在内科临床中落实生物心理社会医学模式

社会心理因素与内科疾病的发生、发展和治疗效果关系密切,临床工作中忽视社会心理因素的作用可能导致严重后果。内科医生应积极拓展自身的知识技能,继而把对社会心理因素的重视落在实处,体现在病历中。完整的病史采集又需要加强医患沟通,如此才能真正发现和解决患者的社会心理问题。     

整体护理与新医学模式

整体护理作为当代护理的基本工作模式和护理学发展的基本趋势,是与生物心理社会医学模式的确立直接相联系的。在临床护理中,落实新医学模式,是推行整体护理所必需的。在整体护理中落实新医学模式应从转变护理人员观念、整体护理规范化、改变护理队伍的知识和技能结构、提供护士职业道德水平等方面做起。     

在新医学模式指导下预防碘缺乏病

碘缺乏病严重危害人类健康,是最大的、可预防的智力损伤因素。通过“社会动员”,推动防治碘缺乏病（ＩＤＤ）“轮子”运转,使我国消除ＩＤＤ事业有了巨大进步。目前存在的问题可能会影响到该事业的可持续发展。对此,提出一些建议。     

Utilizing response times in cognitive diagnostic computerized adaptive testing under the higher-order deterministic input,noisy ‘and’ gate model

Methods of cognitive diagnostic computerized adaptive testing (CD-CAT) under higher-order cognitive diagnosis models have been developed to simultaneously provide estimates of the attribute mastery statuses of examinees for formative assessment and estimates of a latent continuous trait for overall summative evaluation. In a typical CD-CAT environment, examinees are often subject to a time limit, and the examinees’ response times (RTs) for specific test items can be routinely recorded by custom-made programs. Because examinees are individually administered tailored sets of test items from the item pool, they may experience different levels of speededness during testing and different levels of risk of running out of time. In this study, RTs were considered during the item-selection procedure to control the test speededness and the RTs were treated as useful information for improving latent trait estimation in CD-CAT under the higher-order deterministic input, noisy ‘and’ gate (DINA) model. A modified posterior-weighted Kullback–Leibler (PWKL) method that maximizes the item information per time unit and a shadow-test method that assembles a provisional test subject to a specified time constraint were developed. Two simulation studies were conducted to assess the effects of the proposed methods on the quality of CD-CAT for fixed- and variable-length exams. The results show that, compared with the traditional PWKL method, the proposed methods preserve a lower risk of running out of time while ensuring satisfactory attribute estimation and providing more accurate estimates of the latent trait and speed parameters. Finally, several suggestions for future research are proposed.     

The dual path of the rejection (dis)identification model: A study on adolescents with a migrant background

Ethnic-based rejection, especially when prolonged over time, can result in withdrawal (e.g., resignation) and antisocial (e.g., delinquent) behaviors. Rejection (dis)identification literature suggests that identification with the minority (ethnic) group and disidentification with the majority (national) group mediate the relationship between rejection and different dimensions of well-being. Through secondary analyses of survey data from an international sample of adolescents with a migrant background (N = 1,163) we tested the predictions that, following chronic experiences of rejection, disidentification from the national (rejecting) group will increase withdrawal and feelings of resignation whereas identification with the ethic (rejected) group will have a protective role toward delinquent behaviors. Results of the path analysis were consistent with these hypotheses without significant differences between immigrant generations. The study sheds light on the multifaceted nature of identification processes following social rejection and contributes to the integration of the rejection-identification model with classical theorizations of social exclusion.     

A Social Network Analysis of Friendship and Spiritual Support in a Religious Congregation

Religious congregations are social settings where people gather together in community to pursue the sacred (Pargament, 2008). Such settings are important to understand as they provide a context for individuals to develop relationships, share ideas and resources, and connect individuals to larger society (Todd, 2017a). Yet, research to date has not deeply examined the inherently relational nature of religious congregations. Thus, in this study, we used social settings theory (Seidman, 2012; Tseng & Seidman, 2007) to develop and test hypotheses about relationships within one Christian religious congregation. In particular, we used social network analysis to test hypotheses about relational activity, popularity, and homophily for friendship and spiritual support types of relational links. Our findings demonstrate how relational patterns may be linked to participation in congregational activities, occupying a leadership role, a sense of community and spiritual satisfaction, stratification, socialization, and spiritual support. Overall, this advances theory and research on the relational aspects of religious congregations, and more broadly to the literature on social settings. Limitations, directions for future research, and implications for theory and religious congregations also are discussed.     

