#27岁女孩患胃萎缩去世#【#村支书称胃萎缩女孩生前爱喝饮料#】12月18日，有多位网友发视频称，广 东27岁女孩"巧巧"已去世，此前她因患胃萎缩发视频求助，体重从90多斤暴瘦至35斤。18日晚，纵览新 闻从"巧巧"所在的广东陆河县上护镇护二村村支书处确认，"巧巧"确实已去世，遗体今天已经火化。 # 村支书证实患胃萎缩女孩巧巧离世#今年7月，来自广东的27岁女孩"巧巧"因发布求助视频引发社会关 注。视频里，27岁的"巧巧"瘦骨嶙峋，因患胃萎缩，体重从90多斤骤降至35斤。据媒体此前报道，"巧 巧"的命运坎坷，自幼与父亲相依为命。父亲被查出胃癌晚期，最终离世。接连的打击让巧巧患上严重 的抑郁症，整日整夜睡不着觉，也吃不下饭。一开始只是胃口不好，后来吃点东西就腹胀恶心，体重掉 得越来越快，最后被确诊为重度胃萎缩，胃黏膜几乎失去了消化功能，只能靠营养液维持生命。12月18 日，多位网友发视频称，"巧巧"已于12月17日凌晨去世。18日晚，"巧巧"所在的广东陆河县上护镇护二 村村支书叶书记向纵览新闻证实，"巧巧"确实不幸去世，遗体今天已经火化。叶支书告诉记者，"巧 巧"父亲早年去世，母亲改嫁，家中目前还有一位爷爷和一 ...

临床医生表示，这种现象正在对现实世界的心理健康治疗产生深远的影响。不列颠哥伦比亚大学的精神 病学家兼研究员安东尼·杨说，他接触到"两种关于多动症的看法"：一种是社交媒体上讨论的，另一种 是他从实际患者身上看到的。在网上，关于多动症的内容往往过于笼统，将一些其实很常见的行为规纳 入疾病的诊断标准。有人会在刷到心理视频后去找医生咨询，但有时这种先入为主、对号入座的观念会 使诊断变得更加困难。 短视频平台使用算法技术来选择为用户推送哪些内容，并为用户提供"观看"或"跳过"两个主要选项。据 《华盛顿邮报》的分析，平均而言，用户需要跳过1.3条视频才能抵消观看一个完整萌宠类视频的影 响；但对于心理健康类视频，用户需要跳过2.2条才能消除其影响。平均而言，用户刷到的500条视频 中，约有16条是有关心理健康主题的。你观看这些视频时的行为会影响平台推送。如果你选择跳过两条 心理视频，接下来平台给你推荐的相似视频会减少7.8条；但如果你只跳过一条，接下来你刷到的心理 视频会增加2.3条。 数据显示，关于精神疾病和神经系统差异的内容在社交媒体应用上非常受欢迎，贴上"心理健康"标签的 帖子数量几乎与使用"运动"标签的帖子数量相当 ...

近期的科学流言榜，有一则关于"性格开朗、爱笑的人不会得抑郁症"的流言引发关注。事实真的如此 吗？专家介绍，抑郁症具有很强的隐蔽性，甚至有的抑郁症患者看起来还特别开朗爱笑，这就是医学上 的"微笑抑郁症"。 微笑抑郁症也叫作阳光型抑郁症，是抑郁症的一种特殊类型。与人们印象当中抑郁症患者悲观惆怅、萎 靡不振的形象不同，微笑抑郁症患者看上去往往积极上进、开朗活泼，殊不知在他们乐观的假面之下， 隐藏的却是深深的悲观情绪。 首都医科大学附属北京安定医院临床心理中心主任 沙莎：我们在临床心理观察当中会发现，有一部分 病人会用开朗来防御自己的情绪低落、悲观、内向等等这些特点，所以说性格开朗并不意味着这个人内 心当中一定是开朗的，有可能他故意戴上人格面具来呈现一个开朗乐观的状态，实际他的内心是非常敏 感脆弱，而且很恐惧别人对自己有负面评价。这类人，其实他越开朗，他可能内部的悲伤会越多。 专家指出，微笑抑郁症和普通抑郁症最大的区别在于藏得太深。根据临床经验，微笑抑郁症更容易出现 在具有一定社会身份、学识高，事业有所成就的人身上，且患者以男性居多。从职业角度来看，都市白 领和服务行业从业者是微笑抑郁症的高发人群。 误解二：抑郁症就 ...

