Relationships of deployment and combat experiences to postdeployment negative health conditions among Army National Guard soldiers

An interest of researchers and practitioners has been postdeployment adjustment of returned soldiers, though the primary focus has been investigating the prevalence of psychiatric conditions. Less attention has been paid to nonclinical conditions, which still have posed significant adjustment problems for soldiers, in particular, for reserve soldiers who revert back to civilian life, family, and employment. The present study examined the occurrence of postdeployment problems among returned Army National Guard soldiers (N = 4,567 in 50 company-sized units). Survey items reliably indicated 7 problem areas. Highest prevalence of problems was being angry (35.9%) and being unable to sleep (43.3%), followed by alcohol abuse (25.1% reported 5 or more drinks in 1 day). Longer deployment lengths were associated with troubled relationships and aggression toward the significant other adult and children in the household. More deployments were associated with aggression toward household children. Self-reported general combat trauma and having killed or wounded someone were associated with all problem areas. Findings are discussed relative to how combat exposure likely alters soldiers’ perceptions and behaviors, including feelings of loneliness and isolation, and risk-taking behaviors of alcohol abuse and aggression toward others.     

中学生欺凌受害对其内化问题的影响:有调节的中介模型

采用特拉华校园氛围量表、特拉华欺负受害量表、心理弹性量表、病人健康问卷抑郁量表和广泛性焦虑量表对3543名中学生进行调查。探讨中学生感知的校园氛围与心理弹性在其欺凌受害与内化性问题间的中介调节作用。结果表明:(1)在控制中学生的性别、年级及父母文化水平后,欺凌受害能显著正向预测学生的内化性问题。(2)心理弹性在欺凌受害与内化性问题间起部分中介作用。(3)中学生感知的校园氛围在欺凌受害以及心理弹性对内化性问题的影响中均有显著的调节作用。     

Emotional self-efficacy,conduct problems,and academic attainment: Developmental cascade effects in early adolescence

The study is amongst the first of its kind to utilise developmental cascade modelling in order to examine the inter-relations between emotional self-efficacy, conduct problems, and attainment in a large, nationally representative sample of English adolescents (n = 2414, aged 11 years). Using a 3-wave, longitudinal, cross lagged-design, we tested three cascading hypotheses: adjustment erosion, adjustment fortification, and academic incompetence. A fourth hypothesis considered the role of shared risk. Results supported small effects consistent with the cascade hypotheses, and a small but significant effect was found for shared risk. Strengths and limits of the study are considered alongside a discussion of the implications for these findings.     

Temperament and Social-Emotional Difficulties: The Dark Side of Learning Disabilities

The authors compared the relations between general psychological difficulties and dimensions of temperament in children with and without learning disability (LD). The main aim was to analyze whether and to what extent children's temperament dimensions contribute to their general psychological difficulties when LD diagnosis, age, and gender are taken into account. Participants were 52 elementary school children 7–11 years old (M age = 8.61 years, SD = 1.21 years). Twenty-six of them had been diagnosed with LD. Six teachers rated their pupils with and without LD in relation to their general psychological difficulties (Strengths and Difficulties Questionnaire) and temperament dimensions (Italian Questionnaires of Temperament). In children with LD, the main dimensions of temperament with the power to predict general psychological difficulties (i.e., emotionality and social orientation) concern these students' relationships with others (teachers and peers). The findings of the current study draw educators' and practitioners' attention to the fact that children's temperamental characteristics may affect how they experience their LD, with significant implications for their later social adjustment.     

Relations of positive and negative expressivity and effortful control to kindergarteners’ student–teacher relationship,academic engagement,and externalizing problems at school

The current study examined the role of naturally-occurring negative and positive emotion expressivity in kindergarten and children’s effortful control (EC) on their relationships with teachers, academic engagement, and problems behaviors in school. Further, the potential moderating role of EC on these important school outcomes was assessed. Emotion and engagement were observed at school. EC was assessed by multiple methods. Teachers reported on their student–teacher relationships and students’ externalizing behaviors. Children’s emotion expressivity and EC were related to engagement and relationships with teachers as well as behavioral problems at school. Children low in EC may be particularly vulnerable to the poor outcomes associated with relatively intense emotion expressivity as they struggle to manage their emotions and behaviors in the classroom.     

