Quantitative effect of kerogen type on the hydrocarbon generation potential of Paleogene lacustrine source rocks,Liaohe Western Depression,China

Kerogen types exert a decisive effect on the onset and capacity of hydrocarbon generation of source rocks.Lacustrine source rocks in the Liaohe Western Depression are characterized by thick deposition,high total organic carbon(TOC)content,various kerogen types,and a wide range of thermal maturity.Consequently,their hydrocarbon generation potential and resource estimation can be misinterpreted.In this study,geochemical tests,numerical analysis,hydrocarbon generation kinetics,and basin modeling were integrated to investigate the differential effects of kerogen types on the hydrocarbon generation potential of lacustrine source rocks.Optimized hydrocarbon generation and expulsion(HGE)models of different kerogen types were established quantitatively upon abundant Rock-Eval/TOC/vitrinite reflectance(R_(o))datasets.Three sets of good-excellent source rocks deposited in the fourth(Es4),third(Es3),and first(Es1)members of Paleogene Shahejie Formation,are predominantly types I-II_(1),II_(1)-II_(2),and II-III,respectively.The activation energy of types I-II_(2)kerogen is concentrated(180-230 kcal/mol),whereas that of type III kerogen is widely distributed(150-280 kcal/mol).The original hydrocarbon generation potentials of types I,II_(1),II_(2),and III kerogens are 790,510,270,and 85 mg/g TOC,respectively.The Ro values of the hydrocarbon generation threshold for type I-III source rocks gradually increase from 0.42%to 0.74%,and Ro values of the hydrocarbon expulsion threshold increase from 0.49%to 0.87%.Types I and II_(1)source rocks are characterized by earlier hydrocarbon generation,more rapid hydrocarbon expulsion,and narrower hydrocarbon generation windows than types II_(2)and III source rocks.The kerogen types also affect the HGE history and resource potential.Three types(conventional,tight,and shale oil/gas)and three levels(realistic,expected,and prospective)of hydrocarbon resources of different members in the Liaohe Western Depression are evaluated.Findings suggest that the Es3 member has considerable conventional and unconventional hydrocarbon resources.This study can quantitatively characterize the hydrocarbon generation potential of source rocks with different kerogen types,and facilitate a quick and accurate assessment of hydrocarbon resources,providing strategies for future oil and gas exploration.

Clinical intervention effect of Xuefu Zhuyu decoction on chronic heart failure complicated with depression

BACKGROUND The diagnosis and treatment of depression in patients with chronic heart failure(CHF)is challenging,with no ideal treatment at present.AIM To analyze the clinical intervention effect of Xuefu Zhuyu decoction(XFZYD)on CHF complicated with depression.METHODS The study cohort comprised 116 patients with CHF complicated with depression who received treatment from July 2020 to July 2023,of which 55 received Western medicine(control group)and 61 received XFZYD(research group).Data on clinical effectiveness,traditional Chinese medicine(TCM)syndrome score,cardiac function,negative emotions,and serum inflammatory factors,were collected for comparative analyses.RESULTS Compared with the control group,the research group had an evidently higher total effective rate.Furthermore,there were marked reductions in TCM symptom score,left ventricular end-diastolic diameter,left ventricular end-systolic diameter,Self-Rating Depression Scale,Hamilton Depression Scale,high-sensitivity C-reactive protein,monocyte chemoattractant protein-1,and matrix metalloproteinase-9 in the research group after treatment,and these were lower than the corresponding values in the control group.Left ventricular ejection fraction was increased and higher in the research group compared with the control group after treatment.CONCLUSION Our findings conclusively proved that XFZYD was considerably superior to Western medicine for treating CHF complicated with depression because it significantly alleviated patients’symptoms,improved cardiac function,relieved negative emotions,and reduced the levels of serum inflammatory factors.

Being a Father of a Premature Newborn: The Parental Experience and the Father/Premature Newborn Relationship: A Study Carried out in the Department of Neonatology Intensive Care Unit of Mohammed VI University Hospital

Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.

