Chinese Mental Health Research Articles

Mental health of medical staff and general public in the COVID-19 epidemic in Yan’an.

Objective: To explore the mental health state of medical staff and general public in Yan’an in the COVID-19 epidemic. Methods: From 10th February to 9th March 2020, an online questionnaire survey was conducted among 886 medical staff and 722 general public in Yan’an. Generalized Anxiety Disorder Scale（GAD-7）, the Patient Health Questionnaire（PHQ-9） and PHQ-15 were used to screen anxiety, depression and somatic symptoms respectively. Results: In this sample, the prevalence of anxiety, depression and somatic symptoms in medical staff were 38.7%, 33.4% and 42.6% respectively, while those in general public were 42.5%, 32.8% and 31.4%. General public（OR=1.32, 95% CI: 1.05-1.65） had higher risk of anxiety symptoms than medical staff, while medical staff（OR=1.40, 95% CI: 1.03-1.89） had higher risk of somatic symptoms than general public. The prevalence of somatic symptoms of medical staff in non-tertiary hospitals were higher than that of medical statf in tertiary hospitals（48.6% vs 36.1%, P <0. 01）. Conclusion: During the COVID-19 epidemic, the medical staff in Yan’an have higher risk of somatic symptoms and lower risk of anxiety symptoms than the general public. Medical staff in non-tertiary hospitals have a higher risk of somatic symptoms. (English) [ FROM AUTHOR] 目的:了解新冠肺炎流行期间延安市医务人员和普通群众的心理健康状况。方法:于2020年2月10日—3月9日期间,对延安市886例医务人员和722例普通群众进行在线问卷调查。用广泛性焦虑量表（GAD-7）、患者健康问卷中抑郁症状群量表（PHQ-9）和躯体症状群量表（PHQ-15）分别进行焦虑、抑郁和躯体症状初筛。结果:本样本中医务人员焦虑、抑郁和躯体症状的检出率分别为38.7%、33.4%、42.6%,普通群众相应为42.5%、32.8%、31.4%。普通群众（OR=1.32,95%CI:1.05～1.65）出现焦虑症状的风险高于医务人员,而医务人员（OR=1.40,95%CI:1.03～1.89）出现躯体症状的风险高于普通群众。非三级医院医务人员的躯体症状检出率高于三级医院（48.6%vs 36.1%,P<0.01）。结论:新冠肺炎流行期间,延安市医务人员较普通群众出现躯体症状的风险更高,出现焦虑症状的风险更低,非三级医院医务人员发生躯体症状的风险更高。 (Chinese) [ FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Mental health service demands among medical staff during the COVID-19 epidemic.

