大学生心理健康教育教学模式的构建与实践研究

采用自然教学实验法,探索提高大学生心理健康水平的有效途径与教学模式。结果表明（1）开设心理健康教育课程并辅以心理咨询是眼下提高大学生心理健康水平的有效措施之一;（2）不同系科心理健康教育的效果不同,心理健康教育课程应根据学生的个别差异有针对性地进行;（3）大学生心理健康教育课程的教学模式为“面上集中释疑,线上互相解疑,点上个别辅导”。     

职业女性工作家庭冲突的压力源研究

本研究在已有研究的基础上 ,对浙江省杭州市职业女性进行了一次工作 -家庭冲突的调查研究。总结了现阶段职业女性工作 -家庭冲突的现状 ,探讨了角色压力源与工作 -家庭冲突的关系 ,分析了影响职业女性工作 -家庭冲突程度的因素。     

Mental health professionals' attitudes towards people who are deaf

Mental health professionals' attitudes towards deaf people were examined in relation to their previous contact with deaf people and their knowledge of deafness. Data were gathered regarding different aspects of contact, including the number and type of relationships participants had had with deaf people. A cognitive-processing theory of attitude change following contact (Rothbart & John, 1985) was explored. Knowledge of deafness did not correlate with attitudes towards deaf people but a relationship was found between the amount of contact that professionals had with deaf people of equal or higher status and more positive attitudes.     

Economic Antecedents of Foster Care

Individual and ecological research suggests that rising unemployment may affect the incidence of violence through two countervailing mechanisms suggested by frustration–aggression theory. The first, or provocation effect, assumes increased violence among persons who feel anger because they believe their job loss was arbitrary. The second, or inhibition effect, posits less violence among employed persons who attempt to reduce their chances of job loss by curtailing behavior objectionable to employers. The literature also reports that these mechanisms affect victimization measured as foster care sought by the state for abused children. The foster care finding, although consistent with theory and important for basic as well as applied reasons, arises from methods that cannot rule out several rival hypotheses. We revisit this research and apply improved methods to test the reported association in Los Angeles and San Francisco counties. We find that, as implied by the provocation and inhibition mechanisms, differences in monthly prevalence of foster care placements increase with modest increases in unemployment but decline when unemployment becomes much higher than usual levels.     

The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings

Clinical features of older primary care patients with GAD (PC-GAD; n = 22) were examined relative to older patients with GAD recruited for two academic clinical trials (M. A. Stanley, J. G. Beck, et al., 2003; J. L. Wetherell, M. Gatz, & M. G, Craske, 2003) and to a sample of older primary care patients without psychiatric diagnoses (No Dx; n = 10). Comparisons revealed similar levels of worry, anxiety, depressive symptoms, quality of life, and functional status between the PC-GAD subsample and patients recruited for academic trials, although primary care patients were older, less well educated, and more ethnically diverse. The PC-GAD subgroup, however, reported greater symptom severity, reduced quality of life, and poorer perceived general health, mental health, and vitality than the No Dx subgroup (² = .23–.43). Service utilization was not different between PC-GAD and No Dx subgroups, with the exception of psychotropic medication use. The Penn State Worry Questionnaire (PSWQ) and an abbreviated version of this measure may be useful for identifying late-life GAD in primary care. Cutoff scores of 50 and 22 on the full and abbreviated versions of the PSWQ, respectively, demonstrated excellent specificity, sensitivity, and positive predictive value. Negative predictive value was less impressive, probably as a result of high base rates for GAD in this sample.     

Religion, Spirituality, and Health Service Use by Older Hospitalized Patients

Background: Religious and spiritual beliefs and practices are common among medical inpatients, and may impact length of hospital stay (LOS) and other health services (HSU) during hospitalization. Methods: 812 consecutively admitted patients age 50 or over to Duke University Medical Center were assessed. Measures of religiousness and spirituality included religious TV/radio (RTV), self-rated religiousness (SRR), observer-rated spirituality (ORS), and daily spiritual experiences (DSE). The primary outcome was LOS. Results: RTV and SRR predicted longer LOS, whereas ORS and DSE predicted shorter LOS (p 0.05). Effects of RTV onLOS were stronger among women, but explained by worse health status. The effects of DSE on LOS were stronger among non-whites. Among those reporting high DSE, diagnostic tests and total procedures also tended to be less common. Conclusions: Religious activities, attitudes, and spiritual experiences are weak predictors of LOS and HSU during hospitalization. Whether the prediction is positive or negative depends on the religious or spiritual characteristic.     

