中职女生社交自卑感及其与家庭功能、心理健康的关系:一项交叉滞后研究

为探讨中职女生社交自卑感的特点及其与家庭功能、心理健康的关系,采用社交自卑感量表、家庭亲密度与适应性量表和中学生心理健康量表对来自河南省内2所中等职业学校的1066名一年级中职女生进行间隔半年的两次问卷调查。结果发现：（1）89.21%的中职女生有社交自卑感体验,中职女生的社交自卑感与家庭社会经济地位相关显著,农村生源中职女生的社交自卑感显著高于城市生源中职女生;（2）家庭适应性可以边缘预测随后的社交自卑感,心理健康可以显著预测随后的社交自卑感;（3）社交自卑感、家庭功能和心理健康的关系模式在城市生源和农村生源的中职女生中具有较强的稳定性;（4）来自再婚/离异家庭中职女生的心理健康对随后的社交自卑感的预测作用高于来自完整家庭的中职女生。本研究表明,中职女生存在比较明显的社交自卑感,社交自卑感与家庭功能、心理健康之间存在动态联系。     

A longitudinal study of time estimation in psychotic disorders

5 healthy subjects and 9 patients with hospital diagnoses of schizophrenia were studied by means of repeated measurements of time estimation (production method) during a 1- to 2-yr period. The healthy subjects exhibited moderate variability in their time estimations and tended to over- or under-estimate somewhat. Both over- and under-estimation were also found among patients, but the patients were often more variable in their estimations and in some cases deviated more from the correct estimation than the healthy subjects. Two patients were decided under-estimators. They were both young, subchronic schizophrenics. Chronic schizophrenic patients tended to over-estimate time, but the amount of over-estimation had no noticeable correlation to the degree of clinical disturbance. Two patients gradually changed from under- to over-estimation during the observation period. One patient was evidently misdiagnosed. He suffered from a bipolar affective disorder, and his time estimations seemed to depend on his clinical state during the course of the disorder. The results are discussed in the context of earlier findings and physiological disturbances in chronic schizophrenia.     

Verbal interactions of aggressively and nonaggressively predisposed males in a drinking situation

The effects of progressive intoxication were studied in male social drinkers classified from prior histories as either aggressively (A) or nonaggressively (NA) predisposed while intoxicated. Two groups of two A and two NA subjects engaged in videotaped group discussions that were analyzed by Bales interaction process analysis (IPA). At comparable levels of ad libitum alcohol intake in a natural drinking environment, significantly more verbal activity was displayed by the A subjects than by the NA subjects (P <.001), including IPA category D (P <.025). The A subjects tended to address the group as a whole rather than individual members (P <.001) and NA subjects rather than other A subjects (P <.01). Free testosterone levels assessed from saliva were higher among A subjects than among NA subjects (P <.05) with no significant changes related to time and progressive intoxication. The results suggest that the tendency to behave aggressively while intoxicated may be a fairly stable individual trait, possibly related to androgen levels and active or coercive modes of social communication.     

Loneliness in cancer and multiple sclerosis patients

Loneliness is a universal social phenomenon often producing debilitating effects on many aspects of human functioning. The present study compared the qualitative aspects of loneliness in two terminally ill samples to that of a more healthy sample. 329 multiple sclerosis and 315 cancer patients, as well as 391 nonrandom healthy participants answered a 30-item questionnaire on loneliness. Analysis indicated the experience of loneliness which characterizes multiple sclerosis and cancer patients differs from that of the more healthy group.     

Gaze avoidance in social phobia: Objective measure and correlates

Gaze aversion could be a central component of the physiopathology of social phobia. The emotions of the people interacting with a person with social phobia seem to model this gaze aversion. Our research consists of testing gaze aversion in subjects with social phobia compared to control subjects in different emotional faces of men and women using an eye tracker. Twenty-six subjects with DSM-IV social phobia were recruited. Twenty-four healthy subjects aged and sex-matched constituted the control group. We looked at the number of fixations and the dwell time in the eyes area on the pictures. The main findings of this research are: confirming a significantly lower amount of fixations and dwell time in patients with social phobia as a general mean and for the 6 basic emotions independently from gender; observing a significant correlation between the severity of the phobia and the degree of gaze avoidance. However, no difference in gaze avoidance according to subject/picture gender matching was observed. These findings confirm and extend some previous results, and suggest that eye avoidance is a robust marker of persons with social phobia, which could be used as a behavioral phenotype for brain imagery studies on this disorder.     

Speech monitoring skills in Alzheimer's disease, Parkinson's disease, and normal aging.

