通讯机构：
Department of Child Psychiatry of Shenzhen Kangning Hospital, Shenzhen Mental Health Center, School of mental health, Shenzhen University, Shenzhen, China
摘要：
Journal of Interpersonal Violence, Ahead of Print. <br/>Childhood witnessing domestic violence (CWDV) exerts short- and long-term negative impacts on emotional and behavioral health. The present study investigated the epidemiological features of CWDV, and its negative impact on psychological outcomes in a sample of Chinese college students. The mediating role of emotion regulation strategies on CWDV associations with psychological outcomes and gender differences in these relationships were examined. A total of 3,126 respondents (1,034 males; 2,086 females; 6 missing data in gender) completed the study questionnaire, which included demographic characteristics, CWDV, and suicide attempt history items as well as the Emotion Regulation Questionnaire (ERQ) and Affect Lability Scale-18 (ALS-18). Overall, 43.03% of the respondents reported CWDV, including 44.87% of males and 42.09% of females. Higher frequencies of CWDV were found to be related to the following factors: unstable marital status of parents; not being an only child; being a left-behind child, family financial difficulties, consumption of alcohol in the past year, and being in relatively poor physical condition. Among males, ERQ suppression scores were significantly higher for those men who experienced “often or every day” CWDV than for men who indicated that they did not have any history of CWDV (Bonferroni-corrected p = 0.047). More frequent CWDV was associated with higher ALS-18 scores and increased risk of suicide attempts in males and females (p < 0.05), and emotion regulation (suppression) was found to mediate the association between CWDV and affective lability among males. This study revealed high rates of CWDV, and serious impacts of CWDV on mental health in male and female Chinese college students. In males, but not females, emotion regulation strategy use, use of suppression, was found to act as a mediator in the association of CWDV with affective lability. Our findings suggest that interventions for individuals with CWDV should focus on the emotional regulation, which may help them improve mental health, especially in males.
摘要：
Journal of Empirical Research on Human Research Ethics, Volume 17, Issue 3, Page 362-372, July 2022. <br/>This study aims to investigate the knowledge and attitudes of participants and potential participants in clinical trials toward electronic informed consent. We conducted a survey-based cross-sectional study in Hunan Province, China in March 2021. A total of 547 respondents were included in this study. All questions in an 8-item survey section assessing participants’ knowledge of electronic informed consent received correct answers from at least 70% of participants. In terms of attitude scores, most participants (86.3%) believed that electronic informed consent is more convenient than the paper-based version, and more than half (51.2%) believed that electronic informed consent could completely replace the paper-based version. Responses indicated that common concerns about electronic informed consent were its security and confidentiality, legal benefits, and implications for rights protection.
期刊：
Journal of Psychology in Africa,2022年32(6):605-610 ISSN：1433-0237
通讯作者：
Yanhong Luo
作者机构：
[Yuan, Mengqi; Peng, Yu; Mao, Huili; Xiong, Sicheng; Zhang, Bin; Luo, Yanhong] Hunan Univ Chinese Med, Dept Appl Psychol, Changsha, Hunan, Peoples R China.;[Liang, Hanyu] Guizhou Med Univ, Sch Med Humanities, Guiyang, Peoples R China.;[Qiu, Zhiyan] Hunan Univ Chinese Med, Sch Nursing, Changsha, Hunan, Peoples R China.
