Detection Rate Of Anxiety Research Articles

Multivariate analysis of psychological health among hospital infection prevention and control practitioners in Tianjin

Objective: To understand the occupational stress and mental health status of hospital infection prevention and control practitioner (HIPCPs) in medical institutions, and analyze their main influencing factors. Methods: In November 2021, 550 nosocomial infection managers in Tianjin were randomly selected to conduct a questionnaire survey using the Concise Occupational Stress Questionnaire, Depression Screening Scale (PHQ-9) and Self-Rating Anxiety Scale (SAS). 497 valid questionnaires were obtained, and the total recovery efficiency was 90.36%. Single factor analysis and multivariate logistic regression method were used to analyze the main influencing factors of occupational stress and mental health status of psychiatric managers. Results: The detection rate of anxiety and depression among 497 HIPCPs was 22.73% (113/497) and 58.95% (293/497), respectively. Gender and major were the influencing factors of depression (P=0.000, 0.001). Average working hours>52 hours per week and night shift days>1 days per week were the influencing factors of anxiety (P=0.035, 0.014). Average working hours>52 h per week, night shift days >1 d per week and different majors were the influencing factors of occupational stress (P=0.000, 0.025, 0.010). Multivariate logistic regression results showed that the risk of anxiety in those who worked more than 52 hours per week was 1.753 times that of those who worked less than 52 hours per week (P=0.038), and the risk of depression in women was 3.071 times that of men (P=0.006) . Conclusion: Working hours are an important influencing factor for occupational stress and anxiety among HIPCPs. In order to reduce the occurrence of occupational stress and mental health problems, it is necessary to strengthen psychological counseling for HIPCPs and balance work and rest.

Bayesian network prediction study on the impact of occupational health psychological factors on insomnia among thermal power generation workers

Objective: To explore the risk factors of insomnia among employees in the thermal power generation industry and the network relationships between their interactions, and to provide scientific basis for personalized interventions for high-risk groups with insomnia. Methods: In November 2022, 860 employees of a typical thermal power generation enterprise were selected as the research subjects by cluster sampling. On-site occupational health field surveys and questionnaire surveys were used to collect basic information, occupational characteristics, anxiety, depression, stress, occupational stress, and insomnia. The interaction between insomnia and occupational health psychological factors was evaluated by using structural equation model analysis and Bayesian network construction. Results: The detection rates of anxiety, depression and stress were 34.0% (292/860), 32.1% (276/860) and 18.0% (155/860), respectively. The total score of occupational stress was (445.3±49.9) points, and 160 workers (18.6%) were suspected of insomnia, and 578 workers (67.2%) had insomnia. Structural equation model analysis showed that occupational stress had a significant effect on the occurrence of insomnia in thermal power generation workers (standardized load coefficient was 0.644), and occupational health psychology had a low effect on insomnia (standardized load coefficient was 0.065). However, the Bayesian network model further analysis found that anxiety and stress were the two parent nodes of insomnia, with direct causal relationships, the arc strength was-8.607 and -15.665, respectively. The model prediction results showed that the probability of insomnia occurring was predicted to be 0 in the cases of no stress and anxiety, low stress without anxiety, and no stress with low anxiety. When high stress with low anxiety and low stress with high anxiety occurred, the predicted probability of insomnia occurring were 0.38 and 0.47, respectively. When both high stress and high anxiety occurred simultaneously, the predicted probability of insomnia occurring was 0.51. Conclusion: Bayesian network risk assessment can intuitively reveal and predict the insomnia risk of thermal power generation workers and the network interaction relationship between the risks. Anxiety and stress are the direct causal risks of insomnia, and stress is the main risk of individual insomnia of thermal power generation workers. The occurrence of insomnia can be reduced based on scientific intervention of stress conditions.

