阿司匹林在缺血性脑卒中二级预防应用的现况调查

调查缺血性脑卒中患者二级预防中阿司匹林的使用情况,并初步分析其影响因素。本研究为现况调查,调查对象为神经内科门诊与病房就诊既往诊断明确的脑梗死或短暂性脑缺血发作患者,调查其近两周内的阿司匹林使用情况及相关影响因素。经过调查初步得出缺血性脑卒中幸存者应该给予抗血小板药物,除非预计患者不久将死亡或有严重的禁忌证,阿斯匹林应用比例少,剂量不足,应引起患者及医务人员的重视,临床医师应遵循临床指南给与正确的指导。     

工作对家庭的增益与中小学教师的工作满意度:职业认同的中介作用及其性别差异

探究工作对家庭的增益影响中小学教师工作满意度的过程机制。采用纵向设计对760名中小学教师进行问卷调查,时间点1测查人口学变量和工作对家庭的增益,时间点2测查职业认同和工作满意度。结果发现:(1)工作对家庭的增益能够显著正向预测工作满意度;(2)职业认同在工作对家庭的增益与工作满意度的关系中起部分中介作用;(3)性别对此中介过程的前半段路径具有调节作用,表现为男教师的工作对家庭的增益对职业认同的预测效力更高。结果表明:工作对家庭的增益显著影响中小学教师的工作满意度,职业认同在此影响过程中具有中介作用,且这一中介作用存在性别差异。     

中小学教师的职业倦怠与工作压力、自尊和控制点的关系研究

本研究旨在探讨中小学教师的职业倦怠与工作压力、自尊和控制点的关系。用教师职业倦怠问卷、工作压力调查表、自尊量表和控制点量表对766名教师进行了问卷调查。结果发现：教师的职业倦怠与工作压力、自尊和控制点之间存在显著的相关关系;教师的工作压力、自尊、控制点分别对职业倦怠的情绪衰竭、非人性化、低成就感具有显著的预测作用。     

Expect the Best and Prepare for the Worst: Anticipatory Coping and Preparations for Y2K

The Y2K Bug, the programming glitch expected to derail computerized systems worldwide when the year changed from 1999 to 2000, provided a rich context for examining anticipatory coping and preparatory behaviors. In the last 2 months of 1999, 697 respondents completed an online survey of proactivity, worry about Y2K, dispositional optimism, primary and secondary control-oriented coping efforts, estimates of Y2K-related disruptions, and household preparations. Higher levels of proactivity, worry, and optimism were independently associated with greater self-reported preparations. These predictors were positively associated with greater primary control-oriented coping efforts, but showed differential relations to secondary control efforts, such as accepting the situation or trusting a higher power, especially among participants who thought the damage would be severe and lasting. Implications for understanding multiple ways of coping with potential stressors are discussed.

“The primary process”: The vicissitude of a concept

Abstract

During the first twenty years that Freud spent creating his theory, he assumed that most of the functions responsible for creating mental-thought structures were organized according to two different forms or principles of thought. He called these forms “primary process” and “secondary process”. The “secondary process” is identified with rational thinking and the ego, and it is easy to follow the changes that this concept underwent in the works of Freud that followed. The concept of “primary process”, on the other hand, disappeared from his later works with no explanation. This article traces the changes that the “primary process” underwent in Freud's thinking and examines the connection between his analytical technique and his research method. A close study of the changes that the “primary process” underwent reveals that Freud's developmental thought process included concepts whose directional changes may be termed “regressive”.     

Perfectionism and coping with daily failures: positive reframing helps achieve satisfaction at the end of the day

Differentiating perfectionistic strivings and perfectionistic concerns, the present study examined how perfectionism predicts what coping strategies people use, when dealing with failures, and how perfectionism and coping influence people's satisfaction. A sample of 149 students completed daily reports for 3–14 days, reporting the most bothersome failure they experienced during the day, what strategies they used to cope with the failure, and how satisfied they felt at the end of the day. Multilevel regression analyses showed that perfectionistic concerns predicted more frequent use of self-blame, less frequent use of active coping and acceptance, and higher satisfaction at the end of the day, whereas perfectionistic strivings predicted less frequent use of self-blame and higher satisfaction. Although positive reframing, acceptance, and humor predicted higher satisfaction for all students, further analyses showed that positive reframing coping was particularly helpful for students high in perfectionistic concern. The findings suggest that accommodative coping strategies are generally helpful in dealing with personal failures, with positive reframing being a coping strategy that works particularly well for people high in perfectionistic concerns (who are prone to dissatisfaction) to achieve higher satisfaction at the end of the day.