Identification accuracy of a single culprit in a multiple-perpetrator mock crime

IntroductionEyewitness identification research has mainly examined the identification accuracy of a single perpetrator but many actual crimes involve not one but several perpetrators.ObjectiveThe aim of the study was to examine the identification accuracy if only one lineup for one of the two perpetrators is presented in a multiple perpetrator crime.MethodThe sample consisted of 180 participants who saw a theft video followed by distraction tasks. One group of participants saw lineups for both of the perpetrators (one target present and one target-absent) whereas the other saw only a single lineup (either target-present or target-absent) for one of the two perpetrators.ResultsParticipants who saw a single lineup did not make more inaccurate identification decisions then participants who saw two lineups. Decision accuracy in the first lineup was not associated with the decision accuracy in the second lineup.ConclusionThe results are discussed in terms of the number of perpetrators and line-up presentation types.     

Partner–objectification in romantic relationships: A dyadic approach

The present study investigated the relationship between the objectification of one's romantic partner (partner–objectification) and relationship quality using 221 heterosexual couples. Controlling for relevant covariates, actor–partner interdependence models revealed no partner effects but multiple actor effects. First, men who objectified their partners more had lower levels of relationship commitment and relationship satisfaction, and perceived higher quality alternatives to the relationship. Second, women who objectified their partners more had lower levels of relationship satisfaction themselves. Third, relationship duration marginally moderated the association between partner–objectification and relationship commitment, with partner–objectification negatively linked to one's own relationship commitment in relationships of shorter durations, but not when relationship durations were longer. Implications for an investment model and romantic relationship objectification are discussed.     

Loneliness,eating, and body mass index in parent–adolescent dyads from the Family Life,Activity, Sun,Health, and Eating study

Loneliness is a salient risk factor for obesity, emotional eating, and poor diet. Because adolescents and parents are embedded within a family unit, their experiences of loneliness may be associated with both their own and one another's behaviors. To examine the extent to which parent and child loneliness predict body mass index (BMI) and eating in parents and adolescents, an actor–partner interdependence model of loneliness, eating, and BMI in adolescent–parent dyads was analyzed. There were actor effects among adolescents such that greater loneliness was positively associated with emotional eating and BMI‐z, and there was an actor effect among parents such that higher loneliness was positively related to emotional eating. There was a partner effect among adolescents such that greater parental loneliness was positively associated with adolescent emotional eating, and there was a partner effect among parents such that higher adolescent loneliness was positively associated with parental emotional eating. There were several actor–partner effects for loneliness and junk food in dyads with boys. Findings highlight the importance of dyadic models of loneliness in adolescent–parent dyads.     

Applicability of the social identity model of collective action in predicting support for interreligious violence in Indonesia

To what extent does religious identification promote collective efficacy and perceived injustice that contribute to explain support for interreligious violence in Indonesia? This overarching research question is inspired by theoretical insights starting from social identity theory, and noticeably enriched by collective action theories. We use high‐quality data of 1,995 randomly selected individuals (Muslims and Christians) from across the Indonesian archipelago to investigate the mediating effects of perceived injustice and collective efficacy on the relationship between religiosity and support for interreligious violence. We also improve upon previous research with an elaborate measure of religiosity (beliefs, practice, and salience). Our structural equation modelling analysis reveals that collective efficacy significantly mediates the relationship between the religiosity dimensions and support for interreligious violence. Moreover, on average, the Muslim community has a higher level of collective efficacy, as compared to the Christian community, which positively affects the relationship between most religiosity dimensions and support for interreligious violence. An interesting finding is that in the Christian community, salience is overall negatively related to collective efficacy, which then negatively affects support for interreligious violence. These results provide novel empirical insights on the role of religious identity in interreligious conflicts in the South Asian context, especially Indonesia.