Social support,coping, and psychological adjustment among caregivers of head-injured patients

Abstract

The purpose of this study was to test a mediational model of risk and protective factors associated with the psychological adjustment of caregivers of head-injured patients. Forty-three caregivers of patients who had suffered a head injury participated in the study. Findings strongly supported hypotheses. Caregiver burden was associated with poorer psychological adjustment. Social support and a higher percentage of approach coping strategies relative to overall coping strategies were associated with better psychological adjustment. As predicted, caregiver burden showed a direct relationship to psychological adjustment, while social support showed an indirect relationship to adjustment mediated by percentage approach coping.     

The effect of dohsa-hou on body consciousness in disabled sportsmen

In this study, body is considered to be the actual state of a person's existence and is not divided from the mind as the human organism. Body affects the self through body movement, and in this study the author considers that the clients' consciousness and feeling about their bodies has an effect upon their postural appearance and body movement. By applying dohsa training – a Japanese psycho-rehabilitation method – to disabled sportsmen with problems regarding standing balance, standing firm on the ground (fumishime in Japanese), unbalanced walking, and poor coordination of hands and legs during walking and running, their change of body consciousness, change of body posture and movement, and possible change of sports performance are investigated. As a result of training, the public aspect of their body consciousness changed the most by experiencing a new mode of motor action which was different from the one they experienced before the training; they gained a better balance of their body while walking and running, and they improved their sports record time. The results indicated that this training is a useful method for helping disabled sportsmen to improve their body consciousness, to gain control over both their own bodies and minds, and that it may be useful in devising training programs for them.     

表情判别能力的发展特点与影响因素

本实验通过不同年龄学生对各类表情的判别之研究,探讨了表情判别能力的发展特点及其与个体情绪发展间的关系。结果表明：①身段表情判别能力是导致表情判别年龄差异的核心因素;②面部表情判别能力发展较早,在小学阶段已相当完善,身段表情判别能力发展较晚,到大学阶段才达到与前者相同的水平;③身段表情判别能力的发展与个体情绪发展的阶段性特点及其主要社会适应问题相关联。     

Another look at “tummy time” for primary plagiocephaly prevention and motor development

It is three decades since it was recommended that infants sleep on the back to reduce risk of sudden unexpected infant death (SUID). The SUID prevention program is known as “back to sleep” or “safe sleeping”, and this initiative is not questioned. Sleeping on the back is associated with, but not the cause of, the development of infant positional plagiocephaly, also known as deformational or a non-synostotic misshapen head when the skull sutures are open, not fused. This paper provides a synthesis of the history and impact of positional plagiocephaly. It includes a scoping review of plagiocephaly prevention facilitating motor development and reveals few articles on primary prevention which aims to prevent it developing in the first place. It is concerning that preschool-aged children with a history of infant plagiocephaly continued to receive lower developmental scores, particularly in motor development, than unaffected controls, and this may be a marker of developmental delay. Tummy-time (prone) for play is the mainstay of plagiocephaly prevention advice to minimize development of plagiocephaly and to facilitate infant motor development, particularly head control. While tummy-time has shown benefit for infant development, there is limited evidence of its effectiveness in preventing plagiocephaly and some evidence that it promotes only prone-specific motor skills. Most of the published literature is concerned with treatment post-diagnosis, in the form of reviews, or clinical notes. There is a plethora of opinion articles reinforcing tummy-time from birth for plagiocephaly prevention. The review shows that there are gaps in advice for early infant development of head control. An accepted test of head control in infants is “pull to sit” from supine which demonstrates antigravity strength of the neck flexors and coordination of the head and neck when the infant is drawn to sit from supine. This motor skill was cited as achievable by 4 months in the earliest paper on plagiocephaly in 1996. Physical therapists and others should revisit the mechanism of early infant head control development against gravity, particularly antigravity head, neck and trunk coordinated flexion movement in supine, as there has been little attention to early facilitation of this motor skill as a plagiocephaly prevention strategy. This may be achieved by considering “face time” as well as tummy time for primary prevention of plagiocephaly.     

Unweighting infants reveals hidden motor skills

We investigated the role of rate limiting factors in development using walking as a model system. The achievement of bipedal posture and locomotion are among the most significant achievements in an infant's first year, with poor balance and weak muscles long proposed as the rate limiting factors. Compensating for either may reveal upright motor skill that has not yet emerged in the infant's natural repertoire. To probe this question, we unweighted prewalking infants and measured their performance in various standing and walking behaviors while unweighted compared to baseline. Our secondary objective was to determine if the influence of unweighting was related to infants’ locomotor experience. Infants stood unsupported for longer durations with 20% or 40% unweighting. Infants took more independent steps and more steps with one hand held with 40% unweighting. No differences in transition to/from standing were observed. Locomotor experience was related to the influence of unweighting during cruising and walking with a push toy. This is the first report of more advanced motor skills—longer periods of unsupported standing and the emergence of independent walking—revealed by unweighting infants. We interpret our observations to suggest that the refinement of motor control needed to support bipedal posture and locomotion precedes the functional emergence of these skills in infants. In other words, the musculoskeletal components required for walking are slower to develop than the neurological factors – and consequently may be the rate limiters. We further suggest that training regimens including unweighting should be explored in infants with motor delays.     

