Psychometric properties of the Chinese version of the End-of-Life Decision-Making and Staff Stress Questionnaire

Background/objectiveThe goal of this study is to establish a Chinese version of the End-of-Life Decision Making and Associated Staff Stress Questionnaire to assess its reliability and validity.MethodA sample of 119 Intensive Care Unit physicians and 485 nurses in China completed the questionnaire, along with questionnaires assessing motional exhaustion subscale, Stress Overload Scale, and other variables associated with end-of-life decision.ResultsSeven factors obtained via exploratory factor analysis could explain 70.61% of the total variance. Confirmatory factor analysis demonstrated an acceptable model fit with Root Mean Square Error of Approximation (RMSEA) being .078 and Standardized Root Mean Square Residual (SRMR) being .066. Validity evidence based on relationships with other variables was provided by positive or negative correlations between the questionnaire subscales and emotional exhaustion, stress overload, and other variables associated with end-of-life decision. The average content validity index was .96. The Cronbach’s α and test–retest reliability was outstanding.ConclusionsThe Chinese version of the End-of-Life Decision Making and Associated Staff Stress Questionnaire is a reliable and valid instrument for measuring the facilitators and hinders to facilitate the end-of-life decision-making, communication and the associated pressure perceived by relevant Intensive Care Unit medical staff among the Chinese population.     

Positive Affect Mediates the Relationship Between Self-efficacy and Innovative Behavior in Entrepreneurs

Innovativeness is one of the crucial factors allowing companies to grow, and innovative behavior of entrepreneurs is an important source of firm innovativeness and business success. This study aims to better understand self-regulatory mechanisms stimulating the innovative behavior of entrepreneurs. We have tested the mediation model in which work-related affect (enthusiasm, comfort, anxiety, and depression) mediates the relationship between work self-efficacy and innovative behavior. A longitudinal study with three measurement times was conducted on a sample of entrepreneurs–business owners. The mediation analysis with bias-corrected bootstrapping method confirmed that the relation between work self-efficacy and innovative behavior of entrepreneurs is mediated by their work-related positive affect—comfort and enthusiasm—but not by negative affect.     

小学高年级学生创造力的发展：性别差异及学校支持的作用

对203名4年级学生进行3年追踪测试(到6年级), 采用多水平分析法考察创造力的发展趋势、性别差异以及教师/同伴支持对创造力发展的影响。结果表明：(1) 4~6年级小学生的流畅性呈线性增长趋势, 灵活性和独创性呈非线性增长趋势, 初始水平与增长速度呈正相关。(2)女生灵活性和独创性的初始水平高于男生。(3)教师支持正向预测男生灵活性的初始水平, 正向预测流畅性的初始水平和独创性的增长速度。(4)教师支持的发展正向预测流畅性的发展。     

震后儿童创伤后应激障碍的症状网络演化

本研究借助网络分析方法,探讨儿童创伤后应激障碍(PTSD)症状的演化规律。以经历汶川地震的197名儿童为研究对象,在灾后4、29、40和52个月对其PTSD症状进行了历时4年的追踪测量。网络分析结果显示,闪回的中心性一直较高,而其他高中心性的症状随时间的推移发生了变化：侵入性想法和创伤线索引发生理性反应的中心性随时间推移呈上升趋势,线索引发情感反应和未来无望的中心性随时间推移呈下降趋势。本研究拓宽了学界对儿童PTSD症状学的认识, 并为建立灾后阶段性干预模式提供启示。     

What do you (think you) need? Perceived vs. experienced effects of need fulfillment on well-being

We compared two approaches towards assessing inter-individual differences in the effect of satisfaction and frustration of basic needs (autonomy, competence, relatedness) on well-being: perceived need effects (beliefs about the effect of need fulfillment on one’s well-being) and experienced need effects (the within-person coupling of need fulfillment and well-being). In two studies (total N = 1281), participants reported perceived need effects in a multidimensional way. In Study 2, daily need fulfillment and affective well-being were additionally assessed (daily-diary study; ten days). Associations between perceived and experienced need effects were significant (albeit small) for all three frustration dimensions, but only for one satisfaction dimension (relatedness), suggesting that they capture different constructs and might be related to different outcomes.     

