抑郁症的计算机化认知行为治疗

计算机化认知行为治疗(computerized cognitive-behavioral therapy, CCBT), 即指通过电脑交互界面, 以清晰的操作步骤, 高度结构化的多种媒介互动方式(如网页、漫画、动画、视频、声音等)来表现认知行为治疗基本原则和方法的治疗方式。抑郁症的CCBT近年来在西方崭露头角, 目前Beating The Blues、MoodGYM、E-Couch和Good Days Ahead等抑郁症CCBT程序在西方使用较为广泛。从可行性分析上发现, 该疗法较受病人接纳、具有较高的成本效用和易用性; 现有实验研究证明了抑郁症采用CCBT是有效的, 但其有效性仍取决于诸多因素。以往研究存在着较少关注治疗有效性的内在机制、治疗效果差异较大、风险评估简化和被试选择偏向等问题, 建议未来研究应加强：(1)中介效应及机制研究; (2)以人为本的个性化服务研究; (3)风险评估与隐私保护研究; (4)在“弱势群体”中的研究与运用。最后, 对其在中国发展的必要性与可行性进行了展望。     

视觉空间关系识别中的认知加工特性

通过两个实验分别检测 2 0名飞行员和 10名老年被试及其相应控制组的视觉空间关系识别中的认知加工水平 ,旨在探讨视觉空间关系识别中的类别关系和数量关系加工子系统所表现出的认知特性。研究结果表明 ,在参与视觉空间关系判断的两个典型加工子系统中 ,负责数量 (坐标 )空间关系判断的加工子系统既可随系统训练而表现出功能增强的练习效应 ,也可随年老过程而发生功能衰减的年龄效应。相对而言 ,涉及类别空间关系判断的加工子系统则较少受到练习和年老化因素的影响。研究提示 ,由于受大脑神经解剖结构特点以及加工任务性质的影响 ,数量空间关系加工子系统更多地表现出了认知加工的可塑性和易变性特点 ,而类别空间关系加工子系统则表现出相对的稳定性或可塑性较低的认知特性     

It was intuitive,and it felt good: a daily diary study on how people feel when making decisions

ABSTRACT

In daily life, people make plenty of decisions, either intuitively or based on analysis. So far, research has examined when decision-making leads to correct or biased outcomes. In the present study, we adopted a different perspective and explored how decision-making is associated with how people feel. In an observational study, 134 healthy participants retrospectively reported on six evenings which decisions they had made during that day (total N?=?3,850 decisions). They were also asked to indicate how they had felt before/after each decision. Multilevel regression analyses revealed that (a) people reported having felt better prior to intuitive as compared to analytical decisions, (b) people reported having felt better after as compared to before the decision, and (c) this increase in positive feeling was more pronounced for intuitive decisions. The latter two associations were robust to statistically controlling for the life domain in which the decisions occurred, the decisions’ importance and ease, and daily mood. The retrospective design and the single-item measure of mood are among the limitations of this study. Altogether, the results are in line with the idea that making everyday life decisions intuitively makes people feel good.     

醋柳黄酮的实验研究及临床应用进展

醋柳黄酮为沙棘果实与叶的有效提取成分，其中已被鉴定的黄酮类化合物有槲皮素及其苷类、异鼠李素及其苷类、山奈酚及其苷类、杨梅酮、绿原酸、猪草苷、儿茶酚和黄芩苷等。醋柳黄酮作为中药有效成分，具有多种药理作用。近十几年国内对沙棘进行了广泛深入的研究，并取得了一定的进展。本文对其实验研究及临床应用的概况作一综述。     

精诚合一:医学哲学事业的永恒主题

医学哲学事业的价值在于发现并弘扬医学的基本精神。“精诚合一”是医学亘古不变的基本精神。当代医学哲学研究的任务是揭示医学的“精诚合一”特征及其深刻内涵,注重“精”与“诚”的有机结合,批判现实医疗活动和理论研究在“精”、“诚”问题上的片面,弘扬医学的基本精神。     

Self-Report Versus Performance-Based Activities of Daily Living Capacity Among Heart Transplant Candidates and Their Caregivers

Transplant candidates completed the Every Day Problems test (EPT), a performance-based measure of instrumental activities of daily living (IADL), and the Katz self-report scale of IADL functioning. Caregivers estimated the candidate's IADL capacity using the Katz scale. A healthy community group and patients with cardiac disease not undergoing transplant evaluation and their caregivers served as controls. Discrepancies between the EPT and Katz scales were generated. Results showed that the total number of discrepancies was significantly higher among the two patient groups as compared to controls. Three or more discrepancies (a total of 7 IADL domains were assessed) occurred in 40–52% of the participants and their caregivers in the two patient groups. Similarly, the total number of discrepancies between the Katz scale of the participant and their caregiver was significantly higher among the two patient groups as compared to controls, with only 33–44% showing perfect agreement in the patient groups as compared to 97% among controls. Despite a high prevalence of discrepancies in both patient groups, results did not support the hypothesis that transplant candidates tend systematically to overestimate their ability level on self-report IADL measures.     

Les grands magasins de la médecine de Milton Friedman

The coronavirus pandemic has brought back the question in Western countries of the solidity of their health systems. This article discusses Friedman's 1962 piece of work, “Capitalism and Freedom”, and more specifically his presentation based on American occupational licensure. This research insists beyond the complexity of “de-licensing laws” passed for some U.S. health care facilities, on the consequences of a parasitic competition on health care ethics.