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Li L, Pan K, Li J, Jiang M, Gao Y, Yang H, Bian G. The associations of social isolation with depression and anxiety among adults aged 65 years and older in Ningbo, China. Sci Rep 2024; 14:19072. [PMID: 39154124 PMCID: PMC11330444 DOI: 10.1038/s41598-024-69936-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 08/12/2024] [Indexed: 08/19/2024] Open
Abstract
Social isolation was associated with emotional problems (depression and anxiety) among older adults, however, little is known in China. Thus, we conducted a cross-sectional study including 6,664 ≥ 65 years older adults in Ningbo, China. We collected data on social isolation, depression, and anxiety by specific scales. The relationship between social isolation and emotional problems was estimated by multivariate-adjusted logistic regression models. The population-attributable risk percentage (PAR%) was used to explore the contribution of social isolation to emotional problems. Overall, the percentage of participants who had experienced social isolation, depression, and anxiety was 12.67%, 4.83%, and 2.63%. Compared with the elderly without social isolation, the adjusted odds ratios (95% confidence interval) of depression and anxiety with social isolation were 1.77 (1.25-2.51) and 1.66 (1.05-2.63), respectively. The PAR analysis showed that 10.66% of depression and 9.03% of anxiety could be attributable to social isolation. In the gender subgroup, ORs and PAR% were only significantly observed in female participants. In Chinese older adults, social isolation has been linked to depression and anxiety, suggesting the importance of taking effective and feasible interventions to reduce social isolation and emotional problems, especially among females.
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Affiliation(s)
- Lian Li
- Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China
| | - Kaijie Pan
- Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China
| | - Jincheng Li
- Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China
| | - Meiqin Jiang
- Fenghua District Center for Disease Control and Prevention, Ningbo, 315500, China
| | - Yan Gao
- Third People's Hospital of Xiangshan, Xiangshan Hospital of Traditional Chinese Medicine Group, Ningbo, 315725, China
| | - Hongying Yang
- Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China.
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China.
| | - Guolin Bian
- Department of Psychiatry, Affiliated Kangning Hospital of Ningbo University, Ningbo, 315201, Zhejiang, China.
- Department of Psychiatry, Ningbo Kangning Hospital, Ningbo, 315201, Zhejiang, China.
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Lyu X, Chi Y, Wang Z, Shao X, Zhang G, Li C, Dong C, Wang X, Li X, Zhu C, Xu X, Du X. Abnormal ambiguous facial expression recognition in Chinese patients with schizophrenia. BMC Psychiatry 2024; 24:226. [PMID: 38532335 PMCID: PMC10964584 DOI: 10.1186/s12888-024-05685-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 03/14/2024] [Indexed: 03/28/2024] Open
Abstract
BACKGROUND Patients with schizophrenia (SCZ) exhibit difficulties deficits in recognizing facial expressions with unambiguous valence. However, only a limited number of studies have examined how these patients fare in interpreting facial expressions with ambiguous valence (for example, surprise). Thus, we aimed to explore the influence of emotional background information on the recognition of ambiguous facial expressions in SCZ. METHODS A 3 (emotion: negative, neutral, and positive) × 2 (group: healthy controls and SCZ) experimental design was adopted in the present study. The experimental materials consisted of 36 images of negative emotions, 36 images of neutral emotions, 36 images of positive emotions, and 36 images of surprised facial expressions. In each trial, a briefly presented surprised face was preceded by an affective image. Participants (36 SCZ and 36 healthy controls (HC)) were required to rate their emotional experience induced by the surprised facial expressions. Participants' emotional experience was measured using the 9-point rating scale. The experimental data have been analyzed by conducting analyses of variances (ANOVAs) and correlation analysis. RESULTS First, the SCZ group reported a more positive emotional experience under the positive cued condition compared to the negative cued condition. Meanwhile, the HC group reported the strongest positive emotional experience in the positive cued condition, a moderate experience in the neutral cued condition, and the weakest in the negative cue condition. Second, the SCZ (vs. HC) group showed longer reaction times (RTs) for recognizing surprised facial expressions. The severity of schizophrenia symptoms in the SCZ group was negatively correlated with their rating scores for emotional experience under neutral and positive cued condition. CONCLUSIONS Recognition of surprised facial expressions was influenced by background information in both SCZ and HC, and the negative symptoms in SCZ. The present study indicates that the role of background information should be fully considered when examining the ability of SCZ to recognize ambiguous facial expressions.