The mediating role of resilience between social capital at work and anxiety of medical staff

Objective: To explore the influence of social capital at work on anxiety of medical staff, and the mediating role of resilience. Methods: From March to May 2022, a total of 201 medical staff in the Affiliated Hospital of Jining Medical University were investigated with the General Information Questionnaire, Workplace Social Capital Scale, Connor-Davidson Resilience Scale (CD-RISC-10) and Generalized Anxiety Disorder-7 (GAD-7) . K-S method was used for normdity test of econometic voriobles, and normal distribution data were represented by Mean±SD, Pearson correlation analysis and linear regression analysis were used to test correlation between variables and mediating effect, and Bootstrap method was carried out by SPSS macro program PROCESS v3.5 to verify the mediating effect. Results: The detection rate of anxiety was 59.20% (119/201) in medical staff. The scores of social capital at work (28.90±5.83) and resilience (31.55±4.98) were negatively correlated with the score of anxiety (7.20±2.06) (r=-0.338, -0.510, P<0.001) , while the score of social capital at work was positively correlated with resilience (r=0.392, P<0.001) . Workplace social capital positively predicted resilience (β=0.392, P<0.001) , and both workplace social capital (β=-0.222, P=0.001) and resilience at work (β=-0.423, P<0.001) negatively predicted anxiety score. The direct effect of social capital in the workplace of medical staff on anxiety was -0.222 (95%CI: -0.349~-0.095, P=0.001) , and the indirect effect of resilience on anxiety was -0.166 (95%CI: -0.265~-0.080) . The resilience of medical staff had a partial mediating effect between workplace social capital and anxiety, which accounted for 42.78% of the total effect. Conclusion: The resilience of medical staff has a partial mediating effect between workplace social capital and anxiety. Workplace social capital can not only directly affect the anxiety of medical staff, but also indirectly affect it through resilience.

Association between changes in physical activity and comorbid symptoms of anxiety and depression in college students

To describe the prevalence of physical activity and comorbid symptoms of anxiety and depression in college students, and to explore the correlation strength between changes in physical activity and comorbid symptoms of anxiety and depression, so as to provide a reference for promoting college students&apos; mental health. From April to May 2019, 1179 freshmen majoring in public health, nursing, chemistry and physical education were randomly sampled from one university in Hefei City, Anhui Province, and Shangrao City, Jiangxi Province, respectively. A baseline questionnaire survey was conducted. A follow-up survey was conducted in May 2021, and a total of 1046 subjects were included, including 647 female and 399 male. The International Physical Activity Questionnaire-Short Form was used to evaluate the physical activity level of college students, and the Patient Health Questionnaire and Generalized Anxiety Disorder Scale were used to evaluate the anxiety and depression symptoms of college students during follow-up. Determining the coexistence of anxiety and depression symptoms in college students as anxiety-depression comorbid symptoms. In the follow-up survey, the detection rate of anxiety and depression comorbid symptoms of college students was 16.9%(n=177), and the detection rates of sufficient, decreased, increased, and insufficient physical activity changes were 72.5%(n=758), 13.8%(n=144), 9.2%(n=96), and 4.6%(n=48), respectively. The result of multiple Logistic regression model showed that, after controlling for confounding factors, compared with those with sustained high level of physical activity, i. e. , adequate physical activity, increased physical activity(OR=1.89, 95%CI 1.10-3.25), decreased physical activity(OR =2.80, 95% CI 1.72-4.57), and insufficient physical activity(OR = 3.66, 95% CI 1.85-7.23) increased the risk of anxiety-depression comorbidity symptoms of college students(P&lt;0.05). However, there was no significant increase in the risk of anxiety or depressive symptoms in those who increased, decreased, or insufficient physical activity compared with those who were sufficient physical activity(P&gt;0.05). The level of physical activity and its changes are related to mental health of college students. The continuous low level of physical activity is associated with the increased risk of comorbidity of anxiety and depression in college students.

Detection Rates of Mental Health Problems Among Sexual Minorities in Mainland China: A Meta-Analysis

ABSTRACT Previous studies that have addressed the growing mental health problems among sexual minorities in mainland China, but failed to inform mental health programs and public health policies with consistent detection results. To obtain robust results on aggregate detection rates and moderators of these problems, we performed a meta-analysis of the related Chinese and English literature published before 2022. Ultimately, 305 eligible studies (ndepression = 127, nanxiety = 71, nsuicide ideation = 55, nsuicide plan = 13, nsuicide attempt = 39) were pooled in the analysis. The results revealed “Money boys” and people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) had higher detection rates than general men who have sex with men. Depression was more prevalent in gays than lesbians, and the latter had a higher detection rate of suicide. Detection rates of anxiety and depression among sexual minorities in China were moderated by detection time, measurement tools, and their detection thresholds. Suggested future priorities include developing more targeted measurement tools that consider the living conditions and psychological characteristics of local sexual minorities, enhancing mental health programs for sexual minorities, and devising more practical and effective interventions to prevent and reduce their mental health problems.

