social relationship

社会关系
  • 文章类型: Journal Article
    在生活在一个雄性群体中的灵长类动物中,唯一的居住男性通常是群体不成熟的重要社会伙伴。对于这样的群体,然而,替换男性和随后的关系中断几乎是不可避免的。这里,我们描述了一个习惯性群体中未成熟的野生西部低地大猩猩的社会关系,那里有两个出生和八个移民不成熟的人与居民的银背生活在一起。我们记录了组成员之间5m的接近度,以此作为社交亲密关系的指标。我们发现,出生的不成熟者在银背5m内花费的时间比移民者多。一年后,银背和年轻移民之间的社交亲密关系急剧增加,但是这些值仍然低于出生不成熟的值。关于独立于母亲的发展,我们发现出生和移民未成熟之间没有显着差异。社会上喜欢的非母亲成熟的出生不成熟是silverback,而许多移民不成熟的人更喜欢一个先前与他们同居的成年姐姐。我们的结果表明,熟悉度可能是银背和不成熟之间社会亲密关系的重要决定因素,但1年的共同居住可能太短,无法建立足够的熟悉度。姐姐可能在将移民不成熟者同化为非出生群体中发挥了关键作用。尽管如此,不可忽视的是,银背和移民的不成熟形成了日常的接近。他对与未成熟移民共同居住的宽容可以被认为是一种生殖策略。
    In primates living in one-male groups, the sole resident male is often an important social partner for group immatures. For such groups, however, replacement of the male and subsequent disruptions of their relationships are almost inevitable. Here, we described social relationships of immature wild western lowland gorillas within a habituated group, where two natal and eight immigrant immatures lived with the resident silverback. We recorded 5 m proximities among group members as an indicator of social closeness. We found that natal immatures spent more time within 5 m of the silverback than immigrant ones. The social closeness between the silverback and the younger immigrant immatures sharply increased after 1 year, but these values were still below those of the natal immatures. Regarding the development of independence from the mother, we found no significant difference between natal and immigrant immatures. The socially preferred nonmother mature for natal immatures was the silverback, whereas many immigrant immatures preferred a paternal adult sister who had previously co-resided with them in a previous group. Our results suggest that familiarity may be an important determinant of the social closeness between the silverback and immatures, but 1 year of co-residence might be too short to construct sufficient familiarity. The paternal sister may have played a pivotal role in the assimilation of immigrant immatures into the non-natal group. Nonetheless, it is not negligible that the silverback and immigrant immatures formed day-to-day close proximities. His tolerance toward co-residence with immigrant immatures can be considered a reproductive tactic.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    尽管经验证据相互矛盾,一些人认为体育锻炼与欺凌行为直接相关。此外,青少年与父母之间的社会关系质量,同行,在体育锻炼和欺凌行为之间的关系中,教师被认为是至关重要的调解人。然而,很少有实证研究检验过这样的假设。这项研究使用2014-2015年中国教育小组调查获得的数据来检验体育锻炼与欺凌行为之间的直接关联。以及青少年社会关系质量介导的从体育锻炼到欺凌的间接途径。结果表明,体育锻炼与欺凌行为之间没有显着直接关系。然而,体育锻炼与通过社会关系质量介导的欺凌行为有间接关联,同伴关系的中介效应最强。研究结果表明,社会关系可以介导体育锻炼与欺凌行为之间的联系。该研究表明,未来的预防和干预计划应促进青少年参与体育锻炼及其与父母的社交互动,同行,和教师减少欺凌行为。
    Despite contradictory empirical evidence, some suggest that physical exercise is directly related to bullying perpetration. Moreover, the quality of social relationships between adolescents and their parents, peers, and teachers has been proposed as a crucial mediator in the relationship between physical exercise and bullying perpetration. However, few empirical studies have examined such hypotheses. This study used data obtained from the 2014-2015 China Education Panel Survey to examine the direct association between physical exercise and bullying behaviors, as well as the indirect pathways from physical exercise to bullying that are mediated by teenagers\' social relationship quality. The results showed no significant direct relationship between physical exercise and bullying behaviors. However, physical exercise has indirect associations with bullying behaviors mediated through social relationship quality, with peer relationships having the strongest mediating effect. The findings indicate that social relationships could mediate the association between physical exercise and bullying behaviors. The study suggests that future prevention and intervention programs should promote adolescents\' participation in physical exercise and their social interactions with parents, peers, and teachers to reduce bullying perpetration.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:本研究旨在探讨婴儿期和幼儿期亲子分离对抑郁症的长期影响。社会关系,包括亲子关系和同伴关系,青春期和成年早期的学习成绩。