Core Insights - The study led by scientists from Leipzig University demonstrates that mutations in the GRIN2A gene can cause mental disorders, marking it as the first known single gene responsible for such conditions [1][1][1] Summary by Categories Research Findings - The research published in the journal Molecular Psychiatry analyzed data from 121 individuals with genetic variations in the GRIN2A gene [1] - Certain variants of the GRIN2A gene are associated not only with schizophrenia but also with other mental disorders [1] - Notably, some individuals affected by mental disorders only exhibit psychiatric symptoms, while GRIN2A mutations are typically linked to epilepsy or intellectual disabilities [1] Implications - The GRIN2A gene plays a crucial role in regulating the electrical excitability of nerve cells, with specific variants leading to reduced NMDA receptor activity, which is essential for brain signaling [1]

Core Viewpoint - The article emphasizes the distinction between temporary negative emotions and clinical depression, highlighting the need for awareness and caution against fraudulent practices in mental health services [1][2][4]. Group 1: Understanding Depression - Depression can manifest as a temporary emotional state or a clinical disorder, with symptoms including persistent low mood, loss of interest, and decreased energy [2][3]. - General psychological distress is often situational and can be alleviated through self-regulation, social support, and professional help [2][3]. Group 2: Risks of Fraudulent Practices - There is a rise in fraudulent individuals and organizations exploiting the demand for mental health support, offering overpriced courses and misleading treatments under the guise of psychological education [4][5]. - Parents, particularly of adolescents, are vulnerable to these scams, often resulting in financial loss and inadequate treatment for genuine mental health issues [4][5]. Group 3: Seeking Professional Help - The article outlines criteria for when to seek medical attention, including the duration and severity of symptoms [3]. - It stresses that mental health issues should be diagnosed and treated by qualified professionals, and warns against relying on unlicensed practitioners [5]. Group 4: Emotional Management Strategies - The importance of self-awareness and emotional regulation is highlighted, with suggestions for coping strategies such as the "STOP" technique and the "5-minute initiation method" [7]. - The article notes the government's initiative to enhance mental health services, particularly for children and adolescents, aiming to improve access and quality of care [7].

Core Viewpoint - The article addresses common misconceptions about psychiatry and mental health, emphasizing that mental disorders are a broad category encompassing various conditions beyond just schizophrenia, and that seeking help is a normal and necessary step towards recovery [2][3][4][5][6][7][8][9][10][11][12] Misconceptions about Mental Health - Misconception 1: Mental illness is synonymous with schizophrenia, while in reality, it includes a wide range of disorders such as depression, anxiety, and insomnia, with schizophrenia being a rare condition at a lifetime prevalence of only 0.6% in China [3] - Misconception 2: Mental illness is a sign of personal weakness; however, it is caused by a combination of biological, psychological, and social factors, and is linked to brain function abnormalities [4] - Misconception 3: Seeking psychiatric help is shameful; in fact, millions globally seek mental health services, and it is becoming a common health management choice [5][6] - Misconception 4: Only those who have experienced significant trauma develop mental illness; many patients have no history of major stressors, as biological factors often play a more significant role [7] - Misconception 5: Only introverted individuals suffer from depression; in reality, various factors contribute to mental illness, and both introverted and extroverted individuals can be affected [8] - Misconception 6: Depression is merely feeling sad; clinically, it is a serious disorder characterized by persistent low mood and can lead to severe consequences if untreated [9] - Misconception 7: Psychologists and psychiatrists are the same; they have different training and roles, with psychiatrists being medical doctors who can prescribe medication [10][11] - Misconception 8: Psychiatrists only prescribe medication; their role includes comprehensive diagnosis, treatment planning, and the potential for psychological therapy [12]

Core Viewpoint - The article aims to clarify common misconceptions about psychiatry and mental health, emphasizing that mental illnesses are complex medical conditions rather than personal weaknesses or character flaws [2][3][4]. Misconceptions about Mental Health - Misconception 1: Mental illness is synonymous with schizophrenia. In reality, schizophrenia is just one of many mental disorders, with more prevalent conditions being depression, anxiety, and insomnia. A 2019 epidemiological survey indicated that the lifetime prevalence of various mental disorders in China (excluding Alzheimer's disease) is 16.6%, with anxiety disorders at 7.6% and depression at 6.8% [3]. - Misconception 2: Mental illness reflects a lack of character strength. Mental disorders arise from a combination of biological, psychological, and social factors, and are closely linked to brain function abnormalities. For instance, depression is associated with serotonin dysfunction, while schizophrenia relates to dopamine imbalance [4]. - Misconception 3: Seeking psychiatric help is shameful. This stigma often stems from misconceptions equating mental illness with insanity. Mental health issues exist on a spectrum, and seeking help is a step towards recovery [5]. - Misconception 4: Only those who have experienced significant trauma develop mental illnesses. The causes of mental disorders are complex, involving both biological and environmental factors. Many patients do not have a history of major trauma before their illness [8]. - Misconception 5: Only introverted or reclusive individuals suffer from depression. Depression results from multiple factors, and personality traits are just one aspect. Extroverted individuals can also experience mental health issues due to emotional exhaustion from maintaining a façade of positivity [9]. - Misconception 6: Depression is merely feeling sad or being overly sensitive. Clinically, depression (or depressive disorder) is characterized by persistent low mood and can lead to severe symptoms, including suicidal thoughts [11]. - Misconception 7: Psychologists and psychiatrists are the same. Psychiatrists are medical professionals who can diagnose and prescribe medication, while psychologists focus on emotional and behavioral issues without prescribing medication [12][13]. - Misconception 8: Psychiatrists only prescribe medication. Their role includes accurate diagnosis, treatment planning, and potentially providing psychotherapy, making them comprehensive mental health care providers [14].

