摘要：
AIMS: This work aims to analyse the current state of the professional identity of Chinese nurses; examine the relationship amongst regulatory focus, organizational silence and professional identity and determine how regulatory focus affects the relationship between professional identity and organizational silence. DESIGN: This study conducted a cross-sectional survey. METHODS: From June to August 2023, 420 nurses from six hospitals in Hunan Province, China, were selected through convenience sampling and surveyed by using a general information questionnaire, the regulatory focus scale, the organizational silence scale and the professional identity scale. The relationship amongst the regulatory focus, organizational silence and professional identity of nurses was examined by utilizing SPSS 25.0 and the mediating role of regulatory focus between organizational silence and nurses' professional identity was examined by applying AMOS 24.0. RESULTS: Nurses had a moderate level of professional identity. Professional identity was positively correlated with regulatory focus and negatively correlated with organizational silence. Regulatory focus was negatively correlated with organizational silence. Mediation effect studies revealed that organizational silence and professional identity were partially mediated by regulatory focus. CONCLUSION: In accordance with research showing that nurses' organizational silence can indirectly affect professional identity via regulatory focus, clinical nursing managers should concentrate on the interaction amongst these three variables to strengthen professional identity. IMPACT: The results of this study serve as a reminder to nurses to select a preventive or promotive focus based on their career objectives and to effectively express their views to enhance their professional identity. This also reminds nursing managers assess nurse-led regulatory focus, identify their underlying qualities and understand their professional aspirations and career orientation, create a good atmosphere for advice and encourage nurses to express their views, so as to improve nurses 'professional identity. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
摘要：
Early adolescent smartphone dependence has emerged as a significant social and public health issue. Previous research showed that multiple ecological risks including family, school, and peer risk factors played important roles in early adolescent smartphone dependence. However, these studies have examined risk factors individually rather than examining the cumulative risk effect. Based on the Ecological Systems Theory and Risk-Protective Factor Theory, the present study focused on the longitudinal association between cumulative ecological risk and early adolescent smartphone dependence. We tested two mediating mechanisms of this association, namely social anxiety and self-compassion, and examined possible gender differences in these mediation processes. The study adopted a three-wave longitudinal design spanning one year, with a six-month interval between each wave. 357 secondary school students (Mage = 12.58 years, SD = 0.61, 52.1% girls) from two middle schools in China participated in this study. As expected, cumulative ecological risk positively predicted smartphone dependence one year later, and social anxiety and self-compassion were parallel mediators of this longitudinal association. Meanwhile, there were gender differences in the mediation model. The results provide a theoretical and empirical basis for the development of prevention and intervention strategies and public health policies to reduce the likelihood of early adolescents' smartphone dependence.
期刊：
FRONTIERS IN PSYCHIATRY,2024年15:1304916 ISSN：1664-0640
通讯作者：
Li, JS;Chen, M
作者机构：
[Lyu, Kaifeng; Chen, Min] Macau Univ Sci & Technol, Fac Chinese Med, Macau, Peoples R China.;[Li, Wu; Feng, Xiang; Li, Jiangshan; Zhang, Yuxing] Hunan Univ Tradit Chinese Med, Coll Acupuncture Moxibust Massage & Rehabil, Changsha, Peoples R China.;[Chen, Min] Macau Univ Sci & Technol, State Key Lab Qual Res Chinese Med, Macau, Peoples R China.;[Zhang, Wei] Heilongjiang Univ Tradit Chinese Med, Affiliated Hosp 1, Pediat 1, Harbin, Peoples R China.;[Hu, Meichao] Chifeng Obstet & Gynecol Hosp, Chifeng Obstet & Gynecol Hospitalal, Chifeng, Peoples R China.
通讯机构：
[Li, JS ] H;[Chen, M ] M;Hunan Univ Tradit Chinese Med, Coll Acupuncture Moxibust Massage & Rehabil, Changsha, Peoples R China.;Macau Univ Sci & Technol, Fac Chinese Med, Macau, Peoples R China.;Macau Univ Sci & Technol, State Key Lab Qual Res Chinese Med, Macau, Peoples R China.
