试论卫生与法律的关系

卫生是人类重要的社会实践活动。卫生也是保护人体健康的重要社会事业,需要法律的保护和导向。卫生法为卫生发展提供了良好的社会环境,并控制医药卫生无序、失控及异化带来的社会危害性,造福人类,促进经济发展和社会进步。     

积极情绪与身心健康关系研究的进展

积极情绪与身体健康、心理健康和社会适应有密切的关系。首先,积极情绪不仅能够降低传染性疾病的感染风险,能够影响非传染性疾病病情、病程及死亡率。其次,积极情绪能够降低个体的心理易感性,使个体更好的应对负性或压力事件。最后,现有的研究表明积极情绪和社会交往存在相互促进的关系。现存的直接效应模型和压力缓冲模型解释了积极情绪直接和间接促进健康的机制。未来的研究还需在研究方法和模型完善等方面进一步改进。     

The Relationship Between Spirituality,Health Beliefs,and Health Behaviors in College Students

The United States is a country in which religion and spirituality play a significant role in people’s lives. The relationship between religion, spirituality and health has long been investigated. However, most of these studies have focused only on patient populations and the elderly. The present study examines whether the same pattern of relations reported earlier is seen in a sample of healthy, college students using measures of both spirituality and religion. Health beliefs and behaviors were also examined. The results show that individuals with higher spirituality scores are more active and hold difference health beliefs than those who scored in the low spirituality group. However, some contradictions from previous research were reported in this sample. The study suggests religion may have some different pattern of relations in the overall health and health behaviors of younger, healthier populations. Dr. Sgoutas-Emch teaches at the University of San Diego. Erik Nagel received his BA from there.     

健康与疾病的划界：困境与出路

简单回顾了医学对健康和疾病的认识与划界,重点分析了生物医学模式的划界标准、前提,以及它在医学认识与实践中面临的困境。在此基础上,探讨了19世纪以来医疗界走出困境的主要路径。     

Meaning in Life Moderates the Relationship Between Sacred Loss/Desecration and Health

According to sanctification theory, religious people tend to imbue certain aspects of their lives with spiritual character and significance. Moreover, they take active steps to preserve and protect sacred aspects of their lives that might be threatened. If they are successful, they derive a deep sense of satisfaction and well‐being. However, when stressful events arise, some individuals are not able to preserve and protect the facets of their lives that they have come to view as sacred. The resulting sacred loss/desecration can be associated with physical and mental health problems. The purpose of the current study is to see if a sense of meaning in life buffers (i.e., moderates) the relationship between sacred loss/desecration and four measures of health: physical functioning, the number of chronic conditions, symptoms of physical illness, and self‐rated health. Data from a recent nationwide survey (N = 2,104–2,107) suggest that the negative relationship between sacred loss/desecration and each health outcome is lower for people who have a stronger sense of meaning in life.     

高职大学毕业生的应对方式与心理健康的关系

以187名高职大学毕业生为被试,采用问卷调查法,对应对方式和心理健康的关系进行了探讨。结果表明:(1)高职大学毕业生应对方式的使用程度依次是解决问题、求助、幻想、逃避、合理化及自责。在解决问题上存在显著性别差异。求助和合理化因子存在显著专业差异。(2)高职大学毕业生心理健康的总体状况不容乐观。在抑郁和恐怖上存在性别差异。偏执因子的专业效应显著。强迫症状、人际敏感、抑郁、恐怖和精神病性的交互作用显著。(3)幻想、自责的应对方式与健康不良症状存在普遍关联。求助则反之。     

心理健康服务人员胜任特征与服务满意度的关系*

为考察心理健康服务人员胜任特征与服务双方满意度的关系,对分布于不同机构的心理健康服务人员及其来访者进行问卷调查。结果表明:心理健康服务人员胜任特征总分与自身服务满意度、来访者满意度均呈正相关,与自身服务满意度相关达到显著水平。胜任特征高分组心理健康服务人员自身服务满意度显著高于低分组自身服务满意度。与心理健康服务人员自身服务满意度显著相关的胜任特征条目,多数与知识、技能有关;与来访者满意度显著相关的胜任特征条目,均为来访者能感受到的与咨询关系建立有关的条目。     

