目的:针对抑郁症群体年轻化趋势,本研究致力于探究绘画团体辅导在初中学生群体中对抑郁症状和整体心理健康水平的影响,为青少年抑郁症状干预提供科学有效的普适性方法。方法:选取山东省威海市某四年制初中学校存在抑郁症状的80名学生作...目的:针对抑郁症群体年轻化趋势,本研究致力于探究绘画团体辅导在初中学生群体中对抑郁症状和整体心理健康水平的影响,为青少年抑郁症状干预提供科学有效的普适性方法。方法:选取山东省威海市某四年制初中学校存在抑郁症状的80名学生作为研究对象,随机分为实验组40人(绘画团体辅导)和对照组40人(学校标准课程)。通过流调用抑郁量表(CES-D)和中小学生心理健康诊断测验(MHT)来测量绘画团体辅导的干预效果。试验结束后的3个月和9个月,采用流调用抑郁量表进行随访。结果:实验组CES-D基线的均数与干预后、3月后、9月后量表得分总体均数相比,存在统计学差异(F = 3.93, P = 0.01);时间和处理因素交互效应无统计学意义(P = 0.15);实验组和对照组在干预后CES-D得分,有统计学差异(t = 3.56, P = 0.001)。MHT量表总分在干预后两组存在统计学差异(Z = −2.32, P = 0.023);学习压力得分在干预后两组无统计学差异(t = −0.7, P = 0.49)。干预后,达到临床显著改善实验组与对照组相比,两组有明显统计学差异(χ2 = 15.22, P = 0.001)。结论:本研究结果支持绘画团体辅导对初中学生抑郁症状的改善是有效的,且这种改善效果在随访过程中得以持续。绘画团体辅导可以作为一种简便而有效的干预方法,为初中生的健康成长发挥积极作用。Objective: In response to the trend of youth depression, this study aims to explore the effects of group art therapy on depression symptoms and overall mental health in junior high school students, and provide a scientifically effective and universally applicable method for intervention of adolescent depression. Methods: 80 students with depression symptoms from a four-year junior high school in Weihai, Shandong province, China were randomly divided into an experimental group (group art therapy, n = 40) and a control group (standard school curriculum, n = 40). The intervention effects of group art therapy were measured using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Mental Health Test for Primary and Secondary School Students (MHT). Follow-up assessments were conducted at 3 months and 9 months after the end of the intervention using CES-D. Results: There was a statistically significant difference between the experimental group and control group in terms of CES-D scores after the intervention (t = 3.56, P = 0.001). The baseline mean of CES-D scores in the experimental group was significantly different from the mean scores after the intervention, at 3 months, and at 9 months (F = 3.93, P = 0.01). There was no significant interaction effect between time and treatment factors (P = 0.15). There was a statistically significant difference between the two groups in terms of MHT total scores after the intervention (Z = −2.32, P = 0.023), but no significant difference in learning stress scores (t = −0.7, P = 0.49). The experimental group had significantly more participants achieving clinically significant improvement compared to the control group (χ2 = 15.22, P = 0.001). Conclusion: The results of this study support the effectiveness of group art therapy in improving depression symptoms in junior high school students, with sustained effectiveness observed during follow-up. Group art therapy can be considered as a simple and effective intervention method, playing a positive role in the healthy development of junior high school students.展开更多
帕金森病是一种影响中老年人的运动障碍疾病。它主要有四种运动症状(震颤、肌肉紧张、运动迟缓和姿势障碍)。此外,大多数患者在发病初期会出现非运动症状,有些患者在出现运动症状之前就会出现非运动症状。帕金森病对老年患者的生活质量...帕金森病是一种影响中老年人的运动障碍疾病。它主要有四种运动症状(震颤、肌肉紧张、运动迟缓和姿势障碍)。此外,大多数患者在发病初期会出现非运动症状,有些患者在出现运动症状之前就会出现非运动症状。帕金森病对老年患者的生活质量有着很大的影响,特别是在精神症状这方面。其中一些症状,如焦虑,会随着病情的发展而出现和加重,不仅会给患者本人,也会给其家人带来极大的痛苦。现代医学越来越关注帕金森病,临床试验的目的是找出改善患者预后和生活质量的方法。以往的研究侧重于治疗运动障碍,而忽略了焦虑症状等非运动症状。帕金森病是一种无法独立治愈的疾病。治疗不仅会延缓病情的发展,还会使病情逐渐恶化,严重时还会导致不可逆转的后果,如感觉障碍、广泛性疼痛和神经变性,如四肢瘫痪。因此,一旦发现帕金森病,必须及早诊断并立即开始治疗。在本研究中,我们观察并研究了帕罗西汀治疗焦虑相关帕金森病的临床效果。Parkinson disease is a disease of motor disorders that affects middle-aged and elderly people. It has four main motor symptoms (tremor, muscle tension, bradykinesia, and postural disorders). Furthermore, most patients develop non-motor symptoms at the beginning of the disease, and some patients develop non-motor symptoms before they appear. PD has a great impact on the quality of life of elderly patients, especially in this aspect of psychiatric symptoms. Some of these symptoms, such as anxiety, can appear and worsen as the disease progresses, causing great pain not only to the patient himself, but also to his family. Modern medicine is increasingly focused on Parkinson’s disease, and clinical trials aim to find ways to improve patient outcomes and quality of life. Previous studies focused on treatment of motor disorders and ignoring non-motor symptoms such as anxiety symptoms. PD is a disease that cannot be cured independently. Treatment will not only delay the development of the disease, but will also gradually worsen the condition, and in severe cases can also lead to irreversible consequences, such as sensory impairment, generalized pain, and neurodegeneration, such as quadriplegia. Therefore, once PD is detected, it must be diagnosed early and treatment started immediately. In this study, we observed and investigated the clinical effects of paroxetine in the treatment of anxiety-related parkinsonian disease.展开更多
