BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affectin...BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affecting work and interpersonal communication,increasing the risk of recurrence,and adding to the burden on families.Studying the influencing factors of their social function is of great significance.AIM To explore the social function score and its influencing factors in patients with residual depressive symptoms.METHODS This observational study surveyed patients with residual depressive symptoms(case group)and healthy patients undergoing physical examinations(control group).Participants were admitted between January 2022 and December 2023.Social functioning was assessed using the Sheehan Disability Scale(SDS),and scores were compared between groups.Factors influencing SDS scores in patients with residual depressive symptoms were analyzed by applying multiple linear regression while using the receiver operating characteristic curve,and these RESULTS The SDS scores of the 158 patients with depressive symptoms were 11.48±3.26.Compared with the control group,the SDS scores and all items in the case group were higher.SDS scores were higher in patients with relapse,discon-tinuous medication,drug therapy alone,severe somatic symptoms,obvious residual symptoms,and anxiety scores≥8.Disease history,medication compliance,therapy method,and residual symptoms correlated positively with SDS scores(r=0.354,0.414,0.602,and 0.456,respectively).Independent influencing factors included disease history,medication compliance,therapy method,somatic symptoms,residual symptoms,and anxiety scores(P<0.05).The areas under the curve for predicting social functional impairment using these factors were 0.713,0.559,0.684,0.729,0.668,and 0.628,respectively,with sensitivities of 79.2%,61.8%,76.8%,81.7%,63.6%,and 65.5%and specificities of 83.3%,87.5%,82.6%,83.3%,86.7%,and 92.1%,respectively.CONCLUSION The social function scores of patients with residual symptoms of depression are high.They are affected by disease history,medication compliance,therapy method,degree of somatic symptoms,residual symptoms,and anxiety.展开更多
This article discusses the importance of addressing social functioning impairment in patients with residual depressive symptoms,as highlighted in the study by Liao et al.The authors showed that social dysfunction pers...This article discusses the importance of addressing social functioning impairment in patients with residual depressive symptoms,as highlighted in the study by Liao et al.The authors showed that social dysfunction persists in many patients despite symptom remission.This observation calls for a shift in depression treatment strategies,with an emphasis on integrating social functioning as a key treatment goal.This article suggests targeted interventions that focus on both symptomatic relief and the restoration of social function.展开更多
BACKGROUND Adolescents with an evening chronotype are at higher risk for mental health problems,such as depression and anxiety.However,the mechanisms underlying this relationship are not well understood.Sleep disturba...BACKGROUND Adolescents with an evening chronotype are at higher risk for mental health problems,such as depression and anxiety.However,the mechanisms underlying this relationship are not well understood.Sleep disturbances and impaired social functioning may mediate this association.AIM To examine the mediating roles of sleep quality and social functioning in the relationship between chronotype and mental health in adolescents.METHODS A cross-sectional survey was conducted among 381 adolescents(mean age 14.3 years;61.9%male)using the Morningness-Eveningness Questionnaire,Hamilton Depression Rating Scale,Hamilton Anxiety Scale,Pittsburgh Sleep Quality Index,and Social Disability Screening Schedule.Descriptive statistics,Pearson correlation analyses,and chain mediation analysis using the bootstrap method were performed.RESULTS Chronotype was significantly associated with both depression and anxiety.Sleep quality and social functioning significantly mediated these relationships.The indirect effect on depression was-0.52,accounting for 69.3%of the total effect.For anxiety, the indirect effect was -0.39, accounting for 79.3%. No significant direct effect of chronotype on depressionor anxiety was found after accounting for the mediators.CONCLUSIONSleep quality and social functioning mediate the association between chronotype and adolescent mental health.These findings highlight the importance of addressing sleep disturbances and social functioning impairments ininterventions aimed at improving mental well-being among adolescents with evening chronotypes.展开更多
BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair so...BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair social function,whereas long-term hospitalization produces hospitalization syndrome,causing serious damage to social function.AIM To investigate the effects of Computerized Cognitive Remediation Therapy(CCRT)on cognitive and social functioning in patients with chronic schizophrenia.METHODS A retrospective analysis of 120 patients with chronic schizophrenia in Shanghai Pudong New Area Mental Health Center was performed.They were divided into an intervention group(60 cases treated with CCRT combined with conventional medication)and a control group(60 cases treated with conventional medication).After treatment,effects on cognitive function and social roles were observed in both groups.The Positive and Negative Syndrome Scale(PANSS)was used to assess the patients'psychiatric symptoms.The Wisconsin Card Sorting Test(WCST)was used to assess the patients'cognitive functioning,and the Social Functioning Scale for Psychiatric Inpatients(SSPI)was used to assess the social functioning of the inpatient psychiatric