The influence of proximal risk on the early development of the autonomic nervous system

In this paper we review the evidence linking the early development of the autonomic nervous system in early childhood to four proximal risk factors: maternal stress during pregnancy, maternal substance use during pregnancy, poor-quality parent–child interactions, and specific disruptions in parenting behavior. A clear pattern of altered autonomic function emerges in children exposed to proximal risk, marked by reduced parasympathetic tone under conditions of both homeostasis and challenge, accompanied by increased sympathetic tone in some cases. This pattern of autonomic activity would support increased vigilance and active defense responses, which, in an environment of high proximal risk, may be adaptive in the short-term. However, in the long-term maintaining such a state may impose a high allostatic load. The current paper reviews and interprets the current literature and discusses future directions.     

Fireman's job stress: Integrating work/non-work conflict with Job Demand-Control-Support model

IntroductionHeavy working load and uncontrollable schedule often lead firemen to face to conflict between work and non-work life.ObjectiveThis study aims to examine the mediating role of work/non-work conflict between firemen's job stress and job demand, job control, job support and family support.MethodQuestionnaire survey was used for data collection. Four hundred and twenty-two firemen returned completed questionnaires. Structure equation modelling was employed for data analysis.ResultsWork/leisure conflict (WLC) and work/family conflict (WFC) mediate partially the relationship between job demand and job control, job support and job stress. The relationship between family support and job stress is fully mediated by WLC and WFC.ConclusionWFC and WLC are integrated into Job Demand-Control-Support model model in current research to narrow the gap of job stress theory.     

A dark side of leadership: Corporate psychopathy and its influence on employee well-being and job satisfaction

Although psychopathy often is considered the most toxic of the “types” that make up the Dark Triad of personality (psychopathy, narcissism, Machiavellianism), its role in organizational leadership is the least explored. Using the B-Scan 360, a measure of corporate psychopathy, we investigated the relationships among employees’ perceptions of psychopathic traits in their supervisors, employee psychological distress, work–family conflict, and job satisfaction. Participants in two different samples, one civic and the other financial, rated their supervisors with the B-Scan 360, and completed self-report measures of psychological distress, work–family conflict, and job satisfaction. Structural equation modeling (SEM) indicated that in each sample B-Scan 360 scores of supervisors were directly and negatively related to employee job satisfaction. The two samples differed somewhat in the associations of the B-Scan 360 with employee psychological distress and work–family conflict. Overall, the results illustrate the effects of perceived psychopathic traits in supervisors on employee well-being and job-related attitudes.     

医师多点执业制度实施的现状调查及相关建议——以成都市为例

我国于2009年新医改方案提出实施“医师多点执业”制度, 但有关数据显示, 该制度在推进过程中效果并不理想, 为了探究医师多点执业制度的实施现状及其影响因素, 通过问卷调查和访谈对成都市医疗机构人员进行调研。最后在分析调研结果的基础上提出相关建议:采取措施取得医院管理者支持、平衡各方利益冲突、借鉴“团队多地点执业”模式降低医疗风险、加强政策的宣传、建立完善的基层服务体系等, 期望对成都市乃至我国该方案的实施推进提供参考依据。     

Physical activity: the relative associations with cognitive and affective risk beliefs

Abstract

Objective: The role of affectively oriented risk beliefs in explaining health behaviors has not been examined in the context of physical activity or in diverse study populations. We evaluated whether affective risk beliefs account for unique variance in physical activity intentions and behavior above and beyond that accounted for by cognitive risk beliefs.

Design: A cross-sectional survey of socio-demographically diverse US residents (N?=?835; 46.4% no college training; 46.7% minority racial/ethnic ancestry; 42.6% men).

Main outcome measures: Physical activity intentions and behavior.

Results: Hierarchical linear regressions showed that affective risk beliefs accounted for variance in physical activity intentions beyond that predicted by socio-demographics and cognitive risk beliefs (F-change ps<.001). Specifically, intentions were higher among people with higher anticipated regret (ps<.001) and with higher absolute feelings of risk (ps<.05) or worry (ps<.05). There was an indirect relationship between perceived absolute likelihood and intentions through anticipated regret and feelings of risk. Neither cognitive nor affective risk beliefs accounted for variance in physical activity behavior (F-change ps>.05), but unsurprisingly, behavior was positively associated with physical activity intentions (p<.001).