We examined the abilities of 15 patients with dementia of the Alzheimer type (DAT), 22 patients with Parkinson's Disease (PD), and 141 healthy subjects (ranging in age from 30 to 79 years) to detect and correct their own speech errors. Each subject was shown the Cookie Theft picture of the BDAE (Goodglass & Kaplan, 1972. The assessment of aphasia and related disorders. Philadelphia: Lea & Febiger.) and instructed to tell the examiner the "...story of what's happening in the picture." Self-monitoring performance was assessed by tabulating the number of uncorrected errors as well as repaired errors. We divided repairs into two types based on the psycholinguistics literature (van Wijk & Kempen, 1987. Cognitive Psychology, 19, 403-440). Speech corrections were judged to be lemma repairs when the reparandum was a single word, and reformulation repairs when a new syntactic constituent was added to the reparandum. Patients with DAT corrected only 24% of their total errors and patients with PD only 25%. Healthy subjects, by contrast, corrected from 72 to 92% of their total errors. Patients with DAT tended to rely on reformulation repairs while patients with PD used both repair types about equally often. While healthy elderly Ss (in the 70s group) utilized lemma repairs more often than the reformulation strategy, all other healthy Ss used both strategies about equally often. Across all groups naming performance correlated negatively with numbers of undetected errors. Results point to a previously unrecognized communication disorder associated with PD and DAT and manifested by an impairment in the ability to correct output errors. This impairment may be related to attentional and frontal dysfunction in the two patient groups.     

Quality of life in patients before and after kidney transplantation

Abstract The aim of the present study was to differentially determine quality of life (QOL) in patients with end-stage renal disease (ESRD) after successful kidney transplantation (RT, Group A) compared with ESRD patients on a waiting list for RT (Group B). and with healthy controls (Group C) because opinions vary as to which treatment modality can best assure ESRD patients a high QOL. Groups A, B and C each consisted of 149 persons, matched for age and gender. The Munich Quality of Life Dimensions List (MLDL) was used to measure global aspects of QOL. Distinct aspects of QOL were investigated by the Brief Symptom Inventory (BSI) and the Questionnaire for Social Support (K-22). Groups A and C reported similar QOL. Which was significantly higher than in group B (p < .0001). This was particularly true for the physical and psychological status and daily activities, but not for the social situation. Groups A and B reported similar social support, which was significantly, lower than in group C (p < 006). Both ESRD groups reported higher satisfaction with social support than healthy controls (p < .0001). Successful RT nor only improved distinct aspects of QOL in patients with ESRD, but even put them on par with healthy controls regarding physical and psychological QOL. Lower social support and higher satisfaction with social support in both groups of ESRD patients should be evaluated further. From a clinical viewpoint. the improvement of physical and psychological aspects of QOL in RT patients is impressive; but more attention should be paid to constantly low social support in this group of patients. International multi center longitudinal studies to investigate QOL in ESRD patients under different treatments am necessary.     

HIV‐related stigma in social interactions: Approach and avoidance behaviour in a virtual environment

People living with HIV are a stigmatized group in our society, especially homosexual people living with HIV. One of the behavioural manifestations of stigmatization is an increased interpersonal distance kept during social interactions. Immersive virtual environment technology enables the experimental study of social interactions in an accurate and relatively unobtrusive manner. Using a virtual hospital room, we measured to what extent diagnosis (HIV, cancer or broken leg) and sexual orientation (homosexual or heterosexual) were related to approach behaviour (based on the interpersonal distance and the speed of approach), and the degree patients were looked at (as was obtained from an additional exploration of our head orientation data). Moreover, implicit and explicit attitudes were predicted to moderate this relationship. Participants (N = 50) were healthy, heterosexual students. A main effect of diagnosis revealed larger interpersonal distances from patients with HIV than from patients with cancer. Also, an interaction effect demonstrated that distances were largest when the HIV patient was homosexual. Furthermore, a main effect of diagnosis showed that HIV and cancer patients were approached more slowly than broken leg patients, an effect that was larger for HIV than for cancer patients. In addition, head orientation analyses revealed that patients with HIV were relatively ‘looked at’ more often as well as relatively ‘looked away from’ less often than patients with cancer and patients with a broken leg. None of these effects however were found to be moderated by implicit and explicit attitudes. These findings provide behavioural evidence for the stigmatization of people living with HIV and homosexuals with HIV in particular. Copyright © 2015 John Wiley & Sons, Ltd.     

Mixed anxiety and depression

We review evidence from community, primary care, and psychiatric samples to determine whether there are a group of patients who have mixed symptoms of anxiety and depression that are below diagnostic thresholds for either group of disorders. A review of the data strongly suggests that such a group of patients exists and that, despite lacking sufficient symptoms to meet diagnostic thresholds from the revised 3rd edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1987), they often have significant impairment in social and vocational functioning. Because many of these patients also suffer from medically unexplained somatic symptoms, they may be more likely to frequently use nonpsychiatric medical care. Longitudinal studies suggest that persons with mixed anxiety-depression symptoms may represent a population who are at increased risk for more severe mood and anxiety disorders.     

