Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

COVID-19 and Religious Ethics

The editors of the JRE solicited short essays on the COVID-19 pandemic from a group of scholars of religious ethics that reflected on how the field might help them make sense of the complex religious, cultural, ethical, and political implications of the pandemic, and on how the pandemic might shape the future of religious ethics.     

左侧眶额皮层在自动情绪调节下注意选择中的作用：来自经颅直流电刺激的证据

前人研究表明自动情绪调节能够自上而下地影响情绪及情绪性注意过程。近来有研究提示自动情绪调节与眶额皮层(orbitofrontal cortex, OFC)有关。也有研究表明左侧OFC的激活影响负性注意偏向。本研究采用经颅直流电刺激技术, 考察阈下启动情绪控制目标条件下, 抑制左侧眶额皮层兴奋性是否影响负性注意偏向。结果发现, 使用阴极刺激抑制左侧OFC活动可以加快被试对与恐惧刺激位置一致的探测点的反应。该结果提示左侧眶额皮层是自动情绪调节下情绪性注意选择相关的重要脑区。     

儿童青少年时期加工速度和执行功能在流体智力发展中的作用

以7~15岁儿童青少年为研究对象,考察加工速度和执行功能对流体智力的影响。研究结果表明,随着年龄的增长,感觉运动加工速度、知觉加工速度对流体智力从具有直接影响到只通过执行功能中的记忆更新成分产生间接影响,但这种影响存在年龄间的差异。在童年中期（7~9岁）,知觉加工速度对流体智力不仅具有直接的预测作用,还通过记忆更新对其产生间接的影响。童年晚期（10~12岁）,感觉运动加工速度和知觉加工速度不再对流体智力具有直接预测作用,都是通过记忆更新和抑制/转换合成成分间接对流体智力起作用。青春期（13~15岁）,知觉加工速度对流体智力只通过记忆更新产生间接影响。     

Providing more or less detailed information in job advertisements—Does it matter?

Job advertising is a common and useful recruitment marketing method that is available to a wide range of candidates and offers a practical way to widen the applicant pool. Frequently, retail advertisements only briefly introduce job requirements, but others provide more detailed information. Existing message studies, however, are inconclusive about the effectiveness of message specificity. A scenario‐based experiment that included 164 participants revealed that the type of decision maker (maximizer or satisficer) moderates the specificity effects in recruitment messages. After receiving a detailed job message, more satisficers stop their search process, but only maximizers perceive the company as more attractive and increase intentions toward the advertised job. A follow‐up qualitative study involving 30 participants provided further insights.     

职前教师情绪觉察能力对情绪信息注意偏向的影响

采用修订的情绪觉察水平量表（LEAS）对315名职前教师进行调查,并从中筛选出高、低情绪觉察能力组被试各60人,分别完成情绪面孔Stroop任务（研究1）和情绪词Stroop任务（研究2）。（1）研究1的正确率上,中性面孔最高,愉快面孔次之,悲伤面孔最差;反应时上,悲伤面孔最长,愉快面孔次之,中性面孔最短;高分组仅在愉快和中性面孔上的反应时长于低分组;消极面孔的干扰效应高于积极面孔的干扰效应。（2）研究2的反应时上,消极词的反应时最长,显著长于中性和积极词;高分组仅在积极词和中性词上的反应时长于低分组,且高分组在积极词上的干扰效应高于低分组。研究结果表明与中性刺激相比,高低情绪觉察能力组均对情绪刺激产生了注意偏向,尤其是负性情绪刺激;与低情绪觉察能力组相比,高情绪觉察能力职前教师不仅对消极情绪信息产生注意偏向,还对积极情绪信息产生注意偏向。     

走神研究的理论、方法与展望

走神是一种将注意从当前主要任务转移到内部思维的认知现象,具有刺激独立、任务无关、主观自发等特点。其测量方法以主观报告法为主,同时也采用行为实验、电生理技术和认知神经科学等方法。本文重点回顾了走神的二分结构、负面结果和潜在功能等方面的研究成果。然后,在此基础上,从走神的发生机制及其与执行控制的关系角度,介绍了三个理论观点：执行资源假设、控制失败假设和资源控制假设。根据最新研究进展预测,未来对走神概念将会做更细致的区分,并考虑结合元认知监测相关理论进行研究,这不仅可以为学习者提供具体的指导建议,还将进一步加深我们对意识、元认知和注意的理解。     

Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach

This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and stroke, their caregivers, health care providers, and GIS mapping of pluralistic health systems, food vending sites, bars, and physical activity spaces. Data analysis was informed by the diagnosis‐psychosocial intervention‐reflexivity framework proposed by Guareschi and Jovchelovitch. The community had a high prevalence of CVD and risk factors, and CVD knowledge was cognitive polyphasic. The environment was obesogenic, alcohol promoting, and medically pluralistic. These factors shaped CVD experiences and eclectic treatment seeking behaviours. Psychosocial interventions included establishing a self‐help group and community screening and education. Applying the “AIDS‐competent communities” model proposed by Campbell and colleagues, we outline the psychosocial features of CVD competence that are relatively easy to implement, albeit with funds and labour, and those that are difficult. We offer a reflexive analysis of four challenges that future activities will address: social protection, increasing men's participation, connecting national health policy to community needs, and sustaining the project.     

Disentangling the far transfer of language comprehension gains using latent mediation models

While we know that interventions targeting oral language can be effective, little is known about what drives these effects. In this study, we examine whether gains in transfer measures are mediated through the specific words that are trained in a language intervention. Based on a large‐scale randomized controlled trial of language intervention in 4‐ to 5‐year‐old children, latent mediation models were used to disentangle oral language gains in transfer measures. The results first showed that the effects of the language intervention and the transfer effects are generated through expressive rather than receptive measures of language. Second, we found that the effects of the intervention on intermediate transfer measures of language were mediated through the ability to define the trained words. Third, and critically, for far transfer measures that did not contain any of the trained words, the effects were mediated through the trained words. The findings relate to theories of transfer and support the idea that far transfer is possible, at least within the same domain. In addition, it seems that effects on receptive language skills are difficult to obtain and that what is improved is instead the children's ability to express themselves and use procedures to explain words. Thus, to optimize intervention effects, future studies should focus on expressive language.     

Attachment and resource sharing

In three studies we examined the associations between resource sharing (RS) and attachment, and the enhancement of RS using attachment security primes. In Study 1, we showed that attachment avoidance was negatively associated with RS. We also identified differences and similarities between RS and pro‐sociality. In Studies 2 and 3, we showed that research participants were more likely to share their monetary resources after they were primed with attachment security. Study 3 further revealed that security priming affected mainly people low on state attachment anxiety. Our findings extend previous work on pro‐sociality into the specific realm of RS, provide behavioral evidence, and tie attachment and close relationships in with game theory and research on economic decision making.