDB)as an animal model of state anxiety in Kunming mice.Methods The behavior of adult,male,Kunming mice in LDB was recorded for five minutes,respectively.The following parameters were evaluated:percentage of time in the light area(Ltime%),percentage of squares crossing in the light area(Lcross%),percentage of rears in the light area(Lrear%),total number of squares crossing in the whole apparatus(Cross),total number of rears in the whole apparatus(Rear),total(Cross plus Rear),transitions between two areas(Transition),and number of fecal bolis in light box and dark box(Fbs).Subsequently,the factors,such as day-night rhythm,illumination area(L3/5 or L2/5 for ratio between Light box and Dark box:3:2 or 2:3,respectively),illumination color(in Dark box)and illumination intensity(in Light box),were investigated to screen the best experimental conditions.Results t-test showed that compared with night cycle,there was no significant difference in all LDB parameters during day cycle(P>0.05),while compared with 3/5 and 2/5,LDB parameters during day cycle such as Lcross%(t=5.363,P0.05),but a statistical influence of illumination area on Ltime%(F(1,20)=18.361,P0.05).Conclusions LDB as an animal model of state anxiety in Kunming mice can evaluate anxiety-,locomotion-exploration and emotionality- related behaviors,which cannot be affected by day-night rhythm,but illumination area(Ltime%,Lcross%,Lrear%),illumination color(Rear)and illumination intensity(Cross,Total).So it is recommended to adopt the uniform and fixed conditions,such as illumination area,color and intensity(less than 100 W).

Evidencias psicométricas del inventario ansiedad estado-rasgo: IDARE en universitarios de Lima en tiempos de COVID-19 / Psychometric evidence of the state-Trait anxiety inventory: IDARE In University Students from Lima in times of Covid-19

Resumen 420 universitarios de Psicología y Derecho fueron evaluados con el objetivo de actualizar las evidencias psicométricas del Inventario ansiedad estado-rasgo: IDARE en tiempos de pandemia por COVID-19. La muestra estuvo compuesta por hombres y mujeres, siendo mayor el grupo de mujeres, con un rango de edad de entre 18 a 57 años. Las pruebas de validación con jueces expertos permiten obtener una "V" de Aiken mayor a 0.80, y los valores de la prueba binomial fueron significativos con una p <.05. Las pruebas de análisis discriminativo ítem-test obtuvieron puntajes para todo el Inventario que van entre 0.334 a 0.679, eliminando el ítem 34 por no cumplir los criterios esperados. Para la validez convergente, su correlación con el Cuestionario CASO A30 obtuvo para A-E una "r" de .320 y para A-R de .522; ambas con una p <.05. La validez de constructo fue evaluada mediante el análisis factorial exploratorio y confirmatorio, hallándose 4 escalas independientes: ansiedad estado, bienestar estado, ansiedad rasgo y bienestar rasgo. La confiabilidad se obtuvo calculando el coeficiente alfa de Cronbach = 0.86 y el coeficiente omega de McDonald = 0.89. Asimismo, en la confiabilidad por mitades de Guttman encontraron valores entre 0.76 a 0.89. Se establecieron baremos por sexo y por edad para la población total. La prevalencia de la ansiedad en universitarios de Lima fue de 29.4 %, se aproxima a los datos de China y Colombia, pero es más alta que en Inglaterra, todos en tiempos de COVID-19.

