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Relationship between plasma cytokine level and cognitive function in patients with stable schizophrenia 稳定期精神分裂症患者血浆细胞因子水平与认知功能的关系
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.005
W. Feng, Q. Jia, Shuping Tan, Ting Yu, Jia Li, Zhiren Wang, Fude Yang, Li Tian, Yunlong Tan
Objective To explore the relationship between plasma cytokine level and cognitive function in patients with stable schizophrenia and explore the possible role of cytokine in the occurrence mechanism of cognitive impairment in them. Methods A total of 75 stable patients who met the mental disorder diagnostic criteria of DSM-IV (patient group) and 40 healthy people (control group) were included in the essay.The method of enzymelinked immunosorbent assay (ELISA) were used to detected the concentrations of plasma proinflammatory cytokines IL-1β, IL-8, TNF-α and IFN-γ as well as the anti-inflammatory cytokines IL-10 in all research objects.The MATRICS Consensus Cognitive Battery (MCCB) was used to assess the cognitive function of patients.The relationship between plasma cytokines and cognitive function of patients were analyzed when the differences of the plasma cytokines concentrations were compared between the patient group and the control group. Results (1)Compared with the control group, plasma IL-8 (2.80(2.13)pg/ml vs 0.23 (0.80)pg/ml), TNF-α (1.16(0.47)pg/ml vs 0.67(0.15)pg/ml) in the patient group showed statistically significant difference (P<0.01). (2)In the partial correlation analysis of plasma cytokines and cognitive functions in patients, TNF-α was negatively correlated with the attention/vigilance dimensions(r=-0.29, P=0.03). Conclusion Stable schizophrenia patients have some problems with cytokine level.There is a correlation between TNF-α level and attention/vigilance dimensions.What's more, cytokine level immunological abnormalities may play some role in the development of cognitive impairment occurrence in patients. Key words: Stable schizophrenia; Cytokines; Cognitive function
目的探讨稳定期精神分裂症患者血浆细胞因子水平与认知功能的关系,探讨细胞因子在其认知障碍发生机制中的可能作用。方法纳入符合DSM-IV精神障碍诊断标准的75例稳定期患者(患者组)和40例健康人(对照组)。采用酶联免疫吸附法(ELISA)检测各研究对象血浆促炎细胞因子IL-1β、IL-8、TNF-α和IFN-γ以及抗炎细胞因子IL-10的浓度。MATRICS共识认知电池(MCCB)用于评估患者的认知功能。比较患者组和对照组血浆细胞因子浓度的差异,分析血浆细胞因子与患者认知功能的关系。结果(1)患者组血浆IL-8(2.80(2.13)pg/ml vs 0.23(0.80)pgml)、TNF-α(1.16(0.47)pg/ml vs0.67(0.15)pg/ml)与对照组比较,差异有统计学意义(P<0.01),TNF-α与注意/警惕维度呈负相关(r=-0.29,P=0.03)。TNF-α水平与注意力/警惕维度之间存在相关性。此外,细胞因子水平的免疫异常可能在患者认知障碍的发展中发挥一定作用。关键词:稳定型精神分裂症;细胞因子;认知功能
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引用次数: 0
Effects of meditation on reducing the risk of cardiovascular disease 冥想对降低心血管疾病风险的作用
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.016
Ting Xue
Despite the numerous advances in cardiovasular diseasec(CVD) prevention and control during the past decades, it remains the leading cause of mortality and morbidity worldwide, which is a huge burden for global health care.Because of the high cost and side effects of the drugs, it is necessary to find novel, cost-effective and efficient inventions for CVD prevention.Unhealthy lifestyles contribute as a risk factor, such as unhealthy diet, sedentary lifestyle, tobacco, alcohol, hypertension, diabetes, dyslipidemia and psychosocial stress.To date, numerous studies have reported the benefit of meditation on health.This review discussed the effect of meditation on cardiovascular risks, including stress, blood pressure, smoking, alcohol drinking and atherosclerosis, as well as the effect on telomere.This review limited to sitting meditation alone (yoga, Qigong, and tai chi were excluded) to reduce the confounding influence of the effects of physical therapies.Overall, meditation showed possible benefits on reduction of cardiovascular risks and improved telomerase activity, although limitations on sample size, quality and methodology are included in current studies.Given its accessibility, low-cost and low-risk, meditation might serve as an adjunct to treatment and prevention of CVD.Since the limitations of current studies, further researches are needed to be established to confirm the benefit of meditation on cardiovascular disease. Key words: Meditation; Cardiovascular disease; Cardiovascular risk
尽管在过去的几十年里,心血管疾病(CVD)的预防和控制取得了许多进展,但它仍然是全球死亡率和发病率的主要原因,这对全球医疗保健来说是一个巨大的负担。由于药物的高成本和副作用,有必要找到新的、具有成本效益和有效的预防CVD的发明。不健康的生活方式是一个危险因素,如不健康的饮食、久坐的生活方式、烟草、酒精、高血压、糖尿病、血脂异常和心理压力。迄今为止,许多研究报告了冥想对健康的益处。这篇综述讨论了冥想对心血管风险的影响,包括压力、血压、吸烟、饮酒和动脉粥样硬化,以及对端粒的影响。这篇综述仅限于静坐冥想(瑜伽、气功和太极除外),以减少物理疗法效果的混淆影响。总体而言,冥想在降低心血管风险和提高端粒酶活性方面显示出可能的益处,尽管目前的研究包括样本量、质量和方法的限制。鉴于冥想的可及性、低成本和低风险,它可能是治疗和预防心血管疾病的辅助手段。由于目前研究的局限性,还需要进一步的研究来证实冥想对心血管疾病的益处。关键词:冥想;心血管疾病;心血管风险
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引用次数: 0
Analysis of related factors of postpartum post-traumatic stress disorder 产后创伤后应激障碍的相关因素分析
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.013
Quan Gan, Dong Zhou, Ruoqin Cheng
