乳腺癌患者的心理状况及相关因素分析

乳腺癌患者常常被各种心理问题所困扰,特别是乳腺癌根治术对女性性特征所带来的严重影响,各种心理问题更为突出。这些心理问题不但影响患者的生活质量,而且影响疾病的发生、发展及转归。本文回顾了患者的个人因素、疾病本身和治疗因素及其他社会心理因素与心理状况的关系,对乳腺癌患者进行心理干预、临床的综合诊治和防治过程提供新思路。     

小学生算术应用题上真实性思考及相关因素的研究

采用由7道真实性算术应用题构成的测试材料研究了207名六年级小学生。首先要求被试解答这些题目,然后对给出的不同解答作出评定。结果表明:(1)我国六年级小学生在无提示条件下真实性思考的人数比例是36.6%,显著地高于真实性解答的人数比例27.3%。(2)在解题真实性思考上,优生显著地高于中等生,中等生显著地高于差生;在对不确定真实性解答的评分上,优生显著地高于中等生与差生,在对常规性解答的评分上,优生显著地低于中等生与差生。(3)提示条件显著地提高了学生的真实性思考水平,并且与学生的学业水平存在着显著的交互作用;提示条件不影响学生对不确定真实性解答与常规性解答的评分。     

医患双方对医患关系认知情况的调查分析

为了解医患双方对医患关系的认知情况,对江西吉安市五家医院的医生和住院患者采取整群随机抽样法进行随机问卷调查。发现医患双方对医患关系性质、发展趋势及医患冲突的主要诱因、责任主体、主要解决途径的认识状况均存在显著性差异。这种差异直接影响医患关系发展。如何解决医患双方认知的差异是重构和谐医患关系的根本措施。     

Analysis of An Intervention to Reduce or Prevent Secondary Conditions for People with Spinal Cord Injuries

People with acute spinal cord injuries (SCI) are at risk for developing secondary conditions such as pressure sores, urinary tract infections, pain, weight gain and deconditioning, and depression. This study analyzed the effectiveness of an Internet assessment and feedback tool in determining secondary condition risk for this population based on individual responses to a knowledge and behavioral questionnaire. Seventy-one people with newly-diagnosed SCI who were treated at one of five Model Spinal Cord Injury Systems Centers were randomly assigned to either an experimental condition in which they received computerized feedback and one-on-one consultations based on their online questionnaire answers, or to a control condition in which they received no feedback until the study's completion. One year after the initial assessment, the online questionnaire was re-administered to all participants as a post-test. Three times between the pre- and post-test assessments researchers telephoned participants to administer phone surveys probing secondary condition development. Results indicate there were significant differences among race groups and between complete and incomplete injury status for pressure sore occurrence. This study represents a new era of interactive technology in health promotion that can serve as a basis for future research to decrease secondary condition risk for people with SCI.     

Defining the Nature and Impact of Goals in Children and Adolescents with a Chronic Health Condition: A Review of Research and a Theoretical Framework

This paper presents a review of research related to goals in youth with a chronic health condition (CHC) and a related framework to inform theory and research. Performed literature review using PsychINFO and Medline with a combination of many key words related to health, goals, and youth. Sixteen studies related to goals in youth with a CHC were identified. An integrative framework to inform research on goals in pediatric CHCs was presented based on studies reviewed. The impact of a CHC on goals and related behaviors, impact of goal conflict and collaboration, interventions with goal-setting components, and impact of developmental, disease, socioeconomic, and cultural factors were described. Recommendations for future research were discussed. The application of theory related to the nature and impact of goals in youth with a CHC will advance the field from a research and clinical standpoint.     