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Affiliation(s)
- Xiaoli Lyu
- Affiliated WuTaiShan Hospital of Medical College of Yangzhou University, 225003, Yangzhou, Jiangsu, China
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Yuyan Chi
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Zhenyu Wang
- Wujiang District Mental Rehabilitation Hospital, 215200, Suzhou, Jiangsu, China
| | - Xinyan Shao
- School of Educational Science, Yangzhou University, 225002, Yangzhou, Jiangsu, China
| | - Guangya Zhang
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Chuanwei Li
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Chenglong Dong
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Xuqin Wang
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China
| | - Xin Li
- Wujiang District Mental Rehabilitation Hospital, 215200, Suzhou, Jiangsu, China
| | - Chuanlin Zhu
- School of Educational Science, Yangzhou University, 225002, Yangzhou, Jiangsu, China.
| | - Xiaofeng Xu
- Affiliated WuTaiShan Hospital of Medical College of Yangzhou University, 225003, Yangzhou, Jiangsu, China.
| | - Xiangdong Du
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, 215137, Suzhou, Jiangsu, China.
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He H, Lin W, Yang J, Chen Y, Tan S, Guan Q. Age-related intrinsic functional connectivity underlying emotion utilization. Cereb Cortex 2023:7033308. [PMID: 36758953 DOI: 10.1093/cercor/bhad023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 01/15/2023] [Accepted: 01/16/2023] [Indexed: 02/11/2023] Open
Abstract
Previous studies investigated the age-related positivity effect in terms of emotion perception and management, whereas little is known about whether the positivity effect is shown in emotion utilization (EU). If yes, the EU-related intrinsic functional connectivity and its age-associated alterations remain to be elucidated. In this study, we collected resting-state functional magnetic resonance imaging data from 62 healthy older adults and 72 undergraduates as well as their self-ratings of EU. By using the connectome-based predictive modeling (CPM) method, we constructed a predictive model of the positive relationship between EU self-ratings and resting-state functional connectivity. Lesion simulation analyses revealed that the medial-frontal network, default mode network, frontoparietal network, and subcortical regions played key roles in the EU-related CPM. Older subjects showed significantly higher EU self-ratings than undergraduates, which was associated with strengthened connectivity between the left dorsolateral prefrontal cortex and bilateral frontal poles, and between the left frontal pole and thalamus. A mediation analysis indicated that the age-related EU network mediated the age effect on EU self-ratings. Our findings extend previous research on the age-related "positivity effect" to the EU domain, suggesting that the positivity effect on the self-evaluation of EU is probably associated with emotion knowledge which accumulates with age.
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Affiliation(s)
- Hao He
- Center for Brain Disorders and Cognitive Sciences, School of Psychology, Magnetic Resonance Imaging Center, Shenzhen University, Shenzhen, China.,Shenzhen-Hong Kong Institute of Brain Science-Shenzhen Fundamental Research Institutions, Shenzhen, China
| | - Wenyi Lin
- Center for Brain Disorders and Cognitive Sciences, School of Psychology, Magnetic Resonance Imaging Center, Shenzhen University, Shenzhen, China
| | - Jiawang Yang
- Center for Brain Disorders and Cognitive Sciences, School of Psychology, Magnetic Resonance Imaging Center, Shenzhen University, Shenzhen, China
| | - Yiqi Chen
- Center for Brain Disorders and Cognitive Sciences, School of Psychology, Magnetic Resonance Imaging Center, Shenzhen University, Shenzhen, China.,Department of Psychology, University of Mannheim, Mannheim, Germany
| | - Siping Tan
- Department of Radiology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, Guangdong, China
| | - Qing Guan
- Center for Brain Disorders and Cognitive Sciences, School of Psychology, Magnetic Resonance Imaging Center, Shenzhen University, Shenzhen, China.,Shenzhen-Hong Kong Institute of Brain Science-Shenzhen Fundamental Research Institutions, Shenzhen, China
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