Focus: Health Equity: Predictors of Depressive Symptoms Based on the Human Capital Model Approach: Findings From the Indonesia Family Life Survey

Depression is the leading factor of disability and the overall global burden of diseases. The human capital model provides an appropriate conceptual model for managing human health. This study aimed to determine the association between human capital (including social, emotional, physical, financial, and intellectual capital) and depressive symptoms among productive age groups in Indonesia. A cross-sectional study was conducted by analyzing data of 9,858 respondents aged 15-59 years that were obtained from the Indonesia Family Life Survey 5 (IFLS 5). Multivariate logistic regression was used to assess the association between human capital components and depressive symptoms. Among respondents, 23.65% had higher depressive symptoms. Social trust and social networks (part of social capital) were significantly related to depressive symptoms. Self-reported satisfaction (part of emotional capital) were also related to depressive symptoms, as well as self-rated health, sleep quality, a number of chronic disease, body mass index (BMI), and physical functioning (part of physical capital). Log income (part of financial capital) and education level (part of intellectual capital) were related to depressive symptoms after controlling for other variables. Of all the components of human capital, physical capital has the most attributes associated with the risk of depressive symptoms. Therefore, depression prevention programs can be prioritized on attributes related to physical capital.     

精神病患者家属心理健康状况调查研究

目的:探讨精神病患者家属的心理健康状况,并找出相关的影响因素.方法:对中山市91位住院以及门诊精神科病人家属进行问卷调查和访谈,采用的是症状自评量(SCL-90)和家庭疾病负担量表(Family Burden Scale of Disease).结果:家属心理健康状况与患者给家庭带来的负担存在明显的相关,患者患病对配偶的心理健康的影响明显大于对其他亲人或者朋友的影响(F=5.358,P＜0.001),15-30岁年龄段的SCL-90的得分要明显的高于其他年龄段(F=1.436,P＜0.01),而精神分裂症患者的家属SCL-90的得分也要明显高于其他疾病家属的得分.结论:影响家属心理健康的因素有多个方面,应该有针对性的采取家庭护理措施并加强家庭健康教育.     

基于潜意识理论的青少年网络成瘾研究

本文综述了青少年网络成瘾的预防和戒除方法,坚持了"习惯说",保留了对"疾病说"的看法。基于潜意识理论,将网络成瘾视为心理亚健康状态,分析了青少年网络成瘾的发生机理、提出了其预防和戒除原则。青少年网络成瘾的成因是心理上的缺失感,与青少年自我防护意识差、自我控制能力小、心理弹性弱,以及潜意识具有反复影响才可改变的特点有关。戒除网络成瘾的原则是淡化评判试测的标准、分散注意力、培养成就感、增强自信心、坚持以心治心等。     

基于功能磁共振（fMRI）低频振幅算法的逻辑计算任务的脑活动研究

利用功能磁共振成像（functional Magnetic Resonance Imaging,fMRI）进行脑功能研究是目前的一个热点。现以逻辑计算为认知任务,利用fMRI进行数据采集。采用低频振荡振幅（amplitude of low frequency fluctuation,ALFF）算法分别对14例正常人的计算和无任务静息状态的功能磁共振数据进行处理,并做对比分析。观察振幅增强或减弱情况,发现计算任务下相关激活脑区存在低频振荡,逻辑认知的负载也导致了默认（default mode）网络改变;同时针对相关的改变做出了初步探索。     

耐多药肺结核患者心理健康状况调查及与应对方式、社会支持的相关性研究

摘要 目的：探讨耐多药肺结核患者心理健康状况的影响因素,分析其及与应对方式、社会支持的相关性。方法：选择2018年4月至2020年5月我院诊治的101例耐多药肺结核患者作为观察组,选择同期99例敏感肺结核患者作为对照组。两组均测评症状自评量表-90(SCL-90)评分、医学应对问卷(MCMQ)评分以及社会支持评定量表(SSRS)评分,分析SCL-90总评分与MCMQ各因子评分、SSRS总评分的相关性,采用Logistic回归模型分析心理健康状况的影响因素。结果：与对照组相比,观察组的躯体化、人际关系、抑郁、焦虑、敌对性、恐怖和精神病性评分以及总评分明显提高（P<0.05）。与对照组相比,观察组的面对评分、客观支持、主观支持、支持利用度评分以及总评分均降低（P<0.05）。Pearson相关性分析显示,SCL-90总评分与MCMQ评分中的回避和屈服评分呈正相关性（r=0.386、0.311,均P<0.05）,SCL-90总评分与SSRS总评分呈负相关（r=-0.332,P<0.05）。多因素Logistic回归分析显示,经济状况差、躯体健康状况差、病情严重、睡眠质量差和生活满意度低是耐多药肺结核患者心理健康不良的独立危险因素（P<0.05）。结论：耐多药肺结核患者心理健康状况差,应对方式选择面对较少,总体社会支持水平较低,患者的心理健康状况与应对方式、社会支持存在一定的相关性。在提供躯体性治疗的基础上,应结合患者的心理健康状况及相关危险因素给予适当干预。     

Endogenous opiates: 1986

This is the ninth installment of our annual review of research involving the endogenous opiate peptides. It is restricted to the non-analgesic and behavioral studies of the opiate peptides published in 1986. The specific topics this year include stress; tolerance and dependence; eating; drinking; gastrointestinal, renal, and hepatic processes; mental illness; learning, memory, and reward; cardiovascular responses; respiration and thermoregulation; seizures and other neurological disorders; activity; sex, pregnancy, and development; and some other behaviors.     

