Risk factors for disordered eating during early and middle adolescence: prospective evidence from mainland Chinese boys and girls

Despite evidence that sociocultural and psychological factors contribute to disordered eating, researchers have yet to examine the extent to which putative risk factors influence vulnerability for girls versus boys within and across phases of adolescence, particularly in non-Western cultures. In this study, early and middle adolescent samples from China (N = 2,909) completed measures of eating disorder pathology and putative risk factors at baseline and were reassessed 12 months later. Among both younger and older girls, elevations in appearance-focused interactions with friends, negative affect, and body dissatisfaction predicted increases in symptomatology at follow-up. In contrast, there was more discontinuity in risk factors relevant to samples of boys. Although media and friendship influences contributed to later disturbances among early adolescent boys, psychological factors, including body dissatisfaction and negative affect, had stronger effects in the multivariate model for older boys. Implications of finding are discussed in relation to adolescent development and a Chinese cultural context.     

Can MFTs Address Spirituality with Clients in Publically Funded Agencies?

Many marriage and family therapy (MFT) trainees and therapists working toward licensure are accumulating hours in publically funded treatment centers. The increasingly diverse clientele in the U.S. likely will be served in the public sector, especially as many states are providing more funding for county agencies and increased tuition reimbursement and/or loan forgiveness for students and graduates who work for these organizations. MFTs may feel ill-equipped to address spiritual issues in therapy at these sites, especially when grappling with ethical concerns. This article delineates a case example in which an MFT attends to spiritual issues when working with a family in a county mental health center. The authors illustrate how a therapist can navigate the ethical dilemmas of this case when working from a Bowenian perspective.     

我国肝移植肝源的困局及其化解方略

肝移植是目前拯救良性终末期肝痛患者生命的唯一方法,也是治疗原发性肝癌的最好方法.伴随经济的发展、肝脏移植技术的成熟与规范,等待肝移植的庞大人群与供肝的严重不足形成了巨大冲突,矛盾的焦点是肝源的紧缺.化解这一困局的方法是"开源"与"节流"并举,即扩大供肝的数量和合理利用好已得到的肝源.     

两种水化疗法对预防对比剂肾病的效果研究

比较两种水化疗法对对比剂肾病(contrast-induced nephropathy,CIN)的预防效果.将150例患者随机分为氯化钠水化组(50例)、碳酸氢钠水化组(50例)和常规治疗组(50例),检测患者造影前3天内及造影后第3天、7天的血肌酐、尿素氮和尿β2微球蛋白.分析三组患者CIN的发病率.结果两水化组CIN的发病率均显著低于常规治疗组(P<0.05),两水化组闻CIN的发病率无明显差异(P>0.05).结果提示两种水化疗法对CIN的预防效果相仿.     

甲型H1N1流感普通型与重症型的处理

本文回顾性总结历史上几次世界性甲型流感流行和2009年H1N1流感流行情况。概述了2009年H1N1流感普通型病例的临床处理。重点阐述2009年H1N1流感重症型病例的高危人群、发生的危险因素以及临床表现。特别强调重症型流感抗病毒治疗的重要性及适应证。同时提醒关注神经氨酸酶抑制剂应用的耐药问题。     

时间性前瞻记忆研究取向与焦点问题

时间性前瞻记忆是指形成和保持一个意向,在一段时间后的某个特定的时间(目标时间)执行.文章通过对时间性前瞻记忆的研究取向、方法和现有理论模型的回顾,总结出该领域中的三个争论焦点.     

不熟悉材料伴随熟悉类别标签时儿童的归纳推理

对呈现在儿童面前的不熟悉的材料用儿童熟悉的、各不相同的类别标签命名之后,使儿童面临知觉相似和类别冲突的情形下,研究了儿童的归纳推理及其发展。研究结果显示,在此情形下,5岁儿童的归纳推理主要是基于知觉相似的,7岁儿童基于知觉相似和基于类别的归纳推理之间差异不显著,11岁儿童则主要基于类别进行归纳推理。     

论马克思对康德自由概念的感性证明

自由是贯穿整个西方文化的价值目标,是主体之为主体的根据,它发展到德国古典哲学时期已经取得了巨大成果,康德和马克思的自由观就宛如德国近代自由思想的两个点:康德自由概念的核心是自由意志,并且它是纯粹理性的唯一事实,但对它的证明始终是个问题;马克思对康德的"自由"进行了感性证明。     

青少年与同伴的自我表露及其与孤独感的关系

采用问卷法,以655名初高中生为被试,考察青少年与同伴自我表露的发展特点及其与孤独感的关系。结果表明:(1)高中生与不同表露对象以及在不同主题上的自我表露都高于初中生;(2)女生在除身体发育外的6个主题上的自我表露以及与同性最要好朋友的自我表露都高于男生;(3)青少年与最要好同性朋友的自我表露以及在兴趣爱好和身体发育两个主题上的自我表露能显著负向预测其孤独感。