青少年精神病性体验异质性及影响因素分析
作者：
王东方;黄玉洁;孙梦;张雯;杨新华;...
期刊：
中国公共卫生 ,2021年37(02):251-255 ISSN：1001-0580
作者机构：
中南大学湘雅二医院精神科中南大学湘雅二医院精神卫生研究所国家精神心理疾病临床医学研究中心精神疾病诊治技术国家地方联合工程实验室精神病学与精神卫生学湖南省重点实验室,湖南长沙410000;[杨新华] 湖南农业大学教育学院湖南省儿童青少年健康促进研究中心;[孙梦] 广州医科大学附属脑科医院广州市惠爱医院;[欧阳萱; 张雯; 刘哲宁] 中南大学湘雅二医院精神科中南大学湘雅二医院精神卫生研究所国家精神心理疾病临床医学研究中心精神疾病诊治技术国家地方联合工程实验室精神病学与精神卫生学湖南省重点实验室;[王东方; 黄玉洁] 中南大学湘雅二医院精神科中南大学湘雅二医院精神卫生研究所国家精神心理疾病临床医学研究中心精神疾病诊治技术国家地方联合工程实验室精神病学与精神卫生学湖南省重点实验室<&wdkj&>湖南农业大学教育学院湖南省儿童青少年健康促进研究中心
关键词：
精神病性体验;青少年;异质性;潜在剖面分析
摘要：
目的探讨青少年精神病性体验是否存在异质性,以及相关的社会人口学因素对精神病性体验异质性的可能作用机制。方法于2015—2016年采用社区精神病性体验评估问卷（CAPE）对湖南省4 508名初中学生进行调查,并采用潜在剖面分析方法进行潜在亚型探索。结果青少年精神病性体验可以分为3种潜在类别,即低、中和高频精神病性体验型;相较于低频精神病性体验型,高频精神病性体验型年龄（OR=1.56,95%CI=1.27～1.92）更大,女性（OR=1.64,95%CI=1.25～2.14）、来源于城市（OR=2.04,95%CI=1.52～2.74）、汉族（OR=1.40,95%CI=1.06～1.85）、家庭贫困（OR=2.52,95%CI=1.66～3.85）、单亲家庭（OR=1.56,95%CI=1.17～2.07）、有精神疾病家族史（OR=3.31,95%CI=1.93～5.68）的青少年比例更高。结论青少年精神病性体验有着显著的群体异质性,可根据青少年的性别、年龄、家庭情况等特点,开展针对性的早期预防和干预措施。
语种：
中文
展开
The association between sibling bullying and psychotic-like experiences among children age 11–16 years in China
作者：
Liu, Xiaoqun;Wolloh, Moses G., II;Lin, Xiaoling;Qiu, Xiaoyan;Qing, Zaihua;...
期刊：
Journal of Affective Disorders ,2021年284:31-37 ISSN：0165-0327
通讯作者：
Lu, Dali;Wang, Zheng
作者机构：
[Wolloh, Moses G., II; Liu, Xiaoqun] Cent South Univ, XiangYa Sch Publ Hlth, Dept Women & Children Hlth, Changsha, Hunan, Peoples R China.;[Wu, Weige; Liu, Farong; Wang, Wenqiang; Lu, Dali] Xiamen Xianyue Hosp, Xiamen, Fujian, Peoples R China.;[Qiu, Xiaoyan] Hunan Agr Univ, Inst Higher Educ, Yongzhou, Hunan, Peoples R China.;[Qing, Zaihua] Hunan Univ Finance & Econ, Off Student Affair, Changsha, Hunan, Peoples R China.;[Lin, Xiaoling] Sun Yat Sen Univ, Sch Nursing, Guangzhou, Guangdong, Peoples R China.
通讯机构：
[Lu, Dali] X;[Wang, Zheng] Q;Xiamen Xianyue Hosp, Xiamen, Fujian, Peoples R China.;Qilu Normal Univ, Coll Teacher Educ, Jinan, Shandong, Peoples R China.
关键词：
adolescent;Article;behavior assessment;bullying;child;child psychiatry;childhood trauma;China;Community Assessment Psychic Experiences 42;cross-sectional study;educational status;father;female;human;major clinical study;male;middle school student;mother;perception disorder;persecutory delusion;personal experience;physical abuse;positive syndrome;prevalence;priority journal;psychosis;risk factor;rural population;school child;self report;sibling;Sibling Bullying Questionnaire;sibling relation;verbal hostility;adult;crime victim;epidemiology;Adolescent;Adult;Bullying;Child;China;Crime Victims;Cross-Sectional Studies;Humans;Siblings
摘要：
Background: Few studies exist on sibling bullying or even sibling aggression more generally in the past 30 years. Studies of sibling bullying have shown that sibling bullying may associate with depression, anxiety, self-harm, suicide ideation in early adulthood. Nevertheless, few studies have explored the relationship between sibling victimization types and the occurrence of psychosis, not to mention that psychotic-like experiences (PLEs) always occur before psychotic disorders. Therefore, the current study aims to examine the association between sibling bullying and PLEs among children age 11–16 years in China. Method: This is a cross-sectional study which included 3231 students from eight junior middle schools in three cities of Hunan Province, China. Frequency and types of sibling bullying was assessed with Sibling Bullying Questionnaire and PLEs was assessed with Community Assessment Psychic Experiences-42. Results: The percentage of sibling bullying were 12.9% for victimization and 10.8% for perpetration. Sibling bullying plays as an independent influence factor for all subtypes of PLEs, and verbal victimization was the most important risk factor in developing different subtypes of PLEs followed by physical victimization and verbal perpetration. Conclusion: The current study found that sibling bullying is associated with PLEs. Intervention programs should be conducted to focus on those children and adolescents who are involved in multiple types of sibling victimization or perpetration. © 2021
语种：
英文
展开
媒体对青少年身体意象的影响
作者：
于超然;于昕洋;梁瑞;范志涛;王梅;...
