Ukuphepha: A Multi-level Community Engagement Model for the Promotion of Safety,Peace and Health

This article aims to describe a theoretically-informed community engagement model which delivers a suite of child safety, peace and health interventions.We provide an overview of critical concepts that inform the community engagement approach that underpins the implementation of the Ukuphepha Child Safety, Peace and Health Programme (UCSPHP), in low-income neighbourhoods just outside Johannesburg, and on the periphery of Cape Town, South Africa. Our analysis is framed within a participatory approach and suggests the importance of six interconnected community engagement pathways: relationship-building; community-centred learning; social justice and contextual congruence; the facilitation of democratic traditions; strengthening the case for community services; and the affirmation of local social economies.     

Health inequality and careers

Structural explanations of career choice and development are well established. Socioeconomic inequality represents a powerful factor shaping career trajectories and economic outcomes achieved by individuals. However, a robust and growing body of evidence demonstrates a strong link between socioeconomic inequality and health outcomes. Work is a key factor explaining differences in income and lifestyle. It seems unavoidable that inequality in careers has profound consequences for health and well-being, but this relationship is largely ignored by career scholars. Some implications of health inequality for career guidance interventions are suggested.     

Personality and Serum Lipids: Does Lifestyle Account for Their Concurrent and Long‐term Relationships

This study evaluates concurrent and over time associations of personality with measures of three serum lipids associated coronary heart disease morbidity, namely, high‐density lipoprotein cholesterol (HDL‐C), low‐density lipoprotein cholesterol and triglyceride (TRI). Participants were individuals who underwent a health examination at two points of time, T1 (N = 3835) and T2 (N = 2283), about 2.5 years apart. Personality was assessed by the Five‐Factor Model. Health, socioeconomic status and healthy lifestyle behaviours (smoking intensity, physical activity and body weight) were controlled. Regression analyses indicate that the personality factors of neuroticism, extraversion and conscientiousness are each significantly associated with HDL‐C and TRI, both concurrently and over time. However, most of these associations decreased to marginal significance when adjusted for body weight or physical activity as possible mediators. Both concurrent and over time associations of the openness personality trait with HDL‐C and TRI were significant and persisted after adjustment for measures of a healthy lifestyle. This study emphasizes the importance of collecting measures of a healthy lifestyle to better understand how personality might influence serum lipids. Copyright © 2013 European Association of Personality Psychology     

政府与个人的责任——中国当代医疗改革的责任伦理学剖析

卫生改革的重点必须放在政府部门;公共卫生,预防与初级医疗保健是人类生存的需要,带有鲜明的公益性和福利性。应由政府投资为主筹集资源,以国家投资为主体负担费用,这个层次的卫生服务产品,属非商品经济部分,并不以赢利为目的,不能引进市场经济,个人对健康负有重要责任,包括：选择医疗保健,决定花费数额,生活方式和卫生习惯的养成,主动接受健康教育,抵抗压力,支持国家与地区的卫生保健政策;个人对自身健康负责是一种道德责任,健商（health quotient)这一重要概念,具有伦理价值和普遍的医学人类学意义;个人对健康负责是一种社会风尚。     

自恋与心理健康:适应性自恋与病理性自恋的不同作用

目的:探讨适应性自恋与病理性自恋对个体心理健康的不同影响。方法:750名大学生完成了一套由自恋人格问卷(NPI)、病理性自恋量表(PNI)和症状自评量表(SCL-90)组成的测验。利用结构方程模型对变量间的关系进行分析。结果表明:病理性自恋的二阶因子自恋易损性对个体心理健康具有显著的负向预测作用,自恋易损性水平越高,个体心理健康水平越低。自恋夸大性和适应性自恋(自恋人格问卷,NPI)对心理健康的正向预测作用达到边缘显著,自恋夸大性和适应性自恋得分越高,心理健康水平越高。结论:病理性自恋的二阶因子自恋易损性对心理健康具有明显的破坏作用,而自恋夸大性和正常/适应性自恋可能对心理健康存在微弱的保护作用。     

大学生情绪智力与心理健康的关系:社会支持的中介作用和手机依赖的调节作用

以621名大学生为被试,采用情绪智力量表、心理症状自评量表、青少年社会支持评定量表、手机依赖指数量表为研究工具,探讨情绪智力与心理健康之间的关系,并在此基础上构建一个有调节的中介模型,探究社会支持的中介作用以及手机依赖在这一中介过程中的调节作用。结果发现：（1）情绪智力对心理健康的影响显著,社会支持在其中起部分中介作用,即情绪智力既可以直接影响心理健康,还可以通过社会支持的中介作用间接影响心理健康;（2）手机依赖调节了情绪智力通过社会支持影响大学生心理健康的中介过程的后半路径,相对于低手机依赖的大学生,高手机依赖大学生的社会支持对心理健康的影响更为显著。关注大学生心理健康,不仅要重视个体因素、生态环境因素的单独影响,更要重视这些因素的联合作用。     

Parents’ postnatal depressive symptoms and their children's academic attainment at 16 years: Pathways of risk transmission

The aim of the study was to examine whether parents’ increased postnatal depressive symptoms predicted children's academic attainment over time and whether the parent–child relationship, children's prior academic attainment, and mental health mediated this association. We conducted secondary analyses on the Avon Longitudinal Study of Parents and Children data (12,607 mothers, 9,456 fathers). Each parent completed the Edinburgh-Postnatal Depression Scale at 8 weeks after the child's birth (predictor) and a questionnaire about the mother–child and father–child relationship at 7 years and 1 month (mediator). The children's mental health problems were assessed with the teacher version of the Strengths and Difficulties Questionnaire at 10–11 years (mediator). We used data on the children's academic attainment on UK Key Stage 1 (5–7 years; mediator) and Key Stage 4 (General Certificate of Secondary Education 16 years) (outcome). We adjusted for the parents’ education, and child gender and cognitive ability. The results revealed that parents’ depressive symptoms at 8 weeks predicted lower academic performance in children at 16 years. Mothers’ postnatal depressive symptoms had an indirect effect through children's mental health problems on academic outcomes at 16 years via negative mother–child relationship, and prior academic attainment. There was a significant negative indirect effect of fathers’ postnatal depressive symptoms on academic attainment at 16 years via negative father–child relationship on child mental health. The findings suggest that the family environment (parental mental health and parent–child relationship) and children's mental health should be potential targets for support programmes for children of depressed parents.     

高校青年教师心理健康及团体心理训练设计研究

随着高校青年教师的比例日益上升。高校青年教师的心理健康问题必须予以足够的重视。本研究采用临床症状自评量表(SCL-90)和艾森克个性问卷(EPQ)对高校青年教师心理健康状况进行调查．结果显示高校青年教师主要存在的问题表现在生理与心理问题、人际关系问题、心理压力问题、情绪稳定性问题等四方面。依据高校青年教师的心理特点及其现状。其团体心理训练的主要内容有改善心智模式训练、情绪管理训练、意志力训练、人格魅力训练、人际沟通训练、缓解压力训练、适应与发展训练、身心保健训练等．主要的训练方法是团体讨论和角色扮演。