Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

父母教养方式与大学生手机依赖:自我控制和感觉寻求的链式中介作用

采用父母教养方式问卷、手机依赖指数量表、自我控制量表和感觉寻求问卷,对426名在校大学生进行测查,以探讨父母教养方式与大学生手机依赖的关系及自我控制和感觉寻求的作用。结果发现：（1）父母拒绝和过度保护与手机依赖正相关,而父母情感温暖、理解与手机依赖负相关;（2）自我控制和感觉寻求在父母教养方式与大学生手机依赖间分别起部分中介作用;（3）自我控制和感觉寻求在父母教养方式与大学生手机依赖间起链式中介作用。结果表明父母教养方式与大学生手机依赖具有密切联系,自我控制和感觉寻求在该联系中起重要作用。     

Psychometric properties of the French version of Brief Sensation Seeking Scale (B-SSS)

IntroductionA French version of the Briefing-Sensation Seeking Scale (B-SSS) (Hoyle et al., 2002) was developed according to a process of double reverse translation.ObjectiveTwo studies were then led to validate the psychometrics properties (validity and the reliability) of this French version of the B-SSS.MethodsIn the first study, 97 participants (14–24 years old) answered the original version (in English) and the translated version (in French). In the second study, 124 participants (14–24 years) answered the French version at two times measurement. Psychometrics analyses brings together reliability indices (Cronbach's alpha and temporal stability) and concurrent validity indices.ResultsFor both studies, Cronbach alphas were used to assess internal consistency, while intraclass coefficients (ICC) demonstrated temporal stability. In the second study, Pearson correlations between the French version and the ImpSS supported concurrent validity. Reliability is acceptable in the first study (α = .601 in, 674; ICC = .550–.895) and satisfactory in the second study (α = .734–.755; ICC = .650–.948). Pearson's correlation of the French version of the B-SSS and the ImpSS varies between .658 and .754.ConclusionPsychometrics properties of the French version of the B-SSS show that this scale can be used to measure sensation seeking with teenagers and for young adults.     

Why Young Men Drive Dangerously: Implications for Injury Prevention

Why is risk consistently underestimated, and why do young men in particular take exceptionally high risks and think of themselves as invulnerable? Two explanatory paths are proposed. The first is that risk taking in young males has been shaped by evolutionary forces to provide a fitness value. The second pathway is through myth and the other narrative forms that affirm the ego's immortality and invulnerability. Because of its evolutionary base, risk taking is emotionally driven: Emotions are preverbal and irrational, which means that persuasive prevention cannot be more than weakly successful. Three prevention challenges emerge from this analysis: to determine what it is that young drivers fear, to attach affectively experienced fears to defined driving behaviors, and to devise injury-prevention programs that acknowledge that young males' risk taking is not "stupid," but driven by adaptive needs that are as significant to today's young adults as they were to our distant ancestors.     

Personality correlates of revenge‐seeking: Multidimensional links to physical aggression,impulsivity, and aggressive pleasure

People differ in how much they seek retribution for interpersonal insults, slights, rejections, and other antagonistic actions. Identifying individuals who are most prone towards such revenge‐seeking is a theoretically‐informative and potentially violence‐reducing endeavor. However, we have yet to understand the extent to which revenge‐seeking individuals exhibit specific features of aggressiveness, impulsivity, and what motivates their hunt for retribution. Toward this end, we conducted three studies (total N = 673), in which revenge‐seeking was measured alongside these other constructs. Analyses repeatedly demonstrated that revenge‐seeking was associated with greater physical (but not verbal) aggressiveness, anger, and hostility. Revenge‐seeking's link to physical aggression was partially accounted for by impulses toward enjoying aggression and the tendency to use aggression to improve mood. Dominance analyses revealed that sadism explained the most variance in revenge‐seeking. Revenge‐seeking was associated with greater impulsive responses to negative and positive affect, as well as greater premeditation of behavior. These findings paint a picture of revenge‐seekers as physically aggressive curators of anger, whose retributive acts are performed with planned malice and motivated by the act's entertaining and therapeutic qualities.

