医学教育环境测量评价的实践与探索

重点讨论了医学教育环境测量和评价在医学教育改革中的地位和作用,在借鉴国外先进经验的基础上,在教育环境评价和教师评价方面提出了重视学生感受,重视教育环境的动态评价,科学公正地评价教师,建立全面系统的分析方法,建立评价的分析反馈机制等看法.     

国内城市社区健康教育和健康促进研究

分析了我国城市化加速发展过程中出现的城市社区健康问题及其影响因素。在对社区健康教育与健康促进的作用和意义进行探讨的基础上,提出解决这些城市健康问题的根本途径是城市社区健康教育与健康促进策略,并针对我国城市社区健康教育与健康促进的研究和发展现状提出对策建议。     

Comparing Brief and Extended Wait-Time During Small Group Instruction for Children with Challenging Behavior

This preliminary study compared brief (1 s) and extended (4 s) wait-time on response opportunities, academic responses, accuracy, and disruptive behavior of two children with challenging behavior during small group instruction. Brief wait-time increased children’s response opportunities, academic responses, and accuracy in comparison to extended wait-time. Though variable, brief wait-time also decreased children’s disruptive behavior. Findings differ from previous research, which found performance improvements with extended wait-time for children with moderate to profound cognitive disabilities. Limitations of the study and future research suggestions are discussed.     

Using the Millon Behavioral Medicine Diagnostic to Delineate Treatment Outcomes in Rehabilitation

Patients undergoing rehabilitation have been evidenced to improve in different ways depending on their coping styles. Amplifiers, Repressors, and Social Copers are examples of patients who present differently in rehabilitation settings and tend to have differing levels of success in their response to treatment. The current study examined the differential treatment outcomes of three coping style groups undergoing multidisciplinary rehabilitation. A sample of 59 patients suffering from injuries associated with chronic pain were assessed using the Multidimensional Pain Inventory, Beck Depression Inventory, and Beck Anxiety Inventory before, during, and after multidisciplinary pain management treatment. Coping style groups derived from the Millon Behavioral Medicine Diagnostic consisting of Amplifiers, Repressors, and Social Copers were compared with regard to reductions in depression, anxiety, pain, functional impairment, and associated outcomes. Repeated measures ANOVA revealed that Amplifiers, Repressors, and Social Copers had varying levels of success in the treatment program. Hierarchical linear modeling analyses revealed the coping style groups to have significantly different change curves from pre to post-treatment in depression, anxiety, pain severity, functional impairment, affective distress, life control, social support, and soliciting help from others. These findings support prior research emphasizing the value of tailoring treatments in rehabilitation settings toward patients’ coping styles in order to maximize outcomes. A program (provided in either SAS or SPSS syntax) that will compute MBMD coping style group membership will be provided upon request. Request by e-mail to: dcipher@hsc.unt.edu or by fax to: +1-817-7352270.     

儿童2～7岁行为抑制性发展对7岁时问题行为、学校适应的预测作用

本研究采用陌生实验室的录像观察考察了中国2~7岁儿童行为抑制性的发展,并且采用教师评价量表报告了儿童7岁时的学校适应,采用父母填写儿童行为调查表CBCL来测查儿童7岁时的问题行为,从而考察了儿童2~7岁的行为抑制性对其7岁时的问题行为和学校适应的预测作用。儿童2岁时,共有208名儿童参加了这项追踪研究,4岁时,由于被试拒绝参加、搬家或失约,共有176名儿童参加了实验室的录像观察。7岁时,共有124名儿童参加了实验室实验和学校教师的评价,并且父母对7岁儿童的问题行为进行了报告。同时参加2、4、7岁研究的儿童为66人,其中男孩为28人,女孩38人。协方差结构模型分析表明:儿童2岁时的抑制性水平越高,7岁时的学习问题越少;儿童4岁时的抑制性水平越高,7岁时的攻击行为越少,挫折耐受力、任务定向能力越强,但同时抑郁问题也越多。而7岁时的抑制性可以边缘显著地预测儿童7岁时母亲所报告的退缩问题,即7岁时抑制性水平越高,母亲所报告的退缩问题越多。而且,本研究还发现女孩7岁的抑制性水平越高,任务定向能力和果断的社交技能越差。男孩2岁的抑制水平越高,任务定向能力越强;男孩7岁时抑制水平越高,攻击行为越多。     