Observational learning of tool use in children: Investigating cultural spread through diffusion chains and learning mechanisms through ghost displays

In the first of two experiments, we demonstrate the spread of a novel form of tool use across 20 “cultural generations” of child-to-child transmission. An experimentally seeded technique spread with 100% fidelity along twice as many “generations” as has been investigated in recent exploratory “diffusion” experiments of this type. This contrasted with only a single child discovering the technique spontaneously in a comparable group tested individually without any model. This study accordingly documents children’s social learning of tool use on a new, population-level scale that characterizes real-world cultural phenomena. In a second experiment, underlying social learning processes were investigated with a focus on the contrast between imitation (defined as copying actions) and emulation (defined as learning from the results of actions only). In two different “ghost” conditions, children were presented with the task used in the first experiment but now operated without sight of an agent performing the task, thereby presenting only the information used in emulation. Children in ghost conditions were less successful than those who had watched a model in action and showed variable matching to what they had seen. These findings suggest the importance of observational learning of complex tool use through imitation rather than only through emulation. Results of the two experiments are compared with those of similar experiments conducted previously with chimpanzees and are discussed in relation to the wider perspective of human culture and the influence of task complexity on social learning.     

Religion and Disability: Variation in Religious Service Attendance Rates for Children with Chronic Health Conditions

Prior research consistently demonstrates greater religious involvement is associated with improved health outcomes for those with chronic health conditions. Fewer studies focus on how chronic health conditions influence religious service attendance rates and most focus on older Americans. Using three waves of a nationally representative sample of children in the United States, I test whether children with a chronic health condition never attend religious worship services at rates significantly higher than children without a condition. I also investigate variation in attendance rates across a broad range of conditions, something previously overlooked. Children with chronic health conditions are more likely to never attend religious worship services. Specifically, children with chronic health conditions that impede communication and social interaction are most likely to never attend. Despite shifts in prevalence these findings are stable over time. Implications for researchers, religious communities, families with children with chronic health conditions, and health‐care providers are discussed.     

Some effects of praise during the escape condition of the functional analysis

Many researchers provide praise for complying with demands during the escape condition of the functional analysis (FA). However, praise may function as a reinforcer for some individuals which may reduce the aversiveness of task presentation or increase behavior that competes with problem behavior (e.g., compliance with demands). In general, this may result in lower or less stable levels of problem behavior and decrease the efficiency of the FA. Thus, the purpose of the current study was to evaluate some effects of praise on the rate of problem behavior and compliance during the escape condition of the FA in children diagnosed with autism spectrum disorder. We found that praise did not affect the rate of problem behavior but did increase compliance in three of five subjects. The results of the study and implications for the assessment of problem behavior are discussed.     

得失情境下的图形框架对跨期选择倾向的影响

为分离言语表述的干扰,实验采用简单选择任务,通过2(图形框架)×2(跨期选择)×2(得失情境)被试内实验设计探讨得失情境下图形框架对个体跨期选择的影响。结果发现:(1)在突出时间条件下,被试更倾向于选择小而即时的选项,而在突出金额条件下,被试选择小而即时和大而延时的概率没有差异;(2)收益情境中,个体更多地选择大而延时的选项,而在损失情境中,个体选择即时损失的概率更高。结果表明,跨期选择中个体的决策偏好会随着得失情境及决策选项描述方式的变化而变化。     

The Client's Perspective of Genetic Counseling—A Grounded Theory Study

Previous studies of genetic counseling have mainly focused on outcomes defined by researchers or service providers, and have frequently related to changes in reproductive behavior and/or client knowledge. A longitudinal study of 43 families referred to a clinical genetic service was undertaken to ascertain client needs and expectations of the service, and to identify relevant outcomes from the clients' perspective. Semistructured interviews were conducted with each client, prior to and after genetic counseling. The transcribed interviews were analyzed using grounded theory. The need for certainty emerged as a powerful factor that motivated clients to pursue the genetic referral. The client's lay knowledge of the condition, satisfaction of the need for certainty, and the formation of a personalized relationship between the client and the genetics staff significantly influenced the central outcome, identified as a change in the client's psychological adaptation to the genetic condition in the family.