期刊：
Chinese Journal of Health Management ,2020年14(2):177-180 ISSN：1674-0815
通讯作者：
Wang, K.
作者机构：
[于超然; 范志涛; 梁瑞; 王葵; 于昕洋] Institute of Psychology, Chinese Academy of Sciences, University of Chinese, Academy of Sciences, Beijing, 100049, China;[王梅] Department of Eductional Science, Qiannan Normal University, Duyun, 558000, China;[杨新华] Institute of Education, Hunan Agricultural University, Changsha, 410128, China
通讯机构：
[Wang, K.] I;Institute of Psychology, China
关键词：
身体意象;媒体;青少年;素养
摘要：
研究者普遍认为媒体对个体身体意象的发展起着重要作用,然而相关研究在国内并不多见。为此,本文综述了大众媒体和社交媒体对身体意象满意度的研究进展。多数研究表明媒体使用对于青少年的身体意象有着比较负面影响,然而这种影响也因人而异。一些媒体素养水平比较高的个体能够少受媒体对于身体意象的不良影响,但是那些接受“以瘦为美”观念的青少年却容易受到媒体的负面影响。本文还介绍了旨在提高媒体素养水平的身体意象干预项目,并对将来的研究方向提出展望。
语种：
中文
展开
Differential effects of state and trait social anhedonia on suicidal ideation at 3-months follow up
作者：
Yang, Xinhua;Liu, Sixun;Wang, Dongfang;Liu, Guangya;Harrison, Phillippa*
期刊：
Journal of Affective Disorders ,2020年262:23-30 ISSN：0165-0327
通讯作者：
Harrison, Phillippa
作者机构：
[Wang, Dongfang; Liu, Sixun; Yang, Xinhua] Hunan Agr Univ, Rural Children & Adolescents Res Ctr Hlth Promot, Inst Educ, Dept Psychol, Changsha, Hunan, Peoples R China.;[Harrison, Phillippa; Yang, Xinhua] Kings Coll London, Ctr Affect Disorders Psychol Med, Inst Psychiat Psychol & Neurosci, London, England.;[Liu, Guangya] Brains Hosp Hunan Prov, Dept Psychiat, Changsha, Hunan, Peoples R China.;[Harrison, Phillippa] Hunan Agr Univ, Dept Psychol, 1 Nongda Rd, Changsha, Hunan, Peoples R China.
通讯机构：
[Harrison, Phillippa] H;Hunan Agr Univ, Dept Psychol, 1 Nongda Rd, Changsha, Hunan, Peoples R China.
关键词：
adolescent;adult;anhedonia;Anticipatory and Consummatory Interpersonal Pleasure Scale;Article;Beck Depression Inventory;controlled study;emotion assessment;female;follow up;human;male;pain;priority journal;suicidal ideation;undergraduate student;human relation;psychological rating scale;psychological theory;psychology;risk factor;social aspects and related phenomena;student;young adult;Adolescent;Adult;Anhedonia;Female;Follow-Up Studies;Humans;Interpersonal Relations;Male;Psychiatric Status Rating Scales;Psychological Theory;Risk Factors;Sociological Factors;Students;Suicidal Ideation;Young Adult
摘要：
Background: Recent work suggests that the social component of anhedonia is more associated with suicide ideation than the other component of pleasure. The present study investigated the differential effects of state and trait social anhedonia on suicidal ideation across two undergraduate samples based on the Interpersonal Theory and Three-Step Theory of Suicide. Methods: State social anhedonia was assessed with a single item (Loss of Interest in People) extracted from the Beck Depression Inventory, while trait social anhedonia was assessed using the Anticipatory and Consummatory Interpersonal Pleasure Scale. Suicidal ideation was re-administered at a 3-month follow-up. Results: In Study 1, higher state social anhedonia was associated with greater levels of suicidal ideation, while trait social anhedonia moderated the relationship between thwarted belongingness, perceived burdensomeness and suicidal ideation. In Study 2, state social anhedonia was margin significant predictor of suicidal ideation, while trait social anhedonia moderated the relationship between psychological pain and suicidal ideation. Conclusions: These findings confirmed the presence of two different effects on suicidal ideation in state and trait social anhedonia: state social anhedonia directly was associated with suicidal ideation, while trait social anhedonia was indirectly related through their effects on other risk factors of suicidality. © 2019 Elsevier B.V.
语种：
英文
展开
The prevalence of confirmed childhood trauma and its’ impact on psychotic-like experiences in a sample of Chinese adolescents
作者：
Lu, Dali;Wang, Wenqiang;Qiu, Xiaoyan;Qing, Zaihua;Lin, Xiaoling;...
