调强适形放射治疗的多学科整合

调强适形放射治疗是放射治疗100余年历史中的一个革命性进步,能使高剂量的立体分布适合外形非常不规则甚至怪异的肿瘤,调整靶区内诸点的输出剂量率,显著提高肿瘤放疗的疗效。近年计算机技术、放射物理学、放射生物学、分子生物学、影像学特别是功能性影像学的快速发展以及多门边缘学科之间的有机结合,为调强适形放射治疗提供在靶区三维精确模拟定位、立体定向定位摆位框架、逆向治疗计划系统、调强治疗机等方面的发展基础。调强适形放射治疗——多元化医学理论下的医疗方法将在学科交叉、综合发展中进一步巩固。     

Dysphoria and Mobilization of Mental Effort: Effects on Cardiovascular Reactivity

Two studies examined the influence of dysphoria on motivational intensity in a student sample. Participants worked on a memory task (Study 1) or a mental concentration task (Study 2) without fixed performance standard (“do your best”). Based on their scores on the Center for Epidemiologic Studies – Depression Scale (L. S. Radloff, 1977), dysphoric and nondysphoric students were compared with regard to their effort-related cardiovascular reactivity during task performance. As predicted on the basis of the mood-behavior-model (G. H. E. Gendolla, 2000) and motivational intensity theory (J. W. Brehm & E. A. Self, 1989), dysphoric participants showed stronger cardiovascular reactivity while working on the cognitive tasks than nondysphoric participants. In Study 1, nondysphoric participants performed better on the memory task than dysphoric participants. Theoretical implications are discussed.

Implicit achievement motive limits the impact of task difficulty on effort-related cardiovascular response

In contrast to the motive literature, motivational intensity theory predicts that the implicit achievement motive (nAch) should only exert an indirect impact on effort by limiting the impact of task difficulty. To contrast these two views, sixty-eight participants with a low or high nAch performed an easy or difficult arithmetic task. Effort was assessed using cardiac pre-ejection period (PEP). Supporting motivational intensity theory’s view, PEP response was low in both easy-task conditions but stronger in the high-nAch group than in the low-nAch group in the difficult task. These findings suggest that nAch exerts an indirect effect on effort investment by setting the maximally justified effort instead of directly determining the amount of effort that is invested to satisfy the motive.     

压力事件对初中生抑郁的影响:网络使用动机与网络使用强度的作用

为探讨压力事件对初中生抑郁的影响以及网络使用动机和网络使用强度在其中的作用,采用生活事件量表,网络使用动机量表,网络使用强度量表和流调中心用抑郁量表对武汉市内两所中学的913名初中生进行调查。结果发现：（1）压力事件与网络使用动机、网络使用强度和抑郁均呈显著正相关; （2）压力事件正向预测网络使用动机与网络使用强度,网络使用动机正向预测网络使用强度,网络使用强度正向预测抑郁; （3）网络使用动机中,社会补偿动机正向预测抑郁,而好友联系动机与休闲娱乐动机负向预测抑郁; （4）压力事件通过网络使用动机和网络使用强度的链式中介作用影响抑郁。研究结果强调压力事件不仅可以直接影响初中生抑郁,还可以通过网络使用动机和网络使用强度间接影响初中生抑郁。     

The relation between rumination and temporal features of emotion intensity

Intensity profiles of emotional experience over time have been found to differ primarily in explosiveness (i.e. whether the profile has a steep vs. a gentle start) and accumulation (i.e. whether intensity increases over time vs. goes back to baseline). However, the determinants of these temporal features remain poorly understood. In two studies, we examined whether emotion regulation strategies are predictive of the degree of explosiveness and accumulation of negative emotional episodes. Participants were asked to draw profiles reflecting changes in the intensity of emotions elicited either by negative social feedback in the lab (Study 1) or by negative events in daily life (Study 2). In addition, trait (Study 1 & 2), and state (Study 2) usage of a set of emotion regulation strategies was assessed. Multilevel analyses revealed that trait rumination (especially the brooding component) was positively associated with emotion accumulation (Study 1 & 2). State rumination was also positively associated with emotion accumulation and, to a lesser extent, with emotion explosiveness (Study 2). These results provide support for emotion regulation theories, which hypothesise that rumination is a central mechanism underlying the maintenance of negative emotions.     

负性情绪强度对双加工再认提取的影响

双加工理论认为再认提取存在回想和熟悉性两种认知加工过程。本研究采用修正的“记得/知道”范式,考察不同强度的负性情绪对这两种再认提取过程的影响。结果发现：（1）在记得反应上不同负性情绪强度的材料呈现出以下模式：高度负性 > 中度负性 > 轻度负性 > 中性;（2）在知道反应上,不同负性情绪强度的材料呈现出以下模式：中性 > 轻度负性 > 中度负性 > 高度负性。这些结果表明,不同强度的负性材料对情绪记忆的影响表现为两条途径：依赖于回想的再认随着负性情绪强度的增加而逐步提高,另外一个依赖于熟悉性的再认随着负性情绪强度的增加而逐步降低。     

真实急病情境下共情对大学生慈善捐助的影响:有调节的中介效应

基于真实急病情境,采用道德强度、道德认同、共情和慈善捐助问卷对462名大学生进行调查,探讨了共情影响大学生慈善捐助的内在机制。结果显示:(1)女生在真实急病情境下比男生更容易对主人公的不幸事件产生共情反应;大学生真实急病情境下的共情反应随年级关系的疏远而逐渐降低;(2)共情在道德强度与慈善捐助的关系中具有部分中介作用,即道德强度通过共情对慈善捐助产生间接影响;(3)道德认同对共情的中介作用具有调节效应,具体而言,相对于低道德认同的个体,高道德认同的个体表现出更多的慈善捐助,并且共情对道德强度和慈善捐助的中介效应也显著增强。研究结论对于理解慈善捐助的内在机制具有理论价值,对于慈善捐助的教育和干预具有现实启示意义。     

The role of egocentrism and focalism in the emotion intensity bias

People sometimes judge their emotions, preferences, and attitudes to be more intense than those of other people. Two experiments tested whether this emotion intensity bias in direct comparisons results from two non-motivated cognitive processes—egocentrism and focalism. In Study 1, the intensity bias was found even when comparing a friend’s preferences to peers. In Study 2, attention given to own versus other’s preferences, and the referent of the comparison (self or others) were manipulated. Results indicated that attention to others reduced the bias, presumably by reducing egocentrism. Consistent with focalism, the bias also emerged when a friend was the target of comparison, and the bias was eliminated when the self was the referent rather than the target of comparison. In the discussion, we evaluate these accounts in light of some alternative explanations for the intensity bias.     

Hospital restructuring and nursing staff well-being: The role of perceived hospital and union support

Abstract

This research examined the effects of perceived hospital and union support on work satisfaction and psychological well-being of nursing staff during a period of hospital restructuring and downsizing. Data were collected from 1363 hospital-based nurses using anonymous questionnaires. Respondents reported receiving moderate levels of both hospital and union support during this period. However nursing staff reporting higher levels of perceived hospital support indicated greater job satisfaction, more job security, lower levels of psychological burnout and fewer psychosomatic symptoms, controlling for personal and work situation factors and extent of restructuring and downsizing initiatives. Implications for organizational management during downsizing and reorganization are drawn.