Impact of depression on in-hospital outcomes for adults with type 2 myocardial infarction:A United States population-based analysis

BACKGROUND Type 2 myocardial infarction(T2MI)is an ischemic myocardial injury in the context of oxygen supply/demand mismatch in the absence of a primary coronary event.However,though there is a rising prevalence of depression and its potential association with type 1 myocardial infarction(T1MI),data remains nonexistent to evaluate the asso-ciation with T2MI.AIM To identify the prevalence and risk of T2MI in adults with depression and its impact on the in-hospital outcomes.METHODS We queried the National Inpatient Sample(2019)to identify T2MI hospitalizations using Internal Classification of Diseases-10 codes in hospitalized adults(≥18 years).In addition,we compared sociodemographic and comorbidities in the T2MI cohort with vs without comorbid depression.Finally,we used multivariate regression analysis to study the odds of T2MI hospitalizations with vs without depression and in-hospital outcomes(all-cause mortality,cardiogenic shock,cardiac arrest,and stroke),adjusting for confounders.Statistical significance was RESULTS There were 331145 adult T2MI hospitalizations after excluding T1MI(median age:73 years,52.8%male,69.9%white);41405(12.5%)had depression,the remainder;289740 did not have depression.Multivariate analysis revealed lower odds of T2MI in patients with depression vs without[adjusted odds ratio(aOR)=0.88,95%confidence interval(CI):0.86-0.90,P=0.001].There was the equal prevalence of prior MI with any revascularization and a similar prevalence of peripheral vascular disease in the cohorts with depression vs without depression.There is a greater prevalence of stroke in patients with depression(10.1%)vs those without(8.6%).There was a slightly higher prevalence of hyperlipidemia in patients with depression vs without depression(56.5%vs 48.9%),as well as obesity(21.3%vs 17.9%).There was generally equal prevalence of hypertension and type 2 diabetes mellitus in both cohorts.There was no significant difference in elective and non-elective admissions frequency between cohorts.Patients with depression vs without depression also showed a lower risk of all-cause mortality(aOR=0.75,95%CI:0.67-0.83,P=0.001),cardiogenic shock(aOR=0.65,95%CI:0.56-0.76,P=0.001),cardiac arrest(aOR=0.77,95%CI:0.67-0.89,P=0.001)as well as stroke(aOR=0.79,95%CI:0.70-0.89,P=0.001).CONCLUSION This study revealed a significantly lower risk of T2MI in patients with depression compared to patients without depression by decreasing adverse in-hospital outcomes such as all-cause mortality,cardiogenic shock,cardiac arrest,and stroke in patients with depression.

Reconsidering the role of depression and common psychiatric disorders as partners in the type 2 diabetes epidemic

Common psychiatric disorders(CPDs)and depression contribute significantly to the global epidemic of type 2 diabetes(T2D).We postulated a possible pathophysiological mechanism that through Bridge-Symptoms present in depression and CPDs,promotes the establishment of emotional eating,activation of the reward system,onset of overweight and obesity and,ultimately the increased risk of developing T2D.The plausibility of the proposed pathophysiological mechanism is supported by the mechanism of action of drugs such as naltrexonebupropion currently approved for the treatment of both obesity/overweight with T2D and as separate active pharmaceutical ingredients in drug addiction,but also from initial evidence that is emerging regarding glucagon-like peptide 1 receptor agonists that appear to be effective in the treatment of drug addiction.We hope that our hypothesis may be useful in interpreting the higher prevalence of CPDs and depression in patients with T2D compared with the general population and may help refine the integrated psychiatric-diabetic therapy approach to improve the treatment and or remission of T2D.

Sedimentary Response of Different Fan Types to the Paleogene-Neogene Basin Transformation in the Kuqa Depression,Tarim Basin,Xinjiang Province

