中国癌症病人生活质量的测定──EORTC QLQ—C30在中国的试用

引进EORTCQLQ-C30,验证其在中国大陆的应用情况,为中国肿瘤学领域生活质量研究提供有效和实用的评定工具.运用随机对照实验设计,测查了289名癌症病人,结果显示各分量表中项目与所属量表的相关均高于与其他量表的相关,各分量表间呈中等偏下相关,量表因子结构分析与EORTC结果大体相似,三种方法检验的临床效度均较高.由此得出QLQ-C30各项心理测量学特性均达到要求,临床效度和实用性也比较好,在中国大陆的癌症病人中是可行的、可信的、有效的和敏感的.     

NOTE ON THE CONSTRUCTION OF TESTS OF Q FACTOR ISOLATES IN THE PREDICTION OF CLINICAL CLASSES

The present paper describes two related methods of evaluating items for purposes of test construction intended to yield measures of Q -factor isolates. The principle procedure is based on the use of correlations between the items and the Q -factor loadings. Empirical studies are cited demonstrating the internal consistency and factorial stability of the constructed tests. Evidence of 'qualitative similarity' between the tests and their Q -factor equivalents is also provided.     

SELECTION INTERVIEWING IN THE LIFE INSURANCE INDUSTRY: AN UPDATE OF RESEARCH AND PRACTICE

Over the past decade, the Life Insurance Marketing and Research Association has been researching and implementing the use of structured selection interviews in the agent selection process. The practical problems encountered during this period are reviewed, and studies of the most recent interview guide are presented. These studies are based on interview evaluations made by 270 managers in interview training sessions, as well as field managers'evaluations of 163 applicants in actual agent selection situations. The results indicate that it is possible for managers to agree on their evaluation ratings of an applicant, that there is a stable factorial structure for the ratings, and that the ratings are related to the selection decision although not all items carry the same weight. The implications of these results for the use of structured selection interviews and for further research are discussed.     

CORRELATIONS BETWEEN LENGTH OF STAY IN THE JOB CORPS AND READING ABILITY OF THE CORPSMEN

Data on sex, age, race, length of stay, and reading ability were collected on 116 subjects who dropped out of the Job Corps in 1970. The data were analyzed to determine if there were any correlation between length of stay and reading ability. The findings yielded no significant correlations. Certain weaknesses of the study are pointed out and a more promising experimental design, related to other research, is discussed.     

A REVIEW AND EVALUATION OF THE PSYCHOMETRIC PROPERTIES OF THE JOB DIAGNOSTIC SURVEY

Empirical research is reviewed to evaluate the test-retest reliability, internal consistency, scale discrimination, factorial validity, convergent validity across raters and methods, and methods bias of the Job Diagnostic Survey (JDS) of Hackman and Oldham (1975, 1980). The review shows that the JDS has important psychometric limitations, but is able–when used properly–to provide useful information about perceived job properties. Suggestions are made for improving the JDS and for developing additional instruments that assess a broader array of job dimensions and that assess them more objectively than current measures. Job characteristics researchers need a diverse portfolio of measures to accomplish different purposes.     

植物人研究中的一些神经心理学问题

自从Ｊｅｎｎｅｔｔ等提出＂持久的植物状态＂概念之后,有关植物人的问题已经引起中国医疗卫生界的广泛重视,并且在临床治疗方面取得了一定的成绩。该文对国内及国际植物人研究状况作了简要的评述．作者认为统一关于植物人定义的认识,研究植物人的病理生理机制以及确定临床观察的心理学定量指标乃是中国科学工作者当务之急。     

RELIABILITY AND FACTORIAL VALIDITY OF THE JUNIOR EYSENCK PERSONALITY QUESTIONNAIRE IN ZIMBABWE

Six-hundred and thirteen girls and 601 boys in Zimbabwe completed the Junior Eysenck Personality Questionnaire (JEPQ). The reliability of the Neuroticism (N) and Social Desirability (L) factors was acceptable but the Psychoticism (P) and Extraversion (E) factors possessed modest reliability. While the factorial validity of the P, N and L scales was acceptable, the factorial validity of the E scale was poor. L scores were significantly correlated with N and P scores among girls and boys. Whereas Zimbabwean girls reported higher P scores than did Canadian girls, Zimbabwean boys reported lower P scores than did Canadian boys. Zimbabwean girls and boys reported lower E and N and higher P scores than their Canadian counterparts. This study provides broad support for Eysenck's basic personality model, but it does not support the use of this version of the JEPQ, and especially the E scale, among Zimbabwean children.     

