术前人文关怀对肺癌手术患者全麻诱导心理和生理的影响

为探讨术前进行人文关怀式沟通和健康教育对肺癌手术患者全麻诱导后心理和生理的影响,将83例非同期别的肺癌手术患者（均采用全身麻醉,双腔管气管插管辅助通气）分成两组。观察组进行人文关怀式沟通,对照组采用普通沟通。判定方法采用焦虑自评量表（SAS）,根据焦虑评分反映两组患者入院即刻及手术前的心理变化情况,监测全麻诱导即刻与全麻诱导气管插管后5min患者平均动脉压（MBP）的波动、心率（HR）的变化,用两个时间段两个变量的差值来反映两组患者全麻诱导期发生心理和生理反应的情况。结果显示,两组患者入院即刻焦虑差异无统计学意义（P〉0．05）;手术前SAS评分两组患者较入院即刻降低（P〈0．05）,并且观察组与对照组相比下降更明显（P〈0．01）;观察组患者MBP波动无统计学意义（P〉0．05）、HR波动有统计学意义（P〈0．05）。因此,证实人文关怀式沟通和健康教育能够减轻肺癌患者在心理和生理两个方面对麻醉和手术产生的不良反应。     

Effects Of Negative Mood Induction On The Body Image Of Restrained Eaters

Abstract

Twenty restrained eaters (REs) and 20 unrestrained eaters (UREs) were studied via a distorting video image technique under three conditions: (1) baseline; (2) induction of negative mood (NM), (3) induction of positive mood (PM). Under each condition they were asked: (a) to estimate the actual width of their own body; (b) to focus attention on their bodily sensations and indicate how wide their body sensed and (c) to estimate the width of a water bottle. In addition, subjects answered a body shape questionnaire (BSQ). Main effects were found for the factors Group (REs gave higher estimates). Mood (estimates were higher after induction of negative mood), and Instruction (estimates were higher for sensed width of body). There were significant interaction effects for Group x Mood (estimations of REs were higher after induction of negative mood) and for Group x Mood x Instruction. Dissatisfaction with body shape (BSQ) was significantly correlated with the estimations of sensed body width after induction of negative mood.     

Patterns of coping in rheumatoid arthritis

Abstract

One hundred and fifty eight outpatients were assessed on a 36 item coping questionnaire in order to examine the impact of coping on the disability and psychological well being of individuals with rheumatoid arthritis. To consider the total pattern of coping strategies accepted and rejected by these individuals, the data was subjected to a cluster analysis. Hierarchical clustering techniques suggested the four group solution as optimum. Following a k means iterative solution external validity for the four groups was considered. The main findings indicate that the pattern of coping exerts a significant influence on symptom perception, disability and psychological well being. The findings are discussed in relation to two approaches to the impact of coping on chronic illness.     

Adult attachment avoidance and automatic affective response to sad facial expressions

The present work represents the first study to investigate the relationship between adult attachment avoidance and anxiety and automatic affective responses to basic facial emotions. Subliminal affective priming methods allowed for the assessment of unconscious affective reactions. An affective priming task using masked sad and happy faces, both of which are approach‐related facial expressions, was administered to 30 healthy volunteers. Participants also completed the Relationship Scales Questionnaire and measures of anxiety and depression. Attachment avoidance was negatively associated with affective priming due to sad (but not happy) facial expressions. This association occurred independently of attachment anxiety, depressivity, and trait anxiety. Attachment anxiety was not correlated with priming due to sad or happy facial expressions. The present results are consistent with the assumption that attachment avoidance moderates automatic affective reaction to sad faces. Our data indicate that avoidant attachment is related to a low automatic affective responsivity to sad facial expressions.     

Emotions in sport: Perceived effects on attention,concentration, and performance

This study explored attentional patterns associated with positive and negative emotions during sport competition, and athletes' perceptions of the consequences of these attentional changes for concentration and performance. Sixty‐nine athletes completed the Sport Emotion Questionnaire following a national softball competition. They also retrospectively reported their perceptions of how emotions influenced their attention, concentration, and sport performance. Excitement and happiness were more closely associated with concentration than anxiety, dejection, and anger. Although excitement demanded more attention than the negative emotions, the positive emotions were perceived as more likely to lead to a performance‐relevant focus and automatic physical movements, both of which were beneficial for concentration and performance. Emotional intensity increased these effects.     

Mood-as-input and depressive rumination

This article describes a test of mood-as-input theory predictions as applied to a rumination task in a nonclinical population. An experimenter-controlled interview was used to allow participants to reflect on a personal period of depression while in an experimentally-induced mood state (either negative or positive) or while deploying a specific stop rule for the task (either an “as many as can” or “feel like continuing” stop rule). As predicted by mood-as-input theory, persistence at the rumination task was greatest in the group experiencing negative mood while deploying an “as many as can” stop rule, and this suggests a mechanism that may contribute to perseverative depressive rumination. It is argued that the variables that contributed to perseveration in this study are already known to be characteristic of ruminative thinkers (e.g. negative mood and positive metacognitive beliefs about rumination that will command the deployment of “as many as can” stop rules for rumination). It is also argued that mood-as-input processes may provide a common mechanism for perseverative rumination and perseverative worry, and this common mechanism may account for many of the similarities between these two functionally-distinct activities.     

Trait Meta-Mood,gender and EEG response during emotion-regulation

Effective emotion-regulation is central to emotional intelligence. Relationships between the Trait Meta-Mood Scale (TMMS) and wellbeing may reflect individual differences in the strategies used for regulating negative emotions. The present study (N = 136) manipulated emotion-regulation strategy during viewing of a fear-inducing film clip. EEG response was assessed across five frequency bands in reappraisal, suppression and control conditions. The TMMS predicted higher power in theta and gamma bands, a pattern of response that may represent directed attention to emotional processing. Gender differences included elevated theta in females in the reappraisal condition, but effects of gender and Trait Meta-Mood appeared to be dissociable.     

The effect of music-induced mood on attentional networks

Attention network theory suggests that there are three separate neural networks that execute the discrete functions of alerting, orienting, and executive attention. Previous research on the influence of mood on attention has shown subtle and inconsistent results. The attention network theory may aid in clarifying the influence of mood on attention. The present study investigated the influence of mood on attentional networks in a normal population. Participants performed the Attention Network Test (ANT), which provides functional measures of alerting, orienting, and executive attention. Positive or negative mood was induced by listening to music with a positive or negative valence, respectively; neutral mood was induced by reading a collection of basic facts about China. The results revealed that negative mood led to a significantly higher alerting efficiency relative to other moods, while there were no significant mood effects on orienting or executive attention efficiency. According to the algorithm underlying the ANT, the higher alerting efficiency in the negative mood condition can be attributed to relatively greater benefits of cueing effects. The findings are discussed in the context of the noradrenergic system and of evolutionary significance. Specifically, the increase in the alerting function during negative mood states may be due to the modulation effect of negative mood on the noradrenergic system, and/or to the survival benefit resulting from an increase in automatic vigilance towards negative information. The current results suggest that as the influence of negative mood on attention appears to specifically consist in an enhanced alerting function, it may not be found in studies where the three attentional networks are not dissociated.     

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.