Teaching communicative alternatives to socially withdrawn behavior: An investigation in maintaining treatment effects

This study examined the effectiveness of a contextual intervention strategy paired with an existing packaged intervention on the ability to produce increased and durable social involvement among children who displayed socially withdrawn behavior and their peers. Using a multiple baseline design across three socially withdrawn subjects, results indicated that the combination intervention effectively increased social interactions. Results also indicated that the effects of the intervention maintained two months after intervention termination. General implications for the use of the contextual intervention strategy to produce durable treatment outcomes are discussed.     

EVALUATION OF A SOCIAL INTERACTION COACHING PROGRAM IN AN INTEGRATED DAY-CARE SETTING

We used a multiple baseline design across teachers (with a reversal phase for 1 teacher) to evaluate the direct and indirect effects of a structured coaching procedure on the teaching behaviors of 3 day-care teachers. Structured coaching preceding daily caregiver routines resulted in (a) substantial increases in adult delivery of behavioral support of social interaction during group activities with 2- and 4-year-old children and (b) marked collateral increases in positive interactions of socially withdrawn children. Long-term maintenance effects were demonstrated by both the teachers and target children, and social validity measures indicated that the teachers rated coaching very positively on several dimensions. The results are discussed in relation to in-service training of day-care staff, the concept of coaching as a setting event, and the dissemination of teaching technology related to social interaction of young children.     

同伴侵害与青少年抑郁:社会退缩的中介作用与师生关系的调节作用

研究表明同伴侵害是青少年抑郁的重要风险因素,然而其中介机制和调节机制仍有待进一步探究。本研究采用问卷法对834名青少年进行调查,考察了社会退缩在同伴侵害与青少年抑郁关系中的中介作用,以及师生关系在这一关系中的调节作用。结果发现：（1）社会退缩显著中介同伴侵害与青少年抑郁的关系;（2）师生关系显著调节中介路径“同伴侵害→社会退缩→青少年抑郁”,具体而言,相较于高水平师生关系的青少年群体而言,同伴侵害通过社会退缩影响抑郁的中介效应在低水平师生关系的青少年群体中更高。     

留守学前儿童接受性语言能力与社会退缩的关系:有调节的中介模型

为探讨留守学前儿童接受性语言能力与社会退缩的关系及其内部机制,采用教师评定问卷和测量法对484名留守学前儿童进行调查。结果表明：（1）接受性语言能力不仅对社会退缩具有显著负向预测作用,也能通过执行功能的中介作用负向预测社会退缩;（2）执行功能的中介作用受到师幼关系的调节,相对于高师幼关系水平的个体,间接效应在低师幼关系水平的个体中更为显著,具体而言,师幼关系调节了中介的后半路径;（3）此外,在高师幼关系水平的个体中,执行功能对社会退缩的负向预测作用以及执行功能在接受性语言能力与社会退缩之间的中介作用都不显著。研究结果有助于揭示接受性语言能力对社会退缩的影响及其内在作用机制,对留守学前儿童社会退缩的预防及干预具有一定的启示意义。     

西北农村地区母亲抑郁与幼儿社交退缩:母亲回应性的中介作用

以甘肃省陇南市成县6所幼儿园301名农村幼儿及其母亲为研究对象,采用流调中心抑郁量表（CES-D）、母亲教养方式量表和Achenbach儿童行为量表（CBCL）分别考察母亲抑郁、母亲回应性和幼儿社交退缩的现状及相互关系。主要结果如下：（1）西北农村地区母亲抑郁发生率较高,父亲外出打工和贫困家庭的母亲抑郁发生率更高;（2）母亲抑郁与幼儿社交退缩行为显著正相关,母亲抑郁水平越高,幼儿社交退缩得分越高;（3）母亲敏感性和反应性与幼儿社交退缩显著负相关,母亲敏感性和反应性得分越高,幼儿社交退缩得分越低;（4）母亲反应性在母亲抑郁和幼儿社交退缩之间起部分中介作用。     

