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Shanghai Archives of Psychiatry

Jinyuan Liu, Wan Tang, Guanqin Chen, Yin Lu, Changyong Feng, Xin M Tu
Agreement and correlation are widely-used concepts that assess the association between variables. Although similar and related, they represent completely different notions of association. Assessing agreement between variables assumes that the variables measure the same construct, while correlation of variables can be assessed for variables that measure completely different constructs. This conceptual difference requires the use of different statistical methods, and when assessing agreement or correlation, the statistical method may vary depending on the distribution of the data and the interest of the investigator...
April 25, 2016: Shanghai Archives of Psychiatry
Zhongyong Shi, Shifu Xiao, Xia Li
The current case describes a 78-year-old female with two previous episodes of major depression who presented with both symptoms of depression (amotivation and flattened affect) and typical symptoms of dementia (impaired memory and executive functioning). Even after a detailed clinical exam and neuropsychiatric testing, it remained difficult to definitively classify the diagnosis as either treatment-resistant depression or old-age dementia. After 8 weeks of inpatient treatment, including changing her reserpine-based antihypertensive medication, adjusting her antidepressants, and providing psychotherapy, her depressive and anxiety symptoms improved, but most of her cognitive symptoms persisted...
April 25, 2016: Shanghai Archives of Psychiatry
Satyakam Mohapatra, Udit Kumar Panda
Prader-Willi syndrome is a neurodevelopmental disorder characterized by mental retardation and distinct physical, behavioral, and psychiatric features. Maladaptive behaviours, cognitive impairment, and impediments in speech and language seriously affect the early development and long-term functioning of individuals affected by the illness. We present a case of a 9-year-old child with Prader-Willi syndrome whose behavioural symptoms were treated with low-dose antipsychotic medications.
April 25, 2016: Shanghai Archives of Psychiatry
Zhen Wang, Yuan Wang, Qing Zhao, Kaida Jiang
Hoarding disorder, newly included as a separate diagnostic entity in the Obsessive-Compulsive and Related Disorders section of DSM-5, has been reported to have significantly different symptoms and etiology than obsessive-compulsive disorder (OCD). However, the validity of this new diagnosis in China - where the storing of possessions is sanctioned and normalized - remains to be proven. We considered available data about pathological hoarding in East Asia and found the condition to be relatively common and symptomatically similar to that reported in western countries...
April 25, 2016: Shanghai Archives of Psychiatry
Jing Zhang, Zhongde Pan, Chao Gui, Jie Zhu, Donghong Cui
BACKGROUND: A new area of interest in the search for biomarkers for schizophrenia is the study of the acoustic parameters of speech called 'speech signal features'. Several of these features have been shown to be related to emotional responsiveness, a characteristic that is notably restricted in patients with schizophrenia, particularly those with prominent negative symptoms. AIM: Assess the relationship of selected acoustic parameters of speech to the severity of clinical symptoms in patients with chronic schizophrenia and compare these characteristics between patients and matched healthy controls...
April 25, 2016: Shanghai Archives of Psychiatry
Hacer Sezgin, Cicek Hocaoglu, Emine Seda Guvendag-Guven
BACKGROUND: Infertility is a major life crisis which can lead to the development of psychiatric symptoms and negative effects on the quality of life of affected couples, but the magnitude of the effects may vary depending on cultural expectations. AIM: We compare the level of psychiatric symptoms, disability, and quality of life in fertile and infertile women in urban Turkey. METHODS: This cross-sectional study enrolled 100 married women being treated for infertility at the outpatient department of the Obstetrics and Gynecology Department of the Rize Education and Research Hospital and a control group of 100 fertile married women...
April 25, 2016: Shanghai Archives of Psychiatry
Qingzhi Zeng, Yanling He, Zhenyu Shi, Weiqing Liu, Hua Tao, Shiming Bu, Donglei Miao, Ping Liu, Xuanzhao Zhang, Xiaoping Li, Xuejun Qi, Qin Zhou
BACKGROUND: Depression and anxiety often occur in persons with chronic physical illnesses and typically magnify the impairment caused by these physical conditions, but little attention has been paid to this issue in low- and middle-income countries. AIM: Evaluate the effectiveness of a community-based psychological intervention administered by non-specialized clinicians and volunteers for alleviating depressive and anxiety symptoms in individuals with chronic physical illnesses...