摘要：
BACKGROUND: This study employs bibliometric methods to comprehensively understand the fundamental structure of research about Autism Spectrum Disorder (ASD) Signaling Pathways by examining key indicators such as nations, institutions, journals, authors, and keywords. METHODOLOGY: We utilized the WoScc database to retrieve literature relevant to ASD Signaling Pathways published between 2013 and 2023. Through visual analysis and tools like CiteSpace and VosViewer, we explored nations, institutions, journals, authors, and keywords, thereby constructing relevant networks. RESULTS: 26 The study encompasses 1,396 articles, revealing a consistent increase in publications. The United States, China, and Germany are leading nations in this literature. Regarding research institutions, the University of California system and Eric Klann have garnered significant attention due to their substantial contributions to the field of ASD Signaling Pathways. Most relevant research is published in the journal "Molecular Autism." Research interests are concentrated across various themes, including "elevating neuronal β-catenin levels," "Tunisian children," "Fmr1 knockout (KO) mice," "de novo mutations," "autistic children," "local translation," "propionic acid-induced mouse models," "neurosystems," "glucose metabolism," and "neuronal migration." Future research may emphasize exploring aspects such as gut microbiota, genes, stress, maternal immune activation, memory, and neurodevelopmental disorders of ASD. CONCLUSION: This study, through bibliometric analysis of key indicators such as nations, institutions, journals, authors, and keywords, provides a comprehensive overview of the current state of research on ASD Signaling Pathways. These investigations predominantly focus on molecular mechanisms, animal model studies, population-based research, and the structure and function of neurosystems. Future research directions are also clearly proposed. First, in-depth research on the genes and neurodevelopmental disorders associated with ASD will continue to reveal the genetic basis and provide support for precise treatments. At the same time, attention to the gut microbiota will help explore its association with ASD, which may provide clues for new treatments. In addition, the relationship between stress and ASD will become the focus of research to understand better the emotional and behavioral characteristics of ASD patients in stressful situations. Maternal immune activation will also be further studied to explore how environmental factors influence the risk and development of ASD. Finally, a deeper understanding of the cognitive functions of patients with ASD, especially memory and learning, will help develop individualized treatment strategies to improve patients' quality of life. These directions will work together and are expected to provide a more comprehensive understanding of Signaling Pathways research in ASD and provide new ideas and opportunities for future intervention and treatment.
关键词：
Geriatric nursing;Postgraduate;Respite care;Volunteer service;Qualitative research
摘要：
As China’s population ages, the demand for care for the disabled elderly is increasing, and family caregivers find it challenging to meet the comprehensive care needs of the disabled elderly. Through home respite services, families of the disabled elderly can receive help and support from specialized nursing professionals to ease the burden on family caregivers and provide high-quality services. This study explores the willingness and influencing factors of Master of Geriatric Nursing Specialist postgraduates in China to volunteer to provide home respite services for disabled elderly individuals. A qualitative study based on Grounded Theory used Strauss and Corbin’s programmatic version. A purposive sampling method was employed to conduct semi-structured interviews with 12 Master of Geriatric Nursing Specialist postgraduates from a tertiary hospital in Changsha, Hunan Province, China. The willingness of Master of Geriatric Nursing Specialist postgraduates to volunteer to provide home respite services for the disabled elderly was established as a core category, which was influenced by three main categories: personal factors, service object factors, and social factors, and nine categories formed from 39 initial concepts were included under the main category. Influenced by China’s traditional cultural background, Master of Geriatric Nursing Specialist postgraduates in China have shown high motivation in volunteering to provide home respite services for the families of the disabled elderly but have been challenged by several challenges from China’s healthcare environment and education system. Relevant departments need to adopt a series of policies and measures to increase volunteers’ willingness to participate in respite care and promote its development.
期刊：
Journal of Clinical Nursing,2023年32(11-12):2399-2409 ISSN：0962-1067
通讯作者：
Chengwei Fu PhD<&wdkj&>Juan Yuan MD
作者机构：
[Chen, Wenzhen; Yuan, Juan] Anhui Univ Chinese Med, Sch Nursing, 103 Meishan Rd, Hefei 230012, Anhui, Peoples R China.;[Fu, Chengwei] Guangzhou Univ Chinese Med, Clin Med Sch 2, 12 Airport Rd, Guangzhou 510080, Guangdong, Peoples R China.;[Wu, Boyu] Hunan Univ Chinese Med, Changsha, Peoples R China.;[Zhou, Hong] Wuhan 1 Hosp, Wuhan, Peoples R China.;[Chen, Erfei] Univ Sci & Technol China, Sch Software Engn, Hefei, Peoples R China.