A group of alluvial fans formed in the early Paleogene represent marginal sedimentary facies at the foot of the South Tianshan Mountain, Kuqa Depression, Tarim Basin, Xinjiang province. Two types of fans occurred in the middle-late Paleogene Kumugeliemu and Suweiyi formations： one alluvial, and the other fan delta deposited in a lacustrine setting. Within the early Neogene Jidike Formation, coastal subaqueous fans developed, probably in a deeper water lacustrine setting. The three types of fans are stacked vertically in outcrop with the sequence in ascending order： bottom alluvial, middle fan-delta, and top suhaqueous. The subaqueous is a typical coarse-fan deposit occurring in the glutinite member of the Jidike Formation in some wells. Laterally, from the foreland to the lacustrine settings, the distribution pattern of sedimentary facies represents the same three fan types sequentially. The spatial distribution of these fans was controlled by the Paleogene-Neogene Basin transformation, and evolution with different types of fans developed in the Kuqa Depression in response. In the Paleogene, the Kuqa Depression was a rift basin where an alluvial fan was deposited in the foreland setting, which, by early Neogene, became a foreland basin when the lake level changed. With any rise in lake level, fan-deltas migrated from lacustrine to foreland settings, whereas when the lake level fell, fan migration was reversed. In the early Neogene, with increasing slope and rising lake level, fans progressed and covered the previous fan-delta and lacustrine mudstone. Eventually, subaqueous fans developed, forming the present spatial configuration of these three fan types.

Genetic Types and Distribution of CO_2 Gases in the Huanghua Depression

CO2 gas is a nonhydrocarbon gas, with a high economic value and a broad prospect for application. In the Huanghua Depression, there exist many genetic types of CO2 gases, i.e. organic CO2, thermal metamorphic CO2 and crust-mantle mixed CO2. The distribution of different types of CO2 gases is controlled by different factors. Organic CO2 that occurs mainly around the oil-generating center is associated with hydrocarbon gases as a secondary product and commonly far away from large faults. Thermal metamorphic CO2 occurs mainly in areas where carbonate strata are developed and igneous activity is strong, and tends to accumulate near large faults. CO2 of such an origin is higher in concentration than organic CO2, but lower than crust-mantle mixed CO2. Crust-mantle mixed CO2 occurs mainly along large faults. Its distribution is limited, but its purity is the highest.

Genetic types and geochemicai characteristics of natural gases in the Jiyang Depression,China

Natural gases were widely distributed in the Jiyang Depression with complicated component composition, and it is difficult to identify their genesis. Based on investigation of gas composition, carbon isotope ratios, light hydrocarbon properties, as well as geological analysis, natural gases in the Jiyang Depression are classified into two types, one is organic gas and the other is abiogenic gas. Abiogenic gas is mainly magmatogenic or mantlederived CO2. Organic gases are further divided into coaltype gas, oil-type gas, and biogas according to their kero- gen types and formation mechanisms. The oil-type gases are divided into mature oil-type gas （oil-associated gas） and highly mature oil-type gas. The highly mature oil-type gases can be subdivided into oil-cracking gas and kerogen thermal degradation gas. Identification factors for each kind of hydrocarbon gas were summarized. Based on genesis analysis results, the genetic types of gases buried in different depths were discussed. Results showed that shallow gases （〈1,500 m） are mainly mature oil-type gases, biogas, or secondary gases. Secondary gases are rich in methane because of chromatographic separation during migration and secondary biodegradation. Secondary biodegradation leads to richness of heavy carbon isotope ratios in methane and propane. Genesis of middle depth gases （1,500-3,500 m） is dominated by mature oil-type gases.Deep gases （3,500-5,500 m） are mainly kerogen thermal degradation gas, oil-cracking gas, and coal-type gas.

The geochemical characteristics and genetic types of crude oils in the western depression of the Liaohe Basin,China

The physical properties and group compositions of crude oils in the western depression of the Liaohe Basin possess such characteristics as to increase gradually in density, viscosity and wax contents, and decrease in saturated hydrocarbon and non-hydrocarbon and bitumen contents from the deep level to the shallow level and from the center of the depression to its boundary. Saturated hydrocarbons have various spectra, such as single peak and double peak patterns, front peak and rear peak patterns, and smooth peak and serated peak patterns, as well as the chromatograms of biodegraded n-alkanes. The ratios of Pr/Ph in crude oils from the southern part of the depression are generally higher than those in the northern part. The distribution of regular steranes C27-C29 is predominantly of the ramp type, and only a few samples have relatively high C28 contents in the southern part of the depression. As viewed from their physical properties and geochemical characteristics, crude oils in the study area can be divided into two types (I and II) based on oil-generating sources and sedimentary environments, and then further divided into three sub-types (Ia, Ib and Ic:IIa, IIb and IIIc, respectively) based on their degrees of maturation and secondary transformation. This will provide the reliable basis for oil-source correlation and petroleum exploration and prediction.