    方法:分析了来自中国家庭面板研究(CFPS)的数据,其中包括来自25个省的3829名4-15岁儿童,为期8年。该研究检查了早期亲子分离与抑郁症相关的结局之间的关系,社会和学术表现,比较有和没有早期分离经历的个体之间的结果。进行了一系列亚组分析以进一步探索这些关联。
    结果:发现持续3个月或更长时间的亲子分离与青春期和成年早期的中度至重度抑郁和社会关系受损有关。尤其是在男性中,青少年,城市居民,和那些受教育程度较低的母亲。经历3个月或更长时间的亲子分离的儿童显示分离持续时间与抑郁之间呈正相关。3个月以下的短期离职没有显示出这种关联。分离的持续时间也与亲子关系和同伴关系呈负相关,以及学业成绩。
    结论:早期亲子分离对心理健康有显著的不良影响,青少年和成年早期的社会和学业成绩,尤其是男性,青少年,城市居民,和那些母亲教育程度较低的人。发现抑郁症的严重程度与分离的持续时间有关,强调将3岁以下儿童的分离时间减至3个月以下的重要性。这些发现强调了早期父母护理的关键作用以及对高危人群进行有针对性干预的必要性。
    OBJECTIVE: The present study aimed to investigate the long-term effects of parent-child separation during infancy and early childhood on depression, social relationships including parent-child and peer relationships, and academic performance during adolescence and early adulthood.
    METHODS: Data from the China Family Panel Studies (CFPS) were analyzed, which included a sample of 3829 children aged 4-15 years from 25 provinces over a period of 8 years. The study examined the association between early parent-child separation and outcomes related to depression, social and academic performance, comparing outcomes between individuals with and without early separation experiences. A series of subgroup analyses were conducted to further explore these associations.
    RESULTS: Parent-child separation lasting 3 months or longer was found to be associated with moderate to severe levels of depression and impaired social relationships during adolescence and early adulthood, particularly among males, adolescents, urban dwellers, and those with less educated mothers. Children who experienced parent-child separation for 3 months or longer showed a positive correlation between separation duration and depression. Short-term separations under 3 months did not show this association. The duration of separation also had a negative correlation with parent-child and peer relationships, as well as academic performance.
    CONCLUSIONS: Early parent-child separation has significant adverse effects on the mental health, social and academic performance of adolescents and early adulthood, especially among males, adolescents, urban residents, and those with lower maternal education. The severity of depression was found to be related to the duration of separation, highlighting the importance of minimizing separation to less than 3 months for children under the age of 3. These findings underscore the critical role of early parental care and the need for targeted interventions for high-risk populations.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    理解他人涉及推断特征和意图,当我们缺乏个人信息时,我们对刻板印象和笼统信息的依赖使这一过程变得复杂。然而,随着关系的形成,我们转向对他人的细微差别和个性化的看法。这项研究探讨了关系强度如何影响在已知涉及社会认知的关键区域中他人的独特或规范表示的创建。采用循环人际感知范式(N=111,20组5-6人),我们使用功能磁共振成像(fMRI)来检查社会关系的强度是否调节了代表特定其他活动的多体素活动模式与研究中所有其他活动模式的标准平均值相似的程度.行为上,更强的社会关系与更规范的特质认可相关。神经研究结果表明,更紧密的关系导致内侧前额叶皮质和前脑岛更独特的表现,与心智化和人的感知相关的领域。相反,更广义的表示出现在后部区域,如后扣带皮质,表明大脑中社会信息的个性化和广义处理之间存在复杂的相互作用。这些发现表明,通常与社会认知相关的皮层区域在表示他人的独特性时可能会计算不同种类的信息。