A model of working memory capacity in the radial-arm maze task

The radial arm maze is one of the most commonly used tests for assessing working memory in laboratory animals. However, to date, there exists no quantitative method of estimating working memory capacity from performance on this task. Here, we present a mathematical model of performance on the radial arm maze from which we can derive estimates of capacity. We derive explicit results for the two most commonly used measures of performance as functions of number of arms in the maze and memory capacity, assuming a uniform random search. We simulate random non-uniform search strategies. Comparing our model to previous experiments, we show that our model predicts a working memory capacity in the range of 3-9 at the level of performance observed in these experiments. This estimate is within the typical estimate of human working memory capacity. Performance of rats on large mazes (e.g. 48 arms) has been used as evidence that the working memory capacity of rats may be significantly larger than that of humans. We report that memory capacity in the range 3-9 is sufficient to explain the performance of rats in very large radial mazes. Furthermore, when we simulate non-uniform random search strategies observed in the experiments, the resulting estimates do not differ significantly from those assuming a uniform random search. We conclude that a list-based model of working memory with modest capacity is more powerful than previously expected.     

Specificity of cognitive and behavioral variables to Positive and Negative Affect

The Tripartite Model proposes that a combination of greater Negative Affect (NA) and reduced Positive Affect (PA) contributes to depressive symptoms. The purpose of this study was to test a model of affective experience in which cognitive variables (i.e., negative cognitions and appraisals) are uniquely related to NA but not PA, and in which behavioral variables (i.e., activity participation) are uniquely associated with PA but not NA. Participants included 88 spousal Alzheimer caregivers (mean age = 74 years). Multiple regression models, in which negative cognitions (i.e., helplessness, blames self, and negative appraisals) and activity participation (i.e., frequency of engaging in social and recreational activities) were used to predict depressive symptoms, PA and NA. Results indicated that while helplessness, blaming oneself, negative appraisals, and activity participation all significantly predicted depressive symptoms, only negative cognitive variables significantly predicted NA, and only activity participation significantly predicted PA. These data confirm that depressive experience consists of two relatively independent components - increased Negative Affect and reduced Positive Affect - which have unique correlates in negative cognitions and activity participation. If confirmed, the findings suggest the utility of focusing interventions on each of these components in the management of depressive symptoms.     

Sunk-cost effects on purely behavioral investments

Although the sunk-cost effect is a well-documented psychological phenomenon in monetary investments, existing literature investigating behavioral investments (e.g., time, effort) has not replicated this effect except when such investments relate to monetary values. The current explanation for this discrepancy proposes that purely behavioral sunk-cost effects are unlikely to be observed because they are difficult to book, track, and balance in a mental account. Conversely, we argue that, through an effort-justification mechanism, people account for the amount of behavioral resources invested when selecting an alternative, in which case they may fall prey to purely behavioral sunk-cost effects. The results of two experiments support this prediction. Because many decisions involve behavioral investments, behavioral sunk-cost effects should be pervasive psychological phenomena.     

An impossibility theorem for verisimilitude

In this paper, we show that Arrow’s well-known impossibility theorem is instrumental in bringing the ongoing discussion about verisimilitude to a more general level of abstraction. After some preparatory technical steps, we show that Arrow’s requirements for voting procedures in social choice are also natural desiderata for a general verisimilitude definition that places content and likeness considerations on the same footing. Our main result states that no qualitative unifying procedure of a functional form can simultaneously satisfy the requirements of Unanimity, Independence of irrelevant alternatives and Non-dictatorship at the level of sentence variables. By giving a formal account of the incompatibility of the considerations of content and likeness, our impossibility result makes it possible to systematize the discussion about verisimilitude, and to understand it in more general terms.     

Recognition failure of recallable words: problems of mathematical constraint and dependence

The graph space of P ( RN | RL ) vs. P ( RN ), probabilities of recognition given recall and overall recognition, is the setting for the Tulving-Wiseman (TW) function of recognition failure research. According to Hintzman (1991, 1992), the moderate scatter of data points about the TW curve is an artefactual regularity caused by a mathematical constraint when P ( RN ) < P ( RL ). However, both constrained and unconstrained (when P ( RN ) ≥ P ( RL )) points conform equally well to the TW function, consistent with the unobserved fact that the location of both kinds of points is determined by the same mathematical rule. Hintzman's claim that there is no regularity in the data plot when P ( RN ) < P ( RL ) other than that produced by the constraint is not supported by this study. He based his claim on an incorrect use of the measure of dependence (association) called gamma. The graph space corresponding to gamma is that of P ( RN | RL ) vs. P ( RN | nRL ), as shown by using the Bayes function (Bayes' theorem). The margin-free measure gamma is a function of two thetas, theta being a margin-sensitive measure of dependence that is the parameter of the Bayes function. The variance of gamma reflects the fact that it is compounded of the theta variances, so a margin-free measure is obtained at the expense of greater variability.