2012年诺贝尔生理学或医学奖对培养医学研究生科研思维的启示

约翰·格登和山中伸弥因在细胞核重编程研究领域的杰出贡献,获得2012年诺贝尔生理学或医学奖.介绍了科学研究的历程,探讨诺贝尔生理学或医学奖对培养医学研究生科研思维的有益启示.从培养敢于突破、科技创新精神、逆向思维能力、实事求是的科学态度和遵守学术道德、尊重医学伦理等方面加强研究生教育.塑造求真务实,坚韧不拔的科研素质,善于运用逆向思维,重视借鉴前人研究成果,鼓励尽早参与科研活动,培养研究生的科研思维,提高研究生的科研能力.     

Perceived lack of training moderates relationship between healthcare providers’ personality and sense of efficacy in trauma-informed care

ABSTRACT

Background and Objectives: Medical patients often have trauma histories that are not routinely assessed, which can adversely affect health outcomes. Despite growing awareness of this issue, there is limited understanding of factors that influence provider competency in trauma-informed care (TIC). The study examined healthcare providers’ personality traits in relation to their sense of TIC efficacy, taking into account perceived barriers to TIC and professional quality of life.

Study Design: The study used cross-sectional survey methods to examine our central hypothesis that provider personality traits and perceived barriers to TIC would be associated with TIC-efficacy, and to explore interactions among study variables.

Methods: Survey data were collected from 172 healthcare providers examining TIC knowledge, TIC-efficacy, perceived barriers to TIC, personality traits, and professional quality of life.

Results: TIC-efficacy was positively correlated with “intellectence/openness” and inversely correlated with “neuroticism” and perceived lack of training as a barrier. “Intellectence/openness” interacted with perceived lack of training to predict TIC-efficacy, suggesting that providers with lower “intellectence/openness” report greater TIC-efficacy when lack of training is not perceived as a barrier.

Conclusions: Provider personality traits and perceived barriers to TIC appear related to providers’ TIC-efficacy. Implications for overcoming barriers to TIC through training and implementation are discussed.     

An evaluation of support groups for patients with long-term chronic pain and complex psychosocial difficulties

There is a significant group of chronic pain patients with complex psychosocial needs who are frequent users of hospital outpatient departments and who do not participate in or benefit from traditional pain management treatments and are convinced there is a medical solution to their problems. They are a particularly challenging group of patients to help, often shunned by medical and psychological professionals. A new type of ten-session psycho-social group for these patients that is less demanding than traditional pain management group programmes is investigated. It is designed to foster the development into community-based self-help groups and reduce the need for professional support and unnecessary medical intervention. Accounts of four groups of patients who participated in support groups and successfully established their own groups is presented. To assess changes in motivation, mood and pain disability standardized questionnaire measures were given before and after group attendance. Findings suggest that patients benefited and took increased responsibility for their pain management but did not demonstrate positive changes on measures of mood or level of pain disability. Patients experienced satisfaction with the groups and established their own self-help community groups. The positive experience of participants and staff suggests further work with support groups would be productive for this group of patients.     

Teaching the Devout Student: Faith and Scholarship in the Classroom

Increasing numbers of college students enrolling in religion courses in recent years are looking to develop their religious faith or spirituality, while professors of religion want students to use and appreciate scholarly tools to study religion from an academic perspective. Some scholars argue that it is not possible to satisfy both goals in the classroom, while authors in this journal have given suggestions on how to bridge the gap between faith and scholarship. I argue that such authors are correct and that, in my experience, historical‐critical methods can help devout students understand the original texts in their own religion better, comprehend why changes in interpretation have occurred over time, and appreciate the values in religions other than their own. Not all devout students are comfortable with an academic study of religion, but many can attain a more mature faith by such an approach.     

Positive Adaptation in a Community of Postgraduate Students: Applying the Mmogo-method™

This study explored the experiences of postgraduate psychology students exposed to continuous challenges and described their positive adaptation as a community. Three males and 14 females (age range: 23–30 years; 1 black, 3 coloured, 2 Indian and 11 white) took part in the study. Data were obtained through the Mmogo-method?, group discussions on the visual presentations, written texts and an in-depth interview. The findings indicated that threats from outside as well as from within a community have implications for the community's positive adaptation. Positive adaptation develops through cyclical processes. It depends on the availability of tangible (financial, teaching) and personal (humour) resources. Among the outcomes of positive adaptation are that people who share challenging experiences report a sense of belonging and hope and also respect for diversity. Positive adaptation helps a community strengthen and protect its members.     

壮族大学生一位数字词的SNARC效应

本研究以壮族大学生为被试,要求他们对壮语、汉语听觉数字词(实验一)或汉语、英语视觉数字词(实验二)进行奇偶判断。结果发现：(1)壮族大学生对汉语、壮语听觉数字词以及汉语、英语视觉数字词都表现出了SNARC效应。(2)数字词在听觉条件下和视觉条件下产生的SNARC效应的强度相当。(3)书写习惯也影响到壮语听觉数字的SNARC效应的方向。     

State gratitude for one’s life and health after an acute coronary syndrome: Prospective associations with physical activity,medical adherence and re-hospitalizations

Abstract

Gratitude may be associated with beneficial health outcomes, but studies of this association have been mixed, and in these studies gratitude has often been conceptualized as a stable, unidimensional trait. We used four specific items to examine the prospective association of state- and domain-specific gratitude with medical outcomes among 152 patients with a recent acute coronary syndrome. State gratitude for one’s health 2 weeks post-event was associated with increased physical activity (measured via accelerometer) 6 months later, controlling for relevant demographic, social, medical and psychological factors (β = 340.9; 95% confidence interval = 53.4–628.4; p = .020). Gratitude for one’s life was associated with increased self-reported medical adherence at 6 months on the maximally adjusted model (β = .60; 95% confidence interval = .16–1.04; p = .008); no gratitude items were associated with rehospitalizations. In contrast, dispositional gratitude, measured by the Gratitude Questionnaire-6, was less dynamic and responsive to change over the 6-month period and was not associated with physical activity.     

Where's the House Party? Hazardous Drinking Behaviors and Related Risk Factors

The authors examined differences in drinking behaviors and related risk factors across campus housing at a women's liberal arts college. Participants (N = 362) living in residence-style housing or house-style residences completed self-report questionnaires. Results showed that students in residence hall-style houses reported higher levels of hazardous alcohol use and perceived that their college, housemates or roommates, and close peers are more permissive of alcohol use than did students living in house-style residences. Findings highlight the role of the environmental structure of a college campus on students' perceptions of alcohol use and their drinking behaviors. The authors discuss implications for college housing and programming.     

Cognitive Performance in Adolescence: Links With Early Maternal Stimulation and Children’s Anxious Behaviors

Abstract

This study tested a developmental model of cognitive performance in adolescence and explored potential mechanisms explaining the relations of early maternal stimulation and children’s anxious behaviors with adolescents’ cognitive performance. We utilized the NICHD SECCYD dataset (n?=?1,112). Measures included questionnaires, coded observations, and self-report measures from infancy to adolescence. Results revealed that children who experienced greater early maternal stimulation and less anxious behaviors had better cognitive performance at age 15. Children’s English self-efficacy, the quality of child–teacher relationships, and children’s behavioral classroom engagement in middle childhood mediated the relation between early maternal stimulation and adolescent cognitive performance. Identifying pathways from earlier maternal and children’s characteristics to children’s later cognitive performance is an important step toward further understanding why early precursors have a long lasting impact on cognitive performance, and has implications for educational settings.