BACKGROUND Although the number of senior citizens living alone is increasing,only a few studies have identified factors related to the depression characteristics of senior citizens living alone by using epidemiologica...BACKGROUND Although the number of senior citizens living alone is increasing,only a few studies have identified factors related to the depression characteristics of senior citizens living alone by using epidemiological survey data that can represent a population group.AIM To evaluate prediction performance by building models for predicting the depression of senior citizens living alone that included subjective social isolation and perceived social support as well as personal characteristics such as age and drinking.METHODS This study analyzed 1558 senior citizens(695 males and 863 females)who were 60 years or older and completed an epidemiological survey representing the South Korean population.Depression,an outcome variable,was measured using the short form of the Korean version CES-D(short form of CES-D).RESULTS The prevalence of depression among the senior citizens living alone was 7.7%.The results of multiple logistic regression analysis showed that the experience of suicidal urge over the past year,subjective satisfaction with help from neighbors,subjective loneliness,age,and self-esteem were significantly related to the depression of senior citizens living alone(P<0.05).The results of 10-fold cross validation showed that the area under the curve of the nomogram was 0.96,and the F1 score of it was 0.97.CONCLUSION It is necessary to strengthen the social network of senior citizens living alone with friends and neighbors based on the results of this study to protect them from depression.展开更多
BACKGROUND Psychological problems are becoming increasingly prominent among older patients with leukemia,with patients potentially facing stigmatization after diagnosis.However,there is limited research on the stigma ...BACKGROUND Psychological problems are becoming increasingly prominent among older patients with leukemia,with patients potentially facing stigmatization after diagnosis.However,there is limited research on the stigma experienced by these patients and the factors that may contribute to it.AIM To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.METHODS A retrospective analysis was conducted using clinical data obtained from questionnaire surveys,interviews,and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023.The data obtained included participants’basic demographic information,medical history,leukemia type,family history of leukemia,average monthly family income,pension,and tendency to conceal illness.The Chinese versions of the Social Impact Scale(SIS),Perceived Social Support Scale(PSSS),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to assess indicators related to stigma,social support,and mental health status.We used Pearson’s correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale,and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.RESULTS Data from 120 patients with leukemia aged 65-80 years were analyzed.The total score on the SIS and PSSS was 43.60±4.07 and 37.06±2.87,respectively.The SAS score was 58.35±8.32 and the SDS score was 60.58±5.97.The stigma experienced by older leukemia patients was negatively correlated with social support(r=-0.691,P<0.05)and positively correlated with anxiety and depression(r=0.506,0.382,P<0.05).Age,education level,smoking status,average monthly family income,pension,and tendency to conceal illness were significantly associated with the participants’level of stigma(P<0.05).Age,smoking status,social support,anxiety,and depression were predictive factors of stigmatization among older leukemia patients after diagnosis(all P<0.05),with a coefficient of determination(R2)of 0.644 and an adjusted R2 of 0.607.CONCLUSION Older patients commonly experience stigmatization after being diagnosed with leukemia.Factors such as age,smoking status,social support,and psychological well-being may influence older patients’reported experience of stigma.展开更多
Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the globa...Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the global healthcare system,with Chinese patients accounting for approximately one-quarter of the world’s dementia cases.Therefore,it is crucial to identify factors that impact the quality of life(QOL)among elderly Chinese individuals with dementia.Method:To achieve this,we conducted a comprehensive search of several databases,including PubMed,Embase,Web of Science,the Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,China VIP Database and China Biomedical Literature Database.We reviewed cross-sectional studies from the inception of these databases until March 27,2022.QOL outcomes were assessed using standardized scales in the studies included in this review.Results:The search yielded a total of 1,235 relevant articles,from which we finally included 21 cross-sectional studies and one longitudinal study after rigorous quality assessment.Among these,10 studies were classified as high quality,while 12 were classified as fair quality.Through our analysis,we identified 28 patient-rated QOL factors and 14 caregiver-rated QOL factors.These factors were categorized into three groups:patient,disease-related and caregiver.Factors commonly found to influence patient-rated QOL included age,education,marital status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiver burden.Similarly,factors commonly influencing caregiver-rated QOL included economic status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiving time.Conclusion:This review clarifies the factors that influence the QOL of Chinese individuals with dementia.When implementing interventions,it is crucial to consider the differences between patient-rated QOL and caregiver-proxy-rated QOL,as well as their respective influencing factors.展开更多
Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressiv...Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressive symptoms in Swedish adolescents. Methods: A web-based questionnaire was answered by 1193 13- to 16-year-old boys (n = 566) and girls (n = 627). Stepwise logistic regressions were employed to analyse the association between depressive symptoms and various determinants at the individual level (self-efficacy), the psychosocial level (parental, peer, and teacher support, school demands, sexual harassment, and bullying) and the structural level (family affluence, having less money than friends, and parental foreign background). Results: Determinants at the individual, psychosocial, and structural levels were independently associated with high levels of depressive symptoms in both boys and girls. The full model explained a high proportion of the variance in depressive symptoms in both genders;34.1% in boys and 36.8% in girls. The psychosocial level contributed the most to explaining the variance in depressive symptoms in boys. In girls, when harassment variables were separated from psychosocial variables, the harassment variables contributed as much to the full model as the rest of the psychosocial variables combined. Conclusions: Addressing psychosocial determinants provides the greatest benefits for preventing depressive symptoms in adolescents. Acknowledging the association between sexual harassment and depressive symptoms for girls and having less money than their friends for boys and girls are particularly important.展开更多
目的:探讨维持性血液透析患者心理脆弱现状及影响因素。方法:采用便利抽样方法选取2023年3—7月桂林医学院附属医院血液净化中心收治的380例维持性血液透析患者。收集所有患者一般资料,评价所有患者心理脆弱情况、社会支持情况。比较不...目的:探讨维持性血液透析患者心理脆弱现状及影响因素。方法:采用便利抽样方法选取2023年3—7月桂林医学院附属医院血液净化中心收治的380例维持性血液透析患者。收集所有患者一般资料,评价所有患者心理脆弱情况、社会支持情况。比较不同一般资料患者心理脆弱量表(mental vulnerability questionnaire,MVQ)评分,统计所有患者MVQ评分及领悟社会支持量表(perceived social support scale,PSSS)评分情况。分析维持性血液透析患者MVQ评分及PSSS评分相关性。分析维持性血液透析患者心理脆弱的影响因素。结果:不同文化程度、婚姻状况、居住情况、家庭人均月收入、透析时长、有无并发症患者MVQ评分比较,差异有统计学意义(P<0.05)。维持性血液透析患者心理脆弱呈中等水平,其各维度条目均分由高到低为人际问题、身心症状、精神症状;领悟社会支持呈中等水平。心理脆弱总分、身心症状、精神症状、人际问题评分与社会支持总分、家庭支持、朋友支持、其他支持评分均呈负相关(P<0.05)。居住情况、有无并发症、社会支持是维持性血液透析患者心理脆弱的主要影响因素(P<0.05)。结论:维持性血液透析患者心理脆弱呈中等水平,其中独居、伴有并发症、社会支持是维持性血液透析患者心理脆弱的主要影响因素,应积极制订有效性、针对性的干预措施帮助其降低心理脆弱程度,提高心理健康水平,从而提高生活质量。展开更多
基金Basic Science Research Program through the National Research Foundation of Korea(NRF)funded by the Ministry of Education(NRF-2018R1D1A1B07041091,NRF-2021S1A5A8062526).
文摘BACKGROUND Although the number of senior citizens living alone is increasing,only a few studies have identified factors related to the depression characteristics of senior citizens living alone by using epidemiological survey data that can represent a population group.AIM To evaluate prediction performance by building models for predicting the depression of senior citizens living alone that included subjective social isolation and perceived social support as well as personal characteristics such as age and drinking.METHODS This study analyzed 1558 senior citizens(695 males and 863 females)who were 60 years or older and completed an epidemiological survey representing the South Korean population.Depression,an outcome variable,was measured using the short form of the Korean version CES-D(short form of CES-D).RESULTS The prevalence of depression among the senior citizens living alone was 7.7%.The results of multiple logistic regression analysis showed that the experience of suicidal urge over the past year,subjective satisfaction with help from neighbors,subjective loneliness,age,and self-esteem were significantly related to the depression of senior citizens living alone(P<0.05).The results of 10-fold cross validation showed that the area under the curve of the nomogram was 0.96,and the F1 score of it was 0.97.CONCLUSION It is necessary to strengthen the social network of senior citizens living alone with friends and neighbors based on the results of this study to protect them from depression.
文摘BACKGROUND Psychological problems are becoming increasingly prominent among older patients with leukemia,with patients potentially facing stigmatization after diagnosis.However,there is limited research on the stigma experienced by these patients and the factors that may contribute to it.AIM To investigate the stigma faced by older patients after being diagnosed with leukemia and to analyze the potential influencing factors.METHODS A retrospective analysis was conducted using clinical data obtained from questionnaire surveys,interviews,and the medical records of older patients with leukemia admitted to the Hengyang Medical School from June 2020 to June 2023.The data obtained included participants’basic demographic information,medical history,leukemia type,family history of leukemia,average monthly family income,pension,and tendency to conceal illness.The Chinese versions of the Social Impact Scale(SIS),Perceived Social Support Scale(PSSS),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to assess indicators related to stigma,social support,and mental health status.We used Pearson’s correlation coefficient to analyze the strength and direction of the relationship between the scores of each scale,and regression analysis to explore the factors related to the stigma of older patients with leukemia after diagnosis.RESULTS Data from 120 patients with leukemia aged 65-80 years were analyzed.The total score on the SIS and PSSS was 43.60±4.07 and 37.06±2.87,respectively.The SAS score was 58.35±8.32 and the SDS score was 60.58±5.97.The stigma experienced by older leukemia patients was negatively correlated with social support(r=-0.691,P<0.05)and positively correlated with anxiety and depression(r=0.506,0.382,P<0.05).Age,education level,smoking status,average monthly family income,pension,and tendency to conceal illness were significantly associated with the participants’level of stigma(P<0.05).Age,smoking status,social support,anxiety,and depression were predictive factors of stigmatization among older leukemia patients after diagnosis(all P<0.05),with a coefficient of determination(R2)of 0.644 and an adjusted R2 of 0.607.CONCLUSION Older patients commonly experience stigmatization after being diagnosed with leukemia.Factors such as age,smoking status,social support,and psychological well-being may influence older patients’reported experience of stigma.
