The Impact of Demographic Characteristics on Health-related Quality of Life Profile of Malaysian Epilepsy Population

The possibilities of adverse drug reactions and disease-related psychosocial implications have led to the current emphasis on health-related quality of life (HRQoL) assessment in epilepsy. The main objective of this study was to determine the impact of various demographic characteristics i.e. gender, age, marital status, ethnic origin, religion, and employment status on HRQoL profiles in Malaysian epilepsy patients. Patients with epilepsy were recruited from ten public hospitals in Sabah, Malaysia. Upon written consents, they completed the Malay Quality of Life In Epilepsy-30 (QOLIE-30) instrument which assesses Seizure Worry, Overall QoL, Emotional Well-Being, Energy/Fatigue, Cognitive Functioning, Medication Effects and Social Functioning. An Overall Score was generated to represent a summarised HRQoL score. Univariate and multiple linear regression analyses were both carried out using SPSS 14 for (1) all patients and (2) patients possessing Poor QoL (Overall Score < median) and Good QoL (Overall Score ≥ median). One-hundred-and-thirteen patients participated in the study. The respondents ranged from 18–76 years with a mean age of 31 years. Majority were Kadazandusuns (n = 46; 40.7%) and many were unmarried (n = 68; 60.2%), Muslims (n = 50; 44.2%) and unemployed (n = 54; 47.8%). Age was the most significant factor across all patients (B = −0.372, t = −2.238, p = 0.027), regardless of Poor or Good QoL level. Older patients (>56 years) fared the worst in many HRQoL areas. Those with Poor QoL were mostly affected by marital status (widowed/divorced) and ethnic origin (Kadazandusun/Chinese). Religion (Buddhism/Hinduism) emerged as the most prominent HRQoL predictor for patients experiencing Good QoL and being Chinese too played a role. These outcomes indicate that specific demographic characteristics are influential in determining the HRQoL of epilepsy patients. Consequently, healthcare professionals could utilise such information in planning the best treatment and care by considering both the medical and psychosocial impacts towards patients. This paper was part of a research project and majority of its components had been presented at the 7th Conference On International Society For Quality Of Life Studies (ISQoLS) 2006, Rhodes University, Grahamstown, South Africa, 17–20 July 2006.     

大学生职业决策和自尊、成就动机的关系

在应用自尊量表(SES)和成就动机量表(AMS)对106名大学生(男生46名,女生60名)进行调查的基础上,通过设计框架性职业决策情景,探究了大学生职业决策和自尊、成就动机的关系。结果发现:(1)成就动机中避免失败变量与框架效应的交互作用对大学生职业决策倾向性有显著性影响;(2)自尊水平对大学生职业决策倾向性存在显著性作用;(3)框架效应在大学生职业决策中发生作用,对大学生的职业决策倾向性有显著的影响。     

情绪对饮食行为的影响

人类的饮食行为受到诸多因素的影响, 包括生理因素、心理因素及社会文化因素等, 其中情绪对饮食行为的影响日益受到研究者的重视, 这种影响一般表现为摄入量的多少和食物(热量)的选择。通过探讨不同情绪下临床和非临床个体食物摄入量的表现, 总结发现消极情绪导致个体暴饮暴食的可能更大。积极情绪影响下的饮食行为的研究结果则存在分歧: 生理角度解释为积极情绪能够促进个体的享乐机制, 导致进食行为增加; 而自我控制理论则认为积极情绪增加了个人资源以抵制美食诱惑。此外, 进一步探讨了情绪影响下饮食行为的神经生理机制。未来在饮食相关的临床研究和治疗上, 需要对情绪影响下的饮食行为有更深入的神经机制方面的探究。     

从父母教育卷入到学业成就:自主支持与自主学习力的链式中介

家长教育卷入是为了提升学生的学业成就,但能否支持学生的自主学习从而提升其自主学习力,可能是提升学业成就的关键环节。研究将与自主学习相关的多种个人内部因素整合为自主学习力,对12万余名中小学生及其家长进行了大规模调查,建构了一个链式中介模型,分析显示父母教育卷入对学生学业成就的影响体现为两条路径:(1)父母主导路径:父母投入通过其自我报告的自主支持对学生学业成就产生显著影响;(2)学生发展路径:学生通过其所感知的父母自主支持提升其自主学习力,进而自主地促进其学业发展。研究提示,如何提高家长对学生“自主学习”的认识和支持能力,是家校协同促进学业发展的一个重要话题,也是保障“双减”不降学业成绩的一项关键举措。     

