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Stress and Mental Health

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Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
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Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
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Self-discrepancy theory explains how people compare their actual self to their ideal and ought selves and how mismatches between these self-guides can lead to emotional distress. Developed by E. Tory Higgins, the theory distinguishes among three components of self-concept: the actual self, the ideal self, and the ought self. These refer respectively to how individuals perceive themselves, how they aspire to be, and how they believe they are obligated to be. Emotional well-being, self-esteem,...
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A New Method for Inducing a Depression-Like Behavior in Rats
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美国人自杀的风险 有工作残疾的成年人

Mark Olfson1, Candace M Cosgrove2, Melanie M Wall1

  • 1Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.

American journal of preventive medicine
|September 24, 2025
PubMed
概括

美国有工作障碍的成年人面临着明显更高的自杀风险. 这种增加的风险在女性,年轻人以及具有特定功能障碍的人群中尤为明显,这突显了严重的公共卫生问题.

科学领域:

  • 公共卫生 公共卫生
  • 流行病学 流行病学
  • 关于残疾人的研究.

背景情况:

  • 有限的先前研究存在于自杀风险在美国成年人与联邦合格的劳动残疾.
  • 了解这种风险对于制定有针对性的自杀预防干预措施至关重要.

研究的目的:

  • 调查美国成年人劳动残疾和自杀风险之间的关联.
  • 确定具有自杀风险较高的特定人口和功能障碍子组.

主要方法:

  • 从2008年至2019年使用2008年美国社区调查 (N=2,403,000) 的全国代表性样本.
  • 采用考克斯模型来估计自杀风险比率,控制人口和社会经济因素.
  • 按年龄,性别和各种功能障碍 (例如认知,移动性) 分层分析.

主要成果:

  • 与没有劳动残疾的成年人相比,劳动残疾的成年人自杀率更高 (100,000人中有34.6人),而没有劳动残疾的成年人自杀率更高 (100,000人中有13.5人).
  • 在控制共变量 (HR=1.44) 后,工作残疾与自杀风险增加44%有关.
  • 在女性 (HR=1.90),年轻成年人 (HR=1.84) 和视觉,认知,移动,自我照顾或独立生活障碍的人群中观察到自杀风险增加.

结论:

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  • 美国有工作障碍的成年人存在明显增加的自杀风险.
  • 妇女,年轻人和具有特定功能障碍的个人代表了需要集中自杀预防工作的关键子组.
  • 调查结果强调需要综合心理健康和残疾人支持服务.