灾后儿童心理创伤及危机干预

地震后,幸存下来的儿童可能比成人心理承受的压力更大,及时地对他们进行危机干预,帮助他们进行灾后心灵的重建是非常重要的。本文就儿童心理创伤反应、危机、危机干预、展开,针对儿童较成人的特殊性提出了对儿童进行危机干预的具体措施。     

心理虐待对儿童发展影响研究述评

儿童心理虐待是指抚养人对儿童长期、反复采取的不利于儿童心理健康的行为,可能导致儿童产生心理问题。已有研究显示心理虐待影响儿童的家庭生活,学校生活及成人后的社会适应能力等方面。中国对儿童心理虐待还不够重视,对此,通过总结国内儿童心理虐待危害的最新研究进展,重点分析心理虐待对儿童各方面能力的消极影响;讨论儿童心理虐待在国内研究的不足及今后的研究趋势,即国内关于受心理虐待儿童的研究方法,儿童的年龄阶段及心理虐待的类型等方面都有待进一步深入的研究。     

心理虐待对儿童认知情绪调节策略的影响：人格特质的中介作用

采用儿童认知情绪调节问卷、儿童版艾森克人格问卷、儿童心理虐待量表对405名8～12岁儿童进行研究,考察人格特质在心理虐待对认知情绪调节策略关系中的中介作用。结果发现：(1)儿童心理虐待与不适应性认知情绪调节策略呈显著正相关;儿童神经质与不适应性认知情绪调节策略呈显著正相关儿童内外倾与适应性认知情绪调节策略呈显著正相关(2)儿童神经质在心理虐待与儿童不适应性认知情绪调节策略关系间起到完全中介作用（3）该中介模型具有性别和年龄的测量等值性。研究结果显示,儿童心理虐待可以通过神经质的中介作用影响不适应性认知情绪调节策略。     

亲子间心理状态术语、非心理状态术语使用与儿童心理理论的关系

本研究通过观察亲子互动游戏来考查母亲———孩子间心理状态术语、非心理状态术语使用与儿童心理理论发展的关系。实验结果表明,控制了年龄因素后,儿童心理理论发展和母亲心理状态术语使用存在显著相关,提示母亲有效地谈论心理状态对儿童心理理论的发展具有影响;儿童心理理论发展与其心理状态术语使用也存在显著相关,提示儿童将心理理论任务中涉及的表征问题与信念词所隐含的表征属性相联系是形成心理理论、正确使用心理状态术语的前提。当控制了母亲和儿童的心理状态术语使用总数后,母亲及孩子非心理状态术语的使用与儿童心理理论发展都不再存在显著相关,提示非心理状态术语的使用是以心理状态术语使用为中介而对儿童的心理理论发展产生影响。     

同伴接纳、家庭因素与儿童心理理论的关系

以56名幼儿园大班儿童为被试,考察了同伴接纳和家庭因素与儿童心理理论的关系。结果发现:(1)6～7岁儿童的同伴接纳类型、家庭功能和其心理理论能力之间存在显著相关。同伴接纳程度高的儿童和家庭功能类型属于平衡型的儿童,心理理论能力较高。(2)家庭亲密度与儿童心理理论能力存在显著相关;(3)母亲的文化水平对儿童心理理论能力存在显著影响;(4)儿童性别、同伴接纳类型、家庭亲密度和母亲文化程度可以预测儿童心理理论发展水平。     

留守儿童心理虐待与攻击行为：心理弹性和人际敏感的链式中介作用

为探究留守儿童心理虐待与攻击行为之间相关关系,采用修订后的儿童心理虐待量表、留守儿童心理弹性问卷、SCL-90中的人际关系敏感分量表和Buss-Perry攻击行为量表对754名留守儿童进行调查。结果发现：（1）心理虐待对留守儿童心理弹性具有显著负向预测作用,对人际敏感和攻击行为具有显著正向预测作用。（2）心理弹性和人际敏感分别在心理虐待与攻击行为之间起到部分中介作用。（3）心理弹性和人际敏感在心理虐待与攻击行为之间起到链式中介作用。     

儿童心理理论研究的一个新方向--执行性功能与心理理论之间的关系

关于儿童心理理论发展的研究开始于 2 0世纪 80年代初期 ,是继皮亚杰理论、儿童元认知发展的研究之后又一个有关儿童社会认知的重要研究方面。心理理论意指对自己和他人心理状态的认识 ,并由此对相应行为作出因果性的预测和解释。目前 ,考察执行性功能与心理理论之间的关系已成为西方儿童心理理论研究的一个新方向。本文试就执行性功能与儿童心理理论之间的关系作一简要介绍和分析 ,以期为我国儿童心理理论的研究积累资料 ,并能为在实践中指导儿童心理理论的发展提供借鉴。1　什么是执行性功能　　Welsh和Pennington(1988)将执行性功能定义…     

