Simple rules for detecting depression

Depressive disorders are major public health issues worldwide. We tested the capacity of a simple lexicographic and noncompensatory fast and frugal tree (FFT) and a simple compensatory unit-weight model to detect depressed mood relative to a complex compensatory logistic regression and a naïve maximization model. The FFT and the two compensatory models were fitted to the Beck Depression Inventory (BDI) score of a representative sample of 1382 young women and cross validated on the women's BDI score approximately 18 months later. Although the FFT on average inspected only approximately one cue, it outperformed the naïve maximization model and performed comparably to the compensatory models. The heavier false alarms were weighted relative to misses, the better the FFT and the unit-weight model performed. We conclude that simple decision tools—which have received relatively little attention in mental health settings so far—might offer a competitive alternative to complex weighted assessment models in this domain.     

Effects of self-complexity on mood-incongruent recall

Some people cope with negative moods by retrieving positive memories, which is mood-incongruent recall. Though mood-incongruent recall is helpful for mood-regulation, the factors that influence people's ability to utilize mood-incongruent recall are not well understood. This study investigated whether complex knowledge structure is a factor for the ability of mood-incongruent recall, based on self-complexity. In the experiment, 50 participants were requested to recall positive memories in both neutral and negative moods. The results of this study indicated that self-complexity was an important factor associated with participants' ability to recall positive memories while they were in negative moods. Participants who rated high in self-complexity were those whose knowledge is structured in a complex way, recalled more highly positive memories in negative moods than in neutral moods. On the other hand, participants who were rated low in self-complexity with simple knowledge structures recalled memories with a lower extent of positivity in negative moods than those in neutral moods.     

Strengths use and deficit improvement: The relationship with engagement and fit with study course amongst first-year students

This study sought to test a model of students’ proactive behaviour to use their strengths and improve their deficits and how this relates with their self-reported perceptions of their fit with a study course and engagement. Participants were 692 first-year students from a higher education institution in South Africa (females=60.3%; blacks=71.3%; mean age=19.71; SD=1.93). They completed measures of strengths use, deficit improvement, perceptions of fit with a study course and engagement. Structural equation modelling was utilised to examine the relationship between students’ strengths use and deficit improvement, perceptions of fit with a study course and student engagement. In addition, the bootstrapping method was used to identify possible mediating effects of fit with a study course. The results indicated that only deficit improvement showed a significant relationship with engagement. Perceptions of fit with a study course mediated the relationship between students’ strengths use and deficit improvement.     

机构伦理视域下安徽省某三级医院不良事件管理策略研究

医疗质量安全一直是国内外共同关注的话题,其中不良事件的管理是医院质量安全的核心议程,而现有的归因和治理模式对不良事件的分析不充分,是对不良事件的“误诊”。通过收集汇总医院不良事件电子上报系统中2 588例事件,从事件发生类型、严重程度、发生人员和变动情况进行系统分析,基于机构伦理逻辑分析医疗机构伦理准则、伦理氛围、伦理激励,尝试从系统层面构建机构伦理视域下不良事件管理策略模型,为医疗质量改进和安全管理提供参考。

     

不同情绪状态下自动表达抑制对情绪及表情知觉敏感性的影响

以103名大学生为对象,在正性、负性两种情绪状态下,用句子整理任务引发被试抑制情绪或表达情绪两种情绪调节方式,采用信号检测论测得正、负性表情的表情知觉敏感性。结果表明：（1）表情知觉敏感性存在情绪一致性效应,在负性情绪状态下,人们对负性表情更敏感,差异显著（p=0.002）;在正性情绪状态下,人们对正性表情更敏感,虽然只是边缘显著（p=0.700）。（2）自动抑制情绪会降低人们的情绪体验,并且会影响表情知觉敏感性的情绪一致性效应。在自动抑制启动的状态下,人们对正、负性表情都不太敏感。     