通讯机构：
[Chengwei Fu PhD; Juan Yuan MD] T;The Second Clinical Medical School, Guangzhou University of Chinese Medicine Guangzhou, China<&wdkj&>The School of Nursing, Anhui University of Chinese Medicine, Hefei, China
摘要：
This study set out to explore the mediating role of achievement motivation and the moderating role of self-esteem in the association between self-consciousness and grit of adolescents. Participants were adolescent students from a Chinese rural middle school (n = 422; female = 58.8%; mean age = 14.13 years; SD = 1.61 years). They completed the Self-Consciousness Scale (SCS), the Grit Scale, the Achievement Motivation Scale (AMS), and the Rosenberg Self-Esteem Scale (RSES). The results showed that self-consciousness, achievement motivation, and self-esteem were significantly and positively related to grit. Further, self-consciousness was significantly associated with grit. Moderation-mediation modelling analysis results showed that achievement motivation significantly and indirectly mediated the relationship between self-consciousness and grit. The indirect effect of achievement motivation was significantly moderated by self-esteem, suggesting that with an increased level of self-esteem, self-consciousness effects on achievement motivation weakened. Both achievement motivation and self-esteem appeared to be mechanisms for increasing resilience in rural adolescent students.
期刊：
Frontiers in Psychology,2023年14:1150998 ISSN：1664-1078
通讯作者：
Zhu, SL
作者机构：
[Tang, Tao-Ran; Li, Hong] Hunan Univ Chinese Med, Sch Nursing, Changsha, Hunan, Peoples R China.;[Yang, Song-Chun; Wang, Mi; Ke, Xin-Chen; Zhang, Han-Yi; Su, Juan; Lin, Wen-Rui] Cent South Univ, Xiangya Hosp, Dept Dermatol, Changsha, Hunan, Peoples R China.;[Zhang, Cheng-Cheng] Cent South Univ, Sch Publ Hlth, Dept Social Med & Hlth Management, Changsha, Hunan, Peoples R China.;[Zhu, Shi-Lin] Hunan Univ Chinese Med, Affiliated Hosp 2, Changsha, Hunan, Peoples R China.
通讯机构：
[Zhu, SL ] H;Hunan Univ Chinese Med, Affiliated Hosp 2, Changsha, Hunan, Peoples R China.
关键词：
anxiety;depression;mental health service;skin disease;survey;web-based
摘要：
OBJECTIVE: The study aimed to analyze the current status and reasons for the neglect of the psychological need of patients with common skin diseases. METHODS: This cross-sectional study was conducted in China using an online self-assessment questionnaire distributed via social media. Demographic, clinical and psychological data were collected, and the main outcomes, i.e., depression (evaluated using the 9-item Patient Health Questionnaire, PHQ-9) and anxiety (evaluated using Generalized Anxiety Disorder-7, GAD-7). Multivariate regression analysis was used for the prediction of variates of mental health service seeking behaviors. RESULTS: A total of 1,010 patients participated in the survey, and 273 (27.0%) patients met the "with need" criteria, i.e., having the need for mental health intervention but not being treated. In the multivariate regression model, income (OR = 0.80, 95%CI: 0.65-0.99), duration of disease (OR = 0.68, 95%CI: 0.49-0.95) and suicide ideation (OR = 2.10, 95%CI: 1.14-3.87) were significant factors. For patients who did not receive mental health care, the lack of knowledge about the availability of mental health services, lack of knowledge of where to seek help, concerns about the side effects of treatment, failure to seek treatment for severe skin diseases, and absence of current psychological distress were associated with their need for psychological intervention. CONCLUSION: This study examined the current status of the need for psychological intervention and the reasons why the need was unmet in patients with skin diseases. Due to the confusion and a lack of knowledge about their mental health issues, mental health services are often underutilized.
期刊：
Journal of Clinical Nursing,2023年32(13-14):3504-3515 ISSN：0962-1067
通讯作者：
Zhang, YH
作者机构：
[Yu, Qian; Feng, Xiaolin; Zhang, Yinhua; Pu, Haixu; Yan, Lichun] Hunan Univ Chinese Med, Sch Nursing, 300,Xueshi Rd, Changsha 410208, Peoples R China.;[Zhang, Xiaoqin] Hunan Univ Chinese Med, Sch Marxism, Changsha, Peoples R China.;[Luo, Liangchu] Hunan Univ Chinese Med, Sch Clin Med, Changsha, Peoples R China.
