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OBJECTIVE: To explore the relationship between occupational stress response and psychological symptoms of metro-drivers and the mediating role of neurotic personality. METHODS: A total of 396 metro-drivers in a subway operating company were selected as the research subjects using judgment sampling method. Their psychological symptoms, neurotic personality and occupational stress response were evaluated using the Symptom Checklist 90, the Neurotic Subscales of NEO Five-Factor Inventory, and the Personal Strain Questionnaire of Occupational Stress Inventory Revised Edition. RESULTS: The scores of psychological symptoms, neurotic personality and occupational stress response in the metro-drivers were(148.8±42.7),(29.3±6.3) and(104.2±14.2), respectively. The occupational stress of metro-drivers was positively correlated with the psychological symptoms score(correlation coefficient was 0.45, P<0.01), and neurotic personality was positively correlated with occupational stress response and psychological symptoms scores(correlation coefficients were 0.44 and 0.53 respectively, all P<0.01). The occupational stress response of metro-drivers played a direct effect on their psychological symptoms, and the direct effect was 0.825. Neurotic personality played a partial mediating effect between occupational stress response and psychological symptoms, and the mediating effect was 0.537, accounting for 39.4% of the total effect. CONCLUSION: The neurotic personality of metro-drivers plays a partial mediating role between occupational stress response and psychological symptoms.
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Objective To investigate the effects of multisensory stimulation on mental behavioral symptoms and health-related quality of life in patients with Alzheimer's disease (AD).Methods From March 2018 to August 2018,159 AD patients (65-75 years old) in neurology and psychiatric clinic of the Second Affiliated Hospital of Fujian Medical University were enrolled.Randomized grouping was performed by randomized software,experimental group (multi-sensory stimulation),81 cases,control group (no intervention),78 cases.The experimental group had a multi-sensory stimulation for 16 weeks,twice a week,40 minutes each time,for a total of 32 times.At the time of enrollment and 16 weeks after the intervention,the simple neuropsychiatry scale (NPI-Q) and the health-related quality of life questionnaire (HRQLS) were filled out.The t-test and two-factor repeated measures analysis of variance were used to analyze the data.Results The NPI-Q scores of the two groups before and after intervention were compared by two-factor repeated measurement ANOVA.There was no significant difference in NPI-Q average score between the expermental group(2.20±0.22) and control group(2.17±0.35) before intervention (t=0.53,P=0.595).After intervention NPI-Q average score of the experimental group(2.17±0.46) was lower than that of the control group (1.71±0.29) (t =7.56,P＜ 0.01).The intervention effect (F=50.77,P＜ 0.0 1),the time effect (F=39.20,P＜0.01) and interaction effect (F=33.89,P＜0.01) were statistically significant.The HRQLS scores of the two groups before and after intervention were compared by two-factor repeated measurement ANOVA.The intervention effect(F=140.82,P＜0.01),the time effect (F=56.64,P＜0.01) and interaction effect (F=60.38,P＜0.01) were statistically significant.Conclusion Multisensory stimulation can improve mental behavioral symptoms in patients with Alzheimer's disease and improve health-related quality of life.
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Background: The study was done to investigate the role of perceived heart risk factors (PHRFs) in the prediction of psychological symptoms of cardiac rehabilitation (CR) patients. Methods: In this cross-sectional study, 124 CR patients referred to Kermanshah Hospital of Imam Ali were assessed during April–July 2015. PHRFs scale and Depression, Anxiety, and Stress scale-21 used for data collection. The data were analyzed using linear multiple regression analysis. Results: The mean age of samples (69.4% male) was 58.9 ± 9.7 years. The results of regression analysis evidenced that there is no significant relationship between any of the PHRFs with depression and anxiety (P > 0.05); however, biological (P = 0.018) and psychological (P = 0.019) risk factors significantly can predict stress. The model generally can explain 6.4% of the stress variance. Conclusion: PHRFs are included some significant predictors for experienced stress among the CR patients. Given that the biological and psychological risk factors are more effective in experienced stress by the patients, it is recommended that specialists pay more attention to the potential psychological outcomes of this group of patients.