patients.RESULTS No significant differences were observed in the PANSS,WCST,and SSPI intergroup scores before treatment(P>0.05).After 2,4,and 6 wk of therapy,general psychopathological factors,positive symptoms,negative symptoms,and total PANSS scores of PANSS in the intervention group were lower than in the control group(P<0.05).After 2,4,and 6 wk of treatment,the number of false responses,number of persistent bugs,and total responses in the WCST were significantly lower in the intervention group than in the control group(P<0.05),and the amount of completed classification was significantly higher than in the control group(P<0.05).After 2,4,and 6 wk of therapy,the SSPI scores were significantly greater than those of the controls(P<0.05).After 6 wk of treatment,the efficacy rates of the control and intervention groups were 81.67%and 91.67%,respectively.The curative effect in the intervention group was significantly higher than that in the control group(P<0.05).CONCLUSION CCRT can significantly improve cognitive function and social abilities in patients with chronic schizophrenia.展开更多
Objective:To explore the effect of Social Skills Training(SST)on the social function of inpatients with schizophrenia.Methods:A total of 40 patients with schizophrenia(20 in the intervention group and 20 in the contro...Objective:To explore the effect of Social Skills Training(SST)on the social function of inpatients with schizophrenia.Methods:A total of 40 patients with schizophrenia(20 in the intervention group and 20 in the control group)were selected from a psychiatric hospital in Shanghai for 10 times(once a week)of social skills training.The control group was treated with routine hospitalization(drug therapy and routine hospitalization nursing)for 10 weeks.Social Disability Screening Schedule before and after intervention for patients enrolled in the intervention group(Social Disability Screening Schedule,SDSS and Scale of Social Function in Psychosis Inpatients,SSPI).Conclusion:The results of social skills training on SDSS and SSPI were different between the two groups,and there was no statistical value(P>0.05).Observation of patients in this group,when undergoing social skills training,SSPI score was significantly better than the control group(P<0.01)and SDSS score was significantly lower than the control group(P<0.01),the differences were statistically significant.Social skills training and social work group intervention can improve psychiatric symptoms and further enhance social function in hospitalized patients with schizophrenia.展开更多
The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory （PEDI） to look into capacity of twen- ty-eight children with s...The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory （PEDI） to look into capacity of twen- ty-eight children with spina bifida with lesions at different levels in different dimensions of self- care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 （1-10） years. In the muscle test carried out, 13 patients （44.8%） had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients （54%） were non-ambulatory according to the Hoofer ambulation classification. Raw and scale scores in the self-care, mobil- ity and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambu- lation Scale and muscle test （P 〈 0.05）. A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test （P 〈 0.005）. A negative relation was also found between Care- giver Assistance Scale-mobility and Functional Ambulation Scale and muscle test （P 〈 0.005）. In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence.展开更多
BACKGROUND Long-term treatment of attention deficit/hyperactivity disorder(ADHD)is associated with adverse events,such as nausea and vomiting,dizziness,and sleep disturbances,and poor maintenance of late ADHD medicati...BACKGROUND Long-term treatment of attention deficit/hyperactivity disorder(ADHD)is associated with adverse events,such as nausea and vomiting,dizziness,and sleep disturbances,and poor maintenance of late ADHD medication compromises treatment outcomes and prolongs the recovery of patients’social functioning.AIM To evaluate the effect of non-pharmacological treatment on the full recovery of social functioning in patients with ADHD.METHODS A total of 90 patients diagnosed with ADHD between May 2019 and August 2020 were included in the study and randomly assigned to either the pharmacological group(methylphenidate hydrochloride and tomoxetine hydrochloride)or the non-pharmacological group(parental training,behavior modification,sensory integration therapy,and sand tray therapy),with 45 cases in each group.Outcome measures included treatment compliance,Swanson,Nolan,and Pelham,Version IV(SNAP-IV)scores,Conners Parent Symptom Questionnaire(PSQ)scores,and Weiss Functional Impairment Rating Scale(WFIRS)scores.RESULTS The non-pharmacological interventions resulted in significantly higher compliance in patients(95.56%)compared with medication(71.11%)(P<0.05).However,no significant differences in SNAP-IV and PSQ scores,in addition to the learning/school,social activities,and adventure activities of the WFIRS scores were observed between the two groups(P>0.05).Patients with non-pharmacological interventions showed higher WFIRS scores for family,daily life skills,and self-concept than those in the pharmacological group(P<0.05).CONCLUSION Non-pharmacological interventions,in contrast to the potential risks of adverse events after longterm medication,improve patient treatment compliance,alleviate patients’behavioral symptoms of attention,impulsivity,and hyperactivity,and improve their cognitive ability,thereby improving family relationships and patient self-evaluation.展开更多
