scholarly journals Psychiatric disorders in China: strengths and challenges of contemporary research and clinical services

2021 ◽  
pp. 1-14
Author(s):  
Xiao Chang ◽  
Qiyong Gong ◽  
Chunbo Li ◽  
Weihua Yue ◽  
Xin Yu ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Disease Burden ◽  
Large Scale ◽  
Well Being ◽  
Research Quality ◽  
Psychiatric Research ◽  
Clinical Services ◽  
Contributing Factors ◽  
Brain Functions ◽  
Neuroscience Research

Abstract China accounts for 17% of the global disease burden attributable to mental, neurological and substance use disorders. As a country undergoing profound societal change, China faces growing challenges to reduce the disease burden caused by psychiatric disorders. In this review, we aim to present an overview of progress in neuroscience research and clinical services for psychiatric disorders in China during the past three decades, analysing contributing factors and potential challenges to the field development. We first review studies in the epidemiological, genetic and neuroimaging fields as examples to illustrate a growing contribution of studies from China to the neuroscience research. Next, we introduce large-scale, open-access imaging genetic cohorts and recently initiated brain banks in China as platforms to study healthy brain functions and brain disorders. Then, we show progress in clinical services, including an integration of hospital and community-based healthcare systems and early intervention schemes. We finally discuss opportunities and existing challenges: achievements in research and clinical services are indispensable to the growing funding investment and continued engagement in international collaborations. The unique aspect of traditional Chinese medicine may provide insights to develop a novel treatment for psychiatric disorders. Yet obstacles still remain to promote research quality and to provide ubiquitous clinical services to vulnerable populations. Taken together, we expect to see a sustained advancement in psychiatric research and healthcare system in China. These achievements will contribute to the global efforts to realize good physical, mental and social well-being for all individuals.

scholarly journals Proximal versus distal ecological stress: Socio-ecological influences on political freedom, well-being, and societal confidence in 159 nations

2021 ◽  
Vol 9 (1) ◽  
pp. 306-320
Author(s):  
Lucian Gideon Conway ◽  
Linus Chan ◽  
Shailee R. Woodard ◽  
Mohsen Joshanloo
Keyword(s):  
Water Quality ◽  
Large Scale ◽  
Well Being ◽  
Political Freedom ◽  
Ecological Perspective ◽  
Contributing Factors ◽  
Stress Measurements ◽  
Ecological Stress ◽  
Societal Issues ◽  
Gallup World Poll

Previous work from a socio-ecological perspective reveals that ecological stress has important effects on political, cultural, and psychological outcomes. However, that work has been limited by (1) a focus on distal forms of ecological stress that are hard for societies to control, and (2) a lack of large-scale conceptual replications. The present study aims to fill in these gaps by simultaneously testing the effects of both more distal ecological stress (e.g., climate) and more proximal ecological stress (e.g., water quality) on political restriction, political freedom, well-being, and societal confidence measurements. In a sample from the Gallup World Poll spanning over one and a half million participants and 159 nations, we found that while both kinds of ecological stress measurements predicted greater vertical political restriction, reduced horizontal political restriction, reduced well-being, and reduced freedom, only proximal forms of ecological stress predicted a loss in societal confidence. These results not only provide key conceptual replications of prior studies on new data, they also add previously unstudied outcomes and new ecological stressors. As a result, they help us better understand contributing factors to key societal issues such as freedom, well-being, and societal confidence.

Shared genetic etiology between anxiety disorders and psychiatric and related intermediate phenotypes

2019 ◽  
Vol 50 (4) ◽  
pp. 692-704 ◽  
Author(s):  
Kazutaka Ohi ◽  
Takeshi Otowa ◽  
Mihoko Shimada ◽  
Tsukasa Sasaki ◽  
Hisashi Tanii
Keyword(s):  
Anxiety Disorders ◽  
Psychiatric Disorders ◽  
Genetic Variants ◽  
Large Scale ◽  
Genetic Correlations ◽  
Well Being ◽  
Subjective Well Being ◽  
Intermediate Phenotypes ◽  
Genome Wide ◽  
Common Genetic Variants

