目的 探討伴顳下頜關節紊亂病（TMD）的成人正畸患者的心理社會因素。 方法 2009年5月－2011年12月伴TMD的成人正畸患者42例為觀察組，無矯正要求、伴TMD的錯牙合患者50例為對照組。采用九十項癥狀清單（SCL-90）、艾森克人格問卷（EPQ）進行測試，同時進行TMD調查。 結果 觀察組與對照組相比，得分較高的有強迫、焦慮、抑郁、人際關系敏感等因素，差異有統計學意義（P＜0.05）；觀察組患者P量表、N量表得分高于對照組，差異有統計學意義（P＜0.05）。 結論 伴TMD的成人正畸患者心理健康問題普遍存在,傾向于神經質和精神質的人格特征。
Objective To estimate the incidence of suicidal ideation of Chinese medical students in mainland China over the past ten years by meta-analysis, so as to provide references for suicide prevention and mental health education in Chinese medical students. Methods PubMed, CNKI, WanFang Data and CBM databases were searched for studies investigating the prevalence of suicidal ideation among Chinese medical students in mainland China from January 1st, 2007 to 31st May, 2017. After study selection according to inclusion and exclusion criterion, data extraction and quality assessment, meta-analysis was conducted using Stata 12.0 software. Heterogeneity was evaluated by performing subgroup analyses and meta-regression. We also used sensitivity analysis to determine the influence of individual studies on the overall prevalence estimates. Results A total of 30 studies with 58 757 participants were included, the individual-study incidence of suicidal ideation ranged from 0.84% to 41.35%, with significant between-study heterogeneity detected (I2=99.1%, P<0.001), and the pooled incidence by random-effects model was 12.51% with 95%CI 9.72% to 15.60%. Univariate and multivariate meta-regression revealed that instruments were related to heterogeneity (P<0.01), but other study-level covariates did not contribute to heterogeneity (P>0.1). Conclusion The incidence of suicidal ideation among medical students in mainland China is relatively high, calling more attention to this concern and actions in response for suicide prevention and mental health education in Chinese medical students.
ObjectiveTo analyze the prevalence, regional differences, and influencing factors of depression in the middle-aged and elderly population aged 45 years and above in China. MethodsData were obtained from the latest survey data of the China Health and Retirement Longitudinal Study (CHARLS) in 2020, and the CES-D-10 scale was used to assess depression among respondents, and χ2 test and binary logistic regression were used to screen for the influencing factors of depression. ResultsA total of 10 583 valid samples were included, with 47.7% males and 52.3% females, and the mean age was (65.3±8.0) years. The average CES-D-10 scale score of the study population was (9.11±6.53), and the prevalence rate of depression was 40.5% (95%CI 39.6% to 41.5%), with a significantly higher prevalence rate of depression in the Midwestern population than the Eastern population. The gender, age, living with a partner, education, region, urban/rural, duration of sleep, internet access, alcohol consumption, number of chronic diseases, and the presence of ADL and IADL disorders are the influencing factors of depression in middle-aged and elderly populations. ConclusionThe prevalence of depression in the middle-aged and elderly population in China is high, but there are significant differences in the prevalence rates of populations with different characteristics, and the high-risk groups should be emphasized when improving the mental health of the middle-aged and elderly population.
ObjectiveTo investigate the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019 (COVID-19), and provide a reference for psychological intervention strategies for hospital staff in public health emergencies.MethodsIn this cross-sectional study, we investigated the staff of Mianzhu People’s Hospital through an anonymous questionnaire survey sent through WeChat group from February 13th to 18th, 2020, to analyze the psychological situation and influencing factors of the on-the-job staff. SPSS 22.0 software was used for statistical analysis.ResultsAmong the 1 115 staff members who met the inclusion criteria, 951 completed the questionnaire, with a response rate of 85.3%. There were 945 valid questionnaires, with an effective response rate of 84.8%. A total of 224 staff members (23.7%) had mental health problems. Multivariate logistic regression analysis showed that the total scores of social support [odds ratio (OR)=0.869, 95% confidence interval (CI) (0.805, 0.938), P<0.001] and the total scores of stress coping strategies [OR=0.685, 95%CI (0.607, 0.772), P<0.001] were protective factors of psychological status, while having kids [OR=1.607, 95%CI (1.084, 2.382), P=0.018] and the position being logistic worker [OR=2.229, 95%CI (1.326, 3.746), P=0.002] were risk factors of psychological status.ConclusionsDuring the outbreak of COVID-19, mental health problems emerged among the staff of designated medical treatment hospital. When a public health emergency occurs, hospitals and relevant departments should take psychological intervention measures as soon as possible to ensure the work of epidemic prevention and control.