Consumption has drawn scholars＇ attention from many fields and is studied from many perspectives. With the overwhelmingly powerful position of consumption in the society, new meanings have been endowed with the behav...Consumption has drawn scholars＇ attention from many fields and is studied from many perspectives. With the overwhelmingly powerful position of consumption in the society, new meanings have been endowed with the behavior of consumption. This paper tries to introduce the consumer culture theory, referring mainly to the French sociologist Baudrillard and to explore the social functions, namely differentiation and alienation of consumption under the consumer culture context.展开更多
OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using ...OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using a balanced mix of subjective and clinician ratings in an outcome-informed model for a clinical management based on shared decision making, 'The Quality star'. METHODS. Naturalistic data for 2552 persons, mainly with schizophrenia diagnoses, in long-term treatment and rehabilitation, were analyzed in a cross-sectional study. RESULTS. With increasing Social Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction, subjective Quality of life and Perceived Global Distress. Women were more satisfied with the care but also more distressed. CONCLUSION. Main findings were in line with other studies. However, the gender differences are in line with some, but not with other, studies. This poses questions how patient factors, instrument constructs, and treatment, especially shared decision making, influence subjective reports.展开更多
BACKGROUND Psychotic disorders are characterized by both positive symptoms(hallucinations,delusions)and negative symptoms(emotional blunting,anhedonia)that impair daily functioning.While antipsychotic drugs and psycho...BACKGROUND Psychotic disorders are characterized by both positive symptoms(hallucinations,delusions)and negative symptoms(emotional blunting,anhedonia)that impair daily functioning.While antipsychotic drugs and psychological interventions are effective when addressing positive symptoms,treatment of negative symptoms remains an ongoing challenge.Mindfulness-based interventions(MBIs)have been shown to reduce negative psychotic symptoms.However,as negative psychotic symptoms are assessed as a sole entity rather than a sum of manifestations,the effect of MBIs remains unclear.AIM To examine the effects of MBI in addition to integrated rehabilitation treatment(IRT)for people experiencing psychosis on each of the negative psychotic symptoms.METHODS A randomized controlled clinical trial with preintervention and postintervention measures was designed.The main outcome variable was negative psychotic symptoms assessed through the seven subscales of the Spanish version of the positive and negative syndrome scale.Data were analyzed using a repeated measures analysis of variance and reliable change index calculation.RESULTS There were no statistical differences between groups at the preintervention assessment.Statistically significant differences were found after MBI for the time in emotional withdrawal(F=37.75,P<0.001,η2=0.437)and social withdrawal(F=37.75,P<0.001,η2=0.437).CONCLUSION MBI added to IRT reduced the lack of interest and involvement with affective commitment to daily life activities,and interest and engagement in social activities increased.These negative psychotic symptoms were not improved by IRT alone.展开更多
Analysis of urban spatial structures is an effective way to explain and solve increasingly serious urban problems.However,many of the existing methods are limited because of data quality and availability,and usually y...Analysis of urban spatial structures is an effective way to explain and solve increasingly serious urban problems.However,many of the existing methods are limited because of data quality and availability,and usually yield inaccurate results due to the unclear description of urban social functions.In this paper,we present an investigation on urban social function based spatial structure analysis using building footprint data.An improved turning function(TF)algorithm and a selforganizing clustering method are presented to generate the variable area units(VAUs)of high-homogeneity from building footprints as the basic research units.Based on the generated VAUs,five spatial metrics are then developed for measuring the morphological characteristics and the spatial distribution patterns of buildings in an urban block.Within these spatial metrics,three models are formulated for calculating the social function likelihoods of each urban block to describe mixed social functions in an urban block,quantitatively.Consequently,the urban structures can be clearly observed by an analysis of the spatial distribution patterns,the development trends,and the hierarchy of different social functions.The results of a case study conducted for Munich validate the effectiveness of the proposed method.展开更多
Urban land use is always the central focus of urban planners and policymakers when pursuing urban sustainable development.Currently,many studies have explored urban land use using satellite data,but few of them can id...Urban land use is always the central focus of urban planners and policymakers when pursuing urban sustainable development.Currently,many studies have explored urban land use using satellite data,but few of them can identify the social function of land use through these data.In this research,OpenStreetMap(OSM)data are used to extract urban land use social functional units.Firstly,the OSM data are transferred to actual land use types based on the established mapping rules between OSM data and the urban land use classification standards.Then,the improved DBSCAN algorithm is applied with OSM data of the study area after estimating the parameters of the neighborhood radius(Eps)and the minimum polygons(MinPolys)based on the polygon density.With the two estimated parameters,the improved DBSCAN algorithm is used to cluster residential,commercial and public service land use social functional polygons of the OSM data.Following that,the clusters of the three land use types are processed into land use social functional units.The results show that OSM data perform well in determining these three land use social functional clusters using the improved DBSCAN algorithm,and the social functional units display obvious spatial features.展开更多