AbstractBackgroundPsychiatric disorders and related intermediate phenotypes are highly heritable and have a complex, overlapping polygenic architecture. A large-scale genome-wide association study (GWAS) of anxiety disorders identified genetic variants that are significant on a genome-wide. The current study investigated the genetic etiological overlaps between anxiety disorders and frequently cooccurring psychiatric disorders and intermediate phenotypes.MethodsUsing case–control and factor score models, we investigated the genetic correlations of anxiety disorders with eight psychiatric disorders and intermediate phenotypes [the volumes of seven subcortical brain regions, childhood cognition, general cognitive ability and personality traits (subjective well-being, loneliness, neuroticism and extraversion)] from large-scale GWASs (n= 7556–298 420) by linkage disequilibrium score regression.ResultsAmong psychiatric disorders, the risk of anxiety disorders was positively genetically correlated with the risks of major depressive disorder (MDD) (rg± standard error = 0.83 ± 0.16,p= 1.97 × 10−7), schizophrenia (SCZ) (0.28 ± 0.09,p= 1.10 × 10−3) and attention-deficit/hyperactivity disorder (ADHD) (0.34 ± 0.13,p= 8.40 × 10−3). Among intermediate phenotypes, significant genetic correlations existed between the risk of anxiety disorders and neuroticism (0.81 ± 0.17,p= 1.30 × 10−6), subjective well-being (−0.73 ± 0.18,p= 4.89 × 10−5), general cognitive ability (−0.23 ± 0.08,p= 4.70 × 10−3) and putamen volume (−0.50 ± 0.18,p= 5.00 × 10−3). No other significant genetic correlations between anxiety disorders and psychiatric or intermediate phenotypes were observed (p> 0.05). The case–control model yielded stronger genetic effect sizes than the factor score model.ConclusionsOur findings suggest that common genetic variants underlying the risk of anxiety disorders contribute to elevated risks of MDD, SCZ, ADHD and neuroticism and reduced quality of life, putamen volume and cognitive performance. We suggest that the comorbidity of anxiety disorders is partly explained by common genetic variants.

Genetic influences across the age span

2018 ◽  
pp. 55-58
Author(s):  
Edward Shaw ◽  
Daniel J. Smith
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Mental Illness ◽  
Psychiatric Disorders ◽  
Large Scale ◽  
Genetic Research ◽  
Public Mental Health ◽  
Well Being ◽  
Health Significance

Most psychiatric disorders have a genetic component. Mental illness tends to occur as a consequence of the dynamic interaction between genetic vulnerabilities and environmental risk factors. Future advances in public mental health should bear in mind the important role of genetics in determining mental health and well-being. Genetic research raises important ethical considerations. The challenges of discovering genetic risk factors for psychiatric disorders are outlined, along with examples of recent discoveries from large-scale genetic epidemiological research. The focus is on an age span perspective, with consideration of the role of epigenetic processes during development. Discoveries in childhood (attention deficit hyperactivity disorder), adulthood (schizophrenia and bipolar disorder) and older-age (Alzheimer’s disease) are summarized. The public health significance of psychiatric genetics is considered within the context of ongoing global efforts to understand the causes of mental illness and how this might lead to new approaches to diagnosis, classification, and treatment.

Efficacy of Crisis Intervention

Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Thomas Reisch ◽  
Petra Schlatter ◽  
Wolfgang Tschacher
Keyword(s):  
Crisis Intervention ◽  
Intervention Program ◽  
Suicide Ideation ◽  
Indirect Evidence ◽  
Well Being ◽  
Term Therapy ◽  
Contributing Factors ◽  
Step Therapy ◽  
Long Term Therapy ◽  
The Impact

This study assesses the efficacy of the treatment approach implemented in the Bern Crisis Intervention Program, where particular emphasis is placed on the remediation of suicide ideation and suicidal behavior, and depression, fear, and phobia are generally considered to be contributing factors. Four questionnaires addressing psychopathology, emotional well-being, social anxiety, and personality were administered prior to and after the treatment of 51 patients over a period of 2 to 3 weeks. The reduction of symptoms contributing to suicidal ideation and behavior was interpreted as indirect evidence of an antisuicidal effect of the program. Significant improvements were found in the psychopathology ratings, with depression and anxiety showing the largest reductions. The impact on personality and social phobia, however, was only moderate, and on average patients still exhibited symptoms after attending the program. This residual symptomatology points to the necessity of introducing a two-step therapy approach of intensive intervention targeted at the precipitating causes of the crisis, augmented by long-term therapy to treat underlying problems.