通讯机构：
[Zhang, YH ] H;Hunan Univ Chinese Med, Sch Nursing, 300,Xueshi Rd, Changsha 410208, Peoples R China.
关键词：
aged care facilities;associated risk factors;physical restraints;prevalence
摘要：
Aims and Objectives To investigate the use of physical restraints in aged care facilities(ACFs)and analyse its associated risk factors. Background Physical restraints have been widely used in ACFs worldwide, but they can cause physical and mental harm to older people. It is important to regulate the use of physical restraint. Design A cross-sectional observational and correlational multicentre study. Methods By convenience sampling method, we selected eight ACFs in four representative regions of Hunan province, China, for this study. The ACF-related information was obtained by interviewing the managers and reviewing records. We conducted investigation and observation on the elderly in the ACFs to understand the use of physical restraints at three different times: 9:30-11:30, 16:00-18:00 and 19:30-21:30 on a working day. The STROBE checklist was followed for this cross-sectional study. Results This study found that the utilisation rate of physical restraints was 23.2%. The critical risk factors affecting the use of physical restrains include the following: (1) the ratio of nursing staff to the elderly residents; (2)whether there is a dementia care unit at the facility; (3) the number of elderly residents in each room; (4) the elderly residents' age, degree of education, marital status, care dependence and cognitive impairment; (5) whether the elderly has suffered from a stroke or senile dementia; (6) whether the elderly carries medical catheters. Conclusion There is a lack of standardisation in the use of physical restraints in ACFs of central China. Chinese ACFs should develop guidelines and reduction measures to standardise the use of physical restraints, basing on the key factors affecting the use of physical restraints. Relevance to clinical practice The use of physical restraints in ACFs is threatening the safety of the elderly residents. Understanding the implementation of physical restraint in ACFs can provide reference for reducing the use of physical restraint.
期刊：
Frontiers in Psychiatry,2023年13:3084 ISSN：1664-0640
通讯作者：
Shen, Hongxian
作者机构：
[Li, Yifan; Liao, Zhenjiang; Chen, Xinxin; Lin, Shuhong; Shen, Hongxian; Tang, Ying] Second Xiangya Hosp Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Changsha, Hunan, Peoples R China.;[Li, Yifan; Liao, Zhenjiang; Chen, Xinxin; Lin, Shuhong; Shen, Hongxian; Tang, Ying] Inst Mental Hlth Cent South Univ, Chinese Natl Technol Inst Mental Disorders, Hunan Med Ctr Mental Hlth, Hunan Key Lab Psychiat & Mental Hlth, Changsha, Hunan, Peoples R China.;[Huang, Shucai] Fourth Peoples Hosp Wuhu, Dept Psychiat, Wuhu, Anhui, Peoples R China.;[Huang, Qiuping] Hunan Univ Chinese Med, Sch Humanities & Management, Changsha, Hunan, Peoples R China.
通讯机构：
[Shen, Hongxian] S;[Shen, Hongxian] I;Second Xiangya Hosp Cent South Univ, Natl Clin Res Ctr Mental Disorders, Dept Psychiat, Changsha, Hunan, Peoples R China.;Inst Mental Hlth Cent South Univ, Chinese Natl Technol Inst Mental Disorders, Hunan Med Ctr Mental Hlth, Hunan Key Lab Psychiat & Mental Hlth, Changsha, Hunan, Peoples R China.
关键词：
Internet gaming disorder;Gaming motivation;personality traits;Game genre;gaming pattern
摘要：
IntroductionAlthough previous studies have reported several characteristics associated with Internet gaming disorder (IGD), the influence of game genre on IGD has rarely been investigated. This study thus aimed to compare demographic characteristics, gaming patterns, personality traits, and gaming motivations among players in different game genres, as well as identify the associated characteristics of genre-specific IGD. MethodsInternet games were classified into four types: role-playing games (RPGs), strategy (STR) games, action shooter (ACS) games, and brain and skill (BRS) games. Chinese gamers (n = 5,593) who usually played one of these games completed an anonymous online survey that included sociodemographic characteristics, gaming patterns, gaming motivations, the Chinese version of the Video Gaming Dependency Scale (VGD-S), and the Chinese Big Five Personality Inventory Brief Version (CBF-PI-B). ResultsSignificant differences were found between the genre-specific groups regarding age, gender, relationship status, VGD-S score, gaming patterns, and personality traits (e.g., RPG and STR players were more vulnerable to developing IGD compared to ACS and BRS players). Multivariate logistic regression analyses showed that the associated characteristics of IGD were slightly different within each genre-specific group after controlling for sociodemographic factors. Among them, daily gaming time and motivation for sensation seeking and escaping reality were associated with IGD development within the genre-specific group. ConclusionIndividuals in each game genre exhibited distinct characteristics that might predict IGD development (e.g., gaming patterns and personality traits). Game genre preferences should be considered in the early prevention and treatment of IGD to help high-risk individuals' recovery. Additionally, more research should be conducted to explore RPG and STR game characteristics.
