持续正压通气治疗睡眠呼吸暂停低通气综合征的接受意向调查

探讨影响持续气道内正压通气(CPAP)治疗阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的接受性的非技术因素。设计OSAHS认知度和CPAP意向调查表、信赖他人量表,60例OSAHS患者经健康教育后,100例健康志愿者随机填表,结果做统计分析。两组中43.3%和5%基本了解OSAHS(P<0.01);10%和5%表示接受CPAP(P>0.05);85%和90%认为CPAP机价格高(P>0.05)。量表得分:两组得分分布近似,高分比例大,添加题90%和80%选择负性答案。目前公众对OSAHS认知差,对医生的信任度低,而CPAP机价格高,患者对CPAP接受性差。     

个体危机干预中的伦理学问题

由于诸多因素,使得一些高血压患者对治疗产生抵抗,或表现为难治性,其中有疾病因素、对治疗的依从性、其他药物的干扰和生活方式等。研究已经证明,有效地控制血压,使之达标,可以有效地降低重要靶器官受损的危险性。而规范、系统地控制血压、加强对抵抗性高血压的管理是保护靶器官的重要途径,同时需要进一步的研究证据的支持。     

Domain-specific anger expression assessment and blood pressure during rest and acute stress

Anger expression has been linked to hypertension, although assessment of anger expression has not accounted for situational influences. We predicted that anger expression style varies across social situations. Two studies assessed reported anger expression in three domains (home, work, and during free time) and compared findings to those obtained using a global assessment. Participants reported expressing anger more openly when at home and they tend to exert greater control when at work. The domain-specific assessment was also more sensitive to sex differences than the general assessment. The second study examined the influence of this domain-specific anger expression assessment on blood pressure (BP) at rest and during acute challenge. In addition to replicating the first study, the second study showed that open anger expression particularly at work was associated with elevated BP. These studies represent a first step towards improving assessment of anger expression and determining how anger might relate to hypertension risk.     

Theobiology: An Analysis of Spirituality, Cardiovascular Responses, Stress, Mood, and Physical Health

The relationships of spirituality and religion to acute cardiovascular responses, physical symptoms of illness, stress and psychological mood were assessed in a community sample of adults. Nineteen men and 61 women participated in a betrayal interview, while their blood pressure and heart rate were monitored. Religious affiliation, frequency of attendance at worship and religiousness were associated with resting diastolic and mean arterial pressure. Spirituality, especially as assessed by the existential scale of the Spiritual Well-being Scale, was related to symptoms of illness, medication use, stress and negative mood states. Spirituality and involvement in organized religion may represent a means to increase the sense of purpose and meaning in life, which is related to greater resiliency and resistance to stress-related illness.     

Judgments in a hurry: Time pressure affects how judges assess unfairly shared losses and unfairly shared gains

Human society has evolved to allow third parties—the court system, parents or other societal arbitrators—to punish norm violators and compensate victims. Few studies explore the effect of stress or time pressure on a third‐party judge. Under time pressure, people will likely show a more instinctual reaction or judgment style. We investigated third‐party punishment and compensation within the context of unfairly shared losses and gains in a dictator game under time pressure. Our results show that under no time pressure, participants were inclined to punish dictators who unfairly split windfall gains; however, participants chose to compensate victims more than punish the norm‐violating dictators in the context of unfairly shared losses. With added time pressure, third‐parties were disposed to inflict punishment upon the dictator in both the gain and loss contexts—punishment became the action of choice. Our results shed light on the way observed behavior and stress affect social cognition and decision making in the context of altruistic social interventions and the enforcement of social norms.     

The moderating role of proactive coping on the relationship between distress tolerance and elevated blood pressure

This study investigated the moderating role of proactive coping on the relationship between distress tolerance and elevated blood pressure (BP) among Nigerian adults with heart disease. Two hundred and forty hypertensive patients were recruited from the cardiology unit of a university teaching hospital (females = 56.2%%; mean age = 41.09 years, SD = 9.11 years). The participants responded to two self-reported measure including the Proactive Coping Inventory (PCI) and the Distress Tolerance Scale (DTS). Following moderated regression analysis, the results showed that proactive coping moderated the relationship between distress tolerance and elevated BP. The slope of the moderation analysis indicated that the relationship between distress tolerance and mean artery pressure was significantly higher for individuals with low proactive coping, as compared to individuals with higher proactive coping. Unlike reactive ways of coping, which addressed already existing stress, interventions aimed at increasing peoples’ proactive coping could be more efficacious in the management of people with high BP.     

Effect of Heel Heights on Female Postural Control During Standing on a Dynamic Support Surface With Sinusoidal Oscillations

The authors aimed to investigate female balance or stability control with comparative analysis of the center of pressure trajectory and plantar pressure distribution with different high-heeled shoes while standing on a dynamic surface with multidirectional perturbations. College females with at least 2 years' history of wearing high-heel shoes voluntarily participated in the test with a Novel Pedar insole (Novel, GmBH, Munich, Germany. With heels height increasing, the pressure time integral obviously transfer to the medial forefoot region, with center of pressure trajectory medially deviated significantly, either under anteroposterior or mediolateral perturbations. The passive plantarflexion position of ankle incurred by high heel increased the range of motion in the frontal plane but decreased ankle stability, thus increasing the challenge of body balance maintenance.     

时间限制和成就动机对职业决策线索加工的影响

采用信息板技术探讨了时间限制条件下成就动机对职业决策线索加工的影响.结果表明:(1)时间限制影响了个体职业选择过程的平均决策时间、信息搜索深度和信息搜索模式,但未对决策满意度造成显著影响;(2)追求成功动机影响决策时的信息搜索模式,避免失败动机影响决策时的信息搜索深度.     

脉压差变化对预测心血管疾病的研究进展

心血管疾病严重威胁人类的生命安全及身心健康,脉压差作为预测心血管疾病的指标近年来也颇受重视,研究结果显示：脉压差和冠心病的发病率呈显著正相关,脉压差升高是动脉硬化及心血管病高危的一个标志,它的作用大于舒张压甚至超过收缩压;提示：脉压差是心血管疾病的一个良好的预测因子,也是反映中老年人血管硬化的一个较好的指标。