A systematic review of interventions for anxiety in people with HIV

People with human immunodeficiency virus (HIV) show elevated anxiety levels compared to the general population. Anxiety can predate HIV infection or be triggered by HIV diagnosis and the many stresses that emerge during the course of HIV disease. Many psychological and pharmacological therapies have been shown to treat anxiety in the general population but a systematic understanding of which interventions have been tested in and are effective with HIV-seropositive individuals is needed. This review examines all published intervention studies on anxiety and HIV from 1980 to 2009 covered by the databases MedLine (1980-2009) and PsycINFO (1980-2009) for a definitive account of effectiveness of interventions and an indication of prevalence of HIV-related anxiety and measurement within studies. Standard systematic research methods were used to gather quality published papers on HIV and anxiety, searching published data bases according to quality inclusion criteria. From the search, 492 papers were generated and hand searched resulting in 39 studies meeting adequacy inclusion criteria for analysis. Of these, 30 (76.9%) were implemented in North America (the USA and Canada), with little representation from developing countries. Thirty-three (84.6%) studies recruited only men or mostly men. A total of 50 interventions were investigated by the 39 studies; 13 targeted HIV, symptoms or associated outcomes/conditions, 20 directly targeted anxiety and another 17 indirectly targeted anxiety. Twenty-four (48%) interventions were effective in reducing anxiety (including 11 indirect interventions), 16 (32%) were ineffective and 10 (20%) had an unknown effect on anxiety. Sixty-five percent of interventions directly targeting anxiety were effective. Psychological interventions (especially cognitive behavioural stress management interventions and cognitive behavioural therapy) were generally more effective than pharmacological interventions. Only three studies provided prevalence rates - these ranged from 13% to 80%. Anxiety was measured using 16 different instruments. Our detailed data suggest that interventions are both effective and available, although further research into enhancing efficacy would be valuable. Also, the vast majority of studies were Western-based, no studies looked at children or adolescents and few looked specifically at women. An international effort to harmonise measurement of anxiety is also missing. There is a need to routinely log anxiety in those with HIV infection during the course of their disease, to provide specific data on women, young people and those in diverse geographic areas and incorporate management into care protocols.     

The automaticity of emotional face-context integration

Recent studies have demonstrated that context can dramatically influence the recognition of basic facial expressions, yet the nature of this phenomenon is largely unknown. In the present paper we begin to characterize the underlying process of face-context integration. Specifically, we examine whether it is a relatively controlled or automatic process. In Experiment 1 participants were motivated and instructed to avoid using the context while categorizing contextualized facial expression, or they were led to believe that the context was irrelevant. Nevertheless, they were unable to disregard the context, which exerted a strong effect on their emotion recognition. In Experiment 2, participants categorized contextualized facial expressions while engaged in a concurrent working memory task. Despite the load, the context exerted a strong influence on their recognition of facial expressions. These results suggest that facial expressions and their body contexts are integrated in an unintentional, uncontrollable, and relatively effortless manner.     

Emotionally conditioning the target-speech voice enhances recognition of the target speech under “cocktail-party” listening conditions

Under a noisy “cocktail-party” listening condition with multiple people talking, listeners can use various perceptual/cognitive unmasking cues to improve recognition of the target speech against informational speech-on-speech masking. One potential unmasking cue is the emotion expressed in a speech voice, by means of certain acoustical features. However, it was unclear whether emotionally conditioning a target-speech voice that has none of the typical acoustical features of emotions (i.e., an emotionally neutral voice) can be used by listeners for enhancing target-speech recognition under speech-on-speech masking conditions. In this study we examined the recognition of target speech against a two-talker speech masker both before and after the emotionally neutral target voice was paired with a loud female screaming sound that has a marked negative emotional valence. The results showed that recognition of the target speech (especially the first keyword in a target sentence) was significantly improved by emotionally conditioning the target speaker’s voice. Moreover, the emotional unmasking effect was independent of the unmasking effect of the perceived spatial separation between the target speech and the masker. Also, (skin conductance) electrodermal responses became stronger after emotional learning when the target speech and masker were perceptually co-located, suggesting an increase of listening efforts when the target speech was informationally masked. These results indicate that emotionally conditioning the target speaker’s voice does not change the acoustical parameters of the target-speech stimuli, but the emotionally conditioned vocal features can be used as cues for unmasking target speech.     