Conclusion: Future interventions could target affective risk beliefs—particularly anticipated regret—to increase intentions, and then add other intervention components to bridge the intention–behavior gap.     

Social pretence with mothers and peers at 15 months

Previous research has shown that adults scaffold and direct early infant social pretend play making it difficult to establish infants' own contribution to pretence. To examine infants' social pretence abilities the present study compared infants' social pretend play in interactions with adults and same-age peers, who have similar socio-cognitive competence. Forty-five 15-month-old infants were observed during free-play interactions with their mother and two same-age, same-gender peers. The frequency and duration of parallel and coordinated social pretence were coded during both interactions. Results showed that while infants played pretence with both social partners, they engaged in more and longer coordinated social pretence with their mothers than with peers. Thus, although competent social partners play an important role in scaffolding complex pretence, infants' own socio-cognitive abilities contribute to the development of social pretence and enable them to pretend play with different partners regardless of their competencies.     

Perceptual strength is different from sensorimotor strength: Evidence from the centre–periphery asymmetry in masked priming

Near-threshold prime stimuli can facilitate or hinder responses to target stimuli, creating either a positive compatibility effect (PCE) or a negative compatibility effect (NCE). An asymmetry has been reported between primes presented in near periphery, which produced a PCE, and foveal primes, which produced an NCE under comparable conditions. This asymmetry has been attributed to the difference in retinal sensitivity, but it remains unclear whether this means that equating discrimination performance for primes in fovea and periphery, in order to account for differences in perceptual sensitivity, would make the priming effects the same. Wider work indicates that perceptual ability can dissociate from visuomotor effects, predicting that equating perceptual ability for fovea and periphery would not equate priming. We tested these opposite possibilities by matching discrimination performance for masked Gabor patches in fovea and near periphery (6°) and using these as primes in a masked priming paradigm expected to elicit NCEs. We found the asymmetry remained: NCE for fovea and PCE for periphery. We replicated this with both blocked and randomized procedures to check for attentional effects. We conclude that equating perceptual strength (discriminability) of stimuli does not equate their sensorimotor impact due to differences in the relative importance of different visual pathways and differing temporal dynamics in perceptual and sensorimotor processes.     

The Individualised Patient‐Progress System: A decade of international collaborative networking

Background: The backstage of research projects is seldom presented to the general audience, in particular, how the research questions emerged, how the team interacted and how the methods and design were decided upon. Aim: In this paper we will recount the story behind an international practice‐based research network for personalising health assessment, the joint journey of researchers and therapists from three different countries in creating the Individualised Patient‐Progress System (IPPS). Results: We first describe how the idea of the IPPS emerged; then we show how IPPS is being piloted and integrated into clinical practice. Next, we present the views of therapists and researchers who have been part of this project. Conclusions: We discuss some lessons learned from this 14‐year collaborative research programme.     

A Stage Is a Stage Is a Stage: A Direct Comparison of Two Scoring Systems

L. Kohlberg (1969) argued that his moral stages captured a developmental sequence specific to the moral domain. To explore that contention, the author compared stage assignments obtained with the Standard Issue Scoring System (A. Colby & L. Kohlberg, 1987a, 1987b) and those obtained with a generalized content-independent stage-scoring system called the Hierarchical Complexity Scoring System (T. L. Dawson, 2002a), on 637 moral judgment interviews (participants' ages ranged from 5 to 86 years). The correlation between stage scores produced with the 2 systems was .88. Although standard issue scoring and hierarchical complexity scoring often awarded different scores up to Kohlberg's Moral Stage 2/3, from his Moral Stage 3 onward, scores awarded with the two systems predominantly agreed. The author explores the implications for developmental research.     

Measuring depressive symptomatology of patients referred to a behavioral medicine clinic: Concordance of self-report measures

We measured depressive symptomatology of 134 outpatient veterans treated within a Behavioral Medicine Clinic utilizing three reliable instruments with depression subscales: Minnesota Multiphasic Personality Inventory (MMPI), Derogatis Stress Profile (DSP), and Symptom Checklist 90—Revised (SCL-90-R). Results indicate that although the instruments correlate significantly, they differ in sensitivity to depression and are clinically discordant. The MMPI classified a substantially higher number of patients as depressed than either the DSP or SCL-90-R. The present study argues that the discrepancy in clinical concordance and sensitivity of the three depression scales has considerable implications for psychologists concerned with the assessment and treatment of depression.