Core Insights - The article emphasizes the importance of monitoring adolescents' mental health, particularly during emotional fluctuations, to distinguish between normal mood changes and potential psychological issues [1][2] Group 1: Emotional Monitoring - Parents should observe the duration and context of their child's emotional issues, as normal fluctuations are often linked to specific events and typically resolve within a few days [1] - If a child's low mood or irritability persists for more than two weeks and is not closely related to specific events, parents should take it seriously [1] Group 2: Social Functioning - It is crucial to assess whether a child's social functioning is affected; maintaining normal activities like attending school and socializing indicates that the child is within a normal emotional range [1] - Significant disruptions in social functioning, such as a sharp decline in academic performance or withdrawal from social interactions, may indicate a more serious issue beyond typical emotional fluctuations [1] Group 3: Extreme Behaviors - Parents need to be vigilant for extreme statements or behaviors from their children, such as expressing feelings of worthlessness or engaging in self-harm, which require immediate professional intervention [2] - The article distinguishes between "depressive emotions," "depressive symptoms," and "depression," highlighting that while depressive emotions are common and usually do not disrupt daily life, depressive symptoms can have a more serious impact [2] Group 4: Professional Help - If depressive symptoms are severe, prolonged, and lead to significant functional impairment, it may meet the criteria for clinical depression, necessitating systematic treatment [2] - Parents are advised to seek professional help promptly if they suspect their child may be experiencing depression, as early detection and intervention are crucial for effective management [2]

Core Viewpoint - The article discusses the relationship between nasal microbiota, specifically Staphylococcus aureus, and depressive behavior, highlighting the role of sex hormone degradation in this process [4][5][11]. Group 1: Research Findings - A study published in Nature Microbiology indicates that nasal Staphylococcus aureus can promote depressive behavior in mice by degrading sex hormones [4][5]. - The enzyme 17β-hydroxysteroid dehydrogenase expressed by Staphylococcus aureus degrades testosterone and estradiol in mice, leading to decreased levels of dopamine and serotonin in the brain, which induces depressive-like behavior [5][11]. - Analysis of nasal microbiota shows a positive correlation between the abundance of Staphylococcus aureus and depression scores in both depressed patients and healthy controls [9]. Group 2: Implications - The findings suggest a significant link between nasal microbiota and brain function, particularly in the context of neuropsychiatric disorders, which has been under-researched [8]. - The study provides new insights into the nose-brain axis, indicating that nasal colonization by certain bacteria may influence mental health through hormonal pathways [11].

Core Insights - The article highlights the increasing prevalence of depression in China, with approximately 95 million individuals affected, leading to a booming market for antidepressant medications [5][12][18] - The demand for antidepressants has surged, with sales in public medical institutions exceeding 9.1 billion yuan in the previous year, marking a 6% year-on-year increase [5][7] - The market for antidepressants is becoming increasingly competitive, with numerous domestic pharmaceutical companies entering the space, particularly in the production of generic drugs [13][20] Market Dynamics - The rise in depression cases has created a vibrant pharmaceutical market, with companies like Hansoh Pharmaceutical and Jingwei Pharmaceutical achieving significant sales figures [7][12] - The sales of antidepressants in public hospitals have seen a drastic shift, with domestic companies gaining market share due to price reductions and increased competition [22][24] - The introduction of centralized procurement has led to a significant drop in drug prices, making antidepressants more accessible to patients [19][20][22] Industry Challenges - Despite the growing market, the high cost of psychological therapy remains a barrier for many patients, leading to a preference for medication over therapy [26][27] - The perception of antidepressants as a long-term necessity poses challenges for patient management, with many experiencing withdrawal symptoms when discontinuing medication [26][27] - The industry faces scrutiny over the quality of psychological counseling services, which can vary significantly, impacting patient experiences and outcomes [26][27]