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Wang W, Cui Y, Hu Q, Wei Y, Xu L, Tang X, Hu Y, Liu H, Wang Z, Chen T, Wang R, An C, Wang J, Zhang T. Childhood maltreatment and personality disorders in adolescents and adults with psychotic or non-psychotic disorders. Front Psychiatry 2024; 15:1336118. [PMID: 38577403 PMCID: PMC10991748 DOI: 10.3389/fpsyt.2024.1336118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 03/06/2024] [Indexed: 04/06/2024] Open
Abstract
Introduction While the attention to personality disorders (PD) and childhood maltreatment (CM) has grown in recent years, there remains limited understanding of the prevalence and distinctions of PD and CM in clinical populations of Chinese adolescents in comparison to adults. Methods A total of 1,417 participants were consecutively sampled from patients diagnosed with either psychotic or non-psychotic disorders in the psychiatric and psycho-counseling clinics at Shanghai Mental Health Center. The participants were categorized into two groups based on their age: adolescents (aged 15-21 years) and adults (aged 22-35 years). PDs were evaluated using a self-reported personality diagnostic questionnaire and a structured clinical interview, while CMs were assessed using the Chinese version of the Child Trauma Questionnaire Short Form. Results When comparing self-reported PD traits and CM between adolescents and adults, differences emerge. Adolescents, particularly in the psychotic disorder group, exhibit more pronounced schizotypal PD traits (p=0.029), and this pattern extends to non-psychotic disorders (p<0.001). Adolescents in the non-psychotic disorder group also report higher levels of emotional abuse (p=0.014), with a notable trend in physical abuse experiences compared to adults (p=0.057). Furthermore, the most prevalent PDs in the clinical sample are avoidant, borderline, and obsessive-compulsive PDs. Among patients with psychotic disorders, adolescents exhibit higher rates of schizoid, schizotypal, and obsessive-compulsive PDs compared to adults. Logistic regression analyses highlight distinct predictors for psychotic and non-psychotic disorders in adolescents and adults. Discussion The findings emphasize distinct differences in PDs and CMs between adolescent and adult groups, shedding light on their potential roles in psychotic and non-psychotic disorders.
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Affiliation(s)
- WenZheng Wang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - Yin Cui
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - Qiang Hu
- Department of Psychiatry, ZhenJiang Mental Health Center, Zhenjiang, China
| | - YanYan Wei
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - LiHua Xu
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - XiaoChen Tang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - YeGang Hu
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
| | - HaiChun Liu
- Department of Automation, Shanghai Jiao Tong University, Shanghai, China
| | - ZiXuan Wang
- Shanghai Xinlianxin Psychological Counseling Center, Shanghai, China
| | - Tao Chen
- Big Data Research Lab, University of Waterloo, Waterloo, ON, Canada
- Labor and Worklife Program, Harvard University, Cambridge, MA, United States
| | - Ran Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - CuiXia An
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang, Hebei, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang, Hebei, China
| | - JiJun Wang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
- Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China
- Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Science, Shanghai, China
| | - TianHong Zhang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Engineering Research Center of Intelligent Psychological Evaluation and Intervention, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China
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Lu WT, Hu PH, Li N, Wang L, Wang R, Wang Z, Song M, Zhao TY, Guo SJ, Huang FF, Liu BF, Ren RJ, Yang L, Lin Q, Xu YH, Jin N, Chen H, Gao YY, Wu ZF, Shi GY, Liu DP, Pan ZQ, Du CC, An CX, Wang XY. Estimated prevalence and sociodemographic correlates of mental disorders in medical students of Hebei Province, China: A cross-sectional study. World J Psychiatry 2023; 13:215-225. [PMID: 37303927 PMCID: PMC10251358 DOI: 10.5498/wjp.v13.i5.215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 04/05/2023] [Accepted: 04/17/2023] [Indexed: 05/19/2023] Open
Abstract
BACKGROUND In China, the identification rate and treatment rate of mental disorders are low, and there are few surveys on the prevalence of mental disorders among college students using diagnostic tools such as Mini-International Neuropsychiatric Interview (MINI), so the prevalence and treatment of mental disorders among college students are unclear.
