Backgroud COVID-19 pandemic has significantly affected the sleep health of local medical and nursing staff.Aim We used wearable pulse oximeters to monitor and screen the medical and nursing staff working in hospitals ...Backgroud COVID-19 pandemic has significantly affected the sleep health of local medical and nursing staff.Aim We used wearable pulse oximeters to monitor and screen the medical and nursing staff working in hospitals designated for COVID-19 in the Wuhan area.This study aimed to establish a reliable basis to provide sleep intervention for the medical and nursing staff.Methods Thirty medical and nursing staff members with symptoms of insomnia were instructed to wear medical ring-shaped pulse oximeters to monitor their sleep overnight.We also used the Insomnia Severity Index(ISI)and the Chinese version of the Self-Reporting Questionnaire(SRQ-20)to evaluate the severity of insomnia and mental health status,respectively,for each participant.Results Among the 30 participants,only 26 completed the screening.Ten cases(38.5%)demonstrated moderate to severe sleep apnoea-hypopnea syndrome(SAHS)when using an oxygen desaturation index^15 times/hour as the cut-off value.Participants with comorbid moderate to severe SAHS had significantly higher ISI and SRQ scores(p values 0.034 and 0.016,respectively)than those in the insomnia group.Correlation analysis revealed that ISI was positively correlated with total sleep time(TST)(r=0.435,p=0.026),and negatively correlated with deep sleep(r=-0.495,p=0.010);furthermore,patient SRQ scores were positively correlated with TST,sleep efficiency(SE)and REM(rapid eyes movement)sleep%(r=0.454 and 0.389,0.512;p=0.020,0.050 and 0.008,respectively).Stepwise logistic regression indicated that SRQ-20 and sex were risk factors for insomnia with comorbid SAHS,and their OR values were 1.516 and 11.56(95%Cl 1.053 to 2.180 and 1.037 to 128.9),respectively.Conclusion Medical and nursing staff with insomnia showed clear signs of comorbid sleep apnoea attributable to stress.The wearable pulse oximeters accurately monitored the participants'breathing when asleep.展开更多
背景:语音参数是精神分裂症生物学指标研究的一个全新领域,其中一些已被证明与情感反应相关,情感反应是精神分裂症患者显著受限制的一个特点,特别是对那些具有突出阴性症状的患者。目标:评估慢性精神分裂症患者的选择性语音参数与临床...背景:语音参数是精神分裂症生物学指标研究的一个全新领域,其中一些已被证明与情感反应相关,情感反应是精神分裂症患者显著受限制的一个特点,特别是对那些具有突出阴性症状的患者。目标:评估慢性精神分裂症患者的选择性语音参数与临床症状严重程度之间的关系,并比较患者与所匹配的健康对照者的这些特征。方法:对26例住院慢性精神分裂症患者(入组时和一周后)和30名健康对照者(仅在入组时)通过电话采集的15分钟语音样本,对该样本进行10项语音测量参数的评估,包括6个语音韵律参数、共振峰带宽和振幅、以及2个频谱特征。采用阳性与阴性症状量表(Positive and Negative Syndrome Scale)、阴性症状评估量表(Scale for the Assessment of Negative Symptoms)、临床总体印象量表-精神分裂症分量表(the Clinical Global Impression-Schizophrenia scale)分别在基线和1周后进行患者临床特征的评估。结果:患者组症状在1周的时间间隔中保持稳定,并且10项语音参数的前后一周重测信度良好(内部相关系数[intraclass correlation coefficient,ICC]介于0.55到0.88之间)。语音参数中6项韵律参数、共振峰带宽和振幅参数在患者组和对照组之间没有显著差异,但2项光谱参数在组间有差异:患者组美尔频率倒谱系数(the Mel-frequency cepstral coefficient,MFCC)评分显著低于对照组,并且患者组的线性预测系数(linear prediction coding,LPC)评分显著高于对照组。在患者组中,在10个本研究所考虑的语音参数和17个所考虑的临床参数之间构成的170个相关性中,有10个达到了p<0.05的统计学显着性水平(相关系数>0.40)。结论:这项研究支持了语音参数具有作为精神分裂症阴性症状严重程度指标(即,生物指标)的潜在价值,但在这些语音参数的潜在效用获充分评估前,我们需要对更多样化的患者进行更大样本量、更详细的随访研究。展开更多
Public emergencies exert a significant impact on the mental health of the people,while psychological crisis intervention can efficiently improve the level of the mental health. The existing psychological crisis interv...Public emergencies exert a significant impact on the mental health of the people,while psychological crisis intervention can efficiently improve the level of the mental health. The existing psychological crisis intervention in China has weakness in organization system,budget input,human resources,social cognition,and other aspects. The psychological crisis intervention work in the future can be performed by actively perfecting the organization management system of psychological crisis intervention,increasing the budget input,strengthening the construction of psychological intervention teams,improving the level of social cognition,and so on.展开更多
基金The National Natural Science Foundation of China(project code:81371479)Shanghai Science and Technology Commission Guidance project(project code:15411964400)+5 种基金“Joint Key Project Tackling Important Diseases”of Health Department of Shanghai Municipal Government(project code:2014ZYJB0002)Appropriate Technique of Municipal Hospital in ShanghaiShanghai Mental Disease Clinical Medical Center(2014)Department of Early Psychiatric Disorders of Shanghai Mental Health Center(2013-YJTSZK-05)Project of Shanghai Municipal Health and Family Planning Commission(20144Y0054)The Shanghai Natural Science Foundation of China(16ZR1430500)
基金supported by the Shanghai Municipal Severe Mental Illness Key Laboratory Programme(14-K03)the Shanghai Municipal Health System Important Disease Cooperative Research Programme(2014ZYJB0002)+4 种基金the Shanghai Municipal Commission of Health and Family Planning Key Programme(20134006)the Shanghai Municipal Hospital Appropriate Technology Programme(SHDC12014214)the Programme of the National Natural Science Foundation of China(81371479)a research grant from the Shanghai Mental Health Center(2012-YJ-06)a grant from the Shanghai Municipal Mental Illness Clinical Medicine Center(2014)
基金the grant from Shanghai Jiao Tong University(YG2020YQ25 and YG2017MS43)Young Doctor Training Program of Shanghai Municipal Health Commission(2014ZYJB0002).