Abstract 420 university students of Psychology and Law were evaluated in order to update the psychometric evidence of the State Anxiety Inventory - trait: STAI in times of the COVID-19 pandemic. The sample consisted of men and women, the group of women being the largest, with an age range between 18 to 57 years old. The validation tests with expert judges allow obtaining an Aiken "V" greater than 0.80 and the values of the binomial test were significant with a p <.05. The item-test discriminative analysis tests obtained scores for the entire Inventory ranging from 0.334 to 0.679, with item 34 eliminated for not meeting the expected criteria. For convergent validity, its correlation with the CASE A30 questionnaire obtained for A-E an "r" of .320 and for A-R of .522, both with a p <.05. The construct validity was evaluated by means of the exploratory and confirmatory factor analysis, finding 4 independent scales: state anxiety, state well-being, trait anxiety and trait well-being. Reliability was obtained by calculating Cronbach's Alpha coefficient = 0.86 and McDonald's Omega coefficient = 0.89. Likewise, in the reliability by Guttman halves, values between 0.76 and 0.89 were found. Scales were established by sex and by age for the total population. The prevalence of anxiety in university students in Lima was 29.4 %, which is close to the data from China and Colombia, but it is higher than in England all in the time of COVID-19.

Resumo Foram avaliados 420 universitários de Psicologia e Direito para atualização das evidências psicométricas do Inventário de Ansiedade do Estado - traço: IDARE em tempos de pandemia do COVID-19. A amostra foi composta por homens e mulheres, sendo o maior grupo de mulheres, com faixa etária entre 18 e 57 anos. Os testes de validação com juízes especialistas permitiram obter um Aiken "V" maior que 0.80 e os valores do teste binomial foram significativos com p <0.05. Os testes de análise discriminativa do teste item-teste obtiveram escores para todo o Inventário variando de 0.334 a 0.679, sendo o item 34 eliminado por não atender aos critérios esperados. Para a validade convergente, sua correlação com o questionário CASE A30 obteve para A-E um "r" de .320 e para A-R de .522, ambos com p <0.05. A validade de construto foi avaliada por meio da análise fatorial exploratória e confirmatória, encontrando 4 escalas independentes: ansiedade-estado, bem-estar-estado, ansiedade-traço e bem-estar-traço. A confiabilidade foi obtida calculando o coeficiente alfa de Cronbach = 0.86 e o coeficiente ômega de McDonald = 0.89. Da mesma forma, na confiabilidade pelas metades de Guttman, foram encontrados valores entre 0.76 e 0.89. As escalas foram estabelecidas por sexo e por idade para a população total. A prevalência de ansiedade em estudantes universitários em Lima foi de 29.4 %, o que se aproxima dos dados da China e da Colômbia, mas é mais alta do que na Inglaterra durante toda a época de COVID-19.

Intervención en duelo y mindfulness / Grief intervention and Mindfulness

Resumen El presente estudio evalúa el efecto de una intervención adaptada del Programa Inteligencia Emocional Plena (PINEP) en adultos que han sufrido la pérdida de un ser querido. La intervención tuvo una duración de doce sesiones, de dos horas y media por semana. La muestra estuvo compuesta por 17 adultos de un rango de edad de entre 26 y 71 años (M= 50.59; SD = 14.44). Los participantes que completaron la intervención mostraron una mayor tolerancia al malestar desarrollando habilidades en mindfulnessy una disminución en ansiedad estado, ansiedad rasgo y depresión. De esta forma PINEP como programa de gestion emocional, promueve la aceptacion como estrategia psicologica, ante la vulnerabilidad emocional y sufrimiento psicológico.

Abstract This study assesses the effect of an intervention adapted from the Full Emotional Intelligence Program (PINEP, for its initials in Spanish) in adults who have suffered the loss of a loved one. The intervention lasted twelve sessions, two and a half hours per week. The sample consisted of 17 adults ranging in age from 26 to 71 years (M= 50.59; SD = 14.44). Participants who completed the intervention showed an increased tolerance to distress by developing mindfulness skills, and a decrease in state anxiety, trait anxiety, and depression. Therefore, PINEP, as an emotional management program promotes acceptance as a psychological strategy, in the face of emotional vulnerability and psychological suffering.

