再认记忆测验中抑郁个体的心境一致性记忆研究

采用Ｊａｃｏｂｙ的加工分离程序,对再从记忆测验中外显记忆成分与内隐记忆成分的贡献进行分离,考察了抑郁个体的内隐记忆和外显记忆是否具有心境一致性记忆倾向。结果表明：抑郁个体的外显记忆具有心境一致性倾向,而内隐记忆不存在心境一致性倾向,表明心境一致性记忆需要精细加工机制的参与。另外发现,抑郁个体存在外显记忆缺损而没有出现内隐记忆缺损。最后就一些有待进一步研究的方面进行了讨论。     

Implementation of Expressive Physical Touch in Depressed Older Adults

Depression is a serious problem among older adults and there is limited research on the most effective way to implement and evaluate the effects of expressive touch, either alone or in combination with verbalization, on levels of depression. A convenience sample of 24 institutionalized depressed older adult subjects (15 females and 9 males), ages 67 to 91 years was used for this study. An interrupted time series with multiple replications design was employed with four measurements: Geriatric Depression Scale (GDS), Life-Satisfaction-A-Scale, Rosenburg Self-Esteem Scale, and Locus of Control Scale. Four interventions were implemented: expressive touch only, verbalization only, a combination of expressive touch and verbalization, and a control (presence). Significant differences were found between pretest and posttest scores on the GDS for the expressive touch/verbal intervention. The most comfortable locations to implement the expressive touch and combination interventions were in the dining room or at the subject's bedside. The most comfortable areas of the subjects' bodies touched were the arms, hands, shoulders, and back. Results of this study support an important link between depression, self-esteem, locus of control, and life satisfaction and expressive touch either alone or when combined with talk. Touch as a mode of effective social support may have a therapeutic effect for depressed older adults.     

The Phenomenology of Homesickness in Boys

Homesickness is the distress or impairment caused by an actual or anticipated separation from home. It is characterized by acute longing and preoccupying thoughts of home and attachment objects. This study extended previous research on the phenomenology of childhood homesickness by assessing a sample of 316 boys, ages 8–16, who were spending 2 weeks at a single-sex residential summer camp. Some 18% of the children reported moderate or high levels of homesickness; 7% reported concomitant severe depressive and anxious symptoms. Homesickness intensity was negatively correlated with separation experience and age. It was most commonly associated with depressive symptoms and internalizing behavior problems. For severely homesick boys, intensity increased over time, decreasing just prior to their return home. Preseparation assessment suggested that severely homesick boys had elevated levels of homesickness and negative emotions months before arriving at camp. One-year follow-up data suggested that the intensity of severe homesickness decreased with age and experience. However, severely homesick boys were less likely than other boys to return to camp. The results demonstrate how brief separations can affect children's well-being and attitudes about separations. Severe homesickness is distinct from separation anxiety disorder, but has elements of this and other psychopathologies. Theories of negative emotion, attachment, and coping complement emerging theories of homesickness.     

案例概念化在临床上的应用

随着心理治疗方法的发展, 案例概念化作为治疗工作的重要组成部分, 日益成为临床关注的热点。案例概念化主要指在一定治疗理论的基础上, 就来访者的问题成因和维持因素提出假设, 为构建治疗方案提供指导蓝图。西方的临床研究表明案例概念化能有效地促进咨询师和来访者对于问题的认识和理解, 提高治疗效果。以认知行为治疗理论为基础, 具体地介绍案例概念化技术在焦虑症和抑郁症的临床应用。     

冠心病多支血管病变完全血运重建的长期疗效观察

为分析冠心病多支血管病变(MVD)患者经皮冠状动脉介入治疗(PCI)进行完全血运重建术后长期的临床疗效,我们收集了2004年5月~2008年5月589例接受PCI的冠心病患者,其中实施完全性血运重建(CRV)461例(78.3%),不完全性血运重建(IRV)128例(21.7%),对比分析两组病例PCI术后随访1年以上的结果。结果显示IRV组患者中完全闭塞病变、3支血管病变的比例均高于CRV组(P0.01);CRV组PCI成功率明显高于IRV组(94.8%vs87.5%,P0.05)。提示多支冠状动脉病变完全性血运重建能够获得更好的长期临床疗效论。     

‘What made me unhappy’. Experiences of,and responses to,lifestyle changes in breast cancer patients

Sixteen breast cancer patients were interviewed about any lifestyle changes they had experienced and their reactions to those changes. Data were collected and analysed via content analysis and then summary tabulations of patient responses until replication of responses was verified across patients. Results indicated that most patients suffered a reduction in recreation activities, unpleasant physical side effects from treatment and loss of feminine appearance characteristics, all of which were seen as decreases in previously available and valuable sources of social support and self-esteem. In response to these losses, patients reported a common coping strategy of avoidance or escape similar to some depressive symptomatology. Implications for counsellors are discussed.     

The relationship between personality, social functioning, and depression: a structural equation modeling analysis

The relationship between personality, social functioning, and depression remains unclear. The present study employs structural equation modeling to examine the mediating role of social functioning between harm avoidance (HA), self-directedness (SD), and depression. A sample of 902 individuals completed a self-report questionnaire consisting of the following scales: HA and SD subscales of the Temperament and Character Inventory (TCI), Beck Depression Inventory (BDI), and Social Adaptation Self-Evaluation Scale (SASS). Structural equation modeling via analysis of moment structure was used to estimate the fit of nine related models. Results indicated that social functioning is a mediator between harm avoidance or self-directness and depression. Self-directedness was also shown to have direct effects on depression. The results support the social reinforcement theory of depression and provide a theoretical account of how the variables are related based on correlation methods. Suggestions are offered for future experimental and longitudinal research.     

Suicidal Adolescents' Social Support from Family and Peers: Gender-Specific Associations with Psychopathology

Perceptions of social support from family, non-family adults, and peers were examined in relation to the psychopathology reported by 220 suicidal adolescents (152 females) during a psychiatric hospitalization. Results of regression analyses showed that, among females, family support was negatively related to hopelessness, depressive symptoms, and suicidal ideation. Among males, peer support was positively associated with depressive symptoms and suicidal ideation. Across gender, more peer support was associated with more externalizing behavior problems; whereas, family support was negatively related to these problems and to alcohol/substance abuse. Paralleling normative findings, age was positively associated with peer support, and females perceived more peer support than did males. Findings extend previous research on social support to suicidal adolescents, and broaden the literature by examining extrafamilial support and a broader range of relevant psychopathology. That is, perceived social support relates to psychiatric impairment differentially by gender, and normative, age-related variations in perceptions of social support are detected even among highly impaired adolescents. Clinical implications and directions for future research are discussed.     

Decreased approach motivation in depression

The present study examined relations between choice preference and reaction time to emotionally valenced words, dysphoric symptoms (BDI), and dysfunctional attitudes (DAS) in clinically depressed (CD; n= 61), previously depressed (PD; n= 42), and never depressed controls (ND; n= 46). The results showed: (1) NDs and PDs exhibited a choice preference for the relatively more positive words and differed significantly from CDs; (2) PDs and CDs exhibited longer reaction time and differed significantly from NDs; and (3) BDI and DAS were positively associated with reaction time to positively valenced words, whereas no associations were found for reaction time to negatively valenced words. The increased reaction time, in PDs and CDs, is discussed as a possible vulnerability factor to depression, which may be related to decreased approach motivation.