AIM To estimate prevalence of mental disorders among medical students in Hebei Province, and provide guidance for improving their mental health.
METHODS This was a cross-sectional study based on an Internet-based survey. Three levels of medical students in Hebei Province were randomly selected (by cluster sampling) for screening. Using the information network assessment system, the subjects scanned the 2D code with their mobile phones, clicked to sign the informed consent, and answered a scale. A self-designed general status questionnaire was used to collect information about age, gender, ethnicity, grade, and origin of students. The MINI 5.0. was used to investigate mental disorders. Data analysis was performed with SPSS software. Statistically significant findings were determined using a two-tailed P value of 0.05.
RESULTS A total of 7117 subjects completed the survey between October 11 and November 7, 2021. The estimated prevalence of any mental disorders within 12 mo was 7.4%. Mood disorders were the most common category (4.3%), followed by anxiety disorders (3.9%); 15.0% had been to psychological counseling, while only 5.7% had been to a psychiatric consultation, and only 10% had received drug therapy in the past 12 mo.
CONCLUSION Although the estimated prevalence of mental disorders in medical students is lower than in the general population, the rate of adequate treatment is low. We determined that improving the mental health of medical students is an urgent matter.
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Affiliation(s)
- Wen-Ting Lu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Pei-Hua Hu
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Na Li
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Lan Wang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
| | - Ran Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
| | - Zeng Wang
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Mei Song
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Tian-Yu Zhao
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Shi-Jie Guo
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Fan-Fan Huang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Bu-Fan Liu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Ruo-Jia Ren
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Li Yang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Quan Lin
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Yue-Hang Xu
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Na Jin
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Huan Chen
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Yuan-Yuan Gao
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Zhi-Feng Wu
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Guang-Yu Shi
- Counseling and Mental Health Research Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
| | - Da-Peng Liu
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Zhong-Qi Pan
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Chun-Chao Du
- Hebei Saitron Information Technology Co., Ltd, Cangzhou 060000, Hebei Province, China
| | - Cui-Xia An
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
| | - Xue-Yi Wang
- Mental Health Center, Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Department of Psychiatry, The First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
- Hebei Technical Innovation Center, Mental Health Assessment and Intervention, Shijiazhuang 050031, Hebei Province, China
- Hebei Clinical Research Center of Mental Disorders, Institute of Mental Health, Shijiazhuang 050031, Hebei Province, China
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Lu WT, Zhao XC, Wang R, Li N, Song M, Wang L, Yu LL, Gao YY, Wang YM, An CX, Wang XY. Long-term effects of early stress due to earthquake exposure on depression symptoms in adulthood: a cross-sectional study. Injury 2023; 54:207-213. [PMID: 35989117 DOI: 10.1016/j.injury.2022.07.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 07/19/2022] [Accepted: 07/27/2022] [Indexed: 02/02/2023]
Abstract
OBJECTIVE This study aimed to investigate the long-term effects of early stress by Tangshan earthquake on symptoms of depression in adulthood. METHOD A total of 1534 volunteers born and raised in Tangshan were investigated; finally, 1328 subjects were enrolled in the study. They were divided into three groups according to their birth dates: infant exposure, prenatal exposure, and non-exposure. The questionnaires and psychological evaluation of all subjects were completed using a one-on-one psychological test. RESULTS The rate of depressive symptoms in the prenatal exposure group was the highest, and the lowest in the non-exposure group, with statistical differences among the three groups (P = 0.002). Moreover, the incidences of depressed mood, suicide ideation and work and loss of interest in the prenatal exposure group were significantly higher than those in the infant exposure group and the non-exposure group (P = 0.008, P = 0.001, P = 0.038, respectively). Multiple logistic regression analysis showed that male could be a protective factor for symptoms of depression in adulthood, and earthquake exposure was an important predictor of the incidence of depression symptoms. CONCLUSIONS Fetal or infancy exposure to earthquake might correlate to depression symptoms in adulthood.