初中生的心理健康与父母依恋、同伴依恋的关系

目的:探讨初中生的心理健康与父母依恋、同伴依恋的关系。方法:以心理健康诊断测验(MHT)、父母和同伴依恋问卷(IPPA)对598名初中生进行测试。结果:MHT总分与父亲疏远、母亲疏远、同伴疏远呈正相关,与父亲信任、母亲信任、同伴信任、父亲交流、母亲交流、同伴交流呈负相关;同伴疏远、父亲疏远对MHT总分有正向预测作用,母亲信任、父亲信任对MHT总分有负向预测作用。结论:初中生的心理健康与父母依恋、同伴依恋有一定的关系。     

The Relationship Between Health and Human Services and the Personal Goal-Directed Activities of Persons Living with AIDS

This study evaluates the relationship between the social climate from different services and the personal goal-directed activities of 224 individuals with AIDS. The study's results supported the main hypothesis that recipient and participatory service involvement uniquely influence personal goal-directed activities, even after considering individuals with AIDS' physical symptoms, psychological distress, income, and recruitment site. Income and involvement with participatory services were both positively related to the amount of personal goal-directed activity. Longitudinal analyses suggest that personal initiative contributes to the subsequent amount of personal goal-directed activities a person pursues. These results suggest further examination of factors contributing to the selection of different service types and of the processes underlying the relationship between participatory services and positive outcomes for clients with AIDS.     

冠心病预防的健康管理模式初探

本文将健康管理中的连续动态理念与现有的社区慢性病管理相结合,构建冠心病预防的健康管理模式。通过冠心病预防策略和策略实施两方面来阐述这一冠心病预防健康管理模式的连续动态性。同时采用SWOT分析法对此模式的应用进行综合评价。希望通过对冠心病预防工作的思考,完善现有的社区慢性病防治工作。     

中学生创新心理素质与心理健康的相关研究

采用自编的创新心理素质量表和中国中学生心理健康量表对558名中学生进行问卷调查,以探讨中学生创新心理素质和心理健康之间的关系。结果表明：(1)自编创新素质量表包括三个子量表,分别为创新意识、创新能力与竞争心量表,经检验三个子量表均具有较高的信度、效度。(2)中学生的创新心理素质整体处于中等偏上水平。(3)中学生创新心理素质与心理健康水平较为密切,创新意识与学习压力、抑郁、焦虑显著负相关,创新能力与学习压力、抑郁显著负相关,与适应不良显著正相关,竞争心与抑郁、焦虑、学习压力、总均分有着显著的负相关关系;心理健康水平高者其创新意识和竞争心较心理健康水平低者高;学习压力对创新意识和竞争心的预测作用较大,学习压力、适应不良和抑郁对创新能力的预测作用较大。     

The Relationship Between Vicarious Posttraumatic Growth and Secondary Traumatic Stress Among Health Professionals

Limited and inconsistent research exists regarding the relationship between vicarious posttraumatic growth (VPTG), which is positive psychological growth experienced as a result of vicarious traumatic exposure, and symptoms of secondary traumatic stress (STS). The current study aimed to investigate whether a curvilinear model explained the VPTG-STS relationship among a sample of 365 nurses, psychologists, counselors, social workers, and medical doctors. Results supported this hypothesis, however this result appeared to largely be governed by the curvilinear relationship found among psychologists; STS was not found to predict VPTG among any other profession. Implications of results are discussed.     

学校组织健康与学生心理健康的相关性研究

探讨初中组织健康与学生心理健康的相关,结果表明,学校组织健康状况与学生心理健康水平相关十分显著,学校组织越健康,学生心理健康水平越高,置身于健康学校组织里和不健康学校组织里的学生,其心理健康水平差异显著;回归分析进一步表明,学校组织健康因子与学生心理健康因子有较好的回归关系,特别是校长倡导、关心体贴和校长影响力这三个组织健康因子与学生心理健康各因子回归显著。     

社会榜样与青少年吸烟行为的关系

本研究对北京市1042名初一至高三学生进行问卷调查,以考察最要好同伴、父母、学校和大众媒体对青少年吸烟行为的影响。研究发现,各种社会因素与青少年吸烟行为有显著的关系;女生更多地受到最要好同伴吸烟行为、母亲吸烟行为和态度以及户外广告的影响;最要好同伴吸烟、学校对吸烟的态度对初中生的影响更大,而高中生更多地受到父亲吸烟行为和户外广告的影响;各种社会因素的影响大小依次为:最要好同伴吸烟、父亲吸烟行为、学校周围广告、母亲和学校对吸烟的态度。     

