Childhood stress: Perceptions of children and professionals

An assessment instrument was developed to measure children's perceptions of stressors in their lives, as well as their experiences and emotional reactions to these stressors. Two approaches from the adult literature, major life events and daily hassles, were compared for children. In addition, a comparison between children's and professionals' ratings of the severity of various stressors was made, as well as an examination of the relationship of experience and self-reported reaction to children's ratings. Results indicate that children's ratings of the severity of stressors do differ from adults', particularly when children have experienced the stressor. Further investigation in the study of childhood stress incorporating children's perceptions is proposed.     

Development and validation of the Achievement Goal Scale for Youth Sports

ObjectiveThe objective was to develop and validate an achievement goal scale for young athletes that was aligned with the 2 (mastery/ego)×2 (approach/avoidance) achievement goal framework.MethodA total of 1675 male and female athletes ranging in age from 9 to 14 years participated in the AGSYS scale development and validation phases. Items having a readability level of grade 4 (age 9) or below were written and evaluated in a series of studies to assess the reliability, factorial validity, and construct validity of the Mastery and Ego scales.DesignBoth correlational and experimental methods were used to assess reliability and validity.ResultsExploratory and confirmatory factor analyses demonstrated factorial validity in samples of 9–10-, 11–12-, and 13–14-year-old athletes, and the subscales correlated in a predicted fashion with one another, with other sport and academic goal orientation measures and with several other theoretically relevant variables, including coach-initiated motivational climate, competitive trait anxiety, sport enjoyment, motivation, and self-esteem. Scores also changed significantly in response to a motivational climate coach intervention.ConclusionThe Achievement Goal Scale for Youth Sports (AGSYS) appears to be a reliable and valid measure of achievement goal approach orientations in children between the ages of 9 and 14 years. We were not successful in developing corresponding avoidance goal orientation scales that were not highly correlated, raising the possibility that children do not cognitively differentiate between mastery-avoidance and ego-avoidance orientations.     

ISSUES AND IMPLICATIONS OF ESTABLISHING GUIDELINES FOR THE USE OF BEHAVIORAL TECHNIQUES

Several guidelines surrounding the use of behavioral procedures have recently appeared, the best of which is that of the National Association of Retarded Citizens (NARC). Some issues and implications of the establishment of guidelines are briefly reviewed in the context of the NARC guidelines. Issues include the factual versus opinion bases for guidelines and the need to continue the development of explicit behavioral criteria for assessing staff competence. Implications for programs include the impact of guidelines on professional boundaries, administrative decision-making, and budgeting, together with the dangers of expanding the regulatory bureaucracy. Several miscellaneous impacts are noted, including a potential for curbing innovative behavioral technology.     

环境中的风险认知特征

采用多维度的心理测量范式,研究公众在“影响程度”、“可控性”、“了解程度”、“影响的持续性”、“发生的可能性”、“结果的严重性”六个维度上对39个环境条目的风险认知特征。研究结果验证了“风险程度指标”,并将环境风险划分为“生态环境”“疾病与灾害”“生活环境”三个大类并探讨其风险认知特征。结果显示,由“客观认识”和“主动作用”两维度形成的认知地图可有效地指导风险沟通。     

Individual Therapy via the Phenomenon of Hope for Treating Chronic and Complex PTSD

Evidence-based treatment (EBT) supports different types of cognitive-behavioral therapy (CBT) for treating post-traumatic stress disorder (PTSD). Yet, a growing body of evidence shows a high therapy dropout rate and non-response rate among PTSD patients, especially patients with complex PTSD. A different, short-term therapeutic approach is therefore needed which combines CBT and psychodynamic therapy (PDT) because it is better for patients with chronic and/or complex PTSD to work with clarified stages and an end of treatment in mind. The patient's mental structure is conceptualized as a continuum, and functional problems are regarded as stemming from cognitive structures and unresolved developmental conflict. The five phases of the phenomenon of hope model proposed in an earlier article—a connection phase; an agency and pathway phase (developing a goal-oriented decision-making pattern and learning to plan toward goal achievement); a reconstruction phase; a phase of processing the conflict characteristic of PTSD by utilizing the natural power of hope; and a summary and separation phase—advance a short-term therapy that combines CBT and PDT techniques. This integrated therapy is based on notes that were kept relating to the case study of a chronic PTSD patient.     

Formative Versus Reflective Measurement: An Illustration Using Work–Family Balance

The aim of this article is to propose the formative measurement approach that can be used in various constructs of applied psychology. To illustrate this approach, the authors will (a) discuss the distinction between commonly used principal-factor (reflective) measures in comparison to the composite (formative) latent variable model, which is often applied in other disciplines such as marketing or engineering, and (b) point out the advantages and limitations of formative specifications using the example of the work–family balance (WFB) construct. Data collected from 2 large cross-sectional field studies confirm the reliability and validity of formative WFB measures as well as its predictive value regarding criteria of WFB (i.e., job satisfaction, family satisfaction, and life satisfaction). Last, the specific informational value of each formative indicator will be demonstrated and discussed in terms of practical implications for the assessment in different psychological fields.     