Objective To study the related factors of postpartum posttraumatic stress disorder. Methods Perinatal posttraumatic stress disorder questionnaire-Chinese edition(PPQ-C) was used to measure the symptoms of 1 160 puerpera in maternal and child health hospital of Hubei Province.Chi-square test was used to evaluate the differences of positive and negative symptom group in living area (urban or rural), employment status (employment or unemployment), medical insurance status (with or without medical insurance), parity (primiparity or multiparity), mode of delivery (natural labor or cesarean section). Logistic regression analysis was used to discuss the influencing factors of postpartum PTSD. Results In all 1 160, there were 188 puerpera meet the positive standard postpartum PTSD(16.2%), and the average score of PPQ-C of this 188 puerpera was (25.71±6.22). Women who were unemployed(OR=0.64, 95%CI: 0.46-0.89, P=0.01), who had no medical insurance (OR=0.60, 95%CI: 0.43-0.82, P<0.01), who gave birth by cesarean section(OR=1.47, 95%CI: 1.06-2.03, P=0.02) and who had pregnancy complications (OR=1.47, 95%CI: 1.06-2.03, P=0.03) were at higher risk of postpartum PTSD. Conclusion Medical insurance status and employment status were important factors affecting postpartum PTSD.Delivery mode and pregnancy complications are important factors affecting the occurrence and development of postpartum PTSD symptoms, and abnormal results of pregnancy examination which related to pregnancy complications are important stressor for postpartum PTSD symptoms. Key words: Postpartum; Posttraumatic stress disorder; Related factors
目的探讨产后创伤后应激障碍的相关因素。方法采用围产期创伤后应激障碍问卷中文版(PPQ-C)对湖北省妇幼保健院1 160名产妇进行症状测量。卡方检验用于评估阳性和阴性症状组在生活地区(城市或农村)、就业状况(就业或失业)、医疗保险状况(有或没有医疗保险)、产次(初产或多胎)、分娩方式(顺产或剖宫产)方面的差异。采用Logistic回归分析方法探讨产后PTSD的影响因素。结果160例产妇中,符合产后PTSD阳性标准者188例(16.2%),PPQ-C平均分为(25.71±6.22),失业妇女(OR=0.64,95%CI:0.46~0.89,P=0.01),无医疗保险妇女(OR0.60,95%CI:0.43~0.82,P<0.01),剖宫产者(OR=1.47,95%CI:1.06-2.03,P=0.02)和有妊娠并发症者(OR=1.47,95%CI:1.06-2.03,P=0.03)发生产后创伤后应激障碍的风险较高。结论医疗保险状况和就业状况是影响产后PTSD的重要因素。分娩方式和妊娠并发症是影响产后PTSD症状发生和发展的重要因素,与妊娠并发症相关的妊娠检查结果异常是产后PTSD的重要应激源。关键词:产后;创伤后应激障碍;相关因素
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引用次数: 0
Intervention study on the stigma of mental illness in college students 大学生心理疾病耻感的干预研究
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.010
Zhang Junrui, Wen Xu, Ren Hongxu, Qian Ming-yi, Liu Jun, Zhao Zhengzheng, Sun Xuhai
Objective To investigate the automatic implicit attitude and explicit stigma of mental illness, and the intervention effectiveness on the stigma of mental illness in college students. Methods Single category implicit association test(SC-IAT) and questionnaire survey were used to study the degree of implicit and explicit mental illness stigma among 30 college students of Peking University, and investigated the effect of two strategies, education and contact.Data were analyzed by SPSS 22.0 with t-test and variance analysis. Results The D values of SC-IAT in the three dimensions of cognitive evaluation, emotional response and behavioral tendency of college students were 0.29±0.37, 0.24±0.43, and 0.10±0.43.There was a statistically significant difference between the cognitive evaluation dimension, the emotional response dimension and 0(t=4.069, P 0.05). The correct rates of questions "Which of the following situations do you think are considered mentally unhealthy? " and "Which of the following disorders are mental illnesses" (42±13)%, (54±13)%) increased after receiving educational intervention ((49±12)%, (64±13)%), the difference was statistically significant (F=3.682, P<0.05; F=3.576, P<0.05). Conclusion College students have implicit mental illness stigma, educational and contact intervention strategies can help improve college students' understanding of relevant knowledge, and cannot improve the level of implicit stigma of college students on mental illness. Key words: Mental illness stigma; Implicit stigma; Single category implicit association test; Stigma intervention
目的探讨大学生对精神疾病的自动内隐态度和外显污名,以及对精神疾病污名的干预效果。方法采用单类别内隐联想测验(SC-IAT)和问卷调查对北京大学30名在校大学生的内隐和外显精神疾病污名程度进行调查,并考察教育和接触两种策略的效果。数据采用SPSS 22.0统计软件进行t检验和方差分析。结果SC-IAT在大学生认知评价、情绪反应和行为倾向三个维度上的D值分别为0.29±0.37、0.24±0.43和0.10±0.43,情绪反应维度和0(t=4.069,P 0.05)。接受教育干预后,“你认为以下哪些情况被认为是精神不健康?”和“以下哪些障碍是精神疾病”问题的正确率(42±13)%,(54±13))增加((49±12)%,结论大学生存在隐性精神疾病污名,教育和接触干预策略有助于提高大学生对相关知识的理解,不能改善大学生对精神疾病的隐性污名水平。关键词:精神疾病污名化;隐性污名;单类别内隐联想测验;污名干预
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引用次数: 0
Relationship between cognitive fusion, empirical avoidance and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder 强迫症患者认知融合、经验回避与强迫症症状的关系
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.008
Lifang Qiu, Jian Liu, Wenxin Tang, Cuiru Yang, Cheng Zhu, Xia Zhao, Wenjing Zhu
