大学生心理行为问题的识别:基于潜在剖面分析

为探索潜在剖面分析(latent profile analysis, LPA)在心理行为问题识别上的应用, 对12718名大学生进行心理普查, 并对644名学生由心理咨询师、辅导员和兼职班主任对其心理状况进行评定, 采用评定结果和阳性症状检出率作为"黄金标准"分析了诊断的敏感度与特异度。结果发现:(1)潜在剖面分析发现本研究大学生样本的心理行为问题可划分为三个亚群体:风险组、困扰组和健康组, 分别占比9.86%、19.15%和70.99%;(2)风险组表现为突出的精神症状(Z≥2.6SD), 有61.21%的被试出现阳性症状, 远高于困扰组的38.28%和健康组的8.36%;此外, 困扰组以认知与情绪症状为主;(3)潜在剖面分析方法比传统划界分数方法在敏感度上能提高8.93%~35.26%, 更为科学有效。     

感同身受的社会痛苦：来自神经影像学的证据

社会痛苦是指个体感觉到被渴望的社会关系排斥或者被重要他人和群体贬损时表现出的一种特定的负性情绪反应。对于社会痛苦的神经生理机制的探讨已成为当前研究的重点, 研究者主要从个体经历社会排斥、目睹他人被社会排斥(共情)时的神经活动来解释社会痛苦的神经生理机制。社会痛苦受到依恋、自尊等因素的影响。未来可从探讨社会痛苦在不同年龄阶段的神经机制和探索社会痛苦与人格障碍之间的关系两个方面展开进一步的探究。     

Publish or Perish

Funds and positions in philosophy should be awarded through systems that are reliable, objective, and efficient. One question usually taken to be relevant is how many publications people have in a group of well‐respected journals. In the context of significant competition for jobs and funding, however, relying on quantity of publications creates a serious downside: the oft‐lamented demand that we publish or perish. This article offers a systematic review of the problems involved in contemporary academic philosophy, and argues that the resulting situation is bad not just for individual philosophers but also for philosophy itself: we are not working as a discipline to as high a standard as we might. The article then suggests some potential solutions, including some more detailed considerations around what seems a particularly promising option: a professional code of conduct for philosophers.     

Hurt feelings and four letter words: Swearing alleviates the pain of social distress

Methods for alleviating physical pain are increasingly found to attenuate social pain. Recent evidence suggests that swearing may attenuate sensitivity to physical pain. This study examined whether swearing similarly attenuates two consequences of social distress: social pain and exclusion‐induced hyperalgesia. Sixty‐two people wrote about an autobiographical experience of exclusion or inclusion. Then they repeated a swear or neutral word for 2 minutes followed by measures of social and physical pain. Excluded non‐swearers reported feeling more social pain and greater sensitivity to physical pain compared with included non‐swearers. Excluded swearers reported less social pain than excluded non‐swearers and no heightened sensitivity to physical pain. The findings suggest that social and physical pain are functionally similar and that swearing attenuates social pain.     

Differences in psychosocial responses to pain between sufficiently and insufficiently active adults with arthritis

Objective: Adults with arthritis struggle to meet the physical activity recommendation for disease self-management. Identifying psychosocial factors that differentiate adults who meet (sufficiently active) or do not meet (insufficiently active) the recommendation is needed. This study sought to examine differences in psychosocial responses to arthritis pain among adults who were sufficiently or insufficiently active.

Design: This prospective study included adults with medically diagnosed arthritis (N = 136, M_age = 49.75 ± 13.88 years) who completed two online surveys: (1) baseline: pain and psychosocial responses to pain and (2) two weeks later: physical activity.

Main outcome measures: Psychosocial responses examined in this study were psychological flexibility in response to pain, pain anxiety and maladaptive responses to pain anxiety.

Results: A between-groups MANCOVA comparing sufficiently active (n = 87) to insufficiently active (n = 49) participants on psychosocial responses, after controlling for pain intensity, was significant (p = .005). Follow-up ANOVA’s revealed that sufficiently active participants reported significantly higher psychological flexibility and used maladaptive responses less often compared to insufficiently active participants (p’s < .05).

