初探健康管理与我国糖尿病的预防与控制

近年来,我国糖尿病发展的势头迅速,成为糖尿病患病率增长最快的国家之一,给社会和经济带来了巨大的负担。文章针对我国的糖尿病的流行现状及其带来的经济负担,分析了实施糖尿病健康管理的现实意义,并借鉴美国健康管理的经验,构思了我国社区的促进糖尿病防制的健康管理模式。     

国外护士道德韧性的研究进展及启示

结合既往资料,对国外护士道德韧性的概念发展、特征、测量工具、影响因素、作用进行具体综述。道德韧性的6个特征包括个人正直、关系正直、适应力、自我调节、自我管理、道德效能。护士道德韧性的影响因素包括性别、年龄、协调联系、同伴支持、道德困扰和道德勇气。研究发现道德韧性可以作为抵抗道德困境的途径、提高护士心理健康水平,以及减少职业倦怠与降低离职率。总结提出宏观层面应制定政策、提供组织支持,中观层面培养道德韧性,微观层面指出我国护士道德韧性的研究发展方向,为国内护士道德韧性的发展提供参考。

     

Motivated emotion and the rally around the flag effect: liberals are motivated to feel collective angst (like conservatives) when faced with existential threat

A careful look at societies facing threat reveals a unique phenomenon in which liberals and conservatives react emotionally and attitudinally in a similar manner, rallying around the conservative flag. Previous research suggests that this rally effect is the result of liberals shifting in their attitudes and emotional responses toward the conservative end. Whereas theories of motivated social cognition provide a motivation-based account of cognitive processes (i.e. attitude shift), it remains unclear whether emotional shifts are, in fact, also a motivation-based process. Herein, we propose that under threat, liberals are motivated to feel existential concern about their group’s future vitality (i.e. collective angst) to the same extent as conservatives, because this group-based emotion elicits support for ingroup protective action. Within the context of the Palestinian-Israeli conflict, we tested and found support for this hypothesis both inside (Study 1) and outside (Study 2) the laboratory. We did so using a behavioural index of motivation to experience collective angst. We discuss the implications of our findings for understanding motivated emotion regulation in the context of intergroup threat.     

听障儿童错误信念理解与谎言理解的关系：情绪理解的调节作用

本研究主要探讨听障儿童自我/他人错误信念理解与谎言理解各层面的关系,以及情绪理解在其中的调节作用。实验1采用错误信念理解和谎言理解来探讨自我/他人错误信念理解与谎言理解各层面的关系。实验2增加了情绪理解任务,并探讨情绪理解在错误信念理解和谎言理解之间关系的机制。结果发现：（1）听障儿童他人错误信念理解、真假信息辨别、谎言意图理解的正确率显著不如典型发展儿童,且他人错误信念理解越好,越容易进行真假信息辨别和谎言意图理解;（2）典型发展儿童自我/他人错误信念理解越准确,谎言意图理解越好;（3）当听障儿童情绪理解得分较高时,自我/他人错误信念理解对谎言行为判断具有正向预测作用;（4）典型发展儿童情绪理解得分较高时,自我错误信念理解对真假信息辨别有正向预测作用,他人错误信念理解对谎言行为判断、真假信息辨别有正向预测作用。这些研究结果不仅表明听障儿童他人错误信念理解对谎言理解具有解释作用,而且表明高情绪理解在谎言理解中有促进作用以及表明高情绪理解在对错误信念理解与谎言理解中的调节作用更加显著。     

