Jikun Wang

Tongji University, Shanghai, Shanghai Shi, China

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Publications (13)15.34 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: AimThe aim of this study was to examine the reliability, validity, sensitivity and specificity of the Chinese version of the 16-item Prodromal Questionnaire (CPQ-16) for identifying attenuated psychosis syndrome (APS) in a college population.Methods The participants were recruited from a university. Five hundred seventy-nine students completed the CPQ-16 and the Symptom Checklist-90. One class (n = 79) was randomly selected to be retested with the CPQ-16 after 2 weeks. A randomly selected group of 49 individuals who tested positive and 50 individuals who tested negative were interviewed using the Structured Interview for Prodromal Syndromes (SIPS).ResultsThe internal consistency reliability was good (Cronbach's α = 0.72). The test–retest reliability was 0.88. The total score on the CPQ-16 was moderately to highly correlated with the total score on the Symptom Checklist-90 and all of the subscales (r = 0.39–0.67, P < 0.001). A cut-off CPQ-16 score of 9 was used to differentiate between those with a APS diagnosis on the SIPS versus those with no SIPS diagnoses; this cut-off value yielded 85% sensitivity, 87% specificity, a positive predictive value of 63% and a positive likelihood ratio of 6.69. The area under the ROC curve (AUC) was significant for the CPQ-16 total score (AUC = 0.93, SE = 0.026, 95% CI = 0.87–0.98, P < 0.001). Based on the proposed cut-off score, the CPQ-16 yielded a positive rate of 5.0% (29/579).Conclusions The CPQ-16, administered in a face-to-face interview, demonstrated high reliability and the ability to identify college students at risk for psychosis.
    Early Intervention in Psychiatry 09/2014; · 1.65 Impact Factor
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    ABSTRACT: The pupillary responses to light in patients with depression and normal controls were evaluated among Chinese females. Four parameters related to the pupil were assessed using a video-based pupillometer. The results showed that there were significant differences in the pupil area in the darkness and the pupil area at the peak of constriction between depressed patients and normal controls.
    International Journal of Environmental Research and Public Health 01/2014; 11(2):2236-43. · 2.00 Impact Factor
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    ABSTRACT: Although the procedure of systemic family therapy has been extensively researched in Western culture, few studies on this subject have been conducted in China. The aim of this study was to specify the therapy-delivered interventions in Chinese systemic family therapy and to explore how Western-imported systemic therapy model is delivered in Chinese culture. A qualitative and exploratory research approach was taken in which thematic analysis was used to analyse the transcribed psychotherapy videotapes with Chinese families. Twenty-six hours of video-recorded systemic family therapy sessions from 14 Chinese family cases were sampled. Thematic analysis was used to analyse the transcriptions of therapy sessions and identify therapist-generated interventions in therapy. Frequencies of different interventions were counted, and correspondence analysis (CA) was used to reveal the corresponding relationships between different interventions. Analysis led to two main themes related to therapists-delivered interventions: Therapist's intention and therapy technique. Results revealed 15 types of therapist's intentions and 16 categories of therapy techniques. CA indicated that therapists' intentions changed across different therapy stages and specific techniques were used to achieve corresponding intentions. Interventions delivered in Chinese systemic therapy are mainly adherent with Milan and post-Milan systemic models. Due to the shortage in systemic therapy service in China and Chinese culture advocating reverence to authority, components of psycho-education, guidance, and metaphor are adopted in Chinese systemic practice. Some directions for future research are suggested.
    Psychology and psychotherapy. 12/2013; 86(4):447-65.
  • Jikun Wang, Xudong Zhao
    International Journal of Social Psychiatry 05/2013; 59(3):307. · 1.15 Impact Factor
  • Jikun Wang, Xudong Zhao
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    ABSTRACT: This study explored subjectively perceived and objectively rated family dysfunction using the self-report Family Assessment Device (FAD) and observer-rated McMaster Clinical Rating Scale (MCRS), respectively. Perceived differences in family functioning ratings between 86 depressed patients and their partners and the degree of agreement between the subjective and objective rating scales were analyzed. There were significant correlations for perceived family functioning between the patients and their partners. There were moderate to significant correlations between patients' perceptions on five of the seven dimensions of the FAD (excluding problem solving and roles) and those dimensions of the MCRS. Findings showed moderate to significant correlations between six dimensions of the FAD and MCRS, excluding problem solving. Results on the FAD and MCRS were significantly correlated and considered equivalent. This suggests that these two instruments can be used individually or in combination to provide a comprehensive understanding of family functioning of couples with a depressed partner.
    The Journal of nervous and mental disease 04/2013; · 1.77 Impact Factor
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    ABSTRACT: Background: Patients with depression or type 2 diabetes mellitus (T2DM) often have associated impaired family functioning. The purpose of this study was: (1) to explore the family functioning of T2DM patients with and without depressive symptoms and (2) to explore the relationship between depressive symptoms and family impairment in T2DM patients with depressive symptoms. This study used a cross-sectional design. Sampling and Methods: A sample of 32 patients with T2DM who had depressive symptoms and 229 patients with T2DM who did not have depressive symptoms completed the Chinese versions of the Family Assessment Device (FAD) and the Beck Depression Inventory. Results: This study showed that there were differences in duration of diabetes and some FAD dimensions between T2DM patients with and without depressive symptoms (p < 0.01). There were also differences in the frequencies of FAD dimensions between T2DM patients with and without depressive symptoms (p < 0.01). Age, duration of diabetes and family function were predicting factors of depressive symptoms among T2DM patients (p < 0.01). Conclusions: The T2DM patients with depressive symptoms had more unhealthy FAD dimensions than the T2DM patients without depressive symptoms. The family functioning of T2DM patients with depressive symptoms was worse than that of T2DM patients without depressive symptoms. Age, duration of diabetes and some dimensions of FAD were associated with depressive symptoms in the T2DM patients.