Autoshaped head poking in the mouse: a quantitative analysis of the learning curve

In autoshaping experiments, we quantified the acquisition of anticipatory head poking in individual mice, using an algorithm that finds changes in the slope of a cumulative record. In most mice, upward changes in the amount of anticipatory poking per trial were abrupt, and tended to occur at session boundaries, suggesting that the session is as significant a unit of experience as the trial. There were large individual differences in the latency to the onset of vigorous responding. "Asymptotic" performance was unstable; large, bidirectional, and relatively enduring changes were common. Given the characteristics of the individual learning curves, it is unlikely that physiologically meaningful estimates of rate of learning can be extracted from group-average learning curves.     

桡骨小头粉碎性骨折的两种治疗方法比较分析

分析比较切开复位内固定和人工桡骨小头置换方法治疗桡骨小头粉碎性骨折（MasonⅢ型）的临床疗效。回顾分析2012年10月～2014年3月收治的24例桡骨小头粉碎性骨折（MasonⅢ型）的临床资料,其中切开复位内固定治疗17例;桡骨小头置换7例,平均随访12个月（6个月～18个月）。根据Broberg Morrey评分系统以及术后影像进行评价比较,同时比较两组住院天数以及费用。结果评价比较显示两者疗效均佳,术后两者活动度和功能评分相近,两组住院天数相近,内固定组费用更低。桡骨小头粉碎性骨折须尽早进行解剖复住功能重建,切开复位内固定和桡骨小头置换疗效相当。     

MATERNAL DEPRESSION AND THE DEVELOPMENT OF EXECUTIVE FUNCTION AND BEHAVIOR PROBLEMS IN HEAD START: INDIRECT EFFECTS THROUGH PARENTING

The present study used a large, nationally representative sample of Head Start children (N=3,349) from the Family and Child Experiences Survey of 2009 (FACES) to examine associations among maternal depression (measured when children were ?36 months old) and children's executive function (EF) and behavior problems (measured when children were ?48 months old). Preliminary analyses revealed that 36% of mothers in the sample had clinically significant levels of depressive symptoms. Furthermore, a path analysis with demographic controls showed a mediation effect that was significant and quite specific; mother‐reported warmth (and not mother–child reading) mediated the path between maternal depression, children's EF, and behavior problems. Findings provide empirical support for a family process model in which warm, sensitive parenting supports children's emerging self‐regulation and reduces the likelihood of early onset behavior problems in families in which children are exposed to maternal depression.     

中心词和非中心词在句法启动的词汇增强效应中存在不同的机制

句法启动中, 非中心词和中心词重复是否诱发出相似强度的词汇增强效应, 目前存在着较大的理论争议。本研究在汉语双宾结构和介宾结构上分别操纵中心词和非中心词重复, 并在确保具有合适统计检验力基础上, 完成了3个句法启动实验。实验结果清楚地显示中心词重复诱发了稳定的词汇增强效应, 非中心词中的直接宾语重复也诱发了稳定但相对较弱的词汇增强效应。在此基础上, 我们尝试提出一个解释框架以调和现有的理论争议。     

Self-Sitting and Reaching in 5- to 8-Month-Old Infants: The Impact of Posture and Its Development on Early Eye-Hand Coordination

The relation between progress in the control of posture (i.e., the achievement of self-sitting posture) and the developmental transition from two-handed to one-handed engagement in infant reaching was investigated. Two groups of 5- to 8-month-old infants, who were either able or yet unable to sit on their own, were videotaped while they reached for objects in four different posture conditions that provided varying amounts of body support. Videotapes of infant reaches were microanalyzed to determine the relative engagement of both hands during reaches. Results demonstrate the interaction between postural development and the morphology of infant reaching. Nonsitting infants displayed symmetrical and synergistic engagement of both arms and hands while reaching in all but the seated posture condition. Sitting infants, by contrast, showed asymmetrical and lateralized (one-handed) reaches in all posture conditions. Results also show that, aside from posture, the perceived spatial arrangement of the object display is a determinant of infant reaching. Combined, these results are discussed as evidence for the interaction between postural and perceptual development in the control of early eye-hand coordination.