Objective: To explore the mental health service demands among medical staff and its distributions during the COVID-19 epidemic, so as to provide basis for psychological interventions. Methods: A total of 4677 medical staff from 348 hospitals in 31 provinces of China were investigated by an online survey based on star from February 17 to 24, 2020. A self-designed questionnaire was used to collection information of social-demographic characteristics and mental health service demands. Psychological problem was defined if the screening results of any of the following instruments were positive, including Self Report Questionnaire for emotional pain, Self-rating Anxiety Scale for anxiety symptoms, and Self-rating Depression Scale for depression symptoms. Mental health service demands were recorded according to the self-report of the respondents. Results: Prevalence of psychological problem was 39. 3% and the demands of mental health services among medical staff with any psychological problem was 27. 2%. The results of multivariate analysis showed that fewer instruments with positive screening results ( only one instrument, OR = 3. 02, 95% CI: 2.35 — 3. 89, two instruments, OR = 1. 65, 95% CI: 1.26 — 2. 16), aged 29 and less ( OR = 1. 66, 95% CI: 1. 01 — 2.74), working in departments with lower risk ( OR = 1. 28, 95% CI: 1. 003 — 1. 64), and no epidemic isolation from themselves or the people around them ( OR = 1. 54, 95% CI: 1. 09 —2. 18) were associated with less mental health service demands. There were significant differences among the intentions to the provided methods of mental health services among medical staff with different types of screening results. Promoting health knowledge by mobile phone was the top intention in each subgroup. Conclusion: The rate of mental health service demands for medical staff with psychological problems is relatively low during the COVID-19 epidemic. Different intervention methods should be used for different populations during the psychological interventions. (English) [ABSTRACT FROM AUTHOR] 目的：了解新冠肺炎流行期间医护人员心理卫生服务需求及分布特点，为开展心理干预工作 提供依据。方法：２０２０年 ２月 １７日 －２４日，采用 “问卷星”进行网络调查，中国 ３１个省份 ３４８家医院共 ４６７７名医护人员参与；采用自行设计问卷调查一般人口学特征、医护人员的心理需求及相关因素，采用心 理健康自评问卷 （ＳＲＱ-20）评估情感痛苦，焦虑自评量表评估焦虑症状，抑郁自评量表评估抑郁症状，并 将有心理问题定义为上述 ３个量表中任意一个量表筛查阳性。采用自我报告的方式记录心理卫生服务需求。 结果：心理问题的检出率为 39.3%。有心理问题者的心理卫生服务需求率为 27.2%。多因素分析结果显 示，筛查阳性量表数目少 （任意 １种，OR = 3. 02, 95% CI: 2.35 ~ 3. 89 任意 ２种，OR = 1. 65, 95% CI: 1.26 ~ 2. 16），年龄在 ２９岁及以下 （OR = 1. 66, 95% CI: 1. 01 ~ 2.74），在低风险科室工作 （OR = 1. 28, 95% CI: 1. 003 ~ 1. 64），及自己或周围无人被隔离 （OR = 1. 54, 95% CI: 1. 09 ~ 2. 18）与心理卫生服务需 求率低有关。不同类别的筛查阳性者心理卫生服务方式的选择意愿存在差异，其中以接受手机推送方式的 心理干预比例最高。结论：新冠肺炎流行期间存在心理问题医护人员接受心理卫生服务需求比例不高，在 具体干预工作中针对不同人群应当采取不同干预方式。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Related factors of quality of life among the public during the COVID-19 epidemic.

Objective: To explore the quality of life and its related factors among the public during the COVID- 19 epidemic. Methods: A total of 2026 questionnaires were collected through wjx.cn (991 males, 1035 females). The12-item short form Health Survey (SF-12), Public Perception Survey of COVID-19 (COVID-PPS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Perceived Social Support Scale (PSSS) were implemented to evaluate the quality of life of the public, and multiple linear regression and structural equation model were used to analyze the related factors. Results: The median score of SF-12 was 65. 4(53. 9, 81. 1). According to the multiple linear regression, the SF-12 scores were positively associated with the scores of COVID-19 PSS, living in Northeastern China, being single and family per capital income more than 5000 yuan (β = 0. 05, 0. 04, 0. 04, 0. 06), and negatively associated with the scores of SAS and SDS, age of > 60 years, living in Central China, and with no formal education or primary education(β = -0. 31, -0. 30, -0. 08, -0. 04, -0. 07, -0. 04) . According to the structural equation model, COVID perception, scores of SAS and SDS were correlated with the SF-12 scores (λ= 0. 06, - 0. 33, - 0. 29). Conclusion: The quality of life of the public may be fairly good during COVID- 19. People who are over 60 years old, living in Central China, wi1h poor education background tend to have poorer life quality than other people. Anxiety and depression may negatively affect the life quality of the public. (English) [ABSTRACT FROM AUTHOR] 目的：探究新冠肺炎流行期间公众生活质量及相关因素。方法：使用问卷星收集有效问卷 2026 份［男 991 人，女 1035 人］，采用 12 条目简短生命质量量表（SF-12）、自编公众对新冠肺炎的认知 调查问卷（COVID-PPS）、焦虑自评量表（SAS）、抑郁自评量表（SDS）、领悟社会支持量表（PSSS） 进 行评估，采用多重线性回归和结构方程模型探究生活质量的相关因素。结果：SF-12 中位得分为 65.4 （53.9，81.1）分。回归分析结果显示，COVID-PPS 得分、生活在东北地区、单身、家庭人均月收入 ≥ 5000 元与 SF-12 总分正向关联（β = 0.05、0.04、0.04、0.06）；SAS 得分、SDS 得分、> 60 岁、生活在华 中地区、未接受过正规教育或受教育程度为小学与 SF-12 总分负向关联（β = -0.31、-0.30、-0.08、-0.04、-0.07、-0.04）；结构方程模型显示，COVID-PPS、SAS、SDS 得分与 SF-12 总分存在相关（λ = 0.06、-0.33、-0.29）。结论：疫情下公众的生活质量处于中等偏上程度。60 岁以上，华中地区，受教 育程度低的人群生活质量更差，焦虑抑郁症状可能对公众的生活质量造成负面影响。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A cross-lagged study on health risk perception and life consciousness in college students during the COVID-19 epidemic.

