In this paper,we establish some strong laws of large numbers,which are for nonindependent random variables under the framework of sublinear expectations.One of our main results is for blockwise m-dependent random vari...In this paper,we establish some strong laws of large numbers,which are for nonindependent random variables under the framework of sublinear expectations.One of our main results is for blockwise m-dependent random variables,and another is for sub-orthogonal random variables.Both extend the strong law of large numbers for independent random variables under sublinear expectations to the non-independent case.展开更多
The complete convergence for weighted sums of sequences of independent,identically distributed random variables under sublinear expectation space is studied.By moment inequality and truncation methods,we establish the...The complete convergence for weighted sums of sequences of independent,identically distributed random variables under sublinear expectation space is studied.By moment inequality and truncation methods,we establish the equivalent conditions of complete convergence for weighted sums of sequences of independent,identically distributed random variables under sublinear expectation space.The results complement the corresponding results in probability space to those for sequences of independent,identically distributed random variables under sublinear expectation space.展开更多
The mental health issues of college students have become an increasingly prominent social problem,exerting severe impacts on their academic performance and overall well-being.Early identification of Interpersonal Sens...The mental health issues of college students have become an increasingly prominent social problem,exerting severe impacts on their academic performance and overall well-being.Early identification of Interpersonal Sensitivity(IS)in students serves as an effective approach to detect psychological problems and provide timely intervention.In this study,958 freshmen from higher education institutions in Zhejiang Province were selected as participants.We proposed a Multi-Strategy Artemisinin Optimization(MSAO)algorithm by enhancing the Artemisinin Optimization(AO)framework through the integration of a group-guided elimination strategy and a two-stage consolidation strategy.Subsequently,the MSAO was combined with the Fuzzy K-Nearest Neighbor(FKNN)classifier to develop the bMSAO-FKNN predictive model for assessing college students’IS.The proposed algorithm’s efficacy was validated through the CEC 2017 benchmark test suite,while the model’s performance was evaluated on the IS dataset,achieving an accuracy rate of 97.81%.These findings demonstrate that the bMSAO-FKNN model not only ensures high predictive accuracy but also offers interpretability for IS prediction,making it a valuable tool for mental health monitoring in academic settings.展开更多
This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 yea...This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.展开更多
Employees’innovative performance determines an organization’s innovation,which critically impacts its structural optimization and sustainability.Applying expectancy theory,we examined how and when the Pygmalion effe...Employees’innovative performance determines an organization’s innovation,which critically impacts its structural optimization and sustainability.Applying expectancy theory,we examined how and when the Pygmalion effect occurs in the relationship between leaders’expectations of innovation and employee innovative behavior.Our sample comprised 201 frontline employees(female=31.84%;mean age=41.48 years,SD=7.97 years)in a Chinese coal enterprise,who completed surveys on innovation expectations of leaders,expected positive performance outcomes,innovative self-efficacy and innovative behavior.The results revealed that employees’expected positive performance outcomes mediated the positive relationship between leaders’innovation expectations and their innovative behavior.Employees’innovative self-efficacy positively moderated the relationship between their expected positive performance outcomes and innovative behavior,with this relationship being stronger for employees with high innovative self-efficacy.Moreover,we validated the moderated mediation model.Findings suggest that leaders can stimulate employee innovative behavior through expressing expectations and they also need to consider the boundary conditions.展开更多
