Interaction of job-related psychological flexibility, coping style and personality types in depression in Chinese physicians: A cross-section study.

To investigate the associations of job-related psychological flexibility, coping style and personality types with and their interactions in depression in Chinese physicians. A cross-sectional survey of 444 physicians was conducted by using the convenience sampling method in the municipal hospitals in Zhengzhou, Henan province. Center for Epidemiological Studies Depression, Work-related Acceptance and Action Questionnaire, the Simplified Coping Style Questionnaire and Eysenck Personality Questionnaire-Revision Short Scale of China were administered to each participant. Depression tendency scores were significantly higher in healthcare workers with intermediate title, age 31 and older, introvert unstable personality than other counterparts, (P < .01). Female and extrovert stable healthcare workers had significantly higher coping score than male and other personality types (P < .05). The scores of job-related psychological flexibility in healthcare workers with Introvert Stable or working in emergency department were significantly higher than their counterparts (P < .01). General linear model algorithm of machine learning showed that Extrovert Unstable was the main risk factor for depression (ß = 6.74), followed by Extrovert Stable (ß = -4.90), negative coping, positive coping, and length of service. Multivariate regression models showed that a significant interaction existed between coping style, work-related psychological flexibility and Extroversion (ß = -0.103, P < .05), independently explaining 0.7% variance of depression, and that a significant interaction existed between coping style, work-related psychological flexibility and neuroticism (ß = 0.116, P < .05), independently explaining 1.0% variance of depression. Interactions existed between personality types, coping style and work-related psychological flexibility in depression tendency in Chinese healthcare workers, with neuroticism (extrovert unstable) being a risk factor and extroversion (extrovert stable) being a protective factor. Precision prevention strategies could be made based on personality types to reduce depression in health workers.

Associations of Psychological Capital, Coping Style and Emotional Intelligence with Self-Rated Health Status of College Students in China During COVID-19 Pandemic.

Background: COVID-19 lockdown can lead to mental health problem, and the problem is heterogeneous across individuals. In this study, we aimed to explore the association between the self-reported health status, emotional coping style, emotional intelligence and positive psychological state of college students during the COVID-19 pandemic in China. Methods: The questionnaires of Self-rated Health Measurement Scale (SRHMS), Emotional Intelligence Scale (EIS), Psychological Capital Questionnaire (PCQ), Simplified Coping Style Questionnaire (SCSQ) were used for online survey. The study included 367 undergraduates. Results: Undergraduate sex, sibling and birth of place were associated with either psychological capital scores or emotional intelligence. Online time per day had significantly negative associations with self-rated health and psychological capital scores. Multivariate analysis showed that the interaction between emotional intelligence, psychological capital and coping styles was statistically significant (ß = -0.112, p = 0.045) in health status with psychological capital ranking the top (ß = 0.428). Mediation analysis showed that psychological capital and coping style modified the effect of emotional intelligence on health status. Conclusion: Psychological capital and coping style modified the effect of emotional intelligence on health status in college students during the COVID-19 pandemic. In this pandemic emergency, a comprehensive intervention, such as positive coping styles with optimistic emotional perception and understanding as well as social support, is an important measure against the pandemic-induced mental health problem in college students in China.

Personality modifies the effect of post-traumatic stress disorder (PTSD) and society support on depression-anxiety-stress in the residents undergone catastrophic flooding in Henan, China.

BACKGROUND: To analyze the impact of the flood disasters, social support and personality on the mental health of residents in Henan Province, China, providing fundamental knowledges for making measuring strategies to improve the psychological protection and anti-stress ability of the residents after the disaster. MATERIAL AND METHODS: A cross-section study was conducted via an online survey platform "questionnaire star," which included 572 residents in Henan Province, which underwent the history of ever flood disaster on July 20. The questionnaires of Impact of Event Scale-Revised Edition (IES-R), Perceived Social Support Scale (PSSS), the Depression Anxiety Stress Scales (DASS-21) and the scales of Eysenck Personality Questionnaire-Revised (EPQ-R) version in Chinese were also administered to each participant. Generalized linear regression model was performed. RESULTS: The residents who live in the flooding areas, are male and married had a significantly higher post-traumatic stress disorder (PTSD) score than their counterparts. The scores of depression-anxiety-stress in the residents with stable emotion were significantly lower than those with unstable emotion (p < 0.001). Machine learning showed that PTSD ranked the top risk factor, followed by neuroticism for Depression-Anxiety-Stress after disaster. The PTSD was negatively correlated with social support (p < 0.01), while it was positively correlated with depression-anxiety-stress and emotional stability (p < 0.01). There was a statistically significant interaction between PTSD, social support and neuroticism on depression-anxiety-stress (p < 0.001), with an independent effect of 1.4% on depression-anxiety-stress. Emotional stability showed the largest association with depression-anxiety-stress. CONCLUSIONS: Residents living in the catastrophic flooding areas had significant post-traumatic mental health issues, and the severity of mental problems was differently affected by post-traumatic stress disorder and social support in individuals with different personalities. Introvert and PTSD were the major risk factors for depression-anxiety-stress after the disaster. Med Pr. 2022;73(4):305-14.

Smartphone addiction intervention through sports combining with group psychological training among college students / 中国学校卫生

Objective@#To explore the intervention effect of sports combined with group psychological counseling on the psychological craving, addiction sererity, as well as comorbid depression with anxiety severity of college students with smartphone addiction.@*Methods@#Totally 148 smart-phone addicts were randomly divided into 3 groups(sports group 49 students, group psychological counseling group 50 students, sports group counseling group 49 students). Smartphone addiction was evaluated by using the University Student Smartphone Addiction Scale(SAS-C); the degree of mental hunger was assessed by the Visual Analog Scale(VAS); the Hamilton Depression Scale(HAMD) and the Hamilton Anxiety Scale(HAMA) were used to evaluate the degree of anxiety and depression. All scales were evaluated before intervention, after intervention and 3 months after the intervention.@*Results@#The SAS-C,VAS,HAMD,HAMA scores of the three groups decreased with time(F=36.05，38.54，37.27，39.27，P<0.01), and the scores were the lowest in the sports group counseling group, SAS-C,VAS,HAMD,HAMA followed by the group counseling group and the highest in the sports group(F=34.33，32.36，32.34，34.96，P<0.01). Howevey, all the 3 groups still had depression and anxiety symptoms after 3 months of intervention.@*Conclusion@#Sports, group psychological counseling, sports combined with group counseling can all differentially help decreasing the psychological cravings and addiction levels of smartphone addicts and severity of depression and anxiety with the latter shows the highest effectiveness, followed by the group counseling and sports intervention alone.