心理理论对城区流动儿童心理社会能力的影响机制：双中介作用

以福建省和河南省部分城市2620名义务教育阶段的学生为被试,采用问卷调查法,探析城区流动儿童心理社会能力发展状况,揭示心理弹性和自我效能感在心理理论与心理社会能力关系中的中介作用。结果显示:(1)城区流动儿童的心理社会能力显著低于城市儿童,城区流动儿童的心理社会能力在不同年级、家庭结构和教养方式上也存在显著差异;(2)城区流动儿童的心理社会能力与心理理论、心理弹性和自我效能感存在显著的正相关;(3)心理理论对心理社会能力有正向直接预测作用,心理弹性和自我效能感在城区流动儿童心理理论与心理社会能力之间起中介作用。     

父亲在儿童心理发展过程中的作用

研究认为，父亲在儿童心理发展过程中的某些方面具有比母亲更为重要的影响作用。本文主要从儿童对父亲的依恋、父亲在儿童某些心理发展过程中的作用、以及儿童问题行为与父亲的关系几个角度探讨了父亲在儿童心理发展过程中的独特而且更为关键的作用。     

农村留守儿童人格特征、应对方式与心理适应性关系

目的: 考察留守儿童的心理适应性及其与人格特征和应对方式的关系。方法: 运用艾森克人格问卷 (儿童版)、简易应对方式问卷和心理适应性量表对332名农村留守儿童进行测查。结果:（1）留守儿童心理适应性总体发展具有显著的年级和安置方式差异而性别差异不显著。（2）留守儿童的人格特征可以直接影响其心理适应性;应对方式可以直接影响心理适应性中的个别因子,还可以通过人格特征间接的对心理适应性产生影响。结论：留守儿童的人格特征直接影响其心理适应性;应对方式主要通过人格特征间接的影响其心理适应性。     

Theory-based screening for prevention: Focusing on mediating processes in children of divorce

Prevention programs in mental health theoretically can benefit from selecting participants who have a greater likelihood of developing psychological problems because of their exposure to the putative mediators targeted for change in an intervention. Screening on mediators may increase statistical power to detect program effects, enhance the cost-effectiveness of intervention trials, and decrease the possibility of iatrogenic effects. The circumstances that optimize the strategy of screening on the basis of mediating variables are discussed, and data are presented to illustrate the development of a mediational selection strategy to identify families who might best benefit from a preventive intervention for children of divorce. In addition, we present evidence that adjustment problems for children experiencing a divorce, as with most mental health problems, are not the result of one specific factor, but are jointly determined by several mediating processes that occur subsequent to the divorce. The mediational selection strategy developed illustrates the utility of measuring a set of mediational processes central to conferring risk for mental health problems to children of divorce.     

Moral Injury: A Mechanism for War-Related Psychological Trauma in Military Family Members

Recent research has provided compelling evidence of mental health problems in military spouses and children, including post-traumatic stress disorder (PTSD), related to the war-zone deployments, combat exposures, and post-deployment mental health symptoms experienced by military service members in the family. One obstacle to further research and federal programs targeting the psychological health of military family members has been the lack of a clear, compelling, and testable model to explain how war-zone events can result in psychological trauma in military spouses and children. In this article, we propose a possible mechanism for deployment-related psychological trauma in military spouses and children based on the concept of moral injury, a model that has been developed to better understand how service members and veterans may develop PTSD and other serious mental and behavioral problems in the wake of war-zone events that inflict damage to moral belief systems rather by threatening personal life and safety. After describing means of adapting the moral injury model to family systems, we discuss the clinical implications of moral injury, and describe a model for its psychological treatment.     

Resilience and Family Psychosocial Processes Among Children of Parents with Serious Mental Disorders

Resilience involves successful adaptation despite adverse circumstances, and is operationalized in this study as a multidimensional construct which consists of both positive and negative indicators of adaptation. Previous research has emphasized the importance of parental psychopathology in predicting child adaptation among children of parents with serious mental disorders. In contrast, we hypothesized five family psychosocial processes as common sequelae to serious parental mental disorder that are central to child adaptation beyond that predicted by parental psychiatric status. These are diminished family financial resources, social network constriction, impaired performance of parenting tasks, increased familial stress, and disruption of the parent-child bond. We examined the relationship of these processes to child adaptation independently through hierarchical regression analyses after taking into account parental psychiatric symptoms and functioning as well as the child's age and gender. One hundred seventy-seven children of mothers with serious mental disorder, ages 2–17 years old, were assessed on measures of adaptation. Results indicated that family psychosocial processes are a more consistent and powerful predictor of child adaptation than parental psychopathology. Results also indicated that, for these children, adaptation is predicted most consistently by parenting performance, and to lesser extents, by the parent-child bond and familial stress. We discuss our results in terms of their implications for theory and intervention with children of parents with serious mental disorders and for the study of resilience.     

The role of Improv in enhancement of Meaning in Life in youth: An explanatory sequential design

“A global mental health crisis” was sparked by the pandemic, especially for the youth as it exposed them to serious existential crises related to grief, loss, death and dying, deep psychological insecurities, etc. Additionally, this crisis came as a call for greater meaning in the personal and professional lives of youth. To deal with these issues in youth, Improv intervention is being used as an effective contemporary psychological technique to improve holistic perspective-taking. This pilot study investigated the efficacy of Improv intervention in enhancing Meaning in Life in youth using an explanatory sequential design. The sample comprised 80 youth (age range 18–25 years). The study was carried out in two phases—quantitative and qualitative. In the quantitative phase, a randomised control trial design was used to assess the efficacy of the intervention; this was followed by semistructured interviews to identify crucial themes that highlighted participants’ perceptions of Meaning in Life and the benefits of the intervention. Results revealed potential usefulness of Improv in Meaning enhancement.     

