An Exercise in Cost-Effectiveness Analysis: Treating Emotional Distress in Melanoma Patients

This study presents a retrospective assessment of a psychological intervention examined for its potential cost-effectiveness if implemented into standard care. It discusses (1) the cost of instituting a psychological intervention for distressed melanoma patients, (2) the effectiveness of that intervention for reducing distress when compared with a standard care group, and (3) the costs of providing the treatment as compared to costs of physician time to answer distress-driven questions as part of standard care. Although the per-minute cost of providing the psychological intervention was marginally greater than standard care, providing the intervention was significantly cheaper in terms of distress reduction. Inclusion of 60% payer reimbursement rates for the intervention further suggested that incorporating a psychological intervention into standard medical care for melanoma patients would potentially generate revenue.     

The Implicit Life Satisfaction Measure

The Implicit Association Test, developed by Greenwald and colleagues in 1998, was adapted to measure satisfaction with life by assessing the strength of automatic associations of My life with Good- versus Bad-related words. A series of studies explored some psychometric as well as methodological properties of the Implicit Life Satisfaction measure (ILS). The ILS demonstrated good internal consistency and moderate temporal stability. Studies revealed that: (i) the type of stimuli used for target and attribute categories influences the magnitude of the ILS effect; (ii) participants could voluntarily suppress their satisfaction with life on the ILS, but not enhance it; and (iii) handedness of categories did not affect the participants' performance on the ILS. Overall, the ILS measures are: (i) independent of traditional life satisfaction self-report measures; and (ii) positive for most people.     

大学生行为抑制的特点与行为抑制量表的编制

本研究旨在探讨行为抑制与心身症状之间的关系,并建立大学生行为抑制量表。行为抑制量表由63个项目构成,分别测量对亲密关系、自信、求助、拒绝、信任和服从行为抑制的程度．项目的鉴别度、信度和效度符合心理测量学的要求。对大学生行为抑制的个体差异分析揭示了该团体的年级、性别和学科对行为抑制的影响。文中还对大学生行为抑制量表的局限性以及今后研究的方向进行了讨论。     

控制糖尿病的新观念和基本方略之管见

跟踪糖尿病发展趋势、吸收新理论和新技术、做好科普宣传、推行超强化治疗、坚持医学理性精神是控制糖尿病的新观念.其基本方略就是超强化治疗、控制高血压,拮抗新生2型糖尿病及其并发症、控制相关危险因素.     

员工创新行为源于领导情感信任吗?风险倾向与组织行为授权的调节作用

领导情感信任会促进员工表现创新行为,但员工个体的风险倾向与组织行为授权可能对其具有调节作用。结果显示（1）领导情感信任能正向预测员工创新行为;（2）领导情感信任、组织行为授权与风险倾向对员工创新行为预测存在三维交互作用,相对于其他条件,组织行为授权和风险倾向均处于高水平条件下,领导情感信任与员工创新行为的正相关程度更为明显。探讨领导情感信任、组织行为授权、风险倾向与员工创新行为的关系可以为甄别影响员工创新行为的个体和环境因素提供理论指导,此外,也可为企业和直接领导如何增加员工创新行为提供借鉴。     

Assessing and teaching job‐related social skills to adults with autism spectrum disorder

Few studies have evaluated interventions to improve the job‐related social skills of adults with autism spectrum disorder. In this study, we examined the efficacy of a treatment package for teaching several social skills that are critical to job success, such as responding appropriately to feedback and asking for a task model from the supervisor. Three adults, aged 19 to 27 years, participated. Initial training of each skill consisted of verbal explanations, modeling, and role‐play with feedback, along with stimulus prompts to promote generalization to a different setting. The trainer introduced additional intervention components as needed. We also evaluated generalization across different social skills and evocative situations. Results indicated that the treatment package was generally effective in improving the targeted social skills, and that stimulus prompts may be necessary for generalization to a job setting. However, generalized responding across social skills rarely emerged. These findings have important implications for preparing individuals with autism to function successfully on the job.     

