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Lkhagvasuren, Battuvshin

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Товч нэр
Lkhagvasuren, Battuvshin
Бүтэн нэр
Lkhagvasuren Battuvshin
Латин нэр
Lkhagvasuren Battuvshin
Албан тушаал
Судлаач
Харьяалал
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    Зүрхний хэмийн хэлбэлзлийн спектр шинжилгээ ба хүчдэлийн толгой өвдөлт хоорондын уялдаа холбоог судалсан нь
    (2024-05-13)
    Т.Энхнаран
    ;
    Т.Ганцэцэг
    ;
    Б.Энхжин
    ;
    Б.Дамдиндорж
    ;
    Ж.Цолмон
    Үндэслэл: Хүчдэлийн толгой өвдөлт (ХТӨ) нь хүн амын дунд хамгийн Ургал мэдрэлийн түгээмэл тохиолддог анагаах ухаан, био-анагаахын салбарт ихээхэн тогтолцоо, стресс судлагдсан эмгэгүүдийн нэг хэдий ч ХТӨ, ургал мэдрэлийн тогтолцооны Хүчдэлийн толгой үйл ажиллагааны тэнцвэрт байдал (УМТТБ) хоорондын хамаарал өвдөлт одоог хүртэл бүрэн судлагдаагүй хэвээр байна. Зорилго: Улаанбаатар хотын хүн амын ургал мэдрэлийн тогтолцооны тэнцвэрийг ЗХХСШээр үнэлж, ургал мэдрэлийн тогтолцооны тэнцвэрийн алдагдалд ХТӨийн шууд ба шууд бус нөлөөг судлах. Арга, аргачлал: Энэхүү нэг агшны судалгааг 2020 оны 7-9 дүгээр сарын хооронд Улаанбаатар хотын хүн амыг санамсаргүй түүврээр хамруулан хийсэн. Таниулсан зөвшөөрлийн хуудсыг танилцуулж гарын үсгээр судалгаанд оролцохыг баталгаажуулсны дараа судалгааны протоколын дагуу асуумж, эмчийн үзлэг, зүрхний хэмийн хэлбэлзлийн спектрийн шинжилгээ (ЗХХСШ) гэсэн дарааллаар сургагдсан эмч нарын баг судалгааны датаг цуглуулсан. Сэтгэл гутрал, сэтгэл түгшлийг илрүүлэх асуумж, Питтсбургийн нойрны чанарын үнэлгээ, Дэлхийн эрүүл мэндийн байгууллагын амьдралын чанарыг үнэлэх богино асуумж зэрэг монгол хэлэнд орчуулагдан, валидаци хийгдсэн асуумжуудыг ашигласан. ХТӨ болон УМТТБ хоорондын хамааралд эрсдэлт хүчин зүйлсийн нөлөөг судлахын тулд хоёр хүчин зүйлийн логистик регресс ба ерөнхий шугаман регрессийн медиаторын шинжилгээнүүдийг ашигласан. Үр дүн: Судалгаанд нийт хамрагдсан (n=217) оролцогчдын дундаж нас 41.8±11.5 жил, тэдгээр оролцогчдоос 117 буюу 53.9% ХТӨ-ийн түүхтэй байсан ба нас, хүйс ижилсүүлсэн тархалтыг тооцоход 43% байв. ЗХХСШ үзүүлэлтүүд ХТӨ-тэй болон эрүүл бүлгийн хооронд статистикийн ач холбогдол бүхий ялгаатай байдал ажиглагдаагүй. Симпатовагийн тэнцвэрийг илтгэх LF/HF (бага давтамж өндөр давтамжийн харьцаа) сэтгэл түгшилтэй хамааралтай байв. ХТӨ нь стрессийн түвшинтэй хамааралтай байв. Хоёр хүчин зүйлийн логистик регрессийн шинжилгээгээр ХТӨ-тэй байх нь стресстэй байх магадлалыг нэмэгдүүлж, ЗХХСШ-ний RMSSD (зэргэлдээх NN интервалуудын хоорондын ялгааны квадратын нийлбэрийн язгуур квадрат) ба pNN50 (NN50ийг NN-ийн нийт тоонд хуваасан) үзүүлэлтүүдийн тоон утга багассанаар эдгээр хуьсагчууд ХТӨ-ий бие даасан нөхцөлдүүлэгчид болж байна. Дүгнэлт: ХТӨ болон ургал мэдрэлийн тогтолцооны үйл ажиллагаа хоорондын хамааралд стрессийн түвшин дам нөлөө үзүүлснээр хамааарал илүү хүчжиж байгааг харуулж байна. Толгой өвдөлт нь стресстэй, ахимаг настай, эмэгтэйтэйчүүдэд парасимпатик идэвхжил буурахад хүргэж байна.