Objective To compare the difference of cognitive fusion, empirical avoidance between patients with obsessive-compulsive disorder and healthy control group, and to explore the relationship between obsessive-compulsive score and cognitive fusion, empirical avoidance. Methods The cognitive fusion questionnaire(CFQ), acceptance and action questionnaire-2nd edition(AAQ-II) and Yale-Brown scale for obsessive-compulsive symptoms (Y-BOCS) were used to investigate 100 subjects with obsessive-compulsive disorder (OCD) and 166 healthy controls.And the differences in cognitive fusion and empirical avoidance scores were compared between the two groups.The relationship of obsessive-compulsive symptoms and cognitive fusion, empirical avoidance was analyzed using multiple linear regression analysis. Results The scores of cognitive fusion ((49.89±10.62) vs (33.88±11.44), t=-11.345, P<0.01)and empirical avoidance ((29.75±9.53) vs (21.59±7.03), t=-7.995, P<0.01) in obsessive-compulsive disorder group were significantly higher than those in healthy control group.There were significant differences in cognitive fusion and empirical avoidance in age variables (F=8.63, P<0.01). In AAQ-Ⅱ, item 2 (r=0.246, P<0.05), item 6 (r=0.223, P<0.05) and total score (r=0.240, P<0.05) were positively correlated with the total score of Y-BOCS.Item 2 (r=0.311, P<0.01), item 3 (r=0.286, P<0.05), item 6 (r=0.248, P<0.05) and total score (r=0.229, P<0.05) were positively correlated with the scores of obsessive-thinking.In CFQ, item 2 (r=0.231, P<0.0) 5), item 4 (r=0.242, P<0.05), item 7 (r=0.308, P<0.05), item 8 (r=0.277, P<0.05) and item 9 (r=0.249, P<0.05) were positively correlated with the total score of Y-BOCS.Item 8 (r=0.261, P<0.05) was positively correlated with the scores of obsessive-thinking, item 7 (r=0.237, P<0.05) and item 9 (r=0.238, P<0.05) were positively correlated with scores of obsessive-compulsive behavior.When predicting total obsessive-compulsive scores, only CF item 7 of Q (B=1.827, P<0.01), item 3 (B=0.956, P<0.05), and item 6 of AAQ-Ⅱ (B=0.584, P<0.05) entered the equation with a joint explanatory variation of 19%.When predicting the score of obsessive-thinking, only item 2 of AAQ-Ⅱ (B=0.446, P<0.01) entered the equation, explaining the variance was 9.7%.In the prediction of obsessive-compulsive behavior, only item 9 (B=0.815, P<0.05) of CFQ entered the equation, and the explanatory variation was 5.6%. Conclusion Cognitive fusion in the patients with obsessive-compulsive disorder and the high level of empirical avoidance may be an important factor for the maintenance of the symptoms. Key words: Obsessive-compulsive disorder; Cognitive fusion; Empirical avoidance; Acceptance and commitment therapy
目的比较强迫症患者与健康对照组在认知融合、经验回避方面的差异,探讨强迫症评分与认知融合、体验回避的关系。方法采用认知融合问卷(CFQ)、接受与行动问卷(AAQ-II)和Yale-Brown强迫症状量表(Y-BOCS)对100名强迫症患者和166名健康对照进行调查。并比较两组在认知融合和经验回避得分方面的差异。采用多元线性回归分析法分析强迫症症状与认知融合、经验回避的关系。结果强迫症组认知融合评分(49.89±10.62)vs(33.88±11.44),t=-11.345,P<0.01)和经验回避评分(29.75±9.53)vs(21.59±7.03),t=-7.995,P<0.01)显著高于健康对照组。年龄变量在认知融合和经验回避方面存在显著差异(F=8.63,P<0.01)。在AAQ-Ⅱ中,第2项(r=0.246,P<0.05)、第6项(r=0.223,P<0.05)和总分(r=0.240,P<0.05)与Y-BOCS总分呈正相关,项目6(r=0.248,P<0.05)和总分(r=0.229,P<0.05)与强迫思维得分呈正相关,第8项(r=0.277,P<0.05)和第9项(r=0.249,P<0.05)与Y-BOCS总分呈正相关。在预测强迫症总分时,只有Q的CF项目7(B=1.827,P<0.01)、项目3(B=0.956,P<0.05)和AAQ-Ⅱ的项目6(B=0.584,P<0.05)进入方程,联合解释变异为19%,解释方差为9.7%。在强迫行为预测中,只有CFQ第9项(B=0.815,P<0.05)进入方程,解释方差为5.6%。结论强迫症患者的认知融合和高度的经验回避可能是维持症状的重要因素。关键词:强迫症;认知融合;经验回避;接受和承诺疗法
{"title":"Relationship between cognitive fusion, empirical avoidance and obsessive-compulsive symptoms in patients with obsessive-compulsive disorder","authors":"Lifang Qiu, Jian Liu, Wenxin Tang, Cuiru Yang, Cheng Zhu, Xia Zhao, Wenjing Zhu","doi":"10.3760/CMA.J.ISSN.1674-6554.2019.11.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2019.11.008","url":null,"abstract":"Objective \u0000To compare the difference of cognitive fusion, empirical avoidance between patients with obsessive-compulsive disorder and healthy control group, and to explore the relationship between obsessive-compulsive score and cognitive fusion, empirical avoidance. \u0000 \u0000 \u0000Methods \u0000The cognitive fusion questionnaire(CFQ), acceptance and action questionnaire-2nd edition(AAQ-II) and Yale-Brown scale for obsessive-compulsive symptoms (Y-BOCS) were used to investigate 100 subjects with obsessive-compulsive disorder (OCD) and 166 healthy controls.And the differences in cognitive fusion and empirical avoidance scores were compared between the two groups.The relationship of obsessive-compulsive symptoms and cognitive fusion, empirical avoidance was analyzed using multiple linear regression analysis. \u0000 \u0000 \u0000Results \u0000The scores of cognitive fusion ((49.89±10.62) vs (33.88±11.44), t=-11.345, P<0.01)and empirical avoidance ((29.75±9.53) vs (21.59±7.03), t=-7.995, P<0.01) in obsessive-compulsive disorder group were significantly higher than those in healthy control group.There were significant differences in cognitive fusion and empirical avoidance in age variables (F=8.63, P<0.01). In AAQ-Ⅱ, item 2 (r=0.246, P<0.05), item 6 (r=0.223, P<0.05) and total score (r=0.240, P<0.05) were positively correlated with the total score of Y-BOCS.Item 2 (r=0.311, P<0.01), item 3 (r=0.286, P<0.05), item 6 (r=0.248, P<0.05) and total score (r=0.229, P<0.05) were positively correlated with