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Mental health in China Wiki2Web Clarity Challenge

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Study Guide: The Mental Health Landscape in China

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The Mental Health Landscape in China Study Guide

Prevalence and Demographics of Mental Disorders in China

An estimated 130 million adults in the People's Republic of China are affected by mental disorders, indicating a significant public health challenge.

Answer: True

Explanation: An estimated 130 million adults in the People's Republic of China are affected by mental disorders, indicating a significant public health challenge.

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A survey conducted between 2001 and 2005 indicated that mood disorders were more prevalent in women than men in China.

Answer: True

Explanation: A survey conducted between 2001 and 2005 indicated that mood disorders were more prevalent in women than men in China.

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Chinese patients diagnosed with mental illness are less likely to report psychological symptoms compared to physical symptoms, often presenting with somatized complaints.

Answer: True

Explanation: Chinese patients diagnosed with mental illness are less likely to report psychological symptoms compared to physical symptoms, often presenting with somatized complaints.

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What is the estimated number of adults in the People's Republic of China affected by mental disorders?

Answer: Approximately 130 million

Explanation: An estimated 130 million adults in the People's Republic of China are affected by mental disorders, representing a significant public health challenge.

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According to a survey conducted between 2001 and 2005, what percentage of Chinese adults experienced a mood disorder?

Answer: 16%

Explanation: A survey conducted between 2001 and 2005 indicated that 16% of Chinese adults experienced a mood disorder.

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How does the reported prevalence of physical symptoms among Chinese patients with mental illness compare to that of Western patients?

Answer: Chinese patients tend to report more physical symptoms.

Explanation: Studies indicate that Chinese patients with mental illness tend to report a higher prevalence of physical symptoms, such as fatigue and muscle aches, in contrast to Western patients who are more inclined to report psychological symptoms.

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Cultural and Social Barriers to Mental Healthcare in China

While cost and facility availability are factors, they are not the primary barriers to seeking mental health treatment in China; social and cultural factors are more significant.

Answer: True

Explanation: While cost and facility availability are considerations, the primary barriers to seeking mental health treatment in China are identified as strict social norms, pervasive stigma, and deeply ingrained cultural beliefs that discourage help-seeking.

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Certain Chinese cultural beliefs, which associate illness with moral failings or disrespect, significantly contribute to the stigma surrounding mental health and deter individuals from seeking treatment.

Answer: True

Explanation: Certain Chinese cultural beliefs, which associate illness with moral failings or disrespect, significantly contribute to the stigma surrounding mental health and deter individuals from seeking treatment.

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The strong emphasis on maintaining family reputation in China generally discourages individuals from openly seeking mental health treatment due to perceived shame.

Answer: True

Explanation: The strong emphasis on maintaining family reputation in China generally discourages individuals from openly seeking mental health treatment due to perceived shame.

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Certain traditional Chinese philosophies, emphasizing acceptance of fate, may lead individuals to be less inclined towards active intervention or seeking medical treatment for perceived mental disorders.

Answer: True

Explanation: Certain traditional Chinese philosophies, emphasizing acceptance of fate, may lead individuals to be less inclined towards active intervention or seeking medical treatment for perceived mental disorders.

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Which factors are identified as the primary barriers preventing individuals in China from seeking mental health treatment?

Answer: Strict social norms, stigma, and cultural beliefs

Explanation: The primary barriers to seeking mental health treatment in China are identified as strict social norms, pervasive stigma, and deeply ingrained cultural beliefs that discourage help-seeking.

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How do certain Chinese cultural and folk beliefs contribute to the stigma associated with mental health?

Answer: By viewing illness as a consequence of moral failure or disrespect

Explanation: Certain Chinese cultural and folk beliefs contribute to mental health stigma by framing illness as a consequence of moral failure or disrespect, leading to shame and reluctance to seek help.

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Why does the emphasis on maintaining a good family reputation deter individuals from seeking mental health assistance in China?

Answer: Because seeking help is perceived as bringing shame upon the family.

Explanation: The emphasis on family reputation deters individuals from seeking mental health help because doing so is perceived as bringing shame upon the family unit.

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What impact does the philosophical concept of accepting one's fate have on attitudes toward mental health treatment in China?