期刊：
Psychiatry Research ,2020年287:112897 ISSN：0165-1781
通讯作者：
Liu, Xiaoqun
作者机构：
[Wu, Weige; Liu, Farong; Wang, Wenqiang; Lu, Dali] Xiamen Xianyue Hosp, Xiamen 361000, Peoples R China.;[Liu, Xiaoqun] Cent South Univ, XiangYa Sch Publ Hlth, Dept Women & Children Hlth, Changsha 410078, Peoples R China.;[Qiu, Xiaoyan] Hunan Univ Sci & Engn, Inst Higher Educ, Linglin Dist 425100, Yongzhou, Peoples R China.;[Qing, Zaihua] Hunan Univ Finance & Econ, Off Student Affair, Changsha 410205, Hunan, Peoples R China.;[Lin, Xiaoling] Sun Yat Sen Univ, Sch Nursing, Guangzhou 510078, Peoples R China.
通讯机构：
[Liu, Xiaoqun] C;Cent South Univ, XiangYa Sch Publ Hlth, Dept Women & Children Hlth, Changsha 410078, Peoples R China.
关键词：
Abuse;Childhood trauma;Neglect;Prevalence;Psychotic-like experiences
摘要：
Adolescents with childhood trauma may be associated with psychotic-like experiences (PLEs) and is at high risk for later development of psychoses. Exploring early age risk factors for childhood trauma may provide useful information for prevention of mental disorders and improvement of mental health, yet no studies have examined the association between exposure to specific forms of trauma and different types of PLEs in a sample of Chinese adolescents. Thus, the Childhood Trauma Questionnaire-Short Form was used to measure five types of childhood trauma (emotional abuse, EA; physical abuse, PA; sexual abuse, SA; emotional neglect, EA; physical neglect, PA) in junior middle school students. And the positive subscale of Community Assessment of Psychic Experiences divided into four types (bizarre experiences, perceptual abnormalities, persecutory ideation and magical thinking) was used to measure PLEs. Then the possible associations among demographic information and specific types of childhood trauma on specific forms of PLEs was compared. The rates of EA, PA, SA, EA and PA were 14.2%, 13.0%, 16.1%, 60.0%, and 78.6%, respectively. Moreover, childhood trauma seems to be a main role in the development of PLE, and EA and SA patients are particularly likely to experience PLEs.
语种：
英文
展开
Trajectories of state anhedonia and recent changes in anhedonia in college students: Associations with other psychiatric syndromes.
作者：
Yang, Xinhua* ;Wang, Dongfang;Liu, Sixun;Liu, Guangya;Harrison, Phillippa
期刊：
Journal of Affective Disorders ,2020年262:337-343 ISSN：0165-0327
通讯作者：
Yang, Xinhua
作者机构：
[Wang, Dongfang; Liu, Sixun; Yang, Xinhua] Hunan Agr Univ, Inst Educ, Dept Psychol, 1 Nongda Rd, Changsha 410128, Hunan, Peoples R China.;[Liu, Guangya] Brains Hosp Hunan Prov, Dept Psychiat, Changsha, Hunan, Peoples R China.;[Harrison, Phillippa] Kings Coll London, Ctr Affect Disorders, Psychol Med, Inst Psychiat Psychol & Neurosci, London, England.
通讯机构：
[Yang, Xinhua] H;Hunan Agr Univ, Inst Educ, Dept Psychol, 1 Nongda Rd, Changsha 410128, Hunan, Peoples R China.
关键词：
adult;anhedonia;anxiety;Article;college student;depression;female;hostility;human;illness trajectory;major clinical study;male;mental disease;obsession;paranoia;priority journal;psychosis;somatization;suicidal ideation;Symptom Checklist 90;young adult;adolescent;latent class analysis;mental disease;pleasure;psychology;statistical model;student;syndrome;university;Adolescent;Adult;Anhedonia;Female;Humans;Latent Class Analysis;Logistic Models;Male;Mental Disorders;Pleasure;Psychopathology;Students;Suicidal Ideation;Syndrome;Universities;Young Adult
摘要：
Background: Recent works suggest recent changes in anhedonia may be specifically predictive of key elements of psychopathology. The present study aimed to identify the trajectories of state anhedonia and recent changes in anhedonia, and to investigate their associations with other psychiatric syndromes over time. Methods: A total of 859 college students were assessed at three time points. State anhedonia was assessed using the Snaith Hamilton Pleasure Scale and recent changes in anhedonia were assessed with a subscale extracted from the Symptom Check-List-90. The Latent Growth Curve Modelling analysis was used to analyze trajectories. Associations with anhedonia were investigated with logistic regression models. Results: Three state anhedonia trajectories and two recent changes in anhedonia trajectories were identified. The decreasing trajectory was the most prevalent class in both two types of anhedonia. Depression and suicidal ideation predicted recent changes in anhedonia whereas other psychiatric syndromes predicted state anhedonia. Conclusions: The current study highlighted the development trajectories of different measures of anhedonia. The results showed that the relationships between anhedonia and psychiatric syndromes were different according to the kind of anhedonia. © 2019
语种：
英文
展开
Association Between Sub-types of Sibling Bullying and Mental Health Distress Among Chinese Children and Adolescents
作者：
Liu, Xiaoqun;Peng, Chang* ;Yu, Yizhen;Yang, Mengsi;Qing, Zaihua;...