Specific Types of Screen-Based Sedentary Time and Depressive Symptoms in Adolescents

Purpose:Screen-based sedentary behavior(SSB)has been identified as risk factor for mental disorders in most of adolescents.However,there is little literature pertaining to the specific kinds of SSB and its connections with depressive symptoms in most of adolescents.In the present study,we are going tofind out the connections between specific types of SSB and depressive symptoms in Chinese adolescents.Methods:A cross-sectional data based on 996 study participants of middle school students in Guangdong Province.SSB was evaluated by distri-buting the questionnaire of Health Behavior in School-aged Children,while depressive symptoms were evaluated using Chinese version of Children’s Depressive symptoms Inventory(CDI).SSB was categorized into TV/movie time,video games time and other electronic devices-based time(e.g.,mobile phone,computer use).Generalized linear models was used to explore the connections between specific kinds of SSB and depressive symptoms.Results:After controlling for variables of sex,ethnicity,grade,residence,siblings,perceived family affluence,father educational level,mother educational background,body mass index(BMI),physical exercise,duration of sleep,other electronic devices-based time was positively correlated with depressive symptoms in Chinese adolescents(B=0.557%,95%CI:0.187–0.926,p=0.003).This significant connection was also found in girls(B=0.728%,95%CI:0.230–1.225,p=0.004)instead of boys(p>0.05).The other types of SSB were not signifi-cantly in relation to depressive symptoms in adolescents regardless of sex.Conclusion:This study suggested that it might be effective in reducing or preventing depressive symptoms through limiting electronic devices-based time,like computer use or mobile phone use time.This strategy would be particularly useful in girls.Future stu-dies should negate or replicate the research results by introducing more improved study design,which is beneficial to better understand the connections between SSB and depressive symptoms as well as then design more efficient interventions in adolescents.

Formation conditions and reservoir-forming models of the Ordovician buried hill reservoirs in the Jizhong depression

The buried hill in the Jizhong depression contains abundant petroleum reserves and are important production areas.The Ordovician buried hill has restricted the discovery of new oil and gas exploration targets because of its strong reservoir heterogeneity and complex reservoir-controlling factors.Based on a large volume of core,thin section,logging,seismic,and geochemical data and numerous geological analyses,the reservoir-forming conditions and modes were systematically analyzed to guide the exploration and achieve important breakthroughs in the Yangshuiwu and Wen an slope buried hills.The study revealed that three sets of source rocks of the third and fourth members of the Shahejie Formation from the Paleogene and Carboniferous-Permian were developed in the Jizhong depression,providing sufficient material basis for the formation of buried hill oil and gas reservoirs.The reservoir control mechanism involving the three major factors of“cloud-karst-fault”was clarified,and karst cave,fracture fissure-pore,and cloud pore type reservoir models were established,thereby expanding the exploration potential.Controlled by the superposition of multi-stage tectonic processes during the Indosinian,Yanshanian,and Himalayan,two genetic buried hill trap types of uplift-depression and depression-uplift were formed.Based on the analysis of reservoir-forming factors of the Ordovician buried hill,three buried hill oil and gas reservoir-forming models were identified:low-level tectonic-lithologic composite quasi-layered buried hill,medium-level paleo-storage paleo-block buried hill,and high-level paleo-storage new-block buried hill.Comprehensive evaluations indicate that the reservoir-forming conditions of the low-level tectonic-lithologic composite quasi-layered buried hill in the northern portion of the Jizhong depression are the most favorable and that the Sicundian and Xinzhen buried hills are favorable areas for future exploration.

Break Free from Depression:Implementation and Outcomes of a School-Based Depression Awareness Program

The objective of this study was to evaluate the impact of Break Free from Depression(BFFD),a school-based depression awareness curriculum,in comparison to a wait list control group.A total of 13 eighth grade classrooms participated in either an intervention or control group and completed pre-,post-,and three-month follow-up surveys.Students participating in BFFD(N=6 classrooms,166 students)demonstrated enhanced knowledge of and more adaptive attitudes towards depression compared to the control group(N=7 classrooms,155 students).Participants in the BFFD intervention also demonstrated increases in their confidence in knowing how to seek help for depression and in their intent to seek this help if needed.Slight decreases were found at a three-month follow-up in all scales except for intent to seek help.BFFD was effective regardless of gender,ethnicity,or identification as a member of the LGBTQ community.There was a delayed effect on measured constructs for Black students with gains apparent at three-month follow-up.The findings demonstrated that BFFD had a small but significant positive impact on students’knowledge,skills,and attitudes in seeking support for themselves and for others when faced with signs of depression.The implementation of depression awareness curricula in schools hold promise in promoting student mental health,and it is important to consider factors that might have an impact on outcomes.