Objective:The aim of this study was to investigate the health expectations(HEs)in patients with diabetes and the factors affecting it using an integrative systematic review.Methods:A comprehensive literature search wa...Objective:The aim of this study was to investigate the health expectations(HEs)in patients with diabetes and the factors affecting it using an integrative systematic review.Methods:A comprehensive literature search was conducted in databases including PubMed,Scopus,Science Direct,Google Scholar,ProQuest,CINAHL,SID,Iran Doc,and Magiran without time limitation using related keywords.The systematic literature search was performed using a guide provided by York University.Results:From a total of 1883 articles,17 of them finally met the eligibility criteria.According to the findings of this study,HE of diabetic patients was included in four categories:“dynamism,”“consequentialism,”“comprehensive care,”and“access to facilities.”Also,these expectations can be influenced by various factors,including“developments in societies,”“changing the conditions of health care systems,”and“individual factors.”Conclusions:Health professionals should pay attention to the expectations of diabetic patients who are involved in complex disease conditions and consider meeting them as a key factor in providing patient-centered care,improving health outcomes,and patient satisfaction.展开更多
With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relati...With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.展开更多
Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medica...Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.展开更多
With the development and changes of society and the further iteration and renewal of parents’concepts,the importance and influence of future career planning of primary school students have become increasingly promine...With the development and changes of society and the further iteration and renewal of parents’concepts,the importance and influence of future career planning of primary school students have become increasingly prominent.Parental expectation is a very important part of influencing proactive personality,and it is also an important part of improving career adaptability,personal quality and comprehensive ability.This study explores the relationship between parents’expectation,proactive personality and career adaptability of primary school students.This paper deeply analyzes the influence of proactive personality on career adaptability,so as to provide theoretical support for improving the career adaptability of primary school students.In this study,the Chinese version of“Career Resilience”,“Parental Expectation Questionnaire”and“Proactive Personality Measurement”(PPS)were used as research tools to conduct psychological measurement on 287 students in grade 5 and 6 of a primary school in Beijing.SPSS29.0 and Process statistical software were used to explore the status quo and relationship of proactive personality,parents’expectation and career adaptability of primary school students.The conclusions of this study are as follows:(1)The correlation analysis results between parental expectation and proactive personality are significant,and there is a significant positive correlation.(2)The correlation analysis results between parents’expectations and career adaptability are significant,and there is a significant positive correlation.(3)The correlation analysis results between career adaptability and proactive personality were significant,showing a significant positive correlation.(4)Both parents’expectation and proactive personality have significant direct and positive effects on career adaptability,and proactive personality plays a partial mediating role between parents’expectation and career adaptability.展开更多
Assume that{a_(i),−∞<i<∞}is an absolutely summable sequence of real numbers.We establish the complete q-order moment convergence for the partial sums of moving average processes{X_(n)=Σ_(i=−∞)^(∞)a_(i)Y_(i+...Assume that{a_(i),−∞<i<∞}is an absolutely summable sequence of real numbers.We establish the complete q-order moment convergence for the partial sums of moving average processes{X_(n)=Σ_(i=−∞)^(∞)a_(i)Y_(i+n),n≥1}under some proper conditions,where{Yi,-∞<i<∞}is a doubly infinite sequence of negatively dependent random variables under sub-linear expectations.These results extend and complement the relevant results in probability space.展开更多
Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpers...Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpersonal psychotherapy(t-IPT)to that of t-CBT.We hypothesise that t-IPT is as effective as t-CBT.Methods We conducted a randomised clinical trial with two parallel arms and equal randomisation.The allocation was on a 1∶1 ratio based on a computerised randomisation sequence of permuted blocks of 50.Interventions and assessments were done via a website designed specifically for the trial.Participants were community-based adults with symptoms of anxiety,depression or irritability who received four sessions of t-CBT or t-IPT.The main outcome measures were the Patient Health Questionnaire-9 for depressive symptoms,Generalised Anxiety Disorder-7 for anxiety symptoms and Affective Reactivity Index for irritability.Results 149 individuals with a mean(standard deviation)age of 32.51(10.73)years were randomised to receive t-CBT(n=73)or t-IPT(n=76).Seven participants withdrew from the interventions(t-CBT,n=4;t-IPT,n=3),and 20 participants completed the interventions but did not complete the follow-up questionnaires(t-CBT,n=9;t-IPT,n=11).Analysis was conducted by intention-to-treat.There was a significant overall reduction in symptoms of depression,anxiety and irritability(p<0.001)in both treatment arms;neither modality was superior to the other.Effectiveness analysis showed that the two interventions were equivalent.Conclusions In community adults,t-IPT is as effective as t-CBT in treating symptoms of anxiety,depression or irritability.展开更多