期刊：
FRONTIERS IN PSYCHIATRY ,2020年11:452386 ISSN：1664-0640
通讯作者：
Peng, Chang
作者机构：
[Peng, Chang; Yang, Mengsi; Liu, Xiaoqun] Cent South Univ, Xiangya Sch Publ Hlth, Dept Maternal & Child Hlth, Changsha, Peoples R China.;[Peng, Chang; Yu, Yizhen] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal Child & Adolescent Hlth, Wuhan, Peoples R China.;[Qing, Zaihua] Hunan Univ Finance & Econ, Dept Student Affairs, Changsha, Peoples R China.;[Qiu, Xiaoyan] Hunan Univ Sci & Engn, Inst Higher Educ, Yongzhou, Peoples R China.;[Yang, Xinhua] Hunan Agr Univ, Inst Educ, Changsha, Peoples R China.
通讯机构：
[Peng, Chang] C;[Peng, Chang] H;Cent South Univ, Xiangya Sch Publ Hlth, Dept Maternal & Child Hlth, Changsha, Peoples R China.;Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal Child & Adolescent Hlth, Wuhan, Peoples R China.
关键词：
adolescents;anxiety;depression;mental health;sibling bullying
摘要：
Sibling bullying is a common phenomenon in childhood and adolescence worldwide and has a significant association with mental health distress. However, there have been few studies that have examined the associations between any specific sub-type of sibling bullying and depression as well as anxiety. Besides, the association between sibling bullying and psychological well-being was never explored among the Chinese population. The purpose of this cross-sectional study was to examine the associations between the number of sub-types of sibling bullying involvement and depression as well as anxiety among Chinese children and adolescents. Multi-stage stratified cluster sampling was used to recruit 5,926 participants aged 10 to 18 who had at least one sibling living in the household. Different sub-types of sibling bullying involvement were determined by using Olweus Bully/Victim Questionnaire (OBVQ). The nine-item Patient Health Questionnaire (PHQ-9) and the seven-item Generalized Anxiety Disorder Scale (GAD-7) were used to screen clinical ranges of major depression and generalized anxiety disorder, respectively. Of the participants, 1,235 (20.8%) were bullied by siblings, and 1,230 (20.8%) perpetrated bullying behavior against siblings over the past 6 months. After controlling potential confounders, adjusted model of logistic regression analyses indicated that all three sub-types of sibling victimization and perpetration were significantly associated with both depression and anxiety. There were linear associations between the number of sub-types of sibling bullying victimization and depression (adjusted OR = 1.49, 95% CI 1.32 to 1.68) as well as anxiety (adjusted OR = 1.68, 95% CI 1.48 to 1.90). Besides, linear trends were found between the number of sub-types of sibling bullying perpetration and depression (adjusted OR = 1.44, 95% CI 1.26 to 1.64) as well as anxiety (adjusted OR = 1.63, 95% CI 1.42 to 1.87). The findings underline dose–response relationships between the number of sub-types of sibling bullying involvement and mental health distress. Intervention programs should be conducted to focus on developing mental health status of those children and adolescents who are involved in multiple sub-types of sibling victimization or perpetration. © Copyright © 2020 Liu, Peng, Yu, Yang, Qing, Qiu and Yang.
语种：
英文
展开
Medication adherence and its correlates among patients affected by schizophrenia with an episodic course: A large-scale multi-center cross-sectional study in China
作者：
Wang, Dongfang;Ross, Brendan;Xi, Chang;Pan, Yunzhi;Zhou, Li;...
期刊：
Asian Journal of Psychiatry ,2020年53:102198 ISSN：1876-2018
通讯作者：
Ouyang, Xuan
作者机构：
[Wang, Dongfang; Liu, Zhening; Ouyang, Xuan; Pan, Yunzhi; Wu, Guowei; Xi, Chang] Cent South Univ, Xiangya Hosp 2, Dept Psychiat, Changsha, Hunan, Peoples R China.;[Wang, Dongfang; Liu, Zhening; Ouyang, Xuan; Pan, Yunzhi; Wu, Guowei; Xi, Chang] Hunan Med Ctr Mental Hlth, Natl Technol Inst Mental Disorders, Natl Clin Res Ctr Mental Disorders, Hunan Key Lab Psychiat & Mental Hlth, Changsha, Hunan, Peoples R China.;[Wang, Dongfang; Liu, Zhening; Ouyang, Xuan; Pan, Yunzhi; Wu, Guowei; Xi, Chang] Cent South Univ, Mental Hlth Inst, Changsha, Hunan, Peoples R China.;[Wang, Dongfang] South China Normal Univ, Guangdong Key Lab Mental Hlth & Cognit Sci, Key Lab Brain Cognit & Educ Sci, Ctr Studies Psychol Applicat,Minist Educ,Sch Psyc, Guangzhou, Guangdong, Peoples R China.;[Ross, Brendan] McGill Univ, Fac Med, Montreal, PQ, Canada.
通讯机构：
[Ouyang, Xuan] C;Cent South Univ, Xiangya Hosp 2, Mental Hlth Inst, Changsha 410011, Peoples R China.