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Objective To explore the correlation between serum homocysteine(Hcy) levels and behavioral and psychological symptoms dementia (BPSD) in patients with mild to moderate vascular dementia (VaD).Methods Two hundred and ninety-three patients with mild to moderate vascular dementia (aged 40 or over) admitted to the department of neurology of the First Affiliated Hospital of Liaoning Medical College from January 2012 to January 2015.Patients were diagnosed with dementia by NINDS-AIREN criteria,MMSE scores ≤26,Hachinski ischemic scale(≥4) and clinical dementia rating(1≤ C DR ≤ 2).VaD patients were divided into high Hcy(HHcy) group (Hcy≥ 15 μ,mol/L,n=188) and control group(Hcy＜15 μmol/L,n=105).The total scores and the scores of 12 functional domains of behavioral and psychological symptoms in NPI were analyzed by using comparative statistical methods.Results Prevalence of high homocysteine was 64.16％ (n=188) among mild to moderate VaD (n=293).The incidence of BPSD in HHcy group(80.9％) was significantly higher than that in the control group (57.1％),the difference was statistically significant (x2=18.932,P＜0.01).HHcy patients (27.95±5.04) had a significantly higher total score of NPI compared with control patients (16.87± 1.87),the difference was statistically significant (t=3.753,P＜0.01).In terms of scores in 12 functional domains in NPI,the scores in sleep disorders (2.99± 1.40),high (2.10±0.53),irritability/mood swings (2.64± 1.43),abnormal behavior (1.74±0.52),disinhibition (1.40±0.43),agitation (2.02±0.74) were higher than those in control groups (1.85±0.37,0.21±0.05,1.80 ±0.56,0.36±0.09,0.45±0.07,0.68±0.23),all the difference were significant(t=2.327,t=2.012,t=2.136,t=2.066,t=2.050,t=2.007,all P＜0.05).Binary logistic regression analysis showed that there were positive correlation between scores of NPI and plasma Hcy levels (OR=1.164,95％ CI:1.052-1.288,P=0.003).Compared with HHcy group and control group,there were no statistical significance in regard to infarcted brain focus including the frontal lobe,parietal lobe,temporal lobe,occipital lobe,basal ganglia,brain stem and cerebellum (x2=0.528,x2=0.043,x2=0.630,x2=0.166,x2=0.657,x2=1.010,x2=0.019,allP＞0.05).Conclusion High homocysteine levels are correlated with behavioral and psychological symptoms in patients with mild to moderate VaD,including performance of sleep disorders,high,irritability/mood swings,abnormal behavior,disinhibition and agitation.Moreover,the severity of BPSD is positively associated with homocysteine levels.The higher the homocysteine level,the more severe the BPSD.The serum homocysteine levels are no correlated with infarcted brain focus.
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PURPOSE: The study aimed to explore the health consequences that women experienced after miscarriage and the factors related to them. METHODS: A convenience sample consisting of 102 women who had miscarried within 2 years was used. Women were recruited from hospitals and enterprises in Seoul and Gyeong-Gi Province. Participants completed a self-administered questionnaire containing a physical and psychological symptoms checklist developed for this study. RESULTS: More than 40% of the miscarriages occurred after 9 weeks of pregnancy and 35% of women were found to have had a previous miscarriage prior to this study. Psychological symptoms were more prevalent and prolonged than the physical symptoms, furthermore, the frequencies of the symptoms experiencedwere not consistent with the duration of symptoms. Employed women and women with early miscarriages complained of more physical symptoms; however, psychological symptoms were not different according to women's characteristics. Employment was a significant factor affecting physical symptoms. CONCLUSION: Health care professionals need to inform and educate women and the family of the potential health changes during the recovery after the miscarriage. Health consequences due to miscarriages also need to be incorporated in women's reproductive health care. Nursing care should consider factors of maternal age, employment status, and obstetrical conditions upon the apparent social changes.
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Feminino , Humanos , Gravidez , Aborto Espontâneo , Lista de Checagem , Atenção à Saúde , Emprego , Idade Materna , Cuidados de Enfermagem , Inquéritos e Questionários , Saúde Reprodutiva , Mudança SocialRESUMO
We reported two cases successfully treated with sano-to (Senkin-Ho). Case 1 was a 63-year old female, who visited our department in December 2004 complaining of polyarthralgia, a burning sensation in the hands and feet, irritability and chilliness. We prescribed sano-to (Senkin-Ho). The visual analogue scale (VAS) decreased from 100 mm on the first visit to 23 mm 10 months later in October 2005. Case 2 was a 62-year old female, who came to our department complaining of whole body pain in August 2004. Various Kampo medicines were tried but proved ineffective, and in June 2005 she was hospitalized. At that time, in addition to whole body pain, she complained of a burning sensation in her feet, psychological anxiety, and chillness. We prescribed sano-to (Senkin-Ho). After 2 months, her VAS decreased from 80 mm to 20 mm. We consider that sano-to (Senkin-Ho) should be prescribed more actively when patients suffer from painful diseases accompanied with subjective symptoms such as a burning sensation in the hands and feet, psychological symptoms, and chilliness.