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Affiliation(s)
- Wen-Ting Lu
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Xiao-Chuan Zhao
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Ran Wang
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Na Li
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Mei Song
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Lan Wang
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Lu-Lu Yu
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Yuan-Yuan Gao
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Yu-Mei Wang
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China
| | - Cui-Xia An
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
| | - Xue-Yi Wang
- Institute of Mental Health, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
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Zhang YJ, Yuan K, Chang SH, Yan W, Que JY, Deng JH, Gong YM, Luo JM, Yang SC, An CX, Kang YM, Xu HS, Wang YM, Zhang LF, Zhang WF, Song YL, Xu DW, Liu HZ, Wang WQ, Liu CX, Yang WQ, Zhou L, Zhao JB, Yu MY, Chen JY, Tang H, Peng J, Zhang XJ, Xu Y, Zhang N, Kuang L, Li ZJ, Wang YH, Shi J, Ran MS, Bao YP, Shi L, Lu L. Career choice and influential factors among medical students majoring in psychiatry in China. BMC Med Educ 2021; 21:183. [PMID: 33766012 PMCID: PMC7992123 DOI: 10.1186/s12909-021-02622-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 03/16/2021] [Indexed: 06/10/2023]
Abstract
BACKGROUND The undergraduate program of psychiatry has been widely established in recent years to improve the education and recruitment of psychiatrists in China. We aim to investigate the career choice of medical students majoring in psychiatry in China and the influential factors. METHOD This multicenter study was conducted in 26 medical schools in China from May to October of 2019. Participants included 4610 medical students majoring in psychiatry and 3857 medical students majoring in clinical medicine. Multivariable logistic regression was used to investigate the influential factors of students' choices of psychiatry at matriculation and as a career. RESULTS 44.08% of psychiatry majored students gave psychiatry as a first choice at matriculation, and 56.67% of them would choose psychiatry as a career, which was in sharp contrast to the proportion of clinical medicine majored students who would choose psychiatry as a career (0.69%). Personal interest (59.61%), suggestions from family members (27.96%), and experiencing mental problems (23.19%) were main reasons for choosing psychiatry major at matriculation. Personal interest (odds ratio [OR] = 2.12, 95% confidence interval [CI] = 1.87-2.40), experiencing a psychiatry clerkship (OR = 1.99, 95% CI = 1.28-3.08), being female (OR = 1.50, 95% CI = 1.30-1.68), experiencing mental problems (OR = 1.33, 95% CI = 1.28-1.56), and suggestions from family members (OR = 1.25, 95% CI = 1.08-1.46) correlated positively with students' choice of psychiatry as career. Students who lacked psychiatry knowledge (OR = 0.49, 95% CI = 0.29-0.85) or chose psychiatry because of lower admission scores (OR = 0.80, 95% CI = 0.63-0.97) were less likely to choose psychiatry as a career. CONCLUSION More than half of psychiatry majored medical school students planned to choose psychiatry as their career, whereas very few students in the clinic medicine major would make this choice. Increasing students' interest in psychiatry, strengthening psychiatry clerkships, and popularizing psychiatric knowledge are modifiable factors to increase the psychiatry career intention. The extent to which medical students' attitudes toward psychiatry can be changed through medical school education and greater exposure to psychiatry will need further investigation.