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    Scopus© Citations 11
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    Scopus© Citations 12
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    Quality of life in the general population of Mongolia: Normative data on WHOQOL-BREF.
    (2023)
    Bat-Erdene, Enkhjin
    ;
    Hiramoto, Tetsuya
    ;
    Tumurbaatar, Enkhnaran
    ;
    Tumur-Ochir, Gantsetseg
    ;
    Jamiyandorj, Otgonbold
    Scopus© Citations 19
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    Test-retest reliability of the questionnaire on the screening of sleep disorders
    (2021-09-26)
    Enkhzaya Batkhuyag
    ;
    Enkhnaran Tumurbaatar
    ;
    Battuvshin Lkhagvasuren
    ;
    Enkh-Uchral Perenleisambuu
    ;
    Enkhjin Bat-Erdene
    Sleep is a vital component for maintaining good physical and mental health. When sleep is disordered, it can adversely affect an individual's mental and physical wellbeing. Although a variety of single specific disorder measurements are available for specialized clinicians use across the globe, to date, there are no proper screening instruments available for screening multiple sleep disorders at the primary care level. The purpose of this study is to determine the test-retest reliability of the sleep disorder screening questionnaire (SDSQ) for detecting multiple sleep disorders among the Mongolian population. A total of 366 university students were recruited for participation. SDSQ was administrated to all participants on two occasions two weeks apart. The test-retest reliability intra-class correlation (ICC) and Cronbach's alpha of the SDSQ were calculated. The sample consisted of 194 (53%) females, and 172 (47%) males, with a mean age of 21.6. Observed test-retest reliability was ranged from 0.53 to 0.81. The SDSQ was found to have excellent internal consistency with an alpha=0.950. The external validity of SDSQ revealed strong test-retest reliability in the current study population. The discriminant and convergent validity studies are required for the further improvement of the construct of the SDSQ.
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    Obstructive Sleep Apnea in a Clinical Population: Prevalence, Predictive Factors, and Clinical Characteristics of Patients Referred to a Sleep Center in Mongolia
    (2021-11)
    Dashzeveg, Shuren
    ;
    Oka, Yasunori
    ;
    Purevtogtokh, Munkhjin
    ;
    Tumurbaatar, Enkhnaran
    ;
    Lkhagvasuren, Battuvshin
    Obstructive sleep apnea (OSA) disrupts sleep. This study examined factors related to OSA severity. A cross-sectional, prospective, hospital-based study was conducted with 205 patients who underwent polysomnography (PSG). Demographic, anthropometric, clinical, PSG, and sleep quality assessment data were analyzed. Participants (N = 205) were classified into four groups based on apnea-hypopnea index (AHI); no OSA (AHI < 5/h; N = 14), mild (mOSA, 5 < AHI < 15/h; N = 50), moderate (modOSA, 15 < AHI < 30/h; N = 41), severe (sOSA, 30 < AHI < 60/h; N = 50), and very severe (vsOSA, AHI ≥ 60; N = 50). Men had more severe OSA than women (p < 0.001). Anthropometric characteristics differed with OSA severity (p < 0.001). OSA patients had decreased sleep quality and increased excessive daytime sleepiness (EDS). Body mass index (BMI), neck/waist circumference, and blood pressure (BP) differed between groups (p < 0.001). Patients with vsOSA had the highest Mallampati grades (p < 0.001). Multiple linear regression indicated that OSA severity was related to gender and sleep quality. PSG parameters (oxygen saturation, systolic BP, and arousal/respiratory arousal) were strongly related to OSA severity. In conclusion, about half of study-referred patients had severe/very severe OSA; these groups were predominantly obese men with high BP. OSA severity associated with high BP, BMI, waist circumference, and neck circumference.
