Longitudinal associations between mindfulness and well-being in people with multiple sclerosis

Background/Objective: Depression, anxiety, fatigue, and sleep problems are typical conditions reported in people with multiple sclerosis (MS), often resulting in a reduction of their quality of life (QOL) and well-being. Mindfulness is a multifaceted and complex construct that has been increasingly explored for its correlated to well-being. Despite preliminary evidence, longitudinal data about the impact of mindfulness on QOL in MS remain limited. In addition, Langerian mindfulness, one of the prominent approaches to mindfulness, is yet unexplored in this field. The study aims to examine the longitudinal relationships between two forms of mindfulness (Langerian and contemplative) and QOL, anxiety, depression, fatigue, and sleep. Method: Within a larger randomized controlled trial of an online mindfulness-based stress reduction intervention, a cohort of 156 people with MS was recruited and assessed for both mindfulness constructs, QOL, anxiety, depression, fatigue, and sleep problems. Assessments were repeated after 2 and after another 6 months. Results: Both mindfulness constructs were highly correlated with all investigated outcomes. Both Langerian and contemplative mindfulness predicted higher QOL, lower anxiety, depression, fatigue, and sleep, over time. Conclusions: In both approaches dispositional mindfulness is a protective factor against depression, anxiety, fatigue, and sleep in people with MS.     

Personality in multiple sclerosis (MS): impact on health,psychological well-being,coping, and overall quality of life

Personality has long been considered a factor that can account for differences in health, well-being, and overall quality of life (QOL). A ‘Distressed or Type D Personality’ has been studied in medical populations as a predictor of several outcomes. The purpose of the present investigation was to determine the presence of Type D Personality in multiple sclerosis (MS) and its role on disease symptoms, disease management, health-related behaviors, coping, psychological well-being, and overall QOL and functioning. Two hundred and thirty (230) individuals with MS completed a survey assessing personality, disease symptoms, disease management, coping, self-efficacy, locus of control (LOC), psychological well-being, and QOL. Thirty-seven (16%) individuals were found to be ‘Type D+.’ Such individuals reported greater fatigue, pain, depression, and anxiety and worse disease management and adherence. They also reported engaging in maladaptive means of coping. Compared to ‘Type D?’ they reported lower self-efficacy, LOC, QOL and greater perceived stress. Finally, ‘Type D+’ individuals were more likely to be considering leaving the workforce. Findings suggest that ‘Type D’ Personality is associated with various negative outcomes in MS. Consideration of the routine assessment of personality in MS seems warranted and may better inform interventions and ward off poor outcomes.     

FROM EXTENSION TO REVOLUTIONARY CHANGE IN CLINICAL PSYCHOANALYSIS: THE RADICAL INFLUENCE OF BION AND WINNICOTT

This paper addresses the radical departure of late Bion's and Winnicott's clinical ideas and practices from traditional psychoanalytic work, introducing a revolutionary change in clinical psychoanalysis. The profound significance and implications of their thinking are explored, and in particular Bion's conception of transformation in O and Winnicott's clinical‐technical revision of analytic work, with its emphasis on regression in the treatment of more disturbed patients. The author specifically connects the unknown and unknowable emotional reality‐O with unthinkable breakdown (Winnicott) and catastrophe (Bion). The author suggests that the revolutionary approach introduced by the clinical thinking of late Bion and Winnicott be termed quantum psychoanalysis. She thinks that this approach can coexist with classical psychoanalysis in the same way that classical physics coexists with quantum physics.     

《黄帝内经》阴阳二十五人分型的数学建模

目的:应用数学建模的方法探索<黄帝内经>阴阳二十五人分型的相应关系.方法:根据<黄帝内经>理论对阴阳(X1)、五行(X2)、五音(X3)和阴阳二十五人健康状态(Y)进行量化,通过SAS循环程序进行数据模拟,建立多元回归模型.结果:多元线性回归方程为Y=7452.24162+625 X1+25X2+0.09832X3.结论:方程揭示了阴阳、五行和五音与阴阳二十五人健康状态的理论关系,为进一步求证阴阳、五行、五音与健康的关系提供了一个数学模型.     

Perspectives on dichotic listening and the corpus callosum

The present review summarizes historic and recent research which has investigated the role of the corpus callosum in dichotic processing within the context of audiology. Examination of performance by certain clinical groups, including split brain patients, multiple sclerosis cases, and other types of neurological lesions is included. Maturational, age related, and genetic factors are also discussed. Finally, some attention is given to recent trends in audiology research to develop improved diagnostic and rehabilitation tools for individuals with dichotic deficits potentially related to callosal dysfunction.     

单病种平均住院日影响因素分析

为探讨单病种平均住院日的影响因素,采用多元逐步回归分析,对住院构成前5位病种的平均住院日影响因素进行分析。结果显示,有10个影响因素进入回归方程,不同病种平均住院日影响因素略有不同,是否转科对平均住院日影响最大。在医院管理过程中,需不断加强医院流程管理与改造,实施临床路径,合理制定医院平均住院日指标。     

Continuous visual cues trigger automatic spatial target updating in dynamic scenes

Dynamic tasks often require fast adaptations to new viewpoints. It has been shown that automatic spatial updating is triggered by proprioceptive motion cues. Here, we demonstrate that purely visual cues are sufficient to trigger automatic updating. In five experiments, we examined spatial updating in a dynamic attention task in which participants had to track three objects across scene rotations that occurred while the objects were temporarily invisible. The objects moved on a floor plane acting as a reference frame and unpredictably either were relocated when reference frame rotations occurred or remained in place. Although participants were aware of this dissociation they were unable to ignore continuous visual cues about scene rotations (Experiments 1a and 1b). This even held when common rotations of floor plane and objects were less likely than a dissociated rotation (Experiments 2a and 2b). However, identifying only the spatial reference direction was not sufficient to trigger updating (Experiment 3). Thus we conclude that automatic spatial target updating occurs with pure visual information.     

二次响应面回归方法及其在个体-环境匹配研究中的使用

二次响应面回归分析是指二次多项式回归与响应面分析相结合的一种研究方法, 该方法在工业与组织心理学领域起源于个体&#8722;环境(P-E)匹配研究。它使用对个体&#8722;环境进行间接匹配测量的策略, 考察二者间的最佳匹配以及与结果变量的复杂关系, 并在三维空间对其进行检验和解释。该文在分析以往P-E匹配研究方法(例如差异分数)缺陷性的基础上, 阐述了二次响应面回归方法的产生与发展, 逻辑思想, 统计分析方法, 并以实例演示其操作步骤与结果解释, 以及相对于其他方法的优势与不足。     

行动控制在农村教师工作压力与工作倦怠中的作用:PSI理论的分析视角

采用logistic回归分析,考察了322名农村中小学教师的人口学变量和工作压力、行动控制风格、行动控制策略对其工作倦怠的风险预测能力,并借助结构方程模型进一步分析了各心理变量间的关系,从PSI理论角度诠释了倦怠形成的机制。结果发现:中专、高级职称、中高压力水平、低行动控制策略和状态导向是导致中小学教师工作倦怠的危险性因素;行动导向者的工作压力、工作倦怠及行动控制策略运用水平显著好于状态导向者;工作压力、行动控制风格对工作倦怠的直接效应显著;行动控制风格和行动控制策略在工作压力和工作倦怠间起中介作用。因此,PSI视角下的工作压力-工作倦怠模型能够更有效地解释工作倦怠的形成机制;借助PSI理论构建的干预训练,有助于预防和缓解工作倦怠。