the scores of obsessive-thinking.In CFQ, item 2 (r=0.231, P<0.0) 5), item 4 (r=0.242, P<0.05), item 7 (r=0.308, P<0.05), item 8 (r=0.277, P<0.05) and item 9 (r=0.249, P<0.05) were positively correlated with the total score of Y-BOCS.Item 8 (r=0.261, P<0.05) was positively correlated with the scores of obsessive-thinking, item 7 (r=0.237, P<0.05) and item 9 (r=0.238, P<0.05) were positively correlated with scores of obsessive-compulsive behavior.When predicting total obsessive-compulsive scores, only CF item 7 of Q (B=1.827, P<0.01), item 3 (B=0.956, P<0.05), and item 6 of AAQ-Ⅱ (B=0.584, P<0.05) entered the equation with a joint explanatory variation of 19%.When predicting the score of obsessive-thinking, only item 2 of AAQ-Ⅱ (B=0.446, P<0.01) entered the equation, explaining the variance was 9.7%.In the prediction of obsessive-compulsive behavior, only item 9 (B=0.815, P<0.05) of CFQ entered the equation, and the explanatory variation was 5.6%. \u0000 \u0000 \u0000Conclusion \u0000Cognitive fusion in the patients with obsessive-compulsive disorder and the high level of empirical avoidance may be an important factor for the maintenance of the symptoms. \u0000 \u0000 \u0000Key words: \u0000Obsessive-compulsive disorder; Cognitive fusion; Empirical avoidance; Acceptance and commitment therapy","PeriodicalId":9940,"journal":{"name":"Chinese Journal of Behavioral Medicine and Brain Science","volume":"28 1","pages":"999-1004"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43868483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The current status and influencing factors of frailty among community-dwelling old adults 社区老年人体质虚弱的现状及影响因素
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.012
Yan-zhang Li, Mei-Jia Xiong, Yuping Zhang
Objective To explore the current status and predictive factors of frailty among community-dwelling old adults. Methods A total of 1 012 community-dwelling older adults aged 65 years and above in Sichuan Province were enrolled and investigated by self-made general condition scale, Tilburg Frailty Indicator (TFI), Short Physical Performance Battery(SPPB), 10-item Connor-Davidson Resilience Scale(CD-RISC-10), Mini-Mental State Examination(MMSE) and Geriatric Depression Scale Short-form(GDS-15). Results (1) The prevalence of frailty was 30.73%.(2) There were significant differences in the frailty scores of community-dwelling older adults in terms of gender, education, marital status, living condition, spouse support, children support, family economic conditions, self-perceived health status, number of chronic diseases, body mass index, number of falls in the past year, exercise state and sleep time at night(all P<0.05). (3) The frailty (3.72±2.88) was significantly positively correlated with depression (2.69±2.58; r=0.58, P<0.01), and negatively correlated with the scores of balance ability(3.28±1.01), walking speed(2.92±1.05), chair rise test(2.92±1.27), strength of resilience(13.99±3.57) and MMSE(23.71±5.55) (r=-0.33-0.43, P<0.01). (4) Depression (β=0.416, P<0.001), the number of chronic diseases(β=0.219, P<0.001), balance ability(β=-0.166, P<0.001), spousal support(β=-0.089, P<0.01), strength of resilience(β =-0.097, P<0.01), family economic status(β=0.093, P<0.01) and gender(β=0.082, P<0.01) significantly influenced frailty, with a combined explanation variance of 45.9%. Conclusions The rate of frailty of community-dwelling old adults is high, which is influenced by physiological, psychological and social factors.Therefore, it is necessary to adopt a comprehensive model of multi-disciplinary cooperation to carry out frailty intervention in community. Key words: Frailty; Influencing factor; Community-dwelling old adults
目的探讨社区老年人体质虚弱的现状及预测因素。方法采用自制的一般状况量表、Tilburg虚弱指数(TFI)、短体力测试量表(SPPB)、康纳·戴维森10项弹性量表(CD-RISC-10)、简易精神状态检查量表(MMSE)和老年抑郁量表(GDS-15)对四川省1012名65岁及以上社区老年人进行调查。结果(1)社区老年人虚弱的患病率为30.73%,(3)虚弱(3.72±2.88)与抑郁呈正相关(2.69±2.58;r=0.58,P<0.01),与平衡能力(3.28±1.01)、步行速度(2.92±1.05)、椅子抬高试验(2.92士1.27)呈负相关,恢复力(13.99±3.57)和MMSE(23.71±5.55)(r=-0.33-0.43,P<0.01),综合解释方差为45.9%。结论社区老年人体弱率高,受生理、心理和社会因素的影响。因此,有必要采用多学科合作的综合模式在社区中进行虚弱干预。关键词:脆弱;影响因素;居住在社区的老年人
{"title":"The current status and influencing factors of frailty among community-dwelling old adults","authors":"Yan-zhang Li, Mei-Jia Xiong, Yuping Zhang","doi":"10.3760/CMA.J.ISSN.1674-6554.2019.11.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2019.11.012","url":null,"abstract":"Objective \u0000To explore the current status and predictive factors of frailty among community-dwelling old adults. \u0000 \u0000 \u0000Methods \u0000A total of 1 012 community-dwelling older adults aged 65 years and above in Sichuan Province were enrolled and investigated by self-made general condition scale, Tilburg Frailty Indicator (TFI), Short Physical Performance Battery(SPPB), 10-item Connor-Davidson Resilience Scale(CD-RISC-10), Mini-Mental State Examination(MMSE) and Geriatric Depression Scale Short-form(GDS-15). \u0000 \u0000 \u0000Results \u0000(1) The prevalence of frailty was 30.73%.