父母述情困难与儿童行为问题:父母心境的中介作用

采用整群抽样法选取438名学前儿童及其家长为被试, 通过量表考察父母述情困难、心境与儿童问题行为之间的关系。结果发现:(1)父亲述情困难与儿童焦虑害羞行为显著正相关, 父亲情绪愉悦在其述情困难与儿童焦虑害羞行为之间具有完全中介作用;(2)母亲述情困难与儿童愤怒攻击、焦虑害羞行为显著正相关, 同时母亲的情绪波动在其述情困难与儿童愤怒攻击行为之间起着部分中介作用。研究结果说明述情困难风险较高的父亲, 其情绪愉悦水平也相对较低, 进而导致儿童表现出更多焦虑害羞行为;述情困难风险较高的母亲, 一方面会直接导致儿童表现出较多愤怒攻击与焦虑害羞行为, 另一方面又会通过其情绪波动增加儿童出现愤怒攻击行为的风险。     

The relationship between daily stress and health: Replicating and extending previous findings

Abstract

The present study was an attempt to investigate the impact of daily stress, or hassles, on the physical and psychological health status of 112 adolescents over 10 consecutive days. Measures of hassles, daily somatic symptoms and mood, overall health status, and perceived social support were taken. A principal components analysis of the newly designed Secondary School Students' Hassles Scale generated four factors of which “management of time and work” accounted for 41 percent of the variance. Results supported previous findings that hassles levels were related inversely to daily health, daily mood, and overall health status. Perceived social support was found to be associated with general health but not with daily health and mood, and results from partial correlation analyses challenged the buffering role of social support between hassles and adaptational outcomes. The cross-cultural applicability of the hassles concept was discussed.     

心理干预在化疗患者中的应用

本研究针对化疗患者常见的恶心呕吐、烦躁不安等副作用．运用心理行为技术．采用病例对照研究方法,对129名化疗患者进行了比较研究。结果为：各项情绪指标和总的情绪状况以及恶心呕吐反应。干预组患者比对照组改善明显;生活质量各指标在组问和组内比较中,有不同程度的改善,角色、社会、认知功能和疼痛症状在两组比较中改善不明显。由此认为,对化疗患者实施恰当的心理行为技术．干预效果是明显的     

Looking at the eyes of happiness: Positive emotions mediate the influence of life satisfaction on attention to happy faces

Despite significant advancements in the research of subjective well-being (SWB), little is known about its connection with basic cognitive processes. The present study explores the association between selective attention to emotional stimuli (i.e. emotional faces) and both the emotional and cognitive components of SWB (i.e. emotional well-being and satisfaction in life, respectively). Participants (N?=?83) were asked to freely watch a series of 84 pairs of emotional (happy, angry, or sad) and neutral faces from the Karolinska Directed Emotional Faces database. Eye-tracking methodology measured first fixations, number of fixations, and the time spent looking at emotional faces. Results showed that both the emotional and cognitive components of SWB were related to a general bias to attend to happy faces and avoid sad faces. Yet, bootstrapping analyses showed that positive emotions, rather than life satisfaction, were responsible for the positive information-processing bias. We discuss the potential functionality of these biases and their implications for research on positive emotions.     

Developing a measure of interpretation bias for depressed mood: An ambiguous scenarios test

The tendency to interpret ambiguous everyday situations in a relatively negative manner (negative interpretation bias) is central to cognitive models of depression. Limited tools are available to measure this bias, either experimentally or in the clinic. This study aimed to develop a pragmatic interpretation bias measure using an ambiguous scenarios test relevant to depressed mood (the AST-D).¹ In Study 1, after a pilot phase (N = 53), the AST-D was presented via a web-based survey (N = 208). Participants imagined and rated each AST-D ambiguous scenario. As predicted, higher dysphoric mood was associated with lower pleasantness ratings (more negative bias), independent of mental imagery measures. In Study 2, self-report ratings were compared with objective ratings of participants’ imagined outcomes of the ambiguous scenarios (N = 41). Data were collected in the experimental context of a functional Magnetic Resonance Imaging scanner. Consistent with subjective bias scores, independent judges rated more sentences as negatively valenced for the high versus low dysphoric group. Overall, results suggest the potential utility of the AST-D in assessing interpretation bias associated with depressed mood.