Coping among children and adolescents with chronic illness

The present study was aimed to investigate age and gender effects on coping with everyday stressors among children and adolescents with chronic illness and healthy controls. Patients (8–13 years of age) with asthma (n=47), atopic dermatitis (n=52), and cancer (n=57) were compared to healthy controls (n=158) matched by age, gender, and grade. Self-report data on coping with academic and interpersonal stressors were collected. The primary results indicated that coping with everyday stressors was improved in children and adolescents with chronic illness compared to healthy controls. Thus, patients reported less passive avoidance on cross-situational coping and tended to show more situation-specific coping with social and school-related stressors than healthy controls. Additionally, among the clinical groups, patients with atopic dermatitis and cancer scored higher on positive self-instructions than patients with asthma. Conclusively, the results suggest that coping with a chronic illness may lead to more effective coping with everyday stressors. Implications for evaluating coping styles in patients with chronic illness are discussed.     

Towards Working Life: Effects of an intervention on mental health and transition to post-basic education

The Towards Working Life group method was designed to promote the transition to the upper secondary level or vocational studies and to support mental health among young people finishing their basic education. This study examined the effects of the intervention during upper secondary and vocational studies in a randomized field experimental study among a total of 1034 students. At the one-year follow-up, the program had increased both education related social ties and the number of adults in these ties. The group intervention had interaction effects with baseline risk of depression and learning difficulties on symptoms of depression and school burnout. Among those initially at risk of depression, the intervention decreased symptoms of depression. For students who were at risk of depression and had learning difficulties, the intervention decreased school burnout.     

Stress and Social Support in Parents whose Children are Hepatitis B Virus (HBV) Carriers: A Comparison of Three Groups in Guangzhou

The present study compared the moderating effect of social support on parental stress variables and mental health among three groups of parents: parents of HBV (Hepatitis B Virus) children who attended the special health kindergarten, parents of HBV children who stayed at home, and parents of healthy children who attended the ordinary kindergarten. These families resided in the city of Guangzhou. A set of questionnaires measuring parental stress and social support were given to the mothers after a one-hour interview. Results showed that parents of HBV children were significantly more stressed and psychologically at risk than parents of healthy children. They also sought help from social resources more often than the parents of healthy children. Parents of healthy children who attended the ordinary kindergarten reported the highest levels of overall social support, i.e. the number of very close friends and relatives with whom they could form close emotional attachments. Although they reported a lower number of acquaintances available, they also reported the most satisfactory relationships with the support provided by their acquaintances, lower levels of stress, fewer somatic problems, more adequate general health, and more perceived meaning in life than did parents of HBV children, and social support is one of the main influences on stress or parental health. The findings call for further research to focus on parents' well-being and social support that is helpful in addressing the needs of the family.     

The effect of severe carotid occlusive disease and its surgical treatment on cognitive functions of the brain

Surgery of a high-grade carotid stenosis is evidence-based stroke prevention. Also cognitive effects are reported after carotid endarterectomy (CEA): both deterioration and improvement, the former attributed to perioperative complications and the latter often to learning effect. By imaging, brain perfusion and diffusion changes were shown in subjects with a high-grade stenosis undergoing CEA. We wanted to find out if the cognition of patients undergoing CEA display postoperative worsening or true improvement in association with findings in serial MR imaging. The patients had a poorer overall cognition than healthy matched controls. The cerebral hemisphere ipsilateral to the stenosis had higher diffusion and more sluggish perfusion leading to perfusion deficits. These asymmetries were abolished by CEA. Postoperatively, the patients showed a trend for cognitive worsening, most often attentional, but over months, the group performance improved similarly to the controls. Still, lower baseline perfusion was associated with a greater cognitive improvement, most clearly in executive functions. Consequently, despite the risk for transient decline, true cognitive benefit by CEA seems possible.     

Practice-relevant problems of psychodiagnostically oriented dispensary models

Dispensary care covers all efforts directed towards maintaining health in the sense of physical, mental and social well-being. In view of the purely organ-related standpoint, which is still sometimes encountered, problems may arise in practice which obstruct endeavours towards this aim. Screening was used to identify, among groups with levels of psychoneurological stress higher than the mean yielded by epidemiological surveys and which increase with increasing length of vocational life, subjects whose neurotic symptoms predominated among the totality of pathological findings. Possible conclusions are drawn for the further implementation of an optimized dispensary strategy at the basis.     

