职业司机中重度鼾症、嗜睡的流行情况及与交通事故的关系研究

对承德市449名职业司机进行问卷调查,了解中重度鼾症和嗜睡的流行情况,明确其与交通事故的关系.结果显示中重度鼾症患病率为20.9％,嗜睡患病率为12.2％,中重度鼾症司机[相对比值比(OR) =7.714,95％可信区间(95％CI)4.173～14.259]引发交通事故的风险是无中重度鼾症司机的7.71倍,嗜睡司机引发交通事故的风险是无嗜睡司机的2.14倍[OR=2.138,95％CI 1.044～4.379],中重度鼾症和嗜睡分别是交通事故的独立危险因素(P值均＜0.05).职业司机中重度鼾症、嗜睡的患病率较高,是引发交通事故的重要因素,需引起国家有关行政部门的重视和干预.     

Development of a Communication Aid to Facilitate Risk Communication in Consultations with Unaffected Women from High Risk Breast Cancer Families: A Pilot Study

The literature on risk perception in women from high-risk breast cancer families reveals persistent over-estimation of risk, even after counseling. In this study, a communication aid was designed to facilitate discussion of risk between clinical geneticists and genetic counselors and women from this high-risk population. Method: Stage 1. The aid was developed by an expert panel of clinical geneticists, genetic counselors, psychologists, an epidemiologist, an oncologist, linguists and a consumer. It was guided by the international literature on risk communication and a large multi-centre Australian study of risk communication. The 13 page full-color communication aid used varying formats of words, numbers, graphs and pie-charts to address (a) the woman’s subjective risk; (b) the population risk of breast cancer; c) the risk of inherited breast cancer; (d) the cumulative risk for women with BRCA1 and BRCA2 mutations; (e) family risk factors; (f) the woman’s suitability for genetic testing; (h) screening and management recommendations, and (i) a re-assessment of the woman’s subjective risk. Stage 2: A before–after pilot study of 38 women who were unaffected with breast cancer and were attending four Australian familial cancer clinics was undertaken. Baseline and follow-up questionnaires were completed by 27 women. Outcomes were compared to those observed in 107 similar women undergoing genetic counseling without the communication aid in 2001. Results: The risk communication aid appears to be beneficial; breast cancer genetics knowledge improved in some areas and importantly, risk perceptions improved in the cohort receiving the communication aid. Psychological measures showed no difference in anxiety or depression between the group receiving the communication aid and the comparison cohort. Women and clinicians were very positive about the usefulness of the communication aid as an adjunct to the genetic counseling consultation.     

Epidemiology of Insomnia in College Students: Relationship With Mental Health,Quality of Life,and Substance Use Difficulties

The purpose of this study was to evaluate the prevalence and correlates of insomnia using rigorous diagnostic criteria and a comprehensive assessment battery. In a large sample (N = 1,074) of college students (mean age 20.39 years), participants were asked to complete a week-long sleep diary and comprehensive questionnaire packet assessing recommended daytime functioning domains (i.e., fatigue, quality of life, depression, anxiety, stress, academic performance, substance use) during the academic year. A significant portion of this sample of college students met proposed DSM-5 criteria for chronic insomnia (9.5%). The chronic insomnia group reported significantly worse sleep, fatigue, depression, anxiety, stress, and quality of life, and greater hypnotic and stimulant use for sleep problems. There were no differences between groups on excessive daytime sleepiness, academic performance, or substance use. This was a rigorous and comprehensive assessment of the prevalence and psychosocial correlates of insomnia. Insomnia is a significant problem in college students and should be regularly assessed. More research is also needed to guide treatment in this population.     

