Associations of Health-Related Quality of Life with Healthcare Utilization Status in Veterans

Evidence indicates that veterans using VA healthcare services have poor health-related quality of life (HRQOL). Little is known, however, about differences in HRQOL among those who only use VA services and those who also use non-VA services. We sought to evaluate differences in HRQOL among veterans who use: (1) only non-VA services (2) only VA services and (3) both VA and non-VA services (i.e., dual users). A cross-sectional study of 39,942 US veterans who completed the CDC’s 2004 Behavioral Risk Factor Surveillance System (BRFSS) survey was analyzed. Self-rated measures of global health status and the number of days per month that veterans were limited by physical or mental problems were extracted from BRFSS survey data as outcomes. Multivariate logistic regression demonstrated that, compared to those receiving all healthcare outside of VA, veterans receiving VA care were more likely to report poorer health outcomes, including worse global health status, greater impairments in physical functioning, and increased limitations regarding routine activities (p’s ≤ .05). Both exclusive and dual users of VA services reported poorer HRQOL than individuals not using VA services. More research is needed regarding veterans’ health status, particularly in the context of dual use.     

阿拉伯数字与汉字大写数字认知的大脑功能一侧化实验研究

用半视野速示术检查阿拉伯数字和汉字大写数字在三种任务加工条件（认读、简单相加、奇偶概念异同判断）下进行认知的大脑两半球机能活动一侧化效应。结果表明：以被试正确反应的百分数为指标,两类数字的三种任务加工均没有表现出明显的视野（大脑半球）优势。以被试正确反应的反应时为指标,两类数字的认读和简单相加也未出现视野（大脑半球）的明显差别,而两类数字的奇偶概念异同判断却出现了差异显著的右视野（左半球）优势。     

主题统觉测验中国修订版(TAT-R,C)的编制与常模

主题统觉测验是一种与罗夏测验齐名的人格投射技术。但由于原版测验图片不适用中国被试,而且操作复杂,评分缺乏客观性,信度、效度不理想,更无标准化常模,所以在临床实践难以推广,在国内尚未系统研究。 为改进原版测验缺陷,首先修订了新的适合中国文化模式的工具,把原有的无结构投射法修改为联想—选择法投射,使修订版测验简单、易行。并且经研究验证,修订版(TAT-R,C)测验具有一定的信度效度,并建立了标准化常模。     

自闭症儿童行为评定与社会认知发展的研究

本研究用自闭症儿童发展评定量表,自闭症儿童基本社会认知问卷以及“ＴｏＭ”实验,对４９名自闭症儿童及３０名弱智儿童进行了行为评定与社会认知的研究。研究结果为目前国内自闭症的诊断和治疗提供了新的有效工具及进一步明确化的理论依据,并为其教育训练提供了标准的新的启示。     

Greenwald提出的内隐联想测验介绍

内隐联想测验(Implicit Association Test,简称IAT)是Greenwald等于1998年提出的一种新的内隐社会认知的研究方法,其采用的是一种计算机化的辨别分类任务,以反应时为指标,通过对概念词和属性词之间的自动化联系的评估进而来对个体的内隐态度等进行间接测量。该文先对内隐联想测验的由来、原理进行了介绍,再从性能及应用两方面对已有的相关研究进行了归纳、整理和论述。最后,通过分析指出该方法符合现代心理测量学的最新发展方向,将有着强大的生命力。     

小学儿童入学准备的类型及其与学校适应关系的研究

对北京市389名儿童入学准备的类型进行研究,探讨不同入学准备类型儿童的特点,并通过追踪数据考察儿童入学准备类型对其一学期后学校适应的影响。结果表明:(1)入学准备可以分为入学准备良好、身体健康和动作技能准备不足、身体健康和动作技能突出/其他领域准备不足和入学准备综合不足四种类型;(2)女生入学准备良好型的比例显著高于男生,而身体健康和动作技能准备不足型、入学准备综合不足型的比例显著低于男生;(3)城区儿童入学准备良好型的比例显著高于郊区,而入学准备综合不足型的比例显著低于郊区;(4)入学准备良好型儿童的学校适应好于身体健康和动作技能准备不足型和入学准备综合不足型,入学准备综合不足型的学校适应最差。     

Pooling data from multiple longitudinal studies: the role of item response theory in integrative data analysis

There are a number of significant challenges researchers encounter when studying development over an extended period of time, including subject attrition, the changing of measurement structures across groups and developmental periods, and the need to invest substantial time and money. Integrative data analysis is an emerging set of methodologies that allows researchers to overcome many of the challenges of single-sample designs through the pooling of data drawn from multiple existing developmental studies. This approach is characterized by a host of advantages, but this also introduces several new complexities that must be addressed prior to broad adoption by developmental researchers. In this article, the authors focus on methods for fitting measurement models and creating scale scores using data drawn from multiple longitudinal studies. The authors present findings from the analysis of repeated measures of internalizing symptomatology that were pooled from three existing developmental studies. The authors describe and demonstrate each step in the analysis and conclude with a discussion of potential limitations and directions for future research.     

Disaggregating the Distal,Proximal, and Time-Varying Effects of Parent Alcoholism on Children’s Internalizing Symptoms

We tested whether children show greater internalizing symptoms when their parents are actively abusing alcohol. In an integrative data analysis, we combined observations over ages 2 through 17 from two longitudinal studies of children of alcoholic parents and matched controls recruited from the community. Using a mixed modeling approach, we tested whether children showed elevated mother- and child-reported internalizing symptoms (a) at the same time that parents showed alcohol-related consequences (time-varying effects), (b) if parents showed greater alcohol-related consequences during the study period (proximal effects), and (c) if parents had a lifetime diagnosis of alcoholism that predated the study period (distal effects). No support for time-varying effects was found; proximal effects of mothers' alcohol-related consequences on child-reported internalizing symptoms were found and distal effects of mother and father alcoholism predicted greater internalizing symptoms among children of alcoholic parents. Implications for the time-embedded relations between parent alcoholism and children's internalizing symptoms are discussed.     

王廷相道寓于“六经”的思想

王廷相提出道寓于“六经”的思想,以“六经”为载道之文,强调求道于“六经”,而不讲“四书”;并尊孔非孟,批评宋儒之学。以维护孔子及“六经”的权威来降低孟子、朱熹及“四书”的权威和重要性,修正朱学的流弊,这在经学史和理学史上均具有重要意义,体现了王延相经学与理学思想的独特性。     

现代测量理论下四大认知诊断模型述评

该文介绍并比较了现代测量理论下四大认知诊断模型的思想方法、模型结构及各自的特点性能等。LLTM是一个较早的认知诊断模型,它实现了认知与测量的结合;规则空间模型实现了对认知结构的诊断,并创造性地提出了Q矩阵理论;统一模型与融合模型是同一类模型：两者均沿用了规则空间模型的Q矩阵方法,但克服了规则空间模型中的一些不足;融合模型被认为是二十一世纪初创立的一个很成功的认知诊断模型。