April 25, 2016: Shanghai Archives of Psychiatry
Wei Zheng, Ying-Qiang Xiang, Gabor S Ungvari, F K Helen Chiu, Chee H Ng, Ying Wang, Yu-Tao Xiang
BACKGROUND: Acetylcholinesterase (AChE) inhibitors have been shown to be effective in treating cognitive impairment in animal models and in human subjects with major depressive disorder (MDD). Huperzine A (HupA), a Traditional Chinese Medicine derived from a genus of clubmosses known as Huperzineserrata, is a powerful AChE inhibitor that has been used as an adjunctive treatment for MDD, but no meta-analysis on HupA augmentation for MDD has yet been reported. AIM: Conduct a systematic review and meta-analysis of randomized controlled trials (RCTS) about HupA augmentation in the treatment of MDD to evaluate its efficacy and safety...
April 25, 2016: Shanghai Archives of Psychiatry
Changyong Feng, Hongyue Wang, Bokai Wang, Xiang Lu, Hao Sun, Xin M Tu
The relative risk, risk difference, and odds ratio are the three most commonly used measures for comparing the risk of disease between different groups. Although widely popular in biomedical and psychosocial research, the relationship among the three measures has not been clarified in the literature. Many researchers incorrectly assume a monotonic relationship, such that higher (or lower) values in one measure are associated with higher (or lower) values in the other measures. In this paper we discuss three theorems and provide examples demonstrating that this is not the case; there is no logical relationship between any of these measures...
February 25, 2016: Shanghai Archives of Psychiatry
M S Bhatia, Priyanka Gautam
Earthquakes are relatively common natural disasters in many parts of the world, but research about the mental health effects of earthquakes remains limited. Individuals experiencing an earthquake often suffer significant loss and are at increased risk for developing mental disorders. However, the prevalence of mental disorders following less dramatic or non-destructive earthquake phenomena is unknown. We report the case of a 10-year-old girl who came to a psychiatric outpatient department with a 2-week history of severe, disabling anxiety symptoms precipitated by non-destructive tremors from a distant earthquake that received extensive coverage in the local press...
February 25, 2016: Shanghai Archives of Psychiatry
Yingfeng Zhang, Hongxia Ma, Yanbin Wang
Few reports exist about the treatment of body dysmorphic disorder (BDD) in patients who are suicidal. This case report describes a 19-year-old male with BDD who had delusional-intensity beliefs about facial disfigurement that had gradually intensified over a 2-year period. However, he was initially misdiagnosed with depression partly because he was admitted immediately after a suicide attempt that was associated with depressive symptoms and social withdrawal, symptoms that subsequently proved to be secondary to his BDD...
February 25, 2016: Shanghai Archives of Psychiatry
Meiti Wang, Donghong Cui
Cross-disorder studies are identifying shared genetic variations among common mental illnesses - including schizophrenia, bipolar disorder, and major depression - which are classified as independent disorders in the current diagnostic system. These cross-disorder studies are challenging the traditional system of diagnosing mental disorders based on clinical symptoms, but it remains to be seen whether or not they will lead to an improved method of classifying psychiatric disorders that can, in turn, lead to better outcomes for individuals suffering from these conditions...
February 25, 2016: Shanghai Archives of Psychiatry
Chen Zhang
The present diagnostic classification of mental illnesses is primarily based on symptomatology. A recent cross-disorder genome-wide association study revealed that there were genetic similarities between multiple clinically defined diagnoses (including schizophrenia, bipolar disorder, depression, attention deficit hyperactivity disorder, and autism spectrum disorder) on regions of chromosomes 3p21 and 10q24 and single-nucleotide polymorphisms (SNPs) within two L-type voltage-gated calcium channel subunits of CACNA1C and CACNB2...
