Validation de la version française d’une échelle abrégée de coping religieux : Brief-RCOPE

The involvement of religious beliefs and practices in the way of coping with stressful events is coined by the term of religious coping. It is commonly distinguished the positive from the negative patterns of religious coping (i.e., a secure and a less secure relationship with God respectively) as assessed by the Brief RCOPE. The interest for the religious coping patterns lies in their predictive value for the quality of the adjustment to stress. After controlling for the effects of sociodemographic variables, and nonreligious coping measures, the positive pattern is a significant predictor of well-being while the negative pattern promotes a poorer physical and mental health. This study was designed to validate the French version of the Brief RCOPE.

Multimedia Field Test: Digitalizing Better Sleep Using the Sleepio Program

The promise of online cognitive behavioral therapy for insomnia (CBT-I) and other sleep-related problems as an alternative to traditional face-to-face treatment rests upon the accessibility, ease-of-use, and effectiveness of these approaches. Here we provide a review of Sleepio, a digitalized, state-of-the-art CBT-I program for adults, informed by our personal experience with the program, available research, and information provided at the Sleepio website. The 6-week treatment program can be completed flexibly via web-based or mobile platform. Initial assessment of individual goals and baseline sleep patterns is used to build a personalized account comprised of four sections: Sleep Diary, Case File, Library, and Community. Sleepio uses evidence-based principles and practices, engaging content, and an easy-to-follow format. Unique features of the program including synchronization with compatible sleep tracking devices, multiple built-in user supports, and a 14-day money-back guarantee. Both statistical and clinically meaningful sleep improvements have been found in a large randomized controlled trial. Overall, Sleepio represents a model program for online CBT-I delivery.     

Measuring concept semantic relatedness through common spatial pattern feature extraction on EEG signals

We study the semantic relationship between pairs of nouns of concrete objects such as “HORSE - SHEEP” and “SWING - MELON” and how this relationship activity is reflected in EEG signals. We collected 18 sets of EEG records; each set containing 150 events of stimulation. In this work we focus on feature extraction algorithms. Particularly, we highlight Common Spatial Pattern (CSP) as a method of feature extraction. Based on these latter, different classifiers were trained in order to associate a set of signals to a previously learned human answer, pertaining to two classes: semantically related, or not semantically related. The results of classification accuracy were evaluated comparing with other four methods of feature extraction, and using classification algorithms from five different families. In all cases, classification accuracy was benefited from using CSP instead of FDTW, LPC, PCA or ICA for feature extraction. Particularly with the combination CSP-Naïve Bayes we obtained the best average precision of 84.63%.     

Liberating narratives and the play of unforbidden pleasures: In brief dynamic therapy

Drawing upon the work of Adam Phillips and Ronald Britton the author highlights the intimidating and fear-inducing nature of the super-ego and the role of the therapist in supporting the judgements of the ego and liberating it from the domination of the super-ego. He goes on to explore the proposition that moral principles do not need to be oppressive in nature and that they can emanate from objects that are more akin to sexual or aesthetic objects. These themes are linked to Woodmansey’s conceptualistion of the punitive and humiliating super-ego, and the origin of the super-ego as an internalisation of an external conflict is outlined. The role of identifying a Cyclical Maladaptive Pattern as a focus and its contribution in identifying the super-ego and how it manifests in the client’s narrative are explored, as well as the crucial contribution of a playful stance on the part of therapist in subverting and undermining the intimidating strictures of the super-ego.     

“三番式”临床技能教学模式的建立及其在临床医学教学中的应用与思考

传统的临床技能教学存在诸多弊端,从而影响了医学生临床技能的培养及合格医学人才的培养。我们在多年的临床教学实践基础上,构建了临床技能学实践教学平台,创建了“三番式”临床技能教学模式,并将其应用于临床实践教学中,对所取得的显著教学效果进行深入剖析。     

糖尿病与睡眠的相互关系

人一生中有1／3的时间在睡眠中度过,睡眠质量直接关系到一个人的身体健康。睡眠时间过少或过多的人糖尿病患病率大大增加。糖尿病本身的病理、生理特点,严重影响患者的睡眠质量,睡眠质量又可以反过来影响糖尿病患者的血糖水平。有研究显示,糖尿病患者最佳睡眠时间为8小时。同时糖尿病患者中睡眠呼吸暂停综合征（OSAS）患病率高,0SA...     

父母教养方式对应对方式影响:自尊的中介作用

目的研究初二学生父母教养方式、自尊对应对方式的影响。方法使用父母教养方式问卷、自尊量表、中学生应对方式量表对广州及深圳162名初中二年级学生进行施测。结果 (1)各量表不同因子存在不同的性别效应,父亲惩罚(t=2.737,P<0.01)、父亲拒绝否认(t=2.444,P<0.05)、问题指向应对(t=2.196,P<0.05)。(2)父母情感温暖与自尊、问题指向应对有显著的正相关(r=0.350,r=0.490,P<0.01),父亲偏爱对问题指向应对有显著的正相关(r=0.170,P<0.05);而母亲的拒绝否认和严惩与自尊存在显著的负相关(r=-0.198,r=-0.209,P<0.01),但与情绪指向应对有显著的正相关(r=0.235,r=0.258,P<0.01)。(3)父亲情感温暖(β=0.413,P<0.05)和自尊(β=0.230P<0.05)是问题指向应对方式的预测因子,且自尊是中介因素;母亲严惩(β=0.299,P<0.001)、父亲温暖(β=0.158,P<0.05)对情绪指向应对方式存在显著的预测作用。结论不同教养方式、自尊对不同应对方式存在影响。     

大学生自尊与父母教养方式的相关研究

目的:通过问卷调查了解当代大学生的自尊水平及其父母教养方式,并分析两者之间的关系,为父母教育子女提供有效建议。方法:采用分层随机抽样的方法,运用自尊量表(SES)和父母教养方式评价量表(EMBU)对长江大学320名大学生进行调查。结果:1.大学生自尊与情感温暖方式呈显著正相关,与惩罚严厉、过分干涉保护、拒绝否认呈显著负相关,与偏爱被试无显著相关;2.高自尊大学生与低自尊大学生在父亲和母亲的情感温暖、惩罚严厉、拒绝否认上存在显著差异,在父亲的过度保护方面存在显著差异;3.父母教养方式受城乡环境等因素影响。结论:父母应当采取积极的教养方式教育孩子,塑造孩子的自尊。     

Obstructive Sleep Apnea Syndrome in Prader-Willi Syndrome: An Unrecognized and Untreated Cause of Cognitive and Behavioral Deficits?

Prader-Willi Syndrome (PWS) is a rare genetic disorder characterized by a range of physical, psychological, and physiological abnormalities. It is also distinguished by the high prevalence of obstructive sleep apnea syndrome (OSAS), i.e., repetitive upper airway collapse during sleep resulting in hypoxia and sleep fragmentation. In non-PWS populations, OSAS is associated with a range of neurocognitive and psychosocial deficits. Importantly, these deficits are at least partly reversible following treatment. Given the findings in non-PWS populations, it is possible that OSAS may contribute to neurocognitive and psychosocial deficits in PWS. The present review examines this possibility. While acknowledging a primary contribution from the primary genetic abnormality to central neural dysfunction in PWS, we conclude that OSAS may be an important secondary contributing factor to reduced neurocognitive and psychosocial performance. Treatment of OSAS may have potential benefits in improving neurocognitive performance and behavior in PWS, but this awaits confirmatory investigation.