父母家校沟通与小学生参与数学课外补习的关系研究

基于某特大型城市学区658名小学四年级学生及其父母的调查数据,讨论小学生参与数学课外补习的影响因素,特别是家校沟通的作用。数据分析结果表明：在控制学生数学学业成绩与家庭社会经济地位的情况下,母亲的家校沟通行为可以显著预测四年级学生的数学课外补习参与情况,而未发现父亲的家校沟通行为的预测作用,研究结论印证了信息沟通在家庭教育决策中的重要作用。     

发音人和语境变异与声调知觉

本文用Garner快速分类法研究了发音人规范化和语境补偿过程与声调知觉的关系。得到的主要结果是:(1)发音人变化对声调识别产生了显著的Gar-ner干扰;声调变化对男女声判别产生了同样的十扰。(2)语境变化对声调识别也产生了显著的Garner干扰。按照Garner方法的假设,这说明发音人规范化和语境变异补偿与声调识别之问是相互联系和相互影响的。(3)虽然发音人和语境同时变化引起的声调识别反应时延长约等于它们单独变化时反应时延长量之和,但正确率下降远大于单独变化时下降量之和。说明发音人和语境变异对声调识别的干扰不是独立的,它们之间存在相互作用。这种作用增加了声调识别的难度。     

重复学习判断中的低自信效应

学习判断是元认知判断的一种重要形式,是对未来回忆成绩的预测。重复学习判断中的低自信效应是一个有趣而反常的现象,指在重复学习测验中,学习判断往往低估了回忆成绩的增加,出现低自信的一种现象。目前,大部分实验证据支持重复学习判断中的低自信效应是普遍存在的,但也有一些实验结果表明该效应是受一定条件限制的。对于这种低自信效应的作用机制,研究者提出了不同的理论模型（如,锚定调整假说、记忆偏向消除理论、过去测验记忆的启发式假说等）进行了深入探讨。最后,文章还指出了此领域现有研究的局限和有待研究的问题     

中国宗教政策研究的标志性成果——读《中国的宗教政策》

中国的宗教政策问题,由于其特殊的复杂性、敏感性,迄今仍是中国宗教研究领域中的极为薄弱的一环。学术界同仁虽然对一些时期的宗教政策作过不同程度的探讨,但从古代至于现代进行综合性的全面论述的专著一直未曾问世。任杰、梁凌所著,民族出版社2006年12月出版的《中国的宗教政策》率先打破这一局面,可谓中国宗教政策研究中,一项具有填补空白的标志性成果,这是值得积极加以评价和推荐的。本书学术贡献至少体现在三个方面:第一,对中国各个时期宗教政策的特点和内涵作了明晰地论断和充实地阐述。本书把中国宗教政策发展阶段划分为三个时期:一、…     

认知闭合需要、框架效应与决策偏好

在带有模糊性的决策情境中,决策者个人的认知特征会对其判断决策产生重要影响。通过实验的方法,考察了认知闭合需要和特征框架效应对个体决策偏好的影响。93名工商管理硕士（MBA）参与了实验,研究的结果支持了本研究的3个假设,即认知闭合需要与特征框架效应不仅对被试的决策偏好存在显著的影响,而且二者还存在显著的交互作用。具体来说,研究发现,在模糊情境中：高认知闭合需要的被试偏好于立刻做出决策,而低认知闭合需要的被试偏好于暂缓做出决策;接收到正向框架信息的被试偏好于立刻做出决策,而接收到负向框架信息的被试偏好于暂缓做出决策;认知闭合需要与特征框架对被试的决策偏好还存在显著的交互作用。研究结论为根据个体认知闭合需要的水平来选拔决策者、利用框架效应来影响个体的信息加工方式进而提高决策质量提供了理论依据     

表象预期调控生物运动性别信息的识别

生物运动系在运动的生物体身的关键节点安置12～15个光点的运动痕迹形成的动画。研究表明光点生物运动包含了丰富的社会性信息,其社会性信息的识别涉及多个心理活动过程,其中大脑自上而下的知觉调控过程发挥重要作用。本研究通过两个实验探讨了表象预期在大脑自上而下调控光点生物运动性别信息识别的作用。结果发现：（1）表象预期能够加快男性生物运动的性别识别速度;想象中性形象被试倾向于将性别中立的生物运动识别为中性,而较少为男性或者女性。（2）表象预期条件和无表象预期条件下性别中立的光点生物运动性别类型识别都表现出“男性偏差”现象。（3）反应类型能够影响生物运动的性别识别。本研究有利于揭示大脑自上而下调控光点生物运动性别信息识别的心理机制。     

墨西哥医疗保障体系改革及其对我国的借鉴

墨西哥近年的医疗卫生改革取得了巨大的成就。通过简要地描述墨西哥人群健康状况、医疗卫生资源现状、卫生系统绩效以及与中国的比较,分析了墨西哥三轮卫生改革的特点、存在的问题以及面临的挑战,旨在提出墨西哥卫生系统与医疗保障体系改革对我国医疗卫生改革的启示和借鉴。