Analysis of factors related to postpartum depression in pregnancyinduced hypertension syndrome patients and construction and evaluation of nomograms

BACKGROUND It is positive to integrate and evaluate the risk factors for postpartum depression in patients with pregnancy-induced hypertension syndrome and to detect highrisk patients as early as possible,which has application value for the clinical development of personalized prevention programs and prognosis of patients.AIM To analyze factors related to postpartum depression in patients with pregnancyinduced hypertension and construct and evaluate a nomogram model.METHODS The clinical data of 276 patients with pregnancy-induced hypertension admitted to Huzhou Maternity and Child Health Care Hospital between January 2017 and April 2022 were retrospectively analyzed.We evaluated the depression incidence at 6 wk postpartum.The depression group included patients with postpartum depression,and the remainder were in the non-depression group.Multivariate logistic regression analysis and the LASSO regression model were applied to analyze the factors related to postpartum depression in patients with pregnancyinduced hypertension.After that,a risk prediction model nomogram was constructed and evaluated.RESULTS Multivariate logistic regression analysis showed that vitamin A deficiency(VAD)during pregnancy and puerperium,family history of hypertension,maternal intestinal flora imbalance,eicosapentaenoic acid(EPA),and docosahexaenoic acid(DHA)were independent risk factors for postpartum depression in patients with pregnancy-induced hypertension(P<0.05).We constructed the nomogram model based on these five risk factors.The area under the curve,specificity,and sensitivity of the model in predicting postpartum depression in patients with pregnancy-induced hypertension was 0.867(95%confidence interval:0.828–0.935),0.676,and 0.889,respectively.The average absolute error was 0.037(Hosmer-Lemeshow testχ2=10.739,P=0.217).CONCLUSION VAD during pregnancy and puerperium,family history of hypertension,maternal intestinal flora imbalance,EPA,and DHA affect postpartum depression in patients with pregnancy-induced hypertension.

Adherence in Patients with Type 2 Diabetes and Depression and the Role of Physician-Patient Relationship: A Cross-Sectional Study

Background: Diabetes mellitus (DM) challenges health and quality of life of patients, families, and communities. Patients with comorbid depression are more likely to develop macrovascular and microvascular complications. The aim was to assess glycemic control and adherence in diabetic patients with comorbid depression. Further, the study evaluated the relationship between adherence and the physician-patient relationship. Methods: The study was conducted at Al-Agouza Family Medicine Center (AFMC) between February 2018 and March 2020. The included patients were between 35 - 80 years of age;had type 2 diabetes with hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dl, and scored between 11 - 30 on the Beck Depression Inventory (BDI). Logistic regression, chi-square, and analysis of variance (ANOVA) were used to assess the relationship between depression, adherence, physician-patient relationship, and other variables. Results: The study included 100 eligible patients with a median BDI score of 20 (10 - 30). The median diabetic panel for patients was FBS 188 (126 - 348) mg/dl, PPS 282.50 (162 - 448) mg/dl, and HbA1c 9.5 (6.6 - 14.0)%. Depression and regular follow-up visits were statistically associated with improvement of diabetes symptoms (p = 0.019). There was a significant relationship (p 0.001) between adherence, regular follow-up visits, and knowledge of DM. Further, there was a significant relationship between the physician-patient relationship and DM improvement (p = 0.047). Conclusion: Physician-patient relationship was paramount to improving adherence and positive diabetes care. Our findings suggest a shift to a physician-patient relationship model with mutual agreement on medical decisions is highly recommended.

