临床工作中应重视“安慰剂”效应

目前我国临床工作中对“安慰剂”效应重视不够。“安慰剂”效应建立在患者对医生的信任之上。生物医学模式重视疾病的生物学意义而忽视社会、心理因素的影响,导致医生对患者态度冷漠,患者对医生缺乏信任,已成为我国医患关系恶化的重要原因,继而弱化了医疗的“安慰剂”效应。推行生物-心理-社会医学模式,提倡临床工作以人为本而非以疾病为主,建立医患共赢的医疗体制,改善医疗环境,有利于产生和加强临床工作的“安慰剂”效应,切实促进医疗和谐。     

个人拟合指数对人格测验的影响及意义

个人拟合指标是考察心理测验中偏差得分模式的新方法。研究中考察了G、C、MCI、U3、U、W、ECI6、L等8个拟合指标对艾森克人格问卷信效度的影响,以及各指标与正反向题回答不一致项目数的相关。结果表明,删除不同比例拟合程度不好的个体后,测验的信效度明显提高。同时PFS可鉴别人格测验中的默认反应偏差。各指标中l对测验信效度的改善效果最为理想。     

Masking procedures can influence priming effects besides their effects on conscious perception

Masked priming has been employed to study the role of consciousness for different levels of visual processing. However, masking procedures differ systematically between studies. To examine these procedural differences we contrasted priming effects with metacontrast masking, which is often applied in the context of perceptual priming, and priming effects with sandwich pattern masking, frequently used in studies on semantic priming. Results indicate that the amount of masking neither affects perceptual nor semantic priming effects in a semantic categorization task when a metacontrast masking paradigm was used. However, perceptual and semantic priming effects increased with increasing prime visibility when a sandwich pattern masking paradigm was used. Findings suggest that different types of masking procedures affect the processing of the masked stimuli in substantially different ways even if the masking effect on conscious perception of these stimuli is comparable.     

忠诚还是叛逆?中国组织情境下的员工越轨创新行为

越轨创新行为是破除创新瓶颈, 摆脱“创新者的窘境”的有效手段, 是新时代创新的重要途径。目的的合理性和行为的偏离性, 使越轨创新行为同时具有了“忠诚”和“叛逆”的色彩。以越轨创新究竟是“忠诚”还是“叛逆”这一问题作为切入点, 分别从越轨创新行为的测量、形成机制和影响效能角度构建了一个围绕越轨创新行为的系统性研究。子研究1：基于创新过程视角, 探讨中国组织情境下越轨创新行为的结构维度, 开发本土化量表。子研究2：分别从个体、领导和组织三个层次、动态探讨越轨创新行为的形成机制。子研究3：基于事件系统理论, 从越轨创新成功/失败两方面, 构建和验证越轨创新行为对组织效能的影响机制。三个子研究相互联系并逐步递进。理论贡献在于深化学术界对越轨创新行为的理解, 推动越轨创新理论的构建, 并且拓展越轨理论、创新理论、积极组织行为学理论及事件系统理论的应用。     

The Effect of Auditory Cueing on the Spatial and Temporal Gait Coordination in Healthy Adults

Walk ratio, defined as step length divided by cadence, indicates the coordination of gait. During free walking, deviation from the preferential walk ratio may reveal abnormalities of walking patterns. The purpose of this study was to examine the impact of rhythmic auditory cueing (metronome) on the neuromotor control of gait at different walking speeds. Forty adults (mean age 26.6 ± 6.0 years) participated in the study. Gait characteristics were collected using a computerized walkway. In the preferred walking speed, there was no significant difference in walk ratio between uncued (walk ratio = .0064 ± .0007 m/steps/min) and metronome-cued walking (walk ratio = .0064 ± .0007 m/steps/min; p = .791). A higher value of walk ratio at the slower speed was observed with metronome-cued (walk ratio = .0071 ± .0008 m/steps/min) compared to uncued walking (walk ratio = .0068 ± .0007 m/steps/min; p < .001). The walk ratio was less at faster speed with metronome-cued (walk ratio = .0060 ± .0009 m/steps/min) compared to uncued walking (walk ratio = .0062 ± .0009 m/steps/min; p = .005). In healthy adults, the metronome cues may become an attentional demanding task, and thereby disrupt the spatial and temporal integration of gait at nonpreferred speeds.     

Changes in step time variability,not changes in step length and width,are associated with lower-trunk sway during dual-task gait in older adults

Individuals are exposed to repetitive dual-task-like situations in daily life, particularly while walking, and falls among community-dwelling older adults typically occur in such situations. Thus, understanding how individuals adapt their walking-related motion under dual-task conditions is of clinical importance. The present study was conducted to investigate the association between dual-task-related changes (DT-changes) in lower-limb gait parameters and DT-changes in lower-trunk sway. We hypothesized that DT-changes in both spatial- and temporal-lower-limb gait parameters would be associated with DT-changes in lower-trunk sway. Participants were older adults aged > 60 years who lived independently in communities (n = 43, 73.7 [6.1] years old), and younger adults (n = 28, 22.7 [5.1] years old). Participants were asked to walk while performing an additional cognitive task, or with no additional task. During walking, lower-limb gait parameters (step time, step length and width) and lower-trunk sway were measured using a photoelectric cell system and inertial sensors. In older adults, DT-changes in step time variability was significantly associated with DT-changes in lower-trunk sway (standard beta = 0.683, p = 0.003), and DT-changes in lower-trunk sway variability (standard beta = 0.493, p = 0.029). In younger adults, DT-changes in step width were significantly associated with DT-changes in lower-trunk sway (standard beta = 0.395, p = 0.041). The current results partially supported our hypotheses. The association between DT-changes in lower limb and DT-changes in lower-trunk sway varied according to age group.     

规范化治疗体系对抑郁症治疗依从性的干预研究探讨

抑郁症的药物治疗是一个长期的过程,因此治疗依从性极其重要,然而,因疾病特点、药物、医患等多方面原因,导致治疗依从性较差,如何提高治疗依从性成为备受关注的问题。国内外相关研究较多,其中系统规范的随诊模式,抑郁症及药物知识的教育,心理治疗及对家庭成员相关知识的教育干预等均被证实确实有效。本文就各种干预方法进行探讨,以期确立系统规范的随诊、治疗体系,提高治疗依从性。     

中小学教师学习调节模式的结构与测量

目的：探索中小学教师学习调节模式的结构,并编制教师学习调节模式问卷。方法：根据访谈研究的结果,在参照以往成果的基础上,编制教师学习调节模式初测问卷;根据523份有效调查数据进行探索性因素分析;根据625份调查问卷的结果,采用内部一致性分析、结构方程模型技术和层次回归分析进行验证。结果：探索性因素分析的结果表明,教师学习调节模式由自我导向、任务导向和外部导向三个维度构成;验证性因素分析证实了教师学习调节模式的构想效度;内部一致性分析和层次回归分析的结果表明,该教师学习调节模式问卷具有较好的信度与效度。结论：教师学习调节模式是一个三因素的结构。