Generalized Anxiety Disorder in Older Medical Patients: Diagnostic Recognition, Mental Health Management and Service Utilization

Background Primary care physicians often treat older adults with Generalized Anxiety Disorder. Objective To estimate physician diagnosis and recognition of anxiety and compare health service use among older adults with GAD with two comparison samples with and without other DSM diagnoses. Methods Participants were 60+ patients of a multi-specialty medical organization. Administrative database and medical records were reviewed for a year. Differences in frequency of health service use were analyzed with logistic regression and between-subjects analysis of covariance. Results Physician diagnosis of GAD was 1.5% and any anxiety was 9%, and recognition of anxiety symptoms was 34% in older adults with GAD. After controlling for medical comorbidity, radiology appointments were increased in the GAD group relative to those with and without other psychiatric diagnoses, χ² (2, N = 225) = 4.75, p < .05. Conclusions Most patients with anxiety do not have anxiety or symptoms documented in their medical records.     

“类心理学”与心理学的元理论建构——评车文博主编《中外心理学比较思想史》

车文博先生主编的《中外心理学比较思想史》通过＂四方＂文化比较,定义了心理学研究范式的意义,进而建立了一个公正的文化视角下的心理学元理论体系。该书更进一步以心理内容为线索,站在＂类心理学＂的高度描绘了中外心理学范式竞争与演进的历史：古代＂四方＂文化范式呈现相互竞争的态势;在欧洲的科学革命以后,分析理性哲学范式取得了绝对的统治地位。最后,该书中外心理学思想的交流是解决当前心理学范式困难的出路。     

自尊在四川地震孤儿的同伴关系和心理健康之间的调节作用

本研究基于心理弹性来考察汶川地震孤儿群体的自尊在其同伴关系和心理健康之间的调节作用。方法：采用自尊量表（SES）、同伴提名问卷及中国心理健康量表（CMHI）对401名五年级到初二的地震孤儿和对照组儿童进行自尊水平、同伴关系及其心理健康状况调查,使用结构方程模型来探查自尊在同伴关系和心理健康之间的调节作用。结果：自尊量表总评分对照组显著高于四川儿童;震后孤儿组在同伴接受方面程度最高;对照组的心理健康总评分和四川儿童没有显著差异;震后孤儿更多的投注于同伴接受,通过影响自我否定来间接影响心理健康;灾区非孤儿通过自我肯定的中介,调节了同伴拒绝对心理健康的影响。 结论：自尊在四川地震儿童的同伴关系和心理健康之间起着重要的调节作用,体现了自我修复的力量     

大学生学业成败归因特点与自尊的关系

为考察大学生学业成败归因与内隐自尊、外显自尊间的关系,对74名大学生进行内隐联想测验(IAT),并要求其完成Rosenberg自尊量表(SES)及学业成败归因量表(MMCS).统计分析表明: (1)内隐自尊与外显自尊相关不显著; (2)当学业成功时,内隐自尊水平高的大学生倾向于将成功归为自己的能力,而外显自尊水平高的大学生倾向于将成功归为努力、情境和运气; (3)当学业失败时,内隐自尊水平高的大学生倾向于将失败归于情境,而内隐自尊水平低的大学生倾向于将失败归为个人能力不足;同时外显自尊水平高的大学生倾向于将失败归为情境和运气,而外显自尊水平低的大学生更倾向于将失败归为个人努力不够.     

运用比较治疗学的方法促进T2DM胰岛素治疗决策的最优化

2型糖尿病（T2DM）为内分泌科常见疾病,胰岛素是最主要的治疗药物之一,但胰岛素治疗方法诸多,各种方案的疗效参差不齐。为了促进2型糖尿病治疗决策的最优化,本文通过利用检索国内报道的相关文献,对文献中2型糖尿病的胰岛素治疗方法进行归纳总结,并且运用比较治疗学的研究方法进行比较分析,旨在寻求最有效的治疗方案。