歧视知觉与心理健康的关系:基于中国留守儿童的元分析

研究以心理健康双因素模型为视角,运用元分析技术梳理了留守儿童歧视知觉与积极和消极心理健康的关系,并探究了影响其关系的调节变量。通过文献检索与筛选,共27篇中英文文献,56个独立样本纳入元分析,包含被试17146名。结果显示,歧视知觉与积极心理健康指标呈显著的负相关关系(r=-0.298),与消极心理健康指标呈显著的正相关关系(r=0.365)。调节效应分析发现,留守儿童歧视知觉与积极心理健康的关系受到歧视知觉测量工具的影响,与消极心理健康的关系受到歧视知觉测量工具、学龄段以及消极结果类型的影响。同时,元回归分析发现,文献年份对歧视知觉与积极心理健康指标关系的调节效应显著; 性别对歧视知觉与积极和消极心理健康关系的调节作用均不显著。研究结果进一步明确了留守儿童歧视知觉与积极和消极心理健康的关系,为探索提升留守儿童心理社会适应的新路径提供了借鉴。     

Situational information and the design of representative learning tasks: What impact does a scoreboard have on expert taekwondo fighters' behaviour and affective-cognitive responses?

Designing representative learning tasks is one means to enhance sports practice. Recent work has highlighted how the presence of situational information could help the design of these tasks by shaping intentions and enhancing the affective demands of practice, however this has yet to be empirically tested. This study tested this hypothesis by manipulating the presence of a scoreboard featuring time and score situational information as expert taekwondo athletes fought in practice. Nine taekwondo fighters fought with and without situational information in a counterbalanced order. Behaviour was assessed by tracking fighters' location coordinates to assess fighter-fighter dyad coordination and through notational analysis of attacking actions. Affect and cognition were assessed with mixed-methods that included perceptual scales measuring anxiety, arousal, mental effort, score perception, and post-fight video-facilitated confrontational interviews to explore how conditions differed. The results revealed that the presence of the situational information had significant effects on taekwondo players. When present, fighters reported greater cognitive anxiety (d = 0.39, p < 0.05), somatic anxiety (d = 1.11, p < 0.05) and emotion intensity (d = 0.33, p < 0.05). The enhanced affective demands were associated with behaviour changes that included fighters preferring to spend time at closer distances (d = 0.25, p < 0.05), and more predictable technique selection (d = 1.04, p < 0.05). Qualitative data supported these findings. Players also reported their intentions were coupled to the context of scoreboard. This study reveals that situational information changes the affective and behavioural demands of practice to be more like competition. Further, situational sampling affords performers the opportunity to practice attuning to the relevant affordances for a specific context.     

城镇化进程中离乡农民心理健康特点调查及心理素质、相对剥夺感的影响机制

为探讨城镇化进程中离乡农民的心理健康特点以及心理素质、相对剥夺感对其的影响,通过量表对1339名城乡居民进行调查。结果发现:离乡与留乡农民在幸福感、拥有生命意义感、感知控制感、心理素质方面显著低于城镇居民,在状态焦虑方面显著高于城镇居民; 离乡农民在抑郁上显著高于城镇居民,在感知控制感上显著高于留乡农民,在心理素质上显著低于留乡农民; 留乡农民在相对剥夺感上显著高于城镇居民; 离乡农民的幸福感、拥有生命意义感、感知控制感态与相对剥夺感呈显著负相关,与心理素质呈显著正相关; 离乡农民的抑郁、状态焦虑与相对剥夺感呈显著正相关,与心理素质呈显著负相关; 离乡农民的相对剥夺感与心理素质之间呈显著负相关。心理素质除了可以直接预测心理健康各项指标,还可以通过相对剥夺感的中介作用,间接预测幸福感、抑郁及状态焦虑。提升心理素质和降低相对剥夺感是离乡农民心理健康服务的重要切入点。     

基于成本最小化信息的社会性意图识别：来自脑电和行为的证据

与已有研究着重考察如何识别客体导向性意图(动作以物理对象为目标, 而不涉及其他人)不同, 本研究对人们如何识别社会性意图(动作以指向社会主体为目标以影响对方的交互行为)进行了探讨。基于两交互主体在整体层面应遵循效用最大化的分析, 提出当A协助B达成目标状态所需要的成本小于B单独实现该目标状态所需要的成本时(简称为成本最小化信息), 其可被识别为具有社会性意图。通过在B面前设置栅栏的方法操纵成本最小化信息, 以指示不同意图类型的脑电μ抑制程度、对不同变化的敏感性(辨别力)为指标, 对该假设进行了检验。结果显示, 相比客体导向性意图的控制条件(即A将目标物苹果放置在石头前), 当A将目标物苹果放置在被栅栏挡住的B前, 其动作可减少B单独获取该苹果的动作成本, 即符合成本最小化条件时, μ的抑制程度更高(实验1), 且对结构改变(某两个动画中充当相同角色的智能体互换)的辨别力更强, 但对角色交换(某个动画中两个智能体的角色交换)的辨别力更弱(实验3a); 而当栅栏不存在时, 虽然A的运动路径与实验1相同, 但A将苹果放置在B前的成本大于B自身获取苹果的成本, 即不符合成本最小化条件, 条件间μ抑制的差异消失(实验2), 且对不同动作模式中变化的辨别相当(实验3b)。鉴于已有研究表明社会性意图所诱发的μ抑制强于客体导向性意图, 且人们对存在社会性意图的两个智能体间的结构改变更容易辨别, 而对角色交换不敏感, 故上述结果揭示, 两个个体的行为是否满足成本最小化影响人们对动作意图的识别, 支持成本最小化信息是社会性意图识别线索的观点。     

