广西扶绥肝癌防治引发的环境与健康关系的哲学思考

从分析文献资料入手,对环境与健康的关系进行哲学思考。广西扶绥以玉米为主食的人群,因摄入过量黄曲霉素及饮用污染塘水,导致肝癌高发和高死亡率;而减少黄曲霉素摄入量、改饮清洁水,肝癌发生率和死亡率随之降低。因此,环境与健康相互影响,高温高湿环境诱发玉米产生黄曲霉素,污染塘水存在大量腐殖酸,食之饮之严重危害人的健康;健康意识觉醒,主粮由玉米改为水稻,饮用深井水,健康状况得以改善。在尊重环境与健康相互影响客观性基础上,追求客观性与主观性、人文性的统一。     

A Social Learning Perspective on Childhood Trauma and Same‐Sex Intimate Partner Violence

The family violence and childhood trauma literature has suggested that early adverse experiences create risk factors for intimate partner violence (IPV). Thus, this study used a sample of lesbian, gay, and bisexual (LGB) college students (N = 266) to explore differences among childhood trauma, same‐sex IPV, and IPV acceptance. The authors used survey methodology and multivariate analysis of variance. Results indicated that LGB individuals reporting childhood trauma also reported higher rates of IPV, suggesting implications for research and practice.     

Depression Screening,Assessment, and Treatment for Patients with Coronary Heart Disease: A Review for Psychologists

Depression prevalence is between 15% and 20% in coronary heart disease patients, such as those with angina, or after a myocardial infarction or coronary artery bypass graft surgery. The presence of depression places a coronary heart disease patient at twofold higher risk for further major cardiac events and death, as well as poor quality of life and early exit from the labour force. As a consequence, several learned societies, including the National Heart Foundation of Australia, have published guidelines that recommend questionnaire screening to improve identification and management strategies for depression in coronary heart disease patients. Psychologists in hospitals, community settings, and private practice can have a key role in the realisation of the National Heart Foundation of Australia's aims. We review the recent guidelines and outline implications for psychologists to identify and manage depression in coronary heart disease patients. The evidence reviewed suggests that cognitive‐behavioural therapy and problem‐solving therapy are frontline non‐pharmacological interventions for depression in CHD patients.     

Executive dysfunction affects word list recall performance: Evidence from amyotrophic lateral sclerosis and other neurodegenerative diseases

The Rey Auditory Verbal Learning Test (RAVLT) is widely used in clinical practice to evaluate verbal episodic memory. While there is evidence that RAVLT performance can be influenced by executive dysfunction, the way executive disorders affect the serial position curve (SPC) has not been yet explored. To this aim, we analysed immediate and delayed recall performances of 13 non‐demented amyotrophic lateral sclerosis (ALS) patients with a specific mild executive dysfunction (ALSci) and compared their performances to those of 48 healthy controls (HC) and 13 cognitively normal patients with ALS. Moreover, to control for the impact of a severe dysexecutive syndrome and a genuine episodic memory deficit on the SPC, we enrolled 15 patients with a diagnosis of behavioural variant of frontotemporal dementia (bvFTD) and 18 patients with probable Alzheimer's disease (AD). Results documented that, compared to cognitively normal subjects, ALSci patients had a selective mid‐list impairment for immediate recall scores. The bvFTD group obtained low performances with a selectively increased forgetting rate for terminal items, whereas the AD group showed a disproportionately large memory loss on the primary and middle part of the SPC for immediate recall scores and were severely impaired in the delayed recall trial. These results suggested that subtle executive dysfunctions might influence the recall of mid‐list items, possibly reflecting deficiency in control strategies at retrieval of word lists, whereas severer dysexecutive syndrome might also affect the recall of terminal items possibly due to attention deficit or retroactive interference.     

儿童期社交退缩的亚类型及与社会适应的关系

对20世纪80年代以来有关儿童期社交退缩的研究进行了综述,包括社交退缩的概念、研究方法、亚类型以及不同类型社交退缩行为与儿童社会适应之间的关系。对社交退缩的概念进行了总结,指出社交退缩包括安静退缩、活跃退缩和焦虑退缩3种亚类型,其中安静退缩在儿童中后期与社会适应的关系较为紧密,活跃退缩在整个儿童期都与社会适应水平负向联系,而焦虑退缩与社会适应之间的关系具有情境性的特点,只有熟悉情境下的焦虑退缩行为才与社会适应具有负向联系。最后,文章指出了现有研究的不足和今后的研究方向。     

