Characteristics of congregations that might increase their participants’ risk of depression

This research examines some characteristics of congregations that might increase the risk of their participants being depressed. Analysing data from the Portraits of American Life Study Wave 1 (2006), this research found that those affiliated with a congregation that did not meet their spiritual needs had arguments about traditional versus contemporary beliefs, made them feel like outsiders, and had unsatisfactory decision-making processes which were more likely to feel depressed than their counterparts. The findings of this research suggest that to alleviate the problem of depression, individuals need to choose a congregation that meets their spiritual needs and makes them feel accepted, rather than just attending any congregations.     

医疗服务成本控制过程伦理范式的选择

不同伦理范式对医疗服务成本控制过程会产生不同的影响.运用经济伦理学及管理伦理学的原理和方法,结合医疗卫生服务机构的行业性质及特点,选择出现实可行的医疗服务成本控制过程的伦理范式.使医疗卫生服务机构在医疗服务成本控制过程中,从成本控制标准的确定、成本控制方法及途径的选择到成本控制结果的分析及考评等环节融入相关伦理内涵.使医疗服务成本控制更好地遵循恰当的伦理范式,更好地履行医疗卫生服务机构的宗旨和职责.     

脊髓损伤者生育困难与服务需求调查

对63名18岁以上未婚或已婚未生育子女的脊髓损伤者进行问卷调查,并对其中17人进行了深入访谈,了解其生育愿望、影响因素与生育服务现状,探讨解决脊髓损伤者生育困难的方法和措施.调查发现,脊髓损伤者生育愿望普遍而迫切,受到经济水平、教育背景、生活环境、其他脊髓损伤者生育经历等多方面因素影响;同时发现社会对此问题关注不够、认识不足、服务缺失.建议从改善环境、提高认识、普及知识、专业培训、建立制度等方面对脊髓损伤者提供专业化服务,解决生育困难,保障生育权力.     

The Theory-Practice Gap in Cognitive-Behavior Therapy

This special series is devoted to understanding the theory-practice gap in cognitive-behavior therapy (CBT). Although CBT enjoys considerable empirical support, and is widely recognized as an efficacious approach to a diversity of psychiatric disorders and includes many different forms of treatment, it is unclear whether clinicians are familiar with the underlying theories of the treatments they are practicing. Moreover, it is unclear to what degree an understanding of the theory is necessary for effective practice. Gaining clarity on the role of understanding underlying theory and identifying potential disparities between theory and practice may have implications for the way graduate training programs are structured and current professionals approach continuing education. A brief exploration of these implications will be offered by introducing issues related to the scientist-practitioner model and dissemination of efficacious treatments, in addition to an outline of potential advantages and disadvantages of knowing underlying theory. This special series will then feature several major approaches to treatment wherein the role of theory and practice are discussed.     

Intelligence is differentially related to neural effort in the task-positive and the task-negative brain network

Previous studies on individual differences in intelligence and brain activation during cognitive processing focused on brain regions where activation increases with task demands (task-positive network, TPN). Our study additionally considers brain regions where activation decreases with task demands (task-negative network, TNN) and compares effects of intelligence on neural effort in the TPN and the TNN. In a sample of 52 healthy subjects, functional magnetic resonance imaging was used to determine changes in neural effort associated with the processing of a working memory task. The task comprised three conditions of increasing difficulty: (a) maintenance, (b) manipulation, and (c) updating of a four-letter memory set. Neural effort was defined as signal increase in the TPN and signal decrease in the TNN, respectively. In both functional networks, TPN and TNN, neural effort increased with task difficulty. However, intelligence, as assessed with Raven's Matrices, was differentially associated with neural effort in the TPN and TNN. In the TPN, we observed a positive association, while we observed a negative association in the TNN. In terms of neural efficiency (i.e., task performance in relation to neural effort expended on task processing), more intelligent subjects (as compared to less intelligent subjects) displayed lower neural efficiency in the TPN, while they displayed higher neural efficiency in the TNN. The results illustrate the importance of differentiating between TPN and TNN when interpreting correlations between intelligence and fMRI measures of brain activation. Importantly, this implies the risk of misinterpreting whole brain correlations when ignoring the functional differences between TPN and TNN.     