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Affiliation(s)
- Ying-Jian Zhang
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Kai Yuan
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Su-Hua Chang
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Wei Yan
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Jian-Yu Que
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Jia-Hui Deng
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
| | - Yi-Miao Gong
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China
- Peking-Tsinghua Center for Life Sciences and PKU-IDG, McGovern Institute for Brain Research, Beijing, China
| | - Jia-Ming Luo
- School of Psychiatry, North Sichuan Medical College, Nanchong, China
| | - Shi-Chang Yang
- Department of Psychiatry, Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, China
| | - Cui-Xia An
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of Hebei Medical University, Brain Ageing and Cognitive Neuroscience Laboratory, Hebei Medical University, Shijiazhuang, China
| | - Yi-Min Kang
- School of Basic Medical Sciences, Inner Mongolia Medical University, Hohhot, China
| | - Hua-Shan Xu
- School of Mental Health, Bengbu Medical College, Anhui, China
| | - Yi-Ming Wang
- Department of Psychiatry, Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China
| | - Li-Fang Zhang
- Department of Neurology, Changzhi People's Affiliated Hospital of Changzhi Medical College, Changzhi, Shanxi, China
| | - Wen-Fang Zhang
- Mental Health Department of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China
| | - Yin-Li Song
- Department of Pathology, Daqing Campus of Harbin Medical University, Daqing, China
| | - Dong-Wu Xu
- School of Mental Health, Wenzhou Medical University, Wenzhou, Zhejiang, China
| | - Huan-Zhong Liu
- Chaohu Hospital of Anhui Medical University, Anhui, China
| | | | | | - Wen-Qiong Yang
- Department of Neurology, Dongfeng Hospital, Hubei University of Medicine, Shiyan, Hubei, China
| | - Liang Zhou
- Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
| | - Jiu-Bo Zhao
- Department of Psychology, School of Public Health, Southern Medical University, Guangzhou, China
- Department of Psychiatry, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Miao-Yu Yu
- Department of Mental Health, Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China
| | - Jun-Yu Chen
- Shenzhi Department, Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, China
| | - Hong Tang
- Department of Psychology, Gannan Medical University, Ganzhou, Jiangxi, China
| | - Juan Peng
- Teaching and Research Section of Psychology, School of Management, Zunyi Medical University, Zunyi, Guizhou, China
| | - Xiu-Jun Zhang
- North China University of Science and Technology Tangshan, Hebei, China
| | - Yong Xu
- Shanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorders, First Hospital of Shanxi Medical University, Taiyuan, China
- Department of Psychiatry, First Hospital/First Clinical Medical College of Shanxi Medical University, Taiyuan, China
| | - Ning Zhang
- Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu, China
| | - Li Kuang
- Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, China
- Department of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Zhan-Jiang Li
- Department of Clinical Psychology, National Clinical Research Center for Mental Disorders, Beijing, China
- Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Center of Schizophrenia, Beijing Institute for Brain Disorders, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Yu-Hua Wang
- Department of Psychiatry, Qiqihar Medical University, Qiqihar, China
| | - Jie Shi
- National Institute on Drug Dependence, Peking University, Beijing, China
| | - Mao-Sheng Ran
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China
| | - Yan-Ping Bao
- National Institute on Drug Dependence, School of Public Health, Peking University, 38 Xueyuan Road, Beijing, 100191, China.
| | - Le Shi
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China.
| | - Lin Lu
- Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), 51 Huayuan Bei Road, Beijing, 100191, China.
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Chen YN, An CX, Wang R, Wang L, Song M, Yu LL, Sun FF, Wang XY. Prenatal and postnatal exposure to Tangshan earthquake and CRHR1 gene polymorphism influence risk of sleep disturbance in adulthood. Medicine (Baltimore) 2021; 100:e24565. [PMID: 33725938 PMCID: PMC7982182 DOI: 10.1097/md.0000000000024565] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2020] [Accepted: 01/11/2021] [Indexed: 01/05/2023] Open
Abstract
To determine the effect of earthquake on sleep quality of adults who had experienced Tangshan Earthquake either as infants or fetuses and also investigate whether CRHR1 polymorphism influenced sleep quality in subjects exposed to seismic stress.Totally 556 subjects were enrolled in the current study and were divided into 3 groups, those who had experienced Tangshan Earthquake as infants (group I) or fetuses (group II), and those who had not experienced Tangshan Earthquake (group III). Sleep was evaluated using the Pittsburgh Sleep Quality Index (PQSI). Three single nucleotide polymorphisms of the CRHR1 gene were analyzed.Fifty two (9.4%) subjects had sleep disturbance, including 17 (9.9%) subjects in group I, 24 (13.4%) subjects in group II, and 11 (5.3%) subjects in group III (χ2 = 7.373, P = .025). Moreover, subjects with CRHR1 genotype T/T had a significantly lower rate of sleep disturbance (7.8%) than subjects with genotype C/T and C/C (14.7%; χ2 = 4.845, P = .028). Furthermore, subjects with rs7209436 genotype C had an approximately 2-fold increase in the risk of sleep disturbance versus those who were not genotype C (OR = 1.978, 95% CI (1.045, 3.744).Prenatal and postnatal exposure to seismic stress significantly increases subsequent risk of sleep disturbance in adulthood.