    Understanding others involves inferring traits and intentions, a process complicated by our reliance on stereotypes and generalized information when we lack personal information. Yet, as relationships are formed, we shift toward nuanced and individualized perceptions of others. This study addresses how relationship strength influences the creation of unique or normative representations of others in key regions known to be involved in social cognition. Employing a round-robin interpersonal perception paradigm (N = 111, 20 groups of five to six people), we used functional magnetic resonance imaging to examine whether the strength of social relationships modulated the degree to which multivoxel patterns of activity that represented a specific other were similar to a normative average of all others in the study. Behaviorally, stronger social relationships were associated with more normative trait endorsements. Neural findings reveal that closer relationships lead to more unique representations in the medial prefrontal cortex and anterior insula, areas associated with mentalizing and person perception. Conversely, more generalized representations emerge in posterior regions like the posterior cingulate cortex, indicating a complex interplay between individuated and generalized processing of social information in the brain. These findings suggest that cortical regions typically associated with social cognition may compute different kinds of information when representing the distinctiveness of others.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    这项研究深入研究了工作时间表对医疗保健专业人员福祉的复杂影响,聚焦尼日利亚的医疗景观。387名参与者的多样化队列,跨越医生,护士,药剂师,实验室技术人员或科学家,形成了研究基地,大多数是女性(67.7%),平均年龄34.67岁。专业人士自我报告他们的主要时间表,以衡量工作模式,将它们分类为白天或夜班。世界卫生组织生活质量简报版(WHOQOL-BREF)工具评估了整个身体的生活质量,心理,社会关系,和环境领域。心理困扰是用抑郁症来衡量的,焦虑,和应力标度(DASS),并通过多维领悟社会支持量表(MSPSS)评价领悟社会支持。采用了横截面设计,这项研究采用了SmartPLS4.0的适度调解分析。结果强调了夜班对环境和身体健康的重大影响。白班工人的心理健康和社会关系要好于夜班工人。夜班和焦虑水平升高之间有明显的相关性,压力,和抑郁症。心理困扰的中介作用和社会支持在这些关系中的调节作用是显而易见的。这项研究为工作时间表在塑造医疗保健专业人员福祉方面的作用提供了宝贵的见解,强调社会支持的保护作用和移民卫生工作者面临的独特挑战。
    This study delved into the complex effects of work schedules on the well-being of healthcare professionals, spotlighting Nigeria\'s medical landscape. A diverse cohort of 387 participants, spanning doctors, nurses, pharmacists, and laboratory technicians or scientists, formed the research base, with the majority being women (67.7%), with a mean age of 34.67 years. Professionals self-reported their predominant schedules to gauge work patterns, classifying them as day or night shifts. The World Health Organization Quality of Life Brief Version (WHOQOL-BREF) tool assessed the quality of life across the physical, psychological, social relationship, and environmental domains. Psychological distress was measured using the Depression, Anxiety, and Stress Scales (DASS), and perceived social support was evaluated via the Multidimensional Scale of Perceived Social Support (MSPSS). A cross-sectional design was adopted, and the study employed moderated mediation analysis using SmartPLS 4.0. The results underscored the significant ramifications of night shifts on environmental and physical well-being. Psychological health and social relationships were better among day shift than night shift workers. There was a pronounced correlation between night shifts and heightened levels of anxiety, stress, and depression. The mediating role of psychological distress and the moderating influence of social support in these relationships were evident. This study offers invaluable insights into the role of work schedules in shaping the well-being of healthcare professionals, emphasising the protective role of social support and the unique challenges faced by migrant health workers.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    关于这个问题的知识是什么?:精神分裂症患者的身体功能下降,比没有条件的人更容易感到孤独。身体机能低下与精神病患者的更大孤独感有关。然而,目前尚不清楚社会隔离和孤独感是否会导致该人群的身体功能受损。孤独与老年人身体功能障碍的风险增加有关,但是对精神分裂症患者的研究是有限的。本文对现有知识有什么帮助?:这项研究首次评估了精神分裂症住院患者中社会孤立和孤独感与身体功能的纵向关联。研究表明,超过三分之一的参与者在2年内经历了身体机能下降。孤独,而不是社会孤立,在住院精神分裂症患者中,与超过2年的身体功能障碍增加有关。实践有什么意义?:医疗保健专业人员应该认识到孤独是精神分裂症住院患者身体功能受损的潜在风险因素。建议对精神分裂症患者的孤独感进行评估,并提供干预措施以减轻他们的孤独感。实施干预措施以减少孤独感可能有助于改善精神分裂症患者的身体功能和整体生活质量。
    导言:精神分裂症患者常出现身体机能低下的情况,这与负面的健康结果有关。因此,调查身体机能的危险因素在这一人群中至关重要.