    Psychopathology 03/2013; · 1.62 Impact Factor
  • Jikun Wang, Xudong Zhao
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    ABSTRACT: This study investigated family functioning in Chinese couples with a first episode of major depression, and in normal controls, and examined the association between depression severity and family impairment. Seventy-four patients with a first episode of major depression and 73 normal controls, together with their respective spouses, were assessed using the Family Assessment Device and Beck Depression Inventory. Patients with a first episode of major depression reported significantly higher Family Assessment Device scores for all dimensions compared with normal controls. Beck Depression Inventory scores were positively associated with Family Assessment Device scores for patients with a first episode of major depression for five dimensions, but not for affective responsiveness and affective involvement. A first episode of major depression was thus associated with impaired family functioning in Chinese families, and depression severity was positively associated with family impairment for the depressed patients. These findings indicate the importance of including family interventions in the treatment of Chinese patients with a first episode of major depression.
    Nursing and Health Sciences 10/2012; · 0.71 Impact Factor
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    ABSTRACT: No abstract available.
    Psychopathology 07/2012; 45(5):334-6. · 1.62 Impact Factor
  • Jikun Wang, Xudong Zhao
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    ABSTRACT: Geriatric depression is now very common and leads to significant economic costs and family burden in China. Families with a depressed patient often report problematic family functioning in Western samples, and lack of social support is strongly associated with geriatric depression. However, the relationship between geriatric depression, family functioning and social support in mainland China has not been well studied. This study compared family functioning and social support in a Chinese sample of elderly patients with major depression and non-depressed elderly people, and evaluated the impact of family functioning, social support and socio-demographic factors on depression. A questionnaire was administered to 102 elderly patients with major depression and 107 non-depressed elderly people. The elderly patients with major depression had worse family functioning and lower social support than elderly individuals without depression. Multivariate linear regression analysis showed associations between depressive symptoms and unhealthy family functioning, lower social support and single marital status. The findings suggest that family interventions and improvement of social support are important in reducing depression among elderly patients. In addition, strategies to alleviate geriatric depression should be considered by the whole society, the community, family members and the depressed elderly patients themselves.
    Archives of gerontology and geriatrics 07/2012; 55(3):574-9. · 1.36 Impact Factor
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    ABSTRACT: BACKGROUND: Existing studies of depression and family functioning have used western samples to examine how depression and impaired family functioning are related, and to explore levels of discrepancy between depressed patients and their family members. The purpose of the current study is to explore these questions in a Chinese sample. METHOD: This study examined the association between family functioning and depression in a Chinese sample of 60 depressed patients and their family members and 60 non-clinical controls and their family members. The study evaluated levels of agreement between family members on a self-report measure of family functioning (Family Assessment Device) using reliability statistics. It also compared families' self-reported family functioning to that of a trained observer using an observational rating scale (McMaster Clinical Rating Scale). RESULTS: RESULT: s indicate poorer family functioning among Chinese families with a depressed family member, high to moderate agreement between patients and family members, moderate to low agreement between non-clinical participants and their family members, and moderate correlations between subjective and objective ratings of family functioning in a mainland Chinese sample. CONCLUSIONS: As in other cultures, depression is associated with impaired family functioning in Chinese families. There is good agreement between family members and a trained evaluator about the family impairments. The Family Assessment Device and the McMaster Clinical Rating Scale are useful for assessing family functioning in Chinese families.
    International Journal of Social Psychiatry 06/2012; · 1.15 Impact Factor
  • Jikun Wang, Xudong Zhao, Ming He
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    ABSTRACT: Epidemiological and clinical studies have demonstrated a strong association between depression and diabetes. Of note, depression is a risk factor for the development of type 2 diabetes mellitus (T2DM), while most patients with T2DM also have depression. Despite the abundance of evidence showing an epidemiological link between depression and T2DM, the cause of this association is still unknown. Brain-derived neurotrophic factor (BDNF) is widely expressed in the brain. Biological and clinical studies have repeatedly shown that BDNF is important in the pathogenesis of depression and T2DM. Therefore, we propose that BDNF may play an important role linking depression and T2DM. Studies examining the components of the BDNF system in patients with T2DM and depression may provide new understanding into the link between depression and T2DM. Such studies might also help us to identify potential treatment targets for these two common disorders.
    Medical Hypotheses 05/2012; 79(2):255-8. · 1.18 Impact Factor
  • Jikun Wang, Xudong Zhao
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    ABSTRACT: Family functioning plays an important role in the etiology and course of obsessive-compulsive disorder (OCD) so understanding the types of problems families with OCD patients have will help in the creation of OCD-specific family interventions.
    Shanghai archives of psychiatry. 02/2012; 24(1):20-9.
  • Jikun Wang, Xudong Zhao
    International Journal of Social Psychiatry 01/2012; 58(1):110. · 1.15 Impact Factor

Publication Stats

5 Citations
15.34 Total Impact Points

Institutions

  • 2012–2014
    • Tongji University
      • Medical School
      Shanghai, Shanghai Shi, China
  • 2013
    • Tongji Hospital
      Wu-han-shih, Hubei, China
  • 2012–2013
    • Tongji Medical University
      Shanghai, Shanghai Shi, China