简介：Anxietyisacommonhumanexperiencethatmaybeareactiontoanexternalthreatoraninnerconflict.Itcomprisesapowerfulemotionalcomponentassociatedwithfearfulthoughtsandaphysiologicalresponse.Itcanhavebeneficialeffectssuchasenhancingperformance,butoftencausesdistressandcanhaveprofoundnegativeeffectsonbehaviour.

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简介：在现实生活中，人们不时地会遇到这样或那样的烦心事或麻烦，总得宣泄一番，那么怎样以不同的方式来表达自己高兴、焦急或恐惧等情感呢。

简介：Cardiovasculardisease(CVD)anddepressionandanxietycontributesubstantiallytothecurrentdiseaseburdenworldwideaswellasinChina.BothdepressionandanxietyarehighlyprevalentamongpatientswithCVD.WesystematicallyreviewedtheliteraturetodisentangletheroleofdepressionandanxietydisordersintheonsetandprognosisofCVDwithanemphasisoncohortstudiesconductedintheChinesepopulation.Despitethelackoflarge-scaleprospectivestudiesinChina,theavailableevidenceimpliesthatbothdepressionandanxietyarecloselyassociatedwiththeonsetandprognosisofCVD,includingischemicheartdiseaseandstroke,inChineseadults.Putativebehavioralandbiologicalmechanismsareimplicatedinthelinkbetweendepression/anxietyandCVD.TimelyscreeninganddiagnosisfollowedbypropertreatmentshouldbeimplementedfordepressionandanxietyinboththegeneralpopulationandpatientswithCVD.CurrentstandardtreatmentssuchasselectiveserotoninreuptakeinhibitorsandpsychotherapiesarerecommendedforCVDpatientswithdepression,althoughtheirefficacyforreducingCVDmorbidityandmortalityremainsuncertain.Inconclusion,prospectivestudiesonthelinkbetweendepression/anxietyandtheonsetandprognosisofCVDareurgentlyneededintheChinesepopulation,andmoreeffortsarewarrantedtoexaminetheefficacyofdepressionandanxietytreatmentsforCVDpatients,particularlytheintegratedcaremodelofincludingpsychiatristsinamultidisciplinaryclinicalgroup.

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简介：Anxietyisacommonphenomenonintheprocessoflisteningcomprehension.Itdirectlyaffectstheresultoflistening.ThisarticleexplorestheeffectofanxietyonEnglishlistening,analyzesthecontributingfactorscausedanxietyfromthesubjectandobjectandputsforwardthestrategiesoflesseningandovercomingtheiranxietytoimprovetheseniormiddleschoolstudents’Englishlisteninglevel.

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简介：Overthepastfewyears,theU.S.hasaccelerateditsglobalstrategicshifttotheAsia-PacificregionevenwhileAfghanistanandIraqhavenotyetbeensettled.TheU.S.isworriedaboutitshegemonicaspirationsandthatitsstrategicrelationshipswithitsAsianalliesmightbeerodedifitdoesnotboostitspresenceintheAsia-Pacific.

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简介：目的：观察疏肝理气、清心除烦中药结合针刺治疗广泛性焦虑症的疗效。方法：治疗组用针刺结合中药治疗40例，对照组采用口服多虑平治疗38例，治疗前、中、后均作焦虑自评量表（SAS）、副反应量表（TESS）评定。结果：治疗组与对照组总有效率分别为82．5％和84．2％，两组治疗前后SAS组内比较差异有统计学意义（P〈0．01），两组间痊愈显效率、总有效率及SAS评分比较无差异（P〉0．05），但副反应对照组显著高于治疗组（P〈0．01）。结论：针刺结合中药治疗广泛性焦虑症疗效确切，且毒副反应轻微。

简介：Depression/anxietyiscommonlypresentinpacedpatientsandisassociatedwithincreasedcardiovascularmorbidityandmortality.Thehighprevalenceofdepression/anxietyinpacedpatientssupportsastrategyofincreasedawarenessandtreatmentfordepression/anxietyinpacedpatients.Health-relatedqualityoflife(HRQoL)isbeingincreasinglyconsideredasanexpectedout-comeoftherapeuticinterventionsandrehabilitationprogramsinclinicalcardiologyincludingpatientsbeforeandafterpacemaker(PM)implantation.Thismultispecialtyconsensusdocumentreviewstheevidencelinkingdepression/anxietywitharrhythmiaandcardiacpacing;HRQoLandcardiacpacing,atthesametime,providesrecommendationsforhealthcareprovidersforthetreatmentofdepression/anxiety.

