Objective To analyze the clinical effect of ear acupuncture combined with Morita therapy in patients with non-organic insomnia. Methods 180 patients with non-organic insomnia admitted to Zibo Mental Health Center from April to December 2020 were selected as the study subjects. They were divided into three groups by random number table method, with 60 patients in each group. Group A was given routine drug intervention program, group B was given Morita therapy intervention on the basis of group A, and group C was given ear acupuncture intervention on the basis of group B. The scores of TCM syndromes, Pittsburgh Sleep Quality Index（PSQI） and the incidence of adverse reactions were compared between the three groups before and after the intervention. Results After intervention, the scores of group C were better than those of group B and group A [（1.81±0.36） points vs（2.13±0.41） points vs（2.48±0.54）points], [（1.54±0.36） points vs（1.82±0.39） points vs（2.09±0.42） points], [（1.61±0.35） points vs（1.85±0.38） points vs（2.05±0.42） points], [（1.61±0.28） points vs（1.88±0.29） points vs（2.03±0.32） points] in terms of no appetite, upset and chest tightness, insomnia, and mental depression, the difference was statistically significant（F=34.302, 29.718,19.707, 30.781, P＜0.05）. After intervention, the PSQI scores of sleep latency, sleep time, sleep disorder, sleep efficiency, sleep quality and daytime dysfunction in group C were significantly better than those in group B and group A,the difference was statistically significant（P＜0.05）; there was no statistically significant difference in the incidence of adverse reactions among the three groups（P＞0.05）. Conclusion Morita therapy and can achieve satisfactory results in patients with non-organic insomnia, but the combined application of Morita therapy and ear acupuncture can improve the sleep quality of patients more significantly.

Objective To investigate the clinical effect of psychological intervention combined with MR in patients with depression. Methods 82 clinically confirmed depression patients were selected for the study, and all cases were patients admitted to our hospital from December 2019 to December 2021. The patients were divided into two groups according to the method of random number table, with 41 cases in each group, which were respectively set as the comparison group and the observation group. The comparison group received psychological intervention, while the observation group combined mindfulness decompression therapy on the basis of the comparison group. Before and after treatment, the degree of anxiety and depression and quality of life and sleep quality were assessed in the two groups, and the scoring data at different time points were compared between groups. Normal measurement data were tested by t test; count data were tested by x2. Results Before treatment, the Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA) score, Pittsburgh sleep quality index (PSQI) score, the MOS 36-item short form health survey (SF-36) scores between groups were not statistically significant (P＞0.05); after treatment, the HAMD, HAMA score and PSQI score of the comparison group were higher than those of the observation group, and the SF-36 score was lower than that of the observation group, and the differences between the scores were statistically significant (P＜0.05). Conclusion Psychological intervention combined with mindfulness-based stress reduction therapy for patients with depression can better improve their psychological state, quality of life and sleep quality.

目的:调查淄博市≥18岁成年人睡眠质量现状及睡眠问题发生概率,进一步探讨睡眠问题在不同人群的分布状态.方法:选取2015年11月至2016年4月淄博市第4次精神障碍流行病学调查中2839名18岁及以上年龄居民作为研究对象,采用匹兹堡睡眠质量指数(PSQI)量表进行睡眠质量评估调查.结果:在调查人群中,睡眠问题发生率为17.08％,其中女性睡眠问题发生率19.63％,显著高于男性的12.64％,2组比较差异有统计学意义(P<0.01);不同年龄段睡眠问题发生率随年龄增长呈增高趋势,但差异无统计学意义(P>0.05);离婚或丧偶者睡眠问题发生率为67.92％,有精神心理问题者睡眠问题发生率为80.43％,非离婚或丧偶者睡眠问题发生率为10.03％,无精神心理问题者睡眠问题发生率为4.08％,差异均有统计学意义(均P<0.01).结论:淄博市≥18岁成年人睡眠质量问题发生率较高,应进一步采取健康教育等相关措施,提高睡眠质量.

目的 调查了解山东省淄博市18岁以上人群的应对方式,分析影响人群应对方式的影响因素.方法 选择2015年9月至2016年4月淄博市18岁以上的2965人进行了对应的调查,其中共有2750人完成了问卷调查,采用的方法为分阶段分层整群系统随机抽样法.调查结束后对不同性别、是否患病、不同受教育程度的人群实际应对方式进行对比和分析.结果 与女性、40岁以上、教育程度初中及以下、心理健康状况不好的人群相比,男性、40岁以下、教育程度高中及大学以上、心理健康状况好的人群倾向于选择积极的应对方式,差异有统计学意义(P<0.05).结论 性别、年龄、受教育年限、身心健康状况可能是应对方式的影响因素.建议多关注女性、中老年人、低受教育程度等特征的重点人群.

Objective To investigate the prevalence and distribution of mental disorders in adults(age≥18) in Zibo city of Shandong province. Methods A total of 2 839 adults(age≥18) in Zibo city were screened with General Health Questionnaire (GHQ-12) ,and those who were screened out were diagnosed with Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version (SCID-I /P) . Results The overall prevalence of mental disorders was 16. 38％,and the sequence for prevalence of common mental disorders from high to low was substance use disorder(5. 14％) ,mood disorder(4. 86％) ,anxiety disorder(4. 05％) ,schizophrenia and other psychiatric disorders(1. 20％) ,dementia(0. 85％) ,mental retardation(0. 28％) . The prevalence of substance use disorder in males was significantly higher than that in females(P < 0. 01) ; the prevalences of mood disorder and anxiety disorder in females were significantly higher than those in males(P < 0. 01) ; the prevalence of overall mental disorders in males was significantly higher than that in females(P < 0. 01) . Conclusion Prevalence of mental disorders in Zibo increases obviously compared with the data before,and mental health problems have become important public health problem and serious social problem,which is worthy of social attention.

Objective To investigate the effect of aripiprazole combined with escitalopram on cognitive function and social function of patients with first-episode schizophrenia. Methods A total of 140 cases of first-episode schizophrenic patients were randomly divided into observation group and control group, with 70 cases in each group. Patients in the control group were given aripiprazole for treatment, and those in the observation group were given escitalopram in combination with aripiprazole for treatment. Before and 6 months after treatment, the clinical symptoms, cognitive function and social function of the patients were evaluated by the PANSS, WCST and SDSS. Results Before treatment, there was no significant difference between the two groups in the scale scores (P>0.05);6 months after treatment, scores of PANSS in the observation group were significantly lower than those in control group, the finished number of categories, the number of correct answers and the percentage of conceptual level of WCST were significantly higher than those in the control group, the number of preservative errors was significantly lower than that in control group, the scores of social withdrawal, out of family activities, inner family activities, family function, personal daily life activity and interest in outside world of SDSS were significantly lower than those in control group, all the above differences were statistically significant (P<0.05). Conclusion Aripiprazole in combination with escitalopram can be more effective to relieve the psychotic symptoms and improve the cognitive and social function of first-episode schizophrenic patients.