Emotional experience and processing characteristics of long-term plateau immigrant undergraduates / 中华行为医学与脑科学杂志

Objective:To investigate the subjective experience and processing characteristics of positive and negative emotions in undergraduates who have immigrated to the plateau for a long time.Methods:SPSS 22.0 was used for data analysis.Using independent sample t-test to compare various data from the plateau group(58 undergraduates who had moved to an altitude of 3 658 m for over 2 years after reaching adulthood) with the plain group (58 undergraduates who had never been to the plateau), including the state anxiety inventory(SAI), self-rating depression scale(SDS), positive and negative affect schedule (PANAS), and the affective valency and arousal on the positive, neutral, and negative emotional pictures.And χ 2 test was conducted for the positive detection rates of state anxiety and depression of the two groups.Then, Pearson correlation analysis was performed on SAI, SDS and PANAS scores. Results:The positive detection rates(state-anxiety: 67.24%, depression: 56.90%) and scores of state anxiety(44.45±8.57) and depression(50.12±10.11) in the plateau group were all higher than those in the plain group(46.55%, 32.76%, (40.19±9.58), (44.64±9.17) respectively, χ 2=5.06, 8.12, t=2.52, 3.06, all P<0.05). In addition, positive affect scores of the plateau group (28.16±5.39) tended to be lower than those of the plain group (30.28±6.51), but the difference was not statistically significant( t=-1.91, P=0.059). SAI, SDS and PANAS scores were moderately correlated each other( r= 0.69, -0.52, 0.67, -0.62, 0.53, all P<0.01). Positive affect was mildly negatively correlated with negative affect( r=-0.27, P<0.01). The correlation between positive emotion and depression( r=-0.62) was greater than that between positive emotion and state anxiety( r=-0.52, t=2.57, P<0.05). The correlation between negative emotion and state anxiety( r=0.67) was greater than that between negative emotion and depression( r=0.53, t=1.71, P<0.05). The valency score of neutral images in the plateau group (3.06±0.20) was higher than that in the plain group ((2.99±0.20), t=2.01, P=0.047). Conclusion:The long-term plateau immigrant undergraduates are prone to state anxiety and depression, with depression being the primary and anxiety secondary, and exhibit a positivity bias to neutral stimulus processing.

Self-esteem and state-trait anxiety in Lima's university adults / Autoestima y ansiedad estado-rasgo en adultos universitarios de Lima

Background: This study sought to determine the relationship between self-esteem and anxiety in emerging adults from private universities in Lima. Method: Cross-sectional and correlational in design, it was aimed at determining the degree or strength of association between self-esteem, state/trait anxiety in emerging adulthood, for this purpose, the Coopersmith Self-Esteem Inventory (Form C) and the Anxiety Questionnaire State-Trait (IDARE) were applied to 221 university students of both sexes, aged between 18 to 25 years. Results: In the hypothesis test, a statistically significant negative correlation coefficient was obtained between self-esteem and state/trait anxiety, being the size of the median effect in both cases. Regarding comparisons in self-esteem and anxiety trait/state according to sex and age, no differences were found. Conclusion: From the analyzes, it is concluded that there are an inverse and significant relationship between self-esteem and state/trait anxiety in emerging adults from Lima.

Introducción: Este estudio buscó determinar la relación entre la autoestima y la ansiedad en adultos emergentes de universidades privadas de Lima. Método: De diseño transversal y correlacional, se orientó a determinar el grado o fuerza de asociación entre la autoestima la ansiedad estado/rasgo en la adultez emergente, para ello se aplicó el Inventario de Autoestima de Coopersmith (Forma C) y el Cuestionario de Ansiedad Estado-Rasgo (IDARE) a 221 universitarios de ambos sexos, con edades comprendidas entre 18 a 25 años. Resultados: En el contraste de las hipótesis, se obtuvo un coeficiente de correlación negativa moderada y estadísticamente significativa entre la autoestima y la ansiedad estado/rasgo, siendo el tamaño del efecto mediano en ambos casos. Con respecto a las comparaciones en autoestima, ansiedad rasgo y ansiedad estado según sexo y edad, no se hallaron diferencias. Conclusión: A partir de los análisis se concluye que existe una relación inversa y significativa entre la autoestima y la ansiedad estado/rasgo en adultos emergentes de Lima.