作者机构：
[Yu, Quanhao; Fan, Jie; Wang, Xiang; Cao, Yanyuan; Liu, Qian; Zhu, Xiongzhao] Cent South Univ, Xiangya Hosp 2, Med Psychol Ctr, Renmin Middle Rd 139, Changsha 410011, Hunan, Peoples R China.;[Yu, Quanhao; Fan, Jie; Wang, Xiang; Cao, Yanyuan; Liu, Qian; Zhu, Xiongzhao] Cent South Univ, Med Psychol Inst, Changsha, Hunan, Peoples R China.;[Yu, Quanhao; Fan, Jie; Wang, Xiang; Cao, Yanyuan; Liu, Qian; Zhu, Xiongzhao] Natl Clin Res Ctr Mental Disorders, Changsha, Hunan, Peoples R China.;[Yao, Rui] Hunan Univ Chinese Med, Ctr Psychol Dev & Serv, Changsha 410208, Hunan, Peoples R China.
通讯机构：
[Xiongzhao Zhu] M;Medical Psychological Center, the Second Xiangya Hospital, Central South University, Changsha, China<&wdkj&>Medical Psychological Institute of Central South University, Changsha, China<&wdkj&>National Clinical Research Center for Mental Disorders, Changsha, China
关键词：
Experiential avoidance;Depression;Internet addiction;Cross-lagged mediation model
摘要：
Previous research has identified the contemporaneous association between experiential avoidance, depression, and Internet addiction. However, the mechanisms underlying this association are not well acknowledged. The present study aimed to use cross-lagged panel modeling to examine whether depression mediates the relation between experiential avoidance and Internet addiction and whether gender plays a role in the relation. A total of 2731 participants (934 male, Mean(age)=18.03) were recruited from a university at the baseline study (December 2019). Data was collected at all 3 time points across one year (2019?2020), using 6-month intervals. Experiential avoidance, depression and Internet addiction were assessed using the Acceptance and Action Questionnaire-II (AAQ-II), the Beck Depression Inventory-II (BDI-II) questionnaire, and Young?s Internet Addiction Test (IAT), respectively. Cross-lagged panel models were used to evaluate the longitudinal association and the mediating effect. Multigroup analyses were conducted to examine gender differences in the models.Cross-lagged models indicated that experiential avoidance significantly predicted subsequent depression, and depression significantly predicted subsequent Internet addiction. Furthermore, mediation analyses showed that depression has a mediating effect in the relation between experiential avoidance and Internet addiction (? = 0.010, 95%CI[0.003, 0.018], p>0.001). Multigroup analyses demonstrated that the pattern of structural relations stayed consistent across gender. The findings indicated that experiential avoidance is indirectly related to Internet addiction through depression, suggesting that treatments targeted at reducing experiential avoidance could help relieve depression and thus decrease the risk of Internet addiction.
通讯机构：
[Chen, OY ] H;Hunan Univ Chinese Med, Fac Nursing, Xuxue Rd, Changsha, Hunan, Peoples R China.
关键词：
Medical animals;Traditional Chinese medicine;Bibliometric analysis
摘要：
Background: There are many kinds of medicinal animal resources, which are an important part of traditional Chinese medicine resources (TCM). However, the use of medicinal animals in TCM, especially wild animals, has become a sensitive problem at home and abroad. Systematic analysis on the research status and direction of medical animals in the last 10 years which for promoting the sustainable development of Chinese medicine.Methods: PubMed, Web of Science, Embase, CINAHL, CNKI, VIP database and WanFang Database were selected, and SPSS 25.0 software was used to analyze annual publications, journals, global distribution, authors, coauthors and co-authors rate, author institutions and high-frequency keywords.Results: Chinese Journal of modern Chinese medicine occupies the majority articles with a high co-authorship rate, but low impact factors. The development of medical animals around the world is not balanced. The top three countries are China, United Kingdom and United States. However, these countries have less exchanges and cooperation with each other. The Institute of TCM of Chinese Academy owns the most research achievements. At present, the hot spots involve the identification and quality of medical animals, applied basic research. Conclusion: The identification, quality and applied basic research of medical animals are still worthy of increasing research investment. In addition, it is necessary to strengthen exchanges and international cooperation among different countries in TCM, and promote the high-quality development in medical animals.