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Affiliation(s)
- Ya-Nan Chen
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Cui-Xia An
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Ran Wang
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Lan Wang
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Mei Song
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Lu-Lu Yu
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Fei-Fei Sun
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
| | - Xue-Yi Wang
- Department of Psychiatry, First Hospital of Hebei Medical University
- Institute of Mental Health, Hebei Medical University, Shijiazhuang, China
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Li N, Song M, Wang L, Zhao XC, Wang R, Gao YY, Yu LL, An CX, Wang XY. Experiencing earthquake in the first trimester of the fetal life increases subsequent diabetes risk in the adulthood: a cross-sectional study. Reprod Biol Endocrinol 2020; 18:109. [PMID: 33167992 PMCID: PMC7654152 DOI: 10.1186/s12958-020-00664-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Accepted: 10/26/2020] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To investigate the long-term effect of prenatal exposure to earthquake stress on diabetes risk in the adulthood. METHODS This study included employees of Tangshan Kailuan Mining Group between July 29, 1976 and April 28, 1977. The exposure group included subjects who experienced the Tangshan Earthquake during their prenatal period and who had lived in Tangshan since birth. The non-exposure group included subjects who were born 1-1.9 years after the earthquake and who had lived in Tangshan since birth. A questionnaire was designed that included sociodemographic information, conditions during pregnancy, and earthquake experience. Anthropometric measurements including height and weight, body mass index (BMI), waist circumference were made. Fasting plasma glucose (FPG) and lipid profiles were also determined. RESULTS Totally 947 subjects were included with 397 subjects in the exposed group and 550 subjects in the non-exposed group. The diabetes rate is significant different in these four groups(χ2 =8.045, P = 0.045). Moreover, 11.8, 7.5 and 8.0% of the subjects who were exposed to earthquake in the 1st, 2nd, and 3rd trimester of pregnancy had diabetes. 5.1% of the subjects had diabetes in non-exposure group. Our multivariate analysis showed that 1st trimester (OR 2.481, 95%CI 1.02, 6.034; P = 0.045) and loss of family members during earthquake (OR 2.452, 95%CI 1.293, 4.653; P = 0.006) were associated with significantly increased risk of diabetes. CONCLUSIONS Exposure to earthquake during the first trimester of pregnancy and experience of family member loss in the earthquake significantly increased the subsequent risk of diabetes in the middle age (36-39 years of age). Our data suggest that earthquake experience in the early pregnancy has a longer-term effect on diabetes risk during adulthood.
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Affiliation(s)
- Na Li
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Mei Song
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Lan Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Xiao-Chuan Zhao
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Ran Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Yuan-Yuan Gao
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Lu-Lu Yu
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China
| | - Cui-Xia An
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China.
| | - Xue-Yi Wang
- Department of Psychiatry, the First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, No.89 Donggang Road, Yuhua District, Shijiazhuang, 050031, Hebei, China.
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Wang L, An CX, Song M, Li N, Gao YY, Zhao XC, Yu LL, Wang YM, Wang XY. Evaluation of childhood traumatic experience as a risk factor for alcohol use disorder in adulthood. BMC Psychiatry 2020; 20:15. [PMID: 31918691 PMCID: PMC6953234 DOI: 10.1186/s12888-020-2428-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2019] [Accepted: 01/02/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND We aimed to investigate the effect of early-age (prenatal, infant, and childhood) trauma on adulthood alcohol use disorder. METHODS A total number of 1534 subjects who were born and live in the city of Tangshan were selected. The subjects were divided into three age groups. General demographic data, conditions of the mothers during pregnancy, and condition of the babies at birth, were collected. The diagnosis of alcohol use disorder was based on Structured Clinical Interviews for DSM-IV Axis Disorders (patient version) (SCID). The childhood trauma questionnaire short form (CTQ-SF) [1] and the Lifetime of Experience Questionnaire (LTE-Q) [2] were used to evaluate stress in childhood and adulthood, respectively. RESULTS Only male subjects were diagnosed with lifelong alcohol abuse and alcohol dependence. There was no statistically significant difference in the prevalence of lifetime