Objective To systematically review the literatures on left-behind children’s mental health status, and to describe and analyze the current domestic left-behind children’s main psychological health problems. Methods With the search terms and strategies predefined by repeated discuss and pre-retrieval, the literatures in Chinese published before March 2011 were searched in following four Chinese databases including Chinese Biological Medical Literature Database (CBM), Chinese Science and Technology Periodical Database (VIP), China National Knowledge Infrastructure (CNKI) and WanFang Dissertation Database (WF). All research papers that reported the left-behind children’s mental health status and problems within China were included. Two reviewers independently screened the literatures and extracted the data. Disagreements were resolved by discussion or by involving a third researcher. The qualitative synthesis method was used to analyze the studies, while the meta-analysis was not adopted because of the tremendous heterogeneity of each study on the definition of left-behind children, study design and outcomes. Results A total of 155 studies were included for the final analysis and all of them were the cross-sectional study including 63 uncontrolled cross-sectional studies and 92 controlled cross-sectional studies. Most of the results showed that compared with the non-left-behind children, the left-behind children’s mental health level was lower and there were many psychological problems. While several studies suggested that there was no significant difference between the two groups. The left-behind children in different types (such as different gender, age, guardianship types, the migrant condition of parents, etc.) had different mental health problems. Conclusion The results of the current research indicate that the left-behind children have many mental health problems. However, the results are still controversial. The definitions of left-behind children have not been unified and the quality of current studies is generally low, which might influence the synthesis of results. High quality of controlled studies and long-term prospective cohort studies need to be conducted to study more accurately and deeply on the left-behind children’s mental health and on the differences between the left-behind children and non-left-behind children.
ObjectiveTo understand the possible influential factors and the effectiveness of interventions for quality of life in breast cancer survivors. MethodThe latest literatures about studies on quality of life in breast cancer survivors were reviewed. ResultsAlthough the cure rate and survival rate of patients with breast cancer had improved, breast cancer as a major stress event, the disease itself and treatment related adverse reactions might cause the fatigue, activity decline, anxiety, depression, and other negative emotions of patients, which seriously affected the quality of life of patients and survival prognosis. The patients’ age, socio-economic background, tumor characteristics, and treatment methods were the factors affecting their quality of life. To a certain extent, meditation, music therapy, and proper physical exercise could improve the quality of life of patients with breast cancer. ConclusionBreast cancer itself and related treatment methods may affect not only the affected organs, but also multiple dimensions of patients’ quality of life, so attention should be paid to improve quality of life in breast cancer survivors, providing with individualized interventions.
Objective To systematically analyze the factors influencing the left-behind children’s mental health. Methods After the search term and strategy were confirmed by researchers, four Chinese databases including Chinese Biological Medical Literature Database (CBM), Chinese Science and Technology Periodical Database (VIP), China National Knowledge Infrastructure (CNKI) and WanFang Database (WF) were searched to collect papers, published before March 2011, on relevant factors influencing mental health of left-behind children in China. Then two reviewers independently screened, extracted and cross-checked the data, and the disagreements were resolved by discussion or by consulting a third reviewer. Qualitative synthesis method was used to analyze the study results. Results Of the total 3 252 records, 49 studies were included. The results of qualitative analysis showed that factors influencing left-behind children’s mental health could be classified into four categories including social factors, family factors, school factors and personal factors. Of the nearly 30 kinds of specific factors, the main ones were gender, age, parent-child relationship, social support, personality and characteristics, and outgoing condition of parents, etc. Conclusion Current research results indicate that many factors have influences on mental health of left-behind children, but the research quality is not high with low argument efficiency. There are still controversies on several factors’ impact. Longitudinal studies with rigorous design are needed to analyze the impact of different factors on the left-behind children’s mental health and to summarize the interaction between various factors, so as to provide scientific evidence for developing practical and effective intervention measures.
Objective To explore the mental health status of college students in the Xining region. Methods A total of 1 875 college students were surveyed by the Symptom Checklist-90 (SCL-90) and the Eysenck Personality Questionnaire (EPQ).Results Out of the 1 875 college students, 21.5% had at least one item scoring more than 3. Compared with the normal samples, college students scored significantly higher on SCL-90 indicating that the students had worse mental health. Significant differences were noted in the dimensions of EPQ between college students and the normal samples. The total score of SCL-90 was found to be significantly related to four factors, namely neuroticism, family economic status, school and nationality. Conclusion The mental health status of college students in Xining region is lower than that of the normal population, and factors of neuroticism, family economic status, school and nationality are related to their mental health.