Preoperative Anxiety in Patients Undergoing Thoracic Surgery.

Preoperative anxiety is closely associated with poor surgical outcomes and potential complications. This study aimed to investigate the risk factors affecting the level of anxiety in patients who were candidates for thoracic surgery.METHODSA prospective study was conducted among 100 patients who would undergo thoracic surgery under general anaesthesia for both malignant and benign diseases. Data concerning age, gender, educational status, length of preoperative hospital stay, past surgical history and indication of the proposed operation were collected, and preoperative anxiety was graded via State-Trait Anxiety Inventory (STAI) for each patient.RESULTSAmong a total of 65 male and 35 female patients, mean age was 54.1±11.5 years. High level of preoperative anxiety was presented in 56% of the patients. Statistical analysis revealed that the higher level of state anxiety was associated with male sex, young age, existence of past surgical history, benign disease and high educational status (p<0.05); whereas, longer length of preoperative hospital stay was not related with a significant difference in the state anxiety level (p>0.005).CONCLUSIONSRegarding the conflicting findings obtained from recent reports and this study, individual assessment of each surgical patient is necessary to perform a valid risk analysis of preoperative anxiety.

Relationships among mindfulness,anxiety and depression in surface warship soldiers:the mediating role of attentional control / 中华行为医学与脑科学杂志

Objective To investigate the relationships between mindfulness,anxiety and depression in surface warship soldiers and the mediating role of attentional control.Methods Chinese versions of State-Trait Anxiety Inventory ( STAI ) , Center for Epidemiologic Studies Depression Scale ( CES-D ) , Attentional Control Scale ( ACS) and the Five Facet Mindfulness Questionnaire ( FFMQ) were used to survey 475 sur-face warship soldiers. Single factor analysis of variance,correlation analysis and path analysis were conducted by SPSS 20.0 and Amos18.0. Results ①The scores of the state anxiety,trait anxiety and depression in the soldiers and noncommissioned officers were significantly higher than that of commissioned officers (P<0.05) . As for the state anxiety,trait anxiety,depression and attentional focusing,there were statistically significant differences among different educational levels (P<0.05) . Specifically,the lower educational level,the higher anxiety and depression,the lower control focusing. ② There were significant positive correlations among at-tentional focusing (27.12±4.43),attentional shifting (29.43±3.78) and mindfulness (120.27±11.16,r=0.49-0.51,P<0.01). State anxiety (38.65±10.07) was negatively correlated with attentional focusing,atten-tional shifting and mindfulness (r=-0.32--0.54, P<0.01). Similar results were observed for trait anxiety (41.28±8.79) and depression (9.97±10.13). ③Attentional focusing partially mediated the relationships be-tween state anxiety,trait anxiety,depression and mindfulness. Conclusion Anxiety and depression of sol-diers have obvious relationships with kinds of soldiers' rank and education level. Mindfulness and attentional control are vital protective factors for marine army's mental health. This study indicates that mindfulness may improve individuals' attentional focusing and attentional shifting,and ameliorate negative moods such as anx-iety and depression.