关键词：
China;MARS;Medication adherence;Schizophrenia
摘要：
The Medication Adherence Rating Scale (MARS) is a fast, non-intrusive way of measuring adherence to medication in order to improve the management of patients with schizophrenia. The current cross-sectional study evaluated the reliability of the Chinese (Mandarin) version of the MARS and explored clinical and demographic correlates to medication adherence in a large sample of patients affected by schizophrenia with an episodic course in China. 1198 patients were recruited from 37 different hospitals in 17 provinces/municipalities of China and evaluated with the Medication Adherence Rating Scale (MARS), Clinical Global Impression-Severity of Illness (CGI-SI) and Sheehan Disability Scale-Chinese version (SDS-C). The MARS showed good internal consistency; Cronbach's alpha of total MARS was 0.83. Among the cohort of patients affected by schizophrenia with an episodic course, 28.5 % met the criteria of good adherence to antipsychotic medication; age, steady income, and severity of illness had significant effects on medication adherence. Medication adherence of patients affected by schizophrenia in mainland China was found to be relatively low, calling for urgent attention and intervention. Risk factors for non-adherence to medication among patients affected by schizophrenia with an episodic course include older age, unsteady income, being in the acute period of the disease, and severity of illness. © 2020 Elsevier B.V.
语种：
英文
展开
社会支持与单亲家庭大学生精神病性体验的关系:有调节的中介模型
作者：
王东方;黄玉洁;刘思璕;胡何琼;陈春平;...
期刊：
中国临床心理学杂志 ,2020年28(6):1162-1165,1170 ISSN：1005-3611
作者机构：
湖南农业大学教育学院、湖南省儿童青少年健康促进研究中心,长沙410128;中南大学湘雅二医院精神卫生研究所,长沙410011;[陈春平; 黄玉洁; 杨新华; 王东方; 胡何琼; 刘思璕; 龙梦晴] 湖南农业大学;[谢光荣] 中南大学湘雅二医院
关键词：
社会支持;心理资本;家庭社会经济地位;精神病性体验;单亲家庭
摘要：
目的:考察社会支持、心理资本、家庭社会经济地位对单亲家庭大学生精神病性体验的影响。方法:采用大学生社会支持评定量表、积极心理资本问卷、社区心理体验评估问卷、青少年主观社会经济地位量表对431名单亲家庭大学生进行调查。结果:①社会支持对单亲家庭大学生精神病性体验负向预测显著;②心理资本在社会支持和精神病性体验间存在显著部分中介效应;③家庭社会经济地位在社会支持预测精神病性体验的中介模型中起调节作用,在家庭社会经济地位高的大学生群体中,心理资本对精神病性体验的保护作用更显著。结论:社会支持通过心理资本影响单亲家庭大学生精神病性体验,家庭社会经济地位在其中起调节作用,在高家庭社会经济地位的大学生中,心理资本的中介作用相对较强。
语种：
中文
展开
Stress and Suicidal Ideation: The Role of State or Trait Anhedonia in a Moderated Mediation Model
作者：
Yang, Xinhua* ;Wang, Dongfang;Liu, Sixun;Liu, Guangya;Harrison, Phillippa
期刊：
Suicide and Life-Threatening Behavior ,2020年50(2):502-514 ISSN：0363-0234
通讯作者：
Yang, Xinhua
作者机构：
[Wang, Dongfang; Liu, Sixun; Yang, Xinhua] Hunan Agr Univ, Dept Psychol, Coll Educ, Changsha, Hunan, Peoples R China.;[Harrison, Phillippa; Yang, Xinhua] Kings Coll London, Ctr Affect Disorders, Psychol Med, Inst Psychiat Psychol & Neurosci, London, England.;[Liu, Guangya] Hunan Brains Hosp, Dept Psychiat, Changsha, Hunan, Peoples R China.;[Yang, Xinhua] Hunan Agr Univ, Dept Psychol, 1 Nongda Rd, Changsha 410128, Hunan, Peoples R China.
通讯机构：
[Yang, Xinhua] H;Hunan Agr Univ, Dept Psychol, 1 Nongda Rd, Changsha 410128, Hunan, Peoples R China.
摘要：
BACKGROUND: Recent works suggested taking into account the severity and the type of anhedonia when examining suicidal ideation. The present study investigated a moderated mediation model addressing the psychosocial mechanisms that account for the association between state or trait anhedonia and suicidal ideation. METHODS: State anhedonia was assessed using the Snaith-Hamilton Pleasure Scale, while trait anhedonia was assessed using the Temporal Experience of Pleasure Scale. A total number of 1,361 of undergraduates completed questionnaires at three different times, with one-year intervals. RESULTS: The direct effect of stress on suicidal ideation was significantly greater for those students who had lower trait anticipatory and consummatory anhedonia, whereas the indirect effect from stress on suicidal ideation through depression was significantly greater for those who had higher state anhedonia. Moreover, trait consummatory anhedonia moderated the relationship between stress and suicidal ideation after one year, and trait anticipatory anhedonia moderated the relationship between stress and suicidal ideation after two years. CONCLUSIONS: Low levels of trait anhedonia were associated with elevated suicidal ideation, while high levels of state anhedonia were associated with elevated suicidal ideation. Trait consummatory anhedonia was associated with short-term suicidal ideation, while trait anticipatory anhedonia was associated with long-term suicidal ideation.
语种：
英文
展开
简式版社区心理体验评估问卷的性别和纵向等值性
作者：
王东方;孙梦;席畅;杨新华;欧阳萱;...