Relations Between Parenting Behavior and SES in a Clinical Sample: Validity of SES Measures

Two common methods of measuring socioeconomic status (SES) were examined in relation to observed parenting behaviors in a clinical sample of 89 mothers of 3- to 6-year-olds referred for treatment of oppositional defiant disorder. Families were 74% Caucasian, 9% African American, 5% Hispanic, 1% Asian, and 11% Biracial. Most children were male (75%). Parenting behaviors were measured with the Dyadic Parent–Child Interaction Coding System (DPICS) categories of prosocial talk and negative talk. Analyses were conducted with SES measured in two ways: (a) the Hollingshead Four-Factor Index of Social Status (HI) was correlated with parenting behaviors; and (b) family income, parent education (5 categories), and parent occupation (5 categories) were used to predict parent behavior. SES was significantly positively related to maternal prosocial talk. When SES was operationalized as income, occupation, and education, the model predicted three times more variance in maternal prosocial talk than the HI alone. SES was not related to maternal negative talk by either measure of SES.     

Use of verbal pain measurement in the detection of hidden psychological morbidity among low back pain patients with objective organic findings

Abstract

Patients with positive physical findings to explain low back pain arc believed lo belong to two organic subgroups. One group has organic disease alone: in the other, organic disease is accompanied by psychological disturbance. Separation of patients with medical findings into groups with varying levels of psychological disturbance is difficult, because emotional disturbance is often hidden. In this study, the pain report of 124 patients with organic findings alone, and 50 patients with organic and psychological findings was examined to determine whether pain measurement could he used to identify accurately patients belonging 10 the two groups. the pain groups differed in the use of 43 pain words from the Low Back Pain Symptom Check List. Using a set of weights derived From discriminant analysis. the 33 pain words predicted 99.2% of the patients with organic disease alone and 86.0% of the patients with organic disease and psychological disturbance. The results were replicated in a new sample of 140 patients. Cross-validation shrinkage in accuracy was 8.3%. The results of the two studies suggest that pain measurement may he a useful clinical indicator of psychological disturbance in patients with organic findings.     

Trait anxiety and trait anger measured by ecological momentary assessment and their correspondence with traditional trait questionnaires

Ecological momentary assessments (EMA) of anxiety and anger/hostility were obtained every 25–30 min over two 24-h periods, separated by a median of 6 months, from 165 employees at a university in the Northeast. We used a multilevel trait-state-error structural equation model to estimate: (1) the proportion of variance in EMA anxiety and anger/hostility attributable to stable trait-like individual differences; (2) the correspondence between these trait-like components of EMA anxiety and anger/hostility and traditional questionnaire measures of each construct; and (3) the test–retest correlation between two 24-h averages obtained several months apart. After adjustment for measurement error, more than half the total variance in EMA reports of anxiety and anger/hostility is attributable to stable trait-like individual differences; however, the trait-like component of each construct is only modestly correlated with questionnaire measures of that construct. The 6-month “test–retest” correlations of latent variables representing the true 24-h EMA average anxiety and average anger are quite high (r ? 0.83). This study represents the longest follow-up period over which EMA-based estimates of traits have been examined. The results suggest that although the trait component (individual differences) of EMA momentary ratings of anxiety and anger is larger than the state component, traditional self-report questionnaires of trait anxiety and anger correspond only weakly with EMA-defined traits.     

高渗氯化钠羟乙基淀粉40注射液对肝肿瘤并高血压患者硬膜外复合全身麻醉诱导期的脑保护作用

观察预注高渗氯化钠羟乙基淀粉40注射液对肝肿瘤合并高血压患者硬膜外复合全身麻醉诱导期的脑保护作用。选择50例患有高血压ASA分级Ⅱ级～Ⅲ级肝肿瘤手术患者,随机分为高渗氯化钠羟乙基淀粉40注射液(H)组和复方氯化钠(复方乳酸林格液R)组,每组25例。于输注前(T0)、输注完毕即刻(T1)、气管插管后即刻(T2)、气管插管后5min(T3)、气管插管后15min(T4)、气管插管后30min(T5)抽取静脉血离心后检测血清中S100B、IL-6、TNF-a的浓度。与T0点相比,H组,T5点S100B轻度降低但无统计学差异(P0.05),IL-6、TNF-a无明显变化(P0.05);R组在T5点S100B明显上升(P0.01);IL-6、TNF-a明显上升(P0.05或P0.01)。与R组相比,H组患者在T3-5时点S100B、IL-6和TNF-a均低(P0.05或P0.01)。结论为预注高渗氯化钠羟乙基淀粉40注射液在肝肿瘤合并高血压患者硬膜外复合全身麻醉诱导期具有脑保护作用。