The Portuguese version of Addenbrooke’s Cognitive Examination–Revised (ACE-R) in the diagnosis of subcortical vascular dementia and Alzheimer’s disease

The aim of this study was to investigate the accuracy of the Portuguese version of Addenbrooke’s Cognitive Examination–Revised (ACE-R) in detecting and differentiating early stage subcortical vascular dementia (SVD) from early stage Alzheimer’s disease (AD). Ninety-two subjects (18 SVD patients, 36 AD patients, and 38 healthy controls) were assessed using the ACE-R. Between-group’s differences were evaluated using the Quade’s rank analysis of covariance. The diagnostic accuracy and discriminatory ability of the ACE-R were examined via receiver operating characteristic (ROC) analysis. The ACE-R was able to successfully discriminate between patients and healthy subjects. The mean ACE-R total scores differed between SVD and AD patients; there were also significant differences in attention and orientation and in memory measures between the groups. An optimal cut-off of 72/73 was found for the detection of AD (sensitivity: 97%; specificity: 92%) and SVD (sensitivity: 100%; specificity: 92%).     

浅析生命质量在药物评价中的作用

随着医学模式的转变及心身医学的发展,近年来,生命质量的评定已成为一些药物评价的重要指标。由于生命质量的评定较好地反映了药物对患者身体、情感、社会心理等方面的影响,从而能够较为全面地评价药物疗效,有助于有效地指导临床选择用药。本文阐述了生命质量的定义,在药物评价中应考虑其对生命质量的影响以及通过实例说明如何进行生命质量的评定     

Best Practices Start With Screening: A Closer Look at Screening,Brief Intervention,and Referral to Treatment in Adolescent,Military, and LGBTQ Populations

Screening, brief intervention, and referral to treatment (SBIRT) is a flexible, evidence‐based approach to assessing risk and providing brief interventions for individuals with alcohol use disorders. This article identifies 3 diverse populations that could benefit from universal screening—a foundation of SBIRT—and provides resources and support for implementation across a broad range of settings.     

Using Curriculum-Based Measurements for Program Evaluation: Expanding Roles for School Psychologists

Educators increasingly need to evaluate schoolwide reform efforts; however, complex program evaluations often are not feasible in schools. Through a case example, we provide a heuristic for program evaluation that is easily replicated in schools. Criterion-referenced interpretations of schoolwide screening data were used to evaluate outcomes associated with participation in four-year-old kindergarten. Nonparametric analyses allowed for group comparisons across early literacy screening outcomes. Risk ratios demonstrated that four-year-old kindergarten participants were less likely to score “at-risk” on kindergarten and first grade screenings. The methods employed meaningfully addressed local program effectiveness questions. Further, they were easily determined and disseminated. Implications for extensions of the heuristic to other evaluation questions and data sources as well as limitations of the approach are discussed.     

Personality Traits Predict Smartphone Usage

The present study investigates to what degree individual differences can predict frequency and duration of actual behaviour, manifested in mobile application (app) usage on smartphones. In particular, this work focuses on the identification of stable associations between personality on the factor and facet level, fluid intelligence, demography and app usage in 16 distinct categories. A total of 137 subjects (87 women and 50 men), with an average age of 24 (SD = 4.72), participated in a 90‐min psychometric lab session as well as in a subsequent 60‐day data logging study in the field. Our data suggest that personality traits predict mobile application usage in several specific categories such as communication, photography, gaming, transportation and entertainment. Extraversion, conscientiousness and agreeableness are better predictors of mobile application usage than basic demographic variables in several distinct categories. Furthermore, predictive performance is slightly higher for single factor—in comparison with facet‐level personality scores. Fluid intelligence and demographics additionally show stable associations with categorical app usage. In sum, this study demonstrates how individual differences can be effectively related to actual behaviour and how this can assist in understanding the behavioural underpinnings of personality. Copyright © 2017 European Association of Personality Psychology     

Substance Use Assessment Instruments: 13 Years Later

The authors surveyed Master Addiction Counselors and members of the International Association of Addictions and Offender Counselors (N = 131) about their use of substance use disorder and process addiction screening and assessment instruments. The results are compared with those of Juhnke, Vacc, Curtis, Coll, and Paredes ( 2003 ).     

乡村医生抗生素与激素使用分析

通过随机调查安徽省4县市5个乡镇的63名乡村医生,发现抗生素及激素使用在调查的农村地区非常普遍;抗生素及激素过度使用在不同年龄、学历、工作年限的乡村医生中都普遍存在。     

大学生上网行为、态度和人格特征的研究

本研究使用自编大学生上网成瘾诊断问卷、自编上网行为和态度问卷以及三个人格量表,对上海市6所高校370名大学生的上网情况进行了调查。结果表明：(1)上网成瘾的大学生在上网的行为和态度上明显不同于非成瘾的大学生,他们表现出高开放性、社交性、胜任能力和匿名性,并且更认可网络交流的便利性。(2)上网成瘾的大学生比非成瘾的大学生明显表现出孤独、抑郁和焦虑的人格特质。(3)逐步回归分析的结果表明,“社交性”、“交流便利”、“焦虑量表分数”、“开放性”、“胜任能力”对大学生陷人网络的程度有显著的预测作用。     

人事筛选和挑选决策策略的比较

本研究采用了多特征决策研究中的过程追踪技术,对人事筛选和挑选决策的策略进行了单步跳转和多步跳转分析与比较。结果发现,在人事挑选时,被试更多采用基于方案的补偿性策略,并以有关合适人选的心理映像为标准做出决策;而筛选时更多采用基于特征的非补偿策略以减少认知负荷,同时,以方案间比较为目的的补偿性策略也更多使用。这些策略变化体现了决策者的认知适应性。     

The Reliability and Validity of a Brief Self-Report Questionnaire to Screen for Mental Health Problems: The Health Dynamics Inventory

Mental health problems are underrecognized in medical settings, leading to inadequate treatment. The present paper describes the development of the Health Dynamics Inventory (HDI), a brief, self-report questionnaire developed to evaluate mental health functioning. The HDI was written to evaluate the three aspects of mental disorders as described in the Diagnostic and Statistical Manual of Mental Disorders (DSM): (1) the experience of emotional or behavioral symptoms; (2) emotional distress; and (3) psychosocial impairment. This study evaluated the psychometric properties and construct validity of its items, scales, and subscales. Results indicated that the items distinguish patients from nonpatients, that the instrument's scales and subscales are reliable, and that the scales and subscales discriminates between persons with mental health concerns or diagnosable problems and those without such concerns or problems. The utility of the instrument for screening mental health problems in primary care settings is discussed.