高血压专业管理的思考和策略

高血压专业管理在不断的循证研究和临床实践中发展,有效的专业管理是预防心脑血管并发症发生、改善高血压转归的迫切需要.最大限度降低总体心血管风险是降压治疗的目标,也是高血压专业管理的方向.     

结核病疗养院的兴衰及其启示

通过追溯欧美和中国结核病疗养院产生、发展直至消亡的历史来探寻曾经风行百年的“疗养院疗法”.经考证,正是链霉素、异烟肼等杀菌药物的发明使得结核病疗养院成为历史的陈迹.结核病疗养院之兴衰表明:新的、疗效显著的治疗手段出现之后,旧的疗效差的疗法因此被淘汰,基于旧疗法的治疗机构亦随之过时.     

综合医院如何识别精神疾患——以双心门诊服务为例

本文以双心门诊服务为例,介绍了在综合医院门诊服务中如何融入心理卫生视角,如何发现和诊治精神障碍,同时鉴别和处理患者的心理问题.重点强调了精神科方法的特殊性——既有常规的因果论说明,也要有目的论的理解.只有将患者的临床表现与行为应对放到个性、生存环境的大背景下加以有意义的理解,才能更好地帮助患者追求健康和应对疾病.文章最后,给出了精神科与内科如何进行临床分工合作的实际做法供参考.     

基于文化的心理复原力研究

随着对个体心理复原力研究不断深入,文化作为影响个体心理复原力的重要因素日益受到关注,研究者在厘清文化与复原力之间的关系后,尝试以积极心理学的视角,将中国传统文化中"天人合一"、"以人为本"、"自强不息"、"厚德载物"等文化精神引入到个体心理复原力发展的过程中,为个体心理复原力的研究贡献价值。     

Dopamine D1 receptors are responsible for stress-induced emotional memory deficit in mice

It is established that stress impairs spatial learning and memory via the hypothalamus-pituitary-adrenal axis response. Dopamine D1 receptors were also shown to be responsible for a stress-induced deficit of working memory. However, whether stress affects the subsequent emotional learning and memory is not elucidated yet. Here, we employed the well-established one-trial step-through task to study the effect of an acute psychological stress (induced by tail hanging for 5, 10, or 20?min) on emotional learning and memory, and the possible mechanisms as well. We demonstrated that tail hanging induced an obvious stress response. Either an acute tail-hanging stress or a single dose of intraperitoneally injected dopamine D1 receptor antagonist (SCH23390) significantly decreased the step-through latency in the one-trial step-through task. However, SCH23390 prevented the acute tail-hanging stress-induced decrease in the step-through latency. In addition, the effects of tail-hanging stress and/or SCH23390 on the changes in step-through latency were not through non-memory factors such as nociceptive perception and motor function. Our data indicate that the hyperactivation of dopamine D1 receptors mediated the stress-induced deficit of emotional learning and memory. This study may have clinical significance given that psychological stress is considered to play a role in susceptibility to some mental diseases such as depression and post-traumatic stress disorder.     

Non-target language processing in Chinese-English bilinguals: a study of event-related potential

The event-related brain potential (ERP) technique was used to investigate the neural mechanism of non-target language processing in Chinese-English bilinguals. Participants were presented with a mixed list of Chinese and English words and required to make conceptual decisions for words in one language and ignore words in the other non-target language. Regardless of whether the nontarget word was in Chinese or English, the ERPs they elicited were modulated by word frequency, suggesting that their meaning had been accessed. The N400 peak was delayed in the English as the non-target language condition, probably because participants were less proficient in English. The results suggest that the non-target language can be processed during conceptual tasks with participants' proficiency in this language being a critical factor.     

Exploratory and confirmatory factor analysis of a short-form of the EMBU among Chinese adolescents

The present study used a sample of Chinese adolescents and validated a short-form of the Egna Minnen Betr?ffande Uppfostran: One's Memories of Upbringing (s-EMBU) assessing perceived parental rearing styles. A Chinese revision of the s-EMBU by the authors was administered to a total of 779 high school students, ages 11 to 19 years. Exploratory factor analysis with half of the sample yielded a three-factor solution of Rejection, Emotional Warmth, and Overprotection, accounting for 47.1% of the total variance onthe father form and 48.8% of the total variance on the mother form. Then, confirmatory factor analysis indicated a good fit of the three-factor model to the data in the other half of the sample. The three subscales consisted of 6, 6, and 7 items, respectively. Scores on these subscales had Cronbach alphas ranging from .71 to .81, indicating adequate internal consistency. These psychometric properties suggest its applicability for research with Chinese adolescents.     

Two experimental tests of trust in in‐group strangers: The moderating role of common knowledge of group membership

The role that shared group membership plays in decisions to trust others is now well established within social psychology. A close reading of this literature, however, shows that this process is often moderated by other variables. Currently, we examined one potential moderator of this process. In particular, we evaluated the role that common knowledge of a shared social group membership between self and a to‐be‐trusted stranger provides as a basis for trusting this stranger. This common knowledge emerges when the truster knows the group membership of the to‐be‐trusted other, and believes that this other also knows the group membership of the truster. In two experiments, using pre‐existing and minimal groups, we show that people are more likely to trust an in‐group member over an out‐group member under conditions of common group‐membership knowledge rather than private group‐membership knowledge (i.e. other does not know truster's group), even when they could choose not to trust anyone. The manner in which these data add to current understandings of group‐based trust in strangers is discussed. Copyright © 2011 John Wiley & Sons, Ltd.     

Association of Positive and Negative Parenting Behavior with Childhood ADHD: Interactions with Offspring Monoamine Oxidase A (MAO-A) Genotype

Relatively little is known about the potential interplay between genetic and environmental influences on attention-deficit/hyperactivity disorder (ADHD), including gene-environment interaction (G×E). There is evidence that parenting behavior interacts with offspring genotype in the development of externalizing problems, but studies have largely focused on explicit maltreatment rather than differentiated measures of parenting behavior, including positive and negative parenting. We tested the interactive effects of the 30-base pair variable number tandem repeat (VNTR) polymorphism of the monoamine oxidase A gene (MAO-A) with positive and negative parenting behavior on parent- and teacher ratings of inattention and hyperactivity symptoms among 150 6–9 year-old boys with and without ADHD. Negative parenting predicted parent and teacher ratings of inattention symptoms, but only among boys with high-activity MAO-A genotype. MAO-A genotype did not moderate the association of positive parenting and parent- and teacher ratings of ADHD. We discuss the potential role of interactive exchanges between parenting behavior and child genotype in the development and persistence of ADHD and related behavior problems.