Immigrant Youth in Germany

2013 ◽  
Vol 18 (3) ◽  
pp. 158-168 ◽  
Author(s):  
Emily Frankenberg ◽  
Katharina Kupper ◽  
Ruth Wagner ◽  
Stephan Bongard
Keyword(s):  
School System ◽  
Large Scale ◽  
Age Groups ◽  
Well Being ◽  
Ethnic Discrimination ◽  
Emotional And Behavioral Problems ◽  
Sociocultural Adaptation ◽  
Age Related ◽  
German School ◽  
Transcultural Adaptation

This paper reviews research on young migrants in Germany. Particular attention is given to the question of how Germany’s history of migration, immigration policies, and public attitude toward migrants influence the transcultural adaptation of children and adolescents from different ethnic backgrounds. We combine past research with the results of new empirical studies in order to shed light on migrants’ psychological and sociocultural adaptation. Studies comparing young migrants and their German peers in terms of psychological well-being, life satisfaction, and mental health outcome suggest higher rates of emotional and behavioral problems among migrants of most age groups. With regard to adolescent populations between the ages of 14 and 17 years, however, the existence of differences between migrants and natives appears to be less clear. Research has also yielded inconsistent findings regarding the time trajectory of transcultural adaptation among adolescents. The coincidence of acculturation and age-related change is discussed as a possible source of these inconsistencies. Further, we provide an overview of risk and protective factors such as conflicting role expectations and ethnic discrimination, which may cause heightened vulnerability to adverse adaptation outcomes in some groups. Large-scale studies have repeatedly shown migrants of all age groups to be less successful within the German school system, indicating poor sociocultural adaptation. Possible explanations, such as the idiosyncrasies of the German school system, are presented. Our own studies contribute to the understanding of young migrants’ adaptation process by showing that it is their orientation to German culture, rather than the acculturation strategy of integration, that leads to the most positive psychological and sociocultural outcomes. The paper concludes by discussing implications for future cross-cultural research on young migrants and by suggesting recommendations for multicultural policies.

Dehydroepiandrosterone (DHEA) and its Sulphate (DHEAS) in Alzheimer’s Disease

2020 ◽  
Vol 17 (2) ◽  
pp. 141-157 ◽  
Author(s):  
Dubravka S. Strac ◽  
Marcela Konjevod ◽  
Matea N. Perkovic ◽  
Lucija Tudor ◽  
Gordana N. Erjavec ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Large Scale ◽  
Therapeutic Potential ◽  
Relevant Literature ◽  
Comprehensive Overview ◽  
Brain Functions ◽  
Specific Effects ◽  
And Behavior

Background: Neurosteroids Dehydroepiandrosterone (DHEA) and Dehydroepiandrosterone Sulphate (DHEAS) are involved in many important brain functions, including neuronal plasticity and survival, cognition and behavior, demonstrating preventive and therapeutic potential in different neuropsychiatric and neurodegenerative disorders, including Alzheimer’s disease. Objective: The aim of the article was to provide a comprehensive overview of the literature on the involvement of DHEA and DHEAS in Alzheimer’s disease. Method: PubMed and MEDLINE databases were searched for relevant literature. The articles were selected considering their titles and abstracts. In the selected full texts, lists of references were searched manually for additional articles. Results: We performed a systematic review of the studies investigating the role of DHEA and DHEAS in various in vitro and animal models, as well as in patients with Alzheimer’s disease, and provided a comprehensive discussion on their potential preventive and therapeutic applications. Conclusion: Despite mixed results, the findings of various preclinical studies are generally supportive of the involvement of DHEA and DHEAS in the pathophysiology of Alzheimer’s disease, showing some promise for potential benefits of these neurosteroids in the prevention and treatment. However, so far small clinical trials brought little evidence to support their therapy in AD. Therefore, large-scale human studies are needed to elucidate the specific effects of DHEA and DHEAS and their mechanisms of action, prior to their applications in clinical practice.