     

The Treatment Planning of Experienced Counselors: A Qualitative Examination

Using consensual qualitative research, the authors examined the treatment planning process of experienced counselors (N = 9). The data analysis resulted in 4 domains: assessment steps, clinical impressions, treatment factors, and treatment strategies. These domains describe the process used by experienced counselors in making clinical decisions and offer insight into the nature of clinical expertise and the need for further research on treatment planning.     

Self‐Stigma,Mental Health Literacy,and Health Outcomes in Integrated Care

The authors describe research on the self‐stigma of mental illness and help seeking, mental health literacy, and health outcomes in an integrated care medical center. Results revealed that self‐stigma of mental illness and self‐stigma of seeking help had an inverse relationship with mental health literacy. No statistically significant relationships were found between health outcomes, either type of self‐stigma, and mental health literacy. The authors discuss these and other findings and offer research and counseling implications.     

Predictors of help‐seeking behavior: Distinction between help‐seeking intentions and help‐seeking behavior

The overall goals of this research were to: (a) examine whether help‐seeking intentions, subjective needs, depressive symptoms, and social support can predict actual help‐seeking behavior; and (b) clarify the moderating effects of social support on help‐seeking behavior using a longitudinal design. University students (N = 370) completed questionnaires that measured social support, subjective needs, depressive symptoms, and help‐seeking intentions during Time1, and questionnaires that measured actual help‐seeking behavior during Time2. Only subjective needs showed a positive effect on both help‐seeking intentions and actual help‐seeking behavior. Although depressive symptoms had a negative effect on help‐seeking intentions, they had a positive effect on actual help‐seeking behavior. Moreover, social support had a positive effect on help‐seeking intentions, and moderated the influence of subjective needs on actual help‐seeking behavior. Simple slope analysis indicated that subjective needs did not facilitate help‐seeking behavior among those with low levels of social support.     

阿卡波糖、二甲双胍联合胰岛素类似物治疗肥胖糖尿病短期疗效

观察阿卡波糖、二甲双胍联合胰岛素类似物治疗肥胖2型糖尿病的短期疗效。将60例符合标准患者随机分为观察组和对照组各30例,均给予重组甘精胰岛素联合赖脯胰岛素强化治疗控制血糖,观察组同时给予阿卡波糖及二甲双胍口服,出院时进行疗效评价。观察组血糖达标时间、胰岛素用量少于对照组,餐时胰岛素停用比例大于对照组,差异有统计学意义（P＜0．05）;两组患者出院时体重较入院时均有所下降,观察组较对照组体重变化更明显（P＜0．01）。阿卡波糖、二甲双胍联合胰岛素类似物治疗方案,可作为初诊肥胖2型糖尿病治疗的理想方法之一。     

手术治疗单一局部复发或远处转移病灶乳腺癌的临床观察

探索手术治疗单一局部复发或唯一远处转移病灶乳腺癌的临床价值。收集2006年6月至2013年6月湖南省人民医院乳甲外科收治的64例局部复发或术后远处转移乳腺癌患者,其中28例为单发病灶病例。根据是否采取了包含手术的综合治疗,将其分为手术组与非手术组。回顾性分析两组的临床资料和随访数据,分析手术治疗局部复发或远处转移乳腺癌有无临床意义。结果28例都采取了含化疗的综合治疗,8例局部单发病灶与9例远处单一脏器转移病例进行了手术治疗。手术组的局部缓解率与控制率明显优于非手术组,均为100％。两组无进展生存时间（PFS）和总生存时间（（）S）比较,手术组明显长于非手术组;但在单一远处脏器转移手术组中0S没有优势。2年生存率方面手术组与非手术组比较有统计学意义。对于术后单一局部复发病灶或唯一远处脏器转移的乳腺癌患者,采取含手术的综合治疗方案能带来明显的PFS优势,若有手术机会和条件成熟,手术仍是不应放弃的有效治疗方法。