Attitudes toward maternal serum screening in Chinese women with positive results

Maternal serum screening for fetal Down syndrome has been integrated into routine antenatal care in most clinics in Taiwan. We examined the attitudes toward serum screening and the possible implications in women with positive results. From January to July 1995, 276 women were referred to the Genetic Counseling Clinic, Mackay Memorial Hospital for amniocentesis because of positive screening results, and 214 participated in this study. All women opted for amniocentesis after genetic counseling. Over 40% stated that they made decisions independently after being informed of the serum screening. Need for certainty was the most frequently mentioned reason. Two-thirds believed that serum screening could provide a diagnosis. Almost all women would apply for maternal serum screening for future pregnancies. This study demonstrated that Chinese women need more counseling and autonomy regarding maternal serum screening.     

Difficulties and patterns of social support of mature college students in Hong Kong: Implications for student guidance and counselling services

The extent and nature of the difficulties faced by mature college students in a university in Hong Kong were examined. Who provided which types of support in which aspects of the lives of mature students was investigated. The results showed that time constraints were a major concern of many such students. Differences were found in the problems experienced in different modes of study and with different marital statuses. Spouses were support generalists who provided all types of support to their mature student partners, while lovers, friends and family members were support specialists who provided specific types of social support. The findings lend support to the hypothesis that the more sufficient the perceived social support received by mature students, the less the degree of difficulty they experience in their lives. Implications for service approach and for the provision of services are discussed, and recommendations on how to improve services are made.     

Transitions in sleep problems from late adolescence to young adulthood: A longitudinal analysis of the effects of peer victimization

Adolescence is a developmental period with high vulnerability to sleep problems. However, research identifying distinct patterns and underlying determinants of sleep problems is scarce. This study investigated discrete subgroups of, changes in, and stability of sleep problems. We also examined whether peer victimization influenced sleep problem subgroups and transitions in patterns of sleep problems from late adolescence to young adulthood. Sex differences in the effects of peer victimization were also explored. In total, 1,455 male and 1,399 female adolescents from northern Taiwan participated in this longitudinal study. Latent transition analysis was used to examine changes in patterns of sleep problems and the effects of peer victimization on these changes. We identified three subgroups of sleep problems in males and two in females, and found that there was a certain level of instability in patterns of sleep problems during the study period. For both sexes, those with greater increases in peer victimization over time were more likely to change from being a good sleeper to a poor sleeper. The effects of peer victimization on baseline status of sleep problems, however, was only significant for males, with those exposed to higher levels of peer victimization more likely to be poor sleepers at baseline. Our findings reveal an important role of peer victimization in predicting transitions in patterns of sleep problems. Intervention programs aimed at decreasing peer victimization may help reduce the development and escalation of sleep problems among adolescents, especially in males.

     

Who helping helps: An event-sampling study of how basic psychological needs moderate the impact of acting prosocially

Growing work suggests that prosociality – actions such as kindness and generosity – boosts the well-being of altruists, yet this effect is not universally true for all individuals. Thus, a major question moving forward is who reaps the largest benefits of acting prosocially. Here, we propose that trait differences in satisfaction of needs (i.e. autonomy, competence, and relatedness) act as key moderators of the effect of prosociality on well-being. We tested two competing hypotheses – deprivation vs. sensitization models – in a 14-day event-sampling study of 383 community participants. We found that people with lower trait autonomy experienced a greater well-being boost after acting prosocially than their higher counterparts. Moreover, this relationship was further mediated by state autonomy. Our findings highlight the special role autonomy, but not competence or relatedness, plays in explaining individual differences in who benefits from acting prosocially – and the mechanism behind this process.     

基于团体平衡视角的公立医院改革模式分析

通过分析公立医院改革中的相关利益集团及团体冲突,发现改革的动力主要来自城乡居民和中央政府,阻力主要来自公立医院和地方政府.对公立医院改革的四种模式进行了相关利益集团的利益损益剖析并从团体平衡的视角探究改革政策形成过程的不足、政策内容设计的缺陷.提出政府平衡各团体利益的五种途径:明确改革的价值取向和目标、厘清政府与公立医院的关系、制定游戏规则、协调利益冲突、干预利益格局.     

高血压患者应激反应特点及行为人格的关系研究

为了解高血压患者心血管反应的特征及与健康人群的差异,使用实验和问卷调查的方法对高血压患者和健康居民进行研究。结果显示,两组在任务期和恢复期的心血管反应差异显著（P〈0．05）;病例组的健康实践行为和消极应对方式水平较高,积极应对方式有待提升;健康实践行为和恢复期舒张压呈负相关,积极应对方式和任务期收缩压呈正相关（P〈0...     

意识锚定加工对潜在锚定加工的影响

潜在锚定效应是指阈限下的启动锚定数字导致的锚定效应现象。本研究通过2个实验探讨了意识锚定加工对潜在锚定加工的影响。实验一考察了意识层面的外在锚对潜在锚定效应产生的影响,实验二则进一步探讨了意识层面的自发锚对潜在锚定效应的影响。实验一发现,在不存在外在锚时高锚与低锚的估计有显著性差异;实验二发现,在不存在自发锚时高锚与低锚的估计有显著性差异。研究结果表明,外在锚定加工和自发锚定加工的效应都强于潜在锚定加工。     

The perceived ethnic discrimination questionnaire--community version: validation in a multiethnic Asian sample

This study evaluated the validity and reliability of the Perceived Ethnic Discrimination Questionnaire-Community Version (PEDQ-CV) Lifetime Exposure scale in a multiethnic Asian sample (N = 509). The 34-item scale measures perceived interpersonal racial/ethnic discrimination and includes four subscales assessing different types of discrimination: Social Exclusion, Stigmatization, Discrimination at Work/School, and Threat/Aggression. The Lifetime Exposure scale demonstrated excellent reliability across the full group and in all major subgroups. Subscales displayed good reliability across the full group and moderate-to-good reliability in each subgroup. The Lifetime Exposure scale was significantly correlated with the depression and anxiety subscales of the SCL-90-R, providing preliminary evidence of construct validity. The data suggest the Lifetime Exposure scale, previously validated in Black and Latino adults, is also appropriate for use with Asian samples, and can be used to examine both within-group and between-groups differences in discrimination.     

震后一年半灾区小学生的创伤症状调查研究——以“八一帐篷学校”为例

本研究对总装备部·绵阳八一帐篷学校的小学生进行创伤症状调查研究,了解震后一年半小学生的心理健康状况。方法:使用儿童创伤症状量表简版(TSCC-A)对八一帐篷学校3～6年级小学生进行评估。结果:(1)八一帐篷学校的小学生震后一年半最为突出的创伤症状是焦虑,其次为抑郁和分离症状;(2)在创伤症状得分上不存在性别差异性,但是存在年级差异性,三年级学生创伤症状得分均低于其他年级学生;(3)震后一年半学生创伤症状比震后半年学生创伤症状有所减轻。结论:灾区小学生心理健康状况仍存在一些问题,焦虑、抑郁等症状仍比较明显,还应进行持续的心理危机干预。