Psychosocial Consequences of Body Weight and Obesity

2018 ◽  
pp. 274-286
Author(s):  
Deborah Carr ◽  
Vera K. Tsenkova
Keyword(s):  
Body Weight ◽  
Interpersonal Relationships ◽  
Large Scale ◽  
Well Being ◽  
The United States ◽  
Overweight And Obesity ◽  
The Body ◽  
Integrative Health ◽  
Psychosocial Consequences ◽  
Adults And Children

The body weight of U.S. adults and children has risen markedly over the past three decades. The physical health consequences of obesity are widely documented, and emerging research from the Midlife in the United States study and other large-scale surveys reveals the harmful impact of obesity on adults’ psychosocial and interpersonal well-being. This chapter synthesizes recent research on the psychosocial implications of body weight, with attention to explanatory mechanisms and subgroup differences in these patterns. A brief statistical portrait of body weight is provided, documenting rates and correlates of obesity, with a focus on race, gender, and socioeconomic status disparities. The consequences of body weight for three main outcomes are described: institutional and everyday discrimination, interpersonal relationships, and psychological well-being. The chapter concludes with a discussion of the ways that recent integrative health research on the psychosocial consequences of overweight and obesity inform our understanding of population health.

scholarly journals Leisure Time Sports Activities and Life Satisfaction: Deeper Insights Based on a Representative Survey from Germany

2020 ◽  
Author(s):  
Michael Mutz ◽  
Anne K. Reimers ◽  
Yolanda Demetriou
Keyword(s):  
Life Satisfaction ◽  
Large Scale ◽  
Leisure Time ◽  
Organizational Context ◽  
Experimental Studies ◽  
Well Being ◽  
Activity Level ◽  
Leisure Satisfaction ◽  
General Life Satisfaction ◽  
Sports Activities

Abstract Observational and experimental studies show that leisure time sporting activity (LTSA) is associated with higher well-being. However, scholars often seem to assume that 1) LTSA fosters “general” life satisfaction, thereby ignoring effects on domain satisfaction; 2) the effect of LTSA on well-being is linear and independent of a person’s general activity level; 3) the amount of LTSA is more important than the repertoire of LTSA, i.e. the number of different activities; 4) all kinds of LTSA are equal in their effects, irrespective of spatial and organisational context conditions. Using data from the German SALLSA-Study (“Sport, Active Lifestyle and Life Satisfaction”), a large-scale CAWI-Survey (N = 1008) representing the population ≥ 14 years, the paper takes a closer look on these assumptions. Findings demonstrate that LTSA is associated with general life satisfaction and domain-specific satisfaction (concerning relationships, appearance, leisure, work and health), but that the relationship is most pronounced for leisure satisfaction. Associations of sport with life satisfaction, leisure satisfaction and subjective health are non-linear, approaching an injection point from which on additional LTSA is no longer beneficial. Moreover, findings lend support to the notion that diversity in LTSA matters, as individuals with higher variation in sports activities are more satisfied. Finally, results with regard to spatial and organizational context suggest that outdoor sports and club-organized sports have additional benefits.

scholarly journals Large-scale study of Toxoplasma and Cytomegalovirus shows an association between infection and serious psychiatric disorders

2019 ◽  
Vol 79 ◽  
pp. 152-158 ◽  
Author(s):  
Kristoffer Sølvsten Burgdorf ◽  
Betina B. Trabjerg ◽  
Marianne Giørtz Pedersen ◽  
Janna Nissen ◽  
Karina Banasik ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Large Scale ◽  
Large Scale Study

scholarly journals Tourist Mental Health Drives Destination Choice, Marketing, and Matching

2021 ◽  
pp. 004728752110115
Author(s):  
Mary-Ann Cooper ◽  
Ralf Buckley
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Well Being ◽  
Destination Choice ◽  
Destination Marketing ◽  
Health Maintenance ◽  
Nature Tourism ◽  
Tourism Destinations ◽  
Tourism Enterprises ◽  
Health And Well Being

Leisure tourism, including destination choice, can be viewed as an investment in mental health maintenance. Destination marketing measures can thus be analyzed as mental health investment prospectuses, aiming to match tourist desires. A mental health framework is particularly relevant for parks and nature tourism destinations, since the benefits of nature for mental health are strongly established. We test it for one globally iconic destination, using a large-scale qualitative approach, both before and during the COVID-19 pandemic. Tourists’ perceptions and choices contain strong mental health and well-being components, derived largely from autonomous information sources, and differing depending on origins. Parks agencies emphasize factual cognitive aspects, but tourism enterprises and destination marketing organizations use affective approaches appealing to tourists’ mental health.

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