灾难中的心理危机干预——精神病学的视角

灾难事件是一种特殊类型的生活事件,因其超出个体应对能力,因此灾难事件后常并发一系列的精神卫生问题。急性应激障碍、创伤后应激障碍、抑郁症、自杀是灾后常见精神卫生问题。本文回顾了近年来灾难事件相关精神障碍的研究,并总结了去年发生在我国的两次重大灾难性事件的相关研究结果,从精神病学视角对灾难事件后心理危机干预策略进行了探讨。     

团体宽恕干预在恋爱受挫群体中的运用及其对大学生心理健康教育的启示

为探讨团体宽恕干预在大学生恋爱受挫群体中的应用效果,本研究以31名在恋爱中受到过伤害的女大学生为对象进行6次团体宽恕干预,并设立一般干预组和控制组进行比较。研究结果显示：（1）前测中,三个组在恋爱宽恕问卷的四个维度、抑郁量表、焦虑量表和幸福感量表上均不存在显著差异;（2）后测中,在恋爱宽恕问卷的四个维度上,宽恕干预组均优于控制组,而一般干预组和控制组没有显著差异;在抑郁、焦虑和幸福感三个量表上,宽恕干预组和一般干预组都要优于控制组,但两个干预组之间差异并不显著;（3）前后测比较显示,宽恕干预组在各个指标上均有了显著变化;一般干预组在抑郁、焦虑和幸福感量表的得分上有了显著变化,但在恋爱宽恕的各个维度上（除报复维度）变化不显著;控制组则在各个指标上都没有显著变化。研究表明,面对恋爱受挫群体,宽恕干预的针对性更强,并对大学生的心理健康教育具有一定的启示作用。     

Disaster risk reduction: Psychological perspectives on preparedness

Facilitating people's ability to anticipate, prepare for and recover from disaster is an important component of the UNISDR strategy for disaster risk reduction. Following a discussion of the functional characteristics of preparedness, this paper first discusses how hazard characteristics and psychological constructs influence people's ability to anticipate uncertain future events. It then reviews how psychological theories (Health Belief Model, Protection Motivation Theory, PrE Theory, Theory of Planned Behaviour, Critical Awareness Theory, Social Marketing, Protective Action Decision Model, Social Capital, Community Engagement Theory and Social Identity Theory) can inform understanding of preparedness for likely and current hazard events. Discussion then then turns to applying concepts and theories to understanding preparedness for current disasters. The all-hazards and cross-cultural applicability of preparedness theory is discussed, as are a need for a critical appraisal of preparedness, its predictors, and the nature and development of the preparedness process and its application in facilitating effective intervention strategies.     

Randomization procedures in single‐case intervention research contexts: (Some of) “the rest of the story”

Following up on articles recently published in this journal, the present contribution tells (some of) “the rest of the story” about the value of randomization in single‐case intervention research investigations. Invoking principles of internal, statistical‐conclusion, and external validity, we begin by emphasizing the critical distinction between design randomization and analysis randomization, along with the necessary correspondence between the two. Four different types of single‐case design‐and‐analysis randomization are then discussed. The persistent negative influence of serially dependent single‐case outcome observations is highlighted, accompanied by examples of inappropriate applications of parametric and nonparametric tests that have appeared in the literature. We conclude by presenting valid applications of single‐case randomization procedures in various single‐case intervention contexts, with specific reference to a freely available Excel‐based software package that can be accessed to incorporate the present randomization schemes into a wide variety of single‐case intervention designs and analyses.     

Reviving Nostalgia for an Era of Practice: An Illustration of the Therapeutic Use of Projective Methods/Media in Occupational Therapy

Projective methods have long had their roots in psychosocial occupational therapy and they remain valuable to the profession. In this article, the author hopes to reawaken interest for an era of practice that was strongly influenced by psychoanalytic theories. She critiques the conceptual models that inform their use in mental health and argues the importance of having a sound theoretical stance in light of the profession’s unique value in this area. She articulates the methods’ clinical utility and relevance to occupational therapy practice and recovery-oriented care. Using a clinical illustration, she demonstrates the potency of the unfolding process between therapist, client and activity.     