alcohol use disorder (X2 = 4.480, P = 0.345), current alcohol abuse, and current alcohol dependence among the three groups (X2abuse = 2.177, X2depedence = 2.198, P > 0.05). However, higher prevalence of lifetime alcohol use disorders was found in group with higher scores of CTQ (X2 = 9.315, P = 0.009), emotional abuse (X2 = 8.025, P = 0.018), physical abuse (X2 = 20.4080, P < 0.001), but not in the group with higher scores of emotional neglect (X2 = 1.226, P = 0.542), sexual abuse (X2 = 2.779, P = 0.249), physical neglect (X2 = 3.978, P = 0.137), LTE-Q (X2 = 5.415, P = 0.067), and PSQI (X2 = 5.238, P = 0.073). Protective factor for alcohol abuse for men was identified to be heavy drinking (OR = 0.085, 95%CI: 0.011-0.661), and the risk factors for alcohol abuse were identified to be frequent drinking (OR = 2.736, 95%CI: 1.500, 4.988), and consumption of low liquor (OR = 2.563, 95%CI: 1.387, 4.734). Risk factors for alcohol dependence in males were identified to be consumption of low liquor (OR = 5.501, 95%CI: 2.004, 15.103), frequent drinking (OR = 2.680, 95%CI: 1.164, 6.170), and childhood physical abuse (OR = 2.310, 95% CI: 1.026, 5.201). CONCLUSION Traumatic experience during infant and prenatal periods does not have a strong statistical correlation with alcohol use disorders for male adults. However, subjects with high CTQ scores, experience of emotional abuse and physical abuse show a statistically higher prevalence of lifetime alcohol use disorders. Several risk factors including consumption of low liquor, frequent drinking, and childhood physical abuse contribute to alcohol dependence in male adults.
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Affiliation(s)
- Lan Wang
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Cui-Xia An
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Mei Song
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Na Li
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Yuan-Yuan Gao
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Xiao-Chuan Zhao
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Lu-Lu Yu
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Yu-Mei Wang
- grid.452458.aDepartment of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031 China ,0000 0004 1760 8442grid.256883.2The Mental Health Institute of Hebei Medical University, Shijiazhuang, China ,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China
| | - Xue-Yi Wang
- Department of Psychiatry, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang, 050031, China. .,The Mental Health Institute of Hebei Medical University, Shijiazhuang, China. .,Hebei Brain Ageing and Cognitive Neuroscience Laboratory, Shijiazhuang, China.
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Sun FF, Wang R, Li N, Zhao XC, Wang L, Song M, Yu LL, Chen YN, An CX, Wang XY. Effects of early trauma and corticotropin-releasing factor receptor 1 gene polymorphism on adult visual spatial memory. Mol Genet Genomic Med 2019; 7:e974. [PMID: 31637879 PMCID: PMC6900365 DOI: 10.1002/mgg3.974] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2019] [Revised: 08/15/2019] [Accepted: 08/29/2019] [Indexed: 12/31/2022] Open
Abstract
Background The study sought to determine the effects of earthquake on the working memory of adults who experienced earthquake either as infants or fetuses and also investigates whether earthquake exposure and corticotropin‐releasing factor receptor 1 (CRHR1) variants rs242924 and rs7209436 interacted with each other in modulating working memory. Methods We enrolled subjects who experienced the Tangshan Earthquake as fetuses (group I) or infants (group II), as well as those who did not experience the earthquake (group III). Their working memory was measured using Brief Visuospatial Memory Test‐Revised (BVMT‐R) and Hopkins Verbal Learning Test‐Revised (HVLT‐R). Two single‐nucleotide polymorphisms (SNPs) of CRHR1 rs242924 and rs7209436 were analyzed by fluorescence quantitative polymerase chain reaction (PCR). Results The study enrolled 535 subjects, including 172 subjects in group I, 176 subjects group II, and 187 subjects in group III. Both group I and II had significantly lower BVMT‐R scores than group III (p < .05). Moreover, no difference was observed in HVLT‐R scores among the three groups (p > .05). The allele frequency was 84.7% for AA, 82.8% for TT, 13.6% for AC, and 15.9% for TC. C gene carriers in group II (t = −4.231, p < .01) and group I (t = −3.201, p < .05) had significantly lower visual spatial memory scores than group III. Furthermore, AT gene carriers had significantly lower visual spatial memory scores than C gene carriers in group III (t = 2.215, p < .05). Moreover, there was significant interaction between earthquake exposure and CRHR1 genotype in their effects on visual spatial memory (F = 4.028, p < .05). Conclusions Our cross‐sectional study has demonstrated that infant or fetus exposure to earthquake impairs visual spatial memory during adulthood and CRHR1 polymorphisms and earthquake exposure may interact with each other to accentuate this impairment.
