Meaning in Life in Emerging Adulthood: A Person‐Oriented Approach

The present study investigated naturally occurring profiles based on two dimensions of meaning in life: Presence of Meaning and Search for Meaning. Cluster analysis was used to examine meaning‐in‐life profiles, and subsequent analyses identified different patterns in psychosocial functioning for each profile. A sample of 8,492 American emerging adults (72.5% women) from 30 colleges and universities completed measures on meaning in life, and positive and negative psychosocial functioning. Results provided support for five meaningful yet distinguishable profiles. A strong generalizability of the cluster solution was found across age, and partial generalizability was found across gender and ethnicity. Furthermore, the five profiles showed specific patterns in relation to positive and negative psychosocial functioning. Specifically, respondents with profiles high on Presence of Meaning showed the most adaptive psychosocial functioning, whereas respondents with profiles where meaning was largely absent showed maladaptive psychosocial functioning. The present study provided additional evidence for prior research concerning the complex relationship between Presence of Meaning and Search for Meaning, and their relation with psychosocial functioning. Our results offer a partial clarification of the nature of the Search for Meaning process by distinguishing between adaptive and maladaptive searching for meaning in life.     

高难度材料的元记忆监测更受记忆广度的制约

以不同难度(有、无意义联系)的两种中文词对为记忆材料,随机选取在校大学生200名,采用经典的回忆-判断-再认(recall-judgement-recognition,RJR)范式,考察短时记忆广度和一般自我效能感对个体在不同难度材料上元记忆监测的影响。结果发现,相比于无意义联系的材料,个体在有意义联系的材料上,JOL、FOK和JOC判断等级更高,线索回忆测验成绩更好。但是,个体在不同材料上的JOL判断和线索回忆受短时记忆广度的调节。不同短时记忆广度的个体在有意义联系材料上的JOL判断等级和线索回忆测验成绩无显著差异,但是在无意义联系材料上,高短时记忆广度个体的JOL判断等级和线索回忆测验成绩均显著高于低短时记忆广度个体。同时,相关分析结果也发现,相比于低短时记忆广度的个体,高短时记忆广度的个体,其线索回忆测验成绩和再认测验成绩与JOL、FOK和JOC判断等级之间更加相关。实验结果表明,作为一种人格变量,一般自我效能感对个体元记忆监测的影响可能并不明显。而短时记忆广度,很大程度上反映了个体的记忆能力,是个体元记忆监测的一个重要影响因素,尤其是对难度较大的材料。     

节奏在言语加工中的时间进程：来自元分析的证据

利用元分析考察了言语节奏在言语加工中起作用的时间进程及影响因素。对36篇脑电文献（共43个独立效应量）进行分析,发现节奏影响言语加工主要表现在早期阶段的N100和P200成分、中后期阶段的P300、LAN、N400和晚期正成分上;个体对节奏违反非常敏感,言语节奏加工早于句法加工,在言语加工的中后期阶段,节奏与语义和句法发生交互;任务类型调节言语节奏对言语加工过程的影响,在外显任务中,言语节奏对言语加工过程的影响大于内隐任务和同时包含多项任务要求的混合任务。注意和预期是言语节奏加工的内在机制,研究结果支持交互论的观点。     

Intervention to Strengthen Emotional Self-Regulation in Children with Emerging Mental Health Problems: Proximal Impact on School Behavior

A model for teaching children skills to strengthen emotional self-regulation is introduced, informed by the developmental concept of scaffolding. Adult modeling/instruction, role-play and in vivo coaching are tailored to children’s level of understanding and skill to promote use of skills in reallife contexts. Two-hundred twenty-six kindergarten—3rd grade children identified with elevated behavioral and social classroom problems from a population-based screening participated in a waitlisted randomized trial of the Rochester Resilience Project derived from this model. In 14 lessons with school-based mentors, children were taught a hierarchical set of skills: monitoring of emotions; selfcontrol/ reducing escalation of emotions; and maintaining control and regaining equilibrium. Mentors provided classroom reinforcement of skill use. Multi-level modeling accounting for the nesting of children in schools and classrooms showed the following effects at post-intervention: reduced problems rated by teachers in behavior control, peer social skills, shy-withdrawn and off-task behaviors (ES 0.31–0.47). Peer social skills improved for girls but not for boys. Children receiving the intervention had a 46% mean decrease in disciplinary referrals and a 43% decrease in suspensions during the 4-month intervention period. Limitations and future directions to promote skill transfer are discussed.     

口腔颌面部鳞状细胞癌的综合序列治疗

口腔颌面部鳞状细胞癌(鳞癌)在头颈部肿瘤的发病和治疗中占有重要地位,综合序列治疗的概念和理论逐渐成为口腔颌面部鳞癌治疗的指导原则。本文对口腔颌面部鳞癌综合序列治疗所包含的手术治疗、放射治疗、化学治疗及生物治疗从临床治疗策略上进行分析、讨论,以期促进口腔颌面部鳞癌综合序列治疗原则在临床获得更好地应用。     

危重患者的院内转运

危重患者的转运分为院内转运及院间转运,院内转运由医院内的医务人员来完成。危重患者的转运存在风险有可能增加病死率与伤残率。本文对危重患者院内转运的转运前风险评估、转运前准备、转运中监护和生命支持、特殊情况转运和转运后交接方面做一综述,目的是降低危重患者的转运风险、安全转运。     

血液系统恶性肿瘤患者相关疲劳的生物-心理-社会模式探讨

普遍的疲劳感是引起血液系统恶性肿瘤患者治疗及康复过程中生活质量显著降低的主要因素之一。因此如何减少肿瘤相关疲劳逐渐引起了血液病医生的关注。在医学从传统的"生物"模式向新的"生物-心理-社会"模式转变的背景下,本文就如何利用生物心理社会模式分析血液系统恶性肿瘤相关疲劳的病因、机制、评估、干预进行探讨。     

急症产科子宫切除术知情同意的分析

为保留产妇的生命权而牺牲其生育权的子宫切除术,仍是控制产科出血的最后手段.产科急症时,患者本人无法做出意思表示,子宫切除术的知情同意权由其法定代理人行使.子宫切除围术期,实施知情同意,仍存在许多法律盲点及实践困难.本文阐述了产科子宫切除术告知的法律义务、行为主体,以及告知患者子宫切除的方式.     

工作场所攻击行为的研究述评

目前,工作场所攻击行为和暴力行为的发生越来越多,这种现象在职业健康领域逐渐成为一个重要的问题。论文介绍了工作场所攻击行为的概念和类型;分析了工作场所攻击行为与相关概念的界定、测量和研究方法;分析引起工作场所攻击行为的两方面原因,即情境或组织因素和个人特征方面的原因;探讨了工作场所攻击行为的预防和今后研究的方向。