Clinical Study of Acupuncture Combined with Emotional Intervention in Patients with Post-Stroke Depression

Objective:To investigate the clinical efficacy of acupuncture combined with emotional intervention in patients with post-stroke depression(PSD).Methods:A total of 100 patients with PSD who met the inclusion criteria were randomly divided into an experimental group(50 cases)and a control group(50 cases)using the random number table method,and the enrollment was in order of admission time.The control group used conventional treatment of oral antidepressant Deanxit tablets(0.5 mg flupenthixol+10 mg melitracen)with the dose appropriately adjusted according to the patient’s medication effect,and modern rehabilitation treatment given selectively according to the patient’s condition.The experimental group had similar treatment as the control group with the addition of traditional Chinese medicine(TCM)acupuncture combined with emotional intervention.The application effects of both groups before and after treatment were verified using the Hamilton Depression Rating Scale(Ham-D),National Institutes of Health Stroke Scale(NIHSS),and Activities of Daily Living(ADL),serotonin levels were measured,and statistical analyses were carried out.Results:The total effective rate of patients in the experimental group was significantly higher than that in the control group,and the Ham-D score,NIHSS score,ADL score,and serotonin level after treatment were significantly higher than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:For patients with PSD,adding TCM acupuncture with emotional intervention on top of conventional treatment significantly improve the clinical efficacy and better improve the daily life ability of patients.

抑郁障碍青少年对情绪信息的注意偏向的眼动特征及其与反刍思维相关性

目的 分析抑郁障碍青少年对情绪信息的注意偏向的眼动行为特点,及其与反刍思维的相关性。方法 采用注意偏向的眼动测验、反刍思维问卷分别对35例抑郁障碍青少年和45名正常大学生进行测定。结果 抑郁障碍青少年和正常大学生间,注意偏向潜伏期、刺激类别效应、交叉效应分数的差异均有统计学意义(F=8.31、9.39、13.64,均P<0.05)。简单效应分析显示,两组对正性图片的注视潜伏期存在显著差异(F=15.45,P<0.001);注意偏向首视点注视时差异分数上的组间主效应、刺激类别主效应、组间和刺激类别的交叉效应,注意偏向总注视时差异分数的组间主效应、刺激类别效应、组间和刺激类别的交叉效应,差异均无统计学意义(P>0.05)。正性首视点潜伏期分和享受快乐分、积极应对呈显著负相关(r=-0.392、-0.166,均P<0.05),负性首视点潜伏期分和享受快乐分呈显著正相关(r=0.289,P<0.05)。正性首视点注视时间分和享受快乐、积极应对(r=0.309、0.268)呈正相关(均P<0.05),负性首视点注视时间分和消极归因呈正相关(r=0.194,P<0.05)。结论 抑郁障碍青少年缺乏对积极情绪信息的初始注意,反刍思维和抑郁青少年对情绪信息的注意定向加速、注意维持时间有关。

基于中医情志理论干预对年轻癌症患者焦虑抑郁状态的影响

目的观察基于中医情志理论干预对年轻癌症患者焦虑抑郁状态的影响。方法选取2021年8月至2022年8月收治的年轻癌症患者70例作为研究对象,按照随机数字表法分为2组,对照组35例予常规心理干预,治疗组35例在对照组基础上加基于中医情志理论干预。2组均干预治疗4周。比较2组治疗前后焦虑抑郁状态变化情况,焦虑状态采用汉密尔顿焦虑量表(HAMA)进行评价,抑郁状态采用Beck抑郁问卷(BDI)进行评价;比较2组治疗前后心理弹性量表(CD-RISC)评分和护患信任度量表评分情况。结果与本组治疗前比较,2组治疗后HAMA评分及BDI评分均降低(P<0.05),且治疗组治疗后HAMA评分及BDI评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后CD-RISC接受变化、精神影响、忍受消极情感、控制、能力评分及总分均升高(P<0.05),且治疗组治疗后CD-RISC接受变化、精神影响、忍受消极情感、控制、能力评分及总分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后护患信任度量表态度和关怀、能力和安全感评分及总分均升高(P<0.05),且治疗组治疗后护患信任度量表态度和关怀、能力和安全感评分及总分均高于对照组(P<0.05)。结论基于中医情志理论治疗干预年轻癌症患者可有效改善患者焦虑抑郁状态,提高患者心理适应能力,改善医患关系,提高相互之间信任度,帮助患者以积极乐观的态度面对疾病。