(2) There were significant differences in the frailty scores of community-dwelling older adults in terms of gender, education, marital status, living condition, spouse support, children support, family economic conditions, self-perceived health status, number of chronic diseases, body mass index, number of falls in the past year, exercise state and sleep time at night(all P<0.05). (3) The frailty (3.72±2.88) was significantly positively correlated with depression (2.69±2.58; r=0.58, P<0.01), and negatively correlated with the scores of balance ability(3.28±1.01), walking speed(2.92±1.05), chair rise test(2.92±1.27), strength of resilience(13.99±3.57) and MMSE(23.71±5.55) (r=-0.33-0.43, P<0.01). (4) Depression (β=0.416, P<0.001), the number of chronic diseases(β=0.219, P<0.001), balance ability(β=-0.166, P<0.001), spousal support(β=-0.089, P<0.01), strength of resilience(β =-0.097, P<0.01), family economic status(β=0.093, P<0.01) and gender(β=0.082, P<0.01) significantly influenced frailty, with a combined explanation variance of 45.9%. \u0000 \u0000 \u0000Conclusions \u0000The rate of frailty of community-dwelling old adults is high, which is influenced by physiological, psychological and social factors.Therefore, it is necessary to adopt a comprehensive model of multi-disciplinary cooperation to carry out frailty intervention in community. \u0000 \u0000 \u0000Key words: \u0000Frailty; Influencing factor; Community-dwelling old adults","PeriodicalId":9940,"journal":{"name":"Chinese Journal of Behavioral Medicine and Brain Science","volume":"28 1","pages":"1020-1024"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43285380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of γ-aminobutyric acid on feeding changes in rats and its potential mechanism γ-氨基丁酸对大鼠摄食变化的影响及其可能机制
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.003
W. Qian, Leng Hui, L. Xiao, Guo Feifei, Sun Xiangrong, G. Shengli, Xu Luo
Objective To investigate whether γ-aminobutyric acid (GABA) receptor signaling pathway is involved in the regulation of thalamic undefined (ZI)-nucleus accumbens (NAc) neural pathways on gastric distraction (GD)-sensitive neuronal firing activity and the impact on food intake, the number of times and the frequency in rats. Methods Six rats were randomly selected and the neural pathway between ZI and NAc in rat thalamus was observed by fluorescent gold (FG) retrograde tracing method.Eighty-two rats were randomly selected, and the gastric balloon was placed in gastric cavity, the microelectrode was placed in the NAc, and the stimulating electrode was placed in the ZI. The single-cell discharge recording method was used to observe the effect of electrical stimulation ZI on the excitability of GD-sensitive neurons in rat NAc.Eighteen rats were randomly selected and were divided into three groups according to the random number table. They were NS group, GABA group, GABA + GABA receptor antagonist bicuculline (BIC) group with 6 in each group, and the rat NAc was used to embed the cannula. The method of GABA and BIC was injected to observe the changes of cumulative food intake in rats for 4 h. Eighteen rats were randomly selected and randomly divided into three groups: sham stimulation (SS) group, 50 μA electrical stimulation group, 50 μA electrical stimulation + BIC group with 6 in each group. The 4 h cumulative food intake of rats was observed by electro-stimulation of rat ZI and rat NAc injection of BIC. Results Fluorescent gold retrograde tracking combined with fluorescent immunohistochemical staining showed that there were visible GABA and fluorescent gold double labeled neurons in ZI. Electrical stimulation of ZI, the frequency of GABA-sensitive GD neurons in rat NAc increased significantly (GD-E increase: (78.8±8.4)%, GD-I increase: (89.3±9.2)%, P<0.01), but the inhibitory effect was antagonized by BIC (GD-E increase: (113.8±13.6)%, GD-I increase: (121.8±14.2)%, P<0.01). Microinjection of GABA in rat NAc significantly increased the cumulative food intake for 4 h ((155.72±18.84) kcal, t=3.41, P<0.05), which was antagonized by partial BIC (123.43±15.11) kcal, t=3.28, P<0.05). Electrical stimulation of ZI significantly increased the food intake in rats ((39.07±11.27) kcal, t=2.96, P<0.05), and this effect can be partially antagonized by BIC ((34.17±10.85)kcal, t=2.33, P<0.05). Conclusion The ZI-NAc neural pathway regulates the discharge activity of rat gastric distension (GD)-sensitive neurons and the feeding status of rats, and the GABA receptor signaling pathway may be involved in mediating the process. Key words: Zona incerta; Nucleus accumbens; γ-aminobutyric acid; Gastric distension-sensitive neurons; Feeding