通讯机构：
[Yanhong Luo] D;Department of Applied Psychology, Hunan University of Chinese Medicine, Changsha, Hunan, China
关键词：
Chinese college students;loneliness;mobile phone addiction;negative affect;perceived stress
摘要：
This study aimed to investigate (i) the relationship between loneliness and mobile phone addiction; (ii) the mediating role of negative affect in the association between loneliness and mobile phone addiction; and (iii) the moderating effect of perceived stress in the relationship between loneliness and mobile phone addiction. A total of 359 Chinese college students were recruited (female = 216; mean age = 19.56 years, SD = 1.61 years). Results showed that loneliness was associated with risk for mobile phone addiction. Mediation analysis highlighted that negative affect fully mediated the association between loneliness and increased mobile phone addiction. Moreover, moderated mediation analysis indicated that the association between negative affect and mobile phone addiction was moderated by perceived stress, so that risk for mobile phone addiction was higher when perceived stress was increased. In conclusion, our findings revealed that risk for mobile phone addiction was higher with loneliness and mood disorder indicators of negative affect and perceived stress.
作者机构：
[Li, Wu; Feng, Xiang; Zhi, Hui; Jiang, Quanrui; Li, Jiangshan; Yu, Jun; Gong, Zhichao] Hunan Univ Chinese Med, Sch Acupuncture Moxibust & Tuina, Changsha 410208, Hunan, Peoples R China.;[Li, Keshang] Hubei Univ Chinese Med, Coll Acupuncture & Orthoped, Wuhan, Hubei, Peoples R China.;[Zhang, Yuxing] Hunan Univ Chinese Med, Affiliated Hosp 1, Changsha, Hunan, Peoples R China.
关键词：
autism spectrum disorders;network meta-analysis;protocol;systematic review;Traditional Chinese medicine
摘要：
BACKGROUND: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impairments in social communication, social interaction, and restrictive or repetitive behaviors. Traditional Chinese medicine (TCM) has been used in the clinical management of ASD, especially in mainland China, where studies have shown promising efficacy. However, this remains to be further explored and clarified. Therefore, the purpose of this study was to evaluate the effectiveness and safety of conventional treatment-based TCM interventions for ASD. METHOD: The study will be conducted from January 2022, and the following electronic databases will be searched: China Biological Medicine Database, Chinese Scientific Journals Database, Wan Fang database, and China National Knowledge Infrastructure, the Cochrane Library, Web of Science, PubMed, and EMBASE Database. Only randomized controlled trials of TCM interventions for ASD will be included. The Autism Diagnostic Observation Scale, Autism Diagnostic Interview-Revised, and Childhood Autism Rating Scale will be the primary outcome indicators. The methodological quality of this Bayesian-based network meta-analysis will be performed using the "Risk of Bias" tool. Stata 14.0 and WinBUGS 1.4.3 will be used to analyze the data. In addition, assessment of heterogeneity, inconsistency, subgroups, sensitivity, and publication bias will be conducted using the Cochrane Collaboration's tools. RESULTS: The results of this study will be submitted to a peer-reviewed journal for publication. CONCLUSION: This study will help patients recover better, provide clinical evidence for practitioners, and promote the use of TCM in ASD interventions.
期刊：
Journal of Healthcare Engineering,2022年2022 ISSN：2040-2295
作者机构：
[Qin, Tian] Hunan Univ Chinese Med, Changsha 410000, Peoples R China.;[Qin, Tian] Hunan Univ Chinese Med, Hosp 2, Changsha 410000, Peoples R China.;[Sheng, Wang; Hu, Guoheng] Hunan Univ Chinese Med, Hosp 1, Changsha 410000, Peoples R China.
