国际健康城市计划的理论与实践

健康城市计划由世界卫生组织欧洲区在1987年发起, 其理论基础是人人享有卫生保健和《渥太华健康促进宪章》, 以健康承诺、制定公共卫生政策、开展多部门合作、加强社区参与、注重创新和健康的公共政策为特征。健康城市计划的开展分为启动阶段、组织计划阶段和行动阶段, 指标体系包括健康指标、健康服务指标、环境指标和社会经济指标等四个方面。目前, 世界卫生组织六个区域均已开展健康城市计划, 我国北京、上海、苏州、杭州、长春等地的健康城市计划开展良好。     

宋代度僧制度再考辨

宋代度僧,承袭唐、五代旧制,历经了由注重培养僧尼素质到重视国家经济收益的政策转型。从形式上看,主要采取试经、恩度和进纳三种方式,其中试经为正途,恩度为特殊荣宠,进纳为用钱买牒;从特点上看,呈现出了完善差官制度、规范应试程序、严明考试资格的特质;从影响上看,宋代度僧制度在一定程度上巩固了赵宋王朝的统治,为宋以降佛教制度的完善和发展创造了前提。如是,宋代度僧制度已经形成了一套相对周备的僧籍管理轨制,既揭示了宋代统治者对佛教的政策,又对研究宋史和中国佛教史有着重要的鉴戒意义。     

The influence of induced mood on music preference

The purpose of this study was to clarify the impact of different self-centered moods on music preference without listening to music. Participants’ affective state (sad vs. happy vs. neutral) were experimentally manipulated through the mood induction procedure, and then their preferences for music were ascertained through self-reports. To understand participants’ internal motivations for their choices, we also asked them to indicate how appropriate he/she felt it would be to select the different music types as well as why they made such choices. Results suggested that participants in a sad mood were inclined to listen to sad (and slow) music, those in a happy mood preferred to listen to happy (and fast) music, and those in a neutral mood did not consistently prefer to listen to neutral music. In addition, participants were averse to sad music when they were in a happy or neutral mood; while they showed no aversion to happy music when they were in a sad mood. In conclusion, individuals select valence-consistent music when they are in an autobiographical memory-induced mood state.     

The observing self: Diminishing egocentrism through brief mindfulness meditation

Reflecting the egocentrism that permeates contemporary society, people often believe they stand out in the eyes of others (i.e., the spotlight effect), a conviction that is entirely misplaced. Although considerable efforts have focused on elucidating the consequences of the spotlight effect, much less is known about factors that may attenuate this illusory perception. Accordingly, the current study explored the possibility that, via shifts in perspectives on the self (i.e., first person vs. third person), brief mindfulness‐based meditation may reduce a future‐oriented variant of this bias. The results revealed that, compared with responses in the control conditions (i.e., control meditation or no mediation), brief mindfulness‐based meditation fostered the adoption of a third‐person vantage point during mental imagery and diminished perceptions of personal salience.     

The burden of filial piety: A qualitative study on caregiving motivations amongst family caregivers of patients with cancer in Singapore

Objective. This study explores (1) the motivations and challenges facing family caregiving for cancer in Singapore and (2) suggests a possible framework to guide culturally sensitive future work on caregivers.

Design. Twenty caregivers of patients being treated for cancer at a public hospital in Singapore were interviewed. A semi-structured interview format and inductive thematic analysis were used to analyse the data. Caregivers were asked about their motivations for caregiving and the challenges they faced.

Results. Caregivers’ motivations grouped into three categories: personal value and fulfilment, giving care because of societal expectations such as filial piety, and practical need. Challenges were grouped into interpersonal challenges, disclosure and finding balance. Caregivers with different primary motivations varied in their responses to these challenges. More autonomous caregivers cited learning points and reprioritised more effectively than less autonomous caregivers, who reported more internal conflict and less control over their situation.

Conclusions. In Singapore and Asia, sociocultural values of family caregiving are not uniformly experienced as positive, and may be burdensome for caregivers who give care primarily for extrinsic motivations. As family caregiving needs increase, targeted psychosocial support for caregivers with less autonomous behavioural orientations may pre-empt caregiver burnout and burden.     

The Religious and Spiritual Needs of Patients in the Hospital Setting Do Not Depend on Patient Level of Religious/Spiritual Observance and Should be Initiated by Healthcare Providers

Journal of Religion and Health - According to many studies, addressing the religious and spiritual (R/S) needs of patient's increase patient satisfaction. One area of interest is how patient...     

A time-varying effect model for intensive longitudinal data

Understanding temporal change in human behavior and psychological processes is a central issue in the behavioral sciences. With technological advances, intensive longitudinal data (ILD) are increasingly generated by studies of human behavior that repeatedly administer assessments over time. ILD offer unique opportunities to describe temporal behavioral changes in detail and identify related environmental and psychosocial antecedents and consequences. Traditional analytical approaches impose strong parametric assumptions about the nature of change in the relationship between time-varying covariates and outcomes of interest. This article introduces time-varying effect models (TVEMs) that explicitly model changes in the association between ILD covariates and ILD outcomes over time in a flexible manner. In this article, we describe unique research questions that the TVEM addresses, outline the model-estimation procedure, share a SAS macro for implementing the model, demonstrate model utility with a simulated example, and illustrate model applications in ILD collected as part of a smoking-cessation study to explore the relationship between smoking urges and self-efficacy during the course of the pre- and postcessation period.     

Social and medical influences on attributions and evaluations of chronic pain

Abstract

Previous research suggests that judgments of pain are subject to social influences, including characteristics of the person in pain, the judge, and the social context in which the judgment occurs. In this experiment, eight vignettes describing a person with chronic low back pain were varied as a function of patient ethnicity (Caucasian vs African-American), litigation status (litigant vs non-litigant), and medical evidence (strong vs weak). Participants (N= 116) read vignettes, made attributions of causality for the person's pain and disability, and evaluated the severity of the pain syndrome. Pain and disability were perceived as more legitimate when the person in pain was a non-litigant and when medical evidence was strong. Evaluations of syndrome severity were more extreme when evidence was strong. A three-way interaction indicated that judgments may have been influenced by ethnic stereotypes. These findings substantiate the influence of social variables in judgments of persons with pain.