Does Parent-Child Interaction Therapy Reduce Maternal Stress,Anxiety, and Depression Among Mothers of Children with Autism Spectrum Disorder?

Maternal stress, anxiety, and depression are associated with ineffective parenting strategies for families of children with Autism Spectrum Disorders (ASD). We present the use of Parent-Child Interaction Therapy (PCIT) with three mother-child dyads to reduce maternal stress, anxiety, and depression and child disruptive behavior in children with ASD. Results included increases in positive parenting skills, and decreases in maternal anxiety, depression, and stress, as well as child behavior problems. PCIT is a promising alternative to more intensive and costly interventions, both at reducing disruptive behaviors and improving maternal health. Implications of PCIT for dyads affected by ASD are discussed.     

Psychopathology and behavior problems in children and adolescents with Williams syndrome: Distinctive relationships with cognition

Several studies have documented the high prevalence of psychopathology and behavior problems in Williams syndrome (WS). However, the links between cognitive development and such symptoms need further clarification. Our study aims to expand current knowledge on levels of behavior problems and its links to cognition in a sample of Brazilian individuals with WS. A total of 25 children and adolescents with WS and their parents participated in this study. The participants’ IQs were assessed with the Wechsler Scales of Intelligence (for children or adults) and parental reports of psychopathology/behavior problems were collected using the Child Behavior Checklist (CBCL). The presence of clinically significant attention problems was a main feature in our sample of children and adolescents with WS. In the children, higher IQ scores were found to be significantly associated with less externalizing problems, while in the adolescents cognitive abilities were found to be associated with less internalizing symptoms. These results provide further insight into the links between psychopathology and behavior problems and cognitive abilities in WS, and suggest the need to take age into consideration when analyzing such relationships.     

父母婚姻质量与青少年外化问题的关系:教养方式的中介作用

本研究采用婚姻调适问卷、教养方式问卷及儿童行为量表对全国四大地理区域9个城市的2396名青少年及其父母进行测查。婚姻质量由青少年的父母自评,父母的教养方式由青少年报告,青少年的外化问题由父母分别报告,考察了父母婚姻质量与青少年外化问题之间的关系,以及教养方式在其中的中介作用。采用包含潜变量的结构方程模型和Bootstrap中介效应检验进行分析,研究发现：（1）父母婚姻质量与积极教养呈显著正相关,与严厉教养呈显著负相关。父母的婚姻质量、积极教养及严厉教养与青少年的外化问题之间呈现跨轮的显著相关。（2）父母婚姻质量能直接正向预测青少年外化问题,教养方式在父母婚姻质量和青少年外化问题中起到部分中介作用。     

共同冗思的概念、测量和理论解释

共同冗思指个体在双向关系中过度讨论个人问题的行为。共同冗思对个体产生适应权衡效应,即它不仅与积极的友谊属性有关,还与抑郁和焦虑等内化问题相关。以往研究主要分析共同冗思的性别差异、发展特点及其在不同亲密关系中的表现。结果发现共同冗思的适应权衡效应在女性群体中比在男性群体中更为突出,在青少年群体中比在儿童群体中更为突出。研究者主要从同伴传染、压力生成、共情痛苦以及生理机制等角度解释共同冗思与内化问题的关系。友谊等亲密关系中的共同冗思对个体适应的负面影响难以察觉,它可以作为个体抑郁和焦虑等内化问题的危险信号。后续研究可以从考察共同冗思的人格以及环境影响因素等角度深化对该主题的理解。     

"人造美人"的几个法律问题--兼与孙福川教授商榷

针对2004年<医学与哲学>第7期孙福川教授<对"人造美人"医学的十大人文拷问>一文,提出自己的观点,认为"人造美人"是临床医疗行为,其出现并没有偏离医学的目的,"人造美人"的法律主体地位应是患者,因人造美人而出现的纠纷可以适用于处理医疗纠纷的相关法律、法规,同时造美广告也是医疗广告.