心理辅导室的建立与小儿外科

手术是小儿外科的主要治疗手段,又是一个创伤过程,同时也是一个心理应激过程,对于患儿来说这种应激会使其产生恐惧心理。同时小儿外科工作具有双重性,不仅要为患儿服务同时还需满足家长不同层次的心理需求。所以有必要在小儿外科科室内建立一个系统的心理辅导机构即心理辅导室来做好家长及患儿的心理疏导。     

婴儿气质及母亲的养育态度与亲子日常活动的关系

本研究以430名母亲及其婴儿作为研究对象,应用婴儿气质行为评定量表(Infant Behavior Questionnaires,IBQ)、养育压力量表(ParentingStress Index,PSI)及母亲与婴儿的日常活动问卷对6个月婴儿气质、母亲的养育态度及母亲与婴儿的日常活动进行调查。结果表明婴儿气质中的积极情绪与母亲-婴儿日常活动有显著的正相关关系;母亲的养育态度,主要是母亲对养育困扰的评价,与亲子日常活动中的认知刺激活动呈显著的负相关性;多元回归分析表明母亲的受教育水平在婴儿气质、母亲的养育态度与亲子日常认知刺激活动之间的关系中具有调节作用。     

酒店员工心理压力及影响因素研究

采用自编问卷等测评工具对杭州市两个高星级酒店270名员工进行酒店员工心理压力及影响因素的调查研究。结果表明:(1)酒店员工的年龄变量对心理压力的影响主效应十分显著,总体呈年龄段越低,心理压力越大的趋势。学历与年龄的交互作用对心理压力的影响显著,小学学历的员工高龄段的比低龄段的心理压力更为高些,与其余几个文化段的员工呈不同的趋势。(2)酒店员工的压力反应与其工作属性、职业态度、负性生活事件、社会支持、特质应对方式等因素呈显著相关。员工的消极应对方式和职业态度是影响心理压力的最主要因素。     

Work social supports, role stressors, and work-family conflict: The moderating effect of age

The current study examined whether important distinctions are masked if participant age is ignored when modeling relationships among constructs associated with the work-family interface. An initial omnibus model of social support, work role stressors, and work-family conflict was tested. Multiple groups analyses were then conducted to investigate possible age differences in the patterns of relationships among these constructs for three age groups (28 and under, 29-45, and 46 and older). Several constructs in the model, including role stressors, social support, and work-family conflict, demonstrated mean level differences across the three age groups. Of greater significance, the relationships of some sources of social support and work-family conflict with other constructs in the model differed as a function of age group. Results suggest that conclusions drawn from the omnibus model take on a slightly different and more complicated meaning in the multiple groups analysis. These results have implications for how future research on the work-family interface should be conducted.     

Stress and depression of facing death: Investigation of psychological symptoms in patients with mesothelioma

Cancer often results in psychological impairment, and lung cancer has been associated with greater morbidity and higher levels of psychological distress than any other form. Chronic exposure to asbestos is a significant risk factor for development of lung cancer, called mesothelioma. Few have studied the psychological consequences of chronic asbestos exposure and mesothelioma. This study investigated stress and depression symptoms in 49 men (M = 51.1 years, SD = 6.0) diagnosed with mesothelioma. Participants completed traumatic stress, depression and general psychological health questionnaires. All participants reported significant levels of traumatic stress symptoms, which was associated with increased symptoms of depression, anxiety, somatic complaints and social dysfunction. The results provide important suggestions for clinicians treating such terminally ill patients.     

Emotional, cognitive and physiological correlates of abuse-related stress in borderline and antisocial personality disorder

Childhood abuse is an important precursor of borderline personality disorder (BPD) and antisocial personality disorder (ASPD). The current study compared the emotional reactivity to abuse-related stress of these patients on a direct and an indirect level. Changes in self-reported affect and schema modes, psychophysiology and reaction time based cognitive associations were assessed following confrontation with an abuse-related film fragment in patients with BPD (n = 45), ASPD (n = 21), Cluster C personality disorder (n = 46) and non-patient controls (n = 36). Results indicated a hyperresponsivity of BPD-patients on self-reported negative affect and schema modes, on some psychophysiological indices and on implicit cognitive associations. The ASPD-group was comparable to the BPD group on implicit cognitions but did not show self-reported and physiological hyper-reactivity. These findings suggest that BPD and ASPD-patients are alike in their implicit cognitive abuse-related stress reactivity, but can be differentiated in their self-reported and physiological response patterns.     

