注意偏向训练对广泛性焦虑障碍负性情绪注意偏向的影响

采用改良的点探测任务,探讨了注意偏向训练能否改变GAD患者的负性情绪注意偏向并缓解其焦虑状态,及注意偏向训练的作用机制。结果发现,与控制组相比,训练组被试的负性注意偏向分数显著降低,具体表现为训练后训练组的负性注意解除能力显著高于控制组,两组被试的负性注意警觉在前后测均未有显著变化;注意偏向训练引起了GAD患者积极情绪的变化,缓解了状态焦虑。这证明了注意偏向训练对改变GAD患者负性情绪注意偏向及缓解其焦虑状态的有效性,并揭示这种改变主要是通过提升其对负性刺激的注意解除能力来实现的。     

Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study

Background/Objective: The 11th revision of the International Classification of Diseases (ICD-11) will provide a new definition of adjustment disorder (AjD). The aim of the present study is to report on prevalence and correlates of ICD-11 AjD in a high-risk sample. Method: Three hundred thirty persons who had lost their job involuntarily were sampled by local job centres. The Munich Composite International Diagnostic Interview was administered with a new AjD module. Associations between AjD and correlates were investigated with logistic regression analyses. Results: 27.3% of the participants reported the AjD core symptom pattern. 13.8% men and 17.2% women met diagnostic guidelines of ICD-11 AjD. Prevalence increased with age and exposure to multiple stressors. The AjD core symptom pattern was associated with various sociodemographic correlates (e. g., lower financial household budget), whereas the full ICD-11 diagnosis including the exclusion algorithm was not. Regarding work-related factors, AjD occurred with a lower probability if the last job position had higher responsibilities and more general confidence for the future. Conclusions: ICD-11 AjD has a high prevalence among persons who lost their jobs involuntarily. Healthcare professionals should be aware of this problem. Research to investigate the ICD-11 AjD concept in the general populations and other subpopulations is needed.     

Internationally adopted children’s cognitive and social-emotional development during the first post-adoption year: A longitudinal study

Research is consistent in showing that international adoption is an intervention leading to great recovery for adopted children, but there is a need of research on factors associated with recovery. The present study is aimed at: (a) assessing children’s cognitive skills and social-emotional dimensions on their arrival to their new family; (b) evaluating their development after one year; (c) identifying which factors influence development, taking into account children’s gender, age, health status on arrival, years of institutionalization, and the initial psychological delay. Participants were 53 internationally adopted children (30 boys and 23 girls), aged 5.68 years old on average at placement (range 2–14). Results showed that children’s development one year after adoption was extraordinary, both in cognitive skills and in social-emotional dimensions. The children more delayed on arrival showed the larger progress over time, and their recovery was greater in cognitive skills than in social-emotional dimensions.     

Functional links of obsessive,dysmorphic, hypochondriac,and eating-disorders related mental intrusions

Background/Objective

Unwanted mental intrusions (UMIs) are the normal variants of obsessions in Obsessive-Compulsive Disorder (OCD), preoccupations about defects in Body Dysmorphic Disorder (BDD), images about illness in Hypochondriasis (HYP), and thoughts about eating in Eating Disorders (EDs). The aim was to examine the similarities and differences in the functional links of four UMI contents, adopting a within-subject perspective. Method: 438 university students and community participants (M_age = 29.84, SD = 11.41; 70.54% women) completed the Questionnaire of Unpleasant Intrusive Thoughts (QUIT) to assess the functional links (emotions, appraisals, and neutralizing/control strategies) of the most upsetting UMIs with OCD, BDD, HYP and EDs-contents. Results: HYP-related intrusions caused the highest emotional impact, OCD-related intrusions were the most interfering, and EDs-related intrusions interfered the least. The four UMI were equally ego-dystonic. Women appraised OCD-related intrusions more dysfunctionally, but men appraised the four intrusive contents similarly. All UMI instigated the urge to “do something”, to keep them under control and/or neutralizing them. Conclusions: Similarities among the functional links of intrusions related to OCD, BDD, HYP and EDs contents support their transdiagnostic nature and they might contribute to understanding common factors in these disorders.     