The increasing proportions of older people in the populations of many societies and the patterns of increasing global mobility make social services with ageing ethnic minorities of ever greater importance to social wo...The increasing proportions of older people in the populations of many societies and the patterns of increasing global mobility make social services with ageing ethnic minorities of ever greater importance to social work practitioners. The paper reviews current knowledge and understanding of factors that contribute to social functioning within and outside the family among one migrant group： older ethnic Chinese in Western countries. The findings show that the capacity to maintain a functional social role varies across different groups of Chinese ethnic elders： some are marginalized and excluded from mainstream social engagement on a number of different levels. Some have difl!iculty in accessing public services; some are in a disadvantageous position with regard to wider social connections; and others are empowered in later life in terms of income, social engagement, autonomy and being in a collective, reciprocal relationship. The impact of these factors is complicated by the mixture of the older people＇s cultural heritage, degree of acculturation, socioeconomic status, educational achievements, patterns and history of immigration, refigious beliefs, and family dynamics. Similarly these factors must be understood by social service professionals for providing services to match the needs of ethnic Chinese older people.展开更多
BACKGROUND An acute myocardial infarction(AMI)is often treated with direct coronary intervention and requires home-based rehabilitation.Caregivers of patients with AMI need adequate social support to maintain high-qua...BACKGROUND An acute myocardial infarction(AMI)is often treated with direct coronary intervention and requires home-based rehabilitation.Caregivers of patients with AMI need adequate social support to maintain high-quality care;however,their social support function is low,and relevant indicators for intervention must be identified.AIM To analyze the correlation between social support for primary caregivers,their anxiety,and depression,when caring for patients with AMI after interventional therapy.METHODS Using convenience sampling,we selected 300 primary caregivers of patients with AMI who had undergone interventional therapy.The Social Support Rating Scale(SSRS),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to assess the primary caregivers.A Pearson’s correlation analysis was used to analyze the correlations between the SSRS,SAS,and SDS,and a multiple logistic regression analysis was used to analyze the factors influencing the low social support function of primary caregivers.The receiver operating characteristic curve and area under the curve(AUC)were used to evaluate the predictive ability of the SAS and SDS for low social support function in primary caregivers.RESULTS Considering the norm among Chinese people,AMI caregivers’objective support,subjective support,support utilization,and SSRS scores were lower,while their SAS and SDS scores were higher.The SSRS scores of female caregivers were higher than those of the male caregivers(t=2.123,P=0.035).The Pearson correlation analysis showed that objective support,subjective support,support utilization,and SSRS total scores were significantly correlated with both SAS(r=-0.414,-0.460,-0.416,-0.535)and SDS scores(r=-0.463,-0.379,-0.349,-0.472).Among the 300 AMI caregivers,56 cases(18.67%)had a low level of support function(SSRS≤22 points).Logistic regression model analysis showed that SAS and SDS were independent risk factors for low social support function of AMI caregivers,regardless of adjustment for other variables(P<0.05).SAS and SDS predicted that the AUC of AMI caregivers with low support function was 0.84,sensitivity was 67.9 and 71.4,and specificity was 84.0 and 70.9,respectively.CONCLUSION The social support function of the primary caregiver of patients with AMI after interventional therapy was lower and negatively correlated with anxiety and depression in the primary caregiver.展开更多
Euphemism,as a unique form in language expression,conveys a lot about the society and culture in which it exits.This paper studies the functions of euphemism and its application of euphemisms in social-cultural activi...Euphemism,as a unique form in language expression,conveys a lot about the society and culture in which it exits.This paper studies the functions of euphemism and its application of euphemisms in social-cultural activities.展开更多