不同分娩方式对产妇产后心理和生理的影响

目的:探讨不同分娩方式对产妇产后心理和生理的影响.方法:随机选择2011年1月～2011年12月在苏大附一院分娩的初产妇400例,其中剖宫产、阴道自然分娩各200例,对两组产妇产后42天心理状况、恶露持续时间、泌乳情况进行调查.结果:两种分娩方式对产妇产后42天发生焦虑和抑郁心理的影响无明显差别(P＞0.05);阴道自然分娩组产后恶露持续时间短于剖宫产组,差异有显著意义(P＜0.01).有抑郁、焦虑情绪的产妇泌乳始动时间显著长于正常产妇,24h泌乳量显著少于正常产妇(P＜0.01).结论:剖宫产对产妇身体生理创伤大过阴道自然分娩,应严格控制剖宫产的适应症,鼓励阴道自然分娩.     

Autonomic nervous system responses correlate with mental rehearsal in volleyball training

The aim of this study was to assess objectivèly the processes of mental rehearsing (imagery) by measuring variations of the autonomic nervous system (or ANS responses) during an open-ended complex motor skill in two actual experiments (volleyball) and during mental rehearsing taking place between them. Comparison between pre- and post-test (volleyball) scores related to imagining and non-imagining performances revealed significant improvement in the former (²=20.9, P<0.00001) while in the latter ²=27, P<0.9, NS. The ANS parameters (skin potential and resistance, skin temperature and heat clearance, instantaneous heart rate and respiratory frequency) were quantified by original techniques and indices. Results from a principal component analysis showed a strong correlation between the responses in actual tasks (pre- and post-test volleyball) and during mental imagery, since the same preferential variables appeared on the main axis in 87% of cases. Thus the same autonomic channels seemed to be used during the actual activity and during the mental imagery of this activity. So far as phasic results were concerned, the main finding was a differing development of skill between imagining and non-imagining volleyball players. No clear difference was seen between pre- and post-tests in non-imaginers, except an increase in the median of the duration of the response observed in heat clearance, m₁ and m₂ respectively [m₁= 5.8 (SD 4.1) s, m₂= 7.6 (SD 3.9) s, P<0.001]. Conversely, for other ANS parameters, a significant decrease was seen in the post-test responses compared to pre-test responses in the imagining group [for instance, the median of the duration of the resistance responses decreased from m₁= 12.6 (SD 4.3) s, and m₂= 7.8 (SD 4.5) s, P<0.0001 in imaginers, while no change was observed in non-imaginers: 9.6 (SD 6.0) s vs 9.5 (SD 6.1) s, NS] except in the duration of the heat clearance response where an␣increase was seen [m₁= 7.3 (SD 5.0) s vs m₂= 7.6 (SD␣3.1) s, NS]. Compared to the non-imagining group, the latter result may also have been associated with a response decrease in the imagining group. Thus mental rehearsing induced a specific pattern of autonomic response: decreased amplitude, shorter duration and negative skin potentials compared to the control group. As this pattern was associated with better performance in the tests it can be suggested that in the case of open-ended motor activity, mental rehearsing may help in the construction of schema which can be reproduced, without thinking, in actual practice. Thus a neural information process might develop in the central nervous system changing from a parallel into a serial treatment. Accepted : 23 October 1997     

Dermatoglyphics of schizophrenics, patients with Down's syndrome and mentally retarded males as compared with Australian Europeans using multivariate statistics.

Dermatoglyphics of schizophrenics, patients with Down's syndrome and mentally retarded males were compared with those of normal Australian Europeans. A computer programme of multivariate analysis of fifteen dermatoglyphic features was utilized. This analysis produces two significant variates of each of the populations plotted in two-dimensional space. The distance, measured in arbitrary units, between any two populations was studied for its significance. It was noticed that the patients with Down's syndrome separated significantly from the rest of the groups. The importance of multivariate analysis in the study of dermatoglyphics in comparing two or more populations is discussed.     

用于质量性状通径分析微机程序设计及其应用

基于质量性状通径分析模型,我们在IBM PC/XT微型计算机上,用BASIC语言设计了通径分析程序PATH。并用该程序分析了315个原因不明精神发育迟滞(MR)的核心家系。分析结果表明,轻度、中度和重度MR的遗传度分别为0.79、0.88和0.90。仅在轻度MR中发现有教养传递作用。该程序可用于教养和生物遗传分析。