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The treatment efficacy of multiple family therapy (MFT) for Chinese families of children with attention deficit hyperactivity disorder (ADHD) has not been studied in the past. In this paper, the effect of MFT on different aspects of the lives of the parents in the experimental group (n = 61) was compared with the effect of only the psychoeducational talks on parents in the control group (n = 53). The results of a MANOVA have shown that by the time they reached the posttreatment phase, the parents who had completed the full 42 hours of the MFT program perceived their children's ADHD symptoms as being less serious and less pathological than they had originally thought compared to the parents in the control group. The effect of MFT on parent–child relationships, parenting stress, parental efficacy, hope, and perceived social support was statistically insignificant. Contributions and limitations of our study are discussed. [ABSTRACT FROM AUTHOR]

Despite the empirical evidence of multifamily group (MFG) in helping children with mental health needs in Western contexts, there is a dearth of clinical studies in Chinese societies such as Hong Kong to explore such adaption to help Chinese families of children diagnosed with attention deficit hyperactivity disorder. In this article, the authors describe the MFG model adapted to the Chinese context and assess the perceived helpfulness of the intervention, using a client-driven approach in evaluation. The parents’ evaluation toward the MFG program is positive whereas the children’s feedback is less favorable. Modifications have been made including a 30-minute pregroup meeting for the parents and more challenging games and outdoor activities for the children. [ABSTRACT FROM PUBLISHER]

Purpose: To examine the knowledge and attitudes of patients and their relatives as well as patients' subjective experience with electroconvulsive therapy (ECT) in China. Design and Methods: Up to 420 responders including patients receiving ECT (n = 210) and their relatives (n = 210) were assessed with self‐reported questionnaires. Findings: Patients and their relatives did not receive adequate information before ECT, particularly about the mode of its delivery, risks, and adverse effects. The most common adverse effect of ECT reported by patients was memory impairment. Both patients and their relatives had positive attitudes toward ECT and appeared satisfied with its therapeutic effects. Practice Implications: Mental health professionals need to address the inadequate information on ECT provided to patients and their relatives prior to the treatment. [ABSTRACT FROM AUTHOR]

Purpose: To determine the prevalence of insomnia and its socio‐demographic correlates in Chinese nurses. Design and Methods: Up to 799 nurses were examined. Demographic data, total sleep time (TST), and insomnia were collected. Findings: The mean expected and actual TST were 8.3 ± 1.5 and 6.1 ± 1.1 hr, respectively. The prevalence of at least one type of reported sleep disturbance was 69.7%; the rates of difficulty initiating sleep, difficulty maintaining sleep, and early morning awakening were 54.6%, 54.7%, and 55.9%, respectively. Practice Implications: There is a large discrepancy of actual and expected sleep duration, and insomnia is common among nurses in China. [ABSTRACT FROM AUTHOR]

Purpose: To compare self‐reported (SR) and interviewer‐rated (IR) oral health between schizophrenia (SZ), bipolar disorder (BP), and major depressive disorder (MDD) patients. Design and Methods: 356 patients with SZ, BP, or MDD underwent assessments of psychopathology, side effects, SR, and IR oral health status. Findings: 118 patients (33.1%) reported poor oral health; the corresponding proportion was 36.4% in BP, 34.8% in SZ, and 25.5% in MD (p =.21). SR and IR oral health correlated only modestly (r = 0.17–0.36) in each group. Practice Implications: Psychiatric patients need to be assessed for both SR and IR oral health. [ABSTRACT FROM AUTHOR]

Purpose Physical restraint ( PR) is a highly controversal topic in psychiatry. Little is known about PR among psychiatric inpatients in China. This study examined the frequency of PR and its relationships with demographic and clinical characteristics among a large psychiatric institution in the Hunan Province, China. Design and Methods The study included a consecutively assessed sample of 160 psychiatric inpatients. Sociodemographic and clinical data including use of PR were collected from the medical records using a form designed for this study and confirmed via interview. Findings The frequency of PR was 51.3% in the whole sample; 63.2% among female and 39.2% among male patients. In multiple logistic regression analysis PR was independently associated with male gender ( p = 0.001, odds ratio [ OR] = 0.2, 95% confidence interval [ CI] 0.1-0.6), less outpatient treatment prior to admission ( p = 0.03, OR = 0.3, 95% CI 0.1-0.9), more frequent use of mood stabilizers ( p = 0.002, OR = 5.6, 95% CI 1.9-16.7), more aggressive behavior prior to admission ( p = 0.002, OR = 1.1, 95% CI 1.04-1.2), and younger age ( p = 0.04, OR = 0.97, 95% CI 0.93-0.99). Practice Implications PR is very common in clinical practice in China. Its demographic and clinical correlates are similar to findings in Western settings. [ABSTRACT FROM AUTHOR]

