The high self-esteem (HSE) heterogeneity hypothesis provides a new research perspective for investigating differences in the quantity and quality of different types of self-esteem. The present study adopted the emotional Stroop paradigm and the odd-one-out search task to explore how individuals with different types of self-esteem process social information in self-threatening situations. The results showed that individuals with different types of self-esteem had an attentional bias toward negative information and had different attentional biases toward angry faces in self-threatening situations. Individuals with fragile HSE and low self-esteem showed facilitated attention to angry faces and had difficulty drawing attention away from them; secure HSE individuals only showed difficulty disengaging attention from angry faces.
Uninsured populations have poor treatment engagement and are less likely to receive evidence-based interventions for depression. The objective of the current study was to retrospectively examine depression screening, diagnosis, and treatment patterns among uninsured patients in primary care. Study sample included all patients (N = 11,803) seen in nine community-based clinics. Key variables included depression screener and/or a depression diagnosis, anti-depressant initiation, behavioral health visits, and patient follow up measures. Treatment patterns from the subsample of patients diagnosed with depression were analyzed by collecting the number of behavioral health visits and antidepressant use six months (180 days) following the diagnosis. Utilization of the depression screening tool was high (67%, n = 7,935) and 24% (n = 2,789) of the patients had a diagnosis of depression, however, more than half of the patients with a depression diagnosis did not have a recorded treatment plan (n = 1,474). The odds of anti-depressant use and behavioral visits for Hispanic patients were significantly greater than for Non-Hispanic patients. Universal screening with brief measures in primary care is improving, however, guideline-concordant depression treatment remains elusive for uninsured populations. 相似文献