Five‐year outcomes of ADHD diagnosed in adulthood

There is a dearth of long‐term follow‐up studies of adults diagnosed with ADHD. Here, the aim was to evaluate long‐term outcomes in a group of ADHD patients diagnosed in adulthood and receiving routine psychiatric health care. Adults diagnosed with any type of ADHD (n = 52) and healthy controls (n = 73) were assessed at baseline and at a 5‐year follow‐up, using Global Assessment of Functioning (GAF), Clinical Global Impression (CGI), Brown ADD Scale (BADDS) and Adult ADHD Self‐Report Scale (ASRS). A multivariate regression method was used to identify factors predicting 5‐year outcomes, including baseline ratings, medication intensity, comorbidity, intelligence quotient (IQ), age, and sex. After 5 years, ADHD patients reported fewer and/or less severe symptoms compared to baseline, but remained at clinically significant symptom levels and with functional deficits. Baseline self‐reports of ADHD symptoms predicted their own 5‐year outcome and low baseline functioning level predicted improved global functioning at follow‐up. Factors previously reported to predict short‐term outcomes (i.e., medication, comorbidity, IQ, age, and sex) did not anticipate long‐term outcomes in present study.     

主动控制感在大脑表征中的时空标记

主动控制感是主动动作过程中产生的控制自身动作, 进而控制外部环境的主观体验。构成动作主动控制感的核心要素是主观意图与结果反馈。本研究试图通过操控这两个核心要素的不同属性, 借助脑磁图等技术, 探寻主动控制感在大脑额-顶为主的脑网络中前-后馈的作用方式及时空特异性标记, 并建构新的认知神经理论模型。这将有利于理解人类动作的产生及后效、为相关精神类疾病的临床诊断提供更加客观的参照标准。     

童年期抑郁情绪发展的异质性与可预测性:2年追踪研究

以儿童抑郁量表为研究工具,对小学3到4年级771名儿童进行了2年的追踪研究。采用潜类别增长模型和终端结局潜发展模型,分别考察了童年期儿童抑郁情绪发展的亚群组类型,以及儿童抑郁情绪的发展特征对观察期结束时抑郁情绪的预测作用。结果表明：（1）童年期儿童的抑郁情绪发展呈现出三种不同的亚类型,即抑郁高风险组、抑郁低风险组和抑郁自愈组,各类型组人数比例分别为9.6%、53.4%和36.8%;（2）童年期儿童抑郁情绪的初始水平及其发展变化率均可以显著预测观察期结束时的抑郁情绪状况。童年期儿童抑郁情绪的早期监测工作有着重要的实践意义。     

视觉、听觉情绪设计对多媒体学习的影响

以大学生为被试,特异性免疫工作原理为材料,通过实验法研究视觉、听觉情绪设计对多媒体学习的影响。实验1发现视觉情绪设计诱发了学习者的积极情绪,提高了保持成绩。实验2发现听觉情绪设计可以诱发学习者的积极情绪,提高相关认知负荷、保持和迁移成绩。研究表明视觉、听觉情绪设计都能显著提高多媒体学习效果。听觉情绪设计的发现突破了已有研究仅从视觉角度优化学习材料的方式,拓展了多媒体学习情绪设计的内涵。     

Investigating social functioning after early mild TBI: the quality of parent–child interactions

The young brain is particularly vulnerable to injury due to inherent physiological and developmental factors, and even mild forms of traumatic brain injury (mTBI) can sometimes result in cognitive and behavioural difficulties. Despite the high prevalence of paediatric mTBI, little is known of its impact on children's social functioning. Parent–child relationships represent the centre of young children's social environments and are therefore ideal contexts for studying the potential effects of mTBI on children's social functioning. The aim of this study was to assess the quality of parent–child interactions after mTBI using observational assessment methods and parental report. The sample included 130 children (18–60 months at recruitment) divided into three groups: children with uncomplicated mTBI (n = 47), children with orthopaedic injury (OI, n = 27), and non‐injured children (NI, n = 56). The quality of parent–child interactions was assessed 6 months post‐injury using the Mutually Responsive Orientation (MRO) scale, an observational measure which focuses on the dyadic nature of parent–child exchanges, and the Parental Stress Index questionnaire (Parent‐Child Dysfunctional Interaction (PCDI) domain). Significant differences with medium effect sizes were found between the mTBI group and the NI group on the MRO, but not between the OI group and the other two groups. PCDI scores did not differ across groups, suggesting that observational measures may be more sensitive to changes in parent–child interactions after TBI. The current findings have implications for children's post‐injury social development and highlight the importance of monitoring social outcomes even after minor head injuries.     

