夜间进食综合征的研究进展

夜间进食综合征是一种表现为早晨没有食欲、晚饭后过量进食或夜间醒来进食的饮食障碍,并且与睡眠问题相关。在国内外文献进行分析研究的基础上,本文先后介绍了夜食症的概念内涵、发病的生理神经机制及主要的干预措施和治疗手段,并对现有研究的不足进行总结,提出了未来研究的方向,旨在为研究者在此领域的进一步探索提供参考。     

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n=176), night eating syndrome (NES, n=57), and overweight/obese comparison (OC, n=38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cut-points (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups, whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.     

Neuropsychological screening for cognitive impairment using computer-assisted tasks

The aim of this study was to validate a computer-assisted screening battery for classifying patients into two groups, those with and without cognitive impairment. Participants were all patients referred to the neuropsychology clinics at four VA medical centers during a 1-year period. Patients meeting the study inclusionary criteria (N = 252) were administered the Neurobehavioral Evaluation System-3 (NES3) computer-assisted battery. A detailed neuropsychological examination was carried out by an experienced neuropsychologist, who diagnosed the patient as cognitively impaired or not impaired. The neuropsychologist's diagnosis was the gold standard. Recursive partitioning analyses yielded several classification procedures using the NES3 data to predict the gold standard These procedures produced a set of six NES3 tasks that provide good sensitivity and specificity in predicting di- agnosis. Sensitivity and specificity for the least random classification procedure were 0.87 and 0.67, respectively. The results suggest that computer-assisted screening methods are a promising means of triaging patients.     

Visual Attention to Pictorial Food Stimuli in Individuals With Night Eating Syndrome: An Eye-Tracking Study

Night eating syndrome (NES) is characterized by excessive evening and/or nocturnal eating episodes. Studies indicate an attentional bias towards food in other eating disorders. For NES, however, evidence of attentional food processing is lacking. Attention towards food and non-food stimuli was compared using eye-tracking in 19 participants with NES and 19 matched controls without eating disorders during a free exploration paradigm and a visual search task. In the free exploration paradigm, groups did not differ in initial fixation position or gaze duration. However, a significant orienting bias to food compared to non-food was found within the NES group, but not in controls. A significant attentional maintenance bias to non-food compared to food was found in both groups. Detection times did not differ between groups in the search task. Only in NES, attention to and faster detection of non-food stimuli were related to higher BMI and more evening eating episodes. The results might indicate an attentional approach-avoidance pattern towards food in NES. However, further studies should clarify the implications of attentional mechanisms for the etiology and maintenance of NES.     

Comparison of MMPI-2 profiles of Gulf War veterans with epileptic and nonepileptic seizure patients

As part of a larger study of illnesses related to service in the Gulf War, MMPI-2 profiles of epileptic seizure (ES) patients; nonepileptic seizure (NES) patients; Gulf War veterans with unexplained cognitive, psychological, musculoskeletal, fatigue, or dermatologic symptoms; and asymptomatic Gulf War veterans (Controls) were analyzed. There were 70 people in each group. Seizure diagnosis was based upon intensive EEG monitoring. Gulf War cases were mildly abnormal on MMPI-2 Scales Hs and D and significantly higher than controls on 8 of 10 MMPI-2 clinical scales, but they were significantly lower than NES patients on several scales including Hs and Hy.     

Does the social concerns component of the anxiety sensitivity index belong to the domain of anxiety sensitivity or the domain of negative evaluation sensitivity?

The present study utilized an exploratory factor-analytic approach (i.e. principal-components analysis; PCA) to investigate whether the Social Concerns component of the Anxiety Sensitivity Index (ASI [Peterson, R. A., & Reiss, S. (1992). Anxiety Sensitivity Index manual (2nd ed.). Worthington, OH: International Diagnostic Systems.]) is best conceptualized as belonging to the domain of anxiety sensitivity (AS) and/or the domain of negative evaluation sensitivity (NES). A sample of university students (N = 216) was administered measures of both NES (i.e. Brief Fear of Negative Evaluation scale; Leary, 1983) and AS (i.e. ASI). Participants' responses to the items comprising these measures were subjected to a PCA with oblique rotation. Factors representing the NES construct and the three lower-order AS constructs (i.e. AS Physical, Psychological and Social Concerns) were obtained. Subscales derived from these four factors were positively and significantly correlated with one another and loaded on a single higher-order factor labeled Threat Sensitivity. Thus, the present findings suggest that the AS Social Concerns factor is distinct from NES and the other lower-order components of AS. However, correlational analyses and higher-order PCA indicated that the AS Social Concerns factor taps a blend of AS and NES as well as something unique and distinct from both global AS and NES.     