Background Dynamic interpersonal therapy(DIT)is a short-term psychodynamic psychotherapy that has been shown to effectively reduce depressive symptoms in patients with major depressive disorder(MDD).In DIT,the depress...Background Dynamic interpersonal therapy(DIT)is a short-term psychodynamic psychotherapy that has been shown to effectively reduce depressive symptoms in patients with major depressive disorder(MDD).In DIT,the depressive symptoms are formulated as responses to impaired mentalisation.DIT aims to alleviate depressive symptoms by improving mentalising.Aims This study aimed to examine the effect of DIT on improving mentalising and the mediating effect of mentalising in changes in depressive symptoms.Methods Outpatients received either DIT combined with antidepressant medication treatment(DIT group)or antidepressant medication treatment alone(ADM group)for 16 weeks.The Hamilton Depression Rating Scale(HAMD),Patient Health Questionnaire(PHQ)and Reflective Functioning Questionnaire(RFQ)were used.The intention-to-treat principle,mixed linear models,multiple imputation,Pearson's correlation analysis and mediation analysis were conducted.The per-protocol principle was used as sensitivity analysis.Results The DIT group had significantly lower HAMD(least-squares(LS)mean difference=-3.756,p<0.001),PHQ(LS mean difference=-4.188,p<0.001),uncertainty about mental states in the RFQ(RFQ-U,LS mean difference=-2.116,p<0.001)and higher certainty about mental states in the RFQ(RFQ-C,LS mean difference=2.214,p=0.028)scores than the ADM group at post-treatment.The change in RFQ-C was marginally significantly correlated with the change in HAMD(r=-0.218,poretao=0.090),The change in RFQ-U was significantly correlated with the change in HAMD(r=-0.269,poroco-0.024)and the change in PHQ(r=-0.43,Peoretceo l<e0.001).When using RFQ-U as the mediating variable and PHQ as the dependent variable,a significant mediating effect was found(p=0.043,95% confidence interval 0.024 to 1.453).Conclusions The DIT group yielded better outcomes compared with the ADM group in reducing depressive symptoms and improving mentalising.Improvements in mentalising were associated with reductions in depressive symptoms.These findings support that mentalising may contribute to the therapeutic effects of DIT in MDD.展开更多
文摘In this paper,we establish some strong laws of large numbers,which are for nonindependent random variables under the framework of sublinear expectations.One of our main results is for blockwise m-dependent random variables,and another is for sub-orthogonal random variables.Both extend the strong law of large numbers for independent random variables under sublinear expectations to the non-independent case.
基金supported by Doctoral Scientific Research Starting Foundation of Jingdezhen Ceramic University(Grant No.102/01003002031)Re-accompanying Funding Project of Academic Achievements of Jingdezhen Ceramic University(Grant Nos.215/20506277,215/20506341)。
文摘The complete convergence for weighted sums of sequences of independent,identically distributed random variables under sublinear expectation space is studied.By moment inequality and truncation methods,we establish the equivalent conditions of complete convergence for weighted sums of sequences of independent,identically distributed random variables under sublinear expectation space.The results complement the corresponding results in probability space to those for sequences of independent,identically distributed random variables under sublinear expectation space.
文摘The mental health issues of college students have become an increasingly prominent social problem,exerting severe impacts on their academic performance and overall well-being.Early identification of Interpersonal Sensitivity(IS)in students serves as an effective approach to detect psychological problems and provide timely intervention.In this study,958 freshmen from higher education institutions in Zhejiang Province were selected as participants.We proposed a Multi-Strategy Artemisinin Optimization(MSAO)algorithm by enhancing the Artemisinin Optimization(AO)framework through the integration of a group-guided elimination strategy and a two-stage consolidation strategy.Subsequently,the MSAO was combined with the Fuzzy K-Nearest Neighbor(FKNN)classifier to develop the bMSAO-FKNN predictive model for assessing college students’IS.The proposed algorithm’s efficacy was validated through the CEC 2017 benchmark test suite,while the model’s performance was evaluated on the IS dataset,achieving an accuracy rate of 97.81%.These findings demonstrate that the bMSAO-FKNN model not only ensures high predictive accuracy but also offers interpretability for IS prediction,making it a valuable tool for mental health monitoring in academic settings.
基金supported by the Education Working Committee of the Xinjiang Uygur Autonomous Region Party Committee(grant number 2023GZYB10).
