Positive and Negative Relationship between Anxiety and Depression of Patients in Pain: A Bifactor Model Analysis

Background

The relationship between anxiety and depression in pain patients has not been clarified comprehensively. Previous research has identified a common factor in anxiety and depression, which may explain why depression and anxiety are strongly correlated. However, the specific clinical features of anxiety and depression seem to pull in opposite directions.

Objective

The purpose of this study is to develop a statistical model of depression and anxiety, based on data from pain patients using Hospital Anxiety and Depression Scale (HADS). This model should account for the positive correlation between depression and anxiety in terms of a general factor and also demonstrate a latent negative correlation between the specific factors underlying depression and anxiety.

Methods

The anxiety and depression symptoms of pain patients were evaluated using the HADS and the severity of their pain was assessed with the visual analogue scale (VAS). We developed a hierarchical model of the data using an IRT method called bifactor analysis. In addition, we tested this hierarchical model with model fit comparisons with unidimensional, bidimensional, and tridimensional models. The correlations among anxiety, depression, and pain severity were compared, based on both the bidimensional model and our hierarchical model.

Results

The bidimensional model analysis found that there was a large positive correlation between anxiety and depression (r = 0.638), and both scores were significantly positively correlated with pain severity. After extracting general factor of distress using bifactor analysis, the specific factors underlying anxiety and depression were weakly but significantly negatively correlated (r = −0.245) and only the general factor was significantly correlated with pain severity. Compared with the three first-order models, the bifactor hierarchical model had the best model fit.

Conclusion

Our results support the hypothesis that apart from distress, anxiety and depression are inversely correlated. This finding has not been convincingly demonstrated in previous research.     

福建东山岛海域霞水母的渔业生物学研究

1994年4～9月调查结果表明,东山湾海域霞水母的密度高峰期出现在6月25日～7月10日,生物量高峰期在7月10～8月5日;群体的伞径分布范围15～580mm,平均247．48mm,体重分布范围0．4～10250g,平均1274g;高次方程模拟的伞径生长方程式为Φt=15．1726+16．7204t+0．1926t2-0．0014t3—0．0004t4,指数高次方程模拟体重生长方程式为logeWt=-0．6885+1．3397t-0．0959t2+0．0034t3—0．00005t4;以生物经济学原理确定合理开捕为7月15日,合理开捕伞径为360mm．还讨论了表层水温和盐度与霞水母生物量和密度的关系及其资源开发等问题．     

补阳还五汤对中风大鼠脑组织中ROS生成的抑制作用

诱发脑中风的分子机理至今尚未清楚,临床研究表明经典验方补阳还五汤治疗脑中风作用显著,但其作用的分子机理也不清楚。运用低温电子顺磁共振(EPR)技术和自旋捕捉EPR技术实验研究了中风大鼠脑组织中ROS的生成情况;并首次直接测定了补阳还五汤对中风大鼠皮层及小脑的活性氧物质(ROS),包括一氧化氮生成的影响。同时还检测了补阳还五汤对体外化学模拟体系产生的超氧阴离子(O2-)和羟自由基(OH)的清除能力。结果表明,与对照组相比,中风大鼠皮层及小脑中的ROS生成明显增多(P<0.05),脑组织中的NO水平也明显升高(P<0.001);补阳还五汤可明显(P<0.05)抑制中风大鼠皮层及小脑中ROS的生成,显著降低NO水平(P<0.05,与中风不给药组比较);补阳还五汤对于体外化学模拟反应生成的02-和OH也有很强的清除能力。由此可认为ROS的生成是导致脑中风的重要分子机理之一,而抑制ROS的生成则可能是补阳还五汤抗脑中风作用的途径之一,同时也说明在中药现代化研究中EPR技术可作为一种有效的研究工具。     

S3307浸种盐胁迫下对黄瓜幼苗存活和生理的影响

用S3307粉剂不同浓度对“夏丰一号”黄瓜浸种,探讨培育抗盐性较强幼苗最适的处理浓度。结果表明：与非盐胁迫相比,在0．5％的NaCl胁迫下,用S3307粉剂不同浓度浸种的黄瓜幼苗存活率明显提高,幼苗相对含水量、可溶性糖含量、叶绿素含量及光合速率下降缓慢,电解质外渗率增加幅度小。其中,以20μg/L S3307浸种处理17h的抗盐效果最好。     