Globalized Parochialism: Consequences of English as Lingua Franca in Philosophy of Science

In recent decades, English has become the uncontestable lingua franca of philosophy of science and of most other areas of philosophy and of the humanities. To have a lingua franca produces enormous benefits for the entire scientific community. The price for those benefits, however, is paid almost exclusively by non-native speakers of English (NoNES). Section 1 identifies three asymmetries that individual NoNES researchers encounter: ‘publication asymmetry’, ‘resources asymmetry’, and ‘team asymmetry’. Section 2 deals with ‘globalized parochialism asymmetry’: thanks to English being a lingua franca, a special (‘parochial’) perspective, mostly US and British, is being globalized and is replacing European topics and approaches. This has serious consequences for history of philosophy as well as for philosophical theory: thinkers of the past tend to be dealt with on the global level at best only if and insofar they are translated into English. Similarly, the theoretical agenda of globalized philosophy of science is set by—mostly American—native English speakers (NES). This way, interesting and important topics and approaches from the European continent are marginalized or completely ignored in the world of globalized parochialism. In my view, the structural asymmetry and even unfairness on the global level between NES and NoNES cannot be eliminated but only attenuated.     

创造力与人格关系的研究评述

创造力与人格是心理学领域内的两个重要概念,它们之间的关系也是心理学研究中备受关注的问题。该研究采用文献分析法对加利福尼亚心理量表、人格三因素模型、五因素模型、多种人格测验及其与创造力的关系进行了回顾。已有的研究的确已经取得了很大进展,但研究内容还有待丰富、研究方法还有待完善、研究对象还有待拓展,这也预示着未来研究的发展方向     

Cognitive-behaviour therapy for chronic fatigue syndrome: comparison of outcomes within and outside the confines of a randomised controlled trial

Outcomes for cognitive-behaviour therapy (CBT) in randomised controlled trials (RCTs) have rarely been compared to those in routine clinical practice. Taking the case of CBT for chronic fatigue syndrome (CFS), we evaluated the results of a successful RCT against those of the same treatment given in the same setting as part of routine practice. Fatigue and social adjustment scores were compared for patients who received CBT for CFS as part of a RCT (N=30) and patients who received CBT as part of everyday clinical practice (N=384). The results in the RCT were superior to those in routine clinical practice. Between pre-treatment and 6-month follow-up, the RCT showed a larger reduction in fatigue and greater improvement in social adjustment than those in routine treatment. The changes in fatigue scores were similar for both groups during treatment but were greater in the RCT between post-treatment and follow-up. Potential reasons for the superior results of the RCT include patient selection, therapist factors and the use of a manualised treatment protocol. Practitioners need to pay particular attention to relapse prevention and ensuring adequate follow-up in addition to encouraging patients to continue with cognitive-behavioural strategies once treatment has ended.     

Prediction of neurosurgical results by psychological evaluation.

There has been an increasing interest in the role of personality factors in the outcome of medical treatment. The present study examined the role of personality measures in predicting the outcome of neurosurgery for patients with a well-documented disruption of one or more discs. Each of 15 male and 16 female patients whose average age was 40.8 yr. received the Minnesota Multiphasic Personality Inventory before surgery and received a follow-up at least one year after surgery or until a final, stable level of recovery was attained. A multiple correlation of .64 between the personality measures and treatment outcome suggested that even in cases with a well-documented need for surgery, psychological factors can play a major influence in the eventual outcome. Possible psychological interventions before surgery which might increase the likelihood of a good outcome are briefly outlined.     

Could Treatment Matching Patients’ Beliefs About Depression Improve Outcomes?

