Patient Adherence With Medical Treatment Regimens: An Interactive Approach

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the value of an interactionalist perspective. We illustrate the framework using some of our past work involving treatment adherence among patients with chronic renal failure.     

在押毒品犯人格的基本特征及其相关因素的研究

本研究以 3 78名在押毒品犯为被试 ,以CPI为测量工具 ,探讨了在押毒品犯的基本特征和类型特征 ,并采用方差分析技术研究了影响毒品犯人格的若干因素。结果发现 ,与对照组相比 ,在押毒品犯除了在“自我控制”分量表上未发现显著差异外 ,其余的 1 9个分量表上均有显著差异 ;在押毒品犯在四种人格类型上的分布不平衡 ,主要集中在Delta类型 ;年龄、关押时间对毒品犯的人格特征的变异有一定影响 ,而减刑次数的影响不显著     

Psychosocial Characterization of Physically Abused Children from Low Socioeconomic Households in Comparison to Neglected and Nonmaltreated Children

Research reports on the long-term sequelae of physically abused children have not produced a coherent profile that can be used to identify this population as a distinct diagnostic group. To define the specific combination of symptomatology and personality characteristics of this group, 41 physically abused children, referred by the state Child Protection Officers were interviewed using the Attachment Style Classification Questionnaire, the Children's Depression Inventory, the Trait Anxiety Inventory, and the Child Suicidal Potential Scales. The results were compared with those of 38 neglected children and 35 nonabused, nonneglected children. The physically abused children showed an avoidant attachment style, specific depressive and suicidal symptomatology, high anxiety level, high aggression level, and primitive defense mechanisms. A discriminant data analysis identified 92.8% of the participants in terms of their diagnostic status. Our study suggests that an emotional and behavioural cluster of characteristics may differentiate physically abused children from neglected and nonmaltreated children. This cluster highlights the severity of induced developmental damages in the short and long-term.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

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。     

Personality Disorders and Spinal Cord Injury: A Pilot Study

A substantial body of research has found that spinal cord injury (SCI) patients have relatively high degrees of energy, impulsivity, and risk-taking (W. Fordyce, 1964; G. P. Taylor, 1970; B. Woodbury, 1978). The present study endeavors to extend our knowledge to the personality disorder (PD) domain. Forty SCI participants and 40 matched controls were given a semistructured diagnostic interview and a self-report personality disorder instrument. Findings indicated that 27.5% of SCI patients, and a similar number of controls, have PDs. Unexpectedly, impulsive/externalizing disorders (histrionic, narcissistic, antisocial, and borderline) were not unusually high in SCI patients, and were not higher than controls. Avoidant and depressive disorders were unexpectedly high.     

Cloninger's Temperament and Character Inventory Correlates with Personality Characteristics of Organ Donation Advocates

Temperament and Character Inventory (TCI) and background questionnaire data were collected from a sample of men and women organ donation advocates (N = 362) as part of a national study to investigate their personality characteristics, temperaments, and attitudes about organ donation advocacy. Goals included identifying unique traits for advocates, and response consistency between the TCI and questionnaire. The TCI results included high scores on Cooperativeness and Self-Directedness, and low on Harm Avoidance dimensions. The questionnaire results indicated that most advocates were White, married, college-educated females, who typically spent less than 2 hr with potential donor families, were satisfied with life and job, and believed they would be in a donation position 2 years from the time surveyed. TCI and questionnaire measures were correlated for Self-Transcendence and Spirituality, Helpfulness and Job Satisfaction, and Compassion and Identification variables.     

Mind, Self, and Personality: Dynamic Interactions from Late Childhood to Early Adulthood

This paper aims to integrate research on mind, personality, and self-development using a general model which hypothesizes that mind and personality are organized in 3 levels. The first level includes environment-oriented, domain-specific systems that specialize in the representation of and interaction with particular types of relationships in the environment in both the cognitive and the social realms. The second level comprises self-oriented monitoring and representation processes that build maps of the environment-oriented systems. Self and identity derive from the interaction between these 2 levels, which is subject to the constraints and the system's processing capacity at the successive ages. These constraints may be taken as the third level of the self. Efficiency in overcoming these constraints is determined by the self-oriented processes, generating feelings and self-representations of self-worth. These feelings are idiosyncratic, and function as a personal constant, which is applied on self-evaluation and self-representations. This constant is rescaled and differentiated with development. Thus, we have simultaneously both modular and transmodular constructs in the mind and the self, which change with relative independence of each other under the constraints of the general processing capabilities and the personal constant. A series of studies are presented to support this model, and its implications for life-span theories of development are discussed.     

中学生个性因素及其与学业成就关系的探讨

研究者基于个性对个体成功具有重要影响的观点,假设中学生的个性对其学业成就具有预测性。采用儿童14种人格因素问卷对145名初中生进行测试,并对14种人格变量进行因素分析,得到了自我控制能力因素、精神状态因素、合作与创新精神因素、社会能力因素和智力性因素等5个因子。再利用这5个因子与学生的期末成绩(语、数、外总成绩)进行全纳回归分析,结果发现:与非智力的个性因素相比,智力性因素对中学生的学业成就可以进行更为有效的预测。     

专家-熟手-新手型教师教学策略与成就目标、人格特征的关系研究

该研究对不同类型教师的教学策略、成就目标和人格特征的关系进行了探讨,结果表明,新手型教师的教学策略与成绩目标存在显著的负相关,其中成绩——回避目标是其教学策略的有效预测变量,而熟手型教师和专家型教师则与任务目标存在显著的正相关：精神质是新手型教师教学策略的有效预测变量,内外向是熟手型教师教学策略的有效预测变量,而专家型教师的神经质对其教学策略存在着重要的影响。