个人化设计在临床研究中的应用——从个体角度研究个体差异

本文从有关研究证据的基础上,介绍了个人化设计的理论基础和实验设计,并在此基础上讨论了个人化设计在临床研究领域中的应用价值,总结出一种适合临床病人使用的研究程序。个人化设计允许对个体的个人价值进行分析,并能同时研究不同刺激信息的作用,在个体水平上分析个体差异。通过简化了的实验程序,个人化设计为解决临床研究中的问题提供了一种新的思维方式。文中还对相关研究法的局限进行了讨论。     

THE MUTUAL ENRICHMENT OF BASIC AND APPLIED RESEARCH IN PSYCHOLOGICAL SCIENCE AND PRACTICE

Abstract— Dealing with the problems of substance abuse requires both an appreciation of clinical reality and an understanding of basic psychosocial principles. Each of the conference presentations of theory and research most of them nonapplied in nature, created a welcome and rare occasion for experimental and clinical psychologists (and hybrids) to reflect together on the applied implications of some basic research and on the research implications of some applied professional activities. Among the issues found especially noteworthy by this discussant. Here the following the return of cognition and rational decision making as legitimate and critical foci in behavior therapy, the role of exposure to aversive events in reducing their fearsomeness, the advantages of not working doggedly to achieve goals that are better approached with a nonachievement attitude the possibility that the difficulty in altering pathological behavior derives from the properties of human language, appreciation of individual differences in psychotherapy outcome research, the importance of considering the meaning that therapeutic ministrations can have for certain patients, and the need to reexamine the utility of patients expressing their concerns.     

DEVELOPING A TECHNOLOGY FOR THE USE OF OPERANT EXTINCTION IN CLINICAL SETTINGS: AN EXAMINATION OF BASIC AND APPLIED RESEARCH

Extinction of operant behavior, which involves terminating the reinforcement contingency that maintains a response, is important to the development, generalization, and reduction of behavior in clinical settings. We review basic and applied research findings on variables that influence the direct and indirect effects of extinction and discuss the potential value of a general technology for the use of extinction. We suggest that current research findings are not sufficient for the development of a comprehensive, applied technology of extinction and provide extensive guidelines for further studies on factors that may affect the course of extinction in clinical settings.     

DEVELOPMENTAL SEX DIFFERENCES IN THE RELATION OF NEUROANATOMICAL CONNECTIVITY TO INTELLIGENCE

Recent neuroimaging research has shown sex-related differences in the relationship between brain structure and cognitive function. Anatomical studies have shown a greater reliance for cognitive function on white matter structure in adult females, and a greater reliance on gray matter structure in adult males. Functional neuroimaging studies have also shown a greater correlation between brain connectivity and cognitive function in females. However, this relationship is not present in young childhood (5 years old) but appears during the developmental period. Here sex differences in structure–function relationships and their developmental trajectory are investigated using diffusion tensor imaging (DTI) on a large cohort of over 100 normal children ages 5–18. Significant sex–X–IQ interactions on fractional anisotropy (FA), a marker for white matter organization, were seen in the left frontal lobe, in fronto-parietal areas bilaterally, and in the arcuate fasciculus bilaterally, with girls showing positive correlations of FA with IQ, and boys showing a negative correlation. Significant sex–X–IQ–X–age interactions on FA were also seen in the left frontal lobe and in fronto-parietal areas bilaterally, showing a developmental effect. These results strongly corroborate previous findings regarding sex differences in structure–function relationships regarding intelligence. Results also indicate that a naïve interpretation of “more is better” with respect to FA may not be accurate, especially in adult males.     

THE CONCEPT OF CORRELATION IN ADULTS

In the first of two experiments on the concept of correlation in adult subjects, the subjects' frequency estimates and inferences of relationship were studied relative to five different 2 × 2 distributions, each presented in a fixed sequence. In experiment II, the subjects' spontaneous strategies in subdividing and analyzing one 2 × 2 distribution were studied in a free situation. It is concluded that adult subjects with no statistical training apparently have no adequate concept of correlation (based on the ratio of the two pairs of diagonal frequencies), and that, in so far as they reason statistically at all, they tend to depend exclusively on the frequency of ++ cases in judging relationship. The need for studies involving ordinal scale and fully quantified variates is stressed.     

