Willingness to Seek Treatment Among Black Students With Anxiety or Depression: The Synergistic Effect of Sociocultural Factors With Symptom Severity and Intolerance of Uncertainty

Anxiety and depressive disorders are among the most commonly diagnosed psychiatric disorders, yet they remain largely undertreated in the U.S. and Black adults are especially unlikely to seek or receive mental health services. Symptom severity has been found to impact treatment-seeking behaviors as have sociocultural factors. Yet no known research has tested whether these factors work synergistically to effect willingness to seek treatment. Further, emerging data point to the importance of transdiagnostic risk factors such as intolerance of uncertainty (IU). IU may be negatively related to seeking treatment given that Black adults may be uncertain whether treatment might benefit them. Thus, the current study examined the relations between symptom severity/IU and willingness to seek treatment for anxiety/depression problems and the impact of key sociocultural variables (i.e., cultural mistrust–interpersonal relations [CMI-IR], perceived discrimination [PED]) on these relations among 161 (85% female) Black undergraduates. Consistent with prediction, symptom severity was positively related to willingness, but unexpectedly, IU was positively related. There was a significant Symptom Severity × CMI-IR interaction such that severity was positively related to willingness among students with lower cultural mistrust, but not higher mistrust. There were also significant IU × PED interaction such that IU was positively related to willingness among students with lower PED, but not higher PED. Results highlight the importance of considering the interplay between symptom severity, transdiagnostic vulnerability factors, and sociocultural variables when striving to identify factors related to treatment seeking behaviors among anxious and/or depressed Black students.     

论我国公民教育中的"四个结合"

我国公民意识教育应注重四个结合:公民意识教育的起点应注重公民权利教育及其与公民义务教育相结合;公民意识教育的重点应注重公民的法治信仰教育与公民伦理教育相结合;公民意识教育的方式应注重制度性严格约束与公民自教自律相结合;公民意识教育的承担者应注重党和政府职能部门及其专职队伍与民间组织相结合。     

Training effects on dynamic visual acuity with free-head viewing.

Training effects on dynamic visual acuity (DVA) were determined over a range of target durations and target velocities under the viewing condition of free-head movement. Dynamic acuity levels were lower than static acuity levels, and training was found to be very effective in improving performance, particularly under the most difficult conditions in which performance was poorest. Improvement was also most evident among those observers who initially exhibited the poorest DVA scores. Preliminary comparisons between DVA scores of a nonselect sample of college students and those of a small group of college athletes indicated that the athletes were not very different from the nonselect group and would also benefit from training on the task.     

华西圣教书会的文字事工及其影响(1899-1919)

华西圣教书会于1899年初成立于重庆,存续40余年,于1941年关闭,是基督教在华西地区最重要的文字机构之一①.本文以清末民初为时限,考察华西圣教书会成立过程及其出版、发行状况,并分析基督教文字事业对华西社会变迁所起到的重大作用.     

关注肿瘤患者避免过度诊疗——解析ASCO大会关于肿瘤诊疗的5项建议

现代肿瘤的诊疗水平已经有了长足的进步,先进的诊断技术使得很多肿瘤得以早期发现并积极治疗,很多晚期患者也不再面临无药可用的境地,但由于临床医生的认识存在偏差,存在过度诊断和过度治疗的问题,进而给患者带来不必要的负担和痛苦。美国临床肿瘤学会（ASC0）年会上发布了一篇名为“ASCO为改善肿瘤治疗质量及医疗花费的5项建议”的文章,特别提出要重视五项临床广泛应用、花费较大,但缺乏高级临床证据的肿瘤治疗或干预措施,也提示我们需要充分评估,综合思考,为合适的患者提供正确的诊治方案,才能给患者带来更大的获益。     

Tales of Plagues and Carnivals: Samuel R. Delany, AIDS, and the Grammar of Dissent

While even today lesbian, gay, bisexual and transgender people might have cause to distrust the healthcare establishment, how much more fragile was the relationship between sexual minorities and health professionals in the first decade of the AIDS epidemic. Dissent from consensus healthcare and health research then was a question of survival in the face of political and medical intransigence. This article focuses on one version of AIDS dissent: The narrative representations of AIDS in fiction by the gay African-American fantasy writer Samuel R. Delany, which rejected the rigid binarism of “safe” and “unsafe” sex practices, Delany’s evidence-based dissent. He also engaged in a related form of cultural dissent: speaking the unspeakably obscene, at a time when Silence?=?Death. Delany called into question both the inferential leaps based on limited epidemiological research that were represented in safer sex guidelines and the widespread public reticence about sexual behavior.