Patients’ beliefs about depression and expectations for treatment can influence outcomes of major depressive disorder (MDD) treatments. We hypothesized that patients with weaker biological beliefs (less endorsement of [a] biochemical causes and [b] need for medication) and more optimistic treatment expectations (greater improvement and shorter time to improvement), have better outcomes in cognitive therapy (CT). Outpatients with recurrent MDD who received acute-phase CT (N = 152), and a subset of partial or unstable responders (N = 51) randomized to 8 months of continuation CT or fluoxetine with clinical management, completed repeated measures of beliefs, expectations, and depression. As hypothesized, patients with weaker biological beliefs about depression, and patients who expected a shorter time to improvement, experienced greater change in depressive symptoms and more frequent response to acute-phase CT. Moreover, responders who received continuation treatment better matched to their biological beliefs (i.e., responders with weaker biological beliefs about depression who received continuation CT, or responders with stronger biological beliefs about depression who received continuation fluoxetine) had fewer depressive symptoms and less relapse/recurrence by 32 months after acute-phase CT than did responders who received mismatched continuation treatment. Specific screening and/or intervention targeting patients’ biological beliefs about depression could increase CT efficacy.     

Effects of public feedback during RTI team meetings on teacher implementation integrity and student academic performance

As a result of the new revision of IDEA (2004), models of early intervention and response-to-intervention (RTI) have received a great deal of attention in the literature. Although various tiered models have been described in detail, one aspect of RTI that has received little empirical attention is the need to ensure integrity of intervention as part of a team decision making process. One method that has good support for improving treatment integrity is performance feedback (PFB); however, the utilization of PFB within a team context has received very little attention in the literature. Experiment 1 evaluated the effect of PFB delivered within the context of an RTI team on treatment integrity after fidelity had fallen to unacceptable levels. Experiment 2 evaluated the effects of PFB on the maintenance of treatment integrity prior to integrity fall off. Results indicate that PFB can be used as an efficient means of improving or maintaining treatment integrity when applied within a team model.     

Disponibilité à la psychothérapie et à l’engagement dans les soins chez les patientes boulimiques : contribution du Rorschach

The instability of involvement in the care process and psychotherapy is frequent among bulimic women. The preliminary evaluation of the capacity of involvement helps to make the decision to begin specific care with these patients. We thus make the assumption that involvement in the care process can express itself in indexes of Rorschach when this test is part of a prior examination of orientation at the beginning of the care. These indexes concern the relationship dependence and the capacity of development of subjective expression. They appear in several analysis registers of the Rorschach protocol, which are: the scale of oral dependence (ROD); the index of expressive capacity (EX); the recurring object (ORec); contents in connection with the representation of dependence among bulimic women. A group of 34 bulimic women involved in multifocal care process, especially including a psychoanalytical-inspired psychotherapy (ES) is compared with a group of 34 bulimic women who precociously stopped this care or didn’t get involved in it (NES). The subjects of the ES group received care during at least 1 year. The comparison between the two groups shows significant differences in the pretherapeutic indexes (ROD, ORec). The interest and the limits of this type of analysis are debated.     

Measuring epistemic curiosity and its diversive and specific components

A questionnaire constructed to assess epistemic curiosity (EC) and perceptual curiosity (PC) curiosity was administered to 739 undergraduates (546 women, 193 men) ranging in age from 18 to 65. The study participants also responded to the trait anxiety, anger, depression, and curiosity scales of the State-Trait Personality Inventory (STPI; Spielberger et al., 1979) and selected subscales of the Sensation Seeking (SSS; Zuckerman, Kolin, Price, & Zoob, 1964) and Novelty Experiencing (NES; Pearson, 1970) scales. Factor analyses of the curiosity items with oblique rotation identified EC and PC factors with clear simple structure. Subsequent analyses of the EC items provided the basis for developing an EC scale, with Diversive and Specific Curiosity subscales. Moderately high correlations of the EC scale and subscales with other measures of curiosity provided strong evidence of convergent validity. Divergent validity was demonstrated by minimal correlations with trait anxiety and the sensation-seeking measures, and essentially zero correlations with the STPI trait anger and depression scales. Male participants had significantly higher scores on the EC scale and the NES External Cognition subscale (effect sizes of r =.16 and.21, respectively), indicating that they were more interested than female participants in solving problems and discovering how things work. Male participants also scored significantly higher than female participants on the SSS Thrill-and-Adventure and NES External Sensation subscales (r =.14 and.22, respectively), suggesting that they were more likely to engage in sensation-seeking activities.     

A Serious Suicidal Syndrome Masked by Homicidal Threats

ABSTRACT: The individual who talks of killing others, but then kills himself, has received little attention in the psychiatric literature. This paper describes four young men who shared a number of features, including the initial threat of homicide, which the authors feel represent a serious suicidal syndrome. A striking aspect of these cases is the denial of violent potential by all concerned, including the evaluator. The latter's need to deny his own aggressive and hostile impulses may prevent his acknowledging them in others. The paper concludes with recommendations for evaluation of such patients.     