Objective: To explore the relationship between health risk perception and life consciousness in college students during the COVID-19 epidemic. Methods: A total of 320 college students were assessed twice at 6- month intervals with the Health Risk Perception Scale (HRPS) and Questionnaire of Life Consciousness for College Students (QLCCS). The subjects were divided into middle and high-risk areas group (n = 165) and low-risk areas group (n = 131) according to the COVID-19 epidemic risk level of their location. A structural equation model was established to analyze the cross-lag effect of HRPS score and QLCCS score, and the group difference test was conducted to reveal the inter-group difference. Results: The baseline HRPS scores were lower in the middle and highrisk areas group than in the low-risk areas group (P < 0. 05) . After 6 months, the HRPS scores decreased, and the QLCCS scores increased in both groups (Ps < 0. 05). In the cross-lagged model analysis, the baseline HRPS scores positively associated with the QLCCS scores 6 months later (β = 0. 22), while the baseline QLCCS scores positively associated with the HRPS scores 6 months later (β = 0. 15). There was difference in the relationship between HRPS scores and QLCCS scores between two groups (Δχ² = 9. 28, P < 0. 05). Conclusion: During the COVID-19 epidemic, the health risk perception and life consciousness of college students are associated with interaction, and the relationship between them is affected by regional risk level. (English) [ABSTRACT FROM AUTHOR] 目的：探讨新冠肺炎流行期间大学生健康风险感知与生命意识的关系。方法：选取 320 名大 学生，采用健康风险感知量表（HRPS)、大学生生命意识调查表 (QLCCS）间隔 6 个月进行 2 次测查；根 据被试所在地新冠肺炎疫情风险等级，分为中高风险地区组（n=165）与低风险地区组（n=131)。建立 结构方程模型分析 HRPS 总分与 QLCCS 总分的交叉滞后效应并进行群组差异检验。结果：中高风险地区组 基线 HRPS 总分低于低风险地区组；两组 ６个月后 HRPS总分均降低，QLCCS 总分均提高（均 P < 0. 05)。 基线 HRPS 总分正向预测６个月后 QLCCS 总分（β＝0.22)、基线 QLCCS 总分正向预测６个月后 HRPS 总 分（β＝0.15)，HRPS 总分与 QLCCS 总分的关系在中高风险地区组与低风险地区组之间存在差异（Δχ２＝ 9.28，P < 0. 05)。结论：新冠肺炎流行期间，大学生的健康风险感知与生命意识交互预测，二者关系受地 区风险等级的影响。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Hybrid Feature Embedded Sparse Stacked Autoencoder and Manifold Dimensionality Reduction Ensemble for Mental Health Speech Recognition

Speech feature learning is the key to speech mental health recognition. Deep feature learning can automatically extract the speech features but suffers from the small sample problem. The traditional feature extract method is effective, but cannot find the inter-feature structure to generate the new high-quality features. This paper proposes an embedded hybrid feature deep sparse stacked autoencoder ensemble method to solve this problem. Firstly, the speech features are extracted based on prior knowledge and called original features. Secondly, the original features are embedded into the deep network (Sparse Stacked Autoencoder) to filter the output of the hidden layer, to enhance the complementarity between the deep features and the original features. Thirdly, the L1 regularized feature selection mechanism is designed to reduce the hybrid feature set formed by the combination of deep features and original features. Finally, a manifold projection classifier ensemble is designed to enhance the stability of classification. Besides, this paper for the first time proposes a speech collection scheme for mental health recognition. We construct a large-scale Chinese mental health speech database for verification of the proposed algorithm of mental health. In the experimental section, the proposed algorithm is verified and compared with the representative related algorithms. The experimental results show that the proposed algorithm has better classification accuracy than the other representative algorithms. The proposed method combines the advantages of deep feature learning and traditional feature extraction methods more efficiently to solve the small sample problem.