期刊：
Psychology Research and Behavior Management,2023年16:1391-1402 ISSN：1179-1578
通讯作者：
Zhang, B
作者机构：
[Zhang, Bin; Mao, Jian] Hunan Univ Chinese Med, Dept Psychol, Changsha, Peoples R China.;[Mao, Jian] Jiangxi Univ Chinese Med, Sch Humanities, Nanchang, Peoples R China.
通讯机构：
[Zhang, B ] H;Hunan Univ Chinese Med, Dept Psychol, Changsha, Peoples R China.
关键词：
fear of missing out;online-specific state-FoMO;general trait-FoMO;suppression effects;moderation effects;active social media use;passive social media use
摘要：
Purpose: Given the prevalence of the fear of missing out (FoMO) phenomenon and the limitations regarding understanding the relationship between social media use and FoMO, this research examines the links that bind different types of social media usage to different aspects of FoMO.Methods: In the scope of this research, a structural equation modeling was developed to investigate the intricate connections that exist between active social media use (ASMU), passive social media use (PSMU), online-specific state-FoMO, and general trait-FoMO. Data were obtained from 394 Chinese university students (65% female) with experience in social media who completed the Active Social Media Use Scale, Passive Social Media Use Scale, and the Chinese Trait-State Fear of Missing Out Scale.Results: Bivariate correlations analysis revealed that ASMU was significantly related with state-FoMO but not significantly related with trait-FoMO. Structural equation modeling revealed that ASMU had a significant direct negative predictive effect on trait-FoMO while positive association with trait-FoMO through the indirect effect of State-FoMO, illustrating that ASMU had a suppressing effect on trait-FoMO via state-FoMO. PSMU significantly moderated the direct effect of ASMU on trait-FoMO, and the direct effect was only significant at low levels of PSMU.Conclusion: This study revealed whether and how social media use is linked to FoMO. Social media may not always increase FoMO, because positive, active social media interactions are conducive to the alleviation of trait-FoMO. However, it is significant to note that active interactions may also predict higher state-FoMO, so moderate social media use needs to be encouraged. In addition, a reduction in passive, non-communicative information browsing would be conducive to the alleviation of trait-FoMO by ASMU.
摘要：
IntroductionWithout parental support, left-behind adolescents are more likely than their peers to experience negative emotions and demonstrate aggressive behavior in the same frustrating situation. However, research on this subject has been sparse. To fill this gap and identify potential targets for intervention, this study sought to examine the relationships among factors influencing left-behind adolescents' aggressive behavior. MethodsA total of 751 left-behind adolescents were enrolled in a cross-sectional survey, with data collected using the Adolescent Self-Rating Life Events Checklist, Resilience Scale for Chinese Adolescents, Rosenberg Self-Esteem Scale, Coping Style Questionnaire, and Buss-Warren Aggression Questionnaire. The structural equation model was used for data analysis. ResultsThe results showed that left-behind adolescents reported higher levels of aggression. Further, the factors found to have a direct or indirect effect on aggressive behavior included life events, resilience, self-esteem, positive coping, negative coping, and household income. The results of confirmatory factor analysis indicated goodness of fit. In the face of negative life events, left-behind adolescents with high resilience, self-esteem, and positive coping were less likely to exhibit aggressive behavior (P < 0.05). DiscussionLeft-behind adolescents can reduce their aggressive behavior by assuaging the adverse effects of life events via increased resilience and self-esteem as well as the adoption of positive coping strategies.