文摘Background:Dementia is a group of nervous system diseases characterized by progressive cognitive decline,leading to a loss of self-care ability and a decline in well-being.This places a significant burden on the global healthcare system,with Chinese patients accounting for approximately one-quarter of the world’s dementia cases.Therefore,it is crucial to identify factors that impact the quality of life(QOL)among elderly Chinese individuals with dementia.Method:To achieve this,we conducted a comprehensive search of several databases,including PubMed,Embase,Web of Science,the Cochrane Library,China National Knowledge Infrastructure,Wanfang Data,China VIP Database and China Biomedical Literature Database.We reviewed cross-sectional studies from the inception of these databases until March 27,2022.QOL outcomes were assessed using standardized scales in the studies included in this review.Results:The search yielded a total of 1,235 relevant articles,from which we finally included 21 cross-sectional studies and one longitudinal study after rigorous quality assessment.Among these,10 studies were classified as high quality,while 12 were classified as fair quality.Through our analysis,we identified 28 patient-rated QOL factors and 14 caregiver-rated QOL factors.These factors were categorized into three groups:patient,disease-related and caregiver.Factors commonly found to influence patient-rated QOL included age,education,marital status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiver burden.Similarly,factors commonly influencing caregiver-rated QOL included economic status,depression,self-care ability,dementia severity,cognitive function,behavioral and psychological symptoms of dementia and caregiving time.Conclusion:This review clarifies the factors that influence the QOL of Chinese individuals with dementia.When implementing interventions,it is crucial to consider the differences between patient-rated QOL and caregiver-proxy-rated QOL,as well as their respective influencing factors.
文摘Depressive symptoms in adolescents are an increasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural determinants are associated with depressive symptoms in Swedish adolescents. Methods: A web-based questionnaire was answered by 1193 13- to 16-year-old boys (n = 566) and girls (n = 627). Stepwise logistic regressions were employed to analyse the association between depressive symptoms and various determinants at the individual level (self-efficacy), the psychosocial level (parental, peer, and teacher support, school demands, sexual harassment, and bullying) and the structural level (family affluence, having less money than friends, and parental foreign background). Results: Determinants at the individual, psychosocial, and structural levels were independently associated with high levels of depressive symptoms in both boys and girls. The full model explained a high proportion of the variance in depressive symptoms in both genders;34.1% in boys and 36.8% in girls. The psychosocial level contributed the most to explaining the variance in depressive symptoms in boys. In girls, when harassment variables were separated from psychosocial variables, the harassment variables contributed as much to the full model as the rest of the psychosocial variables combined. Conclusions: Addressing psychosocial determinants provides the greatest benefits for preventing depressive symptoms in adolescents. Acknowledging the association between sexual harassment and depressive symptoms for girls and having less money than their friends for boys and girls are particularly important.
文摘目的:探讨维持性血液透析患者心理脆弱现状及影响因素。方法:采用便利抽样方法选取2023年3—7月桂林医学院附属医院血液净化中心收治的380例维持性血液透析患者。收集所有患者一般资料,评价所有患者心理脆弱情况、社会支持情况。比较不同一般资料患者心理脆弱量表(mental vulnerability questionnaire,MVQ)评分,统计所有患者MVQ评分及领悟社会支持量表(perceived social support scale,PSSS)评分情况。分析维持性血液透析患者MVQ评分及PSSS评分相关性。分析维持性血液透析患者心理脆弱的影响因素。结果:不同文化程度、婚姻状况、居住情况、家庭人均月收入、透析时长、有无并发症患者MVQ评分比较,差异有统计学意义(P<0.05)。维持性血液透析患者心理脆弱呈中等水平,其各维度条目均分由高到低为人际问题、身心症状、精神症状;领悟社会支持呈中等水平。心理脆弱总分、身心症状、精神症状、人际问题评分与社会支持总分、家庭支持、朋友支持、其他支持评分均呈负相关(P<0.05)。居住情况、有无并发症、社会支持是维持性血液透析患者心理脆弱的主要影响因素(P<0.05)。结论:维持性血液透析患者心理脆弱呈中等水平,其中独居、伴有并发症、社会支持是维持性血液透析患者心理脆弱的主要影响因素,应积极制订有效性、针对性的干预措施帮助其降低心理脆弱程度,提高心理健康水平,从而提高生活质量。
