Étude de certaines propriétés psychométriques de l’Older Adult Self-Report (OASR) en population générale québécoise

The aim of the present study was to evaluate some psychometric properties of the French-Canadian version of the Older Adult Self-Report (Achenbach et al., 2004), a self-reported measure of emotional, behavioral and interpersonal difficulties intended for people aged 60 years and older. This study examines some psychometric properties of the OASR, in terms of reliability (internal consistency) of the seven syndrome scales, and construct validity (structural, convergent and criterion validity). The instrument was completed by 321 older adults aged 60 years and older (M = 68.36; SD = 5.82) who were participating at the Université du troisième âge activities, which were taking place in two cities of the province of Quebec, Canada. Polychoric alpha coefficients varied between 0,72 and 0,93 and indicated a good internal consistency for the syndrome scales. Convergent validity was measured by multiple linear regression using life satisfaction as a dependent variable. A confirmatory factor analysis supported the seven-factor structure proposed in the original version of the instrument (CFI = .916, TLI = .914, RMSEA = .022 [.019, .025]). Results showed a good convergent validity, with 37.5% of variance explained by the problem scales. Overall, the results indicated that psychometric properties of the OASR meet expected standards for professional use of the French-Canadian version of the instrument.     

Effects of nutritive and non-nutritive sucking on infant heart rate variability during the first 6 months of life

The effects of eating on heart rate variability (HRV) differ between adults and newborns. This may reflect the impact of suckling on the overall psychophysiological and autonomic nervous system maturation. The purpose of the present study was to explore whether the reactions of HRV during feeding change towards the adult pattern during the first 6 months of life. In addition, the effects of non-nutritive and nutritive sucking on heart rate (HR) and HRV were compared. The participants were 23 infants on whom recordings were performed as newborns and at 6, 12 and 24 weeks old. Nutritive sucking caused an increase in HR and a decline in HRV. The results were consistent with previous reports of a decrease in high frequency components of HRV during feeding in newborns, reflecting a decrease in parasympathetic activity. This response was apparent in all four ages studied, and remained similar throughout the 6-month period. However, age as an independent factor seemed to influence both HR and HRV. Pacifier sucking had no significant effects on HRV at any age. The results demonstrate the physical strain that sucking imposes on the baby, with a specific autonomic nervous system response involved. We consider this response an essential part of the overall psychophysiological maturation of infants.     

儒家思想对于现代心理咨询的启示

儒家思想曾居中国传统文化主导地位。鉴于文化的传承性和对心理健康作用的必然性,儒家思想的心理咨询价值应当充分关注。文章强调,不宜刻板化否定儒家思想的心理咨询价值。基于心理咨询的常见问题,文章初步讨论了儒家思想对心理咨询可能有贡献的9个领域：人生意义、应对、生死教育、哀伤辅导、心理调节、人际认知、社会生活技能、人格发展、心理咨询技术等。进而,讨论了以儒家思想为资源,以心理学为目的,通过整理和发现、发展、操作化和验证等环节,构建儒家心理咨询学说的方法论问题     

Carnap’s logical empiricism,values, and American pragmatism

Value judgments are meaningless. This thesis was one of the notorious tenets of Carnap’s mature logical empiricism. Less well known is the fact that in the Aufbau values were considered as philosophically respectable entities that could be constituted from value experiences. About 1930, however, values and value judgments were banished to the realm of meaningless metaphysics, and Carnap came to endorse a strict emotivism. The aim of this paper is to shed light on the question why Carnap abandoned his originally positive attitude concerning values. It is argued that his non-cognitivist attitude was the symptom of a deep-rooted and never properly dissolved tension between conflicting inclinations towards Neokantianism and Lebensphilosophie. In America Carnap’s non-cognitivism became a major obstacle for a closer collaboration between logical empiricists and American pragmatists. Carnap’s persisting adherence to the dualism of practical life and theoretical science was the ultimate reason why he could not accept Morris’s and Kaplan’s pragmatist theses that cognitivism might well be compatible with a logical and empiricist scientific philosophy.     

中小学教师心理健康维度的初步构建

本研究通过开放式问卷调查和深度访谈,构建出教师心理健康的八个维度,编制了初测问卷,对初测问卷的结果进行探索性因素分析,形成了六个维度6、1个项目的正式问卷,对正式问卷进行验证性因素分析。结果得到中小学教师心理健康的六个维度是:挫折应对问题、职业倦怠、人格障碍、躯体症状、社会适应问题和人生态度问题。对问卷进行描述性统计分析,发现中小学教师在这六个维度上存在一定的心理健康问题。     

新加坡医疗保障体系的特点及对我国的启示

新加坡的卫生状况在国际上处于较高水平,得到了世界卫生组织的较好评价,本文主要介绍了新加坡医疗保障体系在医疗费用的分担、体系的完善、资金的筹集方式和报销制度等方面的特点,并结合我国的具体国情和医疗保障体系的现状,总结了其对我国医疗保障体系建立和完善的几点启示。     

香港医疗制度与改革

香港的医疗制度由一个"二元医疗体系"组成,在体制模式、融资制度及服务规管三方面的安排都有其独特之处,为香港七百多万人提供了一个全民医疗安全网,能够达到公平、有效、可及性高及质素佳的要求。但是这个医疗系统也存在不少问题和隐忧,需要有效的改革,包括管治、管理、服务安排和融资模式改革等。     

中、美、德三国国家医院感染监测体系的比较分析

通过介绍中、美、德三国国家医院感染监测体系的发展历史,比较三国感染监测体系的不同特点,美国成立较早,监测项目齐全,德国起步高,针对性强,我国则介于两者之间;针对国外先进的管理经验,提出中国医院感染监测体系应借鉴国外医院感染控制方面先进的理念和方法,迅速有效地提高我国医院感染监测的水平。     

盆底结构MRI研究进展及思考

盆底结构精细复杂,传统的解剖学以尸检为依据,现代影像学则提供了活体观察功能形态的有效方法。盆底结构核磁共振成像研究的新进展,体现了医学技术创新的稳健性、后发性、综合性,其发展取决于现代科学技术的进步。因此影像医学工作者作为医学科技主体,只有具备综合型知识结构,才能更好地进行医学技术创新。     

误诊误治病例所致医疗纠纷分析——附3例报告

当前医疗科技发展的相对性、疾病规律本身的复杂多变性、医生医疗知识的局限性等,导致了临床误诊误治的不可避免性,而医院发生的医疗纠纷事件中,大多是由于误诊误治所致。通过对3例误诊病例及所致医疗纠纷的分析,指出临床误诊误治的客观性、主观性及不可避免性。同时提示临床医师在疾病诊治过程中,随时更新医疗知识,注意疾病的鉴别诊断,及时完善相关的辅助检查,积极治疗,减少对疾病的延误诊治,减轻病人痛苦,改善医患关系,从而减少医疗纠纷。