Metacognitive Therapy in Major Depression: An Open Trial of Comorbid Cases

This open trial investigated the transdiagnostic effects of metacognitive therapy (MCT) in patients with severe major depressive disorder and comorbid psychiatric disorder. Ten patients were treated with MCT over 10 sessions and were assessed with measures of depression, anxiety, rumination, and metacognitions at pre- and posttreatment and at 6 months follow-up. None of the patients were diagnosed as depressed at posttreatment, and of the initial 21 total diagnoses at pretreatment only 3 diagnoses remained at postintervention. The effect sizes were large for symptoms of depression, rumination, and worry. At 6 months follow-up standardized recovery criteria on the BDI showed that 70% were recovered, 20% improved, and 10% unchanged. The results indicate that MCT was associated with high rates of transdiagnostic improvement.     

The psychophysiology of combat-induced post-traumatic stress disorder in Vietnam veterans

The psychophysiological responses of heart rate (HR), systolic and diastolic blood pressure, skin conductance level and forehead electromyogram were compared during: rest, mental arithmetic and combat sounds of gradually increasing intensity for five groups of Ss: Vietnam veterans with post-traumatic stress disorder (PTSD); Vietnam veterans without PTSD but with comparable levels of combat experience; Vietnam veterans with other psychiatric disorders; Vietnam-era veterans; and nonveteran phobics. HR response to low-intensity combat sounds provided good discrimination between veterans with PTSD and the other groups and seems to resemble a conditioned emotional response.     

中国医学史研究热点及发展态势——近五年中国医学史论文的可视化分析

为了解近五年中国医学史研究热点和发展态势,利用可视化软件对近五年中国医学史文献进行可视化分析。医学史学科为医学与史学跨学科专业,医学界与史学界间虽有融通交流,但研究界限仍较为分明。研究者应打破人为划分的学科分界线,将其他学科的理论融入医学史研究。高校应鼓励不同学科交互深造,创建研究集群以及培养体系,进行多学科交叉研究。在研究方向中,传统医学史与医疗社会文化史的碰撞和融合在未来将会是十分重要的发展趋势,借鉴瘟疫史研究的思路,从医疗社会史的角度探究其他疾病和现今尖锐的医疗问题或可成为未来的研究热点之一。