Two-year stability of personality disorder in older adolescent outpatients

The 2-year stability of categorical and dimensional personality disorder (PD) in an older adolescent psychiatric outpatient sample was examined. One hundred and one 15-18-year-old participants were assessed using the Structured Clinical Interview for DSM Axis II Disorders (SCID-II) at baseline and 97 were re-interviewed, face-to-face, at 2 years. Of those with a categorical PD diagnosis at baseline, 74% still met criteria for a PD at follow-up, with marked gender differences (83% of females and 56% of males). Kappa for specific PDs was low for all except antisocial. Rank order and mean level dimensional stability ranged from high (antisocial, schizoid) to moderate (borderline, histrionic, schizotypal) to low (other PDs), with no decline in PD scores over the 2 years. There was no substantial influence upon stability of dimensional PD from the presence of Axis I disorder at baseline or from outpatient or inpatient treatment. However, categorical PD endured in 100% of those receiving inpatient care. The study supports that, in late teenage outpatients, the 2-year stability of the global category of PD is high and the stability of dimensionally rated PD appears to be similar to that found in young adults in a variety of settings, especially for some cluster A and B PDs. Diagnosis and early intervention appears to be justified in this age group.     

贝叶斯多组比较——渐近测量不变性

在行为科学研究领域中,检验测量工具的测量不变性是进行群体差异比较的前提。目前,多组验证性因子分析(多组CFA)方法被广泛用于检验测量不变性,但是它对跨组等值的限制过于严格,在实际应用中常常存在大量局限。贝叶斯渐近测量不变性方法基于贝叶斯思想的优良特性,放宽了传统多组CFA方法对跨组差异的严格限制,避免了传统方法的问题,具有较高的应用价值。文章详细介绍了贝叶斯渐近测量不变性方法的原理及优势,同时通过实例展示了渐近测量不变性方法在Mplus软件中的具体分析过程。     

视觉空间指令条件下SOAs变化对数字-空间联结编码的影响:来自ERP的证据

采用数字奇偶判断任务,以数字1-9(5除外)及汉字标签(左、右)作为实验材料,在视觉空间任务指令下探讨系统改变SOAs对数字-空间联结编码方式的影响。行为结果发现,SNARC效应以视觉空间编码方式为主,SOA为0ms并未出现SNARC效应; ERP结果发现,物理一致性在早期成分N1上的主效应显著。表明任务指导语影响SNARC效应的编码方式,其本质受词语信息标签加工程度的影响,且对SNARC效应的编码出现早期感觉阶段,SOAs与目标数字的特性影响SNARC效应的产生。     

面向“为学习而测评”的纵向认知诊断模型

基于“为学习而测评”的理念,以促进学生学习为目的,客观量化学习现状并提供诊断反馈的测评模式日益受到重视。相比于横断认识诊断测评,纵向认知诊断测评更有利于实现促进学生发展的目标。为使国内学者系统性地了解纵向认知诊断模型,首先,依据建模逻辑将已有纵向认知诊断模型划分为基于潜在转换分析的和基于高阶潜在结构模型的两类,并逐一介绍和说明两类模型的理论基础和应用情景;然后,通过模拟研究为读者呈现如何使用纵向认知诊断模型进行数据分析及如何解读相应的诊断结果。最后,提炼出四个可进一步研究的议题。     

认知固执导致持续应激的认知与神经机制

认知固执(Perseverative Cognition, PC)是一种重复或长期的消极认知表征,既能够使用量表测量,也可以通过实验诱发。认知固执会导致持续应激反应,进而影响个体的身心健康。其导致持续应激反应的认知机制体现在个体难以识别安全信号,高认知固执个体会表现出低心率变异性的显著特征;在脑机制方面主要表现为前额叶的抑制控制功能失调、杏仁核与前扣带回的病理性改变以及前额叶-杏仁核的连接减弱。未来研究应深入探讨认知固执的影响因素以及干预措施,同时需要进一步分析内隐认知固执的测量方式及其对个体的影响。     

Argumentative Patterns in Chinese Medical Consultations

Medical argumentation in non-Western societies has attracted little attention. In line with the pragma-dialectical approach to the study of argumentation, this article identifies a prototypical argumentative pattern in Chinese medical consultations. In addition to institutional preconditions, whose relevance to the argumentative pattern has been well cited, a factor that may be equally important has remained unnoticed: the preference for certain drugs, treatments or therapeutic measurements on the basis of folk interpretations of medical phenomena in individual ethnic groups. These preferences may be seen as cultural preferences in the medical domain. In this paper, a prototypical argumentative pattern of Chinese medical consultations is provided. Two levels of the pattern are distinguished and discussed: a basic argumentative pattern as presented in the pragmatic-dialectical approach and its extensions due to cultural preferences as well as institutional constraints. Illustrated by an exemplary analysis on the basis of empirical data collected from Chinese consulting rooms, the impact of cultural preferences on physicians’ strategic maneuvering in argumentation is identified and recognized. It is argued that the existence and impact of cultural preferences require attention in medical argumentation.     

父母冲突对青少年抑郁的影响:认知反应性的中介作用

采用父母冲突儿童知觉量表(CPIC)、抑郁体验问卷(DEQ)、莱顿抑郁敏感指数量表(LEIDS)测量753名高中生,以便分析认知反应性在父母冲突与抑郁之间的中介作用。结果表明:(1)父母冲突显著正向预测认知反应性; 认知反应性显著正向预测青少年抑郁;(2)认知反应性在父母冲突与青少年抑郁之间具有完全中介作用。因此,认知反应性作为中介变量,父母冲突通过认知反应性对青少年抑郁具有稳定的间接作用。     

Logic for Describing Strong Belief-Disagreement Between Agents

The result of an interaction is influenced by its epistemic state, and several epistemic notions are related to multiagent situations. Strong belief-disagreement on a certain proposition between agents means that one agent believes the proposition and the other believes its negation. This paper presents a logical system describing strong belief-disagreement between agents and demonstrates its soundness and completeness. The notion of belief-disagreement as well as belief-agreement can facilitate gaining a clearer understanding of the acts of trade and speech.     

细胞因子和抑郁症

在心理神经免疫学领域,越来越多的证据表明神经和免疫之间存在双向交流通路,免疫系统可能在一些心理精神障碍中具有重要作用。“抑郁症的细胞因子假说”认为细胞因子作为神经调质,可能在抑郁症的病因和病理过程中具有重要作用。这个假说得到了很多证据的支持。而在动物身上应用前炎性细胞因子也能够引起与人类抑郁症行为症状非常类似的“病态行为”。研究认为外周细胞因子通过信号传导进入脑内与中枢产生的细胞因子共同作用于下丘脑－垂体－肾上腺轴和5－羟色胺系统,从而导致抑郁症。细胞因子的中枢效应可以解释很多抑郁症状,“抑郁症的细胞因子假说”为探讨抑郁症状的机制和治疗抑郁症提供了一个新的视角     

《管子》为杂家著作考

《管子》书非管仲所著已成学界公论,但其具体著者和成书年代当前却无一致认识,同时《管子》书的学派归属问题也存在着很大争议。笔者认为,《管子》为齐国稷下部分学者集体创作而成,其成书于战国晚期。《管子》的学派归属既非"齐法家",亦不是"道家黄老",而是先秦杂家。《管子》对于中国哲学、中国封建政治文化的发展起了重要的作用,它所体现出的"和而不同"的文化观对当代文化现代化的建设具有时代的价值。