目的探讨γ-氨基丁酸(GABA)受体信号通路是否参与调节丘脑未定义(ZI)-伏隔核(NAc)神经通路对大鼠胃牵张(GD)敏感神经元放电活动的影响及其对进食量、次数和频率的影响。方法随机选取6只大鼠,采用荧光金(FG)逆行示踪法观察大鼠丘脑ZI与NAc之间的神经通路。随机选取82只大鼠,胃球囊置于胃腔内,微电极置于NAc内,刺激电极置于ZI内。采用单细胞放电记录法观察电刺激ZI对大鼠NAc中gd敏感神经元兴奋性的影响。随机选取18只大鼠,按随机数字表分为3组。分别为NS组、GABA组、GABA + GABA受体拮抗剂双丘碱(BIC)组,每组6只,采用大鼠NAc包埋插管。采用注射GABA + BIC的方法,观察大鼠4 h的累积进食量变化。随机选取18只大鼠,随机分为3组:假刺激(SS)组、50 μA电刺激组、50 μA电刺激+ BIC组,每组6只。通过电刺激大鼠ZI和大鼠NAc注射BIC,观察大鼠4 h的累积摄食量。结果荧光金逆行追踪结合荧光免疫组化染色显示,ZI中可见GABA和荧光金双标记神经元。电刺激ZI后,大鼠NAc中gaba敏感GD神经元的频率明显增加(GD- e增加(78.8±8.4)%,GD- i增加(89.3±9.2)%,P<0.01),但BIC的抑制作用被拮抗(GD- e增加(113.8±13.6)%,GD- i增加(121.8±14.2)%,P<0.01)。微量注射GABA可显著增加NAc大鼠4 h的累积摄食量((155.72±18.84)kcal, t=3.41, P<0.05),并可被部分BIC拮抗(123.43±15.11)kcal, t=3.28, P<0.05)。电刺激ZI可显著增加大鼠的摄食量((39.07±11.27)kcal, t=2.96, P<0.05), BIC可部分拮抗((34.17±10.85)kcal, t=2.33, P<0.05)。结论ZI-NAc神经通路调节大鼠胃胀(GD)敏感神经元的放电活动和大鼠的进食状态,GABA受体信号通路可能参与了这一过程。关键词:无尾带;伏隔核;γ氨基丁酸酸;胃胀敏感神经元;喂养
{"title":"Effects of γ-aminobutyric acid on feeding changes in rats and its potential mechanism","authors":"W. Qian, Leng Hui, L. Xiao, Guo Feifei, Sun Xiangrong, G. Shengli, Xu Luo","doi":"10.3760/CMA.J.ISSN.1674-6554.2019.11.003","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2019.11.003","url":null,"abstract":"Objective \u0000To investigate whether γ-aminobutyric acid (GABA) receptor signaling pathway is involved in the regulation of thalamic undefined (ZI)-nucleus accumbens (NAc) neural pathways on gastric distraction (GD)-sensitive neuronal firing activity and the impact on food intake, the number of times and the frequency in rats. \u0000 \u0000 \u0000Methods \u0000Six rats were randomly selected and the neural pathway between ZI and NAc in rat thalamus was observed by fluorescent gold (FG) retrograde tracing method.Eighty-two rats were randomly selected, and the gastric balloon was placed in gastric cavity, the microelectrode was placed in the NAc, and the stimulating electrode was placed in the ZI. The single-cell discharge recording method was used to observe the effect of electrical stimulation ZI on the excitability of GD-sensitive neurons in rat NAc.Eighteen rats were randomly selected and were divided into three groups according to the random number table. They were NS group, GABA group, GABA + GABA receptor antagonist bicuculline (BIC) group with 6 in each group, and the rat NAc was used to embed the cannula. The method of GABA and BIC was injected to observe the changes of cumulative food intake in rats for 4 h. Eighteen rats were randomly selected and randomly divided into three groups: sham stimulation (SS) group, 50 μA electrical stimulation group, 50 μA electrical stimulation + BIC group with 6 in each group. The 4 h cumulative food intake of rats was observed by electro-stimulation of rat ZI and rat NAc injection of BIC. \u0000 \u0000 \u0000Results \u0000Fluorescent gold retrograde tracking combined with fluorescent immunohistochemical staining showed that there were visible GABA and fluorescent gold double labeled neurons in ZI. Electrical stimulation of ZI, the frequency of GABA-sensitive GD neurons in rat NAc increased significantly (GD-E increase: (78.8±8.4)%, GD-I increase: (89.3±9.2)%, P<0.01), but the inhibitory effect was antagonized by BIC (GD-E increase: (113.8±13.6)%, GD-I increase: (121.8±14.2)%, P<0.01). Microinjection of GABA in rat NAc significantly increased the cumulative food intake for 4 h ((155.72±18.84) kcal, t=3.41, P<0.05), which was antagonized by partial BIC (123.43±15.11) kcal, t=3.28, P<0.05). Electrical stimulation of ZI significantly increased the food intake in rats ((39.07±11.27) kcal, t=2.96, P<0.05), and this effect can be partially antagonized by BIC ((34.17±10.85)kcal, t=2.33, P<0.05). \u0000 \u0000 \u0000Conclusion \u0000The ZI-NAc neural pathway regulates the discharge activity of rat gastric distension (GD)-sensitive neurons and the feeding status of rats, and the GABA receptor signaling pathway may be involved in mediating the process. \u0000 \u0000 \u0000Key words: \u0000Zona incerta; Nucleus accumbens; γ-aminobutyric acid; Gastric distension-sensitive neurons; Feeding","PeriodicalId":9940,"journal":{"name":"Chinese Journal of Behavioral Medicine and Brain Science","volume":"28 1","pages":"971-977"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42481149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability and validity of the Columbia suicide screen in junior middle school students 初中生哥伦比亚自杀筛检的信度与效度
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.015
Zhou Wang, Qian Bian, J. He, Jingping Shu, Yaping Kong, Lulu Yang, Jie Zhou, Shanshan Chen
Objective To examine the reliability and validity of the Columbia suicide screen (CSS) in detecting suicide risk for junior middle school students. Methods Using convenient sampling, 902 students of a junior middle school were tested with CSS and Beck depression inventory (BDI) .Cronbach's alpha coefficient, parity split-half coefficient and test-retest reliability were examined after two weeks.Content validity was evaluated using specialist analysis and sensibility analysis.The BDI was used to explore the correlative validity.The convergent validity of CSS and another suicide risk screening method was examined. Results The proportion of students with suicide problem (suicide ideation or suicide attempts), suicide ideation within the previous year