Zhao Xudong

Zhao Xudong
Tongji University · Division of Humanities in Medicine & Behavioral Sciences

Dr. med.

About

165
Publications
20,926
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
1,559
Citations

Publications

Publications (165)
Article
Full-text available
Although previous studies showed that women’s menopause-related symptoms varied in different ethnic groups and countries, and were affected by specific social and cultural factors, few studies have been conducted to explore menopause-related symptoms and its influencing factors in middle-aged women among ethnic groups in China. This study aimed to...
Article
Full-text available
Background: Since the introduction of the neurodevelopmental perspective of schizophrenia research on individuals at ultra-high risk for psychosis (UHR) has gained increasing interest, aiming at early detection and intervention. Results from fMRI studies investigating behavioral and brain functional changes in UHR during facial emotion recognition...
Article
Full-text available
This study aimed to examine the association between the psychotic-like experiences (PLEs) and emotion-regulation (ER) strategies of adolescents and their parents’ relationship, and we hypothesized that the parents’ relationship moderates the link between ER strategies and PLEs. We recruited a total of 2708 first-year college students (1659 males an...
Article
Full-text available
The two-child policy has been implemented in China since 2016 and has attracted the attention of the world. Adolescents may face huge psychological challenges in the process of changing family structures and relationships. To date, no mental health survey of adolescents from two-child families has been conducted. We investigated the prevalence and...
Article
Full-text available
Objective: Although, there has been a growing number of studies on school refusal in Western cultures, the underlying factors that contribute to school refusal in Chinese adolescents remain unclear. This study aimed to better understand why Chinese adolescents refuse to go to school and to further interpret what they want to express through their s...
Preprint
Full-text available
Background: Side effects in psychotherapy are sometimes unavoidable. Therapists play a significant role in the side effects of psychotherapy, but there have been few quantitative studies on the mechanisms by which therapists contribute to them. Methods: We designed the Psychotherapy Side Effects Questionnaire-Therapist Version (PSEQ-T) and released...
Article
Purpose To explore parents' experience in the decision-making process for children with haematological diseases receiving haematopoietic stem cell transplantation (HSCT) based on genograms. Design and methods A qualitative study based on genogram was conducted. Seven pairs of parents completed their genogram and a semi-structured interview. Two re...
Article
Full-text available
Background: Critical thinking (CT) is an essential competency for medical students. This study's aim was to evaluate Chinese medical students' disposition for CT and to explore the impact of current trends in medical education on students' CT development. Methods: We used multistage stratified cluster sampling to recruit a total of 1241 medical...
Preprint
BACKGROUND Side effects in psychotherapy are sometimes unavoidable. Therapists play a significant role in the side effects of psychotherapy, but there have been few quantitative studies on the mechanisms by which therapists contribute to them. OBJECTIVE Using machine learning techniques to distinguish therapists with and without the perception of...
Article
Study Objectives In this study, we conducted a cross‐sectional analysis of the sleep characteristics in the elderly Chinese people to comprehensively investigate the association between sleep and cognitive function in the elderly. We aimed to evaluate the most important demographic factors, conventional physiological indices, and living habits that...
Article
Full-text available
Metabolic syndrome (MetS) is associated with depression, but its role in major depressive disorder comorbid with anxiety (AMD) is unclear. This study aimed to investigate the prevalence and clinical correlates of MetS in first-episode drug-naive (FEDN) patients with AMD in a Chinese Han population. In total, 1380 FEDN outpatients with AMD were recr...
Article
Objective: To explore potential molecular mechanisms and novel biomarkers of mild cognitive impairment (MCI) and Alzheimer’s disease (AD). Methods: The mRNA expression datasets GSE63060 and GSE63061 and the miRNA expression dataset GSE120584 were obtained from the Gene Expression Omnibus database. The differentially expressed genes (DEGs) and miRNA...
Article
Full-text available
Purpose: Translate General Adherence Scale (GAS) into Chinese and test its psychometric properties in middle-aged and elderly type 2 diabetes (T2D) patients using insulin in the Han people of urban China. Subjects and methods: We translated the GAS into Chinese and established General Adherence Scale in Chinese (GAS-C). 136 T2D subjects were sel...
