活动参与在认知损害中的延缓作用

认知损害有关的病理机制、危险因素研究由来已久,但尚未找到有效治疗认知损害的途径,认知损害的保护性因素研究进而成为研究者们关注的热点。前人的研究显示活动参与对认知损害具有积极的影响,可能是认知损害的重要保护性因素,但活动参与对认知损害的影响机制以及各活动之间存在的交互作用仍不明确。未来的研究可着重探讨不同活动类型及其交互作用同认知损害的关系,并分析活动参与对认知损害起保护作用的公共因子。     

Recovery at home and performance at work: A diary study on self–family facilitation

This 5-day diary study among 65 Dutch employees focuses on the interplay between time on and off the job. We examined how daily off-job (work-related, physical, household) activities, in combination with the degree to which people want to engage in these activities relate to self–family facilitation (i.e., the positive influence of the fulfilment of one's own interests on one's family life). Further, we tested whether self–family facilitation relates to psychological detachment from work, recovery, and finally whether recovery relates to job performance. Multilevel analyses revealed that household activities enhance self–family facilitation only on days that people want to engage in such activities. Furthermore, spending time on household activities hinders psychological detachment on days people do not want to spend time on these activities. In addition, self–family facilitation and psychological detachment relate to better recovery the next morning. Finally, feeling recovered in the morning is beneficial for task performance during work. These findings emphasize the role of one's “wants” in the degree to which off-job activities lead to recovery. Furthermore, the results highlight the importance of keeping a good interaction between the self and the family for daily recovery and performance.     

The organization of children's secure base behaviour in two-parent Portuguese families and father's participation in child-related activities

The organization of children's secure base behaviour was studied in two-parent Portuguese families, with 44 father–child and mother–child dyads, children's age was on average 31.91 months. An analysis of Attachment Q-sort (AQS; Waters, 1995 Waters, E. 1995. “Appendix A: Attachment Q-set (version 3.0)”. In Caregiving, cultural, and cognitive perspectives on secure base behavior and working models: New growing points of attachment theory and research Edited by: Waters, E., Vaughn, B. E., Posada, G. and Kondon-Ikemura, K. Monographs of the Society for Research in the Child Development, 60(2–3), 234–246 [Google Scholar]) data revealed no significant differences in security scores for mothers and fathers. Both parents independently responded to a questionnaire about their participation in child-related activities, relative to their spouse's participation in these activities. A traditional division in the Care/Organization tasks and a shared participation in the Play/Leisure activities emerged. Fathers with higher scores for both types of activities tended to have children with higher security scores. Fathers' participation in Play/Leisure activities was associated with children's AQS scores with their mothers. In this sample father's participation is positively associated with the quality of secure base relationships within the family context.     

Equine-Facilitated Psychotherapy With Children and Adolescents: An Update and Literature Review

During the past several years, there has been a large increase in the number of studies of equine-facilitated psychotherapy (EFP) with children and adolescents. However, due to the diversity of methods, samples, and publication types represented in the literature, it may be difficult for EFP practitioners to synthesize the existing research into useful guidelines and treatment recommendations for patients. This article summarizes and tabulates investigation findings by methods, theoretical underpinnings, and treatment populations. This review of 47 recent publications suggests that EFP is a useful modality with children and adolescents. In the large majority of reviewed papers, benefits were found for a variety of presenting problems and disorders. The most often studied populations were “at-risk” youth and children with an Autism Spectrum Disorder diagnosis. Recommendations for counselors and directions of future EFP research are made.     

Occupational Therapists' Perception of the Tree Theme Method™ as an Intervention in Psychosocial Occupational Therapy

This study investigated how occupational therapists experience utilization of the Tree Theme Method, an intervention based on creative activities and life-story telling and making. The Tree Theme Method is comprised of five sessions in which the therapist asks the client to paint symbolic trees, with specific themes representing their present life situation, childhood, adolescence, adulthood, and the future. Nine occupational therapists in mental health care were asked about their experiences when using the Tree Theme Method. The informants formed two focus groups and each group was interviewed twice. Qualitative content analysis was used to identify five categories including: (1) therapeutic frames, (2) therapist requirements, (3) client requirements, (4) the therapeutic relationship, and (5) the Tree Theme Method as a multi-dimensional process. Overall the informants were satisfied with the intervention with some variation as to therapists' perception about the helpfulness of the tool. The Tree Theme Method was experienced as a structured method of starting a therapeutic process and initiating a therapist–client relationship. The therapeutic attitude, self-knowledge, and expert knowledge seemed to be important prerequisites for the therapists when using the Tree Theme Method intervention.     

