自发性气胸致失血性休克诊疗策略

分析自发性气胸（spontaneous pneumothorax,SP）出现失血性休克时的临床特点、探讨诊疗策略。分析331例SP并失血性休克的病例资料。结果采用手术治疗者效果最佳。SP致失血性休克者多见于青年男性,多为胸膜顶粘连带出血,急诊微创手术是治疗发展方向。     

Structure and measurement of depression in youths: applying item response theory to clinical data

Our goals in this article were to use item response theory (IRT) to assess the relation of depressive symptoms to the underlying dimension of depression and to demonstrate how IRT-based measurement strategies can yield more reliable data about depression severity than conventional symptom counts. Participants were 3,403 children and adolescents from 12 contributing clinical and nonclinical samples; all participants had received the Kiddie Schedule of Affective Disorders and Schizophrenia for School-Aged Children. Results revealed that some symptoms reflected higher levels of depression and were more discriminating than others. Furthermore, use of IRT-based information about symptom severity and discriminability in the measurement of depression severity was shown to reduce measurement error and increase measurement fidelity.     

Differential item functioning of the Rosenberg Self‐Esteem Scale in the US and China: Measurement bias matters

Using an item‐response theory‐based approach (i.e. likelihood ratio test with an iterative procedure), we examined the equivalence of the Rosenberg Self‐Esteem Scale (RSES) in a sample of US and Chinese college students. Results from the differential item functioning (DIF) analysis showed that the RSES was not fully equivalent at the item level, as well as at the scale level. The two cultural groups did not use the scale comparably, with the US students showing more extreme responses than the Chinese students. Moreover, we evaluated the practical impact of DIF and found that cultural differences in average self‐esteem scores disappeared after the DIF was taken into account. In the present study, we discuss the implications of our findings for cross‐cultural research and provide suggestions for future studies using the RSES in China.     

学科领域知识丰富性对中学代数问题表征层次的影响

研究学科领域知识丰富性不同的学生在问题表征过程中信息表征层次的特点。采用“学习-再认”范式,以5类等式为材料,62名初二学生参与实验。结果：两组被试对表面和原理特征一致的等式产生明显的错误再认;对表面特征不一致等式的错误率明显减少。无论原理特征是否一致,两组对表面特征一致等式的反应时无显著差别,但在正确率上丰富组的更高。说明,两组均以有序的系列加工方式编码信息,优先编码表面特征。贫乏组对原理特征的编码干扰表面特征的加工,因而原理特征被丢弃。丰富组加工表面特征则无干扰现象出现,两种特征均能作为再认线索。     

青少年气质对其情绪调节的影响：教师情感能力的作用

青少年情绪调节近年来受到越来越多研究的关注,但环境变量是如何通过个体内变量对情绪调节施加影响还不清楚,我们现在采用多层线性模型探索教师情感能力在青少年学生气质影响其情绪调节中的作用。研究选取7-12年级1385名男女学生,和对应的36名班主任,分别施测学生问卷--情绪调节问卷、青少年早期气质问卷和教师情感能力问卷。结果表明：在学生水平,认知重评与气质维度的努力控制和亲和性正相关,与激情负相关;抑制只和负性情感正相关。在教师水平,教师的情感管理减弱了激情和亲和性对认知重评的影响,而教师的情感沟通增加了亲和性对认知重评的影响;教师的情感管理增强了负性情感对抑制的作用,反而教师情感理解降低了负性情感对抑制的作用。因此,气质的不同维度对学生情绪调节的影响不同,教师情感能力的不同方面对这种影响发挥着不同的调控作用。提示在开展情感教学过程中,对不同气质学生选择不同的情感策略有利于提高学生情绪调节的效果。     

藏族学生控制源、社会支持与心理健康的研究

目的探讨玉树民族中学藏族学生控制源、社会支持与心理健康的关系。方法采用心理健康、内外控制源和领悟社会支持量表。结果①不同性别学生心理健康总分差异显著,社会支持和控制源得分差异不显著。②不同年级学生在控制源差异显著,其余变量差异不显著。③除家庭支持外,心理控制源、社会支持及其各维度与心理健康显著相关。④控制源和朋友支持对心理健康有很好的预测作用。结论控制源和社会支持在一定程度上对心理健康有预测作用。     

高校大学生人际敏感与社交焦虑相关因素分析

目的:分析比较大学生人际困扰、社交焦虑和心理症状的现状与影响,为大学生心理健康教育提供见解。方法:采用自制大学生压力源情况调查表,症状自评量表,社交回避及苦恼量表对大一、大二、大三共1291名大学生进行了测查。结果:人际关系困扰各年级总检出率为27.2%;大二和大三人际敏感因子均分高于大一,女生得分高于男生,并有显著差异;社交苦恼因子和总均分高于常模,存在差异显著性(P<0.05),总体社交回避及苦恼与抑郁、强迫、焦虑等心理症状有显著正相关,并有统计学意义。结论:人际困扰、人际敏感症状存在年级、性别差异,和典型表现形式;社交回避及苦恼可导致不同类型心理症状。     

Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic

This study examined the main and interactive relations of stressors and coping related to severe acute respiratory syndrome (SARS) with Chinese college students' psychological adjustment (psychological symptoms, perceived general health, and life satisfaction) during the 2003 Beijing SARS epidemic. All the constructs were assessed by self-report in an anonymous survey during the final period of the outbreak. Results showed that the relations of stressors and coping to psychological adjustment varied by domain of adjustment. Regression analyses suggested that the number of stressors and use of avoidant coping strategies positively predicted psychological symptoms. Active coping positively predicted life satisfaction when controlling for stressors. Moreover, all types of coping served as a buffer against the negative impact of stressors on perceived general health. These findings hold implications for university counseling services during times of acute, large-scale stressors. In particular, effective screening procedures should be developed to identify students who experience a large number of stressors and thus are at high risk for developing mental health problems. Intervention efforts that target coping should be adapted to take account of the uncontrollability of stressors and clients' cultural preferences for certain coping strategies. A multidimensional battery of psychological adjustment should be used to monitor clients' psychological adjustment to stressors and evaluate the efficacy of intervention.     

杜光庭赐紫时间考辨

杜光庭是唐末五代著名的"道门领袖",也是当时重要的文学家。学界一般认为杜光庭被僖宗召见赐紫的时间在僖宗即位之初,本文认为此说不准确。杜光庭被召见赐紫当在僖宗入蜀之初,即中和元年(881)。875年,杜光庭因访道求经而离开天台,先后漫游浙江开化、武夷山、江西崇仁县的沸湖山等地,最后来到蜀中。876年后,杜光庭以成都为中心,漫游蜀中及周边地区。881年,唐僖宗逃奔成都,在成都召见杜光庭并赐紫。     

大学生家庭功能、心理弹性与自我分化的关系

研究了378名大学生心理弹性在家庭功能与自我分化关系中的中介作用。结果:(1)家庭功能亲密度、适应性与心理弹性、自我分化均呈正相关;(2)心理弹性的情绪控制、家庭支持和人际协助三个因子对自我分化有一定程度的预测作用;(3)层级回归发现,在同时考虑心理弹性各因子的影响时,对自我分化具有显著预测作用的家庭功能亲密度β值下降且显著性水平降低。结论:心理弹性的情绪控制、家庭支持和人际协助三个因子在家庭功能亲密度与自我分化的关系中具有部分中介作用。