情绪体验影响估算策略运用的认知与脑机制

揭示情绪体验影响个体完成各种认知任务的认知神经机制是研究者关注的热点问题。以往研究主要采用问卷法和行为实验, 集中考察了焦虑对估算策略运用的影响, 但这种影响潜在的脑机制尚不清楚, 对焦虑以外的情绪体验与估算策略运用之间关系的研究也极其缺乏, 而情绪调节对估算策略运用影响方面的研究基本处于空白。本研究将采用面孔表情图片作为情绪刺激材料, 结合事件相关电位(event related potential, ERP)技术, 采用启动范式, 尝试从外显和内隐两个角度, 考察不同效价的情绪体验在估算策略运用过程中所起的作用, 进而揭示情绪调节影响估算策略执行的时间动态特征和大脑激活模式。这将有助于充分认识情绪体验影响估算策略运用的认知与脑机制, 为更好的优化估算策略运用效果提供实证依据。     

Risques de violences externes au travail et facteurs de protection

Violence external to work is a risk that is difficult to reduce for professionals in certain business sectors. This study (N = 447) assessed two conflict management resources never studied to our knowledge (social support and professional training). The study showed that the search for social or emotional support is linked to exposure to external-to-work violence. Additionally, training moderated the perception of individual capacities to manage certain component of external violence at work, with some gender differences. This research highlights the importance of the availability of these resources in collective strategies to combat the stress generated by external-to-work violence risks.     

Keeping adolescents safe from harm: management strategies of African-American families in a high-risk community

In this study, we investigated changes in parents' use of restrictive and promotive management strategies from early to middle adolescence. We also examined the antecedents of these changes and their effects on adolescents' achievement and mental health. Longitudinal data included 50 African American adolescents and their parents living in a low-income school district. There were three major findings. First, parents, on average, used less restrictive and promotive management strategies from early to middle adolescence. Second, parents who experienced increased depressive symptoms reported using more restrictive management strategies from early to middle adolescence. Third, adolescents whose parents increased their use of restrictive management strategies experienced more anger and lower grade point averages, whereas adolescents whose parents increased their use of promotive management strategies experienced less anger, higher grade point averages, and less absences from early to middle adolescence. These findings suggest that increasing parents' use of promotive rather than restrictive management strategies may be more beneficial in supporting the academic achievement and mental health of adolescents living in high-risk neighborhoods.     

激活右腹外侧前额叶提高抑郁症患者对社会疼痛的情绪调节能力：一项TMS研究

负性人际交往经历和负性社会事件是抑郁症的重要诱导因素, 而社会功能受损是抑郁症患者的重要特征之一, 患者通常表现出对社会疼痛的情绪失调。为了提高抑郁症患者在负性社交情境中或面对负性社会事件时的情绪调节能力, 本研究采用经颅磁刺激技术(transcranial magnetic stimulation, TMS), 考察抑郁症患者在腹外侧前额叶(the ventrolateral prefrontal cortex, VLPFC)被激活后其情绪调节能力的改变。结果表明, 当右侧VLPFC被TMS激活且患者采用认知重评策略调节情绪时, 实验组患者(n = 64)比对照组患者(n = 63)在社会排斥情境下报告了更弱的负性情绪体验, 这说明激活右侧VLPFC可以有效提高患者对社会疼痛的外显性情绪调节能力。本研究是采用TMS提高抑郁症患者情绪调节能力的首次尝试, 实验发现不但支持了VLPFC与认知重评策略的因果关系, 还为临床改善抑郁症等社会功能障碍患者的情绪调节能力提供了明确的神经治疗靶点。后续研究还需探讨多疗程TMS刺激方案、改变社会疼痛的诱发方式、对比左右侧VLPFC的治疗效果、尝试使用其他的情绪调节策略, 进一步验证本研究的结论, 优化TMS治疗方案。     

替代性创伤与具身情绪

具身情绪是在近年来大热的具身认知领域影响下提出的便于研究情绪的理论,主要表现为情绪是由生理反应及情境等共同作用影响的; 而替代性创伤是用以描述心理工作者因长期接触创伤后患者对其进行危机干预,而出现类似的创伤反应和身心不良症状的概念。这两者在形成结构上存在相似之处。本文对这两个概念进行介绍,从具身的视角描述了替代性创伤的成因,最后结合实际对未来研究探讨与展望。