期刊：
中国临床心理学杂志 ,2020年28(01):41-45 ISSN：1005-3611
作者机构：
中南大学湘雅二医院精神科,长沙410011;中南大学湘雅二医院精神卫生研究所,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室,精神病学与精神卫生学湖南省重点实验室,长沙410011;湖南农业大学教育学院、湖南省儿童青少年健康促进研究中心,长沙410128;广州医科大学附属脑科医院(广州市惠爱医院),广州510080;[Tumbwene Elieza Mwansisya; 王东方; 刘哲宁; 邓奇坚; 欧阳萱; 席畅] 中南大学湘雅二医院
关键词：
社区心理体验评估问卷;精神病性体验;性别等值;纵向等值;青少年
摘要：
目的:考察简式版社区心理体验评估问卷在青少年群体中的性别和纵向等值性。方法:采用简式版社区心理体验评估问卷(CAPE-P8)对湖南省11所中学的3002名男生和3033名女生先后两次开展调查,两次调查时间间隔为12个月。结果:对调查数据进行验证性因素分析多组比较,结果显示该问卷在青少年不同性别间和不同时间点的形态等值、弱等值、强等值和严格等值模型均可被接受。结论:简式版社区心理体验评估问卷(CAPE-P8)的双因子结构在青少年男生和女生之间具有测量等值性,并且具有跨时间的测量等值性。
语种：
中文
展开
期待性愉快与中职学生抑郁:压力的调节作用
作者：
田凯;王东方;刘思璕;王舒;刘光亚;...
期刊：
中国临床心理学杂志 ,2019年27(2):316-320 ISSN：1005-3611
作者机构：
[田凯; 王东方; 刘思璕; 王舒; 杨新华] 湖南农业大学.教育学院心理学系;[刘光亚] 湖南省脑科医院.;[刘小群] 中南大学湘雅公共卫生学院.;[谢光荣] 中南大学湘雅二医院.精神卫生研究所
关键词：
快感缺失;压力;抑郁;自杀;中职生
摘要：
目的:基于以快感缺失为核心的抑郁易感模型,探讨快感缺失的不同成分与压力的交互作用对抑郁和自杀意念中的影响。方法:使用时间性愉快体验量表、情绪问卷、自杀意念自评量表、青少年生活事件量表对1143名中职学生进行调查。结果:期待性愉快与抑郁、自杀意念均呈显著负相关。期待性愉快和中职生抑郁的关系受到生活事件的调节。在中、高生活事件水平下,期待性愉快能显著负向预测抑郁,而在低水平生活事件下,期待性愉快对抑郁的预测不显著。期待性愉快和即时性愉快与生活事件的交互作用对自杀意念的影响均不显著。结论:期待性愉快与负性压力的交互作用影响着中职生抑郁,但对自杀意念无影响。
语种：
中文
展开
家庭功能对精神病性体验的影响:人际适应和孤独感的链式中介作用
作者：
王东方;刘彩丽;刘思璕;王舒;孙梦;...
期刊：
中国临床心理学杂志 ,2019年27(6):1135-1138,1143 ISSN：1005-3611
作者机构：
[王东方; 刘彩丽; 刘思璕; 王舒; 杨新华] 湖南农业大学.教育学院;[孙梦] 广州医科大学附属脑科医院.;[欧阳萱] 中南大学湘雅二医院.精神科
关键词：
家庭功能;人际适应;孤独感;精神病性体验;大学生
摘要：
目的:探讨人际适应和孤独感在家庭功能对精神病性体验关系中的链式中介作用。方法:采用家庭关怀指数问卷、大学生人际适应性分量表、UCLA孤独量表和社区精神病性体验评估阳性分量表对707名大学生进行调查。结果:家庭功能良好的大学生人际适应更好,孤独感和精神病性体验更少。相关分析表明,精神病性体验与家庭功能和人际适应呈显著负相关,与孤独感呈显著正相关。中介作用检验结果表明:家庭功能通过人际适应到精神病性体验、家庭功能通过孤独感到精神病性体验、家庭功能通过人际适应和孤独感到精神病性体验这三条中介路径均显著。结论:人际适应和孤独感在家庭功能对精神病性体验关系中起链式中介效应。
语种：
中文
展开
留守儿童心理弹性与精神病性体验的关系:同伴依恋的调节效应
作者：
王东方;杨新华;王思思;陈春平;孙梦;...
期刊：
中国临床心理学杂志 ,2019年27(5):919-922,927 ISSN：1005-3611
作者机构：
[王东方; 杨新华; 王思思; 陈春平] 湖南农业大学.教育学院;[孙梦] 广东省人民医院.;[张雯; 欧阳萱; 刘哲宁] 中南大学湘雅二医院.精神科;[蒲唯丹] 中南大学湘雅二医院.医学心理中心
关键词：
精神病性体验;留守儿童;同伴依恋;心理弹性;调节效应
摘要：
目的:探讨留守儿童心理弹性、同伴依恋和精神病性体验的关系.方法:采用社区精神病性体验评估问卷(CAPE)、青少年心理弹性量表(RSCA)以及父母和同伴依恋量表-修订版(IPPA-R)在湖南省4045名初中生中进行调查。结果:留守儿童的精神病性体验与心理弹性和同伴依恋均呈现显著负相关;同伴依恋在留守儿童的心理弹性和精神病性体验之间存在显著的调节效应,随着同伴依恋水平的提高,心理弹性对精神病性体验的负向主效应会相应减弱。结论:提高同伴依恋水平可以降低低水平心理弹性带来的精神病性体验风险。
语种：
中文
展开
青少年精神病性体验及其社会影响因素--基于城乡差异的实证分析
作者：
王东方;张雯;王思思;孙梦;彭畅;...
