Attribute Framing and Goal Framing Effects in Health Decisions

Levin, Schneider, and Gaeth (LSG, 1998) have distinguished among three types of framing—risky choice, attribute, and goal framing—to reconcile conflicting findings in the literature. In the research reported here, we focus on attribute and goal framing. LSG propose that positive frames should be more effective than negative frames in the context of attribute framing, and negative frames should be more effective than positive frames in the context of goal framing. We test this framework by manipulating frame valence (positive vs negative) and frame type (attribute vs goal) in a unified context with common procedures. We also argue that the nature of effects in a goal-framing context may depend on the extent to which the research topic has “intrinsic self-relevance” to the population. In the context of medical decision making, we operationalize low intrinsic self-relevance by using student subjects and high intrinsic self-relevance by using patients. As expected, we find complete support for the LSG framework under low intrinsic self-relevance and modified support for the LSG framework under high intrinsic self-relevance. Overall, our research appears to confirm and extend the LSG framework.     

How Do People Process Health Information? Applications in an Age of Individualized Communication

Advances in computer technology have made it possible to customize communication, including health-education materials, to the specific needs and interests of any individual. Studies show that individually tailored health-education materials are more effective than generic materials in promoting changes in a variety of health-related behaviors. Theory and research in information processing provide an explanation for why such materials are effective. This article discusses current research on how individuals process tailored health information, and discusses directions for future research in this area.     

Counsellors' experiences of working with suicidal clients: An exploratory study

Counselling is increasingly available in a wide variety of contexts, including mental health and psychiatric services. As a consequence, counsellors increasingly work with clients who present with suicidal ideation, expressing either suicidal thought and/or intent in the counselling session. This paper describes an exploratory study that examined the experience of counsellors when working with suicidal clients. The paper considers counsellors' behavioural, cognitive and emotional responses to such suicidal expression, both on a personal and professional level. The research employed semi‐structured interviews. A constant comparative method was used in analysing the transcribed interview text. Results suggest that counsellors experience a range of responses when their clients express suicidal thought, including fear, anxiety, anger and professional impotence. The interviewees also expressed self‐doubts about their professional competence. In addition, they identified the threat of litigation for negligent practice and the lack of confidence in appropriate risk assessment approaches as significant causes for concern. The implications for further research, and practice, are discussed.     

Attributional Style and Personality as Predictors of Happiness and Mental Health

This paper contains two studies which set out to examine to what extent attributional style (internal, stable, global) and personality traits predicted happiness and psychiatric symptoms in a normal, non-clinical, population of young people in their early twenties. Two hundred and three participants completed five questionnaires: the Attributional Style Questionnaire (ASQ) (version one & version two), Eysenck Personality Questionnaire, Oxford Happiness Inventory, and Langner 22-Item Measure. Sample 1 (n = 120) completed ASQ version one (in both positive and negative situations) and sample 2 (n = 83) completed ASQ version two (in expanded negative situations). Regressional analysis showed that ASQ (in both versions) was the significant predictor of happiness and mental health accounting for 20% to 38% of variances. The ASQ was significantly associated with extraversion and neuroticism. Further, with happiness and mental health as dependent variables and attributional style, personality traits, and demographic variables as independent variables respectively, extraversion and attributional stability (in positive situations) were the significant predictors of happiness accounting for 59% of the total variance whilst neuroticism and psychoticism were the significant predictors of mental health accounting for 53% of the total variance. The results indicated that optimistic attributional style in positive situations was a stronger predictor of self-reported happiness than mental health and pessimistic attributional style in negative situations was a predictor of both happiness and mental health. Extraverts tended to have optimistic explanatory style for positive outcomes whereas neurotics tended to have pessimistic explanatory style for negative outcomes.     

The importance of impaired physical health and age in normal cognitive aging

The objective of this study was to investigate the importance of impaired physical health and age in normal cognitive aging. In our cross-sectional, clinical and explorative study, medical and neuropsychological data from 118 voluntary healthy controls aged 26-91 years were collected from five recruitment occasions. Health was assessed according to a criterion reflecting clinical and subclinical severity. The examinations included a clinical investigation, brain neuroimaging, and a comprehensive neuropsychological assessment. Regression analyses showed a significant incidence of clinical and subclinical medical disorders that explained 10.8% of the variation in cognitive performance, while age-related impairment explained 5.6%. Findings of the central nervous system were important but various other medical findings explained about half of the health-related variation. Cognitively demanding tasks were more susceptible to impaired physical health while tasks comprising salient motor- and visual spatial elements were more prone to be impaired by age. Our findings suggest (1) that impaired physical health is more important than chronological age in accounting for cognitive impairment across the adult lifespan, (2) that age and health dissociate with regard to cognitive functions affected, and (3) that selection for so-called "super healthy" elderly people might be justified in cognitive research. Because the prevalent diseases in normal aging are potentially preventable, the present findings promise good prospect for prevention of future cognitive disability among elderly people.     

医院医疗欠费情况调查研究

运用描述性统计方法,对某三级甲等综合性医院五年来医疗欠费情况进行统计,探讨了医疗欠费患者的社会人口学特征和卫生经济学特征,提出解决医院医疗欠费问题的根本途径是建立覆盖全民的医疗保险体系。     

健康对人的价值实现的意义

人的生存和人的存在具有本质的区别,人的生命的存在包含着人的个性的体现、人的内在能力及本质力量的展现和人的价值的实现。健康是人在生理、心理和社会方面的一种存在状态,它不仅仅是一个医学概念,而在更大程度上是一个社会概念,是一个包含着价值因素的整体性概念。健康状态是人的价值实现的基本条件。保障人的健康状态,一是加强健康教育,二是改善人的存在环境。     

文本信息的激活与整合：阅读优生与差生的比较

探讨阅读优生与差生文本阅读过程中文本信息的激活与整合模式,包括3个实验。实验一通过运用不一致实验范式（inconsistent paradigm）考察阅读优生与阅读差生能否形成整体连贯性与局部连贯性。结果发现,阅读差生难以形成整体连贯性。实验二运用探测－核证范式（probe-verification paradigm）通过比较在三个位置后（人物特征描述、填充段落、目标句）的探测句的反应时间,探讨阅读差生不能形成整体连贯性的原因是由于不能激活先前的信息,还是整合信息时出现了问题。结果发现阅读差生与优生一样都可以激活先前的信息,说明阅读差生不能形成整体连贯性的原因可能是整合的问题。实验三进一步验证了阅读差生不能形成整体连贯性的原因是由于不能把已经激活的信息很好地加以整合所致。     

文化震荡及其对个体心理健康的影响

当前我国正在经历的急剧社会文化变迁对众多个体心理产生了强烈冲击,形成了文化震荡,并在不同程度上影响了其心理健康。研究表明,由于不同个体的经历和应付方式不同,其对文化震荡的承受能力也不同。因此,深入研究文化震荡的形成及其对不同个体的影响,充分挖掘各种文化有益于维护个体心理健康的宝贵遗产,建立个体心理健康防卫、救护机制和社会安定预警机制,是一项刻不容缓的紧迫任务。