Correlation between elevated plus and zero mazes as two animal models of state anxiety in Kunming mice / 中国药理学通报

Aim To explore the correlation between elevated plus maze (EPM) and elevated zero maze (EZM),as two type animal models of state anxiety in Kunming mice. Methods The behavior of adult,♂/♀,Kunming mice in EPM and EZM was recorded by sequence,for 5 min,with a one-week inter-trial interval. The following parameters were evaluated:percentage of time in open arms (Otime%) and total entries into open and closed arms(Entries). Subsequently,descriptive analysis,fac-tor analysis,cluster analysis,correlation analysis and consisten-cy test were calculated for these parameters. Results T test showed that, compared with EPM, Otime% of EZM (male/fe-male/both sex) decreased, while Entries (male/both sex) in-creased significantly;Fiedman test showed that Otime% (male/female/both sex) and Entries(female/both sex) of both EPM and EZM had great difference between the 5 repeated fragments;Wilcoxon test showed that, compared with EPM, Otime% of EZM in 1st min (male/female/both sex), 2nd min (male/fe-male/both sex),3rd min (female/both sex) decreased, while the Entries in 1st min (male/both sex), 4th min (male/fe-male/both sex),5th min(both sex) increased markedly. Clus-ter analysis showed that EPM and EZM parameters could be clustered into two groups:EPM group and EZM group(male/fe-male/both sex). Factor analysis indicated that the EPM and EZM parameters could be extracted as two factors: EPM factor and EZM factor (male/female/both sex). Correlation analysis displayed either general(in Otime%) or poor(in Entries) cor-relation(male/female/both sex) between EPM and EZM param-eters. Consistency test displayed general consistency (male/fe-male/both sex) in Otime% between EPM and EZM. Conclu-sions Despite of the similar internal principles to induce state anxiety,the different external environment(structure) results in different behavioral patterns,different structure dimensions,fair correlation and concordance between EPM and EZM, and the stable index of EPM and EZM might be preferred to Otime%.

Adaptación del Inventario Revisado de Ansiedad Estado Competitiva - 2 a población deportiva argentina / Adaptation of the Revised Competitive State Anxiety Inventory - 2 to sport argentinian population

La ansiedad es un proceso afectivo que recibió mucha atención en Psicología del Deporte, ya que por sus características es un ámbito fructífero para estudiar este proceso. En Argentina no se hallaron instrumentos adaptados que evalúen este constructo en ámbitos deportivos. El objetivo del estudio realizado fue adaptar el Revised Competitive State Anxiety Inventory-2 (Cox, Martens & Russell, 2003) a una población de deportistas argentinos. Siguiendo la teoría multidimensional de la ansiedad de Martens (1974), este inventario posee 17 ítems distribuidos en tres factores: Ansiedad Somática (AS), Ansiedad Cognitiva (AC) y Autoconfianza (ACF). Se realizaron tres estudios instrumentales y uno de diferencias entre grupos para analizar si existen diferencias en los niveles de ansiedad en función del sexo, deporte y modalidad deportiva (individual - grupal). El estudio de entrevistas cognitivas posibilitó la ampliación del número de ítems por factor. Así, se analizó la estructura interna de 22 ítems mediante un análisis factorial confirmatorio. El inventario replicó la estructura factorial original con 8 ítems para ACF,7 para AS y 6 para AC. La confiabilidad presentó valores moderados a altos (de ρ = .84 a .96). Finalmente, se hallaron diferencias en función del sexo, deporte y modalidad deportiva en los niveles de AC y AS, mientras que las diferencias en ACF sólo se hallaron en función del sexo. El inventario posee adecuadas propiedades psicométricas y por lo tanto, es apropiado para la evaluación de la ansiedad estado competitiva en población deportiva argentina. Se espera que futuros estudios analicen las diferencias en los niveles de ansiedad considerando otros deportes, controlen el efecto de la edad y analicen la validez convergente del inventario.