February 25, 2016: Shanghai Archives of Psychiatry
Yafei Wu, Shiyan Yan, Yanping Bao, Zhi Lian, Zhi Qu, Zhimin Liu
BACKGROUND: Methadone maintenance treatment (MMT) is widely recognized as an effective method of combatting narcotic addiction. MMT reduces heroin withdrawal symptoms and, thus, makes it possible to provide the psychological and social support that is essential to the rehabilitation of drug users. AIM: Compare the severity of depressive symptoms in heroin users who are currently receiving MMT to that of heroin users who are not receiving MMT. METHODS: We administered the 13-item version of the Beck Depression Inventory (BDI-13) and a demographic history form to 929 heroin users who had been receiving MMT at nine methadone treatment clinics in three Chinese cities for an average of 9 months and to 238 heroin users who had enrolled in a MMT program at the centers but had not yet begun MMT...
February 25, 2016: Shanghai Archives of Psychiatry
Negin Paast, Zohreh Khosravi, Amir Hossein Memari, Monir Shayestehfar, Mohammad Arbabi
BACKGROUND: Cognitive functioning in individuals with Obsessive Compulsive Disorder (OCD) and with Obsessive Compulsive Personality Disorder (OCPD) has not been adequately studied. AIM: Examine the cognitive flexibility and planning ability of individuals with OCD and OCPD. METHODS: Twenty patients with OCD and 25 patients with OCPD who had not taken medication in the previous two weeks were identified in an outpatient psychology clinic in Tehran, and 25 healthy control subjects were identified from the university staff and local community residents...
February 25, 2016: Shanghai Archives of Psychiatry
Boyuan Zhang, Xuefan Ding, Weihong Lu, Jing Zhao, Qinyu Lv, Zhenghui Yi, Shaoping Zhang, Yindi Chen
BACKGROUND: Several studies of moderate-to-severe depression have shown that combined treatment with individual cognitive behavioral therapy (CBT) and antidepressant medication is better than either CBT or antidepressants alone. Less research has focused on the outcomes of group-CBT and antidepressants in persons with mild depression. AIM: Evaluate the effects of group-CBT in combination with antidepressants on the quality of life and social functioning of outpatients with mild depression...
February 25, 2016: Shanghai Archives of Psychiatry
Wei Xiong, Michael R Phillips
The following document is a translation of the 2015-2020 National Mental Health Work Plan of the People's Republic of China which was issued by the General Office of China's State Council on June 4, 2015. The original Chinese version of the document is available at the official government website: The translators have added annotations at the end of the document that provide background information to help contextualize content that may be unclear to readers unfamiliar with China and explain their decisions when translating terms that can have multiple interpretations...
February 25, 2016: Shanghai Archives of Psychiatry
Matteo Tonna, Andrea Amerio, Anna Odone, Brendon Stubbs, S Nassir Ghaemi
A full-text Chinese translation of this article will be available at on April 25, 2016.
December 25, 2015: Shanghai Archives of Psychiatry
Ying Lu, Ilana Belitskaya-Levy
The p-value is the most widely used statistical concept in biomedical research. Recently, there are controversies over its utility and over the possible relationship between p-value misuse and the relatively high proportion of published medical research that cannot be replicated. In this paper, we introduce the p-value in layman's terms and explain its randomness and limitations. However, we also point out that the available alternatives to p-value suffer similar limitations. We conclude that using p values is a valid way to test the null and alternative hypotheses in clinical trials...
December 25, 2015: Shanghai Archives of Psychiatry
Chenyu Ye, Yamin Zhuang, Jianlin Ji, Hao Chen
Panic attacks are common among patients who have undergone heart transplantation, but there are no clinical guidelines for the treatment of panic attacks in this group of patients. This report describes a 22-year-old woman who experienced panic attacks 10 years after heart transplant surgery. The attacks started after she discovered that the average post-transplantation survival is 10 years. Treated with citalopram 10 mg/d, her symptoms improved significantly after 2 weeks and had completely resolved after 8 weeks...
December 25, 2015: Shanghai Archives of Psychiatry
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