Cognitive Beliefs Across the Symptom Dimensions of Pediatric Obsessive-Compulsive Disorder: Type of Symptom Matters

The cognitive model of obsessive-compulsive disorder (OCD) posits that dysfunctional cognitive beliefs are crucial to the onset and maintenance of OCD; however, the relationship between these cognitive beliefs and the heterogeneity of OCD symptoms in children and adolescents remains unknown. We examined how the major belief domains of the cognitive model (inflated responsibility/threat estimation, perfectionism/intolerance of uncertainty, importance/control of thoughts) and dysfunctional metacognitions were related to OCD symptoms across the following dimensions: doubting/checking, obsessing, hoarding, washing, ordering, and neutralization. Self-report ratings from 137 treatment-seeking youth with OCD were analyzed. When cognitive beliefs and symptom dimensions were analyzed in tandem, inflated responsibility/threat estimation and dysfunctional metacognitions were uniquely related to doubting/checking, obsessing, and hoarding and perfectionism/intolerance of uncertainty to ordering. Cognitive beliefs explained a large proportion of variation in doubting/checking (61%) and obsessing (46%), but much less so in ordering (15%), hoarding (14%), neutralization (8%), and washing (3%). Similar relations between cognitive beliefs and symptom dimensions were present in children and adolescents. Cognitive beliefs appear to be relevant for pediatric OCD related to harm, responsibility, and checking, but they do not map clearly onto contamination and symmetry-related symptoms. Implications for OCD etiology and treatment are discussed.     

情绪对跨期决策的影响：来自单维占优模型的解释

跨期决策的研究表明, 积极情绪和消极情绪状态下的跨期决策行为存在显著差异。本研究从单维占优模型的角度, 揭示情绪影响跨期决策的过程机制。实验1通过诱发被试的积极和消极情绪, 发现积极情绪下被试的时间折扣率更低, 有更强的选择延迟选项的倾向。实验2运用“模拟天平任务”测量了跨期决策时的维度间差异比较, 检验单维占优模型对情绪影响跨期决策的解释性。结果发现, 维度间差异比较在情绪对跨期决策的影响中起中介作用。实验3a和实验3b分别运用时间和金钱启动策略操纵维度间差异比较过程, 再次验证单维占优模型的解释作用。 结果发现, 情绪对跨期决策的效应随着时间和金钱的启动而消失, 进一步支持了维度间差异比较的中介作用。本研究从决策过程的角度, 揭示了情绪影响跨期决策的心理机制, 并进一步为单维占优模型对跨期决策行为的解释性增加了支持性证据。     

Extension and Replication of an Internet-Based Treatment Program for Panic Disorder

This study describes an internet-based intervention for people with panic disorder that consisted of a 5-module program. Participants accessed the program for 5-8 weeks and were then re-assessed 3 months later. Use of the program was associated with reductions in severity of panic disorder and in catastrophic misinterpretation of ambiguous panic body sensations in 9 people with this anxiety disorder. There were also non-significant trends for body vigilance to decrease over the course of the study. Further investigations of the efficacy of this medium for the treatment of panic disorder and the associated mechanisms of change are warranted.     

The relationship between obsessive beliefs and symptom dimensions in obsessive-compulsive disorder

Research findings on the specific relationships between beliefs and OCD symptoms have been inconsistent, yet the existing studies vary in their approach to measuring the highly heterogeneous symptoms of this disorder. The Dimensional Obsessive-Compulsive Scale (DOCS) is a new measure that allows for the assessment of OCD symptom dimensions, rather than types of obsessions and compulsions per se. The present study examined the relationship between OCD symptom dimensions and dysfunctional (obsessive) beliefs believed to underlie these symptom dimensions using a large clinical sample of treatment-seeking adults with OCD. Results revealed that certain obsessive beliefs predicted certain OCD symptom dimensions in a manner consistent with cognitive-behavioral conceptual models. Specifically, contamination symptoms were predicted by responsibility/threat estimation beliefs, symmetry symptoms were predicted by perfectionism/certainty beliefs, unacceptable thoughts were predicted by importance/control of thoughts beliefs and symptoms related to being responsible for harm were predicted by responsibility/threat estimation beliefs. Implications for cognitive conceptualizations of OCD symptom dimensions are discussed.     