文摘Backgroud COVID-19 pandemic has significantly affected the sleep health of local medical and nursing staff.Aim We used wearable pulse oximeters to monitor and screen the medical and nursing staff working in hospitals designated for COVID-19 in the Wuhan area.This study aimed to establish a reliable basis to provide sleep intervention for the medical and nursing staff.Methods Thirty medical and nursing staff members with symptoms of insomnia were instructed to wear medical ring-shaped pulse oximeters to monitor their sleep overnight.We also used the Insomnia Severity Index(ISI)and the Chinese version of the Self-Reporting Questionnaire(SRQ-20)to evaluate the severity of insomnia and mental health status,respectively,for each participant.Results Among the 30 participants,only 26 completed the screening.Ten cases(38.5%)demonstrated moderate to severe sleep apnoea-hypopnea syndrome(SAHS)when using an oxygen desaturation index^15 times/hour as the cut-off value.Participants with comorbid moderate to severe SAHS had significantly higher ISI and SRQ scores(p values 0.034 and 0.016,respectively)than those in the insomnia group.Correlation analysis revealed that ISI was positively correlated with total sleep time(TST)(r=0.435,p=0.026),and negatively correlated with deep sleep(r=-0.495,p=0.010);furthermore,patient SRQ scores were positively correlated with TST,sleep efficiency(SE)and REM(rapid eyes movement)sleep%(r=0.454 and 0.389,0.512;p=0.020,0.050 and 0.008,respectively).Stepwise logistic regression indicated that SRQ-20 and sex were risk factors for insomnia with comorbid SAHS,and their OR values were 1.516 and 11.56(95%Cl 1.053 to 2.180 and 1.037 to 128.9),respectively.Conclusion Medical and nursing staff with insomnia showed clear signs of comorbid sleep apnoea attributable to stress.The wearable pulse oximeters accurately monitored the participants'breathing when asleep.
基金Shanghai public health outstanding academic leader training program(GWDTR201230)Shanghai Jiao Tong University Key Program for the Medical Engineering Cross Project(YG2012ZD04)and Shanghai Key Laboratory of Psychotic Disorders(13dz2260500)
文摘背景:语音参数是精神分裂症生物学指标研究的一个全新领域,其中一些已被证明与情感反应相关,情感反应是精神分裂症患者显著受限制的一个特点,特别是对那些具有突出阴性症状的患者。目标:评估慢性精神分裂症患者的选择性语音参数与临床症状严重程度之间的关系,并比较患者与所匹配的健康对照者的这些特征。方法:对26例住院慢性精神分裂症患者(入组时和一周后)和30名健康对照者(仅在入组时)通过电话采集的15分钟语音样本,对该样本进行10项语音测量参数的评估,包括6个语音韵律参数、共振峰带宽和振幅、以及2个频谱特征。采用阳性与阴性症状量表(Positive and Negative Syndrome Scale)、阴性症状评估量表(Scale for the Assessment of Negative Symptoms)、临床总体印象量表-精神分裂症分量表(the Clinical Global Impression-Schizophrenia scale)分别在基线和1周后进行患者临床特征的评估。结果:患者组症状在1周的时间间隔中保持稳定,并且10项语音参数的前后一周重测信度良好(内部相关系数[intraclass correlation coefficient,ICC]介于0.55到0.88之间)。语音参数中6项韵律参数、共振峰带宽和振幅参数在患者组和对照组之间没有显著差异,但2项光谱参数在组间有差异:患者组美尔频率倒谱系数(the Mel-frequency cepstral coefficient,MFCC)评分显著低于对照组,并且患者组的线性预测系数(linear prediction coding,LPC)评分显著高于对照组。在患者组中,在10个本研究所考虑的语音参数和17个所考虑的临床参数之间构成的170个相关性中,有10个达到了p<0.05的统计学显着性水平(相关系数>0.40)。结论:这项研究支持了语音参数具有作为精神分裂症阴性症状严重程度指标(即,生物指标)的潜在价值,但在这些语音参数的潜在效用获充分评估前,我们需要对更多样化的患者进行更大样本量、更详细的随访研究。
基金supported by Specialist construction program of Jiading District Mental Health Center(No.:JDYXZDZK-3)Hospital-level program of Jiading District Mental Health Center(No.:2013-04)
文摘Public emergencies exert a significant impact on the mental health of the people,while psychological crisis intervention can efficiently improve the level of the mental health. The existing psychological crisis intervention in China has weakness in organization system,budget input,human resources,social cognition,and other aspects. The psychological crisis intervention work in the future can be performed by actively perfecting the organization management system of psychological crisis intervention,increasing the budget input,strengthening the construction of psychological intervention teams,improving the level of social cognition,and so on.