妊娠期妇女抑郁情绪影响因素及其与人格特征的相关性

目的探讨妊娠期妇女抑郁情绪影响因素,分析抑郁情绪与人格特征的相关性。方法应用一般资料调查表、爱丁堡产后抑郁量表(EPDS)、艾森克人格问卷简式量表中国版(EPQ-RSC)、妊娠压力量表(PPS)对246名妊娠期妇女进行调查,采取Pearson相关分析评估抑郁情绪与人格特征和妊娠压力的相关性,采取Logistic回归分析评估妊娠期妇女抑郁情绪的影响因素。结果完成调查的242名妊娠期妇女中,共有36名孕妇EPDS评分≥13分(抑郁情绪组),206名孕妇EPDS评分<13分(正常组),抑郁情绪检出率为14.88%。抑郁情绪组妊娠期妇女精神质、神经质人格评分,PPS总分及各维度压力源评分均高于正常组,外倾性人格评分低于正常组(P<0.01)。妊娠期妇女抑郁情绪与精神质、神经质人格评分,PPS总分及各维度压力源评分均呈显著正相关,与外倾性人格评分呈显著负相关(P<0.01)。外倾性、精神质、神经质人格评分,PPS总分及文化程度、家庭人均月收入、妊娠意愿、睡眠情况、夫妻关系均是妊娠期妇女抑郁情绪的影响因素(P<0.05或0.01)。结论妊娠期妇女易产生抑郁情绪,且与人格特征、妊娠压力密切相关,医护人员应重视妊娠期妇女抑郁情绪相关影响因素评估,制定科学干预措施,改善抑郁情绪。

间质性膀胱炎患者抑郁焦虑情绪的影响因素研究

目的探讨间质性膀胱炎(IC)患者抑郁焦虑情绪的影响因素。方法选取108例IC患者为研究对象,用医院焦虑抑郁量表评估患者的抑郁和焦虑情绪,用O’Leary-Sant问卷(OLS)评估IC症状严重程度,用视觉模拟量表(VAS)评估疼痛程度,用认知情绪调节问卷(CERQ)评估认知情绪调节策略(包括适应性调节策略和非适应性调节策略),用社会支持量表(SSRS)评估社会支持。医院焦虑抑郁量表评分与病程、OLS、VAS、CERQ、SSRS评分的关系用Pearson相关性分析。IC患者抑郁焦虑情绪影响因素的分析用二元Logistic回归分析。结果108例患者中有抑郁情绪者61例(56.48%),有焦虑情绪者72例(66.67%)。与无抑郁焦虑情绪患者比较,有抑郁焦虑情绪患者的月收入<3000元占比、OLS评分、CERQ非适应性调节策略评分较高(P<0.05),而CERQ适应性调节策略评分、SSRS评分较低(P<0.01)。抑郁、焦虑评分分别与OLS、VAS、CERQ非适应性调节策略评分呈正相关(P<0.001),而与CERQ适应性调节策略评分、SSRS评分呈负相关(P<0.001)。Logistic回归分析结果显示,月收入<3000元、高OLS评分、高VAS评分、高CERQ非适应性调节策略评分是IC患者产生抑郁焦虑情绪的危险因素(P<0.05),而高CERQ-适应性调节策略评分、高SSRS评分是保护性因素(P<0.05)。结论IC患者抑郁焦虑情绪的发生率较高,经济情况、IC症状严重程度、认知情绪调节策略和社会支持是IC患者产生抑郁焦虑情绪的影响因素。

教师教学情感的类型、问题与调适策略

教师的教学情感是教师对自身教学工作的满意程度所表现出的态度和体验,其贯穿整个教学过程。研究教师教学情感的类型,深入剖析其存在的问题并提出针对性策略,有助于教师走出情感困境,从而进一步提高教学质量。通过对教师教学情感的具体分析发现,教师的教学情感主要呈现三大类:情感享受型、情感掩饰型和情感压抑型。不同教师的教学情感面临着不同的情感困境,如教师心理落差较大、情感韧性不足、身份认知固化、自我效能不足、职业倦怠明显等。为促进教师专业发展,进一步提高教育教学质量,教师应积极进行情感调适:“情感享受型”教师应调整自我期望,增强情感韧性;“情感掩饰型”教师应调整自我认知,建立教学自信;“情感压抑型”教师应加强自我学习,寻求他人帮助。