Answer: It leads individuals to be less inclined to seek medical treatment.

Explanation: The philosophical concept of accepting one's fate can lead individuals to be less inclined to seek medical treatment for mental disorders, potentially fostering a passive approach to health.

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Evolution of Mental Health Policy and Legislation in China

The earliest mental institutions in Mainland China were established by Western missionaries prior to 1849.

Answer: True

Explanation: The earliest mental institutions in Mainland China were established by Western missionaries prior to 1849.

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John G. Kerr, a missionary doctor, established the first psychiatric hospital in China in 1898, not in 1905, and was not a Chinese physician.

Answer: True

Explanation: John G. Kerr, a missionary doctor, established the first psychiatric hospital in China in 1898, not in 1905, and was not a Chinese physician.

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Following 1949, the development of China's mental health resources faced disruptions, particularly with the discontinuation of many community programs during the Cultural Revolution.

Answer: True

Explanation: Following 1949, the development of China's mental health resources faced disruptions, particularly with the discontinuation of many community programs during the Cultural Revolution.

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In 1999, the Chinese government committed to the World Health Organization to develop a national mental health law and action plan.

Answer: True

Explanation: In 1999, the Chinese government committed to the World Health Organization to develop a national mental health law and action plan.

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China's 2002 mental health action plan focused on enacting legislation and public education, rather than solely on increasing the number of psychiatric hospitals.

Answer: True

Explanation: China's 2002 mental health action plan focused on enacting legislation and public education, rather than solely on increasing the number of psychiatric hospitals.

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Initiated in 2006, the government's 686 Program aims to reorient mental health services towards community-based resources and rehabilitation.

Answer: True

Explanation: Initiated in 2006, the government's 686 Program aims to reorient mental health services towards community-based resources and rehabilitation.

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China's 2012 Mental Health Law stipulates that compulsory hospitalization is reserved for cases where an individual poses a clear risk to themselves or others, not for most cases of mental illness.

Answer: True

Explanation: China's 2012 Mental Health Law stipulates that compulsory hospitalization is reserved for cases where an individual poses a clear risk to themselves or others, not for most cases of mental illness.

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The World Health Organization (WHO) has collaborated with China since 1993 to enhance its national mental health information system.

Answer: True

Explanation: The World Health Organization (WHO) has collaborated with China since 1993 to enhance its national mental health information system.

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The 2013 reform of China's Mental Health Law established stricter criteria for involuntary psychiatric admission, requiring a determination of risk to self or others, rather than relying solely on family consent.

Answer: True

Explanation: The 2013 reform of China's Mental Health Law established stricter criteria for involuntary psychiatric admission, requiring a determination of risk to self or others, rather than relying solely on family consent.

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Who established the first psychiatric hospital in China, and in which year?

Answer: John G. Kerr, a missionary doctor, in 1898

Explanation: The first psychiatric hospital in China was established by the missionary doctor John G. Kerr in 1898.

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What significant event disrupted the development of China's mental health resources subsequent to 1949?

Answer: The Cultural Revolution

Explanation: The development of China's mental health resources after 1949 was significantly disrupted by the Cultural Revolution, which led to the discontinuation of many community programs.

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What commitment did the Chinese government make during a 1999 meeting with the World Health Organization?

Answer: To develop a national mental health law and action plan

Explanation: In 1999, the Chinese government pledged to the World Health Organization its commitment to developing a national mental health law and action plan.

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Which of the following constituted a primary objective of China's mental health action plan adopted in 2002?

Answer: To enact mental health legislation and educate the public

Explanation: A primary objective of China's 2002 mental health action plan was to enact mental health legislation and to educate the public regarding mental illness and available resources.

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What is the primary goal of the government's 686 Program, initiated in 2006?

Answer: To redevelop community mental health programs as the primary resource

Explanation: The primary goal of the government's 686 Program, initiated in 2006, is to redevelop community mental health programs, establishing them as the principal resource for individuals with mental illnesses and emphasizing rehabilitation.

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According to China's Mental Health Law adopted in 2012, under what specific condition can a patient typically be hospitalized against their will?

Answer: If they pose a clear risk to themselves or others

Explanation: Under China's 2012 Mental Health Law, compulsory hospitalization is generally permissible only when a patient poses a clear and present risk to themselves or others.