Time for change: using implementation intentions to promote physical activity in a randomised pilot trial

Objective: A common barrier to exercise is a perceived lack of time. The current pilot study examined the effects of an implementation intention intervention to enhance exercise self-efficacy, increase confidence to exercise when facing time constraints, and increase physical activity in middle-aged adults (n?=?63, aged 35–69). Design: Participants received a pedometer (Fitbit) to objectively measure activity and were randomly assigned to either a control or intervention condition. After a 1-week baseline, the intervention condition received instructions to plan how, where, and when they would add steps to their daily routine to meet their step goal, using personalised schedules and maps. Both groups were contacted nightly via email. Main Outcome Measures: Physical activity (steps and time spent in moderate-to-vigorous activity), goal achievement, exercise self-efficacy, time-relevant exercise self-efficacy and affect. Results: Compared to the control, the intervention condition significantly increased in steps, time spent in moderate-to-vigorous activity, and time-relevant exercise self-efficacy. Goal achievement was related to greater time-relevant exercise self-efficacy and more positive affect at the daily level. Conclusion: Findings suggest that the personalised planning intervention increased physical activity and confidence in achieving physical activity goals under time constraints. Avenues for future directions, especially for producing more sustained effects, are discussed.     

Efficacy of a Brief,School‐Based Bystander Bullying Intervention on High School Students' Alcohol Use

The authors examined the efficacy of a brief bystander bullying intervention on reducing alcohol use among high school students (N = 61). As hypothesized, high‐risk drinkers in the intervention group reported reduced drinking compared with control students at a 30‐day follow‐up.     

Early executive functioning in a global context: Developmental continuity and family protective factors

This study extends the methodological and theoretical understanding of executive functions (EFs) in preschoolers from low‐ and middle‐income countries (LMIC). First, the authors describe a rigorous process of adapting and evaluating six EF tasks to produce a culturally and developmentally appropriate measure of emerging EFs in a large sample of at‐risk children in rural Pakistan. Next, the authors identify critical developmental and family factors that relate to preschoolers’ EFs over the first 4 years of life. Direct assessment of children's general cognitive skills at age two showed developmental continuity with EFs at age four, and these early cognitive skills mediated the effect of an antecedent parenting intervention on EFs as well as associations of targeted individual and family factors with EFs. Furthermore, directly assessed maternal cognitive capacities and observed maternal scaffolding uniquely predicted EFs in preschoolers. This study is also the first to demonstrate a significant overlap between direct assessments of IQ and EFs in young children from LMIC. Children's general intelligence mediated the associations of EFs with antecedent physical growth and cognitive skills as well as concurrent family factors (maternal verbal intelligence, maternal scaffolding, and home stimulation). After controlling for shared variance between preschoolers’ general intelligence and EFs, three factors emerged as unique predictors of EFs: exposure to an early parenting intervention, physical growth status at age two, and number of older siblings. The findings have important implications for the design of interventions that aim to improve EFs in young children in LMIC. A video abstract of this article can be viewed at https://vimeo.com/316329544/5abde94cd7     

“This phone saved my life”: Older persons’ experiences and appraisals of an mHealth intervention aimed at addressing loneliness

This qualitative study aimed to explore older persons’ experiences and appraisals of the utility of an mHealth intervention for reducing their sense of loneliness. Participants (n = 13; 86.42% females; age range 65 to 87 years) received training in the use of a smartphone and a social networking application (WhatsApp). Following the intervention, they completed a focus group discussion. For data triangulation, participants shared their social media postings. Content analysis of the focus group discussion and social media data indicated that the mobile device was used to mitigate perceptions of loneliness and isolation, thus facilitating social network building, enhancing self-efficacy, and improving cognitive flexibility. Mobile phones and a social networking application appear to reduce loneliness experienced by the elderly.