Prevalence and Significant Determinants of Post-traumatic Stress Disorder in a Large Sample of Patients with Multiple Sclerosis

Chronic and life-threatening neurodegenerative diseases may be associated with post-traumatic stress disorder (PTSD). Therefore, the current study was an investigation of the prevalence of PTSD in multiple sclerosis (MS) patients, and identification of significant determinants of PTSD. Two hundred thirty-two MS patients were consecutively recruited and screened for the presence of PTSD with the Impact of Event Scale-Revised, corroborated by the Structured Clinical Interview for DSM-IV. Furthermore, participants were administered the Hospital Anxiety and Depression Scale and the Fatigue Severity Scale. Twelve patients (12/232, i.e. 5.17 %) were diagnosed as suffering from PTSD. Levels of education, anxiety and depression were significant determinants of the presence of PTSD. The role played by the levels of education, anxiety and depression in determining the presence of PTSD has been discussed. Further research on the psychological features of neurodegenerative diseases is urgently needed in order to plan appropriate treatments and improve patients’ quality of life.     

Mood Regulation Skill and the Symptoms of Endogenous and Hopelessness Depression in Spanish High School Students

To assess the construct validity of the endogenous subtype of depression, 2 studies examined the relation of mood regulation skill to the symptoms of endogenous depression versus hopelessness depression in adolescent samples. It was hypothesized that the relationship between mood regulation skill and endogenous depression would be weaker than the relationship between mood regulation skill and hopelessness depression, because endogenous depression may be less influenced by personality variables, such as mood regulation skill. In spite of the high degree of correlation between the symptoms of hopelessness depression and endogenous depression, the relationship between mood regulation skill and hopelessness depression was stronger than the relationship between mood regulation skill and endogenous depression, as predicted. This is consistent with proposed definition of endogenous depression.     

Self-Report Differentiation of Anxiety and Depression in a Mood Disorders Sample

Several lines of research suggest there is considerable overlap between anxiety and depression and that it is difficult to distinguish between these two constructs. However, a few studies utilizing factor analytic procedures have provided evidence that anxiety and depression can be differentiated when measures of these constructs are considered at the item level. In addition, there is some evidence that differentiation can be accomplished in samples experiencing high levels of anxiety (i.e., a clinically anxious sample; B. J. Cox, R. P. Swinson, L. Kuch, & J. Reichman, 1993). In the present study, this research strategy was extended to a sample of patients with high levels of depressed mood (i.e., a mood disorders sample; N = 378). Their responses to widely used measures of depression (i.e., Beck Depression Inventory; A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) and anxiety (i.e., Spielberger State-Trait Anxiety Inventory—State subscale; C. D. Spielberger, R. L. Gorsuch, & R. E. Lushene, 1970) were entered into a principal-components analysis with oblique rotation. A 4-factor solution was retained. This solution was comprised of factors representing anxiety, anxiety absent (a reverse scored factor), cognitive symptoms of depression, and somatic/vegetative symptoms of depression. These findings indicated that anxiety and depression, as emotional states, can be differentiated within a mood disorders sample, using existing popular self-report measures. The clinical and research implications of these findings are briefly discussed.     

The Role of Formal Mentoring on Business Success and Self-Esteem in Participants of a New Business Start-Up Program

The current study investigated the relationship between career-related mentoring, psychosocial mentoring, business success, and self-esteem in participants of a program that was designed to assist in the establishment of a new business. Seventy-seven protégés and their matched mentors were included in the study. A comparison of mentor and protégé perceptions revealed that mentors considered themselves to provide higher levels of psychosocial support than did the protégés. Protégé perceptions of business success were predicted by the frequency of mentor contact and the level of career-related support provided by their mentor.     

