More intelligent, more dependable children live longer: a 55-year longitudinal study of a representative sample of the Scottish nation

The associations of childhood intelligence and dependability with adult mortality were examined in 1,181 people who were representative of the Scottish nation. Participants were born in 1936 and were followed for mortality from 1968 through early 2003. Higher intelligence and greater dependability were independent, significant predictors of lower mortality: With both factors entered together, the hazard ratio (HR) was 0.80 (95% confidence interval, CI: 0.65-0.99, p= .037) per standard deviation increase in intelligence and 0.77 (95% CI: 0.63-0.94, p= .009) per standard deviation increase in dependability. Children in the lower half of the distributions for intelligence and dependability were more than twice as likely to die compared with those who scored in the top half for both these measures (HR = 2.82; 95% CI: 1.81-4.41). Studied together for the first time in a representative sample, these two psychological variables are independent life-course risk factors for mortality. It is important to discover the mechanisms by which they influence survival.     

The role of autonomic arousal in feelings of familiarity

Subjective feelings of familiarity associated with a stimulus tend to be strongest when specific information about the previous encounter with the stimulus is difficult to retrieve (e.g., the butcher-on-the-bus phenomenon; [Mandler, G. (1980). Recognizing: The judgment of previous occurrence. Psychological Review, 87, 252-271.]). When a stimulus has been encountered previously and the circumstances of the encounter cannot be recollected, additional cognitive resources may be directed toward recollection processes; this resource allocation is accompanied by autonomic arousal [Dawson, M. E., Filion, D. L., & Schell, A. M. (1989). Is elicitation of the autonomic orienting response associated with allocation of processing resources?. Psychophysiology, 26, 560-572]. One easily measurable index of autonomic arousal is the skin conductance response (SCR). In the present study, participants studied lists of words and then gave recognition ratings to briefly displayed and masked studied and nonstudied test words while their SCRs were monitored. Results revealed a relationship between recognition ratings and the temporal characteristics of the SCR, supporting the idea that feelings of familiarity are indeed "feelings" in that they stem from autonomic arousal associated with cognitive resource allocation.     

Behavior analyst use of and beliefs in treatments for people with autism

With the increase in the numbers of children diagnosed with autism and scientific support solely for Applied Behavior Analysis (ABA) treatment, a proliferation of professionals have sought ABA training to provide services to this population. However, not all have been reportedly providing solely ABA services. This study surveyed Board Certified Behavior Analysts (BCBAs; N = 469) concerning their beliefs, endorsement, and use of a variety of scientifically supported and unsupported treatments for people with autism. Although not all endorsed using ABA, BCBA professionals most widely reported using ABA and ABA‐related treatments. Surprisingly, BCBAs endorsed and used all types of treatments, despite their beliefs that the treatments were difficult to implement, not cost effective, and not supported by research. Copyright © 2008 John Wiley & Sons, Ltd.     

Counselling in primary care: a systematic review of the evidence

Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a reliable overview of the clinical effectiveness, cost‐effectiveness and user perspectives regarding counselling in primary care. Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine primary care for the treatment of non‐specific generic psychological problems, anxiety and depression. Counselling may reduce levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological conditions presenting in the primary care setting. More rigorous clinical and cost‐effectiveness trials are needed together with surveys of more typical users of primary care services.     

The Relationship of Job Attribute Preferences to Employment, Hours of Paid Work, and Family Responsibilities: An Analysis Comparing Women and Men

We used 1997 International Social Survey Programme data from 14 countries to examine the relationship of job attribute preferences to family responsibilities, employment, and paid work hours. Separate regression analyses for women and men examined whether family responsibilities (marriage, children, spousal employment, and housework responsibility) predicted job attribute preferences. Many family responsibilities were significant predictors of men's and women's extrinsic and intrinsic preferences. Family responsibilities also predicted women's flexibility preferences. We next examined whether job attribute preferences were associated with employment and weekly paid work hours when family responsibilities were controlled. Job attribute preferences showed several significant relationships to women's and men's employment and several significant relationships to women's paid work hours.     

Cross-sex Friendships: Who has More?

This is the first study to examine the independent, simultaneous, and relative roles of several factors—sex, relationship commitment, perceptions of the benefits vs. costs of cross-sex (vs. same-sex) friendships, gender role orientation, and sexism—in the number of cross-sex (vs. same-sex) friendships people have. The latter four constructs were independently found to predict participants’ proportions of cross-sex friendships. Furthermore, a model comprised of all five factors provided a very good fit to the data, explaining 35% of the variability in the degree to which the participants possessed cross-sex friendships. Perceptions regarding the general benefits of both same- and cross-sex friendships and cross-gender role orientation continued to explain proportion of cross-sex friendship when the other factors were controlled.     

Bonus of rebate?: the impact of income framing on spending and saving

All income increases a person's absolute wealth, but consumption decisions may be based more heavily on perceived changes in wealth. Change is computed by comparing a current state with a former state, and we predicted that people would be more likely to spend income framed as a gain from a current wealth state than income framed as a return to a prior state. Four experiments confirmed this prediction on people's memory for spending of a government tax rebate (Experiment 1), on unobtrusive self‐report measures of spending an unexpected windfall (Experiments 2 and 3), and on actual spending on items for sale in a laboratory experiment (Experiment 4). These results can be explained, at least in part, by the reference points implied in the framing of income (follow‐ups to Experiments 1 and 4). Discussion focuses on implications for the consumption of other commodities, assessments of risk, and government tax policies. Copyright © 2006 John Wiley & Sons, Ltd.     

慢性阻塞性肺疾病健康教育的作用及面临的问题

将82例稳定期COPD患者随机分为两组,治疗组接受为期半年的健康教育,对照组不接受健康教育。观察半年前后两组的吸烟比例、呼吸困难评分、吸入治疗比例及正确率和半年内急性发作次数;并比较半年前后的生活质量评分、疗效评估和肺功能指标。发现：半年的健康教育可增加稳定期COPD患者的戒烟率,减少反复急性发作,从而提高生活质量。缺乏经济效益及未受到足够的重视和宣传,制约了健康教育的普及,因此发展社区卫生医疗服务势在必行。     

加强青年医师素质培养进一步提高临床教学水平

探讨青年医师应具备的临床素质:优秀的道德品质、较高的文化素养、扎实的专业知识、较强的身心素质和不断的创新意识.分析目前存在的问题,高学历与实际能力不符、轻视临床思维分析、功利主义思想严重.指出如何强化青年医师的素质培养,规范化培训、注重学习和实践、制定合理政策.