Purpose No study has investigated hyperprolactinemia and its risk factors in Chinese psychiatric patients. This study examined the prevalence of hyperprolactinemia and its relationship with demographic and clinical characteristics in inpatients in a large psychiatric institution in Beijing, China. Design and Methods A consecutive sample of 617 psychiatric inpatients formed the study sample. Basic sociodemographic and clinical data including serum prolactin level were collected. Findings The prevalence of hyperprolactinemia was 55.9% in the whole sample, and 56.8% and 43.2% for women and men, respectively. The corresponding figures were 59.6%, 40.0%, 53.6%, and 50.8% in schizophrenia spectrum disorders, major depression, bipolar disorders, and other psychiatric disorders, respectively ( p = 0.09). In univariate analyses, patients having hyperprolactinemia were younger, more likely to receive risperidone, amisulpride, and first-generation antipsychotics, but less likely to receive clozapine and aripiprazole. In multiple logistic regression analysis, hyperprolactinemia was independently associated with younger age, more use of risperidone or amisulpride and first-generation antipsychotics, and less use of clozapine and aripiprazole ( r2 = 0.197). Practice Implications Hyperprolactinemia is very common in Chinese psychiatric inpatients. Given the potentially harmful consequences of hyperprolactinemia and its preventable nature, effective measures to lower the frequency hyperprolactinemia in patients with major psychiatric disorders should be implemented in Chinese mental health facilities. [ABSTRACT FROM AUTHOR]

Purpose The study examined the rate of remission in individuals experiencing a first episode of schizophrenia ( FES) in China and explored predictors of remission in the acute phase of the illness. Design and Methods Fifty-five FES patients were randomly treated with risperidone, olanzapine, or aripiprazole at therapeutic doses for 8 weeks, and their clinical profiles and cognition were assessed using standardized assessment instruments at entry and the end of the study. Findings Of the 55 patients, 30 (54.5%) remitted by the end of the 8-week study. In univariate analyses, shorter duration of untreated psychosis, higher scores on both the time-based prospective memory ( TBPM) and event-based prospective memory tasks and the Hopkins Verbal Learning Test-revised, and less severe negative symptoms were significantly associated with remission. In stepwise multiple logistic regression analyses, only higher scores on the TBPM significantly predicted remission. Individuals having higher scores reflecting better TBPM at baseline were more likely to achieve remission after 8 weeks of optimized antipsychotic treatment. Practice Implications TPBM may be useful in helping clinicians identify those FES patients most likely to achieve a favorable treatment response. [ABSTRACT FROM AUTHOR]

Purpose Little is known about the level of work-related stress in nurses in China. This study compared the level of work-related stress between female nurses working in psychiatric and general hospitals in China. Design and Methods A descriptive comparative cross-sectional design was used. A consecutive sample of nurses from two psychiatric hospitals ( N = 297) and a medical unit ( N = 408) of a general hospital completed a written survey including socio-demographic data and a measure of work-related stress ( Nurse Stress Inventory). Findings Compared to the nurses working in the general hospital, those working in the psychiatric setting had a higher level of stress in the domains of working environment and resources ( p < .001) and patient care ( p < .001), but lower workload and time ( p < .001). Multivariate analyses revealed that college or higher level of education (β = .1, p < .001), exposure to violence in the past 6 months (β = .2, p < .001), longer working experience, and working in psychiatric hospitals were associated with high work-related stress (β = .2, p < .001). Practice Implications Considering the harmful effects of work-related stress, specific stress management workshops and effective staff supportive initiatives for Chinese nurses are warranted. [ABSTRACT FROM AUTHOR]