大学生心理健康普查和建档工作的理性思考

本文针对目前高校心理普查和建档中存在的问题,深入探讨了心理普查和建档的目的、资料内容的构成、科学性与有效性的影响因素、能否筛查出心理障碍和心理危机者、结果的保密性和使用,以及投入与产出的问题等等,以期引起各方对此的深入思考,并科学地对待心理普查和建档工作。     

Psychoneuroimmunology: A bio‐psycho‐social approach to health and disease

Since the early 1980s, the interdisciplinary field of psychoneuroimmunology has explored the complex bi‐directional interactions between brain, behavior, and the immune system. Taken together, this research has expanded the limits of the questions we can ask about the organism by challenging the biomedical paradigm of the immune system as predominantly “autonomous”. Psychoneuroimmunology has played a key role in establishing a biological basis for the ancient idea that the mind can play a role in health and disease. This article describes the development of psychoneuroimmunology and reviews a number of key findings concerning psychological phenomena of potential relevance to understanding brain‐behavior‐immune interactions, including learning, emotions, stress, and the role of sensory processes.     

应对方式、社会支持和心理压力对中学生心理健康的影响研究

该研究采用中学生应激源量表、中学生应对方式量表、领悟社会支持量表和症状自评量表(SCL-90)对852名初一至高三的学生进行了调查。通过单因变量多维交互效应的方差分析,结果表明：消极应对方式对中学生的心理健康影响较大;积极应对方式与心理健康的相关不显著;社会支持对心理健康的影响同时具有主效应和缓冲效应;心理压力与心理健康之间存在着显著相关;应对方式和社会支持在心理压力与心理健康的关系中彼此独立起作用,两者之间的交互作用不明显。     

社会网络视角下的同伴关系与心理健康

近年来, 从社会网络视角考察同伴关系与心理健康的相互作用正成为发展心理学和健康心理学研究的热点。研究者多借助整体网和纵向数据, 通过两种作用机制, 即选择过程(selection process) (强调心理和行为变量对社会网络和同伴关系的影响, 如关系的形成、维持和解除)和影响过程(influence process) (强调社会网络和同伴关系对心理和行为变量的影响), 来分析同伴关系与心理健康协同演进的动态过程。实证研究关注的领域集中在青少年健康风险行为(如吸烟、喝酒、药物滥用)和情绪问题(如抑郁、焦虑、孤独感)。未来研究应该注重拓展社会网络的类型和样本、加强理论建构、增加对积极心理和消极关系的研究, 并有望在互联网领域及社会网络的生物学基础等方面取得进展。     

Concordance Between Parent Reports of Children's Mental Health Services and Service Records: The Services Assessment for Children and Adolescents (SACA)

The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one of the pilot sites for the Multi-Site Study of Service Use, Need, Outcomes and Costs in Child and Adolescent Populations (UNOCCAP). A global any use service variable, comprised of inpatient, outpatient, and school reports, yielded an overall service use concordance kappa of .76 between parent reports and records. Parent reports of inpatient hospitalization services using the SACA yielded the highest agreement with medical records, with kappa statistics of 1.00 for use of any inpatient hospital care and for medication use. Parent reports of specific inpatient services concurred with medical records more moderately, yielding kappas from .50 to .66. Reports of any outpatient mental health services yielded variable rates of agreement, with kappas ranging from .67 for any use of outpatient care, to .66 for medication use, to negligible kappas for specific treatments. Parent reports of school services were weakly related to records for most services, except for moderate agreement (.48) on placement in special classrooms for emotional or behavioral problems. Family burden or impact discriminated more powerfully than other variables between respondents who concurred with records and those who did not.     

The Impact of Economic Globalisation on Health

The analysis of the impact of economic globalisation on health depends on how it is defined and should consider how it shapes both health and health policies. I first discuss the ways in which economic globalisation can and has been defined and then why it is important to analyse its impact both in terms of health and health policies. I then explore the ways in which economic globalisation influences health and health policies and how this relates to equity, social justice, and the role of values and social rights in societies. Finally, I argue that the process of economic globalisation provides a common challenge for all health systems across the globe and requires a broader debate on values, accountability, and policy approaches.     

Spirituality Predicts Health and Cardiovascular Responses to Stress in Young Adult Women

The primary focus of this study was to investigate the roles of spirituality and religiosity in self-reported physical health, and to determine whether there is an association between an individuals spirituality and cardiovascular responses to two stressors. Fifty-two females participated in both a betrayal interview and a structured interview, during which blood pressure and heart rate were monitored. Spirituality, as assessed by the Spiritual Well-being Scale, was associated with perceived stress, subjective well-being, and medication use. The Existential Well-being subscale predicted fewer physical health symptoms and was associated with lower mean heart rate and decreased heart rate reactivity. The Religious Well-being subscale was associated with reduced systolic blood pressure reactivity in response to the structured interview. These findings suggest that spirituality may have a salutary effect on health, even in a fairly young sample. While previous studies have predominantly reported that religion, as well as spirituality, have a health protective effect, this study did not find strong support for that conclusion. Religiosity in this age group may still be undergoing developmental maturity, which may explain the lack of relationships to health.