The concept of social capital encompasses all relationships and networks among people in a local community or society as a whole. It has been found to be associated with the health and daily living status of people. F...The concept of social capital encompasses all relationships and networks among people in a local community or society as a whole. It has been found to be associated with the health and daily living status of people. Furthermore, an association between social capital and cognitive functions among the elderly has been suggested in recent years. However, the number of such reports is very few. Hence, the present study aims to evaluate the relationship between social capital and cognitive functions among the elderly living in a local community in Japan. A questionnaire survey was administered to 192 elderly individuals belonging to 10 neighborhood elderly groups. A regression analysis was conducted to determine the relationship between cognitive functions and the level of engagement with the local community, after adjusting for age, gender, and symptoms of depression. Valid responses were collected from 145 participants (mean age: 75.3 years). An analysis of the data concerning the level of engagement with the local community revealed a significant difference in the cognitive function scores between the group of people who indicated that they had someone they could consult (n = 69) and the group that indicated they had no one to consult (n = 76) (regression coefficient: -0.61, p = 0.0038, 95% confidence interval: -1.02 to -0.20). This result indicates the existence of a significant correlation between social capital and cognitive functions of the elderly living in a local community. In future studies, we need to investigate the same with a larger number of participants from a wider geographical area, and by incorporating more indicators for a comprehensive evaluation of social capital.展开更多
文摘BACKGROUND At present,the influencing factors of social function in patients with residual depressive symptoms are still unclear.Residual depressive symptoms are highly harmful,leading to low mood in patients,affecting work and interpersonal communication,increasing the risk of recurrence,and adding to the burden on families.Studying the influencing factors of their social function is of great significance.AIM To explore the social function score and its influencing factors in patients with residual depressive symptoms.METHODS This observational study surveyed patients with residual depressive symptoms(case group)and healthy patients undergoing physical examinations(control group).Participants were admitted between January 2022 and December 2023.Social functioning was assessed using the Sheehan Disability Scale(SDS),and scores were compared between groups.Factors influencing SDS scores in patients with residual depressive symptoms were analyzed by applying multiple linear regression while using the receiver operating characteristic curve,and these RESULTS The SDS scores of the 158 patients with depressive symptoms were 11.48±3.26.Compared with the control group,the SDS scores and all items in the case group were higher.SDS scores were higher in patients with relapse,discon-tinuous medication,drug therapy alone,severe somatic symptoms,obvious residual symptoms,and anxiety scores≥8.Disease history,medication compliance,therapy method,and residual symptoms correlated positively with SDS scores(r=0.354,0.414,0.602,and 0.456,respectively).Independent influencing factors included disease history,medication compliance,therapy method,somatic symptoms,residual symptoms,and anxiety scores(P<0.05).The areas under the curve for predicting social functional impairment using these factors were 0.713,0.559,0.684,0.729,0.668,and 0.628,respectively,with sensitivities of 79.2%,61.8%,76.8%,81.7%,63.6%,and 65.5%and specificities of 83.3%,87.5%,82.6%,83.3%,86.7%,and 92.1%,respectively.CONCLUSION The social function scores of patients with residual symptoms of depression are high.They are affected by disease history,medication compliance,therapy method,degree of somatic symptoms,residual symptoms,and anxiety.
文摘This article discusses the importance of addressing social functioning impairment in patients with residual depressive symptoms,as highlighted in the study by Liao et al.The authors showed that social dysfunction persists in many patients despite symptom remission.This observation calls for a shift in depression treatment strategies,with an emphasis on integrating social functioning as a key treatment goal.This article suggests targeted interventions that focus on both symptomatic relief and the restoration of social function.
文摘BACKGROUND Adolescents with an evening chronotype are at higher risk for mental health problems,such as depression and anxiety.However,the mechanisms underlying this relationship are not well understood.Sleep disturbances and impaired social functioning may mediate this association.AIM To examine the mediating roles of sleep quality and social functioning in the relationship between chronotype and mental health in adolescents.METHODS A cross-sectional survey was conducted among 381 adolescents(mean age 14.3 years;61.9%male)using the Morningness-Eveningness Questionnaire,Hamilton Depression Rating Scale,Hamilton Anxiety Scale,Pittsburgh Sleep Quality Index,and Social Disability Screening Schedule.Descriptive statistics,Pearson correlation analyses,and chain mediation analysis using the bootstrap method were performed.RESULTS Chronotype was significantly associated with both depression and anxiety.Sleep quality and social functioning significantly mediated these relationships.The indirect effect on depression was-0.52,accounting for 69.3%of the total effect.For anxiety, the indirect effect was -0.39, accounting for 79.3%. No significant direct effect of chronotype on depressionor anxiety was found after accounting for the mediators.CONCLUSIONSleep quality and social functioning mediate the association between chronotype and adolescent mental health.These findings highlight the importance of addressing sleep disturbances and social functioning impairments ininterventions aimed at improving mental well-being among adolescents with evening chronotypes.
基金Supported by Shanghai Pudong New Area Science and Technology Development and Livelihood Research Special Fund Support Project,No.PKJ2023-Y80Integrated Traditional Chinese and Western Medicine Specialized Disease Diagnosis and Treatment Center Project,No.PDZY-2022-05-01.