The Mediating Effect of General Self-Efficacy Between Occupational Stress and Negative Emotion Among Psychiatric Nurses.

The current study investigated occupational stress, anxiety, and depression among psychiatric nurses and explored the intermediary role of general self-efficacy between occupational stress, anxiety, and depression. In November 2020, 171 psychiatric nurses completed a self-report questionnaire. Spearman's correlation analysis was used to determine the relationship between the four variables and the bootstrap method was used to test the intermediary hypothesis. Results showed that 35.1% of psychiatric nurses had health risk stress. Among participants, detection rates of anxiety and depression were 24% and 46.8%, respectively. There was a positive correlation between occupational stress and anxiety (r = 0.577, p < 0.05) and depression (r = 0.653, p < 0.05). There was a negative correlation between general self-efficacy and anxiety (r = -0.358, p < 0.05) and depression (r = -0.500, p < 0.05), and general self-efficacy had a significant mediating effect between occupational stress and depression. However, the mediating effect of general self-efficacy on anxiety was not significant. Nurse managers should be aware of the importance of nurses' general self-efficacy and self-confidence. [Journal of Psychosocial Nursing and Mental Health Services, 61(3), 33-39.].

Relationship between sleep-wake circadian chronotype and anxiety and depression of medical students in a university in Wuhu City in 2020

To explore the circadian rhythm of sleep-wake and its relationship with anxiety and depression among medical students. A stratified cluster random sampling method was adopted in this study, 2231 medical students in grades 1 to 3 from a medical college in Wuhu City(1004 boys and 1227 girls, aged(19.09±1.13) years) were selected in November 2020. The sleep wake circadian chronotype and mental health of medical students were evaluated by the Morningness-Eveningness Questionnaire 19(MEQ-19), the Patient Health Questionnaire 2(PHQ-2), and the Generalized Anxiety Disorder scale(GAD-2), respectively. The detection rates of evening chronotype, intermediate circadian chronotype, and morning chronotype were 59.84%(n=1335), 37.92%(n=846), and 2.24%(n=50), respectively. The detection rates of anxiety, depression, and anxiety combined with depression were 12.86%(n=287), 14.12%(n=315), and 9.59%(n=214), respectively. After adjusting for gender, age, grade, class performance in the last half semester, and learning burden, the result of multivariate logistic regression analysis showed that compared with medical students with intermediate circadian chronotype, medical students with evening chronotype were more likely to have anxiety(OR_(adj. )=1.403, 95% CI 1.066-1.846, P=0.016) and depression(OR_(adj. )=1.639, 95% CI 1.251-2.146, P &lt; 0.001). The detection rate of anxiety and depression in medical students is high. The circadian chronotype of medical students is mainly evening chronotype, which is a risk factor affecting anxiety and depression among medical students.

Psychosomatic Disorders in Patients with Gastrointestinal Diseases: Single-Center Cross-Sectional Study of 1186 Inpatients.

Objective To investigate the prevalence of anxiety and depression in hospitalized patients in the Department of Gastroenterology and to explore the risk factors affecting psychosomatic conditions in patients with digestive disorders. Methods Patients hospitalized with gastrointestinal diseases were enrolled by the Department of Gastroenterology of Xiangya Hospital of Central South University from November 2017 to June 2018 and completed a cross-sectional questionnaire survey. According to anxiety/nonanxiety, depression/nondepression, the subjects were divided into two groups, respectively, and the risk factors of anxiety/depression were analyzed. Results A total of 1186 patients were included in this study. The overall detection rate was 20.74% for anxiety symptoms alone, 31.78% for depressive symptoms alone, 13.99% for both anxiety and depressive symptoms, and 38.53% for either depression or anxiety symptoms. The prevalence of anxiety symptoms was higher in female than in male patients and inversely correlated with levels of education. There was no significant difference in the detection rate of anxiety and depression between patients with functional and organic digestive diseases. Sleep quality and quality of life were inversely correlated with the severity of anxiety and depression. Notably, among the patients with abnormal psychological conditions, only 7.6% of them were willing to receive psychological treatment. Gender, sleep quality, and life quality are independent risk factors for anxiety and depression symptoms for inpatients with gastrointestinal diseases. Conclusion Paying more attention to the education level, sleep quality, and quality of life in patients with gastrointestinal diseases will help doctors to identify the risk of psychological abnormalities and improve medical care.