Comparing forward and backward chaining in teaching Olympic weightlifting

The popularity of Olympic‐style weightlifting in fitness routines is growing, but participating in these exercises with improper technique places lifters at increased risk for injury. Fitness training professionals have developed multiple teaching strategies, but have not subjected these strategies to systematic evaluation, particularly with novice lifters. Two strategies recommended by professional training organizations are akin to forward and backward chaining, which have been shown effective at teaching other novel, complex behaviors. The present study compared these forward‐ and backward‐chaining‐like strategies to teach novice lifters “the clean” and “the snatch,” two Olympic weightlifting movements frequently incorporated into high‐intensity training programs. Participants performed lifts taught with forward chaining more accurately than lifts taught with backward chaining.     

Benchmarking Treatment Effectiveness of Community‐Delivered Trauma‐Focused Cognitive Behavioral Therapy

It is critical for urban youth with post‐traumatic stress disorder (PTSD) living in poverty to have access to evidence‐based interventions for their traumatic stress. However, there is limited research on the effectiveness of these interventions when provided in urban, community settings. The objectives of the current study are to (a) evaluate the effectiveness of trauma‐focused cognitive behavioral therapy delivered from 2013 to 2016 in 15 behavioral health agencies on youth (N = 114) PTSD as well as  general mental health symptoms and  functioning, and (b) benchmark these clinical outcomes against other published efficacy and effectiveness trials. Effectiveness data are from the Philadelphia County Community Behavioral Health System, a system that has invested significantly in the training and ongoing support of clinicians providing high‐quality trauma services to youth since 2012. From baseline to last assessment, youth PTSD symptom severity (d = 0.34), PTSD functional impairment (d = 0.38), and overall mental health problem severity (d = 0.29) improved. The effect sizes of  improvements were smaller than effect sizes observed in efficacy and effectiveness studies. This study is the first benchmarking study of TF‐CBT and provides preliminary findings with regard to the effectiveness, and transportability, of TF‐CBT to urban community settings that serve youth in poverty.     

如何用行为经济学应对不确定性：拓展有效助推的范围

本文提出了决策中不确定性的五种类型及其行为学和心理学的应对机制：用简捷启发式替代加权求和应对信息不确定性, 用直觉应对认知不确定性, 用价值观预测选择偏好应对行为不确定性, 用决策参照点的权重替代概率应对结果不确定性, 用时间换时间以降低延迟折扣应对未来不确定性。新行为经济学应当通过“为什么”的功能性分析, 找到行为助推的心理杠杆。化解不确定性本身就是一种有效的行为助推; 化繁为简是行为助推的关键所在。     

Multiple causal pathways in attention-deficit/hyperactivity disorder – Do emerging executive and motivational deviations precede symptom development?

The multiple causal pathways model on the etiology of attention-deficit/hyperactivity disorder (ADHD) is well established. However, developmental implications of the model are not yet sufficiently analyzed. The model implies that critical neural and neuropsychological deviations from normative development precede secondarily developing ADHD symptoms. Cognitive, “cool” inhibitory control (CIC) and reward-related, “hot” functions (RRF) are regarded as neuropsychological basic deficits that indicate independent causal pathways. Both functions involve top-down control networks that undergo major normative developmental changes in the preschool period. We formalized the following assumptions in a path model: (a) CIC and RRF predict change in ADHD symptoms in the preschool period, (b) the reverse is not true, and (c) CIC and RRF independently contribute to this prediction. A community-based sample of 125 (71 boys) preschoolers was assessed at at age 4 and 5 years. At each assessment wave, CIC and RRF were measured by a battery of age-appropriate valid tasks. ADHD symptoms were measured by a clinical parent interview. Evaluation of model fit using manifest maximum likelihood parameter estimation clearly supported the hypothesized path model while controlling for gender of child and maternal education level. Thus, regarding the basic deficits of CIC and RRF, the results add evidence on the developmental implications of the multiple causal pathways model. Our findings point to the potential significance of these early emerging characteristics as indicators of risk and as targets for preventive interventions.