简介：目的：观察电针对海洛因依赖者戒断后焦虑症状的干预作用。方法：60例经脱毒治疗且尿检吗啡阴性的海洛因依赖者，根据随机数字表随机分为2组，针刺组30例，给予电针治疗；对照组30例，不予任何干预治疗。分别于治疗前、治疗1星期、治疗2星期、治疗3星期，用汉密尔顿焦虑量表对患者进行评定。结果：治疗后针刺组在改善海洛因依赖者的焦虑症状方面明显优于对照组（P〈0．01）。结论：电针在改善海洛因依赖者的焦虑症状和情绪方面具有优势效应。

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简介：Objective:Toevaluatetheeffectofmultidisciplinarycollaborativecare(MCC)inpatientswithbothacutecoronarysyndrome(ACS)anddepressionand/oranxietydisorderscomparedwithusualphysiciancare(UPC).Methods:Depressionand/oranxietywerescreenedbyusingSDSandSAS,ACSpatientswithdepressionand/oranxietydisorderswererandomizedintoMCCandUPCgroups.Thecardiacoutcomesandthelifequalitywereevaluatedat1yearfollow-up.Results:Overall,30.19%(96/318)patientshadpositivescreenresults.At1year,CardiacoutcomemeasuresforpatientsinMCCgroupweresignificantlybetterforcompositeeventsofcardiacdeathandnon-fatalMI(6.12%vs23.40%,p=0.016),cardiacfunction(NYHAfunctionalclassificationIIIorIV,0%vs25%,p=0.05),andanginapectoris(21.28%vs85%,p<0.0005),thanpatientsinUPCgroup;thelifequalitywereimprovedinpatientsinMCCgroup.Conclusion:AfterACS,30.19%ofpatientshaddepressionand/oranxietydisorders,MCChadbettereffectsoncardiacoutcomesandqualityoflifeinACSpatientswithPsychiatricdisorders.

简介：AbstractPurpose:Given the increased risk of accidents in patients with attention deficit and hyperactivity disorder (ADHD) or maternal anxiety/depression, we aimed to investigate the frequency of the two diseases in children with penetrating eye injury (PEI).Methods:Altogether 79 children, 39 with PEIs and 40 healthy individuals (control group), aged 5-15 years, underwent a complete ophthalmologic examination. Afterwards, schedule for affective disorders and schizophrenia for school-aged children was conducted to assess the psychiatric diagnosis of all children. Turgay diagnostic and statistical manual of mental disorders (DSM-IV)-based child and adolescent behavior disorders screening and rating scale (T-DSM-IV-S) was filled by parents to evaluate the severity of ADHD symptoms. The depression and anxiety levels of mothers of each group were evaluated by two self-report measures: the Beck depression scale and the state-trait anxiety inventory (STAI), respectively. Data were analyzed by IBM SPSS version 22.0. The Chi-square and Fisher's exact test were used to determine whether there is a significant difference between qualitative variables while independent sample t and Mann-Whitney U tests to compare quantitative variables.Results:The only diagnostic difference was a significantly higher frequency of ADHD among patients with PEIs (48.7% in PEI vs. 17.5% in control group, χ2 = 7.359, p = 0.007). The total scores of the T-DSM-IVS (attention subscale U = 418.000, p = 0.006; hyperactivity subscale U = 472.000, p = 0.022) and maternal state-trait anxiety inventory (maternal STAI-state U = 243.000, p = 0.003; maternal STAI-trait U = 298.000, p = 0.021) were significantly higher in the PEI group than in control group. In logistic regression, children with PEI had a tendency to have a 3.5-fold increased risk for ADHD (OR = 3.538, CI = 0.960-13.039, p = 0.058).Conclusion:ADHD was detected almost 1 in 2 children with PEIs. Besides, the maternal anxiety level was significantly higher in the PEI group than in the control group. This association should be further explored via a future prospective longitudinal study. Since a proper treatment of ADHD in children and anxiety treatment in mothers may prevent vision loss following PEIs in children.

