Objective To compare the incidence of social function disorders in head injury patients with and without craniocerebral injury and to explore the value for mental identification. Methods SDSS (Social Disability Screening Schedule), GAF (Global Assessment Function) and GAS (Global Assessment Scale) instruments were used to test the social function of 56 patients without craniocerebral injury and 55 patients with craniocerebral injury. Results One hundred and eleven patients with head injury were included and identified as head injury with or without craniocerebral injury by CT or MRI. The incidence of social function deficit, tested by using SDSS instrument, was 33.9% (19/56) in patients without craniocerebral injury and 45.5% (25/55) in patients with craniocerebral injury respectively. There was no statistically significant difference between the two groups (χ2=1.544, P=0.214). This was also no statitical difference in both GAS group (t=0.021, P=0.983) and GAF group (t=0.391, P=0.697). Conclusions The limited evidence showed that the incidence of social function deficit of the head injury patients combined with craniocerebral injury is higher than those who without craniocerebral injury, but the difference between the two groups has no statistically significant difference.We could not detect a difference in the incidence of social deficit between those head injury patients with or without craniocerebral injury ones.
ObjectiveTo compare social function of schizophrenic patients of different marriage status and breeding status. MethodsA total of 218 people diagnosed to have schizophrenia between June and December 2013 were investigated. The research instruments included General Status Questionnaire and Social Disability Screening Scale. ResultsMen had no significant difference in social deficit from women (P>0.05). At the onset of the disease, married male patients were better than single male ones in terms of social function retreating and family function (P<0.05); married female patients were better in all aspects of social function than single female ones (P<0.05); male patients with children were better in family function than those without children (P<0.05); female patients without children had much worse social dysfunction than those with children except in the area of activity outside the family (P<0.05); male patients without children had more obvious social dysfunction than those with children except in such areas as little activity within the family, personal care, external interests and concern (P<0.05); single female patients had worse social dysfunction than married ones at present (P<0.05). ConclusionMarried schizophrenic patients with children have better social function.
ObjectiveTo systematically review the efficacy of cognitive behavioral therapy (CBT) for improving mental health and social functions in patients with multiple sclerosis (MS). MethodsWe searched PubMed, EMbase, The Cochrane Library (Issue 4, 2016), CBM and CNKI from inception to May 2016, to collect randomized controlled trials (RCT) about CBT on mental health and social function in patients with MS. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then meta-analysis was performed by using RevMan 5.3 software. ResultsA total of 11 RCTs involving 1 102 patients were included. The results of meta-analysis showed that, the HADS scores (depression: MD=-1.28, 95%CI-2.07 to-0.48, P=0.002; anxiety: MD=-1.52, 95%CI-2.99 to-0.06, P=0.04), BDI scores (MD=-9.11, 95% CI-15.82 to-2.40, P=0.008), HRDS scores (MD=-7.23, 95% CI-13.65 to-0.82, P=0.03), Chalder scores (MD=-4.88, 95% CI-6.61 to-3.16, P < 0.000 01), MFIS scores (MD=-2.98, 95% CI-4.52 to-1.44, P=0.000 2) and GHQ-12 scores (MD=-3.61, 95%CI-5.20 to-2.02, P < 0.000 01) in the CBT group were lower than that in the control group. No significant difference was found in WSAS scores (MD=-1.98, 95%CI-4.88 to 0.93, P=0.18) between two groups. ConclusionCBT may be effective for improving the negative mental experience, fatigue and quality of life in MS. No evidence to support CBT has benefits in social functions. Due to the limited quantity and quality of the included studies, the above conclusion needs to be verified by more high quality studies.