摘要：
Purpose: Music and animation are the most common and affordable distraction strategies to reduce preoperative anxiety in children; however, their effects are inconsistent. This study aimed to examine the effectiveness of two distraction strategies (music or animation) in reducing preoperative anxiety in children.Design and methods: In this randomized controlled trial, 183 children who underwent surgery were divided into music, animation, and control groups using a single-blind block randomized design. Children in the control group underwent routine preoperative visits. Meanwhile, the children in the intervention groups could choose their fa-vorite music and cartoons as intervention content. Study outcomes included anxiety levels, degree of coopera-tion, heart rate, and blood pressure. Data were collected before entering the operating room, entering the operating room, and before the induction of anesthesia; only the degree of cooperation was collected before the induction of anesthesia.Results: Only animation significantly reduced preoperative anxiety in the children (P < 0.05) upon entering the operating room. Both music and animation reduced the level of preoperative anxiety before induction of an-esthesia; however, there was no significant difference between them (P > 0.05). The induction compliance score was significantly lower in the music and animation groups than in the control group (P < 0.05). Heart rates differed significantly between the three groups from before entering the operating room to before induction of anesthesia. Children in the control group had the highest systolic blood pressure upon entering the operating room (P < 0.05).Conclusions: Music and animation strategies can significantly reduce preoperative anxiety in children and improve surgical cooperation during anesthesia induction.Trial Registration: Clinical.Trials.gov NCT05285995.(c) 2022 Elsevier Inc. All rights reserved.
期刊：
Social Behavior and Personality,2023年51(7) ISSN：0301-2212
通讯作者：
Li, Fang;Li, CQ
作者机构：
[Li, Chang-Qi; Li, Fang; Chen, Zhao-Rong] Cent South Univ, Dept Anat & Neurobiol, Changsha, Peoples R China.;[Chen, Hai-Zhi; Chen, Jun; Chen, Zhao-Rong; Zhang, Guo-Ming] Hunan Univ Chinese Med, Grad Sch, Changsha, Peoples R China.;[Li, CQ; Li, F] Cent South Univ, Dept Anat & Neurobiol, Sch Basic Med Sci, 172 Tongzipo Rd, Changsha 410013, Hunan, Peoples R China.
通讯机构：
[Li, CQ ; Li, F] C;Cent South Univ, Dept Anat & Neurobiol, Sch Basic Med Sci, 172 Tongzipo Rd, Changsha 410013, Hunan, Peoples R China.
关键词：
postgraduate students;mental health;academic performance;traditional Chinese medicine
摘要：
Traditional Chinese medicine (TCM) is one of the two mainstream medical practices in China's healthcare system. Postgraduate students largely determine the development and advancement of TCM; therefore, their mental health and academic achievement are vital to their performance as practitioners. We conducted a longitudinal study to provide information on the changes in mental health before and after TCM training and the relationship between mental health and academic performance among postgraduate students. All participants were enrolled in full-time programs at a TCM university in China, and they completed our questionnaire in the first month of registering as postgraduate students and at the end of training 3 years later. The results showed that the rate of positive symptoms for mental distress among TCM postgraduates was higher (12.2%) at the beginning of the first postgraduate year than at the end of training (10.4%). Previous mental health status and comprehensive academic performance were predictors of mental health status at the second measurement. Implications of the findings are discussed.
通讯机构：
[Luo, YH ] H;Hunan Univ Chinese Med, Dept Appl Psychol, Changsha, Hunan, Peoples R China.
关键词：
mobile phone addiction;life events;boredom proneness
摘要：
PURPOSE: Mobile phone addiction has motivated a widespread concern in recent years. From a developmental perspective, this study explored the predictive relations between life events, boredom proneness (BP), and mobile phone addiction tendency (MPAT) among undergraduate students. It also tested the longitudinal mediation of BP between life events and MPAT. METHODS: Five hundred and eighty-four undergraduate students completed the Mobile Phone Addiction Tendency Scale, the Adolescent Self-Rating Life Events Checklist, and the Boredom Proneness Scale-Short Form. A longitudinal mediation analysis based on latent growth modeling was conducted to test the hypothesized relationships among life events, BP and MPAT. RESULTS: Latent growth modeling (LGM) showed that the BP and MPAT of undergraduate students both increased linearly. A longitudinal model based on LGM showed that negative life events both directly and indirectly affected the initial level and the growth rate of the MPAT through the mediating effect of the initial level of BP. CONCLUSION: These results reveal that negative life events are an indicator of the development of MPAT. It has practical implications for calling for adopting health coping styles when facing negative life events. Supported for reducing college students' boredom proneness in order to lessen the tendency towards mobile phone addiction to improve their mental health.