摘要：
To analyze the influencing factors of senile coronary heart disease patients complicated with frailty syndrome. A total of 80 elderly patients with coronary heart disease admitted to our hospital from March 2020 to March 2021 were selected as the research subjects. The Fried Frailty Symptom Scale was used to evaluate whether the 80 patients were complicated with frailty syndrome. According to the evaluation results, the patients were divided into a nonfrailty syndrome group (52 cases in total) and frailty syndrome group (28 cases in total). Clinical data of two groups of patients were collected, and multivariate logistic regression was used to analyze the influencing factors of senile coronary heart disease patients complicated with frailty syndrome. Among 80 patients, the incidence of frailty syndrome was 35.00% (28/80), including 18 cases in early frailty and 10 cases in frailty stage. Univariate analysis showed that age, body mass (BMI), diabetes mellitus, congestive heart failure, chronic renal insufficiency, chronic obstructive pulmonary disease (COPD), tumor, high uric acid hematic disease, arrhythmia, interleukin-6 (IL-6), c-reactive protein (CRP), fibrinogen (FIB), brain natriuretic peptide (BNP), uric acid (UA), serum creatinine (Scr), serum protein (ALB), white blood cell count (WBC), and neutrophil count were the possible risk factors for senile coronary heart disease complicated with frailty syndrome (P < 0.05). Multivariate logistic regression analysis showed that combined COPD, combined tumor, IL-6, BNP, UA, SCR, ALB, and neutrophil count were independent risk factors for senile CHD complicated with frailty syndrome (P < 0.05). Combined with COPD, combined with tumor, IL-6, BNP, UA, SCR, ALB, and neutron cell count are the influencing factors for senile coronary heart disease patients complicated with frailty syndrome. These factors can be used as the basis for the diagnosis of frailty syndrome and guide the clinical development of targeted diagnosis and treatment plan.
摘要：
We examined the mediation effect of moral disengagement in the association between children's cumulative risk and high experience of school bullying. Additionally, we determined whether this mediating process was moderated by gender. A sample of 509 Chinese adolescent school students (female = 39.50%; mean age = 13.02 years, SD = 0.86 years) completed the measures of cumulative risk (parent-child relationship, friend support, and school connectedness), moral disengagement, and school bullying. Path analysis results revealed that the association between cumulative risk and high school bullying was mediated by moral disengagement. Moreover, the mediating effect of moral disengagement was moderated by gender, with the effect being stronger for boys. The findings are consistent with the model of "environmental factors -> moral disengagement -> aggressive behavior" hypothesis.
通讯机构：
[Luo, Xuerong] C;[Gong, Jingbo] H;[Liu, Jianbo] S;Cent South Univ, Xiangya Hosp 2, Dept Psychiat, Changsha 410011, Hunan, Peoples R China.;Hunan Univ Chinese Med, Dept Appl Psychol, Changsha 410208, Hunan, Peoples R China.
摘要：
BACKGROUND: Childhood adversity is related to poor mental health outcomes in adulthood. However, few studies have examined the epidemiology of major childhood adversities and their effects on depression and suicide attempts in Chinese college students. METHODS: 2755 students completed a questionnaire of 10 items about major childhood adversities, one item about suicide attempts, and the Zung self-rating depression scale. Single-factor analysis and multivariate logistic regression analysis were used to explore the association between different types of adversity/different numbers of types of adversity and suicide attempts/depression. RESULTS: 1916 (69.55%) respondents reported they had experienced major childhood adversities. Multivariate logistic regression analysis showed that witnessing a crash or murder, abuse by family members, and abuse by other adults or children were positively related to suicide attempts (OR: 1.712-2.222, all p<0.05). Abuse by other adults or children (OR=1.648, p<0.05) and serious injury during childhood (OR=1.494, p<0.05) were risk factors for depression. Those who had experienced 3 or more types of adversity were more likely to have depression (OR=1.806,p=0.002)and to have committed suicide attempts (OR= 3.307,p<0.001)compared to those without any adversities. CONCLUSION: The incidence of major childhood adversity is high among Chinese college students. Childhood adversity increases the risk of depression and suicide attempts. As the number of types of childhood adversity experienced by an individual increases, their risk ratio for suicide attempts and depression increases. To promote mental health, special attention should be given to those who have suffered childhood adversities.
