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Open Access Letter to the Editor Issue
Increased first clinic visits in adolescent patients with mood, anxiety, or childhood affective disorders during the COVID-19 pandemic
Stress and Brain 2023, 3(2): 63-68
Published: 14 August 2023
Abstract PDF (2.5 MB) Collect
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Background:

To explore changes in the first clinic visits in adolescents diagnosed with mood disorders, anxiety disorders, or childhood mood disorders from January 2019 to May 2022 based on outpatient records from a large psychiatric hospital in China.

Methods:

The medical records of adolescents aged 12–17 years at their first clinic visits from January 2019 to May 2022 were collected at Ningbo Kangning Hospital. Adolescents primarily diagnosed with mood disorders, anxiety disorders, or childhood affective disorders were included in the present study.

Results:

The results showed that the number of adolescents at their first clinic visits diagnosed with mood disorders, anxiety disorders, and childhood affective disorders according to the International Classification of Diseases-10 (ICD-10) increased each year, with an increase from 2019 to 2020 being greater than that from 2020 to 2021. The mean age at first diagnosis showed a significant trend towards younger age (P < 0.001). The mean age when boys did their first clinic visits in 2021 was significantly younger than that in 2019 (P < 0.05) and the mean age of girls in 2021 was significantly younger than that in 2019 (P < 0.001) and in 2020 (P < 0.001). No difference was found in terms of sex (Chi-square = 7.538, P > 0.05).

Conclusion:

The number of first clinic visits by adolescent patients with mood, anxiety, or childhood affective disorders increased during the COVID-19 pandemic. The use of universal, selective, and indicated prevention and treatment strategies to buffer children and adolescents from negative mental health outcomes is imperative in the context of the COVID-19 pandemic.

Open Access Review Article Issue
Factors contributing to cognitive dysfunction in patients suffering from COVID-19
Stress and Brain 2023, 3(1): 9-18
Published: 11 April 2023
Abstract PDF (1,010.6 KB) Collect
Downloads:153

The corona virus disease 2019 (COVID-19) is an epidemic pneumonia caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In addition to pulmonary symptoms and a variety of physical symptoms, patients also experience symptoms of cognitive impairment. Previous studies have shown that many patients will experience varying degrees of cognitive decline in the subacute and prognostic stages after having COVID-19. Then, what are the factors that lead to cognitive decline? This article reviews and analyzes the inherent factors before the onset of the disease, the factors directly related to the disease, and the factors of hospital admission. In addition, this paper also summarizes the evaluation methods of cognitive decline and the possible mechanisms of the pathogenesis, thus providing corresponding clinical intervention ideas for inhibiting or regulating related factors.

Open Access Review Article Issue
The cognitive function effects of prefrontal tDCS for depression: a system review
Stress and Brain 2021, 1(2): 97-107
Published: 17 December 2021
Abstract PDF (3 MB) Collect
Downloads:333
Background:

Depression is accompanied by cognitive control defects. Transcranial direct current stimulation (tDCS) has been found to be a promising non-invasive treatment for depression. Studies have explored whether tDCS can improve cognitive function in patients with depression, but the results were not consistent.

Methods:

The study summarized the relevant evidence from sham-controlled randomized controlled trials (RCTs) whether prefrontal tDCS improves cognitive function in patients with depression.

Results:

Seventeen sham-controlled studies were selected from 252 papers. Systematic analysis shows that the prefrontal tDCS has a promising prospect in the working memory and emotion process of depression patients; however, there is insufficient evidence to support the reliable influence of tDCS on psychomotor speed, learning, speech process, and overall cognitive function.

Conclusions:

Our review shows that the prefrontal tDCS has positive effects on working memory and emotion processes, but has limited impact on other cognitive functions.

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