Article
Full-text available
Background: Side effects in psychotherapy are a common phenomenon, but due to insufficient understanding of the relevant predictors of side effects in psychotherapy, many psychotherapists or clinicians fail to identify and manage these side effects. The purpose of this study was to predict whether clients or patients would experience side effects i...
Article
Full-text available
To investigate the correlation between hypertension development and the progression of mild cognitive impairment (MCI) to dementia in middle-aged and elderly people. A population-based longitudinal cognition survey of people aged 55+ was conducted. The hypertension onset age was estimated by self-reported information and medical insurance card reco...
Article
Full-text available
Objective We compare the reliability and validity of the Short Form 36 (version 1, SF-36) and the Short Form 12 (version 1, SF-12) in adolescence, the period of life when a child develops into an adult, i.e., the period from puberty to maturity terminating legally at the age of majority (10–19 years), thus supplying evidence for the selection of in...
Article
Full-text available
Subjects with ultra-high risk (UHR) states for psychosis show brain structural volume changes similar to first-episode psychosis and also elevated incidence of environmental risk factors like childhood trauma. It is unclear, however, whether early neurodevelopmental trajectories are altered in UHR. We screened a total of 12,779 first-year Chinese s...
Article
Full-text available
Background High burnout has been reported in physician populations. Although the standardized residency training (SRT) in China includes components that might put residents at a higher risk for burnout, the burnout of Chinese medical residents is unknown. This study aimed to evaluate the prevalence of burnout and the associated risk and protective...
Article
Full-text available
Background Despite widespread application of the Symptom Check-List-90-R (SCL-90-R) for Chinese undergraduate students, there are no appropriate norms for them. The aim of this study is to provide norms for the Chinese version of the tool for undergraduate students using a large and representative sample . Methods Four thousand eight hundred sixty...
Article
Background: Mild cognitive impairment (MCI) is an intermediate state between normal aging and dementia, and is characterized by pathological cognitive decline. The study aimed at revealing the risk of mild cognitive impairment (MCI) progressing to dementia through a follow-up investigation. Methods: In 2011, 441 MCI subjects were recruited, and the...
Article
Full-text available
Disaster psychological assistance has become an important part of the disaster relief system, playing a crucial role in restoring and maintaining emotional stability and security of people and reducing trauma-related stress. As the first country to experience the outbreak of the coronavirus disease 2019 (COVID-19), China actively adopted psychologi...
Preprint
Full-text available
Background: Depression and schizophrenia are the global common causes worldwide of long-term and devastating disability, which significantly impact the patient quality of life. This paper is aimed to analyze and compare the health-related quality of life (HRQOL) of patients with Depression and Schizophrenia, determine main impact factors of their H...
Article
Full-text available
Background: Recently, the community rehabilitation model for schizophrenia patients has become increasingly popular, and the Shanghai Pudong New Area has developed a relatively complete community rehabilitation model. This study analyzed the correlation between family function and subjective quality of life in the rehabilitation of patients living...
Preprint
Full-text available
Objective: By comparing psychometric properties of the SF-36 and the SF-12, supplied evidence for the election of instruments of the quality of life (QOL) and decision-making processes to promote the Quality of Life of adolescent. Methods: Stratified cluster random sampling was adopted. The Short-Form 36 (SF-36) was used to assess QOL. Pearson Corr...
Preprint
Full-text available
Objective: By comparing the psychometric properties of the Short Form 36 (version 1, SF-36) and the Short Form 12 (version 1, SF-12), we supply evidence for the selection of instruments measuring the quality of life (QOL) and decision-making processes of adolescents in China. Methods: Stratified cluster random sampling was adopted, and the SF-36 wa...
Preprint
Full-text available
Objective: We compare the reliability and validity of the Short Form 36 (version 1, SF-36) and the Short Form 12 (version 1, SF-12) in adolescence, the period of life when a child develops into an adult, i.e., the period from puberty to maturity terminating legally at the age of majority (10-19 years), thus supplying evidence for the selection of i...