作者机构：
[Tian, Xuefei; Ma, Jing; Hu, Jiawen] Hunan Univ Chinese Med, Sch Clin Med, Changsha, Peoples R China.;[Zheng, Qiongjuan; Wang, Dongxin; Liu, Xuejun; Hu, Jiawen] Econd Peoples Hosp Hunan Prov, Brain Hosp Hunan Prov, Changsha, Peoples R China.;[Zhang, Yun] Northwest Minzu Univ, Lanzhou, Peoples R China.;[Liu, Chunyu] SUNY Upstate Med Univ, Dept Psychiat, Dept Neurosci & Physiol, Syracuse, NY USA.
通讯机构：
[Ma, Jing] H;[Wang, Dongxin] E;Hunan Univ Chinese Med, Sch Clin Med, Changsha, Peoples R China.;Econd Peoples Hosp Hunan Prov, Brain Hosp Hunan Prov, Changsha, Peoples R China.
摘要：
This study aims to know the seeking help behavior of individuals with SZ (Schizophrenia) in Hunan province of China. Individuals (age > 15) with schizophrenia were recruited in the study after a two-stage diagnosis procedure (including questionnaire screening and face-to-face SCID interview by psychiatrists) in Hunan province. A self-designed questionnaire was used to investigate their help-seeking behavior. (1) Of the 367 participants, 68.9% (253/367) sought help; of those, 64.6% (n = 163) pursued professional psychiatric services and 30.8% (n = 78) pursued non-medical options (i.e., relatives, praying to Buddha) as the most common first choices. (2) Family history of mental disorders is significantly related to whether or not the individual with SZ seeks help, and the first choice of help is significantly related to education level. (P < 0.05). (3) Frequent reasons behind not seeking help include fear of stigmatization (72.9%), poor mental health literacy (64.5%), concerns over cost (50.6%), and limited access to medical services (47.0%). About one-third of the individuals do not seek help. Individuals with SZ tend to choose psychiatric hospitals and relatives as their first choice. Among the factors we investigated, family history of mental disorders is the most influential factor associated with help-seeking behavior. Individuals with more education tend to seek professional help first. The primary reasons for not seeking help include fear of stigmatization, lack of awareness about mental illness, concerns over cost, etc.
作者机构：
[Chen, Yongyi; Wang, Ying; Cheng, Qinqin] Cent South Univ, Xiangya Sch Med, Affiliated Canc Hosp, Hunan Canc Hosp, Changsha, Peoples R China.;[Duan, Yinglong] Cent South Univ, Xiangya Hosp 3, Changsha, Peoples R China.;[Zhang, Qinghui] Hunan Univ Chinese Med, Changsha, Peoples R China.
通讯机构：
[Yongyi Chen] H;Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, People’s Republic of China
摘要：
Collaboration between physicians and nurses is critical. However, a limited number of studies have provided insights into the status of physician–nurse collaboration in truth disclosure. A cross-sectional survey was conducted using an electronic questionnaire among Chinese nurses who attended a provincial conference. The Nurse–Physician Collaboration Scale was administered to nurses to assess the collaboration in truth disclosure from their perspective. A multiple-choice question was asked to assess the perceived difficulties in truth disclosure. Descriptive statistics, univariate, and multiple stepwise regression analyses were performed to evaluate physician–nurse collaboration in truth disclosure. A total of 287 nurses completed the survey, and 279 of them reported that they had carried out truth disclosures among patients. The average score for physician–nurse collaboration in truth disclosure was 3.98 ± 0.72. The majority of nurses (73.1–81%) responded positively to different dimensions of collaboration in truth disclosure. The results of multiple stepwise regression analysis showed that seniority (B = − 0.111, 95% confidence interval [CI] = − 0.167−− 0.055, p < 0.001) and frequency of truth disclosure (B = 0.162, 95%CI = 0.076–0.249, p < 0.001) were the only two factors associated with collaboration in truth disclosure between physicians and nurses. The most common barrier perceived by nurses was fear of patients’ negative emotions or their suicide attempts after truth telling. Most nurses responded positively to physician–nurse collaboration in truth disclosure. Various difficulties existed in the practice of truth-telling collaboration. Further studies are required to test the potential interventions to promote cooperation between nurses and physicians in truth disclosure.