Are American children's problems still getting worse? A 23-year comparison

Child Behavior Checklists were completed in home interviews by parents of 7–16-year-olds in 1976, 1989, and 1999. Competence scores decreased from 1976 to 1989, but increased in 1999. Problem scores increased from 1976 to 1989 and decreased in 1999 but remained higher than in 1976. Items, empirically based scales, and DSM-oriented scales showed similar patterns for demographically similar nonreferred samples assessed in 1976, 1989, and 1999 and for national samples that included referred children assessed in 1989 and 1999. For the 114 problem items that were common to the 1976, 1989, and 1999 assessments, the Q correlation was .98 between the mean scores on the 114 items in 1976 versus 1989 and was .94 between the mean scores on the 114 items in 1976 vs. 1999. This indicated very high stability in the rank ordering of item scores across intervals up to 23 years. For all children, the 1-year prevalence rate for mental health services use was 13.2% in 1989 versus 12.8% in 1999. For children with deviant Total Problems scores, the 1989 prevalence for service use was 30.5 versus 26.6% in 1999. Neither difference was statistically significant.     

Nestling recognition via direct cues by parental male bluegill sunfish (<Emphasis Type="Italic">Lepomis macrochirus</Emphasis>)

Parental care can be costly to a parent in terms of both time and energy invested in the young. In species with cuckoldry or brood parasitism not all of the young under a parent's care are necessarily offspring. In such cases, distinguishing between kin and non-kin, and investing only in the former (nepotism), can be advantageous. Bluegill sunfish (Lepomis macrochirus) are characterized by paternal care and cuckoldry, and care-providing males appear to show nepotistic behaviours. Here, we investigated nestling recognition in bluegill, determining whether parental males can differentiate between young from their own nest (familiar and related) and young from non-neighbouring nests (unfamiliar and unrelated) using (1) visual and chemical cues, and (2) chemical cues only. In the first experiment, wild-caught parental males were presented with samples of eggs or fry (newly hatched eggs) collected from their own nest or a foreign nest and placed on opposite sides of an aquarium. The time these parental males spent associating with each sample, and their "pecking" behaviours (indicating cannibalism), were recorded. Parental males showed no preference between eggs from their own nest and eggs from a non-neighbouring nest, but they preferred to associate with fry from their own nest over foreign fry. There also was a positive relationship between male body size and the time spent associated with fry from their own nest. Parental males pecked at foreign fry more than 5 times as often as fry from their own nest, though this difference was not statistically significant. In the second experiment, fry that were collected from the nest of a wild-caught parental male or a non-neighbouring nest were placed in different containers and the water from each was dripped into opposite ends of an aquarium. The time the male spent on each side was recorded. In this case, parental males spent more time near the source of water conditioned by unrelated fry, but there was a positive relationship between male condition (fat reserves) and the time he spent near the source of water conditioned by fry from his own nest. Results confirm that chemicals cue nestling recognition by parental male bluegill. Electronic Publication     

卫生保健政策与医学伦理学

卫生保健政策是卫生资源、价值目标和伦理原则三者的结合。医学伦理学是卫生政策的重要基础。当代卫生事业的特点,卫生保健服务面临的挑战以及医学伦理主体与客体的变化,决定了医学伦理学在当代卫生保健政策中的特殊意义。在医学面临全民保健的阶段,一个科学的符合人民健康利益的卫生保健政策是不言而喻的。摆脱当前卫生政策面临的困难,要求必须在医学伦理学方面作出正确的选择。     

初中学生心理健康状况及其影响因素

本研究对441名初中学生进行问卷调查,结果发现：1．有7．5％的初中学生存在明显的心理健康问题。2．初中学生心理健康存在性别与年级的差异。女生比男生,初三、初二学生比初一学生有更多的心理健康问题。3．日常生活压力是影响初中学生心理健康的重要因素。4．解决问题、求助两种应付方式对学生的心理健康有积极作用,而自责、幻想、忍耐、合理化等应付方式则会危害心理健康。