冠心病理想治疗方式的选择

冠心病的治疗包括针对高危因素病因和临床并发症的综合治疗。其中,药物治疗主要包括：抗凝／抗血小板、控制血压和调脂等。血管重建术主要包括：介入、搭桥、“杂交”手术和分子生物学治疗。药物治疗是冠心病各种治疗方法的基础,而血管重建术是现代治疗冠心病的重要手段。如何合理地选择治疗方案是临床医师面临的重要课题。     

奖惩线索条件下内外倾个体的自主唤醒和行为反应

将停止信号任务和金钱激励延迟任务相结合,使用16导生理记录仪记录被试的生理指标,探讨内外倾者在动机凸显情景下的生理唤醒特点以及反应调节能力。结果发现,隐含奖励和惩罚线索呈现之后,内外倾者的心率增快,内倾者的皮肤电活动显著增强。在停止信号任务中的优势反应阶段,内外倾者表现为对奖励凸显线索刺激的反应时缩短;而在非优势反应阶段,和外倾者相比较,内倾者的抑制反应错误率增高。表明内外倾者在奖惩线索条件下表现出不同的生理唤醒特点和行为反应。     

心算应激与特质焦虑、应对风格的关系

选取38名大学生为被试,采用BIOPAC多导生理记录仪,探讨心算应激对不同人格特质和应对风格的大学生心率（HR）、心率变异性（HRV）及皮肤电反应（GSR）的影响。实验采取2（人格特质：特质焦虑、非特质焦虑）×2（应对风格：注重情绪的应对、注重问题的应对）×3（实验阶段：基线期、任务期、恢复期）的三因素混合设计,要求所有被试经历5分钟的基线期、10分钟的心算任务期和5分钟的恢复期。结果表明：（1）特质焦虑的个体和注重情绪应对的个体在心算应激后的短时间内难以恢复到基线期的生理水平;（2）特质焦虑且注重情绪应对的个体在HR、HF、LF/HF及GSR上表现出明显强的反应性和弱的恢复性;（3）非特质焦虑且注重问题应对的个体在HF和GSR上表现出明显弱的反应性,在LF/HF和GSR上表现出明显强的恢复性。     

Gender‐related differences in neonatal imitation

Socio‐emotional behaviour is in part sex‐related in humans, although the contribution of the biological and socio‐cultural factors is not yet known. This study explores sex‐related differences during the earliest communicative exchange, the neonatal imitation in 43 newborn infants (3–96 hours old) using an index finger extension imitative gesture. Results showed that although the experimenter presented comparable stimuli to both sexes, and the total number of movements was similar in boys and girls, girls showed more fine motor movements, a higher number of specific imitative gestures, responded faster during the imitation and showed a higher baseline heart rate during the experiment. Newborn girls, with their faster and more accurate imitative abilities, may create a more responsive and interactive social environment, which in turn may lead to differences in socio‐emotional and cognitive development between girls and boys. Copyright © 2007 John Wiley & Sons, Ltd.     

Psychological Distress in Caregivers of Liver and Lung Transplant Candidates

Although organ transplantation represents a stressful experience for the entire family, surprisingly little research has focused on the adjustment of caregivers. The purpose of this study was to examine what caregivers report to be the greatest benefits and stressors pretransplant, the prevalence of psychological distress and caregiver strain in pretransplant caregivers as compared to normative populations, and the physical, psychological, and demographic variables that predict distress. Fifty-two caregivers of transplant candidates (28 liver and 24 lung) completed a series of questionnaires, including the Psychosocial Adjustment to Illness Scale (PAIS-SR), SF-36 Health Survey, Caregiver Strain Index (CSI), and qualitative questions about benefits and stressors. The most commonly reported benefit of being a caregiver could be categorized as Helping the Patient, and the most common stressors were associated with Uncertainty/Waiting/Fears. Compared to normative samples of caregivers of patients with Alzheimer's disease, caregivers of liver transplant candidates reported more caregiver strain; there were no differences for lung transplant caregivers. Caregiver social functioning was found to be the only significant predictor of caregiver distress, with those caregivers who report greater distress also reporting extreme and frequent interference with normal social activities. Implications of these findings for psychological interventions are discussed.     