Participating and/or competing in sports have certain characteristics that make the field of sports a productive one for the study of affective processes such as anxiety. It makes sense, then, that anxiety is a process that has received much attention in Sports Psychology since its beginnings as a discipline. Despite this, in Argentina there are currently no instruments to assess this construct in relation to sports. The aim of the present study was to adapt the Revised Competitive State Anxiety Inventory (CSAI-2R - Cox, Martens, & Russell, 2003) for use with Argentinean athletes. The CSAI-2R is composed of 17 items measuring three constructs, following Martens multidimensional anxiety theory (1974): Somatic Anxiety (SA), Cognitive Anxiety (CA), and Self-Confidence (SC). Three instrumental studies were carried out: cognitive interviews, a rating study and internal structure, and one of internal consistency. Finally, a group differences study was conducted. The cognitive interviews consisted in evaluating question comprehension by 10 athletes between the ages of 18 and 27 using a verbal probing technique. For the rating study, two experts in Sports Psychology and Psychometry judged the inventory's items in terms of their quality, as well as their congruence to the factors of interest. Lastly, for the studies of internal consistency and structure and of group differences study, the CSAI-2R was administered to 357 athletes 15 to 45 minutes prior to competing. The sample was made up of 162 females athletes and 195 males athletes between the ages of 11 and 47 (M = 21.83, SD = 5.90) overall averaging 9.18 years practicing their respective sports and all having competed at a regional to international level at least once a year (M = 2.94, SD = 2.38). The cognitive interviews helped clarify items, as well as add new ones (13 items) to be tested in subsequent studies. The rating study revealed complete agreement between the judges as regards congruence (k = 1.00; p < .05), although 8 items had to be eliminated due to poor quality (< 3). Thus, the final version the CSAI-2R replicated the original factorial structure with a total of 21 items. One item was eliminated and two had to be replaced because their factorial weight was below the established threshold of .40. Confirmatory Factor Analysis showed adequate indexes (CFI.954, TLI .948 RMSEA .062, 90% CI .055 .070, WRMR 1.199). Internal consistency of the inventory showed moderate to high composite reliability values, (from .84 to .90). Overall, the composite reliability for CSAI-2R was .96. Regarding sex differences, t tests yielded statistical differences in the levels of CA (Mmen = 11.32, Mwomen = 10.12, t(347) = 3.24, p < .05), SA (Mmen = 9.61, Mwomen = 10.81, t(347) = 3.81; p < .05), and SC (Mmen = 26.01, Mwomen = 24.55,t(347) = -2.87, p < .05). Also, sport modalities (group-individual) showed differences in SA (Mindividual = 10.89, Mgroup = 9.87, t (346) = 2.83, p < .05, d = .32) and AC (Mindividual = 9.94, Mgrupal = 10.94, t (347) = -2.47, p < .05, d = -.29). Finally, ANOVA showed differences in SA, F(3,345) = 4.39, p < .05 and CA, F(3, 345) = 3.31, p < .05 between sport type; Tukey post hoc tests showed that martial arts practitioners had higher levels of SA than soccer and hockey practitioners and lower levels of CA than field hockey practitioners. The CSAI-2R demonstrates good psychometric properties and, therefore, is an adequate instrument to assess competitive state-anxiety in Argentinian athletes. However, new instrumental studies are needed in order to check convergent validity and include new sports. Also, socio-demographic variables like age need to be taken into account in group differences studies.

"I love you forever (more or less)" - stability and change in adolescents' romantic love status and associations with mood states

Objective: Experiencing romantic love is an important part of individual development. Here, we investigated stability and change in romantic love and psychological correlates, including mood states, anxiety, and sleep, among Iranian adolescents over a period of 8 months. Method: Two hundred and one adolescents who had taken part in a previous study were contacted; 157 responded. Participants completed a questionnaire covering sociodemographic data, current state of love, and mood, including symptoms of depression, anxiety (state and trait), and hypomania. They also completed a sleep and activity log. Results: Of 64 participants formerly in love, 45 were still in love; of 86 participants not in love at baseline, 69 were still not in love (overall stability, 76%); 17 had fallen in love recently while 19 were no longer in love. Significant and important changes in mood and anxiety were observed in that experiencing romantic love was associated with higher anxiety scores. Hypomania scores increased in those newly in love, and decreased in those in a longer-lasting romantic relationship. Sleep and sleep-related variables were not associated with romantic love status. Conclusion: These findings suggest that, among Iranian adolescents, the state of love is fairly stable, and that love status seems to be associated with specific states of mood and anxiety.

