A randomised wait list-controlled pre–post–follow-up trial of a gratitude diary with a distressed sample

In a randomised wait list-controlled trial with repeated measures pre-, post- and follow-up design, participants (N = 109) with a current self-reported diagnosis of an anxiety disorder and/or depression, took part in an internet-based study. After completing a three-week gratitude diary returning participants had lower scores on measures of depression, anxiety, stress and perceived sleep difficulties and higher scores on a measure of subjective well-being than immediately pre-intervention. At three-week follow-up depression and sleep scores for returning participants were no longer significantly different from pre-intervention, however, improvements for subjective well-being and stress at post-intervention were maintained. At follow-up anxiety scores had not only been maintained but had improved significantly beyond post-intervention results. Intention to treat analyses were conducted and provided support for most completer results. Differences between the two sets of analyses are discussed below. This trial provides support for the use of gratitude diaries as an intervention with distressed populations.     

积极心理资本的结构、功能及干预研究述评*

积极心理资本自提出以来,便备受关注,它超越了人力资本和社会资本,是一种能够被有效开发和管理,并能够对个体的绩效产生重要影响的核心积极心理要素。在以往研究中,研究者提出了积极心理资本的四维结构说、三维结构说和多维结构说,并据此开发了相应的测量工具。在后果变量方面,主要探讨的是积极心理资本与工作态度、工作行为、工作绩效、幸福感等方面的关系。积极心理资本自身也是一个重要的中介与调节变量,而PCI干预模型可有效提高个体的心理资本水平。今后研究的重点包括研究对象与内容的拓宽、研究方法的改进与完善以及本土化和跨文化研究的加强等。     

大学生手机成瘾与孤独感和自我和谐的关系

立足于探讨大学生的手机成瘾与孤独感和自我和谐之间的关系,探索了并验证了自我和谐在手机成瘾和孤独感的中介作用,为对手机成瘾大学生进行有效的心理干预提供了研究性的支持。采用手机成瘾问卷、UCLA孤独量表和自我和谐问卷,通过相关分析和路径分析,得出结论：手机成瘾与孤独程度呈正相关;自我和谐程度与手机成瘾呈负相关;自我和谐程度直接影响手机成瘾。     

中学女生身体不满意的认知取向干预

基于女性身体不满意的预测模型,试图通过以干预课程为主的认知干预活动,降低青春期女生的身体不满意,形成健康的身体观。结果表明,身体不满意的干预活动能够有效防止初中女生身体不满意的进一步增加,对高中女生的影响没有达到显著差异;自编实验组女生成长问卷结果和实验组女生访谈的结果显示,干预活动给初中和高中实验组女生带来了一定的积极影响;初中生父母调查的结果反映了大部分父母比较满意此干预活动。研究表明本干预研究具有一定的可行性,值得进一步探讨和拓展。     

书写表达及其对身心健康的作用

作为心理干预方法, 书写表达是通过书写披露和表达与个人重要经历有关的感受和想法, 由此促进身心健康。书写表达操作简便, 对身心健康均具有显著的促进作用, 但其干预效果会受干预对象的心理特征、卷入水平和书写主题等因素的影响。书写表达的作用机制主要是暴露、适应、注意转向和认知重构。     

出生缺陷干预模式探讨

出生缺陷(birth defection,BD)已经成为目前全世界共同关注的一个重大公共卫生问题。为此,世界卫生组织提出预防出生缺陷的“三级预防策略”,国家计生委于2000年组织实施“出生缺陷干预工程”。结合哲学思想对出生缺陷的三级预防以及干预模式进行综合分析。     

后医学时代的数字化证据——评杨功焕著《中国人群死亡及其危险因素流行水平、趋势和分布》

杨功焕教授的著作《中国人群死亡及其危险因素流行水平、趋势和分布》,调查20世纪80年代~90年代非人口因素对死亡的影响占81%,人口因素占19%。说明20世纪90年代是人群死亡模式发生巨大转变的10年。吸烟和饮食为主要行为因素。必须进行行为干预,靠非卫生部门的努力,包括医疗保险、实行健康促进战略、进行行为革命、对全部医务人员再教育,以适应后医学时代。     

Randomized controlled evaluation of an early intervention to prevent post-rape psychopathology

A randomized between-group design was used to evaluate the efficacy of a video intervention to reduce post-traumatic stress disorder (PTSD) and other mental health problems, implemented prior to the forensic medical examination conducted within 72 h post-sexual assault. Participants were 140 female victims of sexual assault (68 video/72 nonvideo) aged 15 years or older. Assessments were targeted for 6 weeks (Time 1) and 6 months (Time 2) post-assault. At Time 1, the intervention was associated with lower scores on measures of PTSD and depression among women with a prior rape history relative to scores among women with a prior rape history in the standard care condition. At Time 2, depression scores were also lower among those with a prior rape history who were in the video relative to the standard care condition. Small effects indicating higher PTSD and Beck Anxiety Inventory (BAI) scores among women without a prior rape history in the video condition were observed at Time 1. Accelerated longitudinal growth curve analysis indicated a videoxprior rape history interaction for PTSD, yielding four patterns of symptom trajectory over time. Women with a prior rape history in the video condition generally maintained the lowest level of symptoms.     

Group prevention of depression and anxiety symptoms

To prevent depression and anxiety, we delivered a brief, classroom-based cognitive-behavioral workshop along with ongoing Web-based materials and e-mail coaching to college students at risk for depression. At risk was defined as having mild to moderate depressive symptoms on a self-report measure of depression. Two hundred forty students were randomized into either an eight-week workshop that met in groups of 10, once per week for 2 h or into an assessment-only control group. We plan to track participants for 3 years after the workshop and here we report the 6 month preventive effects on depression and anxiety. The workshop group had significantly fewer depressive symptoms and anxiety symptoms than the control group, but there was no significant difference between the conditions on depression or anxiety episodes at 6 month follow up. The workshop group had significantly better well being than the control group, and the workshop group had significantly greater improvement in optimistic explanatory style than the control group. Improved explanatory style was a significant mediator of the prevention effects from pre- to post-workshop for depressive and anxiety symptoms, as well as for improved well being.     

A multi-year evaluation of the effects of a Response to Intervention (RTI) model on identification of children for special education

The purpose of this study was to examine the effects of implementation of a systematic response to intervention (RTI) model on the identification and evaluation of children for special education. Using a multiple baseline design, a systematic model of assessment and intervention was introduced in consecutive years for all elementary schools (N = 5) in the district. Effect of the RTI model on number of evaluations conducted, percentage of evaluated children who qualified for services, and proportion of identified children by sex and ethnicity before and after implementation of the model was examined. Additionally, outcomes for children who did not have an adequate response to intervention versus those who were at-risk but responded successfully to short-term intervention were examined. A cost analysis of use of the model was provided. The degree to which data obtained were used by the decision-making team was also examined. The assessment and intervention procedures, decision rules, and schoolwide training methods are described in detail and practical implications are discussed.