冠脉介入治疗合理临床应用的思维基础

冠心病的发病率逐年升高,死亡率居高不下,成为威胁人类健康的重要疾病。人们为了攻克这一难题进行了不懈的工作,溶栓、监护及介入治疗的出现挽救了众多生命。随着冠状动脉介入治疗方法的不断完善和广泛开展,冠状动脉介入治疗越来越成为冠心病治疗的主要临床手段。但随之而来的手术并发症、支架在狭窄等问题成为不得不考虑的问题。治疗策略的选...     

‘He's got his father's bias’: Parental influence on weight bias in young children

Our aim was to explore the role of parents in the transmission of stereotypical body size attitudes and awareness of weight loss strategies to preschool children. Participants were 279 3‐year‐old children and their parents, who provided data at baseline and 1 year later. Parents completed self‐report body size attitude and dieting measures. Child weight bias and awareness of weight loss strategies were assessed through interview. Over time, negative associations with large bodies and awareness of weight loss strategies increased. Fathers’ attitudes prospectively predicted boys’ weight bias and awareness of weight loss strategies. Among girls, parental attitudes were less predictive. Findings confirm the importance of fathers in the development of boys’ body attitudes and inform prevention programmes.     

Larger reported impact of stuttering in teenage females,compared to males – A comparison of teenagers’ result on Overall Assessment of the Speaker’s Experience of Stuttering (OASES)

PurposeThe aim of this cross-sectional study was to explore the impact and experience of stuttering, and attitude to communication for female and male teenagers who stutter (TWS) in comparison with teenagers with no stutter (TWNS).MethodsThe Swedish version of the Overall Assessment of the Speaker’s Experience of Stuttering (OASES-T-S), was administered to 56 TWS, 13–17 years old (26 females, 30 males). An adapted version of OASES, Attitude to Speech and Communication (ASC), was administered to 233 TWNS. The impact scores were analyzed in relation to sex in TWS and TWNS.ResultsFemale TWS reported that stuttering had a greater impact on their life than it did on male TWS (on average 0.5 higher impact scores; Hedges’ g = 0.87). The differences did not seem to be caused by differences in severity of overt stuttering symptoms. Female and male TWS particularly differed on items related to difficulties in day-to-day communication and affective/behavioral reactions to stuttering. Such sex differences were not as pronounced among TWNS, suggesting that teenage women may be more vulnerable to the negative impact of stuttering than men the same age.ConclusionFemale teenagers report more negative experiences and a greater tendency to use avoidance strategies than male teenagers.     

Elucidating the mental processes underlying the direct retrieval of autobiographical memories

The literature on autobiographical memory retrieval has directed much attention to the concepts of direct retrieval (fast, automatic retrieval) and generative retrieval (slower, deliberative/strategic retrieval). Among the many findings reported on these phenomena, their relative prevalence has stood out as a central feature in many studies, with most studies reporting the frequency of direct retrieval as equal to or exceeding generative retrieval. In this study, we used the retrieve-aloud procedure (a method where participants verbalize their thoughts while retrieving) to delve more deeply into the nature of reports of ubiquitous direct retrieval. We hypothesized that much of the direct retrieval reported in literature is not bona fide direct retrieval (i.e., seemingly automatic retrieval), but is a combination of other retrieval processes, including generative-like retrieval processes. Our results supported this view, showing that less than one-half of all of the observed direct retrievals were bona fide direct retrieval, while the rest were a form of generative retrieval, or fell somewhere in between direct and generative retrieval. We argue that the results suggest that the prevalence of direct retrieval may be overestimated in the literature, and we further propose an alternative classification schema for direct retrievals.     