Online-Based Survey on College Students' Anxiety During COVID-19 Outbreak.

PurposeStudies have suggested that public health emergencies can have many psychological effects on college students, therefore, the aim of this study is to investigate current situation of college students’ anxiety and its determinants in the time of an unexpected pandemic.Patients and MethodsWe conducted convenience sampling to collect the data through network-based online questionnaires in February 2020, a total of 17,876 college students were included in the analysis. Chi-square test and multivariate logistic were used to identify the associations between the outbreak experiences and anxiety detection.ResultsThis study found that detection rate of anxiety among college students was 18.2%. The differences in male students, students whose self-perceived risk of infection were high, who were greatly affected by the outbreak, eager to go back to school, reluctant to leave home and stay at home enough were of statistical significance among different anxiety level (OR>1, P<0.05). And the severe anxiety rate of students who living in cities was significantly higher (2.337[1.468, 3.721]).ConclusionAlthough our results show that anxiety among college students was at a low level, various universities should focus on the online activities and develop appropriate epidemic management plans to prevent their feelings of worry, tension and panic.

The self-psychological safety maintenance and its influencing factors of community frontline staff during COVID-19 pandemic.

The present study was designed to determine the self-psychological safety maintenance and its influencing factors of community staff on the front-line during Coronavirus Disease 2019 (COVID-19) pandemic.A total of 126 frontline staff in community were involved in the current cross-section study. Online questionnaires including the anxiety sensitivity index-3 (ASI-3), patient health questionnaire (PHQ-9), simple coping style questionnaire (SCSQ) and general self-efficacy scale (GSES) were utilized to analyze psychological state, coping style and self-efficacy of the surveyed staff.The ASI-3 standard score of 126 community frontline staff was 10.01 ± 2.82, of which 21 community frontline staff scored > 16, and the detection rate of anxiety was 16.67%. The anxiety state of doctors and nursing staff was significantly lower than that of administrative staff, logistics staff and other staff, and the rate of anxiety of having colleagues with suspected symptoms was significantly higher than that without colleagues with suspected symptoms (P < .05). The PHQ-9 standard score was 2.03 ± 0.16, of which 19 frontline staff in the community scored more than 5, and the detection rate of depression was 15.08%. Among them, the depression state of those with bachelor degree or above was significantly lower than that of those with junior college education, and the rate of depressive symptoms of community frontline staff with colleagues harboring suspected symptoms were significantly higher than those without colleagues with suspected symptoms (P < .05). The aggregated results showed that most of the community frontline staff in anxiety state group and depression group adopted negative coping style while most of the community frontline staff in the non-anxiety group and the non-depression group adopted positive coping style (P < .05). Additionally, lower score of self-efficacy of the community frontline staff was observed in the anxiety state group and the depression state group (P < .05).During the outbreak of COVID-19, several community frontline staff showed negative psychology of anxiety and depression, which could affect their coping style and self-efficacy. Early and effective psychological safety maintenance was required to alleviate the negative psychology of community frontline staff.