How children describe their shy/withdrawn peers

In individual interviews, 227 children from the first, third, fifth, and seventh grades described the behaviours that characterize shyness in their peers. The categories of behaviour most frequently described included the following: doesn't talk, stays by self, doesn't play, walks/runs away from others, hides, looks away/avoids eye contact, physical signs of anxiety, stays near familiar people, cries, blushes, and gets mixed up when talking/stutters. The number of children mentioning hides, stays near familiar people, and cries decreased significantly across grade level, whereas the number mentioning doesn't talk, stays by self, blushes, and gets mixed up when talking/stutters increased across grade level. The situations in which children described the shy behaviours as occurring were classified as entailing either fearful shyness or self‐conscious shyness. The number of children who mentioned contexts involving fearful shyness declined across grade level grade, whereas the number mentioning contexts involving self‐conscious shyness increased with increasing grade level. Copyright © 2008 John Wiley & Sons, Ltd.     

青少年感觉寻求与烟酒使用的关系:一个有中介的调节模型

在生态系统理论和社会学习理论基础上提出一个有中介的调节模型,探讨青少年感觉寻求与烟酒使用的关系,以及压力性生活事件的调节效应和结交不良同伴的中介效应。被试为660名青少年,研究工具包括青少年感觉寻求量表、压力性生活事件量表、不良同伴问卷和烟酒使用问卷。结果显示:(1)青少年感觉寻求是烟酒使用的风险因素。(2)压力性生活事件对感觉寻求与烟酒使用之间的关系具有风险增强的调节效应。(3)这种调节效应以结交不良同伴为中介变量。因此,青少年感觉寻求与烟酒使用之间既存在调节效应又存在中介效应。     

The combined influence of affective, continuance and normative commitment on employee withdrawal

In a sample of 288 hospital nurses, commitment profiles were compared to turnover intentions, job search behavior, work withdrawal (absenteeism and lateness) and job stress. Five empirically-derived commitment profiles emerged: highly committed, affective-normative dominant, continuance-normative dominant, continuance dominant, and uncommitted. Results indicated that the most positive work outcomes were associated with the affective-normative dominant profile which included lower turnover intentions and lower levels of psychological stress. There were no differences among the commitment groups for lateness, and unexpectedly, the continuance-normative dominant group had the lowest levels of absenteeism. It was suggested that future research focus on the combined influence of commitment on work outcomes.     

ICU不能回避的课题：生命支持系统的撤除

ICU内生命支持系统不但应得到充分的使用,在适当的时候也应予以撤除。“适当”包括两方面含义：患者已经康复和患者已无可能康复,共同点在于继续使用生命支持系统已经无助手患者及家人的福祉。患者终末期管理已成为ICU专门领域,与其他专门领域同样需要相当的知识与能力。     

Quality of life after quitting smoking and initiating aerobic exercise

Quitting smoking and aerobic exercise each improve health. Although smokers may be concerned that quitting smoking will reduce their quality of life (QOL), recent research has shown that cessation is associated with QOL benefits. Elements of smoking cessation interventions, such as exercise, may contribute to changes in QOL. However, it is unknown whether initiating exercise in the context of smoking cessation is associated with greater or different effects on QOL than smoking cessation alone. The current study is a secondary analysis of data from a randomized trial (n = 61) of an exercise intervention for smoking cessation. We hypothesized that smoking abstinence and engagement in exercise would have positive, additive effects on QOL at end-of-treatment, 6- and, 12-month follow-ups. Sedentary adult smokers were randomized to the exercise intervention or a health education control (HEC) group. Additionally, all participants received smoking cessation counseling and nicotine patches. Data were analyzed using actual engagement in exercise, rather than group assignment as a proxy for exercise engagement, because some HEC participants also began exercising. Abstinence was positively associated with higher total and physical health QOL at follow-up. Exercise was not associated with total QOL and only marginally associated with physical health QOL, but was positively related to overall sense of well-being. Emphasizing that smoking cessation is associated with higher QOL may help motivate smokers to initiate quit attempts.