Self‐Stigma of Mental Illness and Help Seeking Among School Counselors

The authors reported the findings from a correlational investigation examining the relationship between school counselors' (N = 333) self‐stigma of mental illness, help‐seeking behaviors, burnout, stress, and life satisfaction. The authors used a path analysis to test a hypothesized causal framework that self‐stigma of mental illness contributed to help‐seeking behaviors, which contributed to stress and burnout. The findings showed that the data fit the hypothesized model. The authors discuss the implications of the findings.     

‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

社会焦虑与大学生自杀人群分析研究

生命是神圣的,珍爱生命,追求生命是人的本能欲望。近年来大学生的自杀问题已经引起社会的普遍关注,社会焦虑引发精神疾病,情绪失控自杀被认为是大学生自杀的普遍过程,建议对大学生进行珍爱生命等有关的心理教育。     

Self-Discrepancy and Mental Health in Older Women with Chronic Illnesses

Self-discrepancy was investigated as a self-enhancing mechanism by which older women maintain their mental health and psychological well-being while coping with declines in physical health. In this 6-year longitudinal study, the mediating and moderating effects of self-discrepancy on mental health outcomes in older women with chronic health problems were tested. Participants were 103 community-dwelling older women who completed multiple, self-report measures of physical and mental health and self-discrepancy. There was a decline in physical health over time but an improvement in self-discrepancies. Low self-discrepancy (i.e., little discrepancy between the actual and ideal self) mediated and moderated the effects of physical health decline on mental health and psychological well-being. Thus, self-discrepancy appears to play a significant role in maintaining mental health in the face of declining physical health in older women.     

Healthy and chronically‐ill children's generalisation of illness to biological and non‐biological categories

Using children's naïve theory of biology as a framework, this study investigated children's developing understanding of illness by examining their generalisation of illness to biological and non‐biological categories. In addition to differences associated with age, the children's health status was investigated for any possible linkwith their understanding. Healthy and chronically‐ill children, aged 4–11 years, were randomly assigned to one of three conditions, according to which exemplar (child, dog or duck) was described as suffering from an imaginary illness. Using a card‐sorting technique, the children assessed whether each entity out of 30 entities (five representatives in each of six categories: humans, mammals, non‐mammals, birds, plants and artifacts) could be afflicted by that illness. The children's generalisations indicated a grasp of the distinctiveness of the various categories, although they seemed less certain about the biological status of plants. Furthermore, the type of exemplar on which the children had been taught influenced their responses. However, the children's reasoning appeared unaffected by their health status and largely unaffected by age or gender. Copyright © 2004 John Wiley & Sons, Ltd.     

抢救一例Rh阴性稀有血型危重孕妇的体会与思考

Rh阴性稀有血型危重患者的临床救治相当棘手。本文通过回顾对一名Rh阴性血型危重孕妇的临床救治经过,探讨了应急情况下Rh阴性血型危重患者的临床救治策略和采供血应急措施,建议我国尽快建立稀有血型血库和制定相关法律法规,为应急情况下抢救Rh阴性血型患者提供依据和保障。     

相似和相同语言标签对幼儿归纳推理的影响

为进一步检验相似语言标签的效应,采用经典的三角属性归纳范式,通过两个实验研究了"相似/相同"的真实语言标签对4岁幼儿归纳推理的影响.在实验一中,三角范式中的三个刺激物属于同一类别,在实验二中,三个刺激物属于两种不同的类别.每个实验均有三种条件:在控制条件中,实验者用"这个"指代每个客体;在相似语言标签条件中,靶刺激与知觉不相似的比较刺激具有相同的、且暗示了类别成员关系的词素(例如,翠鸟—飞机—鸵鸟);在相同语言标签条件中,靶刺激和知觉不相似的比较刺激共享相同的语言标签(例如,鸟—飞机—鸟).结果一致显示,与控制条件相比,幼儿在相似语言标签条件下表现出了更多的基于概念的归纳,表明在真实语言标签条件下也存在相似语言标签效应.同时,研究结果也显示,幼儿在相似和相同语言标签条件下的归纳没有显著差异,说明语言标签在幼儿归纳中更可能传递了概念信息,从而挑战了Sloutsky等的理论.     

躯体化的心身交互机制及其中的文化因素

基于神经生物学的心身交互作用是当前躯体化病理机制的一个研究重点。在生理-心理的功能连续体中, 认知学习、感觉监控、注意、记忆过程等都会影响躯体症状的呈现。文化则会通过这些过程塑造个体对症状的归因和解释, 引发躯体症状的呈现和扩大, 最终通过不同文化特有的民族生理学模式形成具有文化特异性的疑病焦虑和医学无法解释症状。     

A Randomized Trial of a Mental Health Consumer-Managed Alternative to Civil Commitment for Acute Psychiatric Crisis

This experiment compared the effectiveness of an unlocked, mental health consumer-managed, crisis residential program (CRP) to a locked, inpatient psychiatric facility (LIPF) for adults civilly committed for severe psychiatric problems. Following screening and informed consent, participants (n = 393) were randomized to the CRP or the LIPF and interviewed at baseline and at 30-day, 6-month, and 1-year post admission. Outcomes were costs, level of functioning, psychiatric symptoms, self-esteem, enrichment, and service satisfaction. Treatment outcomes were compared using hierarchical linear models. Participants in the CRP experienced significantly greater improvement on interviewer-rated and self-reported psychopathology than did participants in the LIPF condition; service satisfaction was dramatically higher in the CRP condition. CRP-style facilities are a viable alternative to psychiatric hospitalization for many individuals facing civil commitment.