Relationship between self-harm with depression and anxiety in college students

Objective To examine the status of self-harm, depression and anxiety and to analyze the relation of self-harm with depression and anxiety in college students. Methods Totally 9 638 college students were randomly selected from five universities in Anhui province using stratified cluster sampling and were surveyed with basic demographic characteristics, Depression Self Rating Scale (SDS), Self-evaluation of Anxiety Scale (SAS) and self-harm behavior questionnaire. Results The detection rate of selfharm among college students was 22.94%(2 211), boys (24.51%) were higher than girls(21.72%), the difference was statistically significant (χ 2 = 10.46, P <0.05). The detection rate of depression was 28.57%(2 754). The detection rate of anxiety was 11.11% (1 071). The detection rate of self-harm in the depression group was 33.48%, which was significantly higher than those without depression group (18.72%) (χ 2 = 242.22, P <0.01). The similar results were found in the anxiety analysis, students with anxiety showed higher detection rate in self-harm (48.74%) than those without anxiety (19.72%) (χ 2 =453.66, P <0.01). Both depression and anxiety were positively associated with self-harm behaviors ( r = 0.24, 0.27, P <0.01). Multivariate Logistic regression model found that after covariates controlled, depression ( OR = 1.48) and anxiety ( OR = 2.84) were positively associated with self-harm of college students ( P <0.05). Conclusion Self-harm, depression and anxiety among college students in Anhui Province are at a high level, and a positive correlation between self-harm behaviors and depression and anxiety is observed. Attention should be paid to the mental health education of college students. 【摘要】 目的 了解安黴省大学生自伤行为与抑郁、焦虑症状现况及其相关性, 为减少大学生自伤行为发生提供理论依 据。 方法 采用分层整群抽样的方法, 对安黴省5所高校的9 638名在校大学生进行问卷调查, 问卷内容包括基本人口学 特征、抑郁自评量表（SDS)、焦虑自评量表（SAS)和自伤行为问卷等。 结果 9 638名大学生自伤行为检出率为22.94% (2 211名）, 男生（24.51%)高于女生（21.72%), 差异有统计学意义(χ 2 = 10.46, P <0.05);抑郁检出率为28.57%(2 754名）, 焦虑检出率为11.11%(1 071名）。抑郁组自伤行为的检出率为33.48%, 高于非抑郁组（18.72%), 差异有统计学意义(χ 2 = 242.22, P <0.01);焦虑组自伤行为的检出率为48.74%, 高于非焦虑组（19.72%), 差异有统计学意义(χ 2 =453.66,<0.01)。 抑郁、焦虑均与自伤行为存在正相关( r 值分别为0.24,0.27'值均<0.01)。多因素Logistic回归分析表明, 在控制其他相 关的影响因素后, 抑郁（ OR =1.48)及焦虑（ OR = 2.84)与大学生自伤行为发生呈正相关( P 值均<0.05)。 结论 安黴省大学 生自伤行为、抑郁和焦虑检出率不容乐观, 且自伤行为与抑郁、焦虑之间呈正相关。应重视对大学生的心理健康教育。

Anxiety and associated factors among medical students returned to school during COVID-19 epidemic situation

Objective To investigate anxiety and associated factors among college students returned to school during COVID-19 epidemic, and to provide reference for anxiety relief and school life adaptation to help college students. Methods A cross-sectional study was conducted among 4 750 students selected from Nanjing Medical University, China Pharmaceutical University, Nanjing University of Chinese Medicine from 2 May to 9 May, 2020. Zung Anxiety Self-rating Scale (SAS) was used to measure anxiety status of students. The self-made questionnaire was used to investigate the related factors. Results During COVID-19 epidemic situation, 20.0% college students returned to school had mild anxiety, 6.5% had moderate or severe anxiety. College students unable to adapt to campus’ closed-off management with a higher anxiety detection rate of 52.9%.Students with heavy study burden whose offline study time per day ≥ 6 hours have a higher anxiety detection rate of 36.0%. Students never exercising had a higher anxiety detection rate of 43.5%. The detection rate of anxiety not participating in online sports and sports activites was 41.6%. 40.7% students were detected of anxiey because of loneliness caused by not being able to meet friends. Multiple logistic regression analysis revealed that the adaptation to the campus’ closed-off management, satisfaction with the campus’ disinfection, participation in group activities, the time of offline study per day, the time of online study per day, tension about the exams, regular routine, exercise, participation in online activities were the influencing factors related to anxiety. Conclusion During COVID - 19 epidemic some of college students exhibit anxiety when back to school life, which might be associated with campus management, study burden, exercise and regular routine, school activities and so on. Schools should take measures to relieve students’ anxiety while epidemic prevention. 【摘要】 目的 了解新型冠状病毒肺炎 (简称“新冠肺炎”) 疫情期间返校大学生的焦虑心理现状及其影响因素, 为疫情 防控期间缓解大学生焦虑情绪提供方法和依据。 方法 采用群体横断面调查, 2020年5月2—9日调查南京医科大学、中 国药科大学、南京中医药大学3所医药类高校共4 750名学生, 采用Zung焦虑自评测量表 (Self-rating Anxiety Scale, SAS) 对学生的心理焦虑情况进行测量, 采用自制问卷对焦虑心理的影响因素进行调查。 结果 新冠肺炎疫情期间, 医药类高校 返校大学生中20.0%有轻度焦虑情绪, 6.5%为中度或重度焦虑。不能适应学校封闭管理的大学生焦虑情绪检出率较高, 为 52.9%; 每天线下课程时间 ≥6 h焦虑情绪检出率较高, 为36.0% ;从不进行体育锻炼焦虑情绪检出率为43.5%;不参加线上 文体活动焦虑情绪检出率为41.6%;因无法与朋友见面而产生孤独感焦虑情绪检出率较高, 为40.7%。多因素Logistic回 归分析显示, 大学生对学校封闭管理的适应程度、对校园消杀工作的认可程度、是否参加聚集性活动、每天线下课程时间、 每天线上学习时间、对考试紧张程度、规律作息、体育锻炼频率、线上文体活动等是返校后产生焦虑心理的影响因素 ( P 值 均<0.05)。 结论 新冠肺炎疫情期间返校大学生有少部分存在焦虑情绪, 影响因素包括学校管理、学习负担、体育锻炼与 健康作息、校园文体活动等方面。学校应采取一定措施, 在防控疫情的同时, 缓解返校大学生的焦虑情绪。