A qualitative study of mood states in CDC staff in Beijing during the COVID-19 epidemic.

Objective: To analyze the mood states and related factors in staff of centers for disease control and prevention (CDC) during the COVID-19 epidemic. Methods: Remote individual depth interviews were performed to investigate the mood states of CDC staff from 5 district-level CDCs of Beijing by using semi-structural interview outline. And the thematic framework analysis was applied to analyze qualitative data. Results: Nine of 18 respondents had different levels of anxiety, 4 reported involuntary worries, 3 had lost in interests, and 5 had depression symptoms, respectively. Shortage of protective equipment (n = 5), insufficient sleep (n = 5), public misunderstand of CDC (n = 4), worries about being infected (n = 3) and policies changes (n = 2) were main factors associated with mood problems of CDC staff. Family and social supports (n = 17), self-mitigation and social support measures (n = 18) could effectively relive the mood problems. Conclusion: It suggests that during the COVID-19 epidemic CDC staff have some risk of anxiety and depression. (English) [ABSTRACT FROM AUTHOR] 目的：分析新冠肺炎疫情期间疾控人员的情绪状态及相关因素。方法：以北京市５个区级疾 控中心抗疫一线疾控人员作为访谈对象，使用自制的访谈提纲对疾控人员的情绪状态、影响因素、自我调 节措施、社会支持和工作意义进行远程个人深度访谈，利用主题框架法进行情绪状态和相关因素的定性分 析。结果：18 名完成访谈的疾控人员中９人出现过不同程度的焦虑，4人出现过不自主的担心，3人报告 有兴趣下降，5人有过情绪低落。防护物资紧缺 (n=5) 、睡眠不足 (n=5) 、公众的不理解 (n=4) 、担 心被感染 (n=3) 和政策变化 (n=2) 是影响疾控人员情绪状态的主要因素；家人的支持 (n=17) 、自身 和单位采取的调节措施 (n=18) 对于缓解情绪问题起到一定积极作用。结论：新冠肺炎疫情期间疾控人 员承受的心身压力较大，存在一定的焦虑抑郁患病风险。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Chinese mental health professionals' perceptions of shared decision-making regarding people diagnosed with schizophrenia: A qualitative study.

The implementation of shared decision-making regarding people diagnosed with schizophrenia is limited, although it is reported to have a positive impact on improving treatment adherence, therapeutic relationships and saving medical costs. The successful implementation of it is mainly dependent on the active engagement of mental health professionals. This study aims to identify mental health professionals' perceptions of shared decision-making regarding people diagnosed with schizophrenia in collectivist cultures such as Chinese culture. A qualitative descriptive approach was used, involving ten individual interviews with psychiatrists and four focus groups with twenty-three mental health nurses from the psychiatry department of a tertiary hospital in mainland China. An inductive thematic approach was used to analyze the data. Two main themes with five subthemes generated: willingness to engage in shared decision-making and perceiving shared decision-making as unachievable. The last theme included five subthemes: (i) deference to authority, (ii) tension between family decision-making and patient autonomy, (iii) uncertainty of trusting therapeutic relationships, (iv) implicit persuasion and (v) insufficient consultation time. Patients often lack opportunity and support to engage in decision-making. Mental health nurses in other countries need to be aware that Chinese patients and patients with a similar background are not knowledgeable about or value shared decision-making to the extent that other countries might. They need to evaluate and support them, including encouraging them to engage in decision-making as well as providing appropriate information. Mental health nurses need to collaborate with patients and their families to achieve patient-centred care when family involvement is expected.

Retraction notice to "Chinese mental health burden during the COVID-19 pandemic" [Asian J. Psychiatr. 51 (2020) 102052

Retraction notice to "Chinese mental health burden during the COVID-19 pandemic" [Asian J. Psychiatr. 51 (2020) 102052

The Emerging Role of Police in Facilitating Psychiatric Evaluation Since the 2013 Implementation of the First Chinese Mental Health Law.