文摘This study aimed to explore how core self-evaluations and gender influence interpersonal adjustment and depression risk.Participants were 1748 college students(female=59.73%,male=40.27%,mean age=18.71 years,SD=0.78 years).The students completed the Interpersonal Adjustment Scale for College Students,Center for Epidemiological Studies Depression Scale,and Core Self-evaluation Scale.The results of Linear regression and mediated moderated effects modeling revealed that college students with higher interpersonal adjustment and core self-evaluation scores were at lower risk for depression.Core self-evaluation mediated the relationship between interpersonal adjustment and depression in college students for lower risk for depression.Gender moderated the relationship between interpersonal adjustment and core self-evaluation in college students for higher risk for depression in female students.From thesefindings,we conclude that interpersonal adjustment and core self-evaluation are significant for screening depression risk college students.Moreover,female students may benefit from targeted interventions aimed at their interpersonal adjustment for reducing their risk of depression.
基金funded by“National Natural Science Foundation of China”grant number[71872119]“Shanxi Provincial Government Major Decision-making Consulting Project”grant number[ZB20240114]The APC was funded by“Shanxi Provincial Government Major Decision-making Consulting Project”grant number[ZB20240114].
文摘Employees’innovative performance determines an organization’s innovation,which critically impacts its structural optimization and sustainability.Applying expectancy theory,we examined how and when the Pygmalion effect occurs in the relationship between leaders’expectations of innovation and employee innovative behavior.Our sample comprised 201 frontline employees(female=31.84%;mean age=41.48 years,SD=7.97 years)in a Chinese coal enterprise,who completed surveys on innovation expectations of leaders,expected positive performance outcomes,innovative self-efficacy and innovative behavior.The results revealed that employees’expected positive performance outcomes mediated the positive relationship between leaders’innovation expectations and their innovative behavior.Employees’innovative self-efficacy positively moderated the relationship between their expected positive performance outcomes and innovative behavior,with this relationship being stronger for employees with high innovative self-efficacy.Moreover,we validated the moderated mediation model.Findings suggest that leaders can stimulate employee innovative behavior through expressing expectations and they also need to consider the boundary conditions.
基金supported by Tehran University of Medical Sciences,Tehran,Iran(no.9711199007).
文摘Objective:The aim of this study was to investigate the health expectations(HEs)in patients with diabetes and the factors affecting it using an integrative systematic review.Methods:A comprehensive literature search was conducted in databases including PubMed,Scopus,Science Direct,Google Scholar,ProQuest,CINAHL,SID,Iran Doc,and Magiran without time limitation using related keywords.The systematic literature search was performed using a guide provided by York University.Results:From a total of 1883 articles,17 of them finally met the eligibility criteria.According to the findings of this study,HE of diabetic patients was included in four categories:“dynamism,”“consequentialism,”“comprehensive care,”and“access to facilities.”Also,these expectations can be influenced by various factors,including“developments in societies,”“changing the conditions of health care systems,”and“individual factors.”Conclusions:Health professionals should pay attention to the expectations of diabetic patients who are involved in complex disease conditions and consider meeting them as a key factor in providing patient-centered care,improving health outcomes,and patient satisfaction.
文摘With a growing population of elderly patients undergoing hip arthroplasty,traditional nursing care often faces challenges dus to fragmented services and inadequate continuity.Based on Peplau's interpersonal relationship theory,we explored a comprehensive hospital-home-community management model for an 80-year-old female patient following total hip arthroplasty.This nursing model was structured into four sequential phases(orientation,identification,exploitation,and resolution)and incorporated a structured multidisciplinary team,a stepwise health education system,discharge preparation services,and evidencebased postoperative care.Post-discharge management integrated traditional Chinese medicine-based pain management,intelligent rehabilitation training,and evidence-based constipation management.After six months of intervention,the patient achieved satisfactory wound healing and optimal prosthesis positioning.Significant improvements were observed in pain,constipation,sleep,anxiety,hip function,self-care ability,and self-management competence.This approach established a closed-loop management system encompassing assessment,screening,referral,liaison,home visits,multidisciplinary collaboration,and continuous follow-up.This model bridges hospital-home care gap,enhances care continuity,and improves rehabilitation outcomes,thereby providing a replicable framework for the postoperative management of elderly surgical patients.
