Relations between symptom severity,illness perceptions,visceral sensitivity,coping strategies and well-being in irritable bowel syndrome guided by the common sense model of illness

Irritable Bowel Syndrome (IBS) is a common condition affecting around 10–20% of the population and associated with poorer psychological well-being and quality of life. The aim of the current study was to explore the efficacy of the Common Sense Model (CSM) using Structural Equation Modelling (SEM) in an IBS cohort. One hundred and thirty-one IBS patients (29 males, 102 females, mean age 38 years) participating in the IBSclinic.org.au pre-intervention assessment were included. Measures included IBS severity (Irritable Bowel Syndrome Severity Scoring System), coping patterns (Carver Brief COPE), visceral sensitivity (Visceral Sensitivity Index), illness perceptions (Brief Illness Perceptions Questionnaire), psychological distress (Depression, Anxiety and Stress Scale), and quality of life (IBS Quality of Life scale; IBS-QoL). Using SEM, a final model with an excellent fit was identified (χ² (8) = 11.91, p = .16, χ²/N = 1.49, CFI > .98, TLI > .96, SRMR < .05). Consistent with the CSM, Illness perceptions were significantly and directly influenced by IBS severity (β = .90, p < .001). Illness perceptions in turn directly influenced maladaptive coping (β = .40, p < .001) and visceral sensitivity (β = .70, p < .001). Maladaptive coping and visceral sensitivity were significantly associated with psychological distress (β = .55, p < .001; β = .22, p < .01) and IBS-QoL (β = –.28, p < .001; β = –.62, p < .001). Based on these findings, we argue that to augment the adverse impact of IBS severity on IBS-QoL and psychological distress, psychological interventions will be best to target the mediating psychological processes including illness beliefs, visceral sensitivity and maladaptive coping.     

Prévention des risques psychosociaux au sein d’établissements publics d’enseignement agricole : quand le diagnostic organisationnel participe d’une amélioration de la qualité de vie au travail

The aim of this article is to show that a diagnosis of psychosocial risks based on a mixed and participative methodology contributes to improving the quality of life at work. It is based on a “Quality of life at work” approach set up within a public educational institution for agricultural studies. The quantitative part includes the Job Content Questionnaire by Karasek, Siegrist's Effort/Reward Imbalance Questionnaire, the Maslach Burnout Inventory, the Negative Acts Questionnaire (revised) and the Hospital Anxiety and Depression Scale from Zigmond and Snaith. The qualitative part is based on focus group discussions. Results have brought to light the groups of employees which are most exposed to risks, especially those in the “school life” sector. They also show that lack of recognition, support and communication are problems experienced by all the staff members of the school. In order to enhance employees’ quality of life within the working environment, a multitude of co-constructed “tailor-made” ways and means of improvement have been suggested. The study shows how the selected methodology contributes to the quality of the diagnosis.     

Quality of life research: a case for combining photo-elicitation with interpretative phenomenological analysis

In this article, we provide practical and theoretical discussion of the use of two complementary research methods to explore quality of life. We present a case example of the use of photo-elicitation alongside interpretative phenomenological analysis and use examples from our research with people living with paraplegia and chronic pain to demonstrate how these methods can be combined to provide a participant-led understanding of quality of life. This discussion includes consideration of practical and ethical issues relevant to others wishing to combine these research methods. Furthermore, we highlight some of the potential practical and therapeutic opportunities provided by the approach through an illustration of how photographs work to enhance self-reflection and promote hermeneutic sense making.     

意义治疗的团体辅导对于戒毒者复吸倾向的影响

摘 要: 考察意义治疗的团体辅导对于戒毒者复吸倾向的干预效果。选择生命意义感较低的被试18名进入实验组,并选择与其分数匹配的18名被试组成对照组。后测结果表明,与控制组相比,实验组被试的价值感、效能感、成就感和生命意义感均有显著提升,复吸倾向显著降低。结论: 意义治疗的团体辅导能够显著提高戒毒人员的创造性价值类生命意义源和生命意义感,显著降低其复吸倾向。提升创造价值与对苦难的理解是提高生命意义感的有效途径。     

