Prospective Pilot Study of the Mastering Each New Direction Psychosocial Family Systems Program for Pediatric Chronic Illness

Psychosocial interventions for pediatric chronic illness (CI) have been shown to support health management. Interventions that include a family systems approach offer potentially stronger and more sustainable improvements. This study explores the biopsychosocial benefits of a novel family systems psychosocial intervention (MEND: Mastering Each New Direction). Forty‐five families participated in a 21‐session intensive outpatient family systems‐based program for pediatric CI. Within this single arm design, families were measured on five domains of Health‐Related Quality of Life (HRQL) self‐report measures; Stress, Cognitive Functioning, Mental Health, Child HRQL, Family Functioning. Both survey and biological measures (stress: catecholamine) were used in the study. Results from multivariate general linear models showed positive pre‐, post‐, and 3‐month posteffects in all five domains. The program effects ranged from small to moderate (η² = .07–.64). The largest program effects were seen in the domains of cognitive functioning (η² = .64) and stress (η² = .27). Also, between disease groups, differences are noted and future implications for research and clinical practice are discussed. Conclusions suggest that the MEND program may be useful in helping families manage pediatric chronic illnesses. Study results also add to the growing body of literature suggesting that psychosocial interventions for pediatric chronic illness benefit from a family systems level of intervention.     

中学生学习主观幸福感及其影响因素的初步研究

以910名从初一到高三的中学生为被试,采用自编的《中学生学习主观幸福感量表》进行研究。结果表明:(1)中学生学习主观幸福感普遍偏低,且存在学校类型、年级的差异,非重点学校学生学习主观幸福感更低;高二、初二学生学习主观幸福感最低。(2)影响中学生学习主观幸福感的直接因素是学习体验和现有学习成绩,其中,前者作用更大。(3)影响中学生学习主观幸福感的间接因素是社会压力和希望学习成绩,它们通过学习体验或现有学习成绩间接作用于学习主观幸福感。     

Flow研究概述

Flow是一种重要的积极情绪,它是指人们对某一活动或事物表现出浓厚的兴趣并推动个体完全投入某项活动或事物的一种情绪体验。Flow体验具有九个特征,即所感知到的活动挑战性与技能水平相平衡、行动与意识相融合、明确的活动目的、清晰的即刻反馈、对当前活动的高度投入、控制感、丧失自我意识、活动的内在奖励以及时间体验失真。心理学界的Flow研究已主要在Flow自身属性和应用两个领域展开,而对Flow的测量主要有面谈、问卷调查和ESM等三种方法     

Shock preexposure and the reduced effectiveness of shock

In three experiments experience with shock was shown to reduce the effectiveness of shock as a reinforcer or motivator. In Experiment 1 rats were given signaled shock in a box separate from the runway where they were subsequently punished. These rats were less suppressed by shock punishment than rats that had no previous shock experience. In Experiment 2 preshocked rats were less suppressed by punishment and were slower to learn an escape-avoidance response than nonpreshocked rats, whether the preshock was signaled or unsignaled. In Experiment 3 as number of CS-shock pairings increased, fear of the CS decreased as did fear of the context. These results suggest that some central adaptation process produced by experience with shock reduces the effectiveness of shock as a reinforcer whenever shock is used repeatedly. This is independent of other effects, such as context blocking, that can affect responding after shock preexposure.     

The value of forgetting suicidal thoughts and behavior

This is a prospective longitudinal study examining recollections of suicidal content and correlates of accurate and inaccurate recollection. A primarily at-risk group of young adults (N = 78) who were initially assessed for suicidal ideation and behavior in adolescence, were asked to recall whether they had reported sui- cidal ideation or behavior about six years earlier. In recalling the previous inter- view, the majority of the participants provided consistent reports. However, with regard to those who had previously reported suicidal ideation or behavior, 38% failed to recall prior adolescent suicidal reports. Those who provided accurate reports of prior suicidal content were more symptomatic and were functioning more poorly than those who failed to recall past suicidal content. The implications for clinical assessment practices, research, and theory development are discussed.     

血-前列腺屏障的假说及其对前列腺炎研究的意义

在慢性前列腺炎的研究工作中,血-前列腺屏障的研究是个被忽视的领域。在Pubmed等医学类数据库中找不到一篇关于血-前列腺屏障的研究综述。甚至找不到一个关于它的令人满意的定义。我们的研究目的,就是尝试从不同研究领域的文献中寻找有关“血-前列腺屏障”的理论和实验的依据,提出一个建立在非相关文献间的隐含联系中的假说。我们相信,血-前列腺屏障是客观存在的,而且在前列腺炎的发病机制中扮演着关键性的角色。     

恶性肿瘤皮肤表现

恶性肿瘤皮肤表现可分为肿瘤直接效应与间接效应.直接效应是指恶性肿瘤或其转移灶生长影响周围器官或组织正常功能;间接效应是指恶性肿瘤或其转移灶经复杂生物学效应影响远处器官或组织正常功能,也称为副肿瘤性皮肤病.恶性肿瘤皮肤表现发病率根据原发肿瘤而不同,可能是患者潜在肿瘤首发临床表现,并且与肿瘤复发转移相关.     

Cold pressor stress reduces left cradling preference in nulliparous human females

The left cradling preference refers to the finding that women hold their infants more frequently on the left side of their own bodies. Several observational studies showed reduced left cradling during stressful circumstances, such as mother-infant separation, or domestic violence. However, until now no experimental study was conducted to investigate the immediate impact of stress on cradling behaviour. Half of the 64 female subjects participating were randomly assigned to a stressful bilateral cold pressor test. The remaining subjects performed a non-stressful control procedure. Before and after this intervention, cradling behaviour was assessed using a baby-like doll. Subjects showed a left cradling preference prior to the intervention. The cold pressor test increased blood pressure and heart rate significantly. A repeated ANOVA revealed an interaction of intervention (cold pressor vs. control) X assessment period (pre- vs. post-intervention), indicating that cold pressor stress reduces left cradling behaviour in female volunteers. Our data indicate that stress influences cradling preference. This may be of relevance for caregiver-infant interactions.     

Psychosocial factors associated with reports of physical dating violence among U.S. adolescent females

The present study, based upon the national 2005 Youth Risk Behavior Survey of U.S. high school students, provides the most current and representative data on dating violence among adolescent females (N = 7,179). The dependent variable was physical dating violence. The independent variables included four dimensions: violence, suicide, substance use, and sexual risk behavior. Unadjusted odds ratios (OR) and 95% confidence intervals (CI), were examined followed by multivariate logistic regression analyses, which included all significant independent variables from the bivariate analyses. Adjusted OR and 95% CI were computed to assess the significance of the relationships. In terms of prevalence, 10.3% of female adolescents reported experiencing physical dating violence. Black girls (OR = 1.47) and girls who reported sad/hopeless feelings (OR = 1.42) considered suicide (OR = 1.55), engaged in physical fighting (OR = 2.17), had recent sexual partners (OR = 2.10), or had unprotected sexual intercourse (OR = 1.70) were more likely to report physical dating violence. These findings suggest dating violence against adolescent females is widespread and associated with a host of other risk factors that deserve further attention through longitudinal research and intervention efforts.