轻度智力落后学生心理健康问题的研究

本研究使用心理健康诊断测验(MHT)手册对10-16岁(四至九年级)的轻度智力落后学生与智力正常学生间的心理健康水平进行比较研究,结果发现：轻度智力落后学生有不同程度的心理健康问题,随班就读轻度智力落后学生的心理健康问题尤为突出．有待相应有效的教育支持。     

事实孤儿心理健康的研究进展

论述了事实孤儿的定义及特点、常见心理问题及影响因素和现有事实孤儿心理健康干预及不足等。认为事实孤儿是儿童中的最为脆弱的一类儿童。事实孤儿的心理存在多种健康问题,包括情绪障碍、人际关系不稳定、自我管理能力低下、应对能力减弱。初步探讨和总结了国内外心理健康干预作用于事实孤儿心理健康问题的相关实证研究,并在此基础上提出心理健康干预在事实孤儿领域未来初步的发展方向。以期为相关研究者系统地认识事实孤儿的心理健康问题、开展相应干预措施提供参考。     

The Effects of Capitation on Outpatient Mental Health Episodes of Children

We analyzed the effects of the Colorado Medicaid Capitation Program on the duration and services of over 21,000 outpatient mental health episodes for young children. The study spanned a three year period before and after capitation was implemented, and compared episodes of outpatient care for children from 14 capitated Community Mental Health Centers (CMHCs) with those from three CMHCs that remained fee-for-service. Proportional hazards regressions revealed that capitation resulted in an increase in outpatient episode duration, over and above similar effects for the comparison fee-for-service episodes. The hypothesis that there were longer capitated episodes for children who were hospitalized was not supported. Children with behavioral and anxiety disorders had longer capitated episodes. Service intensity decreased over time in the managed care sites. Changes in case mix may have had an impact on changes in episode duration and service intensity. That outpatient episode duration increased over time while costs were lowered in the capitated agencies indicates some effects of capitation in changing patterns of care.     

Termination of Mental Health Services for Children

In this paper, we examine the termination of children's mental health services. Analyses were based on the 901 families in the Fort Bragg Evaluation Project who participated at Wave 1 and Wave 2 six months later. The project compared a full continuum of care provided at a demonstration site with traditional care at two comparison sites. The results showed that in most cases families and providers were partners in decisions to terminate treatment. About half of the clients self-terminated or were terminated solely at the discretion of the provider. Providers tended to play a more dominant role in terminating restrictive services; families played a more central role in terminating outpatient care. Regardless of initial psychopathology, children in single-headed households, whose parents were dissatisfied with services, did not expect their child to cooperate with treatment and did not expect treatment to help their child, were more likely to terminate care than others. While the Demonstration site had significantly fewer terminations, the sites did not differ with regard to the reasons for termination, who participated in termination decisions, or the factors that affected the likelihood to terminate care. Of most interest, mental health outcomes among children who had terminated all care did not vary by reasons for termination or by who participated in the termination decision.     

Mental Health Problems of Children in Foster Care

We compared the rates of mental health problems in children in foster care across three counties in California. A total of 267 children, ages 0 to 17, were assessed two to four months after entry into foster care using a behavioral screening checklist, a measure of self-concept and, in one county, an adaptive behavior survey. Results confirmed previous research and indicated consistently high rates of mental health problems across the three counties. Behavior problems in the clinical or borderline range of the CBCL were observed at two and a half times the rate expected in a community population. Fewer children fell within the clinical range on the self-concept measure. No significant differences in rates between the three county foster care cohorts were observed, despite the different demographic characteristics of the counties. On the adaptive behavior scale, the mean scores for children in foster care were more than one standard deviation below the norm. Our findings suggest that the most important mental health screening issue with children in foster care is to identify what specific mental health problems need to be addressed so that the most effective treatment services can be provided.     

珠心算训练儿童加法心算的ERP早成分研究

采用事件相关电位(ERP)的方法,对32名儿童进行了双位数加法心算实验,探讨了珠心算训练方式对儿童加法心算加工早期感知觉的影响。研究结果表明,与非珠心算训练儿童相比,在加法心算过程的早期阶段,珠心算训练儿童枕部P1、额中央区的N1波幅增大,而颞枕区N170以及额中央区P2波幅减小。本研究结果发现珠心算训练对儿童心算过程的早期感知有显著影响。     

