‘It’s the unknown’ – understanding anxiety: from the perspective of people with multiple sclerosis

Objective: A qualitative study of PwMS who had clinically significant levels of anxiety was conducted to gain a richer perspective on their experience. The objective was to explore PwMS’ experiences of anxiety and their perspectives on causes and outcomes. Design: Twenty in-depth, semi-structured interviews were conducted with PwMS consecutively recruited from the Neurology Department of a NHS University Hospital. Sixteen had a relapsing-remitting course, three had a secondary progressive course and one person had primary progressive multiple sclerosis (MS). Interviews were recorded, transcribed and analysed using inductive thematic analysis. Results: Although participants thought different factors had initially triggered their anxiety, being given the diagnosis of MS appeared to be the most significant factor for many participants. Difficulties in the workplace and in relationships, particularly related to perceived dependence on others were also important themes. A wide range of emotional responses and negative thinking patterns were associated with anxiety; this suggested the presence of comorbid depression. Participants were able to acknowledge the positive and negative coping strategies that impacted on their anxiety. Conclusion: This review confirms that anxiety can have many negative implications for PwMS and suggests that early detection and intervention are necessary in order to improve patient’s well-being.     

Causal Exclusion and Causal Autonomism

The causal exclusion problem is often considered as one of the major difficulties for which non-reductive physicalists have no easy solution to offer. Some non-reductive physicalists address this problem by arguing that mental properties are to some extent causally autonomous. If this is the case, then mental properties will not be causally excluded by their physical realizers because causation, in general, is a relation between properties of the same level. In this paper, I argue that the response from causal autonomy cannot be successful for two reasons. First, it does not offer a satisfactory explanation for how mental particulars can have causal efficacy in a non-reductive physicalist framework. Second, the causal considerations underpinning this response do not really support the conclusion that mental properties are causally autonomous.     

心算形式对不同近似数量系统敏锐度儿童心算表现的影响

选取112名二年级小学生,以点阵比较任务测量近似数量系统敏锐度,同时以工作记忆测验成绩为协变量,探究了不同心算形式（视算、读算）对不同近似数量系统敏锐度儿童心算表现的潜在影响。结果显示：（1）心算形式显著影响心算的正确率,读算形式下儿童的心算表现最好;（2）控制工作记忆影响后,心算形式与近似数量系统敏锐分组均对心算正确率影响显著。总体来讲,读算可能是提高小学儿童简单心算表现的有效形式,并能提高低近似数量系统敏锐度儿童的心算表现。     

改变“低挫折容忍度”的心理干预及效果评估 —— 一位奥运银牌运动员的个案研究

研究目的是描述对一名奥运选手L在奥运会前一年中进行的心理干预,以改变其“低挫折容忍度”的过程,以及评价这一理性情绪行为疗法与心理技能训练相结合的心理干预的效果。在不同的时间点采用各种评估方法对干预效果进行评估,主要的评估方法包括采用目标获得评价表进行的运动员L自我评估和教练员评估,运动员L、教练员、及搭档的“阶段性总结”评价,以及对L比赛行为的录像资料分析。通过各种评估方法所获得的结果的一致性证明了该干预方法在改变运动员的问题行为方面是有效的。通过对运动员L的问题行为的改变,提升了他在比赛中的运动表现,该运动员与其搭档在2004年雅典奥运会乒乓球男子双打项目上获得了银牌     

湖北省智力残疾现状分析及预防对策

以湖北省第二次全国残疾人抽样调查的资料为依据,对智力残疾发生率、智力残疾等级、智力残疾的致残原因等现状进行分析。农村组智力残疾率明显高于城市组;三、四级智力残疾比率明显高于一、二级智力残疾比率;智力残疾的主要致残原因为遗传性疾病和脑疾病。说明智力残疾的康复任务仍很重,需要社会及政府的广泛重视。     

中西方心理健康标准的比较与整合

心理健康标准是心理健康研究中的重要理论问题。比较中西方心理健康标准,在研究恩路、自我观念、人格观念等方面存在差异,在重视人际关系的和谐、重视对自我和现实的认识、重视对人生意义的探索等方面有相似之处。整合中西方心理健康标准应重视探讨社会群体的心理健康标准;引导青少年树立正确的自我观念;塑造具有独立性与创造性的现代社会人格。     

儿童抑郁症的综合治疗

儿童抑郁症的比例近年来有逐渐上升趋势,但是却未受到充分的重视,解决方式也容易陷入误区。儿童抑郁症,临床表现为生理、行为、情绪、认知等多个方面,病因则涉及到生理遗传、家庭环境、学校教育、社会变迁等因素。因而,其治疗手段也应是整体性的,包括家庭、心理、药物、行为等方面。     

气质性乐观与心理健康关系的元分析

运用元分析方法分别探讨了气质性乐观与心理健康的积极指标和消极指标的关系。共有106项研究满足了元分析的标准,涉及气质性乐观与心理健康积极指标的研究有70项,包括83个独立样本(N=30627);涉及气质性乐观与心理健康消极指标的研究有75项,包括105个独立样本(N=39064)。元分析结果发现:(1)整体上气质性乐观与心理健康积极指标有显著正相关(r=0.41),与心理健康消极指标有显著负相关(r=-0.41)。(2)气质性乐观与不同心理健康指标的相关有显著差异,积极指标中,与自尊的相关最高;消极指标中,与抑郁的相关最高。(3)气质性乐观测量工具的差异对其与心理健康的关系没有显著影响。(4)不同年龄阶段群体中气质性乐观与心理健康的关系没有显著差异。(5)文化背景差异对两者的关系有显著影响,西方文化中气质性乐观与心理健康的相关高于东方文化中的相关。     

无聊：一个久远而又新兴的研究主题

无聊是个体由于知觉到生活无意义而产生的负性情绪体验, 它会直接或间接地影响各种社会心理功能。目前, 有关心理健康、社会适应、学业成绩等一系列心理问题的研究已经揭示了无聊的负性作用。但是, 无聊领域的研究还停留在理论探讨和相关研究层面, 概念定义尚没有完全统一, 缺乏系统的理论和完整的模型结构。未来研究可进一步深入探究无聊的作用机制, 并制定有效的干预方案来改善人们的无聊状态。     

幼儿看图叙述中心理状态术语的使用与错误信念理解关系的短期跟踪研究

摘 要：为探明汉语儿童看图叙述中心理状态术语的应用及与错误信念理解能力的关系,并追踪二者相互作用的方向,本研究以101名3-5岁儿童为研究对象,纵向探查了前后相隔3个月的儿童看图叙述中心理状态术语使用情况和错误信念能力的发展状况,并从横向和纵向两个时间点分别探讨了心理状态术语的运用与错误信念理解的关系。结果表明：3-5岁儿童错误信念理解能力快速发展;儿童看图叙述中使用较多的愿望术语和情绪术语,信念术语应用相对较少,且认知词汇类型较少。控制了一般语言能力和年龄之后,仅在第一次测验上,情绪术语、信念术语仍然与同期及后期错误信念理解能力存在显著相关。