Heart rate during group flooding therapy for PTSD

The objective of this study was to assess, via heart rate, the arousal levels of participants in group trauma reexposure therapy for posttraumatic stress disorder, and so to better understand this common mode of treatment, particularly in regards to its presumed curative factor, extinction. Six Vietnam combat-related PTSD inpatients participated twice weekly in group trauma reexposure therapy during which their electrocardiograms were recorded. Heart rate was quantified continuously off-line. Heart rates of participantsnot directly engaged in imaginal reexposure to their personal combat traumas consistently exhibited mild linear declines from the beginnings to the ends of the approximately 2.5 hour sessions. Participants actively engaged in personal combat trauma reexposure exhibited higher whole-session heart rates. Most also exhibited more specific elevation extending over the later portions of therapy sessions during which intensive reexposure usually occurred. Surprisingly, no patients exhibitedfocal increases in heart rate concurrent with periods of most intensive traumatic incident review as judged from videotape. Administering imaginal reexposure in a group context does not preclude substantial physiological (sympathetic) arousal, as is preconditional for extinction. Under conditions in which the actively engaged reexposure patient is reliably identified, group trauma reexposure therapy may not provide an opportunity for “vicarious” flooding in nonengaged participants.     

The interface between physical and mental disorders: The need to dismantle the biopsychosocialneuroimmunological model of disease

This article argues for the necessity of cognitive-behavioral assessment for a thorough understanding of how psychological factors mediate disease process across a wide range of diseases including coronary artery disease, breast cancer, and human immunodeficiency disease. Based on empirical data presented as part of the APA Presidential miniconvention, “To Your Health: Psychology through the Life Span,” the conclusion is that psychological treatment can help extend life. Stress management programs can positively influence adherence to treatment regimens and positively influence the human immune system response during the course of treatment and recovery from illness. Even in the face of life-threatening circumstances such as liver transplantation, Stage II and III breast cancer, and after HIV infection has been diagnosed, the quality of life can be remarkably improved. Physicians and psychologists must work together to produce the beneficial effects of the synergy between mind-body processes.     

Cardiac-somatic integration: An index of visual attention

Eighteen 15-week-old, normal full-term infants were presented with photographic slides of a human facial expression. The infant's heart rate, body movement, and visual attention were recorded simultaneously. The results showed that heart rate and body movement were significantly correlated during visual attention but not during inattention. Both heart rate and body movement decelerated significantly when the infants visually attended to the target stimulus. The results are discussed with reference to cardiac-somatic integration in early infancy and its implication as a possible index of attention.     

Influence of Accelerometer Placement and/or Heart Rate on Energy Expenditure Prediction during Uphill Exercise

Studies using a triaxial accelerometer and heart rate (HR) simultaneously for estimating energy expenditure (EE) during uphill exercise are rare. Exploring the optimal location for placing the accelerometer for predicting EE during uphill exercise is essential. Sixteen healthy male participants (M ± SEM; age 25.00 ± 0.61 years; body weight 74.13 ± 2.51 kg; body height 1.74 ± 0.01 m; body mass index 24.30 ± 0.63 kg/m²) exercised on a treadmill under 12 conditions (4 speeds and 3 gradients) on 3 days. Triaxial accelerometers, an HR recorder, and a metabolic measurement system were simultaneously used. Accelerometer outputs from various anatomical locations (upper arm, chest, lower back, waist, thigh, and instep) showed significant positive correlations with EE (0.819, 0.846, 0.816, 0.820, 0.672, and 0.669, respectively; p < .05). The linear regression equation for changes in HR showed the highest coefficient of determination (r²) of .837 with 87.9% reliability. When the HR signal was included, the r² value (> .842) and reliability (87.9%) between the accelerometer outputs and EE improved. Accelerometer outputs from the waist position alone provide highly accurate EE values. Using both accelerometer outputs and HR for EE estimation during uphill exercise is feasible and improves the accuracy of EE prediction.     

Mentalizing eye contact with a face on a video: Gaze direction does not influence autonomic arousal

Recent research has revealed enhanced autonomic and subjective responses to eye contact only when perceiving another live person. However, these enhanced responses to eye contact are abolished if the viewer believes that the other person is not able to look back at the viewer. We purported to investigate whether this “genuine” eye contact effect can be reproduced with pre‐recorded videos of stimulus persons. Autonomic responses, gaze behavior, and subjective self‐assessments were measured while participants viewed pre‐recorded video persons with direct or averted gaze, imagined that the video person was real, and mentalized that the person could see them or not. Pre‐recorded videos did not evoke similar physiological or subjective eye contact effect as previously observed with live persons, not even when the participants were mentalizing being seen by the person. Gaze tracking results showed, however, increased attention allocation to faces with direct gaze compared to averted gaze directions. The results suggest that elicitation of the physiological arousal in response to genuine eye contact seems to require spontaneous experience of seeing and of being seen by another individual.