Depression,Panic-Fear,and Quality of Life in Near-Fatal Asthma Patients

The aim of this study was to assess the relationships between depressive symptoms and symptom-centered panic-fear (P-F), and reports of health-related quality of life (HRQOL), in persons with near-fatal asthma (NFA), controlling for age, gender, and pulmonary function. Forty persons with NFA were interviewed. Sociodemographic and clinical asthma-related information were collected. HRQOL was assessed by the SF-36 Health Questionnaire, depressive symptoms were assessed by the Beck Depression Inventory, and P-F was assessed by the P-F scale of the Asthma Symptom Checklist. Multiple regression analyses were carried out with the Physical Component Summary (PCS) and the Mental Component Summary (MCS) of the SF-36 as a dependent variable, and depressive symptoms, P-F, age, gender, and pulmonary function as independent variables. Results showed that P-F and age were associated with PCS, whereas depressive symptoms accounted for a marked percentage of the variance explained in MCS. Neither gender nor pulmonary function were related to HRQOL. In conclusion, depressive symptoms and P-F play an important role in how persons with NFA assess their HRQOL. These patient-centered variables are potentially modifiable and may offer new ways to intervene in order to improve HRQOL in persons with NFA.     

儿童社会生活适应量表的编制与应用

本研究编制的儿童社会生活适应量表具有较高的信度和效度,该量表包含五个因素:亲社会行为、居家、生活自我管理、情绪监控和社会交往。我国儿童的社会生活适应总体上存在显著的性别差异,具体体现在亲社会行为、居家、生活自我管理、情绪监控方面,女生显著高于男生。从年级的发展趋势看,儿童社会生活适应总体上呈上升趋势,他们的社会生活适应能力在不断增强。     

生活事件、负性自动思维及应对方式影响大学生抑郁的路径分析

对321名大学生施测青少年生活事件量表(ASLEC)、自动思维问卷(ATQ)、特质应对方式问卷(TCSQ)及流调中心用抑郁量表(CESD),以探讨生活事件、负性自动思维及应对方式对抑郁的影响模式。结果:(1)相关分析发现:生活事件、负性自动思维、消极应对方式均与抑郁呈显著正相关(p<0.01),生活事件与负性自动思维及消极应对方式呈显著正相关(p<0.01)。(2)路经分析发现:有六条显著路径影响抑郁。应对方式对抑郁产生直接的影响;自动思维可以直接影响抑郁,同时也可通过应对方式间接影响抑郁;生活事件对抑郁的直接影响不显著,其影响是经由负性自动思维及应对方式的中介作用而间接实现的。     

关于人类克隆的哲学思考

总结了8年来人们反对生殖性克隆人的主要理由,分析了反对人类生殖性克隆及支持治疗性克隆的理由的合理性,揭示了克隆人争论给我们的启示.     

情感强度不同负性生活事件对个体情感反应和行为选择的影响

采用系列实验方法探讨不同情感强度负性生活事件对个体情感反应和行为选择的影响。结果发现：（1）复合生活事件（1高负性+1低负性）为异类时,个体对复合事件的负性感受比单独1高负性事件更低,选择经历前者,出现平均效应;（2）复合生活事件为同类时,其负性感受比单独1高负性事件更高,选择经历后者,出现累加效应;（3）复合事件有明显的时间特点时,其情感和行为选择受事件发生时间影响,符合峰-终定律。结论：人们对负性生活事件的加工受其特点的影响,加工方式不同。     

Was John Stuart Mill a Pluralist?

In his Autobiography,John Stuart Mill,the 19th-century British political philosopher,portrayed his On Liberty as being "a kind of philosophic text-book" dedicated to a single truth,that is,"the importance,to man and society,of a large variety in types of character,and of giving full freedom to human nature to expand itself in innumerable and conflicting directions." The Mill of On Liberty may seem to be a pluralist who tends to prefer difference per se to goodness of a uniform pattern,many-sidedness to conformity,and eccentricity to mediocrity.This paper seeks to challenge this argument by paying close attention to the text.It argues that the Mill of On Liberty was far from a single-minded pluralist.Two divergent positions are found throughout his reasoning:one is a pluralist idea that an individual's own plan of life is the best,no matter how base or licentious it might be;the other is the belief that there exist a limited number of ideal ways of life which define what the good life is.The two positions are,if not mutually exclusive,at least in important aspects indicative of some profound tension at the center of Mill's thought.