Meta‐Analysis of Anorexia Nervosa Counseling Outcome Studies From 1990 to 2015

This meta‐analysis of 92 anorexia nervosa counseling articles examined the effectiveness of counseling in reducing symptoms of anorexia nervosa at termination and the longest follow‐up assessments. Treatment‐as‐usual studies showed no effect to small effects at both posttest and follow‐up assessments, wait‐list studies showed small effects at posttest and medium effects at follow‐up, and single‐group uncontrolled studies showed medium to large effects at posttest and medium effects at follow‐up. Implications for research and practice are discussed.     

重复信任博弈的决策过程与结果评价

“信任他人或者不信任他人?”是社会互动中经常面临一种行为决择, 直接影响着个体的社会生活。作为一种重要的社会信号机制, 信任是建立良好社会关系的基石, 它能够降低社会交易成本, 易化合作行为。为了探究个体在信任互动情境下大脑活动变化的时间动态特征, 采用事件相关电位技术记录了20名健康被试(充当信任者)完成重复性信任博弈任务(repeated Trust Game, rTG)时的脑电成分。行为结果发现个体选择信任的比例显著高于几率水平。电生理学结果表明, 决策阶段中不信任选择比信任选择诱发了更正的P2成分(150~250 ms), 差异波溯源分析定位于额中回(middle frontal gyrus, BA 46)和额下回(inferior frontal gyrus, BA 46)。反馈阶段中损失反馈比获益反馈诱发了更负的FRN成分(200~300 ms), 而获益反馈比损失反馈诱发了更短的P300潜伏期。本研究为理解人类信任博弈过程的动态加工时程提供了初步的神经电生理学证据。     

The association between retrospective outcome evaluations and pre-post-treatment changes in psychodynamic group-psychotherapy

In the present study of 203 patients in psychodynamic group psychotherapy, we explore associations between patient and therapist global retrospective outcome evaluations (ROE), and pre-post-treatment changes on the Symptom Check List 90 Revised (SCL-90-R) and non-symptomatic focus of therapy. There were no significant associations between ROE, diagnoses and demographic variables, and pre-treatment SCL-90-R associations were negligible (less than 4% of overlapping variance). SCL-90-R subscale improvement expressed as residual gain score explained the overall largest percent of variance in both patients and therapists (44% and 25%, respectively) when compared with raw difference scores (32% and 18%), and percent reduction from baseline (34% and 23%). Moreover, ROE/end-state adjustment associations were substantial (42% and 24%). Therapists' evaluation of change showed the strongest association with improvement in non-symptomatic focus of therapy, while patients' evaluation had the strongest association with improvement in SCL-Depression. It is concluded that retrospective evaluations reflect changes related to treatment. However, unexplained variance may be independent of symptomatic state, and associated with personality factors or domains not captured by standard questionnaires.     

精神分析主要概念的经验实证状况

100多年来,精神分析理论所阐述的观念已渗透到心理学、文学、艺术和文化等广泛领域。尽管精神分析享有广泛声誉,但直到最近,它才得到经验实证的支持。通过对支持精神分析理论（无意识、驱力、防御机制、客体关系、恋母情结）和心理动力治疗（移情、反移情、解释、阻抗）几个主要概念的信度和效度的经验实证研究进行了回顾,也探讨了这些实证研究对心理治疗以及心理学未来的影响。     

Academic Performance of Students with Emotional and Behavioral Disorders Served in a Self-Contained Setting

This study describes the academic, social, and behavioral performance of elementary and secondary students with emotional and behavioral disorders (EBD) receiving services in a self-contained school for students with serious behavior problems, with an emphasis on how school adjustment and problem behavior patterns predict academic performance. Results revealed that elementary and secondary group scores were well below the 25th percentile on reading, math, and written expression measures. Further, a seven variable model representing academic, social, and behavioral domains was able to differentiate between age groups explaining 54% of the variance and correctly classifying 78.26% (n = 18) of the elementary students and 84.21% (n = 16) of the secondary students. Findings also suggested that behavioral variables (e.g., school adjustment, externalizing, and internalizing) were predictive of broad reading and broad written expression scores, with school adjustment (a protective factor) accounting for the most variance in the three-variable model. Limitations and recommendations for future research are addressed.