Relationship between negative life events and state-anxiety:Mediating role of rumination and moderating role of self-affirmation / 中国心理卫生杂志

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.

The effect of anxiety on attentional orienting of heroin addicts / 中国神经精神疾病杂志

Objective To investigate the effect of state anxiety and trait anxiety on attentional orienting of heroin addicts. Methods State anxiety and trait anxiety was measured by State-Trait Anxiety Inventory (STAI). Forty heroin ad?dicts (36 males and 4 females) and 40 healthy controls (36 males and 4 females) participated in cue-target task. Atten?tional orienting and reorienting were measured in valid cue trials and invalid cue trails. Results Heroin addicts had sig?nificantly greater state anxiety [(42.65 ± 6.58) vs. (36.60 ± 8.91)] and trait anxiety [(44.43 ± 7.67) vs. (37.00 ± 8.63)] values than controls (P<0.05). The state anxiety was significantly correlated with orientation RT difference (r=-0.259, P=0.020) and disengaging/reorientation RT difference (r=0.333, P=0.003) in heroin addicts. Trait anxiety was also significantly cor?related with orientation RT difference (r=-0.248, P=0.026) and disengaging/reorientation RT difference (r=0.356, P=0.001) in heroin addicts. Conclusion Heroin addicts have significantly greater anxiety than healthy controls. Both their state anxiety and trait anxiety are associated with attentional orienting and disengaging/reorienting.

Correlation between peripheral inflammatory cytokines and anxiety symptoms in patients with the first-episode generalized anxiety disorder / 中华行为医学与脑科学杂志

Objective To investigate the relationship between peripheral inflammatory cytokines and anxiety symptoms in patients with the first?episode generalized anxiety disorder. Methods 48 patients diagnosed with the first?episode generalized anxiety disorder according to ICD?10 criteria and 48 healthy sub?jects were recruited. Peripheral levels of IL?1, IL?2, IL?4, IL?5, IL?6, IL?8, IL?10, IL?12p70, GM?CSF and IFN?γ of both groups were evaluated by enzyme?linked immunosorbent assay ( ELISA) ,and CRP was evalua?ted by immunoturbidimetric method. Generalized Anxiety Disorder Scale( GAD?7) and State?Trait Anxiety Inventory ( STAI ) were used to assess the levels of overall anxiety, state anxiety and trait anxiety. Results The levels of CRP ( ( 1. 19 ± 0. 80 ) mg/L vs ( 0. 68 ± 0. 70 ) mg/L, t=3. 31 ) , IL?1α( ( 70. 34 ± 3.60)pg/ml vs (16.94±3.42)pg/ml, t=74.50),IL?2((7.25±3.42)pg/ml vs (4.95±2.31)pg/ml, t=3.85), IL?4((102.02±73.14)pg/ml vs (75.55±32.78)pg/ml, t=2.29),IL?6((12.55±2.37)pg/ml vs (2.71±1.35) pg/ml, t=14.79),IL?8((44.64±16.21)pg/ml vs (35.69±11.70)pg/ml, t=3.10),IL?12((18.16±24.17) pg/ml vs (10.82±4.72)pg/ml, t=2.06),IFN?γ((23.32±15.52)pg/ml vs (16.48±6.80)pg/ml, t=2.79), GM?CSF((19.07±11.12)pg/ml vs (13.40±8.54)pg/ml, t=2.80) in patients with the first?episode general?ized anxiety disorder were significantly higher than normal controls(P<0.05) . Both SAI and TAI had signifi? cantly positive correlation with the levels of IL?1α, IL?2, IL?6, IL?8, IL?12, IFN?γ and GM?CSF ( r=0.24?0.76, P<0.05) . Conclusion The levels of some peripheral inflammatory cytokines in patients with the first?episode generalized anxiety disorder are significantly increased,and they have positive correlation with gener?al anxiety,state anxiety and trait anxiety,which may suggest some immune system defects in the patients.