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Since which year has the WHO been collaborating with China to develop a national mental health information system?

Answer: 1993

Explanation: The WHO has been collaborating with China to develop a national mental health information system since 1993.

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How did the criteria for involuntary psychiatric admission change with China's Mental Health Law effective May 2013?

Answer: It became permissible only if the patient posed a clear threat to others.

Explanation: The 2013 reform of China's Mental Health Law shifted the criteria for involuntary psychiatric admission, requiring a determination of clear risk to self or others, rather than relying solely on family consent.

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Military Mental Health in China

Military mental health has recently emerged as a significant focus area for improvement and research within the Chinese government.

Answer: True

Explanation: Military mental health has recently emerged as a significant focus area for improvement and research within the Chinese government.

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Research concerning the mental health of Chinese military personnel commenced in the 1980s, with an initial emphasis on the unique challenges presented by high-altitude environments.

Answer: True

Explanation: Research concerning the mental health of Chinese military personnel commenced in the 1980s, with an initial emphasis on the unique challenges presented by high-altitude environments.

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By the 1990s, research published in dominant Chinese military journals shifted focus from physical health to mental health, aiming to enhance combat effectiveness.

Answer: True

Explanation: By the 1990s, research published in dominant Chinese military journals shifted focus from physical health to mental health, aiming to enhance combat effectiveness.

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The diverse roles undertaken by the People's Liberation Army (PLA) complicate the assessment and standardization of mental health approaches.

Answer: True

Explanation: The diverse roles undertaken by the People's Liberation Army (PLA) complicate the assessment and standardization of mental health approaches.

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Chinese researchers advocate for early mental health training and assessments as key preventative measures for military personnel.

Answer: True

Explanation: Chinese researchers advocate for early mental health training and assessments as key preventative measures for military personnel.

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Mental health vetting was integrated into the Chinese military recruitment process starting in 2006, not 2010.

Answer: True

Explanation: Mental health vetting was integrated into the Chinese military recruitment process starting in 2006, not 2010.

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An excerpt from a 2008 PLA training manual suggested a technique for managing traumatic flashbacks, involving visualizing them disappearing like a camera zooming out.

Answer: True

Explanation: An excerpt from a 2008 PLA training manual suggested a technique for managing traumatic flashbacks, involving visualizing them disappearing like a camera zooming out.

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Article 84 of the 2012 Mental Health Law marked the first legal document to explicitly address the management of military mental health.

Answer: True

Explanation: Article 84 of the 2012 Mental Health Law marked the first legal document to explicitly address the management of military mental health.

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Increased anxiety among Chinese military personnel is associated with factors such as economic conditions and perceived threats to livelihood.

Answer: True

Explanation: Increased anxiety among Chinese military personnel is associated with factors such as economic conditions and perceived threats to livelihood.

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What is the primary focus concerning military mental health in China in recent times?

Answer: Investing in research and developing policies to support military personnel's mental well-being.

Explanation: The primary focus regarding military mental health in China in recent times is investing in research and developing policies to support the mental well-being of military personnel.

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What technique for managing PTSD flashbacks was mentioned in a leaked 2008 PLA training manual?

Answer: Imagining the flashback scene zooming out like a camera until it disappears

Explanation: A leaked 2008 PLA training manual suggested imagining traumatic flashbacks disappearing like a camera zooming out as a technique for management.

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What factors have been identified as contributing to increased anxiety among current and former Chinese military personnel?

Answer: Economic conditions, lack of social connections, and perceived threats to livelihood

Explanation: Increased anxiety among current and former Chinese military personnel has been linked to economic conditions, a lack of social connections, and perceived threats to their livelihood.

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Perinatal Mental Health in China

Perinatal depression can affect mothers both during pregnancy and after childbirth, not solely post-partum.

Answer: True

Explanation: Perinatal depression can affect mothers both during pregnancy and after childbirth, not solely post-partum.

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Approximately 16.3% of Chinese women are estimated to experience perinatal depression.

Answer: True

Explanation: Approximately 16.3% of Chinese women are estimated to experience perinatal depression.

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Higher provincial GDP in China is associated with lower rates of perinatal depression among mothers.

Answer: True

Explanation: Higher provincial GDP in China is associated with lower rates of perinatal depression among mothers.

