大学生经济信心和心理健康的关系:生涯自我效能感的中介作用

采用经济信心问卷、生涯自我效能感量表、总体主观幸福感量表、贝克焦虑和抑郁量表,对237名大学生进行调查,考察大学生经济信心对其心理健康的影响,以及生涯自我效能感在两者之间可能的中介作用。结果表明,经济信心与生涯自我效能感和主观幸福感呈显著的正相关,与抑郁显著负相关,生涯自我效能感与主观幸福感显著正相关,与焦虑、抑郁显著负相关。大学生经济信心对其主观幸福感和抑郁具有显著的预测作用。大学生生涯自我效能感在经济信心与主观幸福感之间起到部分中介作用,其在经济信心和抑郁之间起到完全中介作用。此外,大学生生涯自我效能感传递了经济信心对焦虑的间接影响。     

震后一年半灾区小学生的创伤症状调查研究——以“八一帐篷学校”为例

本研究对总装备部·绵阳八一帐篷学校的小学生进行创伤症状调查研究,了解震后一年半小学生的心理健康状况。方法:使用儿童创伤症状量表简版(TSCC-A)对八一帐篷学校3～6年级小学生进行评估。结果:(1)八一帐篷学校的小学生震后一年半最为突出的创伤症状是焦虑,其次为抑郁和分离症状;(2)在创伤症状得分上不存在性别差异性,但是存在年级差异性,三年级学生创伤症状得分均低于其他年级学生;(3)震后一年半学生创伤症状比震后半年学生创伤症状有所减轻。结论:灾区小学生心理健康状况仍存在一些问题,焦虑、抑郁等症状仍比较明显,还应进行持续的心理危机干预。     

苏中地区小学教师的人格特征与心理健康关系研究

本研究采用SCL-90、EPQ等量表,对苏中地区小学教师的人格特征与心理健康问题的关系进行了研究。研究结果表明:(1)苏中地区小学教师的人格特征与其心理健康状况显著相关。(2)苏中地区小学教师人格特征的N分、P分和E分因子进入心理健康因子的回归方程,是心理健康水平的关键性影响因素。(3)N分、P分和E分因子对心理健康的解释率为28.6%。     

Cognitive distance of stairways: a multi-stairway investigation

The present study had two major purposes. First it sought to determine to what extent in an earlier study of distance estimation in stairways (Hanyu & Itsukushima, 1995) would generalize to other types of stairway. Second, it sought to examine which hypothesis, information storage or effort, better explain the earlier results, in which people overestimated distance and traversed time estimates. We obtained four distance and time measures: distance estimate, traversal time estimate, mental walking time and actual traversal time. To measure information, we had participants rate each stairway for complexity (simple-complex) and effort (effortless-effortful) before and after the distance and time measurement tasks. The results revealed that the earlier findings (Hanyu & Itsukushima, 1995) did not fully generalize. The results also did not support either the information storage or the effort hypothesis.     

构建21世纪美国公共卫生体系的原则

美国卫生与福利部长沙拉拉博士在一次演讲中提出了构建２１世纪美国公共卫生体系的十大原则,这些原则包括公共卫生与信息革命;大力发展预防医学;医学研究;消除卫生保健的悬殊状况;新世纪卫生人卫生人培养;保护大学生卫生中心以及医学伦理学等主要内容。这些原则对我们思考规划２１世纪的医疗卫生体系及医学教育系不无借鉴启迪意义。     

The School and Community Study: Characteristics of Students Who Have Emotional and Behavioral Disabilities Served in Restructuring Public Schools

We present selected initial results from a study investigating the effects of school restructuring and reform activities on outcomes for students who are identified as having serious emotional and behavioral disabilities. A review of the literature revealed six key areas of reform for investigation: accountability, governance, parent involvement, includedness, curriculum and instruction, and pro-social discipline. Ten schools (five elementary, two K-8, one middle, and two high schools) actively engaged in school restructuring and reform efforts were selected to participate in the study, and their status related to these six areas is presented. Characteristics of the students identified as having emotional and behavioral disabilities and served in these schools in special education settings (N = 116) are described. Results from the administration of standardized assessments revealed that these students have significant levels of emotional and behavioral disabilities that impair their functioning at school and at home. Further, school staff are providing the majority of counseling services to these students during the school day, with non-school professionals providing services to 25% of the students.     

Concordance Between Parent Reports of Children's Mental Health Services and Service Records: The Services Assessment for Children and Adolescents (SACA)

The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one of the pilot sites for the Multi-Site Study of Service Use, Need, Outcomes and Costs in Child and Adolescent Populations (UNOCCAP). A global any use service variable, comprised of inpatient, outpatient, and school reports, yielded an overall service use concordance kappa of .76 between parent reports and records. Parent reports of inpatient hospitalization services using the SACA yielded the highest agreement with medical records, with kappa statistics of 1.00 for use of any inpatient hospital care and for medication use. Parent reports of specific inpatient services concurred with medical records more moderately, yielding kappas from .50 to .66. Reports of any outpatient mental health services yielded variable rates of agreement, with kappas ranging from .67 for any use of outpatient care, to .66 for medication use, to negligible kappas for specific treatments. Parent reports of school services were weakly related to records for most services, except for moderate agreement (.48) on placement in special classrooms for emotional or behavioral problems. Family burden or impact discriminated more powerfully than other variables between respondents who concurred with records and those who did not.     

Physician-Assisted Suicide in the United States: Confronting Legal and Medical Reasoning – Part Two

In the United States, judicialrulings that unrealistically addressed the complexityof cases and demonstrated limited understanding ofprinciples, helped to create a legal quagmire whichlegislatures had to confront. Moreover, thelegislative response was often slow and inadequate interms of both the scope and clarity of the laws. However, since the 1970s, progress has been made onmany fronts, particularly in regard to advancedirectives dealing with end-of-life decisions. Thedebate over physician-assisted suicide has spawned arepetition of moral and legal arguments. Thoseagainst legalization have failed to make a realisticappraisal of the dilemmas facing patients and theirfamilies in an age of technological medicine deliveredin the context of the marketplace. The underlyingproblem is a system in dire need of reform that willno longer treat health care as a commodity of themarketplace and provide universal health care. Terminal care as an integral part of health care willsubstantially benefit from such reforms because amajor obstacle to comprehensive palliative care is thecondition of the present system.     

学校心理咨询若干倾向性问题的思考

本文针对当前学校心理咨询中普遍存在的重视"调适性心理咨询",忽视"发展性心理咨询";重视心理异常中"心理障碍"的矫治,忽视"一般心理问题"的调控和重视成人心理异常表现模式的套用,忽视学生心理异常表现的年龄特征等倾向,提出并论述了学校心理咨询"咨询类型"的侧重点在于发展性心理咨询,"调适矫正"的着眼点在于心理异常中"一般心理问题"的调控,"分析判别"的出发点在于以学生各年龄阶段心理异常特有表现为依据的观点,为进一步强化学校心理咨询的科学性,顺利进行心理健康教育,以提高学生心理素质提供了理论依据.