Enhancing the care of children with chronic diseases through the narratives of patient,physician, nurse and carer

We tested the hypothesis that a narrative approach may enhance a bio‐psycho‐social model (BPS) in caring for chronically ill children. Forty‐eight narratives were collected from 12 children with six different medical conditions, their mothers, physicians, and nurses. By a textual analysis, narratives were classified on their predominant focus as disease (biological focus), illness (psychologic focus), or sickness (social focus). Sixty‐one percent of narrative’ text were classified as illness, 28% as disease and 11% as sickness. All narratives had a degree of illness focus. Narratives by patients and physicians on the one hand, and nurses’ and mothers’ on the other were disease focused. Narratives were also evaluated with respect to the type of medical condition: Illness was largely prevalent in all but Crohn’s disease and HIV infection, the latter having a predominance of sickness most probably related to stigma. Narrative exploration proved a valuable tool for understanding and addressing the needs of children with complex conditions. Narrative approaches allow identification of the major needs of different patients according to health conditions and story tellers. In the narratives, we found a greater illness and disease focus and surprisingly a low sickness focus, except with HIV stories. Narrative medicine provides a tool to strengthen the BPS model in health care.     

初中生友谊质量与孤独感的变化轨迹:一项多元潜变量增长模型分析

为考察初中生友谊质量与孤独感的变化轨迹及两者间的关系,采用关系网络问卷、孤独感量表对西安市的875名初中生（M=12.73±0.18;男生494名）进行三年追踪测量,使用多元潜变量增长模型进行分析。结果发现：（1）初中三年,中学生的友谊质量逐渐提高,孤独感水平逐渐下降;（2）初一时的友谊质量和孤独感水平存在显著的个体差异,初中三年期间二者的发展速度也存在个体差异;（3）初一时的友谊质量可显著预测初一时的孤独感水平（β=-1.77,p<0.001）及随后的发展速度（β=0.20,p<0.05）;（4）男生的孤独感水平初始值高于女生,友谊质量的初始值则低于女生;高SES个体孤独感的起始值高于低SES个体。本研究结果揭示了初中三年期间个体友谊质量与孤独感的动态变化关系及友谊质量对孤独感的预测作用,对改善青少年孤独感的现状有一定的现实指导意义。     

Discerning Mouse Trajectory Features With the Drift Diffusion Model

Mouse tracking, a new action-based measure of behavior, has advanced theories of decision making with the notion that cognitive and social decision making is fundamentally dynamic. Implicit in this theory is that people's decision strategies, such as discounting delayed rewards, are stable over task design and that mouse trajectory features correspond to specific segments of decision making. By applying the hierarchical drift diffusion model and the Bayesian delay discounting model, we tested these assumptions. Specifically, we investigated the extent to which the “mouse-tracking” design of decision-making tasks (delay discounting task, DDT and stop-signal task, SST) deviate from the standard “keypress” design of decision making tasks. We found remarkable agreement in delay discounting rates (intertemporal impatience) obtained in the keypress and mouse-tracking versions of DDT (ρ = 0.90) even though these tasks were given about 1 week apart. Rates of evidence accumulation converged well in the two versions (DDT, ρ = .86; SST, ρ = .55). Omission/commission error in SST showed high agreement (ρ = .42, ρ = .53). Mouse-motion features such as maximum velocity and AUC (area under the curve) correlated well with nondecision time (ρ = −.42) and boundary separation (ρ = .44)—the amount of information needed to accumulate prior to making a response. These results indicate that the response time (RT) and motion-based decision tasks converge well at a fundamental level, and that mouse-tracking features such as AUC and maximum velocity do indicate the degree of decision conflict and impulsivity.     

Linguistic Distributional Knowledge and Sensorimotor Grounding both Contribute to Semantic Category Production

The human conceptual system comprises simulated information of sensorimotor experience and linguistic distributional information of how words are used in language. Moreover, the linguistic shortcut hypothesis predicts that people will use computationally cheaper linguistic distributional information where it is sufficient to inform a task response. In a pre-registered category production study, we asked participants to verbally name members of concrete and abstract categories and tested whether performance could be predicted by a novel measure of sensorimotor similarity (based on an 11-dimensional representation of sensorimotor strength) and linguistic proximity (based on word co-occurrence derived from a large corpus). As predicted, both measures predicted the order and frequency of category production but, critically, linguistic proximity had an effect above and beyond sensorimotor similarity. A follow-up study using typicality ratings as an additional predictor found that typicality was often the strongest predictor of category production variables, but it did not subsume sensorimotor and linguistic effects. Finally, we created a novel, fully grounded computational model of conceptual activation during category production, which best approximated typical human performance when conceptual activation was allowed to spread indirectly between concepts, and when candidate category members came from both sensorimotor and linguistic distributional representations. Critically, model performance was indistinguishable from typical human performance. Results support the linguistic shortcut hypothesis in semantic processing and provide strong evidence that both linguistic and grounded representations are inherent to the functioning of the conceptual system. All materials, data, and code are available at https://osf.io/vaq56/ .     