Anxiety Status and Influencing Factors of Rural Residents in Hunan During the Coronavirus Disease 2019 Epidemic: A Web-Based Cross-Sectional Survey.

Objective: To explore the status quo of anxiety and its influencing factors among rural residents in Hunan Province during the coronavirus disease 2019 epidemic, and to provide an effective basis for prevention of and intervention for anxiety symptoms among rural residents.Methods: Convenience sampling was used. An online questionnaire was distributed to Hunan rural residents through the questionnaire star platform from February 26–29, 2020. The general data and anxiety of Hunan rural residents were investigated, and the data were analyzed using SPSS 18.0.Results: The mean Self-Rating Anxiety Scale score of 179 rural residents in Hunan was 40.93 ± 9.36. Based on the cutoff criteria, 32 residents had anxiety, including 26 with mild anxiety, five with moderate anxiety, and one with severe anxiety. The detection rate of anxiety was 17.88%. Self-rated health status, level of concern about the epidemic, and self-rated impact of the epidemic on one's life were the factors influencing the anxiety score of rural residents in Hunan (P < 0.05).Conclusion: During the coronavirus disease 2019 epidemic, the detection rate of anxiety in rural residents in Hunan was higher than that of the general population in China. The relevant departments should pay attention to the mental health of rural residents and implement targeted mental health prevention and intervention measures during the epidemic situation.

Clinical characteristics and related factors of somatization symptoms in outpatients with psychiatric disorders of the department of cardiology in general hospitals

Objective: To explore the clinical characteristics and related factors of somatization symptoms in outpatients with psychiatric disorders of the cardiology department in general hospital. Methods: Cross-sectional survey method was used in this study. From August 2017 to September 2018, 508 outpatients of our department with suspected mental disorders, who complained of physical discomfort and screened by the "Three Questions" method recommended by the Chinese Expert Consensus on Psychological Prescriptions of Cardiovascular Patients in 2014, were consecutively included. General Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire (PHQ-9), Patient Health Questionnaire-15 (PHQ-15) and self-made general demographic questionnaire (including age, sex, marital status, educational level, occupation, duration of disease, clinical diagnosis and the process of medical treatment for the main somatic symptoms in recent one year) were used to investigate these patients, under the assistance of unified training psychological consultants. The detection rate of anxiety and depression, the degree and distribution of somatization symptoms in outpatients with mental disorders were analyzed, and the related factors affecting the occurrence of somatization symptoms were screened by multivariate logistic regression. Results: The selected patients were (51.3±10.1) years old, of which 37.8% (192/508) were males and 62.2% (316/508) were females. The total detection rate of anxiety/depression was 86.8% (441/508), and the detection rate of somatization symptoms was 93.1% (473/508). The number of positive symptom items in PHQ-15 was 8.0±2.7, and the detection rate of anxiety/depression was 78.6% (372/473) in patients with somatization symptoms. There were significant differences in the proportion of women, the average number of outpatient visits and hospitalizations in the past one year, GAD-7 score and PHQ-9 score among the patients with mild, moderate and severe somatization symptoms (all P<0.05). PHQ-15 score was positively correlated with GAD-7 score (r=0.524 5, P<0.001) and PHQ-9 score (r=0.574 9, P<0.001) in patients with somatization symptoms. Stepwise logistic regression analysis showed that total scores of PHQ-9 (OR=8.020, 95%CI 3.470-18.930, P<0.001) and GAD-7 (OR=6.526, 95%CI 2.903-13.045, P<0.001) and female (OR=4.440, 95%CI 1.059-9.073, P=0.011) were related factors of somatizations. Conclusions: The incidence of somatization symptoms is high in patients with psychological disorders in outpatients of cardiology department in general hospital. Anxiety, depression and gender are the main related risk factors of somatization symptoms in this patient cohort. Degree of anxiety and depression increased in proportion to the severity of somatization symptoms. Anxiety, depression and female is related to somatization symptoms.