文摘BACKGROUND Patients with schizophrenia may have various disease manifestations,most of which gradually tend toward incurable chronic decline,leading to mental disability.The basic symptoms of the disease can impair social function,whereas long-term hospitalization produces hospitalization syndrome,causing serious damage to social function.AIM To investigate the effects of Computerized Cognitive Remediation Therapy(CCRT)on cognitive and social functioning in patients with chronic schizophrenia.METHODS A retrospective analysis of 120 patients with chronic schizophrenia in Shanghai Pudong New Area Mental Health Center was performed.They were divided into an intervention group(60 cases treated with CCRT combined with conventional medication)and a control group(60 cases treated with conventional medication).After treatment,effects on cognitive function and social roles were observed in both groups.The Positive and Negative Syndrome Scale(PANSS)was used to assess the patients'psychiatric symptoms.The Wisconsin Card Sorting Test(WCST)was used to assess the patients'cognitive functioning,and the Social Functioning Scale for Psychiatric Inpatients(SSPI)was used to assess the social functioning of the inpatient psychiatric patients.RESULTS No significant differences were observed in the PANSS,WCST,and SSPI intergroup scores before treatment(P>0.05).After 2,4,and 6 wk of therapy,general psychopathological factors,positive symptoms,negative symptoms,and total PANSS scores of PANSS in the intervention group were lower than in the control group(P<0.05).After 2,4,and 6 wk of treatment,the number of false responses,number of persistent bugs,and total responses in the WCST were significantly lower in the intervention group than in the control group(P<0.05),and the amount of completed classification was significantly higher than in the control group(P<0.05).After 2,4,and 6 wk of therapy,the SSPI scores were significantly greater than those of the controls(P<0.05).After 6 wk of treatment,the efficacy rates of the control and intervention groups were 81.67%and 91.67%,respectively.The curative effect in the intervention group was significantly higher than that in the control group(P<0.05).CONCLUSION CCRT can significantly improve cognitive function and social abilities in patients with chronic schizophrenia.
基金Hospital-level project of Shanghai Jinshan Mental Health Center,“Effects of SST Social Skills Training Group on Social Function of Schizophrenia Patients”(Project No.:JZX-2022-002)。
文摘Objective:To explore the effect of Social Skills Training(SST)on the social function of inpatients with schizophrenia.Methods:A total of 40 patients with schizophrenia(20 in the intervention group and 20 in the control group)were selected from a psychiatric hospital in Shanghai for 10 times(once a week)of social skills training.The control group was treated with routine hospitalization(drug therapy and routine hospitalization nursing)for 10 weeks.Social Disability Screening Schedule before and after intervention for patients enrolled in the intervention group(Social Disability Screening Schedule,SDSS and Scale of Social Function in Psychosis Inpatients,SSPI).Conclusion:The results of social skills training on SDSS and SSPI were different between the two groups,and there was no statistical value(P>0.05).Observation of patients in this group,when undergoing social skills training,SSPI score was significantly better than the control group(P<0.01)and SDSS score was significantly lower than the control group(P<0.01),the differences were statistically significant.Social skills training and social work group intervention can improve psychiatric symptoms and further enhance social function in hospitalized patients with schizophrenia.
文摘The aim of the study was to investigate the functional performance in children with spina bifida, using the Pediatric Evaluation of Disability Inventory （PEDI） to look into capacity of twen- ty-eight children with spina bifida with lesions at different levels in different dimensions of self- care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 （1-10） years. In the muscle test carried out, 13 patients （44.8%） had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients （54%） were non-ambulatory according to the Hoofer ambulation classification. Raw and scale scores in the self-care, mobil- ity and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambu- lation Scale and muscle test （P 〈 0.05）. A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test （P 〈 0.005）. A negative relation was also found between Care- giver Assistance Scale-mobility and Functional Ambulation Scale and muscle test （P 〈 0.005）. In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence.
基金Supported by Ningbo Science and Technology Plan Project Public Welfare Plan(Municipal Level),No:2019C50099Ningbo Medical Key Supporting Discipline Child Health Science,No:2022-F26。
文摘BACKGROUND Long-term treatment of attention deficit/hyperactivity disorder(ADHD)is associated with adverse events,such as nausea and vomiting,dizziness,and sleep disturbances,and poor maintenance of late ADHD medication compromises treatment outcomes and prolongs the recovery of patients’social functioning.AIM To evaluate the effect of non-pharmacological treatment on the full recovery of social functioning in patients with ADHD.METHODS A total of 90 patients diagnosed with ADHD between May 2019 and August 2020 were included in the study and randomly assigned to either the pharmacological group(methylphenidate hydrochloride and tomoxetine hydrochloride)or the non-pharmacological group(parental training,behavior modification,sensory integration therapy,and sand tray therapy),with 45 cases in each group.Outcome measures included treatment compliance,Swanson,Nolan,and Pelham,Version IV(SNAP-IV)scores,Conners Parent Symptom Questionnaire(PSQ)scores,and Weiss Functional Impairment Rating Scale(WFIRS)scores.RESULTS The non-pharmacological interventions resulted in significantly higher compliance in patients(95.56%)compared with medication(71.11%)(P<0.05).However,no significant differences in SNAP-IV and PSQ scores,in addition to the learning/school,social activities,and adventure activities of the WFIRS scores were observed between the two groups(P>0.05).Patients with non-pharmacological interventions showed higher WFIRS scores for family,daily life skills,and self-concept than those in the pharmacological group(P<0.05).CONCLUSION Non-pharmacological interventions,in contrast to the potential risks of adverse events after longterm medication,improve patient treatment compliance,alleviate patients’behavioral symptoms of attention,impulsivity,and hyperactivity,and improve their cognitive ability,thereby improving family relationships and patient self-evaluation.