期刊：
中国临床心理学杂志 ,2019年27(2):302-305,355 ISSN：1005-3611
作者机构：
[王东方; 张雯; 欧阳萱; 刘哲宁] 中南大学湘雅二医院.精神科;[王思思; 杨新华] 湖南农业大学.教育学院;[孙梦] 广东省人民医院.;[彭畅] 中南大学湘雅公共卫生学院.;[蒲唯丹] 中南大学湘雅二医院.医学心理中心
关键词：
精神病性体验;青少年;城市;农村
摘要：
目的:探讨城乡青少年精神病性体验的现况及其社会影响因素。方法:采用一般资料问卷、社区精神病性体验评估问卷(CAPE)对湖南省4508个初中生进行调查。结果:83.7%青少年经历过精神病性体验;城市青少年精神病性体验检出率高于农村青少年;逐步回归分析发现年龄、精神疾病家族史、汉族和走读可以预测城市儿童精神病性体验,而年龄、精神疾病家族史、不稳定的家庭收入和父母离异可以预测农村儿童精神病性体验。结论:青少年普遍存在精神病性体验,居住环境、年龄、精神疾病家族史、民族、住宿情况、家庭收入和父母婚姻情况可能是青少年精神病性体验重要的影响因素。
语种：
中文
展开
大学生主观家庭经济地位人际适应家庭功能与手机成瘾的关系
作者：
王东方;江雯;陈春平;刘双金;高鹏程;...
期刊：
中国学校卫生 ,2019年40(9):1425-1427 ISSN：1000-9817
作者机构：
湖南农业大学教育学院/湖南省儿童青少年健康促进研究中心,长沙410128;湖南农业大学继续教育学院;[高鹏程] 湖南司法警官职业学院;[陈春平; 江雯; 杨新华; 刘剑群; 王东方; 刘双金] 湖南农业大学
关键词：
家庭;人际关系;适应;心理学;家庭特征;行为;成瘾;学生
摘要：
目的 探讨主观家庭经济地位和人际适应在家庭功能对大学生手机成瘾关系中的链式中介作用,为高校制定合理干预措施改善大学生手机成瘾现状提供科学依据.方法 采用方便抽样法抽取湖南省2所高校758名大一学生,用家庭关怀指数问卷、大学生人际适应性分量表、青少年主观社会经济地位量表、手机成瘾倾向量表进行调查.结果 相关分析表明,手机成瘾与主观家庭经济地位和人际适应得分均呈负相关(r值分别为-0.07,-0.33,P值均<0.01),与家庭功能类别呈正相关(r=0.18,P<0.01).中介作用检验结果表明,家庭功能通过人际适应到手机成瘾、家庭功能通过主观家庭经济地位和人际适应到手机成瘾、家庭功能直接到手机成瘾这3条路径有统计学意义(P值均<0.05),总效应为2.95,中介效应为1.48.结论 主观家庭经济地位和人际适应在家庭功能对大学生手机成瘾关系中起链式中介作用.
语种：
中文
展开
父母同伴依恋对湖南贫困儿童心理韧性的影响
作者：
高鹏程;王东方;蒋思阳;张婷;杨新华
期刊：
Chinese Journal of School Health ,2019年40(8):1235-1238 ISSN：1000-9817
作者机构：
[高鹏程; 蒋思阳] 湖南司法警官职业学院;湖南农业大学教育学院/湖南省儿童青少年健康促进研究中心;[杨新华; 王东方; 张婷] 湖南农业大学
关键词：
客体依恋;精神卫生;儿童;贫困
摘要：
目的 探讨贫困儿童心理韧性的特点以及父母、同伴依恋对其影响作用,为贫困儿童心理健康发展提供科学依据.方法 采用青少年心理韧性量表(Resilience Scale for Chinese Adolescents,RSCA)和修订版青少年依恋量表(Inventory of Parent and Peer Attachment-revised,IPPA-R),对湖南农村地区435名贫困儿童进行问卷调查.结果 贫困儿童心理韧性可以分为“高心理韧性组”“低心理韧性组”2种潜在类别;高心理韧性贫困儿童父母、同伴依恋的信任、沟通维度得分高于低心理韧性儿童,疏远维度得分低于低心理韧性组儿童(t =-9.70～ 6.78,P值均＜0.01).二元Logistic回归分析结果显示,母亲信任(OR=1.08,95％CI=1.01 ～ 1.16)、父亲沟通(OR=1.07,95％CI=1.02～1.14)和同伴沟通(OR=1.08,95％CI=1.03～ 1.12)对贫困儿童心理韧性存在正向预测作用,同伴疏远(OR=0.92,95％CI=0.86～0.98)对贫困儿童心理韧性存在负向预测作用.结论 提高母亲信任、增强父亲和同伴沟通,减少同伴疏远可以促进贫困儿童的心理韧性发展.
语种：
中文
展开
儿童期创伤对青少年精神病性体验的影响:心理弹性的调节效应
作者：
郝以辉;王东方;杨新华;张雯;孙梦;...