and suicide attempts in the past were 14.97%(135/902), 14.19%(128/902)and 3.66%(33/902) respectively.The Cronbach's alpha coefficient and Parity split-half coefficient of CSS were 0.844 and 0.908, respectively.The test-retest reliability of CSS were screening of suicide ideation (ICC=0.897), screening of suicide attempts (ICC=0.798), screening of substance use (ICC=0.882), screening of suicide problem (ICC=0.881), and screening of suicide problem combine depression (ICC=0.829) (P<0.01). Sensibility analysis of CSS showed the cronbach α ranged from 0.834 to 0.845.Correlative validity between CSS and BDI were screening of suicide ideation(ρ=0.238, 0.337, 0.334, 0.599), screening of suicide attempts(ρ=0.122, 0.231, 0.310, 0.221), screening of depression(ρ=0.335, 0.309, 0.196, 0.215), screening of suicide problem(ρ=0.240, 0.328, 0.321, 0.590)and screening of suicide problem combine depression(ρ=0.212, 0.324, 0.320, 0.474)(P<0.01). Convergent validity between CSS and another suicide risk screening method were screening of suicide ideation(ρ=0.468), screening of suicide attempts(ρ=0.349), screening of suicide problem(ρ=0.453), and screening of suicide problem combine depression(ρ=0.469)(P<0.01). Conclusion CSS has good internal consistency reliability, split-half reliability and content validity.Screening of suicide ideation, suicide attempts, suicide problem and suicide problem combine depression have good test-retest reliability, but the correlative validity and convergent validity are not satisfying.These four screening methods can only be used for preliminary screening suicide risk in junior middle school students. Key words: Columbia Suicide Screen; Suicide; Reliability; Validity; Junior middle school student
目的检验哥伦比亚自杀筛查(CSS)在初中生自杀风险检测中的信度和有效性。方法采用方便抽样方法,对某初中902名学生进行CSS和Beck抑郁量表(BDI)测试。两周后检查Cronbachα系数、产次平分系数和重测信度。内容有效性采用专家分析和敏感性分析进行评估。BDI用于探究相关的有效性。检验了CSS和另一种自杀风险筛查方法的收敛有效性。结果有自杀问题(自杀意念或自杀未遂)的学生比例为14.97%(135/902)、14.19%(128/902)和3.66%(33/902)。CSS的Cronbachα系数和Parity分半系数分别为0.844和0.908。CSS的重测信度为自杀意念筛查(ICC=0.897)、自杀未遂筛查(ICC0.798)、物质使用筛查(ICC0.882)、自杀问题筛查(ICC 0.881),CSS的敏感性分析显示cronbachα在0.834至0.845之间。CSS与BDI的相关有效性为自杀意念筛查(ρ=0.2380.337,0.334,0.599)、自杀未遂筛查(ρ=0.022,0.231,0.310,0.221)、抑郁症筛查(ρ0.335,0.309,0.196,0.215),自杀问题筛查(ρ=0.240,0.328,0.321,0.590)和自杀问题筛查结合抑郁(ρ=0.212,0.324,0.320,0.474)(P<0.01),结论CSS具有良好的内部一致性信度、分半信度和内容有效性。自杀意念、自杀未遂、自杀问题和自杀问题合并抑郁的筛查具有良好的重测信度,但相关有效性和收敛有效性不令人满意。这四种筛查方法只能用于初中生自杀风险的初步筛查。关键词:哥伦比亚自杀屏幕;自杀;可靠性;有效性;初中生
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引用次数: 0
Application of pasta matrix reaching task in rats for forelimb motor function test after stroke 面食基质提取任务在大鼠脑卒中后前肢运动功能测试中的应用
Pub Date : 2019-11-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.11.001
Fangling Sun, Min Liu, X. Tian, Tingting Liu, Y. Shan, P. Wei, Xiaotong Fan, Deyu Guo, Wen Wang, Guoguang Zhao
Objective To construct a scientific behavioral research of pasta matrix reaching task (PMRT) and comprehensively evaluate sensory-motor dysfunction caused by brain injury. Methods Twenty-one SD rats were subjected to 14-days pasta matrix grasping training and then were randomly divided into model group (11 rats) and sham group (6 rats). Motor cortex ischemia was induced by injection of endothelin-1 in SD rats. The number of pasta grabed by the injured forelimb and the location in matrix were evaluated daily 7 days after surgery. The infarct volume was measured by Nissl staining at the 7 days, 14 days, and 28 days after stroke. Results The number of pasta obtained by rats was reduced from (33.43±1.02) to (20.57±0.57) at 7 days post stroke in model group, and then increased to (26.85±0.98) at 28 days post stroke, although there was a significant difference between sham group(32.33±1.45) and ischemic group (t=3.198, P<0.05). The frequency of retrieval from each slot of the pasta matrix represented that sham group demonstrated a significant gain in performance in the antero quadrant of the matrix compared to ischemic rats by the fourth week after stroke.The stroke volume was decreased from (37.82±1.17)mm3 at 7 days post-stroke to (24.35±0.38)mm3 at 28 days post-stroke, indicating brain recovery from ischemic injury. Conclusion The pasta matrix reaching task can function as a versatile and sensitive behavioral assay that permits experimenters to collect accurate outcome data and manipulate limb use to mimic human clinical phenomena including compensatory strategies and focused rehabilitative training after stroke. Key words: Pasta matrix reaching task; Motor function; Infarct volume; Cerebral ischemia; Rat
目的构建面食基质到达任务(PMRT)的科学行为研究,综合评价脑损伤引起的感觉-运动功能障碍。方法将21只SD大鼠进行为期14 d的面食基质抓取训练,随机分为模型组(11只)和假手术组(6只)。注射内皮素-1诱导SD大鼠运动皮质缺血。术后7天每天观察损伤前肢抓取面食的数量和面食在基质中的位置。脑卒中后第7天、第14天、第28天采用尼氏染色法测定梗死体积。结果模型组大鼠脑卒中后7 d获得面食的数量由(33.43±1.02)个减少至(20.57±0.57)个,脑卒中后28 d增加至(26.85±0.98)个,但假手术组(32.33±1.45)与缺血组(t=3.198, P<0.05)差异有统计学意义。从面食基质的每个槽中提取的频率表明,假手术组在中风后第四周与缺血大鼠相比,在基质的前象限表现出显着的提高。脑卒中体积由脑卒中后第7天的(37.82±1.17)mm3降至脑卒中后第28天的(24.35±0.38)mm3,提示脑缺血损伤恢复。结论面食基质到达任务可作为一种多功能、灵敏的行为测试,允许实验者收集准确的结果数据,并操纵肢体使用来模拟人类临床现象,包括中风后的代偿策略和重点康复训练。关键词:面食矩阵到达任务;运动机能;梗死体积;脑缺血;老鼠