Predictors of Self-Reported Prospective and Retrospective Memory in a Population-Based Sample of Older Adults

In this article, the authors examined predictors of self-reported everyday memory failures using the Prospective and Retrospective Questionnaire (PRMQ; Smith, Della Sala, Logie, &; Maylor, 2000 Smith, G. V., Della Sala, S., Logie, R. H. and Maylor, E. A. M. 2000. Prospective and retrospective memory in normal ageing and dementia: A questionnaire study. Memory, 8: 311–321. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) in a population-based sample of older adults (age range = 60–90 years; N = 250). The results showed that a higher frequency of reported failures was associated with lower scores on the personality dimension of self-directedness as assessed by the Temperament and Character Inventory (TCI; Cloninger, Dragan, Svrakic, &; Przybeck, 1993 Cloninger, R. C., Dragan, M. S., Svrakic, D. M. and Przybeck, T. R. 1993. A psychobiological model of temperament and character. Archives of General Psychiatry, 50: 975–990. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and more depressive symptoms on the Center for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977 Radloff, L. S. 1977. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1: 385–401. [Crossref], [Web of Science ®] , [Google Scholar]). However, PRMQ scores showed no relationships with objective memory ability, as reflected by a series of retrospective memory measures and a measure of prospective memory. Neither were the PRMQ scales associated with general cognitive functioning as assessed by the Mini-Mental State Examination (MMSE; Folstein, Folstein, &; McHugh, 1977). Taken together, the results indicate that within the older population, self-reported memory as assessed by the PRMQ may reflect mood-state and personality factors rather than individual differences in memory and cognitive ability.     

农村初中特殊家庭学生心理特征与教育对策研究

本文研究了农村初中特殊家庭学生在学习、人格特征以及心理健康水平方面同正常家庭学生的差异,结果表明特殊家庭学生在这些方面是同正常家庭学生有明显不同的。据此提出开展家庭、学校、社会一体化的心理健康教育的对策来提高农村特殊家庭学生的整体素质。实证结果表明,这些措施能取得一定的效果。     

Neighborhood Violence and Psychosocial Adjustment in Low-Income Urban African American Children: Physical Symptoms as a Marker of Child Adjustment

We examined the association between neighborhood violence and three domains of psychosocial adjustment in low-income, urban African American children: internalizing, externalizing, and physical symptoms. Based on anecdotal and empirical evidence, it was hypothesized that, relative to internalizing and externalizing problems, a stronger association would emerge between physical symptoms and neighborhood violence. Mother-reported neighborhood violence was associated with child-reported physical symptoms, but not internalizing or externalizing symptoms. Child-reported neighborhood violence was associated with child-reported internalizing, externalizing, and physical symptoms; however, neighborhood violence accounted for a greater percentage of variance in physical symptoms than the other two symptom domains. Our findings were not moderated by the age or gender of the child. We discuss the importance of physical symptoms as a marker of child adjustment in low-income, urban, African American children, as well directions for future research.     

Prevalence and correlates of hoarding behavior in a community-based sample

Little is known about the prevalence and correlates of hoarding behavior in the community. We estimated the prevalence and evaluated correlates of hoarding in 742 participants in the Hopkins Epidemiology of Personality Disorder Study. The prevalence of hoarding was nearly 4% (5.3%, weighted) and was greater in older than younger age groups, greater in men than women, and inversely related to household income. Hoarding was associated with alcohol dependence; paranoid, schizotypal, avoidant, and obsessive-compulsive personality disorder traits; insecurity from home break-ins and excessive physical discipline before 16 years of age; and parental psychopathology. These findings suggest that hoarding may be relatively prevalent and that alcohol dependence, personality disorder traits, and specific childhood adversities are associated with hoarding in the community.     

Counting blessings and sharing gratitude in a Chinese prisoner sample: Effects of gratitude-based interventions on subjective well-being and aggression

Abstract

Gratitude-based interventions are effective for increasing individuals’ subjective well-being (SWB); however, they have not been validated among prisoners, especially for negative states (i.e. aggression). Furthermore, as a social emotion, gratitude might be nurtured via practice within a social group. Therefore, we developed a weekly group-based sharing gratitude exercise, and examined its effect along with that of daily blessing-counting among prisoners in China. Ninety-six male violent prisoners were assigned randomly to three conditions (gratitude-sharing, blessing-counting, and control). Interventions took place over five weeks. Both interventions improved SWB and decreased aggression compared to controls. Additionally, the improvement in gratitude mediated the relationship between the two forms of intervention and SWB. These findings indicate that gratitude-based interventions can be implemented among male prisoners to help further the psychological corrective function of prisons in China.     

