国内外心理健康素质研究综述

“心理健康素质”是个新概念。本文就国内和国外与心理健康素质有关的若干概念、观点,以及部分研究进行了整理。侧重于两个主题：（1）心理健康素质及其相关概念;（2）心理健康素质的构成要素或影响心理健康的个体因素。     

中小学教师心理健康状况的调查研究

采用SCL-90对566名教师的心理健康受损情况的调查研究表明：总均分≥2者,占教师总人数的14.2%。从单项因子看,依因子分大于2者所占百分数由少至多依次是精神病性、恐怖、焦虑、躯体化、人际敏感、抑郁、偏执、敌对等,有30.6%的教师有强迫症状。男性教师与女性教师、中学教师与小学教师、任课教师与行政人员的心理健康水平大体相当。乡村教师心理健康水平远远低于城市教师,1~10年教龄的教师远远低于10年以上教龄的教师。     

文化震荡及其对个体心理健康的影响

当前我国正在经历的急剧社会文化变迁对众多个体心理产生了强烈冲击,形成了文化震荡,并在不同程度上影响了其心理健康。研究表明,由于不同个体的经历和应付方式不同,其对文化震荡的承受能力也不同。因此,深入研究文化震荡的形成及其对不同个体的影响,充分挖掘各种文化有益于维护个体心理健康的宝贵遗产,建立个体心理健康防卫、救护机制和社会安定预警机制,是一项刻不容缓的紧迫任务。     

归因方式对心理健康的影响及干预研究之概观

该文就归因方式对心理健康影响的特点、规律及其心理机制以及通过归因干预改善和提高个体与群体健康水平的研究进行了简要的叙述,并对已有研究存在的问题进行了初步的讨论。作者认为,归因干预可能是改善和提高个体与群体的健康水平的一条重要途径;未来的研究应着眼于揭示个体对不同性质、不同类型的生活事件在特定归因和维度归因上对心理健康影响的特点、规律及其心理机制,并就归因干预的理论和实践等问题进行了深入的探讨。     

试论老子的养生观

老子的养生观根植于其博大精深的哲学思想;老子的养生思想是我国古代养生思想的理论基础,几乎所有的养生家和医学家都受到其养生思想的影响,被后世诸多大家加以继承、借鉴和发扬;老子的养生观主要有“勤行自律”、“三分长寿法”、“静以养神”、“顺应自然”、“虚心实腹、弱志强骨”、“恬淡寡欲”、“淡泊名利、功成身退”和“咽津养生”。     

Validity of Treatment Target Progress Ratings as Indicators of Youth Improvement

We examined whether clinical progress ratings on the Monthly Treatment and Progress Summary form (MTPS), an idiographic treatment progress measure, were meaningfully related to changes measured by two separate standardized instruments; the Child and Adolescent Functional Assessment Scale (CAFAS) and the Child and Adolescent Level of Care Utilization System (CALOCUS). Validity coefficients were examined at intake and three-, six-, and nine-month follow-up periods. Samples were selected for each measure and follow-up period from the population of youth receiving services through the Hawaii Child and Adolescent Mental Health Division’s (CAMHD) system of care. Significant youth improvement was evident on all three measures across all follow-up intervals. The type of changes measured by the MTPS and CAFAS were more alike over longer follow-up intervals than changes measured by the CALOCUS. The MTPS captures distinct aspects of client change that overlaps somewhat with CAFAS and CALOCUS measures. The MTPS is a brief client-tailored measure that seems to provide valid, sensitive, and nonredundant client specific treatment outcome information that can be collected on a frequent basis within a complex system of care.     

Home Versus School Environments and their Influences on the Affective and Behavioral States of African American,Hispanic, and Caucasian Juvenile Offenders

We examined and compared the influence of home and school environments to the affective (anxiety and depression) and behavioral (impulsivity and compliance) states of 626 African American, Caucasian, and Hispanic adjudicated juvenile offenders. African Americans showed the strongest relationship between their home environment and compliance. Caucasian and Hispanic males exhibited increased home and school environment problems associated with affective states. Among females, African American and Caucasian females exhibited the strongest relationships between their home environment and behavioral states, whereas Caucasian and Hispanic males revealed increased school environment problems related to affective states with Hispanic males showing the strongest relationships. In addition, the school environment was more predictive of the affective and behavioral states of the adolescents, particularly females.     

Family Empowerment as a Mediator between Family-Centered Systems of Care and Changes in Child Functioning: Identifying an Important Mechanism of Change

We investigated the associations among perceived fidelity to family-centered systems of care, family empowerment, and improvements in children's problem behaviors. Participants included 79 families, interviewed at two time points across a one-year period. Paired samples t-tests indicated that problem behaviors decreased significantly across a one-year period. Hierarchical multiple regressions indicated that both fidelity to family-centered systems of care and family empowerment independently predicted positive change in children's problem behavior over a one-year period. However, when family empowerment is entered first in the regression, the relationship between fidelity to family-centered systems of care and change in children's problem behavior drops out, indicating that family empowerment mediates the relationship between family-centered care and positive changes in problem behaviors. Consistent with other literature on help-giving practices, family empowerment appears to be an important mechanism of change within the system of care philosophy of service delivery. Implications for practice and staff training are discussed.     

Religious Doubt and Mental Health Across the Lifespan

The current study examined the connections among religious doubt, mental health, and aging in a nationwide sample of individuals 18 years and older (N = 1629). Findings indicate that that religious doubt emerging from the recognition of suffering and evil in the world has a deleterious impact on mental health. Results also show that as people grow older, religious doubts continue to be associated with psychopathology, but the magnitude of this association becomes weaker across age categories. In other words, the impact of doubt on mental distress declines as one ages. These effects were found across various measures of mental distress, including depression, general anxiety, interpersonal sensitivity, paranoia, hostility, and obsessive-compulsive symptoms. Findings are explored within the context of psychosocial development and the experiential trajectory of religious maturity.     

Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship

The study set out to examine the predictive effects of patients’ emotional distress and their relationships with their health care providers on satisfaction with obstetric services in high-risk pregnancies. Participants were 104 pregnant women with a history of recurrent losses, fetal demise, previous or current fetal genetic abnormality, advanced maternal age, or obstetric or medical complications of the present pregnancy. Self-report measures of emotional distress and the quality of their relationships with their medical provider were administered. Hierarchical multiple regression analyses were conducted to assess the predictive effect of these variables on satisfaction with services. Provision of information, constructive communication, and good relationships predicted elevated satisfaction with health services. Provision of information also buffered against the adverse effect of emotional distress on satisfaction with health services. These findings elucidate the central role of provider–patient interaction, particularly as it is related to provision of information, in high-risk pregnancy.