文摘Consumption has drawn scholars＇ attention from many fields and is studied from many perspectives. With the overwhelmingly powerful position of consumption in the society, new meanings have been endowed with the behavior of consumption. This paper tries to introduce the consumer culture theory, referring mainly to the French sociologist Baudrillard and to explore the social functions, namely differentiation and alienation of consumption under the consumer culture context.
文摘OBJECTIVE. The relationships between subjective satisfaction, distress and quality of life for severely mental ill patients with different functional levels and gender was investigated in a multi-center cohort, using a balanced mix of subjective and clinician ratings in an outcome-informed model for a clinical management based on shared decision making, 'The Quality star'. METHODS. Naturalistic data for 2552 persons, mainly with schizophrenia diagnoses, in long-term treatment and rehabilitation, were analyzed in a cross-sectional study. RESULTS. With increasing Social Function, rated with the split-GAF Disability/Functioning scale, the better were patients' Satisfaction, subjective Quality of life and Perceived Global Distress. Women were more satisfied with the care but also more distressed. CONCLUSION. Main findings were in line with other studies. However, the gender differences are in line with some, but not with other, studies. This poses questions how patient factors, instrument constructs, and treatment, especially shared decision making, influence subjective reports.
基金Supported by the R+D Project funded by the Spanish Ministry of Science and Innovation MCIN/AEI/10.13039/501100011033 and by FEDER,EU,No.PID2021-122987OA-I00.
文摘BACKGROUND Psychotic disorders are characterized by both positive symptoms(hallucinations,delusions)and negative symptoms(emotional blunting,anhedonia)that impair daily functioning.While antipsychotic drugs and psychological interventions are effective when addressing positive symptoms,treatment of negative symptoms remains an ongoing challenge.Mindfulness-based interventions(MBIs)have been shown to reduce negative psychotic symptoms.However,as negative psychotic symptoms are assessed as a sole entity rather than a sum of manifestations,the effect of MBIs remains unclear.AIM To examine the effects of MBI in addition to integrated rehabilitation treatment(IRT)for people experiencing psychosis on each of the negative psychotic symptoms.METHODS A randomized controlled clinical trial with preintervention and postintervention measures was designed.The main outcome variable was negative psychotic symptoms assessed through the seven subscales of the Spanish version of the positive and negative syndrome scale.Data were analyzed using a repeated measures analysis of variance and reliable change index calculation.RESULTS There were no statistical differences between groups at the preintervention assessment.Statistically significant differences were found after MBI for the time in emotional withdrawal(F=37.75,P<0.001,η2=0.437)and social withdrawal(F=37.75,P<0.001,η2=0.437).CONCLUSION MBI added to IRT reduced the lack of interest and involvement with affective commitment to daily life activities,and interest and engagement in social activities increased.These negative psychotic symptoms were not improved by IRT alone.
基金funded by the National Key Research and Development Program of China(No.2018YFB0505400)the National Natural Science Foundation of China Project(Grant Nos.42071370,41771484).
文摘Analysis of urban spatial structures is an effective way to explain and solve increasingly serious urban problems.However,many of the existing methods are limited because of data quality and availability,and usually yield inaccurate results due to the unclear description of urban social functions.In this paper,we present an investigation on urban social function based spatial structure analysis using building footprint data.An improved turning function(TF)algorithm and a selforganizing clustering method are presented to generate the variable area units(VAUs)of high-homogeneity from building footprints as the basic research units.Based on the generated VAUs,five spatial metrics are then developed for measuring the morphological characteristics and the spatial distribution patterns of buildings in an urban block.Within these spatial metrics,three models are formulated for calculating the social function likelihoods of each urban block to describe mixed social functions in an urban block,quantitatively.Consequently,the urban structures can be clearly observed by an analysis of the spatial distribution patterns,the development trends,and the hierarchy of different social functions.The results of a case study conducted for Munich validate the effectiveness of the proposed method.
文摘Urban land use is always the central focus of urban planners and policymakers when pursuing urban sustainable development.Currently,many studies have explored urban land use using satellite data,but few of them can identify the social function of land use through these data.In this research,OpenStreetMap(OSM)data are used to extract urban land use social functional units.Firstly,the OSM data are transferred to actual land use types based on the established mapping rules between OSM data and the urban land use classification standards.Then,the improved DBSCAN algorithm is applied with OSM data of the study area after estimating the parameters of the neighborhood radius(Eps)and the minimum polygons(MinPolys)based on the polygon density.With the two estimated parameters,the improved DBSCAN algorithm is used to cluster residential,commercial and public service land use social functional polygons of the OSM data.Following that,the clusters of the three land use types are processed into land use social functional units.The results show that OSM data perform well in determining these three land use social functional clusters using the improved DBSCAN algorithm,and the social functional units display obvious spatial features.