Être lesbienne,gay ou bisexuel·le dans une organisation française : le rôle des micro-agressions homonégatives et l’effet médiateur du climat de diversité sexuelle dans le choix de dévoiler ou dissimuler son orientation sexuelle

Lesbians, gays and bisexuals (LGB) can use an array of strategies to reveal or conceal their sexual orientation in the workplace. The purpose of this study is to explore the relationships between perceived homonegative microaggressions in the workplace and those strategies, as well as the mediating effect of LGB-supportive climate in those relationships. A sample of 135 LGB employees has replied to an online questionnaire dealing with these variables. The data were treated through simple linear regressions and the structural equation modelling method. Results highlighted that the effect of microaggressions on sexual identity management in the workplace was mediated by the LGB-supportive climate. There was also a direct and positive relationship between microaggressions and the revealing strategy. Results are discussed in light of the existing literature on the topic. Perspectives at systemic and individual levels to support an LGB-supportive climate and to reduce discrimination experienced by LGB employees are suggested.     

Coping strategies in obsessive-compulsive patients during Covid-19 lockdown

Background/ObjectiveThe main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-compulsion). Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels.     

Work-related stress and well-being: the roles of direct action coping and palliative coping

The purpose of the present study is to analyze the roles of direct action coping and palliative coping in the relationship between work stressors and psychological well-being, as well as their possible interactions, in a sample of 464 bank employees. Hierarchical regression analyses showed main effects of direct action coping on well-being. Palliative coping predicts higher levels of psychological distress. Contrary to what was expected, the interactions between work stressors and direct action coping were not significant. Palliative coping interacted with work stressors when predicting psychosomatic complaints. The interaction between the two types of coping was significant on psychosomatic complaints and psychological distress, but not on job satisfaction. The paper discusses theoretical and practical implications of these results, in order to design intervention strategies to prevent and manage job stress.     

Neuroticism and Depression in Children: The Role of Cognitive Emotion Regulation Strategies

This study's general objective was to analyze whether different types of cognitive emotion regulation strategies (CERS), namely adaptive strategies—specifically positive refocusing and positive reappraisal—and maladaptive strategies—self-blame, catastrophizing, and rumination—mediated the neuroticism-depression relationship in children 9–12 years old, and whether gender and school transition moderated the relationships proposed. A self-reporting measure was administered to 315 children to evaluate said variables. The resulting data were analyzed using structural equations. The study verified that maladaptive CERS partially mediated neuroticism's relationship with depression, while adaptive CERS, though negatively associated with depression, did not show a mediating effect on this relationship. The results provide evidence of the mediating function of maladaptive CERS on the neuroticism-depression relationship. Gender and school transition did not moderate the relationships proposed. Because, by their very nature, these strategies are modifiable, these results constitute an important finding that can be transferred to the design and content of child mental health prevention and promotion programs.     

Selection of Decision Strategies After Conscious and Unconscious Thought

It is commonly assumed that the use of simple, non‐compensatory strategies is especially pronounced in memory‐based decisions, where information costs are high. At the same time, there is evidence that in memory‐based decisions, a compensatory processing of attributes is facilitated when the processing occurs unconsciously rather than consciously. We applied a strategy classification approach—developed in research on non‐compensatory heuristics—to test two key tenets of unconscious thought theory: the capacity principle and the weighting principle. Participants memorized attribute information about cars and were subsequently either directed to or diverted from thinking consciously about their preferences between the cars (conscious versus unconscious thought). Then, participants indicated in pair‐wise choices which car they would prefer and were classified (based on their choices) as using either one of two compensatory strategies (equal weight or weighted additive) or a non‐compensatory strategy (lexicographic heuristic). In line with the capacity principle, the number of participants best described by a compensatory strategy (the equal‐weight strategy) tended to be higher after unconscious thought than after conscious thought, whereas the number of participants best described by the lexicographic heuristic tended to be lower. Inconsistent with the weighting principle, participants in the unconscious thought condition were better described by the equal‐weight strategy than by the weighted‐additive strategy. In Experiment 2, in which participants were not instructed to form an impression while learning the attribute information, the use of the equal‐weight strategy was not more prevalent after unconscious thought. Copyright © 2013 John Wiley & Sons, Ltd.