Conclusions: These findings provide preliminary insight into the psychosocial profile of adults at risk for nonadherence due to their responses to arthritis pain.     

Psychological growth and well-being in individuals born with cleft: An application of self-determination theory

Objective: Many studies of individuals born with cleft lip and/or palate (CLP) address the psychological impact of CLP in terms of stigma and/or ‘resilience’. The present study challenges the usefulness of resilience in CLP research with the application of self-determination theory (SDT). It is proposed that SDT can serve to better understand how individuals born with CLP can achieve psychological growth and well-being.

Design: Interviews were conducted with 15 individuals born with CLP in the UK.

Results: A thematic analysis was conducted and four main themes emerged: (1) personal challenges, (2) support and strategies for social interaction, (3) experience of treatment and outcomes, and (4) personal development. The thematic analysis and the interpretation in the context of SDT leads to a greater understanding of the development of psychological growth and well-being in individuals born with CLP.

Conclusion: Interpreting the life experiences of individuals with CLP through the theoretical lens of SDT allows the conceptualisation of individuals with CLP as a positive psychological resource when faced with the exclusionary practice of stigma. This resourcefulness is primarily nurtured by a supportive family and social environment that leads to the development of positive psychological growth and well-being. A new direction in CLP research is proposed that seeks to inform and implement change in professional practice to support individuals with CLP and their families.     

The relationship between family support; pain and depression in elderly with arthritis

The prevalence and chronic nature of arthritis make it the most common cause of disability among U.S.A adults. Family support reduces the negative impact of chronic conditions generally but its role in pain and depression for arthritic conditions is not well understood. A total of 844 males (35.0%) and 1567 females (65.0%) with arthritic conditions (n = 2411) were drawn from the 2012 Health and Retirement Study to examine the effect of family support on pain and depressive symptoms. Using regression analysis and controlling for age, ethnicity, gender, marital/educational status and employment/income, physical function/disability status, pain and antidepressant medications, and other clinical indicators of chronic health conditions, we examined the effects of family support (spouse, children, other) on pain and depression levels. Results indicated that depressive symptoms decreased significantly with strong family and spousal support (p < .05). Pain decreased as support levels increased, but was non-statistically significant. This study provides new insights into the relationship between family support, pain, and depression for individuals with arthritis. Future longitudinal studies are needed to evaluate family support and relationships over a wider spectrum of demographics.     

A Descriptive Study of Pain and Quality of Life following Guillain-Barré Syndrome: One Year Later

Guillain-Barré syndrome (GBS) is a debilitating immunopathy that afflicts approximately 5,000 patients annually in the United States, a number that represents roughly half of the incidence of spinal cord injuries (J. M., Meythaler, 1997). Of these 5,000 new cases per year, 4–15% will die, 20% will possess deficits in ambulation or require ventilator assistance more than one year later, and more than two-thirds will have persistent fatigue (J. M., Meythaler, 1997; Hughes et al., 2003). These figures suggest that GBS is currently a legitimate cause of long-term disability.Many secondary complications may follow GBS that include dysautonomia, deep vein thrombosis, anemia, immobilization, and pain and sensory involvement (J. M., Meythaler, 1997; J. M. Meythaler, M. J. De Vivo, and W. C. Braswell, 1997). These medical complications have not been studied systematically, and the psychosocial complication of pain following GBS has certainly been overlooked in the literature. The present paper utilized a limited sample of 18 patients (N = 18) with persistent motor deficits at least one year after onset of GBS. We examined their pain and perceived quality of life as part of an ongoing federally funded study which will ultimately attempt to determine if 4-aminopyridine (4-AP) significantly improves motor function in patients with residual weakness from GBS. Findings suggest that while most persons do not rate themselves as depressed one year after GBS onset, 22% of respondents did exceed the cutoff for clinical depression on the CES-D. Age and gender do not appear to be related to any component of pain in GBS; however, self-ratings of physical and mental health do appear to be significantly related to pain experience. The nature of this relationship was not determined, and merits further investigation in future studies.