Childhood fantasy play relates to adult socio-emotional competence

Childhood fantasy play and creation of imaginary companions are thought to confer socio-emotional benefits in children, but little is known about how they relate to socio-emotional competence in adulthood. A total of 341 adults (81 males) aged 18 and above (M = 31.47, SD = 12.62) completed an online survey examining their fantasy play as a child, their childhood imaginary companion status, and their adult socio-emotional competence. Adults who reported higher levels of childhood fantasy play were found to be significantly more prosocial, empathetic, and emotionally intelligent than their counterparts after controlling for demographic factors. Recall of a childhood imaginary companion, however, was significantly related only to higher scores for perspective-taking and did not explain unique variance in any adult competence measure. Findings suggest that engagement in fantasy play during childhood may be a precursor to later socio-emotional competence, while benefits previously associated with imaginary companions specifically may not extend into adulthood.     

The Long Arm of Religion: Childhood Adversity,Religion, and Self‐perception Among Black Americans

Significant associations between childhood adversity and adult mental health have been documented in epidemiological and social science research. However, there is a dearth of research examining this relationship among black Americans, as well as into what cultural institutions and practices may help individuals in dealing with childhood adversity. This study suggests that religion may be an important resource for black Americans in the face of early‐life socioeconomic and health disadvantage. Using data from the National Survey of American Life, a nationally representative sample of both African Americans and black Caribbeans (n = 5,191), this study outlines a series of arguments linking childhood adversity, religiosity, and self‐perception among black Americans. The results suggest some support for religious involvement in moderating—or buffering—the harmful effects of childhood adversity on the self‐esteem and mastery among black Americans, specifically religious service attendance and religious coping. In addition, the results reveal that religion may also amplify the deleterious effects of childhood disadvantage on adult mental health. Study limitations are identified and several promising directions for future research are discussed.     

Who victimizes whom and who defends whom? A multivariate social network analysis of victimization,aggression, and defending in early childhood

The aim of this research was to investigate the interplay between victim‐aggressor relationships and defending relationships in early childhood to test the proposition that young aggressors are less selective than older children in their choice of vulnerable targets. Cross‐sectional multivariate statistical social network analyses (Exponential Random Graph Models) for a sample of 177 preschoolers from seven classes, 5‐ to 7‐years‐old, revealed that boys were more aggressive than girls, toward both boys and girls, whereas defending relationships were most often same‐sex. There was significant reciprocity in aggression, indicating that it was more often bidirectional rather than unidirectional. In addition, aggressors clearly defended each other when they shared their targets of aggression, whereas a marginally significant trend appeared for defending between victims who were victimized by the same aggressors. Furthermore, teacher‐rated dominance was positively associated with children's involvement in both aggression and victimization, and teacher‐rated insecurity was associated with less aggression, but not with victimization. These findings suggest that those who are reported as being victimized may retaliate, or be aggressive themselves, and do not display some of the vulnerabilities reported among older groups of victims. The findings are in line with the proposition that young aggressors are less strategic than older children in targeting vulnerable victims. The network approach to peer victimization and defending contributes to understanding the social processes facilitating the development of aggression in early childhood.     

Marital role strain,illness intrusiveness,and their impact on marital and individual adjustment in end-stage renal disease

Abstract

A marital role theory approach was used to investigate individual psychosocial well-being and marital adjustment in 89 end-stage renal disease (ESRD) patients and their spouses. Four different patient groups were selected according to a continuum of clinical milestones in the treatment of ESRD, including pre-dialysis (n=17), incenter dialysis (n=18), home dialysis (n=19), and posttransplant patients (n=17). A nephrology clinic control group (n=18) was also included. Standardized instruments were employed to investigate marital role strain (Marital Role Questionnaire, KDS-15), marital adjustment (Locke-Wallace Marital Adjustment Test), subjective well-being (Affect Balance Scale, Rosenberg Self-Esteem Inventory), and psychopathology (Symptom Checklist 90-R). Hierarchical multiple regression analyses provided strong and consistent support for the major hypotheses relating elevated marital role strain to compromised marital adjustment and individual well-being. Further analyses demonstrated that increased perceived intrusiveness of ESRD was significantly related to greater marital role strain, poorer marital adjustment, and decreased individual well-being. This is consistent with the idea that perceived intrusiveness may be an important mediator of marital role strain and of coping with chronic illness. “Objective” intrusiveness, defined in terms of patient group, was not significantly related to marital or individual well-being. These findings support a dyadic approach to the psychosocial study of chronic illness.