Achievement-oriented and dependency-oriented parental psychological control: An examination of specificity to middle childhood achievement and dependency-related problems

Middle childhood is considered a sensitive phase for the development of both dependency and achievement-related problems. In order to target efficient prevention and treatment, it is necessary to identify unique associations with possible precursors. This study hypothesized that children’s dependency-related problems (i.e., separation anxiety and generalized anxiety) would uniquely relate to parental dependency-oriented psychological control and that children’s achievement-related problems (i.e., extrinsic motivation and maladaptive perfectionism) would uniquely relate to parental achievement-oriented psychological control. The study included 180 elementary school children. Results showed that higher levels of children’s separation anxiety uniquely related to more parental dependency-oriented psychological control, while higher levels of children’s extrinsic motivation uniquely related to more parental achievement-oriented psychological control. Contrary to the expectations, higher levels of children’s maladaptive perfectionism were associated with both dimensions of parental psychological control, and children’s generalized anxiety was not associated with any dimension. Study implications are discussed.     

中小学校长心理授权与工作倦怠的关系研究

选取425名中小学校长进行问卷调查,考察校长心理授权和工作倦怠的现状,并探讨校长心理授权与工作倦怠的关系。结果发现:(1)校长心理授权和工作倦怠问卷的验证性因素分析模型与数据拟合良好。(2)校长心理授权在任职年限上存在显著差异,任职5年以下校长的胜任感和心理授权整体显著高于任职6～10年的校长,任职11年以上校长的自我决定显著高于任职6～10年的校长;(3)关于校长工作倦怠,男校长工作怠慢及工作倦怠整体显著高于女校长,学历为大专及以下校长的情绪衰竭、工作怠慢及工作倦怠整体显著高于学历为本科以上的校长,35岁以下校长的低成就感显著高于41～45岁和46岁以上的校长;(4)校长心理授权各维度与其工作倦怠各维度存在非常显著的负相关;回归分析表明,校长心理授权对其工作倦怠具有显著的负向预测作用。     

心理护理对精神分裂症患者服药依从性的影响

探讨心理护理对精神分裂症缓解期患者服药依从性的影响。选取2008年1月至2009年12月在我院住院,符合《CCMD-3》精神分裂症临床诊断标准的精神分裂症患者98例,随机分为研究组（药物加心理护理）48例和对照组（药物治疗）50例,进行为期1年的观察。入组时两组对治疗的依从性及BPRS、PSE、SDSS三种量表的评分差异无显著性（P〉0．05）,研究结束时,研究组患者BPRS、PSE、SDSS三种量表的评分与对照组比较均有显著性差异（P〈0．01）,研究组对服药依从性优于对照组,差异有非常显著性（P〈0．01）。心理护理可以提高精神分裂症缓解期患者服药的依从性。     

心理干预对急性冠脉综合征伴抑郁患者应对方式的影响

为了解心理干预对急性冠脉综合征（ACS）伴抑郁患者应对方式的影响,对42名ACS伴抑郁患者随机分为干预组和对照组,在入组时、入组3月后和6月后分别进行HAD（d）、MCMQ测评。结果显示入组3月后和6月后,干预组HAD（d）总分、回避因子分、屈服因子分较对照组降低,面对因子分较对照组升高,与入组时相比干预组HAD（d）...     

急性创伤青年患者的心理健康水平与小组干预

为了探讨急性创伤青年患者的心理健康水平及小组干预对策,采用三种国际通用量表（SCL-90、HAMA、HAMD）对160例急性创伤青年患者进行测评,在给予传统心理护理的同时,进行小组干预,然后比较患者干预前后心理健康水平;并以既往同种病例为对照,比较治疗效果。结果显示,86．25％的急性创伤青年患者存在有不同程度的心理障碍。通过小组干预后,患者心理健康水平明显提高;患者的临床疗效明显改善。因此小组干预可显著改善急性创伤青年患者的心理应激水平,提高临床疗效。     

冠脉支架术对冠心病患者心理及生活质量的影响

分析冠脉支架术对患者生活质量及心理情况的影响并探讨相应策略。采用横断面研究方法,调查2007年6月-2010年9月在我院行冠脉支架术患者768例,应用Zung焦虑、SAS、SDS自评表及SF-36生活质量问卷等方法采集相关资料,200名健康人为对照1组、未行支架置入的冠心病患者为对照2组,数据行统计学分析。支架植入患者...