The relationship of gender and sex-role orientation to vocational undecidedness

This investigation examined the effects of gender and sex-role identity on vocational indecision and its multiple subtypes. Data were collected on 191 undergraduate students, and the results of the analyses revealed that sex-role orientation was strongly related to subjects' levels of vocational undecidedness. Nontraditionally sex-typed subjects scored at significantly higher levels on all indecision indices than did traditionally sex-typed subjects. However, no gender-related differences were found among the various indecision indices. Implications for future research are discussed.     

Social monitoring in a primate group: the relationship between visual attention and hierarchical ranks

Social monitoring has been hypothesized to be an important component of primate social behavior. If the gaze direction of one animal can redirect the gaze of another, visual scanning of conspecifics can provide a more efficient means of locating food or predators than directly scanning the entire nonsocial environment. Social monitoring also allows distance regulation between members of a group, reducing the likelihood of agonistic encounters. Although assessment of gaze direction in freely moving primates is problematic, we were successful in assessing amounts of visual scanning among adult females of a captive, socially housed group of patas monkeys (Erythrocebus patas) using a focal sampling technique with on-the-dot recording (5-s sampling intervals). In study 1, relative amounts of scanning were assessed as subjects gazed at any other member of the group. Percentages of agreement between observers ranged from 80% to 92%, with corresponding κ values ranging from 0.74 to 0.92. In study 2, relative amounts of visual scanning were assessed so that specific targets of gaze were identified. The resultant data supported a long-standing prediction about the role of social monitoring in primate group dynamics. Lower-ranking animals gazed toward higher-ranking animals more often than vice versa. Although the specific cues eliciting social monitoring remain to be determined, visual attention in this social primate group appeared to be systematically related to hierarchical ranks, assessed by displacements. Minimally, these results suggest that patas monkeys structure their visual attention based on previous encounters with other members of their social group. While simple discrimination learning could account for these results, the demonstration of a systematic relationship between visual attention and primate social dynamics is relevant to current discussions of a primate’s understanding of conspecific gaze direction. Received: 26 January 1998 / Accepted after revision: 29 March 1998     

An evaluation of group therapy for adolescents using social skills training

The present study investigated the hypothesis that social skills training is more effective in increasing socially acceptable behaviour in adolescents than is a generalized or non-specific form of group therapy. Forty-two subjects were selected to participate in the study from among adolescents referred for group therapy at two youth guidance clinics in Brisbane, Australia. The 23 males and 19 females were randomly assigned to one of three treatment conditions: a social skills training group, a non-specific therapy group and a waiting-list-for-therapy (control) condition. All subjects were assessed before and after treatment on five measures of social skills. Subjects in the social skills training group showed significant improvements on three of these measures while the non-specific therapy and waiting-list control groups showed no specific changes on any of the measures.     

Social fear and expressive reactions to social stimuli

This study explored whether subjects high as compared to low in social fear react with a more negative emotional response, measured as facial electromyographic (EMG) activity, when exposed to social stimuli (pictures of angry and happy facial expressions). It was found that subjects who rated themselves as relatively high in public speaking fear gave larger negative facial EMG responses (Corrugator supercilii muscle activity) to angry faces than did the low fear subjects. Low fear subjects, on the other hand, gave larger positive facial EMG responses (Zygomatic major muscle activity) to happy faces than did the high fear subjects. It was further found that happy stimuli were rated as more hostile and less friendly and happy by the high fear group. Consistent with earlier findings, it was concluded that the facial EMG technique is sensitive to detecting different reactions among subjects relatively high and low in social fear.     

风险决策中的参照点效应研究

本研究以展望理论和社会决策范式模型为基础,着重探讨三种参照点对个体和群体风险决策产生的影响。３００名被试经实验者设置参照点后分别在个体和群体条件下对不同风险度的博弈方案进行选择。结果表明：（１）个体决策中,损失参照点的被试和无得失经验者比得益者更冒险;（２）得益被试的决策受到社会比较的影响;（３）损失参照点的被试并未对群体决策有更大影响,决定群体决策结果的主要是多数原则。     

Women''s yielding to social group pressure as a function of alcohol and type of pressure

Thirty-six women participated in an experiment exploring whether alcohol intoxication facilitates yielding to social persuasive information. Subjects were randomly assigned to either an Alcohol, a Placebo, or a Control Group. The alcohol dose was 1.0 ml of 100% alcohol/kg body weight. Subjects first estimated the length of a line and were then given faked feedback from either a male or a female peer reference group. This procedure was repeated 60 times. Analyses indicated that the Placebo group yielded more often than the Alcohol group irrespective of type of feedback. A measure of locus of control indicated no significant mean differences as a function of alcohol group but correlations between externality and yielding were strong for placebo subjects, that is, externally oriented placebo subjects yielded more than internally oriented placebo subjects. This was discussed in terms of feelings uneasiness caused by the discrepancy between feelings of intoxication and information about drink content.