In 2013, China's first Mental Health Law (MHL) took effect, with the goal of better protecting patients' rights. Under the law the police, with appropriate training, rather than family members, employers or medical staff sent from a hospital, are the ones who bring persons in behavioral crises to medical facilities for psychiatric assessment for possible involuntary hospitalization. We examined the proportion and distinctive characteristics of persons brought to psychiatric emergency services (PES) by the police since the implementation of MHL. We used medical records to document demographic and clinical characteristics of all persons evaluated at the PES of the Guangzhou Psychiatric Hospital, the largest psychiatric hospital in China's fourth largest city, from April 2017 to August 2017. Bivariate and multivariate statistical analyses were performed to identify characteristics of patients brought to the PES by the police. Among 1515 PES visits, 166 (11.0%) were brought by the police as compared to virtually none in the years before the law took effect. Compared to non-police referrals, police referrals were associated with male gender, age greater than 30, more documented violent behavior, greater likelihood of having been restrained, and higher rates of hospital admission after assessment. Assessed risk of suicidality and diagnoses of substance use disorder were not significantly associated with police referral. A modest but increased and noteworthy proportion of patients evaluated at the PES after implementations of China's MHL were brought by the police, especially those with violent behavior requiring restraint and hospitalization resulting from mental illness.

Development of Chinese mental health first aid guidelines for psychosis: a Delphi expert consensus study

BackgroundFamily and friends of a person developing a mental illness or in a mental health crisis can help the person until treatment is received or the crisis resolves. Guidelines for providing this ‘mental health first aid’ have been developed and disseminated in high-income countries. However, they may not be appropriate for use in China due to cultural and health care system differences. The aim of this study was to use the Delphi expert consensus method to develop culturally appropriate guidelines for a member of the public providing mental health first aid to someone with psychosis in mainland China.MethodsA Chinese-language survey, comprising statements about how to provide mental health first aid to a person with psychosis, was developed. This was based on the endorsed items from the first round of the English-language questionnaire for high-income countries. These statements were rated by two expert panels from mainland China – a mental health professional panel (N = 31) and a lived experience panel (N = 41) – on how important they believed each statement was for a member of the public providing first aid to a person with psychosis in China. There were three Delphi rounds, with experts able to suggest additional items in Round 1. Items had to have at least 80% endorsement from both panels for inclusion.ResultsOut of 208 statements, 207 were endorsed for inclusion in the Chinese-language guidelines. Eight new statements were also included. Compared to the English-language guidelines, the importance of family involvement was emphasized in the development of the Chinese-language guidelines.ConclusionsWhile many of the actions in the English-language guidelines were endorsed by Chinese participants, a number of additional items point to the importance of developing culturally appropriate mental health first aid guidelines. These guidelines will form the basis for the development of Chinese Mental Health First Aid course aiming at training members of the public on how to provide first aid to someone with a mental health problem.

The historical review of Chinese mental health policy since 1949

ABSTRACT China has established preventive systems for mental health. However, it is still facing the challenges from the scarcity of resources, the regional differences in service development, the underdevelopment of community rehabilitation and the shortage of the public mental health education. The paper reviews the establishment and development of the Chinese mental health programme since 1949, with highlights in its achievement, barriers and challenges.

Prevention and Control of COVID-19 Infection in a Chinese Mental Health Center.

Faced with the rapid spread of the novel coronavirus disease (COVID-19), a global public health threat, psychiatric hospitals are under huge pressure to prevent and control nosocomial infection. The current research analyzed the COVID-19 infection control practices in a regional mental health center in China and addressed how this type of medical institutions could enhance their ability to prevent and control hospital transmission of major respiratory diseases and general management of nosocomial infection risks. Firstly, hospital-related risks of COVID-19 were analyzed, and targeted prevention and control measures were then established. Pre- and post-intervention theoretical knowledge of nosocomial infection control, hand hygiene compliance and accuracy, use of personal protective equipment, and disinfection and sterilization effectiveness were evaluated and compared. All the indexes displayed significant improvements following the implementation of the prevention and control measures. Up to the submission of this paper, the mental health center had obtained no suspected or confirmed case of COVID-19 infection due to hospital transmission. The findings provide empirical evidence for the effectiveness of the COVID-19 preventive strategies and have important implications for integrated and characterized infection control in mental health centers during a major epidemic. The establishment of the transitional isolation ward and air fumigation using traditional Chinese medicine for patients and staff are preventive measures worthy of further discussion and dissemination.

Child psychiatry in China: Present situation and future prospects.