基金This research received grant from 2022 Undergraduate Education and Teaching Research Project of Fujian Medical University(22028).
文摘Objective:This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped Health Assessment course.Methods:This descriptive,qualitative study was conducted at a medical university in Fuzhou,Fujian Province,China.An interview outline was designed based on the core dimensions of Expectation Confirmation Theory(expectation sources,expectation content,and expectation importance).Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped Health Assessment course were interviewed between June and July 2022.Interview data were analyzed using qualitative content analysis.Results:Five major themes and thirteen subthemes were identified.Theme 1 was expectation sourcesperceived learning difficulties from past experiences,which included four subthemes:insufficient autonomous learning ability,confusion regarding learning methods,insufficient engagement in learning,and low professional identity.Theme 2 included knowledge and information expectations,which comprised three subthemes:knowledge to improve professional competence,knowledge to enhance academic competitiveness,and knowledge to boost self-efficacy.Theme 3 comprised logical expectations and included two subthemes:flexible teaching methods and efficient instructional tools.Theme 4,pleasure expectations,included two subthemes:vivid teaching styles and diversified teaching evaluations.Theme 5 comprised professional value expectations and included two subthemes:teachers'responsible professional attitudes and gentle emotional support.Conclusion:Students'learning expectations originate from perceived learning difficulties,such as insufficient learning autonomy and engagement,confusion about learning methods,and a lack of professional identity.They showed various learning expectations for the flipped Health Assessment course,including knowledge and information,logic,pleasure,and professional value expectations.
基金Beijing Shidayidu Cultural Development Co.,Ltd:Research on the influencing factors and curriculum intervention of middle school students’career adaptability(No.BUU2023026).
文摘With the development and changes of society and the further iteration and renewal of parents’concepts,the importance and influence of future career planning of primary school students have become increasingly prominent.Parental expectation is a very important part of influencing proactive personality,and it is also an important part of improving career adaptability,personal quality and comprehensive ability.This study explores the relationship between parents’expectation,proactive personality and career adaptability of primary school students.This paper deeply analyzes the influence of proactive personality on career adaptability,so as to provide theoretical support for improving the career adaptability of primary school students.In this study,the Chinese version of“Career Resilience”,“Parental Expectation Questionnaire”and“Proactive Personality Measurement”(PPS)were used as research tools to conduct psychological measurement on 287 students in grade 5 and 6 of a primary school in Beijing.SPSS29.0 and Process statistical software were used to explore the status quo and relationship of proactive personality,parents’expectation and career adaptability of primary school students.The conclusions of this study are as follows:(1)The correlation analysis results between parental expectation and proactive personality are significant,and there is a significant positive correlation.(2)The correlation analysis results between parents’expectations and career adaptability are significant,and there is a significant positive correlation.(3)The correlation analysis results between career adaptability and proactive personality were significant,showing a significant positive correlation.(4)Both parents’expectation and proactive personality have significant direct and positive effects on career adaptability,and proactive personality plays a partial mediating role between parents’expectation and career adaptability.
基金Supported by the Academic Achievement Re-cultivation Projects of Jingdezhen Ceramic University(Grant Nos.215/20506341215/20506277)the Doctoral Scientific Research Starting Foundation of Jingdezhen Ceramic University(Grant No.102/01003002031)。
文摘Assume that{a_(i),−∞<i<∞}is an absolutely summable sequence of real numbers.We establish the complete q-order moment convergence for the partial sums of moving average processes{X_(n)=Σ_(i=−∞)^(∞)a_(i)Y_(i+n),n≥1}under some proper conditions,where{Yi,-∞<i<∞}is a doubly infinite sequence of negatively dependent random variables under sub-linear expectations.These results extend and complement the relevant results in probability space.
