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    Зүрхний хэмийн хэлбэлзлийн спектр шинжилгээ ба хүчдэлийн толгой өвдөлт хоорондын уялдаа холбоог судалсан нь
    (2024-05-13) ;
    Т.Ганцэцэг
    ;
    Б.Энхжин
    ;
    ;
    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 3
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    Assessing Mongolian children with cerebral palsy using the International Classification of Functioning, Disability and Health
    (2025-05-17) ;
    Delgerjargal Dorjbal
    ;
    ;
    Suvdmaa Sain-Uchral
    ;
    Gerelmaa Zagd
    The functioning and disability of Mongolian children with cerebral palsy were assessed by applying the World Health Organization's Common Brief ICF-CY Core Set for Children and Youth with Cerebral Palsy. The cross-sectional study involved a consecutive sample of 98 children with spastic cerebral palsy (mean age 6.9 years) and their caregivers. They came from both urban and rural areas of Mongolia. The majority (65%) of the participants were spastic diplegic. Body functions, activities, participation, and interaction with the environment differed depending on the type of cerebral palsy. Brain structure did not differ, however. Regarding environmental factors, there was no significant difference between the types of products and technology used for communication, immediate family relationships, or social attitudes. The environment was the key component negatively impacting the lived experience of children with cerebral palsy in Mongolia. Overall, the findings help to identify unmet needs and can improve interventions for such children in Mongolia to meet international standards.
    Scopus© Citations 1
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    Psychometric properties of the Mongolian version of shitsu-taikan-sho (alexisomia) in young adults
    (2024) ;
    Batkhuyag, Enkhzaya
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    Urtnasan, Tserendolgor
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    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) ;
    Hiramoto, Tetsuya
    ;
    Bat-Erdene, Enkhjin
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    ;
    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
    ;
    ;
    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
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    Emotional intelligence in children with epilepsy
    (2024-06) ; ; ;
    Sainbat, Uranbileg
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    Bayanmunkh, Binderiya
    OBJECTIVE: Epilepsy is a prevalent neurological disorder in the pediatric population, often accompanied by comorbidities, drug-related burdens, and psychosocial issues. Emotional intelligence (EI) is a crucial aspect of neurocognitive functioning that may be impaired in various clinical conditions. This study aimed to assess EI and its associated risk factors in children with epilepsy. METHODS: In a case-control design, we recruited 47 children with epilepsy (37 males, mean age 10.5 ± 3.1 years) and age- and gender-matched controls. Participants were evaluated using the Emotional Quotient Inventory: Youth Version (EQ-I:YV). We included risk factors, including comorbidities, perinatal complications, epilepsy characteristics, and magnetic resonance imaging results to predict EI. RESULTS: Results indicate that children with epilepsy demonstrated significantly lower EI scores compared to controls (Total EQ score: p = 0.031, intrapersonal: p < 0.001, adaptability: p = 0.03, and general mood: p < 0.001). Multiple linear regression analysis indicated that lower total EQ scores were associated with the number of anti-epileptic drugs, age, seizure frequency, MRI abnormalities, aura, and early onset of seizures. CONCLUSIONS: The study provides evidence that children with epilepsy exhibit lower EQ scores than control group, with notable differences in intrapersonal skills, adaptability, and general mood. Additionally, age, and some seizure-related factors predicted decreased total EQ scores. These findings emphasize the need to consider EI in the context of pediatric epilepsy, as impaired EI may contribute to further psychosocial challenges faced by affected children.
    Scopus© Citations 3
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    The Positive and Negative Affect Schedule (PANAS): psychometric properties of a Mongolian version in university students.
    (2025-10)
    Balgansuren, Dorjnambar
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    Bayanmunkh, Binderiya
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    Zhu, Hongru
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    Bat-Ulzii, Naidan
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    Bat-Erdene, Enkhjin
    Scopus© Citations 3