从高血压防治论医学从临床走向预防

高血压防治中出现的"三高"、"三低"和"三个误区",反映了我国在高血压防治方面医学知识的普及和全民宣教的滞后,在加强诊治的同时全民预防的滞后.为此,我国政府加大了高血压病防治工作的力度,使其逐步实现由医疗、科研为主向群众预防为主的方向转化.这是高血压防治"战线"前移,从医院移到社会,从临床移到预防的过程.     

关于病案中语言失误现象的调查分析

病案语言一直是医学语言学研究的重要内容,以医学语言的语用规律为理论依据,对103份抽样病案中的语言材料,从语体、语用、语义、语法、文字五个方面切入观察,指出这些语料中的语言失误表现,并重点分析了在语用、语义、文字三方面产生失误的原因,从语言学视角为医院病案管理科学化研究提供信息.     

巴西医疗保障体系

从巴西医疗保障体系的建立、资金筹集和使用等方面介绍巴西医疗保障体系,重点关注巴西全民统一医疗制度.鉴于巴西与我国在卫生系统绩效和医疗保障制度改革中所面临的相似挑战,试图通过对巴西医疗保障体系比较详细地介绍及与我国进行简单的对比,总结成功经验、吸取教训为我国建立全民覆盖的医疗保障体系提供借鉴和参考.     

不同动机网络使用者对网络使用线索的注意偏向

以29名信息获取性动机者和21名人际情感性动机者为被试,采用情绪Stroop范式,以网络信息获取线索、网络情感满足线索、一般负性情绪线索和中性线索为刺激材料,考察了不同网络使用动机者对网络相关线索和负性情绪线索的注意加工特性。结果发现,基于信息获取性动机的网络使用者对网络信息获取线索具有显著的注意偏向,而基于人际情感性动机的网络使用者对网络情感满足线索或负性情绪线索具有显著的注意偏向。该研究为解释网络相关线索和负性情绪线索诱发不同动机者上网欲望的认知机制提供了实验证据。     

情感性动机网络使用者对负性情绪线索的前注意偏向

采用修改后的分离式Stroop任务,通过两个实验考察了基于人际情感性动机的网络使用者在双线索竞争条件下的前注意加工特性。研究结果表明,相对于信息获取型被试,在中性线索与负性情绪线索匹配条件下,人际情感型被试对负性情绪线索表现出显著的前注意加工偏向,但在中性线索和情感满足线索匹配条件下,该类被试对情感满足线索未表现出前注意加工偏向。该研究为解释人际情感型动机者的病理性网络使用行为的情绪机制提供了实验证据。     

Women–Focused Treatment Agencies and Process Improvement: Strategies to Increase Client Engagement

Behavioral health treatment agencies often struggle to keep clients engaged in treatment. Women clients often have additional factors such as family responsibilities, financial difficulties, or abuse histories that provide extra challenges to remaining in care. As part of a national initiative, four women-focused drug treatment agencies used process improvement to address treatment engagement. Interviews and focus groups with staff assessed the nature and extent of interventions. Women-focused drug treatment agencies selected relational-based interventions to engage clients in treatment and improved four-week treatment retention from 66% to 76%. Process improvement interventions in women-focused treatment may be useful to improve engagement.     

Role of Comorbid Depression and Co-occurring Depressive Symptoms in Outcomes for Anxiety-Disordered Youth Treated with Cognitive-Behavioral Therapy

This study examined the role of comorbid depressive disorders (major depressive disorder or dysthymic disorder) and co-occurring depressive symptoms in treatment outcome and maintenance for youth (N = 72, aged 7–14) treated with cognitive-behavioral therapy for a principal anxiety disorder (generalized anxiety disorder, separation anxiety disorder, or social phobia). Hierarchical linear modeling examined treatment outcome and maintenance in terms of severity of the principal anxiety disorder. Results indicated that higher levels of child-reported depressive symptoms predicted less favorable treatment outcome. Higher levels of mother-reported depressive symptoms predicted less favorable treatment maintenance at a 1-year follow-up. Results suggest that co-occurring depressive symptoms play a role in effective treatment for anxiety-disordered youth and support the merits of treatment adaptations for these youth.     

Evaluation of Peer Training for Teaching Abduction Prevention Skills

Child abduction is a serious problem, with approximately 100 children killed each year by nonfamily abductors. Training programs to teach children the correct skills to use if they ever come into contact with a stranger can be effective when they incorporate behavioral skills training (BST) and in-situ training (IST) into their protocol. However, these methods can be rather time and energy consuming. The current study evaluated the effectiveness and efficiency of a peer tutoring approach to teaching abduction prevention skills. Peer trainers implemented BST sessions and IST sessions with their younger peers. Children successfully acquired the target safety behaviors taught by the peer trainers, and use of the skills generalized to their natural environment.     

Behavior Problems in Toddlers With and Without Developmental Delays: Comparison of Treatment Outcomes

The purpose of this study is to examine the effectiveness of an in-home parent management program for toddlers with behavior problems and developmental delays by comparing outcomes for a group of toddlers with developmental delays (n = 27) and a group of toddlers without developmental delays (n = 27). The majority of children lived in single parent, low-income homes. Results suggest that the parent management program is equally effective for children with and without developmental delays. Parents from both groups reported clinically significant improvement in their children's behavior and parenting practices. Clinical implications regarding the importance of these findings for improving outcomes for toddlers with behavior problems and developmental delays living in poverty were discussed.     

Victim-Defendants in Mandated Treatment: An Ethical Quandary

Battered women are being arrested and convicted of domestic violence-related crimes in higher numbers than ever before. In addition, battered women are being sentenced to treatment as primary perpetrators even though their aggression was in response to the violence perpetrated against them. Many service providers are presently ill-equipped to offer treatment and/or other services that will effectively serve these women in a manner that will truly reduce violence and is not re-victimizing. This article will present key issues surrounding the problem, and provide suggestions for effective advocacy and intervention approaches.