Designing the human stress ontology: A formal framework to capture and represent knowledge about human stress

A large number of papers have been published on the topic of human stress. There is a need to organise this knowledge under a unifying framework, linking and analysing it in mutual combinations so that new knowledge can emerge. Ontology is an enriched conceptual model for representing domain knowledge. An ontology can be designed to provide a framework for knowledge about human stress. This agreed knowledge model will facilitate knowledge sharing and communications. Additionally, ontologies are machine‐readable and can enable automated programs such as data mining to intelligently access and analyse information. The purpose of this paper is to discuss and explain some of the common stress‐related terms, their definitions, classifications and possible interrelations between them. A top‐layer of the human stress ontology (HSO) model is presented, which will continue to evolve as more research contributions and knowledge become available. It is believed that this framework can be used to build powerful tools to assist researchers and therapists in evaluating stress and facilitating their communication in both research and clinical spaces.     

An examination of the construct validity of posttraumatic stress disorder with veterans using a revised criterion set

Ongoing concerns exist in the literature regarding the construct of posttraumatic stress disorder (PTSD) and how to best conceptualize and measure this disorder. We compared the traditional DSM-IV PTSD symptom criteria (i.e., symptoms from clusters B, C, and D) to a revised criterion set that omits overlapping mood and other anxiety symptoms on PTSD prevalence, PTSD diagnostic caseness, associated psychiatric comorbidity, functional status, and structural validity using a cross-sectional, multi-site primary care sample of 747 veterans. After removing items theorized to overlap with mood and other anxiety disorders, PTSD prevalence was identical using both criterion sets (i.e., 12%). Overall, there were few statistically significant differences in PTSD caseness, associated psychiatric comorbidity, functional status, and structural validity across the two diagnostic criterion sets. These data provide further support that removing items that overlap with other psychiatric disorders does not significantly impact the prevalence of PTSD, its associated comorbidity and functional impairment, or its structural validity. Although the revised criterion set represents a more parsimonious model, the current study findings generally support the strong construct validity of PTSD. The implications of these study findings for research and clinical practice are discussed.     

An interruption in unconscious communication in the analytic couple

The authors describe an interruption in communication in the analyses of two patients, which gradually brings the analytic process to a halt/standstill. They propose several hypotheses for understanding this situation. One explanation is mutual identification of primitive superegos in the analytic couple which generates a moralizing effect thereby hindering investigation and discovery. They emphasize the importance of countertransference involvement which partly provokes this particular type of impasse. They also suggest the idea of shared acting out, with complementary participations of analyst and patient. In this way the analytic couple supports a 'bastion' which protects against the risk of breaking the omnipotence of patient and analyst or contributes to this omnipotence. Their shared unconscious phantasy feeds collusion linked to unconscious persecutory guilt. The authors also describe movements to break free from this impasse. The enclave created by the analytic couple is detected and subsequently worked through by way of the patient's contribution of dream material and the analyst's work with her countertransference.     

The association between reality-based beliefs and indirectly experienced traumatization

The purpose of the study was to examine the association between belief types and the magnitude of indirect traumatization. Specific types of beliefs were defined in terms of the cognitive orientation theory, which is a cognitive-motivational approach to the understanding, predicting, and changing of behaviors. Belief types that were analyzed included beliefs about self, general beliefs, beliefs about norms, and goal beliefs as they relate to personal growth. Study participants included 38 rescuers (body handlers), 37 nurses, and 31 rehabilitation workers who treated injured civilians that had been exposed to politically motivated violence. The Cognitive Orientation for Posttraumatic Growth Scale was used to assess beliefs about personal growth. The Revised Posttraumatic Stress Disorder Inventory was administered to evaluate indirect traumatization. The results indicate that three of the four belief types related to personal growth were associated with the level of indirect traumatization. Optimistic and positive beliefs about self and general beliefs were associated with a lower level of indirect traumatization symptomatology, suggesting that these types of beliefs may counteract indirect traumatization. On the other hand, stronger goal beliefs were associated with greater indirect traumatization. The negative association between positive goal beliefs and indirect trauma may be related to the gap the individual perceives between the hoped-for ideals and the trauma-stricken reality. These results indicate the importance of cognitive beliefs and their possible role in determining the response to indirect traumatization.