流动儿童歧视知觉与心理健康水平的关系及其心理机制

为了探讨流动儿童所感受到的歧视对他们心理健康水平的影响, 以及应对方式和自尊在其中所起的作用, 从北京市公立学校和打工子弟学校选取1164名流动儿童、从公立学校选取525名北京儿童、从流动儿童主要来源地的农村选取568名农村儿童作为被试, 采用问卷调查的形式, 测查了流动儿童感受到的歧视、他们的心理健康水平(社交焦虑、孤独感、抑郁)、应对方式和自尊。研究发现: (1) 流动儿童所感受到的社会歧视在学校类型、流动性上存在显著的差异, 打工子弟学校的流动儿童得分显著高于公立学校的, 流动性高的儿童得分显著高于流动性低的, 但在性别上不存在显著差异, 也不存在学校类型与性别和流动性的交互作用; (2) 流动儿童的心理健康水平在性别、学校类型和流动性上存在显著的差异, 女孩、来自公立学校的流动儿童、流动性高的儿童的心理健康水平显著差于与之相对应的被试, 除在社交焦虑和抑郁上存在学校类型和性别的交互作用外, 在孤独感上不存在学校类型和流动性的交互作用; (3) 不同类别儿童在心理健康水平上存在显著差异, 流动儿童在社交焦虑、孤独感上最差; (4) 除消极应对与自尊、积极应对与抑郁相关不显著外, 歧视、心理健康水平、应对方式、自尊两两之间都相关非常显著; (5) 歧视知觉对心理健康水平有显著的直接影响, 也通过应对方式和自尊对心理健康水平产生显著的影响。自尊不仅在歧视知觉与心理健康水平之间起到显著的部分中介作用, 在应对方式和心理健康水平之间也起到了显著的部分中介作用。     

学习不良儿童心理健康的特点研究

考察学习不良儿童心理健康（学习、自我、人际关系、社会生活适应）的特点。被试为小学3～5年级83名儿童。结果发现：学习不良儿童与一般儿童的心理健康存在显著差异;学习不良儿童的学习、自我、社会生活适应等方面显著低于一般儿童。在学习各维度上,学习不良儿童与一般儿童的自我满足感、体脑协调性、学习习惯之间存在显著差异;在自我各维度上,学习不良儿童与一般儿童的社会自我、学术自我、自我认同之间存在显著差异;在社会生活适应各维度上,学习不良儿童与一般儿童的亲社会行为、居家能力存在显著差异。     

心理健康观念对心理症状的影响研究

1　前言　　人的行为受观念影响 ,心理健康状况也是如此。如基于2 0 0个相关研究的分析表明 ,有较高的精神信仰 (spirituali ty)水平的人表现为较少的精神问题。Levy等发现 ,有积极生活观念的人 ,比持消极、否定性生活观念的人多存活了 7.6年。有报告消极的竞争观念与与身心症状、抑郁有直接关系。不仅如此 ,对“心理健康”现象的看法也影响着心理健康行为。如美国人常常认为 ,“心理疾病的人是不稳定的和有危险的。”等等。这样的看法 ,导致了人们回避与心理疾病的交往 ,障碍了心理患者就医。Corrigan认为 ,心理疾病的耻辱化标签和偏见加…     

Effectiveness of School-Based Mental Health Services for Children: A 10-Year Research Review

A review of the literature from 1985 to 1995 on school-based mental health services for children was conducted using a computerized data-base search. Of the 5,046 references initially identified, 228 were program evaluations. Three inclusion criteria were applied to those studies: use of random assignment to the intervention; inclusion of a control group; and use of standardized outcome measures. Only 16 studies met these criteria. Three types of interventions were found to have empirical support for their effectiveness, although some of the evidence was mixed: cognitive-behavioral therapy, social skills training, and teacher consultation. The studies are discussed with reference to the sample, targeted problem, implementation, and types of outcomes assessed, using a comprehensive model of outcome domains, called the SFCES model. Future studies of school-based mental health services should (a) investigate the effectiveness of these interventions with a wider range of children's psychiatric disorders; (b) broaden the range of outcomes to include variables related to service placements and family perspectives; (c) examine the combined effectiveness of these empirically-validated interventions; and (d) evaluate the impact of these services when linked to home-based interventions.     

