老年膀胱癌患者术后生活质量及其影响因素的研究

调查老年膀胱癌患者术后生活质量现状及其影响因素,为护理干预和健康管理提供依据。选择我院2013年6月至2014年1月收治的老年膀胱癌患者142例作为研究对象,于患者术后3个月采用膀胱癌特异性量表（FACT-BL）,社会支持评定量表（SSRS）进行数据收集。结果老年膀胱癌患者术后FACT-BL平均得分为（94．33＆#177;8．31）分,SSRS平均得分为（33．70＆#177;4．42）分,不同手术方式躯体状况（PWB）,社会/家庭状况（FWB）,FACT-BL 得分差异具有统计学意义（P＜0．05）,老年膀胱癌患者术后生活质量与社会支持呈正相关关系（P＜0．05）。手术方式与老年膀胱癌患者术后生活质量密切相关,应结合患者的具体情况选择合适的手术方式,实时观察患者的社会支持水平。     

Psychological distress in patients with chronic atrophic gastritis: the risk factors,protection factors,and cumulative effect

This study aimed to examine the psychological status among Chronic Atrophic Gastritis (CAG) patients and to find the cumulative effects of risk and protective factors. A sample of 101 CAG patients completed the investigation. Hierarchical linear regression was used to find risk and protective factors, and examine the cumulative effects in risk factor index (RFI) and protective factor index (PFI). Results showed that nine symptoms from SCL-90-R were severer among CAG patients than those in adult norm. Risk factors including positive family history of cancer and higher negative life events could predict higher GSI (β = 0.206, p = 0.023; β = 0.398, p < 0.001; R² = 0.203); more household resistant, positive coping and stronger resilience were protective factors and could predict GSI negatively (β = -0.188, p = 0.020; β = -0.350, p = 0.012; β = ?0.066, p = 0.621; R² = 0.190). The GSI was positively correlated with RFI (β = 0.338, p < 0.001; R² = 0.113) and negatively related to PFI (β = ?0.378, p < 0.001; R² = 0.133). In conclusion, CAG patients suffered from various psychological distress, and the protective factors should be enhanced cumulatively to protect against psychological distress.     

Judgments of damage to public versus private property in Chinese children at different historical times

This study examined children's judgments of damage to public versus private property in China at two historical times. Participants were two cohorts (1980 and 2012) of elementary school children at ages 7, 9, and 11 years. The children were administered paired stories that described a protagonist who damaged public or private property with a good or bad intention. The results showed that children in the 2012 cohort were less likely than their counterparts in the 1980 cohort to judge damage to public property as more culpable than damage to private property. The cohort differences were more evident in older children than in younger children. The results suggest that macro‐level contexts may play an important role in shaping children's judgments.     

An All Too Radical Solution to the Problem of Evil: a Reply to Harrison

Gerald Harrison has recently argued the evidential problem of evil can be resolved if we assume the moral facts are identical to God’s commands or favorings. On a theistic metaethics, the moral facts are identical to what God commands or favors. Our moral intuitions reflect what God commands or favors for us to do, but not what God favors for Herself to do. Thus, on Harrison’s view, while we can know the moral facts as they pertain to humans, we cannot know the moral facts as they pertain to God. Therefore, Harrison argues, the evidential problem of evil inappropriately assumes God to be intuitively moral, when we have no reason to suppose a perfectly good being would match the expectations provided by our moral intuitions. Harrison calls his view a new form of skeptical theism. In response, I show Harrison’s attempt to dissolve the problem of evil exacerbates well-known skeptical consequences of skeptical theism. Harrison’s new skeptical theism leaves us with problems motivating a substantive religious life, the inability to provide a variety of theological explanations, and, despite Harrison’s comments to the contrary, worsens problems having to do with the possibility of divine deception.     

Hume on Education

Hume claims that education is ‘disclaimed by philosophy, as a fallacious ground of assent to any opinion’ (T 1.3.10.1) and that it is ‘never . . . recogniz'd by philosophers’ (T 1.3.9.19). He is usually taken to be referring here to indoctrination. I argue, however, that his main concern is with association and those philosophers who emphasize the epistemic dangers of the imagination. These include Locke, Hutcheson and Descartes, but not Hume himself. Hume praises education, highlighting its role in the formation of general rules, and in fostering social conditions that encourage the growth of knowledge and moral virtue.     

The Effectiveness of Functional Family Therapy in Reducing Adolescent Mental Health Risk and Family Adjustment Difficulties in an Irish Context

To evaluate the effectiveness of Functional Family Therapy (FFT) 42 cases were randomized to FFT and 55 to a waiting‐list control group. Minimization procedures controlled the effects of potentially confounding baseline variables. Cases were treated by a team of five therapists who implemented FFT with a moderate degree of fidelity. Rates of clinical recovery were significantly higher in the FFT group than in the control group. Compared to the comparison group, parents in the FFT group reported significantly greater improvement in adolescent problems on the Strengths and Difficulties Questionnaire (SDQ) and both parents and adolescents reported improvements in family adjustment on the Systemic Clinical Outcomes and Routine Evaluation (SCORE). In addition, 93% of youth and families in the treatment condition completed FFT. Improvements shown immediately after treatment were sustained at 3‐month follow‐up. Results provide a current demonstration of FFT's effectiveness for youth with behavior problems in community‐based settings, expand our understanding of the range of positive outcomes of FFT to include mental health risk and family‐defined problem severity and impact, and suggests that it is an effective intervention when implemented in an Irish context.     

个体助人行为的形成与发展——基于扎根理论的探究

为了解个体助人行为的发生、发展和变化,本研究采用质性研究方法,围绕日常生活中助人行为深度访谈了10名始成年期的高助人者,运用扎根理论对访谈资料进行分析和理论建构。发现个体助人行为的发展可分成三个阶段：形成期、冲击期及稳固期,各发展阶段以对助人行为的认知和主要动机为核心,呈现出稳定-外控、不稳定-外控、稳定-内控的特点,据此提出助人行为的发展历程,并讨论了研究的理论价值、现实意义及局限。     

青少年早期社交回避与同伴关系问题:有调节的中介模型

为探讨青少年早期社交回避、同伴关系问题、情绪调节能力和学业成绩的关系,本研究构建了一个有调节的中介模型。采用自我报告、同伴提名和学校记录的方式对上海地区小学4年级至初中1年级共660名被试进行测查,结果显示:(1)社交回避可以正向预测同伴关系问题;(2)情绪调节能力在社交回避与同伴关系问题之间起部分中介作用;(3)学业成绩调节了社交回避通过情绪调节能力影响同伴关系问题的中介作用前半路径。相对于学业成绩较高的儿童,社交回避更容易通过学业成绩较低儿童的情绪调节能力影响同伴关系问题。研究结果不仅可以从情绪调节能力和学业成绩的角度为社交回避个体的同伴关系问题提供解释,而且对引导同伴社会化、提升社会适应的过程具有启示意义。