Article
Full-text available
Background and AimThere are important public health issues involving rehabilitation of patients living with schizophrenia in the community. The purpose of this study was to analyze the correlations between number of previous hospitalizations, living space and quality of family function in the rehabilitation of patients living with schizophrenia in...
Article
Full-text available
Objectives: In this study, we aimed to conduct a 6-year follow-up and acquire a large sample dataset to analyze the most important demographic factors and cognitive function scale variables associated with mild cognitive impairment (MCI) progression for an elderly cohort (age ≥ 60 years old). Patients and Methods. We analyzed the subjects who had...
Article
High resident job performance is essential for effective medical professionalism. To date, few studies have investigated the potential predictors of job performance among residents in standardized residency training (SRT) program in China. Therefore, a nationwide survey among Chinese residents in SRT program was conducted to evaluate the impact of...
Chapter
Cultural psychiatry deals with cultural aspects of human behaviour, mental health, psychopathology, and treatment. Psychological services in Chinese society require significant emphasis on the cultural sensitivity and competence of practitioners, regarding both the specific cultural background of mainstream Chinese culture and the diversity of peop...
Chapter
There is a great need for further development of the health care in the field of psychosomatic medicine and psychotherapy in China. The prevalence rate for mental disorders in China lies between 7.0% and 17.5%. It is imperative to improve the training of non-psychiatrist, nurses, psychiatrists, and psychologists. The new mental health law promotes...
Chapter
With the program “ASIA-Link,” the European Community supported the development and implementation of a curriculum for postgraduate psychosomatic training for medical doctors in China, Vietnam, and Laos. In China (Shanghai), Vietnam (Ho Chi Minh City, Hue), and Laos (Vientiane), regional training centers have formed. A total of 200 physicians have c...
Chapter
In case of a disease, the family system can function as a burden or a resource and support system. The genogram (a visual depiction of the patient’s family relationships and other relevant information) helps the doctor to get a clear understanding of symptoms, life events, and diseases across three generations. The different phases of the family di...
Preprint
Objective To investigate the correlation between hypertension development and the progression of MCI for middle aged and elderly people. Methods A population-based longitudinal cognition survey of people aged 55+ was conducted. The hypertension onset age was estimated by self-reported information and medical insurance card records. In order to stud...
Preprint
Objective To investigate the effect of hypertension development on the progression of MCI for middle aged and elderly people. Methods A population-based longitudinal cognition survey of people aged 55+ was conducted. The hypertension onset age was estimated by self-reported information and medical insurance card records. In order to study the effec...
Article
Background China's practitioners are responsible for serving the most populous country in the world. Despite the pronounced shortages of areas, such as general practice and paediatrics, little is known about the discrepancies between supply and demand in each specialty. We aimed to examine China's supply of and demand for health care since 2009 to...
Article
Background Pronounced doctor–patient conflicts and physician attrition in China are thought to be secondary to inadequate training professionalism during medical school. We aimed to explore Chinese medical students and residents' perspectives on professional role formation. Methods This exploratory study consisted of medical students and residents...
Article
Background Specialty maldistribution stemming from a lack of preference for certain specialties can substantially impact a country's health-care system. Promoting primary care or addressing the shortages of certain specialties needs a better understanding of the underlying motives that might encourage or discourage medical students to choose certai...
Preprint
Objective To investigate the effect of later onset of hypertension on the progression of MCI in community. Methods Participants are from The Study (NO.PKJ2010-Y26, 2011), a population-based longitudinal cognition survey of people aged 55+, sampled by probability proportional to size cluster. Hypertension onset age was estimated by self-reported inf...
Article
Full-text available
Background: Empathy is an important element of the physician-patient relationship and is a critical personality trait for medical students. However, research has shown that it declines during undergraduate medical education. It is still unclear how empathy interrelates with the psychological elements of medical students, in particular, self-esteem...
Article
Full-text available
Cross-sectional survey. To assess quality of life (QOL) and the predictors of QOL in people with spinal cord injury (SCI). Shanghai Yangzhi Rehabilitation Hospital, Mainland China. Three hundred adult participants with SCI completed standardized self-report measures. The study assessed QOL, demographic and injury variables, psychological factors an...