心理健康培训对医护人员心理健康服务的影响

为探讨医护人员心理健康培训现状以及对心理健康服务的影响,采用《医护人员心理健康教育培训问卷》与《心理健康服务行为量表》对664名医护人员进行问卷调查。结果发现,分别有91.6%、65.2%的医护人员学习过心理健康相关课程或接受过相关培训,70.3%通过科普宣传途径学习心理健康知识;心理健康教育和培训正向预测心理健康服务,能够增加8.5%解释变异量。因此,医护人员接受心理健康教育与培训的内容和途径较为单一,对医护人员加强心理健康相关教育培训,可以增加其心理健康服务。     

流动儿童自我概念的发展及其与心理健康的关系*

探讨9-15岁流动儿童自我概念的发展及其与心理健康的关系。选取北京市4所打工子弟学校9-15岁流动儿童644名,9-15岁城市普通儿童441名。采用Song-Hattie自我概念量表和心理健康量表（青少年版）分别评估自我概念和心理健康状况。结果发现：（1）流动儿童自我概念自9岁至15岁总体上均呈现下降趋势;（2）流动儿童的自我概念水平显著低于同龄城市普通儿童,但总体发展趋势与普通儿童相似;（3）流动儿童自我概念与心理健康之间存在正相关关系,自我概念各因子对心理健康有很好的预测作用。     

The Mental Development of Children

In this study, the author elucidated whether reading experience continues to contribute to word recognition skills in readers with well-internalized reading skills. The participants performed consecutive same or different judgments regarding the identicalness of letters, words, and pseudohomophones. For a more detailed examination of how increased reading experience impacts particular stages of the processing of written stimuli, the author manipulated the identity dimension in each stimuli category. Twenty-five 5th-grade students and 22 university students participated in the study. Overall, findings indicated that a significant development occurs in the recognition of written stimuli after 5th grade because of a shift in the strategic allocation of mental resources (attention) within the recognition process. This change in strategy seems to prompt enhanced retrieval of knowledge relevant to the processing of written stimuli.     

高职学生心理健康问题研究

高职学生是中国高校学生中的一个特殊群体。职业化教育模式影响下的高职学生．面对的是学历教育与职业教育并举的教育,职业心理和学习心理折射出高职学生在职业定势、学习动机、成才抱负、人际关系、青春期回应等方面的诸多心理健康问题。本研究从问卷探源到本质归因,提出高职学生心理健康教育问题的具体应对策略和思考。     

Assessing the Readability of Mental Health Internet Brochures for Children and Adolescents

We investigated the readability of seven mental health brochures on mental, emotional, and behavioral disorders in children that were selected from a website developed by the Center for Mental Health Services at http://www.mentalhealth.org. The reading grade levels of the brochures ranged from 11.1 to 14.8 (mean 13.23), considerably higher than the 8th grade level recommended for educational material by the U. S. Department of Education (1986). On other readability variables, assessed using the Readability Assessment Instrument (RAIN; Singh, 1994), all brochures met criterion on most variables but failed on those for new words (audience appropriateness) and print size. This is a favorable result in comparison with other studies that have assessed readability of mental health information on the Internet using the RAIN, although less so with reading grade levels.     

我国心理健康研究现状的文献计量学分析

对收录在中国期刊网上的488条心理健康研究的论文题录进行计量学分析,发现心理学刊物上的心理健康研究论文数量不多,主要集中在心理健康相关因素和现状调查两个方面,内部合作研究已经成为心理健康研究的主要形式,研究力量的机构分布主要集中在高等师范院校和医科院校及医院,研究力量的地区分布主要集中在经济较为发达地区.     

健康教育对大学生心身健康影响的研究

为探讨健康教育对大学生心身健康影响的效果,将非医学专业的大学生分为健康教育干预组(97名)和对照组(93名);干预组进行了近12周健康教育选修课,采用了课堂教学、团体和个别辅导、同伴教育等,分别采用症状自评量表(SCL-90)进行前后对照测试.结果发现,教育后的多项指标明显低于教育前,说明健康教育对大学生心身健康水平是很有效果的.     

Parenting,Mental Health and Culture: A Fifth Cross-Cultural Research on Parenting and Psychological Adjustment of Children

We examined psychological disorders across cultures and their associations with parental factors (control, inconsistency, and rejection). A questionnaire assessing psychological disorders was administered to male and female adolescents in nine countries. The results showed that psychological disorders differ across cultures. Parental factors are associated with each other and have a great deal of shared variance. The associations between psychological disorders and all parental factors were examined together in one regression and significant associations were found with maternal control, paternal temporal inconsistency, maternal situational inconsistency, paternal rejection and maternal rejection. Parental rejection appears to be a robust and influential factor influencing adolescents’ psychological disorders. The total variance of psychological disorders explained by all the parenting factors was low. The results revealed the flaws of reductionism in research and highlight the importance of studying associations of psychological disorders with various parental factors simultaneously and in conjunction with other familial, social and genetic factors.