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1.
Zhongguo Dang Dai Er Ke Za Zhi ; 25(6): 653-657, 2023 Jun 15.
Artigo em Zh | MEDLINE | ID: mdl-37382137

RESUMO

Non-suicidal self-injury (NSSI) is becoming increasingly common in adolescents and seriously affects their physical and mental health, and it is also a major risk factor for suicide among adolescents. NSSI has now become a public health issue of general concern; however, the identification of cognitive dysfunction in NSSI is still based on neuropsychological cognitive assessment and subjective questionnaire assessment, with a lack of objective evaluation indicators. As a method for studying the cognitive neural mechanism of NSSI, electroencephalography is a reliable tool for finding objective biomarkers of NSSI. This article reviews the recent research on electrophysiology associated with cognitive dysfunction in adolescents with NSSI.


Assuntos
Disfunção Cognitiva , Comportamento Autodestrutivo , Humanos , Adolescente , Eletroencefalografia , Testes Neuropsicológicos , Fatores de Risco
2.
Zhongguo Dang Dai Er Ke Za Zhi ; 25(3): 328-332, 2023 Mar 15.
Artigo em Zh | MEDLINE | ID: mdl-36946171

RESUMO

Biogenetics plays an important role in the pathogenesis of depressive disorder in adolescents. Various genetic polymorphism studies have updated the understanding of adolescent depressive disorder. However, due to the influence of gene-environment interaction and age of puberty, the influence of gene polymorphisms on adolescent depressive disorder is complicated to clarify. Investigating and clarifying the relationship between gene polymorphisms and adolescent depressive disorder will promote the research on the pathogenesis of this disorder and provide a reference for the prevention and treatment of this disorder. This article reviews the genetic polymorphisms related to adolescent depressive disorder.


Assuntos
Transtorno Depressivo Maior , Humanos , Adolescente , Transtorno Depressivo Maior/genética , Polimorfismo Genético , Interação Gene-Ambiente , Polimorfismo de Nucleotídeo Único , Predisposição Genética para Doença
3.
J Affect Disord ; 336: 25-34, 2023 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-37211054

RESUMO

BACKGROUND: Repetitive Transcranial magnetic stimulation (rTMS) combined with antidepressants benefited adults with depression while its efficacy and safety in children and adolescents with depression remain controversial. METHODS: We searched PubMed, Embase, the Cochrane Library, Web of Science, CINAHL, LILACS, PsycINFO, CNKI, Wanfang Data Knowledge Service Platform, a Chinese Biology Medical disc database, and relevant clinical registration databases for randomized controlled trials from their inception to October 18, 2022. The efficacy of the treatment was assessed by changes in depression rating scale scores. Safety was assessed by the incidence of adverse events. Heterogeneity was determined using the Cochrane Q statistics and I2 statistics. Publication bias was assessed by Egger's test. RESULTS: Eighteen studies from 10 datasets (1396 patients, 64.7 % female, age range from 8 to 24 years old). The pooled mean-endpoint scores of the depression scale for rTMS combined with the antidepressant group were significantly lower than those of sham combined with the antidepressant group both in two weeks (MD = -4.68, 95 % CI: [-6.66, -2.69]; I2 = 91 %; P < 0.05) and four weeks (MD = -5.53, 95 % CI: [-9.90, -1.16]; I2 = 98 %; P < 0.05). There were no differences in safety (OR = 0.64, 95 % CI: [0.20, 2.04]; I2 = 64 %; P = 0.45) and acceptability between the two groups (3/70 vs 3/70). LIMITATION: Heterogeneity was found in this study due to the limited number of original studies included. CONCLUSION: rTMS combined with antidepressants enhanced the efficacy of the antidepressant medication. The safety and acceptability of the two groups were comparable. These findings may help guide future research and clinical practice.


Assuntos
Depressão , Estimulação Magnética Transcraniana , Adulto , Humanos , Feminino , Adolescente , Criança , Adulto Jovem , Masculino , Estimulação Magnética Transcraniana/efeitos adversos , Depressão/tratamento farmacológico , Antidepressivos/efeitos adversos , Resultado do Tratamento
4.
Depress Anxiety ; 29(1): 10-5, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22065525

RESUMO

BACKGROUND: A number of clinical features potentially reflect an individual's familial vulnerability to major depression (MD), including early age at onset, recurrence, impairment, episode duration, and the number and pattern of depressive symptoms. However, these results are drawn from studies that have exclusively examined individuals from a European ethnic background. We investigated which clinical features of depressive illness index familial vulnerability in Han Chinese females with MD. METHODS: We used lifetime MD and associated clinical features assessed at personal interview in 1,970 Han Chinese women with DSM-IV MD between 30-60 years of age. Odds Ratios were calculated by logistic regression. RESULTS: Individuals with a high familial risk for MD are characterized by severe episodes of MD without known precipitants (such as stress life events) and are less likely to feel irritable/angry or anxious/nervous. CONCLUSIONS: The association between family history of MD and the lack of a precipitating stressor, traditionally a characteristic of endogenous or biological depression, may reflect the association seen in other samples between recurrent MD and a positive family history. The symptomatic associations we have seen may reflect a familial predisposition to other dimensions of psychopathology, such as externalizing disorders or anxiety states.


Assuntos
Transtorno Depressivo Maior/epidemiologia , Predisposição Genética para Doença/epidemiologia , Adulto , China/epidemiologia , Transtorno Depressivo Maior/genética , Transtorno Depressivo Maior/psicologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Feminino , Humanos , Acontecimentos que Mudam a Vida , Pessoa de Meia-Idade , Razão de Chances , Escalas de Graduação Psiquiátrica , Risco , Índice de Gravidade de Doença
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