Child psychiatry in China: Present situation and future prospects.

Using Stakeholder Perceptions to Inform the Scale-Up of Mental Health First Aid Training in China

Background: The Mental Health First Aid (MHFA) training program has been widely implemented in many high-income countries. Evidence on the adaptation of this and other similar programs in resource-constrained settings like China is very limited. This study aimed to explore the views of key stakeholders on the implementation issues and contextual factors relevant to the scale-up of MHFA in China. Methods: Informed by the Consolidated Framework for Implementation Research, five implementation domains of intervention characteristics, characteristics of individuals, contextual adaptation, outer and inner setting, and implementation process were investigated through semi-structured in-depth interviews. Twenty-four stakeholders with diverse expertise in the Chinese mental health system were interviewed. Transcripts were coded using NVivo 12 software and thematically analysed. Findings: Fifteen themes and fifty-two sub-themes were identified in relation to the five domains. Participants saw MHFA as meeting the need for more evidence-based interventions to improve population mental health. Previous participants in MHFA training were satisfied with the course, but their intentions to help and levels of self-efficacy varied. Contextual adaptation of course content, delivery formats, and financing models, was seen as essential. External health policies and some socioeconomic factors (e.g., improved living conditions) were perceived as potential enablers of scalability. Low levels of engagement in health interventions and lack of supportive social norms were identified as potential barriers while executive support, quality control, and sustainable funding were viewed as facilitators of implementation. Interpretation: MHFA training meets some very important current societal and public health needs in China. To achieve its potential impact, significant contextual adaptation is required, particularly in terms of course content, delivery formats and financing models. Overcoming low levels of engagement in community-based mental health interventions and combatting stigma will also be critical for its scale-up. Funding Statement: Australian National Health and Medical Research Council (NHMRC) Declaration of Interests: The authors declare no competing interests. Ethics Approval Statement: The research was approved by the Human Research Ethics Sub-Committee at the University of Melbourne (Ethics ID: 1853289.1) and the Ethics Committee at the Shanghai Mental Health Centre (No: 2018-62).

Chinese mental health burden during the COVID-19 pandemic.

We aimed to assess the Chinese mental health burden during the COVID-19 pandemic. Data were collected from 7,236 participants assessed with anxiety disorders, depressive symptoms, and poor sleep . The overall prevalence of anxiety disorders, depressive symptoms, sleep quality were 35.1%, 20.1%, 18.2%, respectively. Younger people reported a higher prevalence of anxiety disorders and depressive symptoms than older people (P < 0.001). Compared with other occupation, healthcare workers have the highest rate of poor sleep quality (P < 0.001). We identified a major mental health burden of the public during the COVID-19 pandemic outbreak in China. Younger people and healthcare workers were at high risk for mental illness.

Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19

On March 11, 2020, the World Health Organization (WHO) declared the novel coronavirus COVID-19 a pandemic. There are patients in psychiatric hospitals in China who have been infected with COVID-19, however, the knowledge and attitudes of psychiatric hospital staff towards infectious diseases and their willingness to work during the COVID-19 outbreak has not yet been investigated. This study was performed to assess the knowledge and attitudes of medical staff in two Chinese mental health centers during the COVID-19 outbreak. We included 141 psychiatrists and 170 psychiatric nurses in the study. We found that during the COVID-19 epidemic, 89.51% of the medical staff of the psychiatric hospitals studied had extensive knowledge of COVID-19, and 64.63% of them received the relevant training in hospitals. Furthermore, about 77.17% of participants expressed a willingness to care for psychiatric patients suffering from COVID-19 virus infection. Independent predictors of willingness to care for patients included advanced training and experience of caring for patients with COVID-19. In conclusion, this study suggests that increased attention should be paid to the knowledge and attitudes of medical staff at psychiatric hospitals during the COVID-19 outbreak.

Translation and psychometric testing of a decision-making scale.