The real relationship between short-term memory and working memory

Storage-oriented memory span tasks with no explicit concurrent processing are usually referred as short-term memory (STM) tasks, whereas tasks involving storage plus concurrent processing requirements are designated as working memory (WM) tasks. The present study explores a question that remains unsolved: Do STM and WM tasks clearly tap distinguishable theoretical constructs? For that purpose, a large sample of 403 participants was tested through 12 diverse memory span tasks. Half of those tasks are widely accepted as measures of STM, whereas the other half measure WM. The results show that STM and WM share largely overlapping underlying capacity limitations, suggesting that all memory span tasks tap essentially the same construct. Some implications are discussed.     

Hippocampal structure and human cognition: Key role of spatial processing and evidence supporting the efficiency hypothesis in females

Here we apply a method for automated segmentation of the hippocampus in 3D high-resolution structural brain MRI scans. One hundred and four healthy young adults completed twenty one tasks measuring abstract, verbal, and spatial intelligence, along with working memory, executive control, attention, and processing speed. After permutation tests corrected for multiple comparisons across vertices (p < .05), significant relationships were found for spatial intelligence, spatial working memory, and spatial executive control. Interactions with sex revealed significant relationships with the general factor of intelligence (g), along with abstract and spatial intelligence. These correlations were mainly positive for males but negative for females, which might support the efficiency hypothesis in women. Verbal intelligence, attention, and processing speed were not related to hippocampal structural differences.     

情绪加工老龄化机制：表情的自动加工和控制加工视角

情绪加工老龄化已经成为老龄化研究的新热点, 但其内在机制仍然缺乏统一的解释。本研究以自动加工和控制加工为切入点, 综合行为实验、ERP和fMRI实验技术, 开展表情加工的老龄化研究, 从情绪与认知交互的角度进一步揭示情绪加工老龄化的内在机制。具体内容包括表情自动加工和控制加工的年龄差异及其神经机制, 表情自动加工与认知控制的相互作用, 以及个体差异在情绪加工老龄化中的作用等。本研究将加深对情绪加工老龄化的理解, 为相关理论模型的验证、修正和完善提供实证依据。     

面孔识别过程中多重社会亚范畴的交互作用

认知者往往依据陌生个体面孔所携带的性别、年龄、种族等多重社会范畴信息对其进行加工,以期快速识别和了解他人。在基于面孔识别的多重社会范畴加工过程中,亚范畴间存在着复杂的交互作用。研究者分别采用"Who Said What"范式、重复启动范式、加纳选择注意范式、鼠标追踪范式等方法,发现亚范畴间的内隐加工具有彼此削弱的特性,外显加工存在交互影响的不对称性和偏差性。动态交互理论对此进行了进一步的理论分析与阐释。今后需更加科学地区分社会范畴加工的各个阶段,凸显内隐和外显加工的区别与联系;同时进一步整合各研究范式,克服方法异质导致的结果偏差甚至矛盾。     

群体印象形成与个体印象形成：反基准比率效应

采用 “反基准比率效应”范式考察在群体印象形成与个体印象形成两种认知加工过程中, 基准比率对印象形成过程及其结果的影响。被试分别为39名19~25岁大学生(实验1：男生17名, 女生22名, 均为右利手)以及46名19~25岁大学生(实验2：男生21名, 女生25名, 均为右利手)。结果发现：无论是群体印象形成还是个体印象形成, 在学习阶段, 知觉者都能准确认知各类事件间的关系, 但会优先建构高频事件间的联结。而在测试阶段, 当低频事件与高频事件同时出现时, 知觉者发生明显关系误判, 即以反基准比率的倾向高估低频事件间的联结强度。实验表明群体与个体印象形成过程中都会产生反基准比率效应这样的加工偏差, 进而初步揭示反基准比率现象在社会信息加工领域具有一定的普遍性。