文摘目的:针对抑郁症群体年轻化趋势,本研究致力于探究绘画团体辅导在初中学生群体中对抑郁症状和整体心理健康水平的影响,为青少年抑郁症状干预提供科学有效的普适性方法。方法:选取山东省威海市某四年制初中学校存在抑郁症状的80名学生作为研究对象,随机分为实验组40人(绘画团体辅导)和对照组40人(学校标准课程)。通过流调用抑郁量表(CES-D)和中小学生心理健康诊断测验(MHT)来测量绘画团体辅导的干预效果。试验结束后的3个月和9个月,采用流调用抑郁量表进行随访。结果:实验组CES-D基线的均数与干预后、3月后、9月后量表得分总体均数相比,存在统计学差异(F = 3.93, P = 0.01);时间和处理因素交互效应无统计学意义(P = 0.15);实验组和对照组在干预后CES-D得分,有统计学差异(t = 3.56, P = 0.001)。MHT量表总分在干预后两组存在统计学差异(Z = −2.32, P = 0.023);学习压力得分在干预后两组无统计学差异(t = −0.7, P = 0.49)。干预后,达到临床显著改善实验组与对照组相比,两组有明显统计学差异(χ2 = 15.22, P = 0.001)。结论:本研究结果支持绘画团体辅导对初中学生抑郁症状的改善是有效的,且这种改善效果在随访过程中得以持续。绘画团体辅导可以作为一种简便而有效的干预方法,为初中生的健康成长发挥积极作用。Objective: In response to the trend of youth depression, this study aims to explore the effects of group art therapy on depression symptoms and overall mental health in junior high school students, and provide a scientifically effective and universally applicable method for intervention of adolescent depression. Methods: 80 students with depression symptoms from a four-year junior high school in Weihai, Shandong province, China were randomly divided into an experimental group (group art therapy, n = 40) and a control group (standard school curriculum, n = 40). The intervention effects of group art therapy were measured using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Mental Health Test for Primary and Secondary School Students (MHT). Follow-up assessments were conducted at 3 months and 9 months after the end of the intervention using CES-D. Results: There was a statistically significant difference between the experimental group and control group in terms of CES-D scores after the intervention (t = 3.56, P = 0.001). The baseline mean of CES-D scores in the experimental group was significantly different from the mean scores after the intervention, at 3 months, and at 9 months (F = 3.93, P = 0.01). There was no significant interaction effect between time and treatment factors (P = 0.15). There was a statistically significant difference between the two groups in terms of MHT total scores after the intervention (Z = −2.32, P = 0.023), but no significant difference in learning stress scores (t = −0.7, P = 0.49). The experimental group had significantly more participants achieving clinically significant improvement compared to the control group (χ2 = 15.22, P = 0.001). Conclusion: The results of this study support the effectiveness of group art therapy in improving depression symptoms in junior high school students, with sustained effectiveness observed during follow-up. Group art therapy can be considered as a simple and effective intervention method, playing a positive role in the healthy development of junior high school students.
文摘帕金森病是一种影响中老年人的运动障碍疾病。它主要有四种运动症状(震颤、肌肉紧张、运动迟缓和姿势障碍)。此外,大多数患者在发病初期会出现非运动症状,有些患者在出现运动症状之前就会出现非运动症状。帕金森病对老年患者的生活质量有着很大的影响,特别是在精神症状这方面。其中一些症状,如焦虑,会随着病情的发展而出现和加重,不仅会给患者本人,也会给其家人带来极大的痛苦。现代医学越来越关注帕金森病,临床试验的目的是找出改善患者预后和生活质量的方法。以往的研究侧重于治疗运动障碍,而忽略了焦虑症状等非运动症状。帕金森病是一种无法独立治愈的疾病。治疗不仅会延缓病情的发展,还会使病情逐渐恶化,严重时还会导致不可逆转的后果,如感觉障碍、广泛性疼痛和神经变性,如四肢瘫痪。因此,一旦发现帕金森病,必须及早诊断并立即开始治疗。在本研究中,我们观察并研究了帕罗西汀治疗焦虑相关帕金森病的临床效果。Parkinson disease is a disease of motor disorders that affects middle-aged and elderly people. It has four main motor symptoms (tremor, muscle tension, bradykinesia, and postural disorders). Furthermore, most patients develop non-motor symptoms at the beginning of the disease, and some patients develop non-motor symptoms before they appear. PD has a great impact on the quality of life of elderly patients, especially in this aspect of psychiatric symptoms. Some of these symptoms, such as anxiety, can appear and worsen as the disease progresses, causing great pain not only to the patient himself, but also to his family. Modern medicine is increasingly focused on Parkinson’s disease, and clinical trials aim to find ways to improve patient outcomes and quality of life. Previous studies focused on treatment of motor disorders and ignoring non-motor symptoms such as anxiety symptoms. PD is a disease that cannot be cured independently. Treatment will not only delay the development of the disease, but will also gradually worsen the condition, and in severe cases can also lead to irreversible consequences, such as sensory impairment, generalized pain, and neurodegeneration, such as quadriplegia. Therefore, once PD is detected, it must be diagnosed early and treatment started immediately. In this study, we observed and investigated the clinical effects of paroxetine in the treatment of anxiety-related parkinsonian disease.