The Importance of Religious Orientation and Purpose in Life for Dying Well: Evidence from Three Case Studies

ABSTRACT

As older adults approach the end of their lives, it is not uncommon to find a decrease in subjective well-being. However, a number of studies have indicated that elders with an intrinsic rather than extrinsic religious orientation often are able to keep a high level of subjective well-being even if they are close to death. In a previous quantitative study, only intrinsic religiosity was indirectly and positively related to subjective well-being in a sample of 103 relatively healthy older adults and 19 hospice patients (aged 61 +), mediated by shared spiritual activities and purpose in life. Extrinsic religiosity, by contrast, was indirectly and negatively related to subjective well-being. To explore in greater depth how religious orientation might influence subjective well-being at the end of life, we used the method of objective hermeneutics to examine semi-structured qualitative interviews with three older male hospice patients (aged 79, 80, and 98) on religion/spirituality and attitudes about death and dying. Results of the analyses revealed that the intrinsically religious respondent maintained his sense of cosmic purpose in life, which continued to be a source of satisfaction for him, unaffected by his terminal illness. The two extrinsically religious respondents, however, did not find solace in their religion and, hence, were unable to cope with their physical and emotional dependence and vulnerability. The findings suggest that an intrinsic religious orientation is most likely to be related to a cosmic sense of purpose in life, which facilitates subjective well-being even in the face of death.     

从医疗活动的特点谈医患法律关系

医疗活动具有独特的特点,这就决定了医患双方会形成独特的法律关系.在诊疗康复关系和强制性的预防保健关系中,医患双方不能以合同关系论处,而在自愿性预防保健关系和特殊服务关系中,双方却只能用合同来调整.     

Ecological validity of the German Bruininks-Oseretsky Test of Motor Proficiency – 2nd Edition

The diagnosis of Developmental Coordination Disorder (DCD) is based on poor motor coordination in the absence of other neurological disorders. In order to identify the presence of movement difficulties, a standardised motor assessment is recommended to determine the extent of movement problems which may contribute to deficits in daily task performance. A German version of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (German BOT-2) was recently published. This study aimed to determine the ecological validity of the German BOT-2 by considering the relationship between assessment of fundamental motor skills with the BOT-2 and performance of everyday motor activities as evaluated by parents. This study used data obtained from the German BOT-2 standardisation study (n = 1.177). Subtests were compared with theoretically corresponding tasks via parental ratings of overall fine and gross motor abilities and performance in six typical motor activities. Non-parametric Jonckheere Terpstra test was used to identify differences in ordered contrasts. Subtests reflecting ‘Strength’, ‘Running Speed and Agility’, ‘Upper-Limb Coordination’, ‘Balance’, and ‘Fine Motor Precision’ were associated with parental evaluation of gross motor skills (p < 0.001). The subtest ‘Fine Motor Integration’ significantly correlated with parental ratings of females’ fine motor skills. Parental ratings of males’ fine motor skills were associated with three further subtests. Regarding everyday motor activities, the first three fine motor BOT-2 subtests were associated with parent evaluations of drawing, writing and arts and crafts (p < 0.001). Gross motor subtests of ‘Bilateral Coordination’ and ‘Balance’ showed no relationship to bike riding or performance in sports. Subtests of ‘Upper-Limb Coordination’ and ‘Strength’ showed significant correlations with sports, ball games and cycling. The results of this study suggest that the closer the proximity in the nature of the motor skills assessed in the German BOT-2 to daily motor tasks, the stronger the relationship between the clinical test and parental report of everyday performance of their child. The body functions tested in the German BOT-2, and hypothesized to underpin certain skills, were not automatically relevant for specific activities undertaken by German children. Future research should investigate the relationships of the various BOT-2 constructs for diagnosis of DCD.