Evaluation of a Disease-Specific Self-Efficacy Instrument in Adolescents with Sickle Cell Disease and its Relationship to Adjustment

The psychometric properties of a disease-specific instrument used to assess self-efficacy in adolescents with sickle cell disease, the Sickle Cell Self-Efficacy Scale, were evaluated in a sample of 131 adolescents ranging from 11 to 19 years of age. This nine-item instrument was associated with a one-item, general self-efficacy question and an item of self-control. After controlling for age, gender, highest grade of education completed, and the number of individuals in the household, high levels of self-efficacy were related to fewer physical, psychological, and total symptoms. Using the stress process framework to examine the relationship between self-efficacy and self-reported symptoms in adolescents may lead to the initiation of effective intervention programs capable of increasing levels of self-efficacy in adolescents. These interventions could lead to better outcomes for adolescents with sickle cell disease. Additional longitudinal investigations are needed to evaluate the ability of self-efficacy to predict adolescent adjustment over time.     

Assessing the Relationship Between Differentiation and Infidelity

SUMMARY

Differentiation and infidelity have been theoretically related. However, few studies have tested whether the concepts in differentiation are statistically related to infidelity. One hundred nineteen participants in the present study completed two inventories assessing their level of differentiation and engaging in infidelity. Two-step structural equation modeling is used to determine the degree to which differentiation relates to infidelity. Results indicated that, though differentiation may be part of a plausible model of infidelity behavior, there are potentially other models that may be relevant in engaging in infidelity. The findings and implications are discussed.     

循证理念在当代传染病防控领域的应用

循证医学引发医学领域的创新和革命,其理念应用于公共卫生领域形成了循证公共卫生。21世纪多种新发和复发传染病的全球性暴发为循证理念的应用带来挑战。高风险的研究环境、复杂的干预手段、证据稀缺、研究设计困难,以及在高度不确定和紧迫时间下建立程序和生成建议的需求,使循证方法学必须通过拓展和调适以解决传染病问题。六步骤快速风险评估机制、AGREE Ⅱ指南评估工具、全球传染病循证资源数据库,成为满足传染病防治的特殊要求而创新的循证实践工具。

     

人格坚韧性与健康关系的研究

坚韧性是一丛能够保护个体免于应激伤害的人格特质,包括承诺．控制和挑战三部分内容。KobaSa提出了两个不同的坚韧性与健康关系的理论模型,用以解释坚韧性与健康之间的关系。随后的许多研究证实了坚韧性对于健康的主效应,但是坚韧性的调节作用未能得到良好的支持。最后,文章对坚韧性研究的现状进行了简要评述,并指出了未来的研究方向。     

员工职业倦怠、应对方式、生活满意度与心理健康的相关研究

目的：探讨职业倦怠、应对方式、生活满意度对心理健康水平的影响。方法：运用问卷调查法测量了南京市移动公司共132名员工（剔除无效后获得有效问卷113份）的职业倦怠、应对方式、生活满意度和心理健康水平。所用工具分别是职业倦怠问卷（MBI中文修订）,简易应对方式量表,生活满意度指数（LSIA）,症状自评量表（SCL-90）。结果：（1）职业倦怠三个维度与症状自评量表总分存在显著相关（0.655;0.502;0.365）。（2）简易应对方式量表中,积极应对方式与症状自评量表存在负相关（-0.134）,消极应对方式与症状自评量表存在显著正相关（0.460）。（3）职业倦怠量表的情感枯竭,讥诮态度和简易应对方式量表的消极应对方式对心理健康有一定的预测效应。（4）生活满意度指数与症状自评量表没有达到显著相关,且该指数对心理健康没有明显的预测作用。     

广西扶绥肝癌防治引发的环境与健康关系的哲学思考

从分析文献资料入手,对环境与健康的关系进行哲学思考。广西扶绥以玉米为主食的人群,因摄入过量黄曲霉素及饮用污染塘水,导致肝癌高发和高死亡率;而减少黄曲霉素摄入量、改饮清洁水,肝癌发生率和死亡率随之降低。因此,环境与健康相互影响,高温高湿环境诱发玉米产生黄曲霉素,污染塘水存在大量腐殖酸,食之饮之严重危害人的健康;健康意识觉醒,主粮由玉米改为水稻,饮用深井水,健康状况得以改善。在尊重环境与健康相互影响客观性基础上,追求客观性与主观性、人文性的统一。