Elevated zero maze as an animal model of state anxiety in Kunming mice：test-retest reliability / 中国药理学通报

Aim To explore the test-retest reliability of elevated zero maze (EZM), as an animal model of state anxiety in Kun-ming mice. Methods The behavior of adult, male and female, Kunming mice in EZM was recorded twice, for five minutes, with a one-week inter-trial interval. The following parameters were evaluated: percentage of time on EZM open arms (Otime% ), time on EZM open arms ( Otime), time on EZM closed arms (Ctime), percentage of entries into EZM open arms (Oentries% ), entries into EZM open arms (Oentries), entries into EZM closed arms (Centries), total entries into EZM open and closed arms (Entries). Subsequently, the intraclass corre-lation coefficient ( ICC) and the kappa agreement index ( κ) were calculated for these parameters. Results ICC for Otime%(♂ ICC = 0. 753,P < 0. 01;♂ + ♀ ICC = 0. 535,P < 0. 05), Otime (♂ ICC = 0. 753, P < 0. 01; ♂ + ♀ ICC = 0. 535, P <0. 05), Ctime ( ♂ ICC = 0. 753, P < 0. 01; ♂ + ♀ ICC =0. 535, P < 0. 05), and Oentries (♂ ICC = 0. 719, P < 0. 01;♀ ICC = 0. 494, P < 0. 05; ♂ + ♀ ICC = 0. 583, P < 0. 01), Centries (♀ ICC = 0. 658, P < 0. 01; ♀ ICC = 0. 508, P <0. 05; ♂ + ♀ ICC = 0. 562, P < 0. 01), Entries ( ♂ ICC =0. 691, P < 0. 01; ♀ ICC = 0. 502, P < 0. 05; ♂ + ♀ ICC =0. 574, P < 0. 05) showed a good and fair test-retest reliability, respectively. Only κ for Otime% (♂ κ = 0. 393, P < 0. 05), Ctime (♂ κ = 0. 393, P < 0. 05), Oentries (♂ κ = 0. 308, P< 0. 05; ♂ + ♀ κ = 0. 256, P < 0. 05), Centries ( ♂ κ =0. 427, P < 0. 01; ♂ + ♀ κ = 0. 238, P < 0. 05), Entries (♂κ = 0. 469, P < 0. 01) displayed a significant but poor reliability between the test-retest trials. Conclusions The parameters Otime% and Entries for Kunming mice in EZM are stable over time, and indicate an acceptable reliability with a one-week in-ter-trial interval. Meanwhile, more attention should be paid not to repeated measure effect, but to the sex effect (Male animals recommended to EZM, especially).

Effects of Intensive Clinical Training for Nursing Students in Nursing Practice on their Clinical Competence, State Anxiety, and Clinical Practice Stress / 기본간호학회지

PURPOSE: The purpose of this study was to examine the effects of a intensive clinical training programfor nursing practice on the clinical competence, state anxiety, clinical practice stress in nursing students who were beginning their first clinical practice. METHODS: This practice has been processed as a ‘Pre-Post design with a non-equivalent control group’. The participants were 177 students in a college of nursing. The students were divided into two groups: 89 students in the experimental group and 88 students in the control group. RESULTS: The experimental group showed significant improvement in their clinical competence scores compared to the control group. The difference between the two groups was also significant. State anxiety in the experimental group significantly decreased compared to the control group. However, scores for stress during practice were not significantly different. CONCLUSION: The findings in this research reveal that the program, ‘Close clinical practice training for nursing students’ practice entry, contributes to improving students' overall ability and performance, and reduces anxiety of nursing students as they start their first clinical practice. These findings can be utilized in helping nursing students improve the quality of their performance.