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CalafriosRESUMO
Objective:To explore androgynous female college students' personality traits,physical and psycho- logical symptom and adaptation to college life.Methods:A cluster sample of 1081 female college students was tested with the Chinese Sex Role Inventory (CSBI),NEO Personality Inventory-Revised (NEO-PI-R),Symptom Checklist 90 (SCL-90),and China College Student Adjustment Scale (CCSAS).Results:(1) The percentage of four gender role stereotypes,including masculine,feminine,androgynous and undifferentiated,were 23.8%,24.1%, 25.1%,27.1% respectively.(2) Androgynous female college students' score of extraversion,openness,agreeable- ness,conscientiousness were highest,for example,androgynous female college students' score of extraversion was (3.7?0.4),but androgynous female college students' score (2.1?0.6) of neuroticism was lowest.In contrast,un- differentiated female college students' scores of extraversion (3.1?0.5),openness,agreeableness,conscientious- ness were lowest,androgynous female college students' score (2.8?0.6) of neuroticism was highest.For other gender role stereotypes,female college students' score was between androgynous and undifferentiated.(3) As to all factors of physical and psychological symptom,androgynous female college students' scores were lowest,but undifferentiated fe- male college students' scores were highest.For example,anxiety score of androgynous female college students was (1.4?0.4),and that of undifferentiated female college students was (1.6?0.6);depression score of androgynous female college students was (1.4?0.4),and that of undifferentiated female college students was (1.6?0.6). (4) Androgynous female college students' adjustment of interpersonal relationship (37.6?5.7) was better than that of undifferentiated female college students (29.4?6.5).Other gender role stereotypes' adjustment scores of interper- sonal relationship were between androgynous and undifferentiated female college students.Conclusion:Although an- drngynous female college students' personality trait,physical and psychological symptom and adaptation to college life are better than other gender role stereotypes statistically,these results need more deeply research.
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BACKGROUND: Vitiligo is an acquired disorder which causes body disfiguring and may provoke emotional stress, functional impairment, and psychiatric symptoms. OBJECTIVE: (1) To assess whether the psychiatric symptoms are more frequent in vitiligo patients than control patients. (2) To investigate whether the vitiligo patients with more severe psychiatric symptoms use more negative and passive coping mechanisms than patients with less severe psychiatric symptoms. To carry out this study we evaluated psychiatric symptoms, problems in daily activities, and the relation-ship between coping mechanisms and psychiatric symptoms. METHODS: A clinical study was done on 150 vitiligo patients. Other dermatology patients were used as a control group. Both groups had visited the dermatology clinic of the Severance hospital. Questionaires regarding age, sex, severity of disease, duration of disease, SCL-90(symptom check list 90), the coping list of Weisman, and items for adaptability of daily activity were recorded. Results : Male vitiligo patients showed more psychological symptoms than female patients. Vitiligo patients had many more difficulties in daily activities than the control patients. The patients who had more severe psychiatric symptoms used more negative and passive coping mechanisms than less severe patients. Conclusion : Vitiligo provoked psychiatric symptoms and difficulties in daily activities. Psychiatrically more severe patients used negative and passive coping mechanisms. Comprehensive dermatologic and psychiatric treatment may be required in the treatment of vitiligo.
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Feminino , Humanos , Masculino , Dermatologia , Estresse Psicológico , VitiligoRESUMO
The purpose of this study was to investigate the effect of hospitalization and diagnosis of disease on the mental health of coal workers' pneumoconiosis patient. The study subjects were composed of four groups for comparison; hospitalized coal workers' pneumoconiosis, healthy coal miners, and railroad workers employed by government. About a hundred of respondents in each group were sampled by random. Mental health data were collected by symptom distress checklist 90 (SCL-90), and other characteristics were collected by interview with questionnaire administered trained interviewers in each respondents. Mental health dimension was classified into 9 dimensions; somatization, obsessive-compulsiveness, interpersonal sensitivity, depression, anxiety, hostality, phobic anxiety, paranoid, psychosis. And as total index, global severity index, positive symptoms total, positive symptom distress index were also computed. As a result there is difference of mean score of 9 symptom dimensions among four groups. The mean score of the examinees of depth diagnosis of the impressed coal workers' pneumoconiosis is the highest score in all 9 symptom dimensions. However in the hospitalized coal workers' pneumoconiosis scores of somatization, depression, anxiety, and phobic anxiety were still higher than that of healthy coal miners. And other symptom dimensions were not different from that of healthy coal miners.
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Humanos , Ansiedade , Lista de Checagem , Carvão Mineral , Coleta de Dados , Depressão , Diagnóstico , Hospitalização , Saúde Mental , Pneumoconiose , Transtornos Psicóticos , Inquéritos e Questionários , FerroviasRESUMO
Objective: To assess the psychosomatic symptoms in women referred for in vitro fertilization. Methods: The SCL-90 was administered to 100 women referred for IVF (in vitro fertilization and embryo transfer ) and 100 women referred for ICSI (intracytoplasmic sperm injection) at the time of their first presentation to the infertility clinic. The control group comprised of 100 women presenting to gynecology clinics. In addition, socio-demographic information was captured through a structured questionnaire designed for the purpose of this study.Results:The total scores of two study subgroups and control group were 53.8?30.8, 52.5?31.7 and 42.1?32.3 respectively. It was significantly higher score in study groups than that of in control group(F=3.40, P