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Affiliation(s)
- Fei-Fei Sun
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Ran Wang
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Na Li
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Xiao-Chuan Zhao
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Lan Wang
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Mei Song
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Lu-Lu Yu
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Ya-Nan Chen
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Cui-Xia An
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
| | - Xue-Yi Wang
- Institute of Mental Health, The First Hospital of Hebei Medical University, Shijiazhuang, China
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Song M, Wang L, Zhao XC, Li N, Wang R, Gao YY, Yu LL, An CX, Wang XY. The prevalence and risk of DSM-IV axis I disorder in adults with early-life earthquake stress: A cross-sectional study. Int J Dev Neurosci 2019; 76:65-71. [PMID: 31229525 DOI: 10.1016/j.ijdevneu.2019.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 05/22/2019] [Accepted: 06/18/2019] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Tangshan earthquake which had a magnitude of 7.8 killed approximately 250,000 people in China in 1976. In the present study, we sought to determine the prevalence and risks of mental disorders in adults who experienced earthquake as an infant or in the prenatal period. METHODS This cross-sectional cohort study recruited participants based on the urban resident registry of Tangshan, Hebei province, 2013 using a multistage stratified cluster sampling method with selection probabilities proportional to size. We recruited subjects who were born between July 29, 1975 and April 28, 1978 that was one year before and 1.9 years after the occurrence of Tangshan Earthquake, respectively. Current psychiatric diagnoses and lifetime psychiatric diagnoses were obtained through the Structured Clinical Interview for DSM-IV Axis I Disorders Patient Research Version. Unconditional logistic regression analysis was performed to analyze risk factors of mental disorders. RESULTS Totally1380 subjects were included with 392 subjects exposed to the earthquake in the fetal period, 399 subjects who experienced the earthquake during their infancy, and 589 subjects who had no exposure to the earthquake. Twenty-one (2.7%; current 1.9%) subjects exposed to earthquake were diagnosed with major depressive disorderversus 2.3% (current 1.5%) in the non-exposure group. Five (0.6%; current 0.6%) subjects with exposure to earthquake had bipolar disorder versus 0.9% in the non-exposure group.Thirteen (1.6%; current 1.6%) subjects with exposure to earthquake had schizophreniaversus 0.2% in the non-exposure group (P=0.006). Furthermore, 5.2% (current 3.7%) subjects with exposure to earthquake had anxiety disorders versus 5.7% (current 3.9%) in the non-exposure group. Moreover, 8.1% (current 7.0%)subjects with exposure to earthquake had alcohol use disorders versus 7.1% (current 5.3%) in the non-exposure group. Furthermore, the prevalence of schizophrenia of the prenatal exposure group (2.3%) was significantly higher than the other two groups (χ2 = 10.273, P = 0.006); however, no statistically significant difference was found in the current and lifetime prevalence of other DSM-IV axis I disorders among the three groups (P > 0.05). Our multivariate regression analysis showed that prenatal earthquake stress exposure was not a significant risk of any of the lifetime or current DSD-IV axis I disorders. CONCLUSION Adults who were exposed to earthquake in the prenatal period had a significantly higher rate of schizophrenia than those who were not exposed or who experienced earthquake in their infancy. No statistically significant difference was found in the current and lifetime prevalence of other DSM-IV axis I disorders between those exposed and those not exposed to earthquake. Furthermore, prenatal earthquake stress exposure was not a significant risk of any of the lifetime or current DSD-IV axis I disorders.
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Affiliation(s)
- Mei Song
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lan Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xiao-Chuan Zhao
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Na Li
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Ran Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Yuan-Yuan Gao
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Lu-Lu Yu
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Cui-Xia An
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
| | - Xue-Yi Wang
- Department of Psychiatry, First Hospital of Hebei Medical University, Mental Health Institute of the Hebei Medical University, Shijiazhuang, China
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