Article
Full-text available
Background: Critical thinking (CT) is an essential competence for medical students. Family socioeconomic status (family SES) and general self-efficacy (GSE) play crucial roles in the development of CT. However, the association among family SES, GSE, and CT in Chinese medical students has yet to be fully investigated. Objectives: To investigate the...
Article
Full-text available
Objective: Despite a long history of interest in personality traits and psychosis, the association between personality traits and psychotic experiences in the general population is not yet well understood. One possible factor that could influence the degree of distress from psychotic experiences is emotion regulation. The purpose of this study was...
Article
Full-text available
24 Study design:Cross-sectional survey. 25 Objectives:To explore the prevalences of three psychological morbidities(posttraumatic 26 stress disorder, anxiety and depression) and two positive psychological outcomes (resilience 27 and posttraumatic growth) in people with spinal cord injury (SCI).To examine the 28 relationships between the five aforem...
Article
Full-text available
Background: Despite the widespread application of the Chinese version of Symptom Check List 90 (SCL-90) amongst undergraduate students, researchers have not thoroughly evaluated its psychometric features with representative samples of Chinese undergraduate students. Aim: To evaluate its psychometric properties based on a large, representative sa...
Article
Full-text available
Cultural background has been shown to influence climacteric symptoms of women. This study compares various characteristics of climacteric symptoms, illness conception, health-seeking behavior, and attitude towards menopause of Mosuo women, a Chinese ethnic minority with a matriarchal structure, and Han Chinese women, the majority ethnic group of Ch...
Article
s Background Of China's population of 1·37 billion, 16.1% are elderly people (aged 60 years or over), and of those over 65 years, 16·4% live alone. Most studies agree that with urbanization has come a decline in the suicide rate, except in elderly people. This study aims to examine the morbidity and mortality associated with injury and suicide amo...
Article
Background Governmental policies in China have strengthened education in the medical humanities. Previous publications have highlighted the inadequacy of medical humanities education in China and have promoted their advancement and evaluation. Medical disputes and mistrust between doctors and patients in China have been ascribed to a paucity of pro...
Article
Full-text available
Study design: Cross-sectional survey. Objectives: To explore the prevalences of three psychological morbidities (posttraumatic stress disorder, anxiety, and depression) and two positive psychological outcomes (resilience and posttraumatic growth) in people with spinal cord injury (SCI). To examine the relationships between the five aforementione...
Article
Full-text available
This study examined the impact of family function and family-related factors, such as being an only child, grandparenting, income, and family relationship on the self-esteem in college students who are in the transitional period from late adolescence to emerging adulthood. The participants were 2001 Chinese college freshmen with the age from 16 to...
Article
Background Chinese medical doctors have experienced unprecedented challenges over the past 10 years, including but not limited to heavy workload and violence against doctors. In the meantime, the National Health and Family Planning Commission issued guidelines for standardised medical training that include an additional 2–4 years of specialist trai...
Article
Full-text available
Background: The aim of this study was to test the operationalization of DSM-5 somatic symptom disorder (SSD) psychological criteria among Chinese general hospital outpatients. Methods: This multicenter, cross-sectional study enrolled 491 patients from 10 general hospital outpatient departments. The structured clinical "interview about cognitive,...
Article
Full-text available
Background: Our study aimed (1) to describe the proportion of psychological distress among Chinese outpatients at general hospitals, (2) to compare cognitive and behavioral characteristics of patients with different distress patterns, and (3) to investigate the discriminant function of the analyzed variables in indicating the affinity towards the...
Article
Full-text available
Psychosocial intervention trials for youth at clinical high risk (CHR) for psychosis have shown promising effects on treating psychotic symptoms but have not focused on psychosocial functional outcomes, and those studies have been conducted among help-seeking patients; there is a lack of research on non-clinical young CHR individuals. Systemic ther...
Article
Full-text available
Background High rates of non-psychotic psychopathological symptoms have been observed in clinical population at clinical high risk (CHR) for psychosis. These comorbid disorders affected the baseline functional level of CHR patients. However, little is known about the comorbid mental disorder in CHR individuals in non-clinical adolescent population....