Digital Mental Health Services: Moving From Promise to Results

The papers in this special series make a compelling case for the value of digital mental health services (DMHS; including technology-based interventions, assessments, and prevention programs) to help address some of the currently unmet needs in mental health care. At the same time, the papers highlight the work that needs to be accomplished for DMHS to fulfill their promise. We review the papers’ contributions in terms of (a) the imperative to increase access to evidence-informed, high-quality care, especially for underserved populations, both in the United States and globally; (b) ways to use DMHS to improve the ways that clinical care is provided to make treatment provision more effective and efficient; and (c) the current state of the research on DMHS for emotional disorders. We then consider lessons learned and recommendations to move the field forward, such as increasing (and making transparent) the research base on DMHS, adopting regulatory standards for DMHS, attending carefully to training issues for DMHS and best practices for dissemination and implementation, designing specifically for digital platforms, and being intentional about efforts to reduce disparities regarding who benefits from DMHS.     

Digital Mental Health Interventions for Child and Adolescent Anxiety

Anxiety disorders are the most common mental health conditions in children, with approximately 13% of kids struggling with excessive anxiety. The vast majority do not have access to effective treatments and there continues to be a disjunction between treatments that are empirically supported and those that are available in the community. Digital mental health interventions (DMHI) can increase efficiency, reach, and standardization as well as reduce costs of providing of mental health care. Here we review the extant research on DMHI, including web- or cloud-based programs, mobile applications (apps), virtual reality (VR), and digital assessment methods such as ecological momentary assessment (EMA) for the delivery and/or support of evidence-based care in child anxiety. Preliminary research is promising for these tools to improve access and efficiency of evidence-based practice. However, ethics and practice guidelines are needed and questions remain regarding what level and quality of therapeutic involvement is needed to maximize treatment completion and outcomes in youth and whether DMHIs are contraindicated for certain populations or whether they are similarly effective with those with comorbid conditions is unclear.     

Profession Differences in Family Focused Practice in the Adult Mental Health System

There is a large gulf between what psychiatric services should (or could) provide and what they do in practice. This article sought to determine practice differences between the differing professions working in adult mental health services in terms of their family focused work. Three hundred and seven adult mental health professionals completed a cross‐sectional survey of family focused practices in adult mental health services. Findings highlight that social workers engaged in more family focused practice compared to psychiatric nurses, who performed consistently the lowest on direct family care, compared to both social workers and psychologists. Clear skill, knowledge, and confidence differences are indicated between the professions. The article concludes by offering direction for future profession education and training in family focused practices.     

The influence of speaker gaze on listener comprehension: Contrasting visual versus intentional accounts

Previous research has shown that listeners follow speaker gaze to mentioned objects in a shared environment to ground referring expressions, both for human and robot speakers. What is less clear is whether the benefit of speaker gaze is due to the inference of referential intentions (Staudte and Crocker, 2011) or simply the (reflexive) shifts in visual attention. That is, is gaze special in how it affects simultaneous utterance comprehension? In four eye-tracking studies we directly contrast speech-aligned speaker gaze of a virtual agent with a non-gaze visual cue (arrow). Our findings show that both cues similarly direct listeners’ attention and that listeners can benefit in utterance comprehension from both cues. Only when they are similarly precise, however, does this equality extend to incongruent cueing sequences: that is, even when the cue sequence does not match the concurrent sequence of spoken referents can listeners benefit from gaze as well as arrows. The results suggest that listeners are able to learn a counter-predictive mapping of both cues to the sequence of referents. Thus, gaze and arrows can in principle be applied with equal flexibility and efficiency during language comprehension.     

ANALYTIC MIND USE AND INTERPSYCHIC COMMUNICATION: DRIVING FORCE IN ANALYTIC TECHNIQUE,PATHWAY TO UNCONSCIOUS MENTAL LIFE

Developed from established psychoanalytic knowledge among different psychoanalytic cultures concerning unconscious interpsychic communication, analysts' use of their receptive mental experience—their analytic mind use, including the somatic, unconscious, and less accessible derivatives—represents a significant investigative road to patients' unconscious mental life, particularly with poorly symbolized mental states. The author expands upon this tradition, exploring what happens when patients unconsciously experience and identify with the analyst's psychic functioning. The technical implications of the analyst's “instrument” are described, including the analyst's ego regression, creation of inner space, taking mind as object, bearing uncertainty and intense affect, and self‐analysis. Brief case vignettes illustrate the structure and obstacles to this work.     

Coping strategies: A prospective study of patterns,stability, and relationships with psychological distress

The aims of this article are: (1) to explore patterns (clusters) of coping strategies; (2) to examine the stability of individual coping strategies and patterns of coping over time; and (3) to establish long term associations between coping and psychological distress. Coping strategies were assessed with the Brief Cope questionnaire, whereas psychological distress was measured with the ten‐item version of the Hopkins Symptom Checklist, in a two‐year prospective sample comprising 3,738 employees. Based on TwoStep cluster analysis of the Brief Cope, three different coping patterns were identified: low coping, engagement coping, and disengagement coping. Analyses of long‐term stability indicated malleable properties for the individual coping strategies as well as the three clusters. Disengagement coping strategies in the form of self‐blame and self‐distraction were most strongly associated with distress at follow‐up, whereas baseline distress was related to increased use of these strategies two years later. Coping patterns at baseline had no main effects on later levels of distress, but levels of distress at baseline predicted subsequent use of engagement and disengagement coping patterns. The finding that specific coping strategies are malleable suggests that it is possible to modify and develop dysfunctional strategies. The associations between disengagement coping strategies and distress indicate that this kind of coping is especially problematic with regard to mental health problems. A main contribution of this study is that it establishes cluster analytic techniques as beneficial in the assessment of coping.