Analysis on the current situation of psychological stress of residents in the standardized training base

Objective To analyze the status of psychological stress of trainees in the standardized cooperation training base for municipal hospital residents, and to discuss their mental health problems. Methods Cluster random sampling method was used to select the standardized training trainees of resident physicians in a municipal cooperative base as the research object. Self-made psychological stress evaluation scale was divided into two dimensions: psychological stress and emotion. The emotional dimension was given 1 to 10 points respectively. Descriptive statistics and analysis of variance were used to evaluate the general situation and stress status of residents in standardized training. Results The psychological stress of trainees is prominent, and the employment pressure is the biggest source of stress (4.583±2.939). Other source are work pressure (4.269±2.791), study pressure (3.398±2.782), economic pressure (3.167±2.715), interpersonal pressure (1.222±2.088), environmental pressure (1.065±1.906), and emotional pressure (0.824±1.723). There are significant differences between different types of stress (F=44.68, P=0.000). Trainees' mental health problems are quite serious. 59.26% of the standardized training students occasionally feel pressure, 35.19% often feel pressure, and 4.63% always feel pressure. The detection rate of anxiety, depression and inferiority is 64%, 26% and 26%, respectively. There are significant differences in the average scores of various emotions (F=24.19, P=0.000). Conclusion The psychological stress and mental health problems of residents in standardized training are prominent. Positive measures should be taken to deal with the mental health problems in prospective doctors groups in their transformation stage of development. Key words: Standardized training residents; Psychological pressure; Affecting factors

Anxiety and depression status of coal miners and related influencing factors

Objective: To analyze the anxiety and depression status of coal miners and related influencing factors, and to provide justifications for occupational health protection. Methods: From April 2017 to June 2017, a total of 650 coal miners in a mining area in Shanxi, China were enrolled; The coal miners were evaluated for their anxiety and depression status using the Hamilton Anxiety Rating Scale (14 items) and the Hamilton Depression Rating Scale (17 items) , respectively. The related influencing factors for anxiety and depression of the coal miners were analyzed with nonparametric test, chi-square test, and logistic regression. Results: The incidence rates of anxiety and depression were 51.1% and 60.5%, respectively. As suggested by the scores and detection rates of anxiety and depression, males had significantly higher anxiety and depression scores than females (P<0.05) ; subjects in older-age groups and those working in shifts had significantly higher anxiety scores (P<0.05) ; subjects with higher education degrees and smokers had significantly higher depression scores (P<0.05) ; while subjects with longer length of service, those with poor sleep quality, and those working in the underground mines had both significantly higher anxiety and depression scores (P<0.05) . The detection rate of anxiety was significantly higher in subjects with a drinking habit than in those who did not drink (P<0.05) . The detection rate of depression was significantly higher in subjects with hypertension than in those with normal blood pressure (P<0.05) . A multivariate logistic regression analysis showed that work type and length of service were related to anxiety; gender and length of service were related to depression; length of service was positively correlated with both anxiety and depression. Conclusion: The anxiety and depression in coal miners and related influencing factors should be taken seriously. Gender, age, length of service, working in shifts, education degree, smoking, sleep quality, underground working environment, and hypertension may be risk factors for anxiety and depression in coal miners.