Word Order Variation is Partially Constrained by Syntactic Complexity

Previous work suggests that when speakers linearize syntactic structures, they place longer and more complex dependents further away from the head word to which they belong than shorter and simpler dependents, and that they do so with increasing rigidity the longer expressions get, for example, longer objects tend to be placed further away from their verb, and with less variation. Current theories of sentence processing furthermore make competing predictions on whether longer expressions are preferentially placed as early or as late as possible. Here we test these predictions using hierarchical distributional regression models that allow estimates of word order and word order variation at the level of individual dependencies in corpora from 71 languages, while controlling for confounding effects from the type of dependency (e.g., subject vs. object), and the type of clause (main vs. subordinate) involved as well as from trends that are characteristic of individual languages, language families, and language contact areas. Our results show the expected correlations of length with position and variation only for two out of six dependency types (obliques and nominal modifiers) and no difference between clause types. These findings challenge received theories of across-the-board effects of complexity on word order and word order variation and call for theoretical models that relativize effects to specific kinds of syntactic structures and dependencies.     

贝叶斯统计方法的应用与现状

贝叶斯统计方法是心理学数据分析的热门方法。研究全面论述贝叶斯方法在心理学领域的应用与方向。现阶段贝叶斯方法以模拟研究为主,应用方向为心理学研究常用的项目反应理论、认知诊断、计算机自适应、结构方程模型。同时,评述发现贝叶斯方法正逐步被国内心理学研究者所接受。最后,文章讨论了当下贝叶斯统计在心理学研究中应用的局限性及可能的原因,建议统计学者开发界面友好的贝叶斯软件,并在心理学课程中加入贝叶斯知识。     

权力感对道德判断的影响及其理论解释:基于CNI模型的视角

权力感指个体对控制他人和自身的能力的感知。现有权力对道德判断的影响研究主要使用传统两难困境范式,围绕权力感影响主体道德判断的功利论倾向与道义论倾向展开,且研究观点尚未达成共识。由于传统两难困境范式的局限性,研究者开发了道德判断CNI模型探究权力感对道德判断的影响,该模型为两者之间的关系提供了新的解释路径。未来研究可关注CNI模型视角下不同类型权力感对道德判断的影响以及探讨特质性权力感与情境性权力感对个体道德判断差异的联合作用。     

Prosthesis embodiment and attenuation of prosthetic touch in upper limb amputees – A proof-of-concept study

Sensory attenuation of self-touch, that is, the perceptual reduction of self-generated tactile stimuli, is considered a neurocognitive basis for self-other distinction. However, whether this effect can also be found in upper limb amputees using a prosthesis is unknown. Thirteen participants were asked to touch their foot sole with a) their intact hand (self-touch), b) their prosthesis (prosthesis-touch), or c) let it be touched by another person (other-touch). Intensity of touch was assessed with a questionnaire. In addition, prosthesis embodiment was assessed in nine participants. Self-touch as well as prosthesis-touch was characterized by significant perceptual attenuation compared to other-touch, while self- and prosthesis-touch did not differ. The more embodied the prosthesis was, the more similar was its elicited touch perception to actual self-touch. These findings – although preliminary – suggest that perceptually embodied prostheses can be represented as an actual limb by the users’ sensorimotor system.     

Safety of micro-mobility: Riders’ psychological factors and risky behaviors of cargo TTWs in China

Cargo two- or three-wheeled vehicles (TTWs), as a new form of micro-mobility, have become a popular mode of urban cargo transportation in China. Cargo TTW riders’ psychological factors and risky behaviors lead to a number of accidents. A questionnaire is designed by comprehensively considering these factors and behaviors of cargo TTW riders that includes eleven risk factors to quantitatively analyze the risky behaviors based on structural equation modeling (SEM). One thousand three hundred nineteen participants reported using cargo TTWs on a questionnaire distributed across the country. The characteristics of riding behavior data are analyzed to verify the three-layer risk theoretical framework of “Psychological factors (Personality traits/specific factors) - Psychological acceptability of risks (confidence/perception/attitude) - Risky behaviors”. The results show that anger has a strong direct effect on riding violations, while normlessness and altruism have a direct effect on riding errors. Workload has a weak but direct effect on risky behaviors, and riding feedback has a weak and mixed effect. In addition, high-risk groups are identified by analysis of variance (ANOVA) with rider population attributes. These quantitative analyses can help guide safety countermeasures to mitigate accidents involving cargo TTWs.     

Correlations of multiple rider behaviors with self-reported attitudes,perspectives on traffic rule strictness and social desirability

Powered Two-Wheeler (PTW) riders constitute a very vulnerable group of road users, while riding a PTW is considerably more dangerous than using any other motor vehicle. Behavioral issues have been identified major moderating factors to PTW crashes, as riders display great variability in their attitudes towards road safety. Τhe aim of this paper is to present a thorough, overarching structure of relationships correlating various unsafe stated PTW rider behaviors (riding after alcohol consumption, speeding, helmet use and texting) with several self-reported attitude parameters and factors regarding rider perspectives on traffic rule strictness and social desirability. A structural equation model (SEM) was developed using data from the ESRA2 survey, which provided a broad sample encompassing 5,958 respondent riders from 32 countries. Numerous statistical relationships were discovered and quantified correlating the four examined unsafe rider behaviors with eight latent unobserved variables. All covariances between unsafe behaviors were found to be positive and statistically significant, indicating that a rider who will engage more frequently in every single one of the four examined unsafe riding behaviors is more likely to also engage in all the others as well.