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51.
This article is a response to Coyne, Thompson, Palmer, Kagee, and Maunsell's (2000) article, “Should We Screen for Depression? Caveats and Potential Pitfalls.” We address four points that we view as central to their argument: (1) current screening measures are inadequate; (2) correct identification of depressed patients does not result in improved clinical outcomes; (3) screening is too expensive; and (4) screening may have harmful negative effects. We discuss the following important issues: (1) screening and prevention are still in the research and development phase; (2) the kindling phenomenon is an important reason to screen; (3) there is a need to focus screening and prevention efforts on ethnic minorities; and (4) high depressive symptoms have a substantial public health impact. Finally, we present reasons why screening is advisable, both for prevention and treatment purposes, and provide our recommendations. Our stance is that, in order for screening and prevention to become practical, they need to be implemented in both research and practice contexts. Therefore, we should make screening for major depression a priority.  相似文献   
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Learned associability and associative change in human causal learning.   总被引:1,自引:0,他引:1  
The Mackintosh (1975) model of associative learning specifies that processing of both the cues presented on a trial and the outcome of that trial will interact to determine the amount of associative change undergone by a given cue. Experiments looking at the distribution of associative change among the elements of a reinforced compound in animal conditioning studies indicate that processing of the outcome of a trial does indeed influence associative change. The work reported here investigates the distribution of associative change among the elements of a reinforced compound in a human causal judgement paradigm, and it indicates that processing of the cues presented on a trial also plays a role in determining associative change (in terms of changes in the associability of cues as a result of experience). Taken in combination, these results provide good support for Mackintosh (1975) and the characterizations of both cue and outcome processing that it offers.  相似文献   
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To study the effects of isolation and confinement on small groups during long space flights, it is habitual to use closed hyperbaric ground chambers. For the first time, the European Space Agency made use of a nautral environment taking advantage of an Antarctic winter-over at the French Dumont d'Urville Station. The main objective of that study ("International Antarctic Psychological Programme"), was to compare different Russian tests used for training cosmonauts to a W. European approach validated during previous winter studies and European ground chamber simulations. Russian techniques appeared to be oriented to a narrow range of phenomena and unsuited to discern the adjustment to stress conditions.  相似文献   
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In Experiment I, subjects were given active and passive sentences where the definiteness of nominals is varied and about which uncertainty was expressed, e.g. “I thought that the policeman had been injured by a gangster, but I was mistaken, in fact.”. Their task was to decide what was the target of the mistake by completing freely the sentence in such a way that the account would be corrected. When the nominals are differentially determined (a-the, the-a), the pattern of responses indicates that, for both active and passive, subjects were more likely to conclude that it was the non-definitely marked nominal that had been involved in the mistake rather than the definitely marked one. When both nominals are similarly determined (a-a, the-the), subjects were more likely to indicate the event itself as having been involved in the mistake. This supports the hypothesis that subjects are able to utilize definiteness to determine the relation between presupposed and assertional information. In Experiment II, subjects were given paired active and passive sentences with differentially determined nominals and were required to choose between the two syntactic forms of each pair the one they would prefer to use. The pattern of responses clearly shows that subjects were more likely to choose the voice allowing the hypothesized preferential order “Definitely marked grammatical subject-non-definitely marked grammatical object”. Passive transformational rule is thus interpreted as a particular case of a more general rule specifying the ways in which what is made known (comment) is nested on to what is already assumed to be the case (topic).  相似文献   
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The authors investigated the development of the affective, cognitive, and behavioral components of empathy in preschoolers, specifically examining how cognitive empathy is linked to theory of mind and affective perspective taking. Participants were 158 children aged 4–6 years. They listened to narratives and then answered questions about the protagonists' emotions. The affective component was probed with the question, “How do you feel seeing the little girl/boy?”; the cognitive component with the question, “Why do you feel [emotion shared with the character]?”; and the behavioral one with the question, “What would you do if you were next to the little boy/girl [experiencing an emotional scenario]?” Results revealed a developmental sequence in the self-focused attribution of cognitive empathy, and a trend toward a developmental sequence for behavioral empathy, which underwent a slight linear increase between 4 and 6 years old. Affective empathy remained stable. More interestingly, they showed that cognitive empathy is linked to both theory of mind and affective perspective taking.  相似文献   
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The Cigarette Purchase Task is a behavioral economic assessment tool designed to measure the relative reinforcing efficacy of cigarette smoking across different prices. An exponential demand equation has become a standard model for analyzing purchase task data, but its utility is compromised by its inability to accommodate values of zero consumption. We propose a two‐part mixed effects model that keeps the same exponential demand equation for modeling nonzero consumption values, while providing a logistic regression for the binary outcome of zero versus nonzero consumption. Therefore, the proposed model can accommodate zero consumption values and retain the features of the exponential demand equation at the same time. As a byproduct, the logistic regression component of the proposed model provides a new demand index, the “derived breakpoint”, for the price above which a subject is more likely to be abstinent than to be smoking. We apply the proposed model to data collected at baseline from college students (N = 1,217) enrolled in a randomized clinical trial utilizing financial incentives to motivate tobacco cessation. Monte Carlo simulations showed that the proposed model provides better fits than an existing model. We note that the proposed methodology is applicable to other purchase task data, for example, drugs of abuse.  相似文献   
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