标化消减杂交:提高差异表达cDNA筛选效率的新策略

在回顾分析了消减杂交技术改进历程的基础上,我们提出了“标化消碱杂交策略”,此策略的核心是“用标化cDNA制备消碱杂交反应的单链驱动子和单链示踪子,分离回收消减杂交后的单链示踪子用于制备差异表达cDNA库,并从标化cDNA库制备探讨来对差异表达cDNA库进行检测”将主要用于筛选与细胞特殊表型密切相关的（或与不同发育阶段等密切相关的）呈“全或无”差异形式表达的低丰度全长cDNA。此策略有望能较以往的消减杂交策略在降低假阳性背景、提高低丰度差异表达cDNA获得率、得到较长甚至全长差异表达cDNA等方面有较好表现,但尚待检验。     

尼日利亚螫毛果(Cnestis ferruginca)中一种具有清除自由基的活性化合物的分离鉴定

用二苯基苦基苯肼自由基薄层实验法（DPPH-TLC-ASSAY）,从尼日利亚螫毛果（Cnestis ferruginca)植物的甲醇提取物中发现了一种具有很强的清除自由基活性的物质;用柱色谱及反相制备柱色谱（RP-LPPLC）,制备出了该活性物质的纯品;用质谱（HR ESI-MS）,核磁共振氢谱（^1H0,碳谱（^13C,DEPT)。紫外光谱及化学方法对该物质进行了结构鉴定,鉴定结果为对苯酚基-6-O-反式咖啡酸基-β-D-吡喃葡萄糖甙。     

β—连接素在膀胱移行细胞癌中表达的意义

目的 探讨β－连接素（β－ctenin）蛋白的表达及其与膀胱移行细胞癌组织学特征和侵袭的关系。方法 采用免疫组化SP法检测46例膀胱移行细胞癌组织中的β－ctenin的表达。结果 正常膀胱粘膜上皮细胞全部表达β－ctenin,膀胱移行细胞癌中β－ctenin的表达率分别是“＋＋＋”为52．1％（24／46）,“＋＋”为32．6％（15／46）,“＋”O 15．2％（7／46）。侵袭型的膀胱移行细胞癌中β－ctenin表达率是“＋＋＋”为11．1％（1／9）,显著低于乳头状型者（P＜0．01）。结论 β－ctenin的表达与膀胱移行细胞组织学特征及侵袭有相关性,可作为判断肿瘤恶笥肿瘤、侵袭、预后的价值指标。     

HSCCC-ELSD法分离纯化青葙子中的皂苷

连接有蒸发光散射检测器的高速逆流色谱仪首次成功的应用于制备和分离青葙子中的皂苷celosins A和B.二氯甲烷∶正丁醇∶甲醇∶水(4∶0.3∶3∶2)+0.5％冰醋酸作为洗脱溶剂系统.从半制备型HSCCC收集到的组分进行HPLC分析,可以得到:celosin A纯度为98.9％,celosin B的纯度为98.1％.这是高速逆流色谱仪首次被用于纯化青葙子中的皂苷,两个化合物的结构通过碳谱和质谱来确定.     

A novel GTP-binding protein hGBP3 interacts with NIK/HGK

A novel human guanylate-binding protein (GBP) hGBP3 was identified and characterized. Similar as the two human guanylate-binding proteins hGBP1 and hGBP2, hGBP3 has the first two motifs of the three classical guanylate-binding motifs, GXXXXGKS (T) and DXXG, but lacks the N (T) KXD motif. Escherichia coli-expressed hGBP3 protein specifically binds to guanosine triphosphate (GTP). Using a yeast two-hybrid system, it was revealed that the N-terminal region of hGBP3 binds to the C-terminal regulatory domain of NIK/HGK, a member of the group I GCK (germinal center kinase) family. This interaction was confirmed by in vitro glutathione-S-transferase (GST) pull-down and co-immunoprecipitation assays.     

钙对烟草叶片热激忍耐和活性氧代谢的影响

热胁迫导致烟草叶片细胞膜系统显著受损,表现为SOD活性降低和MDA含量明显升高,叶片叶绿素含量下降,活性氧增加。10mmol/LcaCl2溶液处理烟草幼苗后,能有效降低热胁迫下叶片细胞膜透性,维持较高的SOD和CAT等抗氧化酶活性,减缓O2^-形成和膜脂过氧化反应。研究结果表明,CaCl2处理提高了烟草叶片膜稳定性和膜保护酶活性,有利于保护细胞膜结构,降低高温对烟草幼苗的伤害。钙离子螯合剂EGTA能在一定程度上降低烟草叶片的抗热性。