    目的:本研究调查了精神分裂症患者中社会隔离和孤独感与身体功能的纵向关联。
    方法:使用日常生活活动(ADL)来评估身体功能,工具日常生活活动(IADL)和ADL/IADL组合得分。使用五种类型的社交联系对社会隔离进行索引,并使用UCLA孤独量表测量孤独感。
    结果:社会隔离与2年以上的身体机能指标无关。孤独感在随访时表现出与IADL和ADL/IADL相关,在对结果的基线水平进行调整后。当社会孤立和孤独同时进入模型时,这些关联仍然存在。
    结论:孤独,而不是社会孤立,在住院精神分裂症患者中,超过2年与身体功能障碍增加相关。
    结论:医疗保健专业人员应将孤独视为身体功能受损的潜在危险因素。评估患者的孤独感并实施干预措施以减少孤独感将是有益的。
    WHAT IS KNOWN ON THE SUBJECT?: People living with schizophrenia have reduced physical function and are more likely to experience loneliness than those without condition. Low physical function is associated with greater loneliness in people with psychosis. However, it is unclear whether social isolation and loneliness contribute to impaired physical function in this population. Loneliness is linked to an increased risk of physical function impairment among older individuals, but research on patients living with schizophrenia is limited. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This study is the first to evaluate the longitudinal association of social isolation and loneliness with physical function among inpatients living with schizophrenia. It showed that more than one third of the participants experienced a decline in physical function over a 2-year period. Loneliness, rather than social isolation, was associated with an increase in physical function impairment over 2 years among inpatients living with schizophrenia. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Healthcare professionals should recognize loneliness as a potential risk factor for impaired physical function among inpatients diagnosed with schizophrenia. It is recommended that people living with schizophrenia are assessed for loneliness and that interventions are offered to alleviate their feelings of loneliness. Implementing interventions to reduce loneliness may help improve physical function and overall quality of life for individuals living with schizophrenia.
    UNASSIGNED: INTRODUCTION: Patients living with schizophrenia often experience low physical function, which is associated with negative health outcomes. Therefore, investigating the risk factors for physical function is crucial in this population.
    OBJECTIVE: This study examined the longitudinal association of social isolation and loneliness with physical function among inpatients living with schizophrenia.
    METHODS: Physical function was assessed using measures of activities daily living (ADL), instrumental activities daily living (IADL) and the combination scores of ADL/IADL. Social isolation was indexed with five types of social connection and loneliness was measured using UCLA Loneliness Scale.
    RESULTS: Social isolation was not associated with the measures of physical function over 2 years. Loneliness exhibited an association with IADL and ADL/IADL at follow-up, after adjustment for baseline levels of the outcomes. These associations remained when both social isolation and loneliness were simultaneously entered into the model.
    CONCLUSIONS: Loneliness, rather than social isolation, was associated with increased physical function impairment over 2 years among inpatients living with schizophrenia.
