Well-being in major depression and social phobia with and without comorbidity

Background/Objective: Lower levels in well-being have been observed in individuals with Major Depression (MDD) and Social Phobia (SP), but well-planned direct comparisons with control individuals, not suffering from a mental disorder, are lacking. Furthermore, MDD is highly comorbid with anxiety disorders, and SP with depressive disorders. This study is among the first to examine differences in well-being in individuals with a clinical diagnosis of MDD or SP compared to individuals with no such diagnosis and to test differences in well-being within the combined diagnostic categories respective with and without anxiety-depressive comorbidity. Method: Participants were 119 individuals with a diagnosis of MDD, 47 SP and 118 controls. Results: Results revealed that overall well-being as well as emotional, psychological, and social well-being were lower in the MDD and SP group compared to the control group. Individuals with comorbidity reported lower well-being than individuals without comorbidity. Conclusions: These findings have clinical implications as presence of comorbidity may require a different therapeutic approach than with no comorbidity.     

压力对“蚁族”群体心理健康的影响:希望的调节作用

以广州市棠下、上社、岑村、赤沙等地340名"蚁族"(高校毕业生低收入聚居群体)为被试,采用成人希望特质量表(ADHS)、压力知觉量表(CPSS)、一般心理健康问卷(GHQ),考察了"蚁族"群体的希望水平,并分析了希望在压力和心理健康之间的调节作用。结果发现:①从整体上看,该群体的希望处于中等偏上水平。②压力对于心理健康水平有显著的负向影响;希望能够起到压力缓冲作用,调节压力与一般健康问题、忧郁情绪和自我肯定感之间的关系。③希望对心理健康的忧郁、自我肯定维度的调节作用大小不同,对于忧郁情绪的调节作用更大,而对自我肯定调节作用较小。     

末期癌症患者的临终关怀

临终关怀与末期癌症关系密切,末期癌症患者是临终关怀的主要对象,这也是姑息医学的主要内容。作为发展中的学科,本文对临终关怀的发展、目的、内容及其在末期癌症患者中的实施作一综述。     

台湾地区姑息医学制度的建立及法律实践

姑息治疗在提高晚期癌症患者生活质量、实施临终关怀、给予病人及其家属全面周到的照顾诸方面起着重要作用。在台湾,已为姑息治疗立法并实施了10年,积累了丰富的经验。这项法律本身及其细则、附件等配套文件使姑息治疗更加规范可行。研究规范的姑息治疗及台湾的相关法律可以帮助我们更好的理解姑息治疗的理念,帮助发展大陆同道构建有效实用的...     

ICU医护沟通与协作的现状与思考

许多研究表明ICU医护之间的沟通与协作存在重大问题,特别是在临终决策中存在分歧。护士的作用经常被忽视。加强医护之间的沟通与协作有助于提高医疗质量并改善医护、患者及家庭满意度。许多旨在改善沟通与协作的措施已经证实有效并可应用于临床实践,并应对此进行更深一步的研究。     

冠状动脉CT血管成像应用中的思考

随着科学技术的发展及医疗水平的提高,冠状动脉CT血管成像（CTCA）已成为诊断冠心病的金标准,该项技术微创、安全、简单、快捷,深受患者青睐。本文讨论该项技术应用中所贯穿的哲学思考与应有的人文关怀。     

高血压患者应激反应特点及行为人格的关系研究

为了解高血压患者心血管反应的特征及与健康人群的差异,使用实验和问卷调查的方法对高血压患者和健康居民进行研究。结果显示,两组在任务期和恢复期的心血管反应差异显著（P〈0．05）;病例组的健康实践行为和消极应对方式水平较高,积极应对方式有待提升;健康实践行为和恢复期舒张压呈负相关,积极应对方式和任务期收缩压呈正相关（P〈0...     

肿瘤科医护人员对晚期肿瘤患者实施预先指示的质性研究

探讨肿瘤科医护人员对晚期肿瘤患者实施预先指示（advance directives,AD）的态度。使用目的抽样法对8位肿瘤科医护人员进行半结构式访谈。结果显示,肿瘤科医护人员对实施AD的态度可归纳为：（1）认可并有需求;（2）具体实施仍有一定困难;（3）可尝试应用但需一定对策。因此,肿瘤科医护人员总体非常支持AD的实施,但具体应用还需一定时期的本土化过程。     

New students' psychological well‐being and its relation to first year academic performance in a UK university

Aims: This study (1) profiled the well‐being of first year students entering one UK university, and (2) explored whether initial well‐being and year end academic performance were correlated. Method: A total of 117 students (mean age 21, 67% female) completed the Rosenberg Self‐Esteem Scale, Clinical Outcomes in Routine Evaluation‐General Population, and Liebowitz Social Anxiety Scale; academic achievement data were collected from academic records. Results: Almost a quarter of the sample reported quasi‐clinical levels of psychological distress and moderate to very severe social anxiety. Quasi‐clinical levels of psychological distress were associated with low self‐esteem and social anxiety. No statistically significant links were found between well‐being as assessed at the beginning of the first year and academic achievement at the end of the first year. Discussion: The failure to find a link in this study between initial well‐being and academic performance at the end of the first year suggests that further investigation is required to understand how academic achievement is related to student well‐being.     

大学生经济信心和心理健康的关系:生涯自我效能感的中介作用

采用经济信心问卷、生涯自我效能感量表、总体主观幸福感量表、贝克焦虑和抑郁量表,对237名大学生进行调查,考察大学生经济信心对其心理健康的影响,以及生涯自我效能感在两者之间可能的中介作用。结果表明,经济信心与生涯自我效能感和主观幸福感呈显著的正相关,与抑郁显著负相关,生涯自我效能感与主观幸福感显著正相关,与焦虑、抑郁显著负相关。大学生经济信心对其主观幸福感和抑郁具有显著的预测作用。大学生生涯自我效能感在经济信心与主观幸福感之间起到部分中介作用,其在经济信心和抑郁之间起到完全中介作用。此外,大学生生涯自我效能感传递了经济信心对焦虑的间接影响。