摘要：
This paper describes the initial exploration of training program for palliative care specialist nurses in mainland China. The training program included one month of theoretical learning and one month of clinical practice. The theoretical training contents were mainly set up around four modules such as clinical practice, teaching, scientific research and management. After the theoretical training, the trainees needed to practice in specific clinical practice hospitals. In total, 192 trainees from 27 provinces (municipalities) in mainland China participated in the training program. All trainees passed theoretical and clinical practice examinations. Their knowledge, attitude and behavior concerning palliative care were significantly improved after training (p < 0.001). The overall satisfaction rate of the trainees towards the theoretical courses was 95.6%, and the overall satisfaction rate of the trainees towards the clinical teaching base was 94.2%. The training program for palliative care specialist nurses can ensure the trainees to acquire basic professional knowledge and skills and improve their knowledge, attitudes and behaviors concerning palliative care. However, it is needed to explore training programs that are in part-time model, delivered online or suitable for different levels of nursing staff to improve the accessibility.
摘要：
This study examined the relationship between self-esteem and interpersonal difficulties of college students and the role of self-concept in that relationship. A secondary goal of the study was to examine the self-control effect on this relationship, via self-concept. College students (n = 650, female = 84.9%; mean age = 19.37 years, SD = 1.4 years) completed the Rosenberg Self-Esteem Scale (RSES: Rosenberg, 1965), the Interpersonal Relationship Comprehensive Diagnostic Scale (IRCDS: Zheng, 1999), the Self-Control Scale-Revised (SCSR: Tan & Guo, 2008), and the Tennessee Self-Concept Scale (TSCS: Fitts, 1965). Path analysis results indicated that a higher self-concept augments the relationship between self-esteem and interpersonal difficulties, reducing the levels of interpersonal difficulties. Additionally, a high sense of self-control strengthened the relationship between self-esteem and self-concept, further reducing the risk for interpersonal difficulties. A sense of self appears to be a latent variable that explains college students' interpersonal relationship outcomes.
摘要：
Insomnia is a common but frequently overlooked sleep disorder after stroke, and there are limited effective therapies for insomnia following stroke. Traditional Chinese medicine (TCM), including acupuncture and the Chinese herbal medication (CHM) Suanzaoren decoction (SZRD), has been reported as an alternative option for insomnia relief after stroke in China for thousands of years. Here, this study aims to investigate the efficacy and safety of electroacupuncture (EA) in combination with SZRD in the treatment of insomnia following stroke. A total of 240 patients with post-stroke insomnia will be included and randomized into four groups: the EA group, SZRD group, EA & SZRD group, and sham group. The same acupoints (GV20, GV24, HT7, and SP6) will be used in the EA group, EA & SZRD group, and sham group, and these patients will receive the EA treatment or sham manipulation every other day for 4 consecutive weeks. SZRD treatments will be given to participants in the SZRD group and EA & SZRD group twice a day for 4 consecutive weeks. The primary outcome measures include Pittsburgh Sleep Quality Index scores and polysomnography. Secondary outcome measures include the Insomnia Severity Index, the National Institutes of Health Stroke Scale, the Hospital Anxiety and Depression Scale, brain magnetic resonance imaging, functional magnetic resonance imaging, and nocturnal melatonin concentrations. The primary and secondary outcomes will be assessed at baseline (before treatment), during the 2nd and 4th weeks of the intervention, and at the 8th and 12th weeks of follow-up. Safety assessments will be evaluated at baseline and during the 4th week of the intervention. This study will contribute to assessing whether the combination of these two therapies is more beneficial for post-stroke insomnia than their independent use, and the results of this clinical trial will improve our understanding of the possible mechanisms underlying the effects of combination therapies. Chinese Clinical Trials Register ChiCTR2000031413 . Registered on March 30, 2020