摘要：
BACKGROUND: An association exists between major depression disorder (MDD), suicide attempts, and glucose metabolism, but suicide attempts in young MDD patients with comorbid impaired fasting glucose (IFG) have been less well studied. The purpose of this study was to examine the prevalence and risk factors for suicide attempts in young, first-episode, drug-naive (FEDN) MDD patients with comorbid IFG. METHODS: We recruited 917 young patients with FEDN MDD, 116 of whom were judged to have combined IFG because their blood glucose was >6.0. We collected anthropological and clinical data on all of them. The Hamilton Depression Scale (HAMD) score, the Hamilton Anxiety Scale (HAMA) score and the Positive and Negative Syndrome Scale (PANSS) positive subscale score were used to assess their clinical symptoms. Blood glucose, plasma thyroid function and lipid indicators were measured. RESULTS: The prevalence of suicide attempts in young MDD patients with IFG was 32.8% (38/116). Furthermore, among young MDD patients with comorbid IFG, suicide attempters had more severe depression and anxiety symptoms, more comorbid psychotic symptom, higher levels of antibody of thyroid stimulating hormone and thyroid peroxidases (TPOAb), and more severe lipid metabolism disorders than those without suicide attempts. In addition, HAMA scores and TPOAb were independently associated with suicide attempts in young patients with FEDN MDD. CONCLUSION: Our study suggests that young MDD patients with IFG have a high rate of suicide attempts. Some clinical symptoms and thyroid function parameters may be the risk factor for suicide attempts in young MDD patients with impaired glucose metabolism.
期刊：
Frontiers in Psychiatry,2023年14:472 ISSN：1664-0640
作者机构：
[Cui, Mengjiao; Zhang, Yuanxing; Jin, Qiansheng] Nanjing Univ Chinese Med, Dept Neurosurg, Nanjing Drum Tower Hosp, Clin Coll, Nanjing, Jiangsu, Peoples R China.;[Cui, Mengjiao; Yuan, Ping; Zhang, Yuanxing; Jin, Qiansheng; Chen, Lu; Ji, Cuiling] Nanjing Univ, Nanjing Drum Tower Hosp, Dept Neurosurg, Affiliated Hosp,Med Sch, Nanjing, Jiangsu, Peoples R China.;[Qiu, Xichenhui] Shenzhen Univ, Hlth Sci Ctr, Shenzhen, Peoples R China.;[Zhang, Juanjuan] Hunan Univ Chinese Med, Liuyang Hosp Tradit Chinese Med, Affiliated Hosp 2, Dept Dermatol,Integrated Tradit Chinese & Western, Changsha, Hunan, Peoples R China.
关键词：
elderly people;Stroke;exercise adherence;influencing factor;home continuity care;qualitative study
摘要：
IntroductionEvidence has shown that stroke exercise rehabilitation is the most effective way to improve disease prognosis, but home exercise adherence in elderly patients with stroke is low due to they are more likely to have movement disorders, cognitive disorders, mental disorders, etc. Currently, most studies on exercise adherence in elderly patients with stroke are quantitative, and there is a lack of qualitative studies from the perspective of patients, caregivers, and medical staff. Considering the importance of home exercise adherence in elderly patients with stroke, the present study aimed to explore the influencing factors of home exercise adherence in them and summarize the potential ways to improve it. MethodsFrom October to December 2022, 9 medical staff, 12 elderly patients with stroke and 7 caregivers from a level A tertiary hospital and community health service center in Nanjing, Jiangsu Province were selected by the purposive sampling and were interviewed in a face-to-face semi-structured way. The data were analyzed and summarized by the phenomenological analysis of Colaizzi's method. ResultsThe influencing factors of home exercise adherence in elderly patients with stroke can be summarized into 3 themes and 8 subthemes. These were individual factors (physical impairment, exercise self-efficacy, and depression), family factors (caregiving ability and emotional support); and stroke rehabilitation environment (exercise prescription, monitoring and feedback, and organizational policy). ConclusionHome exercise adherence in elderly patients with stroke was influenced by many factors. Medical staff should assess the patient's physical function and depression, establish a multi-support system, formulate personalized exercise prescription, pay attention to the monitoring and feedback of home-based exercise rehabilitation, and improve the home-based rehabilitation model for stroke, so as to improve the home exercise adherence in elderly patients with stroke and promote the best rehabilitation effect.