基金funding from the Department for Innovation and Technology of the State of Rio Grande do Sul,Brazil,under Public Call Notice No.001/2020('Edital de Chamamento Público número 001/2020,vinculadoàs açöes do Programa INOVA-RS de apoio ao enfrentamento da Covid19)LSL received a master's scholarship('PROSUC Modalidade II')from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior(CAPES),Brazil+1 种基金BMdA received a scholarship from Fundação de AmparoàPesquisa do Estado do Rio Grande do Sul(FAPERGS),BrazilACP receives a doctoral's scholarship from CAPES,Brazil,and a scholarship from Deutscher Akademischer Austauschdienst,Deutschland.FMS received a research grant from Fundação Vale do Taquari de Educação e Desenvolvimento Social(FUVATES),Brazil.
文摘Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpersonal psychotherapy(t-IPT)to that of t-CBT.We hypothesise that t-IPT is as effective as t-CBT.Methods We conducted a randomised clinical trial with two parallel arms and equal randomisation.The allocation was on a 1∶1 ratio based on a computerised randomisation sequence of permuted blocks of 50.Interventions and assessments were done via a website designed specifically for the trial.Participants were community-based adults with symptoms of anxiety,depression or irritability who received four sessions of t-CBT or t-IPT.The main outcome measures were the Patient Health Questionnaire-9 for depressive symptoms,Generalised Anxiety Disorder-7 for anxiety symptoms and Affective Reactivity Index for irritability.Results 149 individuals with a mean(standard deviation)age of 32.51(10.73)years were randomised to receive t-CBT(n=73)or t-IPT(n=76).Seven participants withdrew from the interventions(t-CBT,n=4;t-IPT,n=3),and 20 participants completed the interventions but did not complete the follow-up questionnaires(t-CBT,n=9;t-IPT,n=11).Analysis was conducted by intention-to-treat.There was a significant overall reduction in symptoms of depression,anxiety and irritability(p<0.001)in both treatment arms;neither modality was superior to the other.Effectiveness analysis showed that the two interventions were equivalent.Conclusions In community adults,t-IPT is as effective as t-CBT in treating symptoms of anxiety,depression or irritability.
基金funded by Science and Technology Commission of Shanghai Municipality(No.21Y11905400)National Natural ScienceFoundationof China(General Program,No.82371555).
文摘Background Dynamic interpersonal therapy(DIT)is a short-term psychodynamic psychotherapy that has been shown to effectively reduce depressive symptoms in patients with major depressive disorder(MDD).In DIT,the depressive symptoms are formulated as responses to impaired mentalisation.DIT aims to alleviate depressive symptoms by improving mentalising.Aims This study aimed to examine the effect of DIT on improving mentalising and the mediating effect of mentalising in changes in depressive symptoms.Methods Outpatients received either DIT combined with antidepressant medication treatment(DIT group)or antidepressant medication treatment alone(ADM group)for 16 weeks.The Hamilton Depression Rating Scale(HAMD),Patient Health Questionnaire(PHQ)and Reflective Functioning Questionnaire(RFQ)were used.The intention-to-treat principle,mixed linear models,multiple imputation,Pearson's correlation analysis and mediation analysis were conducted.The per-protocol principle was used as sensitivity analysis.Results The DIT group had significantly lower HAMD(least-squares(LS)mean difference=-3.756,p<0.001),PHQ(LS mean difference=-4.188,p<0.001),uncertainty about mental states in the RFQ(RFQ-U,LS mean difference=-2.116,p<0.001)and higher certainty about mental states in the RFQ(RFQ-C,LS mean difference=2.214,p=0.028)scores than the ADM group at post-treatment.The change in RFQ-C was marginally significantly correlated with the change in HAMD(r=-0.218,poretao=0.090),The change in RFQ-U was significantly correlated with the change in HAMD(r=-0.269,poroco-0.024)and the change in PHQ(r=-0.43,Peoretceo l<e0.001).When using RFQ-U as the mediating variable and PHQ as the dependent variable,a significant mediating effect was found(p=0.043,95% confidence interval 0.024 to 1.453).Conclusions The DIT group yielded better outcomes compared with the ADM group in reducing depressive symptoms and improving mentalising.Improvements in mentalising were associated with reductions in depressive symptoms.These findings support that mentalising may contribute to the therapeutic effects of DIT in MDD.
