老年慢性心力衰竭伴发抑郁症的临床分析

目的探讨老年慢性心力衰竭患者的心理状态及其与疾病严重程度的相关性。方法选择123例已确诊为老年慢性心力衰竭的患者进行SDS评分,在治疗原发病的基础上,给予抗抑郁药物治疗,并进行SDS评分。结果123例老年慢性心功能不全患者伴抑郁症51例,发生率为41．5％。冠心病心衰抑郁症的发生率44．4％,肺心病心衰抑郁症的发生率48．9％,高血压伴心力衰竭者抑郁症的发生率30．7％,其它原因致心衰抑郁症的发生率29．6％;加用抗抑郁药物后,症状得到明显改善,SDS治疗前后分别为（56．29±5．04）分及（34．73±3．7）分（t=11．575,P〈0．01）。结论抑郁症可增加慢性心功能不全的患病危险度及病死率,慢性心功能不全与抑郁症相关,其因果关系可能是复杂的,双相的,故在治疗患者原发病基础上,更要重视相伴的精神疾病的诊治。     

Intimate partner violence in neighborhood context: The roles of structural disadvantage,subjective disorder,and emotional distress

Most theoretical treatments of intimate partner violence (IPV) focus on individual-level processes. Some researchers have attempted to situate IPV within the larger neighborhood context, but few studies have sought to link structural- and individual-level factors. The current analyses fill a research gap by examining the role of anger and depression in the association between neighborhood disadvantage and IPV. Using data from the Toledo Adolescent Relationships Study (TARS) and the 2000 Census, this study focuses on structural indicators of disadvantage as well as subjective disorder, and highlights the complex associations between neighborhood conditions, emotional distress, and IPV. Findings indicate that anger and depressive symptoms partially explain the association between neighborhood disadvantage and IPV. Additionally, the associations between disadvantage, disorder, and IPV depend on respondent’s level of anger. Results underscore the need to further consider the role of neighborhood factors (both objective and subjective) in relation to IPV, and also suggest the utility of introducing individual-level emotional measures to assess the circumstances under which neighborhoods matter most.     

心理干预对恶性肿瘤患者家属心理障碍的作用

目的分析恶性肿瘤患者家属焦虑、抑郁状态的形成因素及心理干预对其的影响。方法对105名晚期恶性肿瘤患者家属根据其焦虑或抑郁症状给予心理干预,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)测评其治疗前后的症状变化。结果心理干预前后SAS分别为59.16±4.11、45.35±3.25(t=27.08,P<0.05),SDS分别为54.13±3.67、47.95±2.21(t=15.07,P<0.05),治疗后评定分值较治疗前明显下降,治疗后症状减轻。结论焦虑和抑郁症状是晚期恶性肿瘤患者家属不可忽视的心理问题,应引起医学界的重视。心理干预能够明显改善焦虑和抑郁症状。     

大学生抑郁现状及原因分析

随着社会的进步,心理健康越来越受到人们的关注。大学生是社会中最敏感的群体,也代表着社会的未来,因此,大学生的心理健康也是倍受关注。在了解大学生抑郁现状的基础上,分析大学生抑郁的原因。影响大学生抑郁的因素主要有学业、适应、人际关系、恋爱、自我意识、人生观、择业等几个方面,其中自我意识、人生观、人际关系的影响更为显著。     

20世纪30年代德美两国反经济危机政策的比较

重点考察20世纪30年代纳粹政府和罗斯福政府的反经济危机政策,通过比较其异同并分析原因,指出指导思想、经济状况和政治体制对影响经济政策制定的作用最为显著,同时指出国际贸易特别是资本流入对经济复苏有重要影响,从而为当今反经济危机政策的制定提供历史经验。     

The association between social support and postpartum depression in women: A cross sectional study

Background

Prevalence of postpartum depression is estimated to be about 10–15% worldwide. Many risk factors are supposed to play a role leading a new mother to maternal postpartum depression which can considerably affect the baby, mother, family and also the society.

泌阳凹陷泌301 井区不同流动单元产能分析

在沉积微相、储层物性特征分析的基础上,选取孔隙度、渗透率、流动带指数等参数,对泌阳凹陷赵凹油田泌301 井区核三段油层组进行流动单元划分。依据流动带指数的大小,将研究区目的层段划分为A、B、C、D 和E 等5 类流动单元。通过研究发现,各类流动单元与物性、岩性、沉积微相之间具有较好的对应关系,同时对不同流动单元产能进行了分析。研究结果表明,流动单元的划分能够真实客观地反映储层物性差、非均质性强的地质特点,单井产能与流动带指数有较好的乘幂关系,不同流动单元产能差异较为明显,物性最好的A 类流动单元产能最高,物性最差的E类流动单元产能最低。     

德国魏玛时代失业问题探析

魏玛时期的失业问题伴随当时德国社会经济的发展呈现出明显的阶段性特征。第一个阶段是战后的初期阶段,魏玛德国的失业问题开始凸显,在恶性通货膨胀的影响下,失业规模在1923年底迅速扩大。第二个阶段是相对稳定时期,随着德国经济持续的发展,失业问题开始得到缓解。但20年代中期的"合理化运动"又导致德国出现了结构性失业和技术性失业,这两种长期性失业类型使德国的失业率居高不下。第三阶段是大萧条时期,经济大危机重创了魏玛德国的社会经济,再加上政府经济政策的失误和劳动人口结构的改变,严重失业问题直到共和国的崩溃也未能解决。     

Real-life closeness of social media contacts and depressive symptoms among university students

ABSTRACT

Objective: To examine the association between degree of real-life closeness of social media (SM) contacts and depressive symptoms. Participants: Students ages 18–30 (N = 1124) were recruited in August 2016. Methods: Participants completed an online survey assessing SM use and depression. We used multivariable logistic regression to assess associations between real-life closeness of SM contacts and depressive symptoms. Results: After controlling for covariates, each 10% increase in the proportion of SM friends with whom participants had no face-to-face relationship was associated with a 9% increase in odds of depressive symptoms (AOR = 1.09; 95% CI = 1.05–1.13). However, each 10% increase in the proportion of SM friends with whom participants had a close face-to-face relationship was associated with a 7% decrease in depressive symptoms (AOR = 0.93; 95% CI = 0.89–0.97). Conclusions: Having no in-person relationship with SM contacts is associated with increased depressive symptoms; however, having close in-person relationships with SM contacts is associated with decreased depressive symptoms.     

Anxiety and Depression: Implications for Older Adults

By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far thefastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of laterlife is essential. In particular, anxiety anddepression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.