{"title":"Application of pasta matrix reaching task in rats for forelimb motor function test after stroke","authors":"Fangling Sun, Min Liu, X. Tian, Tingting Liu, Y. Shan, P. Wei, Xiaotong Fan, Deyu Guo, Wen Wang, Guoguang Zhao","doi":"10.3760/CMA.J.ISSN.1674-6554.2019.11.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1674-6554.2019.11.001","url":null,"abstract":"Objective \u0000To construct a scientific behavioral research of pasta matrix reaching task (PMRT) and comprehensively evaluate sensory-motor dysfunction caused by brain injury. \u0000 \u0000 \u0000Methods \u0000Twenty-one SD rats were subjected to 14-days pasta matrix grasping training and then were randomly divided into model group (11 rats) and sham group (6 rats). Motor cortex ischemia was induced by injection of endothelin-1 in SD rats. The number of pasta grabed by the injured forelimb and the location in matrix were evaluated daily 7 days after surgery. The infarct volume was measured by Nissl staining at the 7 days, 14 days, and 28 days after stroke. \u0000 \u0000 \u0000Results \u0000The number of pasta obtained by rats was reduced from (33.43±1.02) to (20.57±0.57) at 7 days post stroke in model group, and then increased to (26.85±0.98) at 28 days post stroke, although there was a significant difference between sham group(32.33±1.45) and ischemic group (t=3.198, P<0.05). The frequency of retrieval from each slot of the pasta matrix represented that sham group demonstrated a significant gain in performance in the antero quadrant of the matrix compared to ischemic rats by the fourth week after stroke.The stroke volume was decreased from (37.82±1.17)mm3 at 7 days post-stroke to (24.35±0.38)mm3 at 28 days post-stroke, indicating brain recovery from ischemic injury. \u0000 \u0000 \u0000Conclusion \u0000The pasta matrix reaching task can function as a versatile and sensitive behavioral assay that permits experimenters to collect accurate outcome data and manipulate limb use to mimic human clinical phenomena including compensatory strategies and focused rehabilitative training after stroke. \u0000 \u0000 \u0000Key words: \u0000Pasta matrix reaching task; Motor function; Infarct volume; Cerebral ischemia; Rat","PeriodicalId":9940,"journal":{"name":"Chinese Journal of Behavioral Medicine and Brain Science","volume":"28 1","pages":"961-966"},"PeriodicalIF":0.0,"publicationDate":"2019-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43126115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The moderating role of self-control between impulsiveness and risky decision-making among college students with pathological internet use 自我控制对病态网络使用大学生冲动与风险决策的调节作用
Pub Date : 2019-10-20 DOI: 10.3760/CMA.J.ISSN.1674-6554.2019.10.013
X. Tu, Yixuan Lin, Jia-jun Yan, Guohua Zhang
Objective To explore the relationship between impulsiveness and risky decision-making among college students with pathological internet use (PIU), as well as the moderating role of self-control. Methods Totally 542 undergraduates anonymously completed the Internet Addiction Test (IAT), Chinese Version of Barratt Impulsiveness Scale, Risk Preference Questionnaire, Self-Control Scale. Results (1)In loss frames, the scores of risky decision-making with high (20.26±4.83) and medium (20.40±5.53) level of impulsiveness among college students with PIU significantly were higher than those with low (18.92±5.03) level of impulsiveness (F(2, 323)=3.79, P<0.05, η2=0.02). (2)There was a significant negative correlation between impulsiveness (60.68±10.40) and self-control (55.56±9.07)(r=-0.60, P<0.01). And there was a significant positive correlations between impulsiveness and risky decision-making in loss frames (20.12±5.26)(r=0.13, P<0.05). The risky decision-making in gain frames (17.17±4.38) was positively correlated with that in loss frames (r=0.52, P<0.01). (3)Self-control played a moderating role in the association between impulsiveness and risky decision-making in loss frames (β=0.13, t=2.31, P<0.05). Conclusion In loss frames, impulsiveness is positively related with risky decision-making, and self-control plays a moderating role between impulsiveness and risky decision-making in loss frames among college students with PIU. Key words: College students; Pathological internet use; Impulsiveness; Risky decision-making; Self-control
目的探讨病理性网络使用(PIU)大学生冲动与风险决策的关系,以及自我控制的调节作用。方法542名大学生匿名完成网络成瘾测试(IAT)、Barratt冲动量表中文版、风险偏好问卷、自我控制量表。结果(1)在损失框中,PIU大学生冲动性水平高(20.26±4.83)和中等(20.40±5.53)的风险决策得分显著高于冲动性水平低(18.92±5.03)的大学生(F(2233)=3.79,P<0.05,η2=0.02)。(2)冲动性(60.68±10.40)与自制力(55.56±9.07)呈显著负相关(r=-0.60,P<0.01)。在损失框中冲动性与风险决策呈显著正相关(20.12±5.26)(r=0.13,P<0.05)(r=0.52,P<0.01)。(3)自我控制在损失框中对冲动性与风险决策的相关性起调节作用(β=0.13,t=2.31,P<0.05),在PIU大学生的损失框架中,自我控制在冲动和风险决策之间起着调节作用。关键词:大学生;病理性互联网使用;冲动;风险决策;自我控制
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引用次数: 0
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中华行为医学与脑科学杂志
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