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Lower socioeconomic status and insufficient social support are identified risk factors for perinatal depression among Chinese mothers.

Answer: True

Explanation: Lower socioeconomic status and insufficient social support are identified risk factors for perinatal depression among Chinese mothers.

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The universal two-child policy was associated with increased anxiety symptoms among mothers experiencing their second pregnancy.

Answer: True

Explanation: The universal two-child policy was associated with increased anxiety symptoms among mothers experiencing their second pregnancy.

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The COVID-19 pandemic resulted in elevated levels of psychological distress, anxiety, and depressive symptoms among perinatal women in China.

Answer: True

Explanation: The COVID-19 pandemic resulted in elevated levels of psychological distress, anxiety, and depressive symptoms among perinatal women in China.

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What is perinatal depression?

Answer: A mood disorder occurring during pregnancy and/or postpartum.

Explanation: Perinatal depression is a mood disorder that manifests during pregnancy and/or the postpartum period.

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What relationship was found between a province's GDP and perinatal depression rates among Chinese mothers?

Answer: An inverse relationship: higher GDP linked to lower depression rates.

Explanation: An inverse relationship was found between a province's GDP and perinatal depression rates in Chinese mothers, indicating higher economic development is associated with lower rates.

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How did the universal two-child policy potentially impact maternal mental health in China?

Answer: Mothers experiencing their second pregnancy showed a higher likelihood of anxiety symptoms.

Explanation: The universal two-child policy potentially impacted maternal mental health by increasing the likelihood of anxiety symptoms among mothers experiencing their second pregnancy.

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What was the reported prevalence of psychological distress among perinatal women in China during the COVID-19 pandemic?

Answer: Approximately 70%

Explanation: During the COVID-19 pandemic, the reported prevalence of psychological distress among perinatal women in China was approximately 70%.

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Mental Health Workforce and Resources in China

China has a significantly lower ratio of licensed psychiatrists per capita compared to developed countries.

Answer: True

Explanation: China has a significantly lower ratio of licensed psychiatrists per capita compared to developed countries.

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Factors such as low salaries, heavy workloads, and pervasive stigma contribute to the limited number of medical graduates specializing in psychiatry in China.

Answer: True

Explanation: Factors such as low salaries, heavy workloads, and pervasive stigma contribute to the limited number of medical graduates specializing in psychiatry in China.

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What is the approximate ratio of licensed psychiatrists per 100,000 population in China compared to developed countries (as of end 2019)?

Answer: China has fewer psychiatrists (approx. 2.9 per 100,000) than developed countries (approx. 6.6 per 100,000).

Explanation: As of end 2019, China had approximately 2.9 licensed psychiatrists per 100,000 population, which is fewer than the approximate 6.6 per 100,000 in developed countries.

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Which factors contribute to the low number of medical graduates in China choosing to specialize in psychiatry?

Answer: Limited knowledge, low pay, heavy workload, and stigma

Explanation: Factors contributing to few medical graduates specializing in psychiatry include limited knowledge of the field, low pay, heavy workloads, and pervasive stigma.

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Concerns and Criticisms of China's Mental Healthcare System

Human Rights Watch has criticized the 2012 Mental Health Law for its deficiency in provisions for legal hearings and guaranteed legal representation for patients.

Answer: True

Explanation: Human Rights Watch has criticized the 2012 Mental Health Law for its deficiency in provisions for legal hearings and guaranteed legal representation for patients.

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Accusations have been made suggesting that China's psychiatric facilities are occasionally misused for the detention of political dissidents.

Answer: True

Explanation: Accusations have been made suggesting that China's psychiatric facilities are occasionally misused for the detention of political dissidents.

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What criticism did Human Rights Watch level against China's 2012 Mental Health Law?

Answer: It lacked provisions for legal hearings and guaranteed legal representation.

Explanation: Human Rights Watch criticized China's 2012 Mental Health Law for lacking provisions for legal hearings and guaranteed legal representation for patients.

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What concern has been raised regarding the utilization of psychiatric facilities in China?

Answer: They may be misused by officials to detain political dissidents.

Explanation: A significant concern raised regarding China's psychiatric facilities is their potential misuse by officials for the detention of political dissidents.

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