Exploring the Perceived Career Success of Staff in a South African Science and Engineering Company

This study explored the core themes underlying individuals’ perceptions of their career success with the view to inform retention practices. The participants were a convenience sample of 207 employees (63% Blacks; 60% males) within a South African science and engineering company. Data were gathered by using a quantitative survey approach and posing an open-ended question to the participants regarding their perceived career success. The data were thematically analysed by using the Atlas.ti version 6 computer-aided qualitative data analysis software. Findings suggest that self-perceptions of career success are multifaceted, including learning and development; skills, experience and competence; career transitions and advancement; job content; contributing to a larger community; goal achievement; helping others; rewards and recognition; and work-life balance. Individuals’ inner definitions of career success could inform retention strategies in the science and engineering field focused on their career development, career wellbeing and satisfaction.     

Interaction of Tremor and Magnification in a Motor Performance Task With Visual Feedback

In this study, the interaction between increased gain in the visual feedback loop and motor control of the periphery was investigated. Participants (N = 15) were asked to maintain a constant finger position while they used magnified visual feedback. The measure of the accuracy of each trial was the standard deviation (trial error) of the finger position. Trials performed under magnification had lower trial errors than trials without magnification. The change in trial error between trials with and without magnification proved greater than the difference between trials at any 2 magnifications. In contrast, the differences between individual subjects were often greater than the differences between performances at individual magnifications. At higher magnifications, performance seemed to be limited by the tremor; the ratio of trial error to tremor intensity was constant. When applied to microsurgery, the present results accord with those found in earlier research, including investigations that have found that the level of magnification used in microsurgery is not the most significant factor in achieving good results and that tremor is the limiting factor in microsurgical tasks.     

Relationship of cognitive strategy use to prospective memory performance in a diverse sample of nondemented older adults with varying degrees of cognitive complaints and impairment

Although older adults typically have better performance on prospective memory (PM) tasks carried out in naturalistic settings, a paucity of research directly assesses older adults’ use of compensatory strategies on such tasks. The current study investigates external memory strategy use during performance of a clinical PM test that features both short-term (in laboratory) and long-term (out of laboratory) subtasks (i.e., the Royal Prince Alfred Prospective Memory Test – RPA-ProMem. Nondemented, community-dwelling older adults (n = 214; mean age = 80.5; 68.2% female; 39.7% non-white) with mild cognitive impairment, subjective cognitive decline, and healthy controls completed the RPA-ProMem while external strategy use was permitted and recorded. Overall, participants utilized external strategies 41% of the time on the RPA-ProMem. Increased utilization of external memory strategies was significantly associated with better PM performance. Additionally, better performance on executive functioning tasks was associated with increased use of external memory strategies. Results are discussed in relation to how memory strategy use can be enhanced to improve everyday memory ability in older adults at risk for dementia.     

Patient Responsiveness to a Sleep and Circadian Intervention in a Sample of Adults With Serious Mental Illness

Understanding patient responsiveness, a component of fidelity, is essential as it impacts treatment outcome and ongoing use of treatment elements. This study evaluated patient responsiveness—operationalized as receptivity to treatment modules and ratings of the usefulness and the utilization of treatment elements—to the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) in a sample of adults with serious mental illness (SMI) and sleep/circadian dysfunction. Adults with SMI and sleep/circadian dysfunction (N = 104) received TranS-C in a community mental health setting. Independent raters rated TranS-C sessions to assess receptivity. At posttreatment and 6-month follow-up, participants completed a usefulness scale, utilization scale, the PROMIS Sleep Disturbance (PROMIS-SD) and Sleep-Related Impairment (PROMIS-SRI) scales, DSM-5 Cross-Cutting Measure (DSM-5-CC), and Sheehan Disability Scale (SDS). Receptivity was rated as somewhat to fully understood, and predicted a reduction on the DSM-5-CC. On average, participants rated TranS-C as moderately useful and utilized treatment elements occasionally. Ratings of usefulness were associated with the PROMIS-SD, PROMIS-SRI, and DSM-5-CC at posttreatment, but not with the SDS. Ratings of utilization were not associated with outcome. The findings add to the literature on patient responsiveness, an implementation outcome, and provide data on the utility of TranS-C within a community mental health setting.     