医院规模扩大后的医患关系思考

将3个城市4所医院2002～2004年间医院规模扩展前后的床位增加、患者反映及医疗纠纷等情况进行对比分析.4所医院后床位费、护理费较前均有所增加;医患纠纷4年间平均增长21.8%.医院规模扩大为医院的发展带来机遇的同时也隐含了一些实际问题,应尽早作出系统发展规划,寻找科学化、和谐化发展的医院管理新路径.     

风水理论中的地理思维

风水理论作为我国古人生产生活的依据之一,具有盲目迷信和不科学的地方,但在另一方面,却是古代人民在自然环境中长期形成的生产生活经验的积累,是古代人民伟大智慧的凝结,包含着丰富的地理学思维和合理的科学内核。本文认为:风水理论产生和发展于人类对地理环境的认识;风水理论充分关注地理学中的人地关系议题,体现了古人的地域综合体的思维;风水学从不同尺度来考察人类周围的环境,体现了地理学的尺度观念。     

Foresight and the Seven Dimensions of Experience

How we understand and treat time says a great deal about our worldview. The major global crises we are enmeshed in are largely the result of dominant worldviews that do not correspond sufficiently with the realities of how the cosmos works. Although what humanity has learned through science has some areas of correspondence it does not have the requisite variety to correlate with the complexities unleashed in the Anthropocene. This is clear from the feedback that the world system is giving us in areas of, for example, climate change, species extinction, mental stress, and endemic violence. In this article it is proposed that the resulting deficiency of foresight occurs because our current notions of time and our resulting way of organizing and interpreting our world that follows from that seriously restricts our understanding where it is most needed. This article introduces an alternative view of time as only one of seven dimensions of our lived experience and opens more scope for practical as well as theoretical understanding.     

La représentation des causes de l’état de santé par les infirmiers et les points de vue envisagés des patients et des aidants naturels : une approche socionormative

This study examines the representation of the determining factors of patients’ states of health in therapeutic care situations. We describe the average representation of experienced hospital nurses (n=44) and the differences which they consider to exist between their own and their patients’ points of view. Taking as our starting point the purpose of the care provided and the asymmetry of the carer/patient relationship, we hypothesize, on the one hand, that nurses will have a representation of their patients’ state of health which is based on the care to be provided, with the factors determining the state of health being necessarily perceived as having a general impact on patients’ lives while still being remediable, i.e. capable of changing and being controlled by the provided care. On the other hand, we expect them to attribute a passive position and attitude to their patients, with the factors determining their state of health being necessarily perceived as being out of their own control. The results and the analysis of the representations reported as being those of the patients and their families seem to justify this perception and role of carer: the supposed representations of the latter would appear to be convergent but less focused on health problems and would tend to minimize the patient’s involvement, in particular when the state of health declines. The results are discussed with reference to the Health Belief Model and the social norm of internality as well as the professional practices observed in hospital environments.     

The Expanded Skills Confidence Inventory: Measuring basic dimensions of vocational activity

This series of studies describes the development and psychometric evaluation of 17 scales measuring confidence or self-efficacy with respect to basic domains of vocational activity. The confidence scales assessed previously measured interest dimensions such as Writing, Mechanical Activities, and Public Speaking, but also included dimensions reflective of recent changes in the nature of work or the culture of the workplace, for example, Using Technology, Creative Production, and Cultural Sensitivity. The scales were internally consistent, showed predictable patterns of gender differences and similarities, and were in generally most highly related to the predicted Holland confidence theme. Discriminant analyses of scores across the eight largest occupational groups represented indicated large improvements over chance, or a priori probabilities, in the prediction of occupational group membership. Further research on and use of these 17 new scales in joint interpretations of parallel measures of interest and confidence are discussed.     

Self-construal as a predictor of communal and exchange orientation in Taiwan and the USA

Based on a three-dimensional model of self-construal (independent, collective interdependent, and relational interdependent self-construal), the present study investigated whether self-construal systematically related to exchange and communal orientation with data (357 participants) collected in Taiwan ( N  = 178) and the USA ( N  = 179). United States participants scored significantly higher on all scales except for relational interdependent self-construal. Females exhibited significantly higher scores for relational interdependent self-construal and communal orientation. As predicted, independent self-construal was related to exchange orientation and relational interdependent self-construal was related to communal orientation. However, in contrast to what was expected, collective interdependent self-construal was only marginally related to communal orientation. The findings for scales revised for validity were compared with scales including all items. This comparison disclosed differences for exchange orientation.