    Scopus© Citations 8
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    Psychometric properties of the Mongolian version of shitsu-taikan-sho (alexisomia) in young adults
    (2024)
    Lkhagvasuren, Battuvshin
    ;
    Batkhuyag, Enkhzaya
    ;
    Tumurbaatar, Enkhnaran
    ;
    Urtnasan, Tserendolgor
    ;
    Tsengel, Delgermaa
    Objective: Alexisomia is characterized by difficulty in identifying and describing bodily feelings. Shitsu-taikan-sho scale (STSS) is a self-report tool that assesses alexisomia. This study aimed to validate the Mongolian version of STSS in a nonclinical student sample. Methods: A total of 593 undergraduate students (217 males, 376 females, 18-25 years), who were studying at medical universities, were recruited. Participants completed the Mongolian version of STSS, which was translated from Japanese to Mongolian, back-translated, and finalized by an expert committee. Construct validity was examined using exploratory and confirmatory factor analyses for a three-factor structure. Internal consistency and test-retest reliability were measured using Cronbach's α and the intraclass correlation coefficients (ICC), respectively. Results: The mean scores of STSS were 18.6 ± 5.7 for difficulty identifying bodily feelings (DIB), 18.8 ± 4.0 for overadaptation (OA), 23.7 ± 4.1 for lack of health management (LHM), and 61.1 ± 10.5 for the total score (possible range: 7-35 for DIB, OA, LHM, and 21-105 for the total score, respectively). Exploratory factor analysis indicated a three-factor structure consisting of 21 items that explained 40.3% of the variance (KMO = 0.916, RMSEA = 0.049, χ2 = 372, p < .001). Confirmatory factor analysis provided a good fit to the data (CFI = 0.876, TLI = 0.861, RMSEA = 0.068, χ2 = 703, p < .001). Cronbach's alpha for the STSS was 0.860, indicating good internal consistency. Test-retest reliability analysis demonstrated good reliability (ICC = 0.791). Conclusion: The 21-item Mongolian version of STSS demonstrated evidence of good reliability and validity for assessing alexisomia in a nonclinical population in Mongolia. This suggests that the Mongolian version of the STSS may allow for the comparison of alexisomia among adults in Mongolia with those in other countries.
    Scopus© Citations 1
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    Anxiety, depression, and brain overwork in the general population of Mongolia
    (Springer Science and Business Media LLC, 2024-01)
    Lkhagvasuren, Battuvshin
    ;
    Hiramoto, Tetsuya
    ;
    Bat-Erdene, Enkhjin
    ;
    Tumurbaatar, Enkhnaran
    ;
    Tumur-Ochir, Gantsetseg
    In Mongolia, there is limited data on the prevalence and correlates of common mental health conditions. This study addresses this data gap by exploring anxiety, depression, and brain overwork. The aim of this study was to determine normative data on these conditions in the general population of Mongolia. This nationwide, population-based, cross-sectional study was conducted in 48 sampling centers across Mongolia in 2020. A total of 613 participants (190 men and 423 women) with a mean age of 41.8 ± 12.4 years were recruited. The participants completed the Hospital Anxiety and Depression Scale (HADS) and the Brain Overwork Scale (BOS-10). Vital signs, body measurements, and lifestyle determinants were also assessed. The prevalence of anxiety was 9.9%, depression was 4.9%, and brain overwork was 18.3% among the participants. Anxiety and depression were correlated with brain overwork symptoms. Brain overwork was associated with young age, unemployment, low income, and alcohol use. These findings suggest that anxiety, depression, and brain overwork are a significant problem in the general population of Mongolia. Further research is needed to develop effective interventions to reduce the prevalence and risk factors of anxiety, depression, and brain overwork.
    Scopus© Citations 5
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    Psychometric properties of Mongolian versions of the PHQ-9 and GAD-7 in young adults
    (2026-06-11)
    Oyunsuren Jargalsaikhan
    ;
    Enkhnaran Tumurbaatar
    ;
    Tergelsaran Olzvoi
    ;
    Enkh-Uchral Perenleisambuu
    ;
    Enkhzaya Batkhuyag
    The Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) are standardized self-report tools for screening depressive and anxiety disorders, respectively. While they have been validated in various cultural contexts, their psychometric properties have not been thoroughly evaluated in Mongolia. This study aimed to validate the PHQ-9 and GAD-7 among young adults in Mongolia, ensuring their reliability and efficacy in assessing mental health. A cross-sectional study was conducted with 1,391 young adults (aged 17-29 years). Tests for internal consistency, test-retest reliability, and validity were performed, including exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Convergent validity and cut-off scores were assessed using the Hospital Anxiety and Depression Scale (HADS). Results: Both the PHQ-9 and GAD-7 demonstrated excellent internal consistency (Cronbach’s alpha=0.913 and 0.895, respectively) and good test-retest reliability over time (ICC=0.637 for PHQ-9; ICC=0.782 for GAD-7). Factor analyses confirmed their unidimensional structures, explaining 59.1% and 61.5% of variance, respectively. Unidimensional models showed acceptable goodness-of-fit indices, with RMSEA values of 0.051 for PHQ-9 and 0.047 for GAD-7, indicating a close-to-good fit for both models. Strong correlations were observed between PHQ-9 and GAD-7 scores with HADS scores (p<0.001), indicating good convergent validity. Observed cut-off scores yielded high sensitivity and specificity in this sample population. The final Mongolian versions of the questionnaires exhibited robust psychometric properties. The PHQ-9 and GAD-7 were validated as reliable instruments for screening depression and anxiety among medical students in Mongolia. These findings improve the capacity for early identification and intervention in mental health among this population. However, further research should address limitations related to gender representation and the need for assessment in diverse settings.
    Scopus© Citations 1