    CONCLUSIONS: Healthcare professionals should consider loneliness as a potential risk factor for impaired physical function. It would be beneficial to assess patients for loneliness and implement interventions to reduce feelings of loneliness.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    最近研究了社会关系对自闭症青少年的影响。然而,在科学文献中,自闭症青少年的社会关系与抑郁之间的联系似乎不足。特别是尚未开发出专门的评估工具来评估自闭症青少年的抑郁症。这篇叙述性综述的目的是提高社会关系对自闭症青少年抑郁的影响。我们的目标是提出关于创建一种敏感工具来识别该人群中的抑郁症的思路。
    我们在PubMed上对文章和评论进行了两种类型的搜索,Embase,还有Cochrane.首先,关于社会关系,我们搜索了以下术语:[(\"青春期*\"或\"青年\")和(\"ASD\"或\"autis*\")和(\"社会交往\"或\"同伴关系\")和(\"压抑*\")]。其次,关于评估工具,我们搜索了以下术语:[(\"工具\"或\"评估*\")和(\"按下*\")和(\"ASD\"或\"奥蒂斯*)\"]。
    社会影响,口头技能,良好的社会动机是自闭症青少年抑郁的危险因素。儿童时期的社交障碍与同伴受害有关,并且是抑郁症的危险因素。没有特定的工具来衡量自闭症青少年的抑郁症。
    尚未开发基于社会关系的特定工具来评估自闭症青少年的抑郁症。自闭症青少年的抑郁症需要考虑自闭症的社会和语用特性进行评估。可以在基于自闭症青少年抑郁症的社会关系的特定评估工具中评估社交交流和同伴关系中的困难。
    UNASSIGNED: The impact of social relationships on autistic adolescents has been recently studied. However, the link between social relationships and depression in autistic adolescents seem underrepresented in the scientific literature. Especially no specific assessment tool has been developed to evaluate depression in autistic adolescents. The aim of this narrative review is to raise the impact of social relationships on depression in autistic adolescents. We aim to propose lines of thought on the creation of a sensitive tool for identifying depression in this population.
    UNASSIGNED: We conducted two types of searches for articles and reviews on PubMed, Embase, and Cochrane. First, regarding social relationships, we searched the following terms: [(\"adolesc*\" OR \"youth\") AND (\"ASD\" OR \"autis*\") AND (\"social communication\" OR \"peer relationship\") AND (\"depress*\")]. Secondly, regarding assessment tool, we searched the following terms: [(\"tool\" OR \"assess*\") AND (\"depress*\") AND (\"ASD\" OR \"Autis*)\"].
    UNASSIGNED: Social impact, verbal skills, and good social motivation are risk factors of depression in autistic adolescents. Social impairment during childhood is related to peer victimization and is a risk factor for depression. There is no specific tool to measure depression in autistic adolescents.
    UNASSIGNED: No specific tool based on social relationships was developed to evaluate depression in autistic adolescents. Depression in autistic adolescents needs to be assessed considering the social and pragmatic specificities of autism. Social communication and difficulties in peer relationships may be evaluated in specific assessment tools based on social relationships for depression in autistic adolescents.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:COVID-19在全球范围内的迅速传播,严重影响了人们的日常生活和社会经济,同时也对人们的生命造成了威胁。对传染病传播规律进行分析,对于合理配置疫情防控资源具有十分重要的意义,突发公共卫生事件的管理,以及未来公共卫生系统的改善。
    方法:我们提出了一种时空COVID-19传输模型,该模型以邻域为代理单元,并具有长边和短边连接的城市空间网络。传播模型包括定义的代理属性网络,转换规则,和社会关系以及代表代理社会关系的小世界网络。通过Runge-Kutta方法结合SEIR模型拟合每个阶段的参数。使用NetLogo开发平台,实现了早期疫情时空演变的精确动态模拟。
    结果:实验结果表明,四个阶段的拟合曲线与实际数据一致,模拟一百次后,感染剂的平均数量与感染剂的实际数量之间只有12.27%的差异。此外,该模型模拟和比较不同的“城市封闭”场景。结果显示,提前10天实施“封锁”将导致感染高峰比正常情况提前7天,感染总数减少40.35%。
    结论:我们的方法论强调了及时的流行病干预在遏制传染病传播方面的关键作用,特别是在锁定策略的预测性评估和评估中。此外,这种方法巧妙地预测了不同干预时机对峰值感染率和总病例数的影响,准确反映现实世界的病毒传播模式。这突出了采取积极措施减少流行病影响的重要性。它提供了一个强大的框架,授权政策制定者根据预测模型和经验数据的综合来完善流行病应对策略。
    BACKGROUND: The rapid global spread of COVID-19 has seriously impacted people\'s daily lives and the social economy while also posing a threat to their lives. The analysis of infectious disease transmission is of significant importance for the rational allocation of epidemic prevention and control resources, the management of public health emergencies, and the improvement of future public health systems.