期刊：
中国临床心理学杂志 ,2019年27(3):476-480 ISSN：1005-3611
作者机构：
[郝以辉] 郑州大学第一附属医院.精神科;[王东方; 杨新华; 黄玉洁] 湖南农业大学.教育学院;[张雯; 欧阳萱; 刘哲宁] 中南大学湘雅二医院.精神科;[孙梦] 广东省人民医院.;[蒲唯丹] 中南大学湘雅二医院.医学心理中心
关键词：
精神病性体验;青少年;儿童期创伤;心理弹性;调节效应
摘要：
目的:探讨儿童期创伤、心理弹性和青少年精神病性体验的关系.方法:采用社区精神病性体验评估问卷 (CAPE)、青少年心理弹性量表(RSCA)和儿童版创伤史问卷(THQ)对湖南省6024名中学生进行调查.结果:儿童期创伤、心理弹性和青少年精神病性体验显著相关:儿童期创伤对青少年阳性症状、阴性症状及抑郁情绪均存在正向预测作用;心理弹性对青少年阳性症状、阴性症状及抑郁情绪均存在负向预测作用;心理弹性和儿童期创伤交互项对精神病性体验不同症状亦存在显著的预测作用,随着心理弹性水平的增加,儿童期创伤对精神病性体验的正向主效应会相应减弱.结论:儿童期创伤是青少年精神病性体验的风险因素,心理弹性是青少年精神病性体验的保护因素,且可以调节儿童期创伤对青少年精神病性体验的影响.
语种：
中文
展开
快感缺失、压力和神经质人格对抑郁症发病的影响
作者：
王东方;田凯;谢光荣;杨新华
期刊：
中国临床心理学杂志 ,2017年25(4):754-757 ISSN：1005-3611
作者机构：
湖南农业大学教育学院、湖南省儿童青少年健康促进研究中心, 长沙, 410128;中南大学湘雅二医院精神卫生所, 长沙, 410011;[王东方; 田凯; 杨新华] 湖南农业大学教育学院、湖南省儿童青少年健康促进研究中心, 长沙, 410128;[谢光荣] 中南大学湘雅二医院精神卫生所, 长沙, 410011
关键词：
抑郁症;期待性快乐;消费性快乐;压力;神经质人格
摘要：
目的:探讨快感缺失、压力、神经质人格在抑郁症发病中的作用。方法:用愉快情绪量表(TEPS)、大五人格问卷一神经质分量表(FFI-N)、Beck抑郁量表(BDI)、生活事件量表(LES)对84名抑郁症患者和75名健康对照进行调查。结果:抑郁症患者期待性快乐和消费性快乐显著低于健康对照组(P <0.05);神经质人格、BDI和应激显著高于健康对照组(P <0.01);Logistics回归分析发现消费性快乐(OR=1.10, 95%CI=1.03-1.17)、神经质人格(OR=0.91, 95%CI= 0.83-1.00)、BDI(OR=0.93, 95%CI=0.89-0.98)、负性生活事件(OR=0.94, 95%CI=0.92-0.97)与抑郁症发病存在显著关联。结论:个体的消费性快乐、负性压力和神经质人格是抑郁症发病的危险因素。
语种：
中文
展开
Aberrant default mode network homogeneity in patients with first-episode treatment-naive melancholic depression
作者：
Cui, Xilong;Guo, Wenbin;Wang, Yi;Yang, Tian-xiao;Yang, Xin-hua;...
期刊：
International Journal of Psychophysiology ,2017年112:46-51 ISSN：0167-8760
通讯作者：
Xie, Guangrong
作者机构：
[Guo, Wenbin; Cui, Xilong; Tan, Changlian; Xie, Guangrong] Cent S Univ, Mental Hlth Inst, Xiangya Hosp 2, Key Lab Psychiat & Mental Hlth Hunan Prov, Changsha 410011, Hunan, Peoples R China.;[Wang, Yi; Yang, Tian-xiao] Chinese Acad Sci, Inst Psychol, Neuropsychol & Appl Cognit Neurosci Lab, Key Lab Mental Hlth, Beijing, Peoples R China.;[Yang, Xin-hua] Hunan Agr Univ, Inst Educ, Changsha, Hunan, Peoples R China.;[Wang, Yefei; Gong, Jingbo] Hunan Univ Chinese Med, Dept Appl Psychol, Changsha, Hunan, Peoples R China.;[Xie, Guangrong] Bldg 139,Renmin Middle Rd, Changsha 410011, Hunan, Peoples R China.
通讯机构：
[Xie, Guangrong] B;Bldg 139,Renmin Middle Rd, Changsha 410011, Hunan, Peoples R China.
关键词：
*Default mode network;*Melancholic major depressive disorder;*Network homogeneity;*Resting-state imaging
摘要：
Background: Melancholic depression is a relatively homogenous subtype of major depressive disorders (MDD). The condition has several endogenous symptoms and represents strong biological components. However, its specific neurobiological mechanisms remain unknown. Previous neuroimaging findings indicated that default mode network (DMN) is closely related to MDD. The present study examined the network homogeneity (NH) of the DMN in patients with melancholic MDD. Methods: A total of 33 first-episode, treatment-naive melancholic MDD patients and 32 healthy controls underwent a resting-state functional magnetic resonance imaging scan. The data were analyzed using the NH method. Results: Compared with healthy controls, patients with melancholic MDD showed low NH values in the right middle temporal gyrus and temporal pole (MTG/FP). The abnormal NH of this region and clinical characteristics were not correlated. Conclusion: Abnormal NH pattern of DMN exists in patients with melancholic MDD. This feature may be part of the pathophysiological basis of this disorder. (C) 2016 Elsevier B.V. All rights reserved.
语种：
英文
展开
