Blood Pressure Cuff Inflation Briefly Increases Female Adolescents' Restlessness During Sleep on the First But Not Second Night of Ambulatory Blood Pressure Monitoring

Electroencephalogram of Normotensive Individuals During Sitting and Standing Blood Pressure Measurement Positions

Background Investigating changes in brain electroencephalogram activity during blood pressure measurement in sitting and standing positions is clinically significant for understanding the neural correlates of postural changes, which may affect cerebral perfusion and autonomic regulation. Shifts in blood pressure can influence visual cortical activity, potentially altering cognitive and sensory processing. This research holds clinical relevance in evaluating disorders like orthostatic hypotension and syncope, where postural changes compromise cerebral blood flow. Furthermore, it can help refine diagnostic protocols and management strategies for neurovascular and autonomic dysfunction. The study also highlighted the possibility of using polygraphs to identify and manage discrepancies in blood pressure measurement caused by posture-induced changes in brain activities for accurate diagnosis. Methodology The electroencephalogram of healthy normotensive female individuals undergoing blood pressure measurements at sitting and standing positions was investigated. Ten healthy young adult females who satisfy the inclusion criteria were selected. Electroencephalographic (EEG) waves were recorded with the aid of Powerlab 26T (ADInstruments Pty Ltd., Bella Vista, Australia). Blood pressure and pulse rate measurements were conducted using a sphygmomanometer and stopwatch. Results During sitting and standing blood pressure positions, diastolic blood pressure and pulse rate were higher when compared to baseline values but the standing blood pressure position showed a higher pulse rate than the sitting blood pressure position. Although alpha wave frequency was higher during both sitting and standing blood pressure measurement positions, the standing blood pressure position caused lower alpha wave frequency when compared with the sitting blood pressure measurement position. While a strong negative correlation was found between alpha wave frequency and pulse rate, beta wave frequency positively correlated with pulse rate during sitting blood pressure measurement position. Furthermore, during standing blood pressure measurement position, the alpha wave did not correlate with pulse rate nor was there a correlation between beta wave frequency and pulse rate. In conclusion, the present study indicated that both sitting and standing blood pressure measurement positions caused a decrease in alpha wave frequency when compared with baseline, but the standing blood pressure measurement position elicited a lower alpha wave frequency when compared with the sitting blood pressure measurement position.

Depression, anxiety and suicidality among Chinese mental health professionals immediately after China's dynamic zero-COVID policy: A network perspective

BACKGROUND

Using network analysis, the interactions between mental health problems at the symptom level can be explored in depth. This study examined the network structure of depressive and anxiety symptoms and suicidality among mental health professionals after the end of China's Dynamic Zero-COVID Policy.

METHODS

A total of 10,647 mental health professionals were recruited nationwide from January to February 2023. Depression and anxiety were assessed using the 9-item Patient Health Questionnaire (PHQ-9) and 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively, while suicidality was defined by a 'yes' response to any of the standard questions regarding suicidal ideation (SI), suicide plan (SP) and suicide attempt (SA). Expected Influence (EI) and Bridge Expected Influence (bEI) were used as centrality indices in the symptom network to characterize the structure of the symptoms.

RESULTS

The prevalence of depression, anxiety, and suicidality were 45.99 %, 28.40 %, and 7.71 %, respectively. The network analysis identified GAD5 ("Restlessness") as the most central symptom, followed by PHQ4 ("Fatigue") and GAD7 ("Feeling afraid"). Additionally, PHQ6 ("Guilt"), GAD5 ("Restlessness"), and PHQ8 ("Motor disturbance") were bridge nodes linking depressive and anxiety symptoms with suicidality. The flow network indicated that the strongest connections of S ("Suicidality") was with PHQ6 ("Guilt"), GAD7 ("Feeling afraid"), and PHQ2 ("Sad mood").

CONCLUSIONS

Depression, anxiety, and suicidality among mental health professionals were highly prevalent after China's Dynamic Zero-COVID Policy ended. Effective measures should target central and bridge symptoms identified in this network model to address the mental health problems in those at-risk.