    METHODS: We propose a spatiotemporal COVID-19 transmission model with a neighborhood as an agent unit and an urban spatial network with long and short edge connections. The spreading model includes a network of defined agent attributes, transformation rules, and social relations and a small world network representing agents\' social relations. Parameters for each stage are fitted by the Runge-Kutta method combined with the SEIR model. Using the NetLogo development platform, accurate dynamic simulations of the spatial and temporal evolution of the early epidemic were achieved.
    RESULTS: Experimental results demonstrate that the fitted curves from the four stages agree with actual data, with only a 12.27% difference between the average number of infected agents and the actual number of infected agents after simulating 1 hundred times. Additionally, the model simulates and compares different \"city closure\" scenarios. The results showed that implementing a \'lockdown\' 10 days earlier would lead to the peak number of infections occurring 7 days earlier than in the normal scenario, with a reduction of 40.35% in the total number of infections.
    CONCLUSIONS: Our methodology emphasizes the crucial role of timely epidemic interventions in curbing the spread of infectious diseases, notably in the predictive assessment and evaluation of lockdown strategies. Furthermore, this approach adeptly forecasts the influence of varying intervention timings on peak infection rates and total case numbers, accurately reflecting real-world virus transmission patterns. This highlights the importance of proactive measures in diminishing epidemic impacts. It furnishes a robust framework, empowering policymakers to refine epidemic response strategies based on a synthesis of predictive modeling and empirical data.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:特纳综合征(TS)是一种罕见的性染色体异常,发生在2500例女性活产中的1例。迄今为止,马来西亚TS患者的数据有限.这项研究旨在调查与吉隆坡三级医院中年龄匹配的对照组相比,患有TS的成年人群的生活质量(QoL)和身体形象障碍:医院院长TuankuMukhriz,马来西亚Kebangsaan大学(HCTM,UKM)。
    方法:这是一项在HCTM中进行的横断面研究,UKM,吉隆坡。在HCTM就诊的TS参与者,UKM和医院工作人员的对照组是通过故意抽样招募的。从病历中检索TS参与者的社会人口统计学和临床概况。两个验证,翻译问卷;世界卫生组织生活质量(WHOQOL-BREF)问卷和身体形象障碍问卷(BIDQ)由参与者完成。
    结果:共对34例TS患者进行了研究,其中24例(70.5%)参与了这项研究。他们的中位年龄(IQR)为24.0(7.0)岁,将其反应与60名年龄匹配的健康女性作为对照进行比较[中位年龄(IQR)=24.0(8.0)岁]。TS参与者中最常见的医学问题是过早的卵巢功能不全(n=23;95.8%)。TS组和对照组的中位数得分没有显着差异(总体生活质量;4.00vs.4.00,一般健康状况;3.50vs.4.00,身体健康;14.86vs.15.43,心理健康;14.67vs.14.00和环境;15.00与15.50)的不同WHOQOL-BREF域。然而,在社会关系领域,TS参与者得分为13.33和16.00,低于对照组(p<0.05)。相对而言,在主要的社会功能领域,TS受访者对身体形象的关注显着高于受损(p<0.05)。结论:研究表明,TS参与者的总体QoL良好,与对照组几乎相似。然而,TS组的社会领域得分明显较低,对社会互动的关注更大,从而影响他们的社交生活。
    Turner Syndrome (TS) is a rare sex chromosome abnormality occurring in 1 in 2500 female live births. To date, there is limited data on TS patients in Malaysia. This study aimed to investigate the quality of life (QoL) and body image disturbances among adult population with TS in comparison to age-matched controls in a tertiary hospital in Kuala Lumpur: Hospital Chancellor Tuanku Mukhriz, Universiti Kebangsaan Malaysia (HCTM, UKM).
    This was a cross-sectional study carried out in HCTM, UKM, Kuala Lumpur. TS participants who attended clinic in HCTM, UKM and controls who were hospital staff members were recruited via purposive sampling. TS participants\' sociodemographic and clinical profiles were retrieved from medical records. Two validated, translated questionnaires; World Health Organization Quality of Life (WHOQOL-BREF) questionnaire and Body Image Disturbances Questionnaires (BIDQ) were completed by participants.