简介：Atotalof30studentsscoringbetween12and20ontheTestAnxietyScalewhohadbeenexhibitingananxiousstate>24hours,and30normalcontrolstudentswererecruited.IndicesofheartratevariabilitywererecordedusinganActiheartelectrocardiogramrecorderat10minutesbeforeauricularpressing,inthefirsthalfofstimulationandinthesecondhalfofstimulation.Theresultsrevealedthatthestandarddeviationofallnormaltonormalintervalsandtherootmeansquareofstandarddeviationofnormaltonormalintervalsweresignificantlyincreasedafterstimulation.Theheartratevariabilitytriangularindex,very-low-frequencypower,low-frequencypower,andtheratiooflow-frequencytohigh-frequencypowerwereincreasedtodifferentdegreesafterstimulation.Comparedwithnormalcontrols,therootmeansquareofstandarddeviationofnormaltonormalintervalswassignificantlyincreasedinanxiousstudentsfollowingauricularpressing.Theseresultsindicatedthatauricularpressingcanelevateheartratevariability,especiallytherootmeansquareofstandarddeviationofnormaltonormalintervalsinstudentswithpre-examanxiety.

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简介：AbstractBackground:The diagnosis of epilepsy in a child often and understandably causes psychological adjustment difficulties in the parents. To help parents of children with epilepsy cope with stress, it is important to understand how parents cope with the sickness of their child. The objective of this study was to assess factors related to the state of anxiety and depression among parents of children with epilepsy.Methods:The present study was a cross-sectional study, and the data were collected through an anonymous, Internet-based survey platform between October 2018 and October 2019 from 250 participants aged 22-65 years. Participants were invited to fill questionnaires include socioeconomic questionnaire, anxiety, depression, and coping strategies scale.Result:Among the parents of children with epilepsy, 48.8% (122/250) had depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] score >4) and 46.4% (116/250) had anxiety symptoms (7-item Generalized Anxiety Disorder [GAD-7] score >5). Depression among parents of children with epilepsy was significantly associated with comorbidity (odds ratio [OR] = 0.392, 95% CI = 0.182-0.846), a poor parental relationship (OR = 0.283, 95% CI = 0.130-0.614), positive coping (OR = 0.947, 95% CI = 0.903-0.992), and negative coping (OR = 1.287, 95% CI = 1.179-1.405). Anxiety among parents of children with epilepsy was significantly associated with a poor parental relationship (OR = 0.416, 95% CI = 0.207-0.835) and negative coping (OR = 1.155, 95% CI = 1.087-1.228).Conclusions:The present study indicates the importance of couple support and providing effective coping to make parents of children with epilepsy more resilient in the presence of negative life events, especially for parents of children with comorbidity with cognitive deficiency.

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简介：Thepurposeofthestudywastoinvestigatepre-retirementanxietyamongteachersintheEasternregioninGhana.Thedescriptivesurveydesignwasadoptedforthestudy.Thetotalpopulationforthestudywasmadeupofalltheteachersdueforretirementinthe2017academicyearintheYilo-KroboMunicipalityintheEasternRegionofGhana.Theestimatedpopulationforthestudywas200retirees.Simplerandomsamplingwasusedinsampling70teachersenlistedforretirementintheYilo-KroboMunicipality.Aquestionnairewasusedingatheringdata.Datawasanalysedusingdescriptiveandinferentialstatistics.Itemergedfromthestudythatthesourcesofpre-retirementanxietyareinadequatefund,managingmentalhealth,managinganewandlowersocialstatus,inadequateplanningforretirement,anddifficultyintimemanagement.Thestudyrevealedthatthechallengesfacedbyrespondentsarerelatedtoinadequatefinancialpreparation,retirementcontributingtofasterageing,retirementleadingtoearlydeath,retirementcontributingtoloneliness,andcontributingtofriendsuponretirement.ThestudyshowedthattherearenoretirementcounsellingservicesavailableintheYilo-KroboMunicipality.Thestudyfurtherrevealedthattherewasanegativecorrelationbetweensocialsupportandpre-retirementanxiety.ThestudythereforerecommendsthattheYilo-KroboMunicipaleducationaldirectorateandtheMunicipalSocialSecurityInsuranceOfficeshouldcollaborativelyworkwiththevariouscounsellorsintheMunicipalitytofullyassistteachersforadequatelyplanfinancially,makearrangementforaccommodations,theeducationaldirectorate,andtheSocialSecurityandNationalInsuranceTrust(SSNIT)shouldmakeretirementprocesseslessbureaucraticandcostly.Counsellorsshouldeducateteachersonageingandlifeafterretirementtoimprovetheirlevelofadjustment.