Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-09-22 Cooperative journals: 《中国全科医学》
Abstract： Background With the population ages，the mental health of the elderly has become a hot topic of concern for the whole society. Previous studies have shown that mental health problems in the elderly are closely related to well#2;being，while personality traits have a greater impact on subjective well-being. However，the internal relationship between the two in the elderly population is still unclear. Objective To explore the relationship between subjective well-being and personality traits of the elderly. Methods From July to August 2022，511 elderly people in Lincun，Tangxia Town，Dongguan City， Guangdong Province were selected as the subjects to conduct a site survey by using the questionnaire survey. The subjective well-being and personality traits of the elderly were evaluated by the Memorial University of Newfoundland Scale of Happiness （MUNSH）and the China Big Five Personality Scale（CBF-PI-15）respectively. Pearson correlation analysis was used to analyze the correlation between subjective well-being and personality traits of the elderly，canonical correlation analysis was used to construct a standardized canonical correlation model，canonical structure analysis，and canonical redundancy analysis， to explore the relationship between subjective well-being and the dimensions of personality traits of the elderly. Results The total score of MUNSH in the elderly was（39.72±7.74），and the scores of MUNSH in each dimension werepositive experience （9.48±3.24）， positive emotion（8.61±2.24），negative experience（1.44±2.31），and negative emotion（0.93±1.80） from high to low. The scores of CBF-PI-15 in each dimension of the elderly were agreeableness（14.04±2.60），extroversion （11.77±4.05），conscientiousness（10.75±3.57），openness（7.20±3.90）and neuroticism（6.34±3.22）. Pearson correlation analysis showed that subjective well-being was positively correlated with conscientiousness（r=0.334）and openness （r=0.219）（P<0.05）and negatively correlated with neuroticism（r=-0.223，P<0.05）. Canonical correlation analysis showed that the correlation coefficients of the first and second pairs of canonical correlation variables were 0.476 and 0.331（P<0.001）. The results of the standardized canonical correlation model construction showed that the correlation between the first canonical correlation coefficient of subjective well-being（U1）of the elderly and the first canonical correlation coefficient of personality traits（V1）mainly manifested negative correlation between positive experience and neuroticism，and positive correlation between positive experience and conscientiousness. The correlation between the standardized canonical correlation coefficient of the second canonical variable of subjective well-being（U2）and the standardized canonical correlation coefficient of the second canonical variable of personality traits（V2）of the elderly mainly manifested positive correlation of positive emotion and negative emotion with neuroticism. The results of canonical structure analysis showed that U1 was strongly correlated with positive emotion，negative emotion，positive experience，and negative experience，while U2 was strongly correlated with negative emotion and negative experience. V1 was strongly correlated with positive experience，conscientiousness，and openness. V2 was strongly correlated with neuroticism and openness. Canonical redundancy analysis showed that U1 explained 5.4% variation in personality traits and V1 explained 12.2% variation in subjective well-being，indicating that personality traits had a greater influence on subjective well#2;being than subjective well-being. Conclusion On the whole，the elderly hold a positive and optimistic attitude，with a high level of subjective well-being，which is closely related to neuroticism and conscientious personality. In the future，corresponding intervention strategies should be adopted according to different personality characteristics to improve subjective well-being， maintain the mental health of the elderly，and actively face the aging of population.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-07-18 Cooperative journals: 《中国全科医学》
Abstract： Background The reported outcome level of patients with inflammatory bowel disease（IBD） has received attention. There are few mature outcome scales with Chinese cultural characteristics for patients with IBD，and the developed scales need strict evaluation. Objective To analyze and evaluate the measurement properties of the Inflammatory Bowel Disease Patient-Reported Outcome Measurement Scale〔PROISCD-IBD（V1.0）〕，to provide basis for scientific evaluation of reported outcomes in patients with IBD. Methods From October 2020 to January 2022，PROISCD-IBD（V1.0） was used to detect 274 IBD patients who were treated in the outpatient and inpatient departments of Gastroenterology in the FirstAffiliated Hospital of Kunming Medical University and the Affiliated Hospital of Guangdong Medical University. PROISCD IBD（V1.0） consisted of 1 commonality module and 1 IBD specific module. The commonality module had 30 items，which were divided into 4 domains of physical health，mental health，social health，and spiritual/belief health. TIBD covered four aspects of digestive system symptoms（DSS），extraintestinal symptom（EXS），special psychological symptoms（SPP），and treatment side effects（TSE）. Cronbach's α coefficient and split-half coefficient were used to test the reliability. Correlation coefficient method，exploratory factor analysis and structural equation model were used to analyze the structural validity. Clinical validity of each domain was analyzed using t test. Results The Cronbach's α coefficients of physical health，mental health，social health，spiritual/belief health and specific module of PROISCD-IBD（V1.0） were 0.732，0.838，0.781，0.673 and 0.884，respectively. Cronbach's α coefficient of total scale was 0.932. The half-score coefficients of physical health，mental health，social health，spiritual/faith health and specific module were 0.669，0.859，0.610，0.494 and 0.795，respectively，and the half-score reliability of the total scale was 0.879. Correlation analysis showed that the phase coefficients of PHD，MHD，SHD and SBD scores and commonality module score were all >0.6（P<0.05）. Three principal components were extracted from exploratory factor analysis，and the cumulative variance contribution rate was 58.05%. Structural equation model showed that（χ2/df=2.568，root-mean-square error of approximation（RMSEA）=0.076，normed fit index（NFI）=0.677，non-normed fit index（NNFI）=0.774，comparative fit index（CFI）=0.772，incremental fit index（IFI）=0.774，SRMR=0.1031. IBD patients were divided into active stage（n=90） and remission stage（n=184） according to clinical stages. The total scores of various domains，common modules，specific modules and scale in remission stage were higher than those in active stage（P<0.05）. Conclusion PROISCD-IBD（V1.0） has good reliability and validity for reporting outcome measures in patients with IBD.
Subjects: Physics >> General Physics: Statistical and Quantum Mechanics, Quantum Information, etc. submitted time 2022-11-16 Cooperative journals: 《中国全科医学》
Abstract：
Scale assessment has been widely used in clinical practice, how to choose the appropriate assessment tools is very important. Based on this，this paper used literature search method to search for specific scales related to patients with irritable bowel syndrome，summarized their main contents and measurement characteristics，and put forward the selection of scales. A total of 35 related specific scales，which are commonly used to measure the quality of life in patients with irritable bowel syndrome，were retrieved. And the existing IBS specific scale has been proved to have good reliability，validity and reactivity，which can be better applied in clinical practice. In clinical application，we should choose the corresponding scale according to different purposes and research contents.
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