A diathesis-stress model of engagement in risky behaviors in Chinese adolescents

The current study examined whether the association between the occurrence of negative events and increased engagement in risky behavior is moderated by maladaptive and/or adaptive coping strategies. At time 1, 411 adolescents (ages 14–19) from Yue Yang, Hunan, completed self-report measures assessing coping strategies, engagement in risky behaviors, and the occurrence of negative events. Once a month for the subsequent 6 months, adolescents completed measures assessing engagement in risky behaviors and the occurrence of negative events. In line with our hypotheses, results of hierarchical linear modeling analyses indicated that adolescents possessing high levels of maladaptive coping strategies reported greater engagement in risky behaviors following the occurrence of negative events than adolescents possessing low levels. In contrast to our hypotheses, the association between the occurrence of negative events and increased engagement in risky behavior was not moderated by adaptive coping strategies.     

利多卡因凝胶在手术室麻醉诱导后留置尿管中的应用

分析手术室麻醉诱导后留置尿管产生尿路疼痛等不良反应的原因,探讨利多卡因凝胶在克服上述反应方面的作用及其他预防措施。采用方便取样将70例留置尿管的患者分为试验组和对照组,麻醉诱导后试验组在尿管上涂抹利多卡因凝胶（0．5ml／cm）后再按常规操作插管;对照组以石蜡油为润滑剂按常规操作留置尿管。比较两组患者心率、血压情况及躁动、疼痛评分。结果提示麻醉诱导后留置尿管可以有效减轻患者清醒状态下置管引起的尿路疼痛等问题,但不能避免患者苏醒期出现上述反应;使用利多卡因凝胶可有效预防患者苏醒期出现的尿路疼痛及其它不良反应,增加患者的舒适度。     

糖尿病防治的策略转变——从关注糖化血红蛋白到着眼心血管事件

通过对2型糖尿病心血管终点事件的观察,更多的临床证据提示,糖尿病的治疗目标应该以减少心血管事件为主。糖尿病防治从策略上发生了两个转变,即以血糖为中心转向以防治心血管事件为中心的多危险因素综合防治策略;以糖化血红蛋白检测作为血糖评价的金标准转向以血糖量、质、时程控制的全面评价策略。     

Negative life events, cognitive emotion regulation and emotional problems

A new questionnaire, named the Cognitive Emotion Regulation Questionnaire, has been constructed, measuring nine cognitive coping strategies people tend to use after having experienced negative life events. A test–retest design was used to study the psychometric properties and relationships with measures of depression and anxiety among 547 high school youngsters. Principal component analyses supported the allocation of items to subscales, while alphas of most subscales exceeded 0.80. Cognitive coping strategies were found to play an important role in the relationship between the experience of negative life events and the reporting of symptoms of depression and anxiety. The results suggest that cognitive coping strategies may be a valuable context of prevention and intervention     

不同适应水平小学生有意义事件报告比较——小学生自我调节机制的一项研究

本研究选取发展良好与适应不良的三——五年级小学生为被试,以问卷访谈形式调查他们心目中的正性和负性意义事件。结果表明,两组被试在事件意义体验的人际亲和性、内在一外在性和丰富性方面有明显不同的反映。感受的丰富性表现在正负性意义事件两方面,某种事件负性意义感受的出现是良好适应的表现。     

情绪的数学公式

综合经验事实,提出对于同一个受试者和同一种呈现事件,近似描述情绪体验强度与客观呈现事件数量之间的一个数学公式.     

Resilience in the Face of Maternal Psychopathology and Adverse Life Events

Maternal psychopathology has long been recognized as a risk factor for psychopathology in offspring; however, some resilient youth achieve a favorable outcome in the presence of maternal psychopathology. We identified factors that predicted resilience among youth who were exposed to adverse life events, and also examined whether the same factors protected youth against maternal psychopathology and adverse life events. Main and interaction effects of child and family factors were examined employing cross-sectional data from a household probability sample of 1285 youth aged 9 through 17 collected at four sites. On average, children exhibited a greater degree of resilience when they had higher IQ, closer parental monitoring, better family functioning, higher educational aspiration, and were female. Interaction between maternal psychopathology and IQ was significant, and there was a trend between maternal psychopathology and gender. A higher IQ is a protective factor against both maternal psychopathology and adverse life events; whereas being a girl seems to be a protective factor against maternal psychopathology, but not adverse life events.     

Trajectories of adolescent stressful life events and young adults’ socioeconomic and relational outcomes: Weight and depressive symptoms as mediators

Little is known about how biological and psychological consequences of adolescent stressful life events (SLEs) are jointly associated with socioeconomic and relational outcomes in adulthood. To address this gap, the present study involved testing a model based on the life course perspective that posits adolescent SLE trajectories produce parallel trajectories of depressive symptoms and weight status, which are jointly associated with socioeconomic status and intimate relationship quality in adulthood. Prospective data over 13 years from a nationally representative sample of 11,677 US adolescents was utilized. The results demonstrated that trajectories of BMI and depressive symptoms, which showed contemporaneous and longitudinal comorbidities over the early life course, were influenced by adolescent SLEs. Both BMI and depressive symptoms trajectories are additively and jointly associated with socioeconomic status and intimate relationship quality in adulthood. Additionally, adolescent SLE trajectories are directly associated with these adult outcomes. These observed associations persisted even after controlling for early family socioeconomic adversity and race/ethnicity. The theoretical and practical implications of these findings are discussed.     

Sensitivity to aversive events in depression: Antecedent,concomitant, or consequent?

This study tested whether sensitivity to aversive events is a concomitant versus antecedent/consequent of depression. Twenty currently depressed subjects, twenty subjects with remitted depression, and twenty control subjects completed psychophysiological and learning tasks involving aversive components. Both currently depressed and remitted subjects, when compared to control subjects, exhibited greater decreases in skin resistance response reactions to negative social scenes and a greater sensitivity to extinction in the learning condition involving an aversive component. The fact that the responses of remitted subjects were very similar to those of currently depressed subjects on both tasks is consistent with the view that sensitivity to aversive events is an antecedent or consequent of depression, as opposed to being only a concomitant. The results also provide some support for the passive avoidance model of depression.This study was based on portions of a doctoral dissertation by the first author, with the second author as chairperson, at the University of North Carolina at Greensboro.This research was aided by a Grant-in-Aid of Research to the first author from Sigma Xi, The Scientific Research Society, an award from the Jill Shelby Memorial Fund to the first author, and support from National Institute of Mental Health Grant MH17071, awarded to C. R. Snyder.Portions of this paper were presented at the meeting of the American Psychological Association, New Orleans, August 1989, and at the meeting of the Association for the Advancement of Behavior Therapy, Washington, DC, November, 1989.     

Event-specific attributions and daily life events as predictors of depression symptom change

A prospective study was conducted to investigate whether event-specific attributions, either alone or in interaction with daily life events predict depression symptom change, and whether this is affected by systematic variation in intertest intervals. Baseline measures of attributional style, event-specific attributions, life events, and depression were administered to 96 adults enrolled in a cigarette-smoking cessation program who were readministered the event-specific attributions, life events, and depression measures 2, 4, 6, and 8 weeks later. Results indicated that (a) the interaction between event-specific attributions and life events was a better predictor of depression symptom change than were event-specific attributions alone; (b) event-specific attributions and life events demonstrated a tendency to predict depression symptom change over 2 and 4 weeks but not over 6 and 8 weeks; (c) the stability and globality of event-specific attributions was associated with the number of reported life events; and (d) baseline attributional style predicted event-specific attributions 2, 4, 6, and 8 weeks later.