Investigations of anxiety and depression in 100 patients with chronic subdural hematoma

Objective To provide the clinical evidences for intervening the depression and anxiety in patients with chronic subdural hematoma, we investigated the incidence and the influencing factors of anxiety and depression in these patients. Methods Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to investigate 100 patients with chronic subdural hematoma in Department of Neurosurgery, Beijing Tian Tan Hospital of Capital Medical University from October 2015 to May 2016 at admission and discharged. Results The score of SAS was (45.16±8.423) and the detection rate of anxiety was 25% on admission; the score of SDS was (38.86±7.906) and the detection rate of anxiety was 29%; the scores of SAS and SDS both were higher than the national norm (t=17.227, 4.891; P<0.05) . The detection rate of anxiety was 10% and the detection rate of depression was 12% at discharged; the scores of SAS (38.86±7.906) and SDS (44.15±6.772) both were also higher than the national norm (t=10.756, 3.047; P<0.05) . Conclusions Patients with chronic subdural hematoma have high detection rates of anxiety and depression, so we should pay sufficient attention. The doctors and nurses should regard the psychological problems when implement diagnosis and treatment of the physical diseases in patients with chronic subdural hematoma, and promptly provide clinical intervention to against anxiety, depression and other psychological problems for promoting the physical and mental health of patients. Key words: Hematoma, subdural, chronic; Anxiety; Depression

Психологічна дезадаптація пацієнтів з ГЕРХ: огляд та власні дослідження

У статті наведені сучасні дані щодо психосоматичної проблеми у медицині, зокрема, світовий досвід вивчення порушень психологічної адаптації у хворих на гастроезофагеальну рефлексну хворобу (ГЕРХ), а також подані результати власних досліджень. За допомогою застосованих психологічних тестів частота виявлення тривожності та депресивності у пацієнтів із ГЕРХ становила 100 та 91,2 % відповідно. Дослідження, проведені у віддаленому періоді, свідчать, що наявність психологічної дезадаптації у пацієнтів із ГЕРХ унеможливлює досягнення стійкої ремісії щодо основного захворювання та вимагає відповідної корекції.

Effect of group psychological intervention on anxiety and depression in rural reproductive women with intrauterine device

Objective To explore the effect of group psychological intervention on anxiety and depression in rural reproductive women with intrauterine device （ IUD） in order to provide the theoretical and practical basis for carrying out contraceptive measures .Methods One hundred and two rural reproductive women with IUD were chosen and received the group psychological intervention , and the unhealthy moods were evaluated by the self-rating anxiety scale （SAS） and the self-rating depression scale （SDS） before and after intervention .Results The detection rates of anxiety and depression in rural reproductive women before intervention were respectively 29.4%（30/102） and 9.8%（10/102）, and were higher than 2.9%and 1.0%after intervention, and the differences were statistically significant （χ2 =26.354, 7.783, respectively;P 〈0.01）.The scores of SAS and SDS were respectively （33.1 ±7.8）, （35.2 ±8.1） after intervention, and were lower than those before intervention , and the differences were statistically significant （ t =2.612, 2.866, respectively;P〈0.01）.Conclusions IUD might be the stress source of causing the anxiety and depression in rural reproductive women , and the group psychological intervention can significant improve their unhealthy moods including anxiety and depression . Key words: Intrauterine device; Reproductive women; Anxiety; Depression; Group psychological intervention

Effects of type D personality on anxiety, depression and quality of life of hospitalized patients with coronary heart disease

Objective To explore the relationship between type D personality, anxiety and depression of coronary heart disease(CHD) and the effects on quality of life(QOL). Methods 296 CHD patients were randomly chosen to answer the questionnaires of general situation, type D personality scale (DS14), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS) and Short-Form Health Survey (SF-36). Results Of all subjects 37.2% were identified as type D personality, detection rates of anxiety and depression was were higher than the patients with non-type D personality (33.6% vs 14.0%, 49.1% vs 23.1%, separately)(P<0.01). The scores of role-physical(RP), bodily pain(BP), general health(GH), vitality(VT), social functioning(SF), role-emotional(RE), mental health(MH) in patients with type D personality ((32.73±42.52), (57.68±26.93), (42.14±18.23), (47.15±22.60), ( 59.43±26.67), (45.91±46.22), ( 49.25±22.21), separately) were lower than the patients with non-type D personality ((56.00±46.61), (64.62±22.27), (48.27±19.19), (61.56±20.17), (69.70±24.35), (70.79±44.53), (70.52±18.91), separately)(P<0.05 or 0.01). Multiple stepwise regression analysis showed that depression, type D personality, anxiety, coronary artery stenosis degree and degree of education were entered QOL regression equation(β=-16.31, -6.53, -7.69, -15.75, 2.64, P<0.05). Conclusion The type D personality of CHD exist high prevalence of anxiety and depression disorders, and the type D personality influence the QOL of patients with CHD. Key words: Coronary heart disease; Type D personality; Anxiety; Depression; Quality of life