农村合作医疗：范式及其重构

从范式角度重点分析了我国肇始于20世纪80年代末的市场化合作医疗改革归于失败的深层次原因,并在此基础上研究了创建新型农村合作医疗制度的原因、意义与特点,提出了符合社会主义新农村建设要求的农村合作医疗范式重构的若干对策建议。     

中国医患社会心态问卷的初步编制与信效度检验

确立医患社会心态的医患社会情绪、医患社会认知、医患价值观与医患行为倾向四个维度,并在每个维度下建立分问卷,分医方卷与患方卷编制了国内首个标准化中国医患社会心态问卷。在初测问卷进行探索性因素分析的基础上,对有效患方卷和医方卷进行验证性因素分析,验证了四维度结构的合理性。中国医患社会心态问卷内部一致性系数在0.757～0.932之间,两周重测信度在0.632～0.759之间; 各因素间呈中等偏低的相关,验证性因素分析的各项参数在可接受水平; 专家评定效度良好。各分问卷可在中国大陆地区单独或组合使用。     

Getting less than their fair share: Maltreated youth are hyper‐cooperative yet vulnerable to exploitation in a public goods game

Human cooperative behavior has long been thought to decline under adversity. However, studies have primarily examined perceived patterns of cooperation, with little eye to actual cooperative behavior embedded within social interaction. Game‐theoretical paradigms can help close this gap by unpacking subtle differences in how cooperation unfolds during initial encounters. This study is the first to use a child‐appropriate, virtual, public goods game to study actual cooperative behavior in 329 participants aged 9–16 years with histories of maltreatment (n = 99) and no maltreatment (n = 230) while controlling for psychiatric symptoms. Unlike work on perceived patterns of cooperation, we found that maltreated participants actually contribute more resources to a public good during peer interaction than their nonmaltreated counterparts. This effect was robust when controlling for psychiatric symptoms and peer problems as well as demographic variables. We conclude that maltreatment may engender a hyper‐cooperative strategy to minimize the odds of hostility and preserve positive interaction during initial encounters. This, however, comes at the cost of potential exploitation by others.     

常人疾病观及其对医患关系的影响

常人疾病观是普通人对于某一疾病的认知、解释和态度的集合。与专业医务人员相比, 普通人更关注心理、家庭和社会因素而非生物学因素的致病作用, 就医选择多元而并不遵循标准化的就医模式, 同时更愿意将疾病体验视为个人生活的特殊问题加以建构性理解。常人疾病观与科学医学观之间的不一致性可能降低患者的就医满意、对医信任和医嘱依从性, 从而影响治疗效果。立足中国社会的医学文化与医疗制度, 研究中国人的常人疾病观, 并探讨其对医患关系的影响作用与社会心理机制, 可为改善当下中国医患关系紧张现状提供有益建议。     

博弈论视角下的超扫描多人互动任务新模型

超扫描指同时记录多个被试脑活动, 以探索其社会互动脑机制的研究手段。从博弈论视角, 可区分超扫描任务中的冲突、合作与协作三类任务, 分离已有研究中未严格界定的“协作”与“合作”概念, 为超扫描研究的多人互动范式建立新模型。任务所包含协作因素的多少, 与任务是否涉及心理理论功能是影响个体脑间活动同步现象的重要条件。未来研究可结合进化博弈论等理论模型, 进一步探索合作与协作行为的差异及规范形成的心理与神经机制。     

家校合作对青少年学业成绩的影响：一个有调节的中介模型

本研究基于广州市基础教育质量监测项目,以2380名初中生及其家长为被试,构建一个有调节的中介模型,考察了家校合作对青少年学业成绩的影响机制。研究发现：（1）家校合作对青少年学业成绩具有显著的正向预测作用;（2）在家校合作对青少年学业成绩的影响中,亲子沟通发挥了部分中介作用;（3）独生状况调节了家校合作→亲子沟通→学业成绩的后半段,即相对于非独生子女而言,独生子女亲子沟通对学业成绩的促进作用更为显著。     

公共物品困境中自我权力和他人权力对初中生合作行为的影响

本研究分别操纵被试稳定的权力（实验1）和不稳定的权力（实验2）,并与不同权力个体进行公共物品困境任务,以考察了自我权力和他人权力对初中生合作行为的交互作用及其权力稳定性在其中的作用。结果发现,在权力稳定情境下,高权力的初中生合作水平低于低权力组和控制组,而在权力不稳定的情境下,高权力的初中生合作水平高于低权力组。无论权力稳定与否,与低权力同伴合作时,低权力者的合作水平均显著高于与高权力同伴合作时。     

Evaluation of the effects of a childhood depression prevention program

The study aimed to design and evaluate a program for the prevention of childhood depression (“Pozik-Bizi” [in English, “Live-Happily”]), comparing its effects with a socio-emotional intervention program based on cooperative play. The sample comprised 420 students aged 7 to 10?years from the Basque Country, 51.9% were randomly assigned to the experimental condition (“Pozik-Bizi”) program and 48.1% to the control group (“Play program”). Using a pretest-posttest repeated measures experimental design, 7 evaluation instruments were administered. When comparing the two interventions, it was confirmed that those who participated in the “Pozik-Bizi” program significantly decreased their level of clinical maladjustment, school maladjustment, emotional, and behavioral problems, and they increased positive behaviors that inhibit depression. However, the cooperative play program improved self-concept and social skills significantly more than the “Pozik-Bizi” program. The effect size in all the variables was small. The discussion analyzes the effectiveness of specific programs of prevention of childhood depression versus global programs of social-emotional development. This work provides a program to prevent childhood depression that has been shown to be effective in the reduction of clinical variables. In addition, this study confirms the positive potential of programs of cooperative play, to increase self-concept and social skills.     

医患沟通对医生刻板印象表达的影响

从沟通频次与刻板印象传递性质的关系入手,以住院患者和尚未成为住院患者的大学生为被试,采用系列再生范式,利用10条4人再生链,探讨了医患沟通频次对医生刻板印象表达的影响。结果显示,与医生沟通频次高的住院患者在再生链的第2个位置传递医生的积极信息高于消极信息,但是经过4人的传递,住院患者对医生刻板印象信息的传递在积极信息与消极信息没有差异。而与医生沟通频次低的大学生在再生链的后期表现出传递医生消极信息的倾向。该结果表明：沟通频次能够调节有关医生的消极刻板印象的传递—与医生沟通频次高的群体在传递医生的刻板印象信息时,在传递的早期具有积极的倾向性;但经过多人传递之后,在效价方面已经没有倾向性;与医生沟通频次低的群体倾向于传递医生刻板印象的消极信息。