文摘The increasing proportions of older people in the populations of many societies and the patterns of increasing global mobility make social services with ageing ethnic minorities of ever greater importance to social work practitioners. The paper reviews current knowledge and understanding of factors that contribute to social functioning within and outside the family among one migrant group： older ethnic Chinese in Western countries. The findings show that the capacity to maintain a functional social role varies across different groups of Chinese ethnic elders： some are marginalized and excluded from mainstream social engagement on a number of different levels. Some have difl!iculty in accessing public services; some are in a disadvantageous position with regard to wider social connections; and others are empowered in later life in terms of income, social engagement, autonomy and being in a collective, reciprocal relationship. The impact of these factors is complicated by the mixture of the older people＇s cultural heritage, degree of acculturation, socioeconomic status, educational achievements, patterns and history of immigration, refigious beliefs, and family dynamics. Similarly these factors must be understood by social service professionals for providing services to match the needs of ethnic Chinese older people.
基金The study procedures were approved by the Ethics Committee of the Affiliated Hospital of Jiangnan University(approval No.WXSY-YXLL-AF/SC-02/01.0).
文摘BACKGROUND An acute myocardial infarction(AMI)is often treated with direct coronary intervention and requires home-based rehabilitation.Caregivers of patients with AMI need adequate social support to maintain high-quality care;however,their social support function is low,and relevant indicators for intervention must be identified.AIM To analyze the correlation between social support for primary caregivers,their anxiety,and depression,when caring for patients with AMI after interventional therapy.METHODS Using convenience sampling,we selected 300 primary caregivers of patients with AMI who had undergone interventional therapy.The Social Support Rating Scale(SSRS),Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to assess the primary caregivers.A Pearson’s correlation analysis was used to analyze the correlations between the SSRS,SAS,and SDS,and a multiple logistic regression analysis was used to analyze the factors influencing the low social support function of primary caregivers.The receiver operating characteristic curve and area under the curve(AUC)were used to evaluate the predictive ability of the SAS and SDS for low social support function in primary caregivers.RESULTS Considering the norm among Chinese people,AMI caregivers’objective support,subjective support,support utilization,and SSRS scores were lower,while their SAS and SDS scores were higher.The SSRS scores of female caregivers were higher than those of the male caregivers(t=2.123,P=0.035).The Pearson correlation analysis showed that objective support,subjective support,support utilization,and SSRS total scores were significantly correlated with both SAS(r=-0.414,-0.460,-0.416,-0.535)and SDS scores(r=-0.463,-0.379,-0.349,-0.472).Among the 300 AMI caregivers,56 cases(18.67%)had a low level of support function(SSRS≤22 points).Logistic regression model analysis showed that SAS and SDS were independent risk factors for low social support function of AMI caregivers,regardless of adjustment for other variables(P<0.05).SAS and SDS predicted that the AUC of AMI caregivers with low support function was 0.84,sensitivity was 67.9 and 71.4,and specificity was 84.0 and 70.9,respectively.CONCLUSION The social support function of the primary caregiver of patients with AMI after interventional therapy was lower and negatively correlated with anxiety and depression in the primary caregiver.
文摘Euphemism,as a unique form in language expression,conveys a lot about the society and culture in which it exits.This paper studies the functions of euphemism and its application of euphemisms in social-cultural activities.
文摘The concept of social capital encompasses all relationships and networks among people in a local community or society as a whole. It has been found to be associated with the health and daily living status of people. Furthermore, an association between social capital and cognitive functions among the elderly has been suggested in recent years. However, the number of such reports is very few. Hence, the present study aims to evaluate the relationship between social capital and cognitive functions among the elderly living in a local community in Japan. A questionnaire survey was administered to 192 elderly individuals belonging to 10 neighborhood elderly groups. A regression analysis was conducted to determine the relationship between cognitive functions and the level of engagement with the local community, after adjusting for age, gender, and symptoms of depression. Valid responses were collected from 145 participants (mean age: 75.3 years). An analysis of the data concerning the level of engagement with the local community revealed a significant difference in the cognitive function scores between the group of people who indicated that they had someone they could consult (n = 69) and the group that indicated they had no one to consult (n = 76) (regression coefficient: -0.61, p = 0.0038, 95% confidence interval: -1.02 to -0.20). This result indicates the existence of a significant correlation between social capital and cognitive functions of the elderly living in a local community. In future studies, we need to investigate the same with a larger number of participants from a wider geographical area, and by incorporating more indicators for a comprehensive evaluation of social capital.
