Treating Young Adult Depression With Text-Delivered Cognitive Behavioral Therapy: A Pilot Randomized Clinical Trial

Young adults (ages 18 to 25) in the U.S. suffer from the highest rates of past-year major depressive episode and are the least likely to receive treatment compared to other age groups. As such, we examined the feasibility, acceptability, and efficacy of a text-message delivered cognitive behavioral therapy: CBT-txt with young adults. The study was a 2-month pilot RCT to test a 4-week intervention for depression that contained 197 text messages (average 12 texts every other day). The sample, recruited via Facebook and Instagram, was 102 U.S. young adults who presented with at least moderate depressive symptomatology. Assessments occurred at baseline prior to randomization and at 1 and 2 months post enrollment. The primary outcome, severity of depressive symptoms, was assessed using the Beck Depression Inventory II. Feasibility benchmarks were met and participants reported high levels of engagement with and acceptability of the intervention. Logistic regression indicated that treatment participants were three times as likely to have minimal or mild depression symptoms at 2 months compared to waitlist control participants. Latent change score modeling found that the strongest significant treatment effect appeared at the 1-month follow-up period, particularly for participants who began with severe depressive symptoms. Mediation analysis revealed significant indirect treatment effects of increases in behavioral activation on reducing depressive symptoms, suggesting a mechanism of change. Limitations were that the sample was relatively small and consisted of primarily women. These results provide initial evidence for the feasibility, acceptability, and efficacy of a text-delivered treatment for young adult depression.     

IDENTIFYING THE EDUCATIVE AND SUPPRESSIVE EFFECTS OF POSITIVE PRACTICE AND RESTITUTIONAL OVERCORRECTION

Two major features of the overcorrection procedure, restitution and positive practice, were analyzed for their educative and suppressive properties in the treatment of profoundly retarded adults. Positive practice techniques that were topographically similar and dissimilar to the target behavior were studied. Eating behavior and puzzle performance were observed. Restitutional overcorrection and both forms of positive practice were effective for suppressing inappropriate behaviors. Even when appropriate behaviors had been acquired by positive practice, restitution and dissimilar positive practice were generally ineffective for increasing their rate of occurrence. However, topographically similar positive practice was successful as a means of teaching new appropriate behaviors.     

Community applications of instructional technology: teaching writers of instructional packages

A community education program, to develop a variety of performance competencies in large numbers of neighborhood residents, requires a technology for preparing learning units administerable by community members themselves. The effects of a writing manual, designed to teach nonprofessionals to prepare such instructional packages, were analyzed in two experiments. Experiment I employed a multiple-baseline design across three university student trainees. The results showed that appropriate program writing increased by 75% after completion of the manual. The results of Experiment II, with two low-income neighborhood residents serving as trainees, showed that packages produced by trained writers resulted in a greater increase in skill activities than sets of training stimuli produced by untrained writers.     

The design and evaluation of a worksharing system for experimental group living

Failure to share household chores equitably may be a major cause of the high failure rate of experimental group-living arrangements. A behavioral approach to worksharing based on a point system was implemented in one experimental group and its most important components experimentally evaluated. Experiment I showed that awarding credits produced more work than not awarding credits. Experiment II showed that making credits contingent on the outcome of a detailed inspection produced more work than awarding credits noncontingently. Experiment III demonstrated that awarding rent reductions contingent on credit earnings produced more work than awarding rent reductions noncontingently. Other evaluative data suggest that the resulting living arrangement is cheaper, more effective, and more satisfactory to the residents when compared to the most popular alternative living arrangements.     

发扬中医药学要从医学教育中找良方

以学习应用中医25年的亲身经历,指出中医存在先天不足、后天失养等问题,提出应将中医教育纳入我国医学教育基础体系,从源头上打破中医、西医人为的界限,造就一大批兼容中、西医的医学生,才能使中医药学真正发扬光大。     

对毛泽东新中国探索的再思考--从《毛泽东传(1949-1976)》的写作谈起

本文从《毛泽东传(1949-1976)》的写作谈起,对毛泽东新中国之路的探索进行了深入的思考,认为毛泽东建国后主要是做了三件大事:一是进行现代化建设;二是在外交上谋求中国的大国地位;三是巩固党的长期执政地位。对于这三件事的得失成败均应还原到相应的历史背景中去考察,方能得出恰当的结论。     

辩证思维方式与中国古典建筑审美特征

辩证思维方式是中国古代哲学思维方式之一,它深刻地影响了中国古典建筑审美特征的形成,使其在有无相生、虚实相资,中庸为道、和美为贵,情理并重、礼乐相成三个方面体现出中国传统文化的特色。     

近现代中国文化名人人格的扩展研究

本研究在前次研究的基础上,以中国近现代文化名人为研究对象,运用问卷调查、评定量表、个案及其主题分析等方法,对该群体的总体人格特征作出了描述,并从性别、出生年代、活跃领域等三个方面比较了各类型集团人格特征的异同,从而揭示了个人选择与环境,人格特征之间密不可分的联系。     

试论《周易》的原初意义与现代意义

文章首先阐述了考察《周易》价值的方法,然后运用这一方法全面考察了《周易》的原初意义与现代意义。作者认为,《周易》的产生标志着中华民族抽象思维能力的关键性跃迁;《周易》的内容折射着当时的自然、社会和人文状况,记载着古代先民对于当时复杂的自然、社会和人生问题的特别关注与初步思考;《周易》的人生智慧和行为原则,反映着趋利避害和预见未来的价值取向;《周易》的思维方式汇集着当时的思维工具和认识方法,表达着最初的终极关怀和哲学意识。而《周易》所提供的始源性材料,有助于我们从根源性上来把握中华文化及其当代特点;易学史的演变与发展则为我们更好地把握历史文化发展进程提供了重要的思想资料;《周易》所表达的人生智慧和思维方式对于当今人类把握现实与面向未来也具有极为重要的启示和借鉴意义。     

生存结构与心灵境界——面向21世纪的中国哲学

中国哲学可视为一种“生命哲学”或“生存哲学”,它所关注的核心问题就是“生存结构”或“生命结构”,而这种生命结构本质上又体现为阴阳结构.阴阳结构或阴阳范畴,从其内容来看,其实也就是中国人的心灵结构,同时也是我们的心灵境界,体现了一种生命关怀或“生命忧患”意识;从其形式方面来看,则是一种“结构思维”方法。当今人类面临着许许多多紧迫的世界性、全球性问题,以《周易》哲学为代表的中国生命结构哲学或许能够给我们以相当的启示.答案就是;多元一体,共存互补。