Beyond "Practical" Reconciliation: Intergroup Inequality and the Meaning of Non-Indigenous Identity

The long-standing policy of "practical reconciliation" between Australian Indigenous and Non-Indigenous people has actively disregarded the need to redress past injustice as the basis of current intergroup inequality. While this approach has received extensive critique from reconciliation scholars, its implications for Non-Indigenous involvement in reconciliation have been neglected. When Indigenous disadvantage is divorced from its social and historical context it is also more likely to be seen as having little to do with "us" as Non-Indigenous Australians. In contrast, when inequality is seen as stemming from the past and present reality of intergroup relations, and as such shapes the meaning of Non-Indigenous identity, it will be seen as more illegitimate, in need of change, and is more likely to motivate political engagement in the reconciliation process. The current study tests and finds support for this idea. Importantly, controlling for the contributions of perceived legitimacy of inequality and need for social change, Non-Indigenous identity meaning continued to significantly predict intentions to vote and engage in political action in support of reconciliation.     

Emerging Adulthood and Developmental Co-ordination Disorder

The interest in Developmental Co-ordination Disorder (DCD) in emerging adulthood has grown in recent years, and it is now acknowledged that the signs and symptoms of DCD persist into adolescence and adulthood. Nevertheless, the long-term impact of DCD is still poorly understood, and little is known about positive orientations of young adults with DCD. This review discusses some of the persisting features of DCD, with a particular emphasis on psychosocial difficulties, self-perception and the impact of comorbid developmental disorders. The role of the parent in emerging adulthood in DCD is an area that has received little research focus, but it seems likely that parents have a key role to play in positive outcomes. The need to provide appropriate assessment, intervention and support for young adults with DCD is discussed in terms of the need to provide comprehensive and continued support for all aspects of the disorder, which also takes into consideration the impact of DCD on the wider family unit.     

Optimizing treatment of schizophrenia. Enhancing affective/cognitive and depressive functioning

Recognition and treatment of schizophrenia has largely focused on positive symptoms of the disorder, such as delusions, hallucinations, and disorganization. However, other important symptoms, such as depression, cognition, and social functioning, have not received comparable attention. Fifty percent of schizophrenic patients suffer from comorbid depression, which is a major risk factor for suicide in this population, while 10% to 25% suffer from comorbid obsessive-compulsive disorder. Cognitive deficits commonly observed in patients with schizophrenia include problems with concentration, attention, and memory, as well as problem-solving and verbal skills. These deficits are observed at early stages of the illness and can predict deficits in functional capabilities, such as occupational and social skills, educational attainment, and the ability to live independently. The severity of such impairments affects all patient in this population, including up to 10% of patients working full time and up to one third of those working part time. In light of the debilitating effects of depression, cognitive impairment, and other aspects of affective functioning on the quality of life of patients with schizophrenia, physicians need to partner with their patients to address these concerns and determine an appropriate treatment regimen. This can be done with simple functional-based cognitive questioning, the use of evidence-based psychosocial practices, and psychoeducation on the many pharmacotherapeutic options. It is recommended that depressive or suicidal symptoms of schizophrenia be treated with an antidepressant or mood stabilizer only if the symptoms have not subsided after treatment of the psychosis with an atypical antipsychotic. Additionally, relative to older medications, atypicals have demonstrated benefit in improving some of the cognitive impairments.     

When is received social support related to perceived support and well-being? When it is needed

How do perceptions of being supported relate to the amount of social support received? Received and perceived support have generally been found to be only moderately related. Previous research has however focused on the amount of support received regardless of whether it was needed. We hypothesized that a measure of support received when needed would predict perceived support and well-being better than would an unqualified measure of received support. Study 1 found that correlations between received support and perceived support measures were, on average, twice as high when received support was measured as the proportion of times support was received when needed (average r = .54) than when it was measured as the number of times support was received (average r = .28). Similar results were found for correlations between received support and mental health which rose from r = .04 to r = .31 when need for support was considered. Study 2 replicated the strong relationship between support received when needed and both perceived support and mental health. Received support measures should be adapted to take the need for support into consideration in future investigation of these relationships. Social support interventions may only be beneficial if the recipient’s support needs are not already being met.