WHAT IS KNOWN ABOUT SHARED DECISION-MAKING?: There is increasing investigation of shared decision-making in mental health services. Exploration of shared decision-making and relevant instrument is scant in China. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: In this study, the Clinical Decision-making Involvement and Satisfaction (CDIS) was translated into Chinese and validated with patients and mental health professionals. The Chinese version of the CDIS is a reliable and valid instrument for measuring perception of involvement and satisfaction with treatment decision for schizophrenia WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental health nurses could use the CDIS patient-rated and health professional-rated versions to compare their perceptions of the decision-making process. ABSTRACT: Introduction There is growing interest in shared decision-making in Chinese mental health services. However, few specific instruments are available to measure decision-making satisfaction and involvement. Aim To translate and validate Clinical Decision-making Involvement and Satisfaction (CDIS) in a Chinese population. Methods The translation process was completed based on the Brislin translation method. Convenience sampling of 505 participants including 212 people diagnosed with schizophrenia and 293 mental health professionals for psychometric testing (e.g., content and construct validity, and test-retest reliability). Results The CDIS Chinese version has good internal consistency and temporal stability. Factor analysis determined two factors including satisfaction and involvement subscales, explaining 60.08% of the total variance. The Cronbach's α was 0.70, and the intraclass correlation coefficient ranged from 0.83 to 0.89. The composite reliability value was 0.85, and the average variance extracted was 0.50. Critical Ratio values ranged from 5.28 to 17.95, and item-total correlation values ranged from 0.48 to 0.75. Discussion The CDIS Chinese version is a feasible and reliable instrument.

“Acting head of the household” of Chinese left-behind families: A neglected phenomenon

“Acting head of the household” is a psychological phenomenon of the left-behind families in China. It was named by the author. That is, a left-behind woman with maladaptation and difficulties in role change usually actively establish a very close connection with a role outside the family after the husband’s departure from home. In the process of helping and supporting the left-behind family, the role becomes the actual decision-maker, instructor, and even savior of the family, and eventually instead becomes the actual “head of the household” of the family. The left-behind family’s “acting head of the household” is a unique phenomenon in the development of Chinese society under its culture. This phenomenon has not yet attracted widespread attention and is a blind spot in Chinese mental health and psychosocial services.

Psychodynamic Distance Training and Treatment: The China American Psychoanalytic Alliance Research

ABSTRACTI summarize several studies on the effectiveness of distance training and treatment1 with Chinese mental health professionals. We found that experts on the average felt that teaching, supervising and treating over video-conferencing (VCON) were only “slightly less effective” than local work. The highest significantly rated indications for treatment over VCON are: “To offer high-quality treatment to underserved or remote patients” and “When patient is house-bound or travel would be impractical.” The highest significantly rated contraindication for treatment over VCON is “Patient needs close observation due to crisis or decompensation.”The next logical step was to assess the opinions of CAPA graduates about the effectiveness of their distance psychoanalytic training and treatment. We found that the more the graduates used a psychoanalytic formulation was highly correlated with the number of years in distance education and the more days a week in their own therapy. Graduates highly rated the effectiveness of their own psychoanalytic therapy over VCON. The CAPA graduates thought that the therapist variables (warmth, wisdom, empathy, and skillfulness) were far more important in the effectiveness of their treatment than whether the treatment was local or with VCON, or the cultural differences with their therapist. The graduates’ ratings of how they are currently practicing psychoanalytic psychotherapy were highly correlated with how their own therapists practiced psychoanalytic treatment, as measured by the Comparative Psychotherapy Process Scale (CPPS) items.Dr. Maranda Sze’s preliminary findings from a survey of 163 CAPA students found that they increased from practicing psychodynamic psychotherapy from 55% pre-CAPA to 78% currently, with increased private practice hours, and increase in fees charged. There was also significant increased time in their own psychoanalytic treatment. Overall, these studies show the success of creating a new generation of psychoanalytic therapists in China.

The China American Psychoanalytic Alliance (CAPA) Tour of a Lifetime

ABSTRACTThe China American Psychoanalytic Alliance (CAPA) sponsors an annual tour of China for CAPA teachers, supervisors and therapists, their friends and family members, mental health professionals, and other people interested in China and mental health. The purpose of the tour is to form a deeper connection between CAPA members and the Chinese mental health professionals they teach and treat online. The highlights of the tour are the graduation ceremonies in Beijing, Chengdu, and Shanghai and the opportunity to see the joy on the faces of the motivated Chinese mental health professionals who have graduated from their CAPA programs of study. The author shares his memories of the 2017 CAPA tour he took with his wife and 13 other CAPA fellow travelers.