Perceptions of physical and psychological aggression in close relationships: A review

This review of the literature examines the effect of contextual variables (i.e., characteristics of the perpetrator and victims, observer characteristics) on perceptions of physical and psychological aggression in close relationships. Observers view physical aggression as more serious, harmful, abusive, and more deserving of punishment than psychological aggression, male aggression as more serious than female aggression, and aggression in committed, exclusive relationships as more serious than aggression in casual ones. Victims of psychological aggression, however, perceive it as more harmful than physical aggression and consider the effects to be longer-lasting. The disparity between observer and victim perceptions of physical and psychological aggression extends to mental health professionals, who tend to judge the severity of aggressive behaviors based on frequency and duration of the actions instead of perpetrator intent. This difference of opinion may influence the reporting of and intervention in physically or psychologically aggressive situations, and how these types of aggression are treated by legal professionals, especially if those legal professionals are informed about aggressive romantic relationships by third-party observers whose opinions of the situation differ from those of the victims.     

Behavior Problems at 5 Years of Age and Maternal Mental Health in Autism and Intellectual Disability

We examined child behavior problems and maternal mental health in a British population-representative sample of 5 year-old children with an autism spectrum disorder (ASD), controlling for the presence of an intellectual disability (ID). Behavior problems were significantly higher in children with ASD with/out ID compared to typically developing children, but compared to children with ID only hyperactivity was significantly higher in children with ASD/ID. After controlling for ID and maternal mental health, the presence of ASD significantly increased the odds for hyperactivity, conduct problems and emotional symptoms. Negative maternal outcomes (serious mental illness, psychological distress, and physical health limitations) were not consistently elevated in ASD. The findings highlight the early age at which behavior problems emerge in ASD, and suggest that at this age , there may not be a clear disadvantage for maternal mental health associated with having a child with ASD in the family, over and above that conferred by child behavior problems.     

Attachment Patterns in Medically Serious Suicide Attempts: The Mediating Role of Self‐Disclosure and Loneliness

Although the study of medically serious suicide behavior is an important strategy for understanding the nature of suicide, little is known about its underlying psychological mechanisms. This gap is addressed here by applying insights from attachment theory to severe suicidal behavior. The results show that both anxious and avoidant attachment patterns predict medical lethality. Path analysis indicated that interpersonal difficulties mediated the paths between insecure attachment patterns and lethality of suicide attempts. These results suggest that the psychological mechanisms of medically serious suicide behavior involve high levels of mental pain amplified by insecure attachment patterns and interpersonal difficulties. Implications for prevention and therapeutic intervention strategies are discussed.     

心理预防概念的更新及其对实践的指导意义

继Caplan的“公共卫生预防模型”之后,Gordon提出另一个综合性预防模型;美国国家科学院医学研究所绘制了“心理健康干预光谱”; 美国国家研究所和国家科学院医学院则进一步将“心理健康促进”正式纳入心理预防概念。“心理健康促进”是针对消极被动的传统预防而提出的积极主动的预防。心理预防概念的发展与更新,特别是将“心理健康促进”纳入心理预防体系,要求树立预防的全局观念,提高预防的针对性,将消极心理预防与积极心理健康促进结合起来。     

Children's mental health as a primary care and concern: a system for comprehensive support and service

In response to the serious crisis in mental health care for children in the United States, this article proposes as a priority for psychology a comprehensive approach that treats mental health as a primary issue in child health and welfare. Consistent with the principles of a system of care and applying epidemiological, risk-development, and intervention-research findings, this approach emphasizes 4 components: easy access to effective professional clinical services for children exhibiting disorders; further development and application of sound prevention principles for high-risk youths; support for and access to short-term intervention in primary care settings; and greater recognition and promotion of mental health issues in common developmental settings and other influential systems. Integral to this approach is the need to implement these components simultaneously and to incorporate family-focused, culturally competent, evidence-based, and developmentally appropriate services. This comprehensive, simultaneous, and integrated approach is needed to achieve real progress in children's mental health in this country.     

急性创伤青年患者的心理健康水平与小组干预

为了探讨急性创伤青年患者的心理健康水平及小组干预对策,采用三种国际通用量表（SCL-90、HAMA、HAMD）对160例急性创伤青年患者进行测评,在给予传统心理护理的同时,进行小组干预,然后比较患者干预前后心理健康水平;并以既往同种病例为对照,比较治疗效果。结果显示,86．25％的急性创伤青年患者存在有不同程度的心理障碍。通过小组干预后,患者心理健康水平明显提高;患者的临床疗效明显改善。因此小组干预可显著改善急性创伤青年患者的心理应激水平,提高临床疗效。