Service User Perception of and Satisfaction with Programs Having Higher Education and Employment Goals for People Diagnosed with Mental Illness

This study examined quantitative and qualitative outcomes of service users’ perceptions of and satisfaction with a program having higher education and employment goals. In a one-group post-test design, 48 participants with various mental health diagnoses completed a quantitative questionnaire and 29 of those participated in qualitative focus groups. Participants identified positive and negative aspects of the program and provided recommendations for change. Results indicated that service users with higher education and employment goals benefit from a multi-faceted program that includes person-centered individualized care, concrete, goal-directed activities, practitioners who are compassionate and knowledgeable, and plans addressing setbacks and obstacles.     

心理健康服务人员胜任特征与服务满意度的关系*

为考察心理健康服务人员胜任特征与服务双方满意度的关系,对分布于不同机构的心理健康服务人员及其来访者进行问卷调查。结果表明:心理健康服务人员胜任特征总分与自身服务满意度、来访者满意度均呈正相关,与自身服务满意度相关达到显著水平。胜任特征高分组心理健康服务人员自身服务满意度显著高于低分组自身服务满意度。与心理健康服务人员自身服务满意度显著相关的胜任特征条目,多数与知识、技能有关;与来访者满意度显著相关的胜任特征条目,均为来访者能感受到的与咨询关系建立有关的条目。     

默认网络的神经机制、功能假设及临床应用

认知神经科学的迅速发展使得研究者对大脑的功能有了深刻的认识。近些年来, 研究者对大脑在进行外在注意任务时产生的负激活有了更多的了解, 默认网络(Default Mode Network)的概念被提出, 并引起了很多神经科学家的关注, 关于默认网络的相关理论也已提出。当前综述对默认网络的研究历史, 概念理论, 个体和种系发展, 及其与疾病的关系以及临床应用等方面进行了概括总结。未来研究可从默认网络的个体发展, 种系差异, 与其他大脑网络(如注意网络, 视觉网络, 执行控制网络)的关系以及与具体疾病的关系等角度入手进行研究, 共同来探讨默认网络的神经机制。     

Shedding light on the psychological and behavioral determinants of travel mode choice: A meta-analysis

Mobility represents a relevant topic from the standpoint of environmental degradation, health-related consequences and social inclusion. Since private mobility is responsible for the greatest share of polluting emissions, it is necessary to gain deeper understanding of the mechanisms underpinning the choice of individuals to use either cars or alternative, environment-friendly transport modes. A meta-analysis on 58 primary studies is conducted to synthesize evidence on the determinants of travel mode choice, as regards both behavioral intentions and actual behaviors. Results suggest that, besides intentions, habits and past use represent the most relevant predictor, followed by constructs referring to the Theory of Planned Behavior framework. Environmental variables, on the other hand, play a relevant role in shaping behavioral intentions while their effect on actual behaviors is negligible, so that a deep intention behavior gap emerges. A moderator analysis is performed to explain the high heterogeneity in the results. Behaviors’ operationalization and measurement emerges as the moderator affecting heterogeneity of outcomes the most; trip purpose, sample type and year of the study also show a moderate effect on heterogeneity, while location does not appear to be a relevant moderator.     

Level of service delivery of public transport and mode choice in Accra,Ghana

Worsening traffic congestion and air quality has been associated with the proliferation of informal operation of private microbus and minibus in African cities. It is recognised that large buses hold the promise of relieving the growing congestion of African cities if they are managed efficiently and sustainably.It is in line with this that this study seeks to explore the reasons behind commuters’ non-preference of Metro Mass Transit (MMT) for intra-city commuting in Accra, Ghana. A revealed preference survey was administered to 134 commuters to find out the reasons behind their non-preference and their perception of the level of service (LOS) delivery of the Metro Mass Transit.The Study revealed that though Metro Mass Transit was 20% cheaper in terms of price, commuters perceived its service delivery as poor. Over-crowding of buses, non-adherence to time schedule, long in-vehicle time, perception of not getting access to seats, non-availability of bus at respondents’ origins and destinations, accessibility of alternative modes and long waiting times for buses accounted for the major reasons for non-preference.Metro Mass Transit Limited’s improvement in its service attributes especially in-vehicle time, waiting time, comfort, reliability and accessibility is a means of increasing its modal share. Adherence to these is the surest way to achieving the objective of promoting mass transit in Accra by shifting people from the use of unsustainable modes such as mini-buses and taxis to the use of efficient high capacity systems as Metro Mass Transit.