    A total of 34 TS patients were approached and 24 (70.5%) of them participated in this study. Their median (IQR) age was 24.0 (7.0) years and their responses were compared to 60 age-matched healthy females as controls [median age (IQR) = 24.0 (8.0) years]. The most common medical problem in TS participants was premature ovarian insufficiency (n = 23; 95.8%). There were no significant differences between TS and control groups\' median scores (overall QOL; 4.00 vs. 4.00, general health; 3.50 vs. 4.00, physical health; 14.86 vs. 15.43, psychological health; 14.67 vs. 14.00 and environment; 15.00 vs. 15.50) of the different WHOQOL-BREF domains. However, TS participants were found to score 13.33 against 16.00, lower than the control group (p < 0.05) in the social relationship domain. Comparatively, body image concerns among TS respondents were significantly higher in impairment in the mainly social areas of functioning (p < 0.05).  CONCLUSION: The study demonstrated that the overall QoL of TS participants was good and almost similar to that of the controls. However, TS group had significantly lower scores for social domain and had greater concerns in social interactions, thus affecting their social life.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    目标:尽管认知功能下降是一种众所周知的死亡风险,它没有得到充分的调查,社会关系是否改变了认知能力下降和死亡率之间的关系。我们研究了社会关系的修饰效应(家庭组成,社交网络[与家庭外个人的社交联系的频率],和社会参与)关于日本老年人认知能力下降与全因死亡率之间的关系。
    方法:2015年,向东京都会区足立区居住的所有132,005名65岁以上的独立社区居民发放了基线问卷。分析的最终样本包括74,872名参与者(男性:44.9%;平均年龄:73.7±6.0岁)。使用自我管理的痴呆检查表评估认知下降,该检查表使用临床痴呆评定量表进行验证。
    结果:平均随访1,657天的Cox比例风险模型显示,认知能力下降与更高的死亡率相关(风险比[95%置信区间]:1.37[1.25-1.50])。我们确定了家庭组成之间的显著关联,社交网络,和认知能力下降。分层分析表明,低接触频率(1.60[1.39-1.85])的参与者的认知能力下降与死亡率的关联强于高频率(1.24[1.11-1.39])。相反,与同居个体(1.43[1.29-1.57])相比,独居个体(1.13[0.90-1.40])之间的关联较弱.
    结论:虽然独自生活和拥有一个小的社交网络代表了孤立的状态,它们的修饰效果是相反的。这些发现表明,在对认知能力下降或痴呆症的老年人实施支持策略时,应考虑隔离类型。
    Although cognitive decline is a well-known mortality risk, it has not been adequately investigated, whether social relationships modify the relationship between cognitive decline and mortality. We examined the modifying effects of social relationships (household composition, social network [frequency of social contact with individuals outside the household], and social participation) on the association between cognitive decline and all-cause mortality in older Japanese people.
    In 2015, a baseline questionnaire was distributed to all 132,005 independent community-dwelling individuals aged ≥65 years resident in Adachi Ward of the Tokyo Metropolitan area. The final sample analyzed comprised 74,872 participants (men: 44.9%; mean age: 73.7 ± 6.0 years). Cognitive decline was assessed using a self-administered dementia checklist that was validated using the Clinical Dementia Rating Scale.
    A Cox proportional hazard model with an average follow-up of 1,657 days revealed that cognitive decline was associated with higher mortality (hazard ratio [HR]: 1.37, 95% confidence interval [95% CI]: 1.25-1.50). We identified significant associations among household composition, social networks, and cognitive decline. Stratified analyses indicated that the cognitive decline-mortality association was stronger among participants with low contact frequency (HR = 1.60, 95% CI: 1.39-1.85) than high frequency (HR = 1.24, 95% CI: 1.11-1.39). Conversely, the association was weaker among individuals living alone (HR = 1.13, 95% CI: 0.90-1.40) than among cohabiting individuals (HR = 1.43, 95% CI: 1.29-1.57).
    Although living alone and having a small social network represent an isolated status, their modifying effects were the opposite. These findings indicate that the isolation type should be considered when implementing support strategies for older adults with cognitive decline or dementia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号