Prevalence of depressive symptoms and its correlates among medical students in China: a national survey in 33 universities

We conducted a national survey among medical students in China to estimate the prevalence of depressive symptoms and explore associated risk factors based on an established questionnaire composed of demographic information, life events in the past four weeks before survey, and the validated Chinese version of the 21-item Beck’s Depression Inventory (BDI). The mean age of enrolled 9010 students was 20.7 (standard deviation: 1.6) years. BDI scores indicated that 19.9% had depressive symptoms based on the cut-off score of 14. Socioeconomic factors and student characteristics such as male sex, low monthly income per capita, father’s poor education background, and higher year of study were associated with higher prevalence of depressive symptoms among medical students. Students who studied in comprehensive universities were more likely to have depressive symptoms compared with those from medical universities. Habitual smoking and alcohol drinking, sleep deprivation, and hospitalization or medication for one week or more in the last four weeks also predisposed students to higher risk of depressive symptoms. Our results indicate that depressive symptoms are becoming a highly prevalent health problem among Chinese medical students. Primary and secondary prevention should be prioritized to tackle this issue based on potential risk factors.     

Development and Implementation of a Sport Psychology Program in an Urban High School

SUMMARY

This article is based on a dissertation of the author that was centered on the process of developing a sport psychology program at the high school level. The program was developed to address academic, mental, social, and emotional needs of student-athletes and coaches. This sport psychology program, which was developed in the Linden Public School District, a large urban district in New Jersey, may be the first such program documented on a national level. In this dissertation, the author, who was a school psychologist in the district, utilized a particular program planning and evaluation framework, with attention to the first two phases-clarification and designto develop and implement a sport psychology program.     

The role of personality in the selection of a major: With and without vocational self-efficacy and interests

The purpose of this study is to examine the role of personality traits measured by the Multidimensional Personality Questionnaire (MPQ; [Tellegen, 2000] and [Tellegen and Waller, 2008]) in selecting educational majors. Personality traits were examined alone, and with the combination of Holland’s hexagonal confidence domains, as measured by the general confidence themes (GCT) of the Skills Confidence Inventory (SCI; Betz, Borgen, & Harmon, 2005), and Holland’s interest domains, as measured by the general occupational themes (GOTs) of the 2005 Strong Interest Inventory (SII; Donnay, Morris, Schaubhut, & Thompson, 2005). Personality traits significantly contributed to the discrimination of nine educational major families in a sample of 368 undergraduate decided students. When the set of confidence and interest scales was added to the personality traits, the conservative jack knife hit rate was almost doubled.     

Suppression of Chronic High Frequency Spitting in a Multiply Handicapped and Mentally Retarded Adolescent

Excessive drooling and spitting are maladaptive behaviors often encountered among severely developmentally delayed children. In the present study a blind, deaf and retarded adolescent exhibited an extremely high rate of spitting which had resisted numerous classroom intervention efforts by teachers using punishment techniques. His recalcitrant spitting was eliminated with a behavioral intervention consisting of positive reinforcement for not spitting and facial screening for spitting. Experimental control was demonstrated using a multiple baseline across situations and within subject reversal design. The treatment package successfully eliminated the child's chronic spitting. Teacher reports one year later indicated the results maintained across time and spitting was no longer a problem. Social and academic implications of modifying such behaviors are discussed.