THE SEARCH FOR CONFIGURAL RELATIONSHIPS IN PERSONALITY ASSESSMENT: THE DIAGNOSIS OF PSYCHOSIS vs. NEUROSIS FROM THE MMPI

In 1956 Meehl predicted that the relationships between MMPI scores and the psychosis-neurosis diagnostic classification should be highly configural in character, and therefore that no linear combination of MMPI scores should be able to differentiate neurotic from psychotic patients as accurately as either experienced clinical psychologists or configural actuarial techniques. The present paper summarizes the findings from ten years of research on this question. While the search for configural actuarial procedures has led to a moderator variable, neither clinical experts, moderated regression analyses, profile typologies, the Perceptron algorithm, density estimation procedures, Bayesian techniques, nor sequential analyses-when cross-validated-have been-able to improve on a simple linear function. The implications of these negative findings for investigations of configural relationships with other problems are discussed.     

中国人人格量表的信度与效度

在初步确定中国人人格量表（Qingnian Zhongguo Personality Scale, QZPS）的基础上,通过对5000多被试的施测,确定了QZPS的项目构成及信度和效度。研究中对QZPS的项目重新进行探索性因素分析,确认了中国人人格的七因素结构,根据对每一个大因素的因素分析和项目鉴别度分析,确定了QZPS各个因素的项目构成和内部一致性系数,共180个项目。通过自-他评定的相关、自评与标尺评定的相关、以及对特殊群体分数分布的分析验证了QZPS的效度。研究结果确认QZPS有良好的信度和效度,可以应用于人格的理论和应用领域。     

PROBLEMS WITH THE USE OF PROFILE SIMILARITY INDICES IN THE STUDY OF CONGRUENCE IN ORGANIZATIONAL RESEARCH

Profile similarity indices (PSIs) have become widely used in studies of congruence (i.e., fit, matching, similarity, agreement) in organizational research. PSIs combine two sets of measures, or profiles, from corresponding entities (e.g., the person and organization, supervisor and subordinate, organization and environment) into a single score intended to represent their overall congruence. Unfortunately, PSIs are conceptually ambiguous, discard information essential to testing congruence hypotheses, conceal the source of the difference between entities, and impose a highly restrictive set of constraints on the coefficients relating the measures comprising the PSI to the outcome. This article shows how polynomial regression analysis may be used to avoid problems with PSIs while capturing the underlying relationships PSIs are intended to represent. Limitations and extensions to the procedure are discussed.     

A REVIEW OF STRUCTURE IN THE SELECTION INTERVIEW

Virtually every previous review has concluded that structuring the selection interview improves its psychometric properties. This paper reviews the research literature in order to describe and evaluate the many ways interviews can be structured. Fifteen components of structure are identified that may enhance either the content of the interview or the evaluation process in the interview. Each component is explained in terms of its various operationalizations in the literature. Then, each component is critiqued in terms of its impact on numerous forms of reliability, validity, and user reactions. Finally, recommendations for research and practice are presented. It is concluded that interviews can be easily enhanced by using some of the many possible components of structure, and the improvement of this popular selection procedure should be a high priority for future research and practice.     

THE NEGATIVE SIDE EFFECTS OF REWARD

The negative side effects of aversive control have been extensively discussed in clinical literature and textbooks. The symmetry between aversive and appetitive control in basic experimental research implies that parallel negative side effects of reward exist. These negative side effects are described and their implications for clinical practice and research are discussed.     

NONCONTINGENT PRESENTATION OF ATTENTION AND ALTERNATIVE STIMULI IN THE TREATMENT OF ATTENTION-MAINTAINED DESTRUCTIVE BEHAVIOR

Previous research has demonstrated that destructive behavior may be reduced through noncontingent presentation of attention when attention is identified as the stimulus responsible for behavioral maintenance. Because it may not always be possible to deliver attention in all situations, we examined the extent to which alternative stimuli that have been identified through a choice assessment would substitute for attention (the functional analysis—based reinforcer) in a noncontingent reinforcement procedure. Prior to treatment, functional analyses demonstrated that the destructive behavior of 2 clients with mental retardation was maintained by adult attention. Next, a stimulus choice assessment identified highly preferred tangible items for the 2 clients. Finally, we compared the effectiveness of two noncontingent reinforcement procedures: continuous noncontingent access to attention and continuous noncontingent access to the tangible item identified in the choice assessment. For both clients, these noncontingent reinforcement procedures reduced destructive behavior. The results are discussed in terms of the clinical implications for the treatment of destructive behavior using functional and alternative stimuli.