应对方式、社会支持和心理压力对中学生心理健康的影响研究

该研究采用中学生应激源量表、中学生应对方式量表、领悟社会支持量表和症状自评量表(SCL-90)对852名初一至高三的学生进行了调查。通过单因变量多维交互效应的方差分析,结果表明：消极应对方式对中学生的心理健康影响较大;积极应对方式与心理健康的相关不显著;社会支持对心理健康的影响同时具有主效应和缓冲效应;心理压力与心理健康之间存在着显著相关;应对方式和社会支持在心理压力与心理健康的关系中彼此独立起作用,两者之间的交互作用不明显。     

大学生心理控制感对心理健康水平影响的研究

本研究采用《心理卫生症状自评量表SCL-90》和《内控性、有势力他人和机遇量表》对300名大学生进行测试,探讨大学生心理健康与心理控制感的关系。结果表明：大学生在SCL-90中至少有一个因子得分大于或等于3分的占学生人数的25．33％,在性别和年级之间心理控制感和心理健康均不存在显著差异,大学生心理健康水平低于全国正常成人常模;父母的文化和职业等社会因素对心理健康和心理控制感水平会产生一定的影响;与心理内控倾向者相比,心理倾向于外在控制的人正性情感少,负性情感多,精神症状多,总体心理健康水平低。     

从深层次研究和认识卫生改革的方向与目标

20年的卫生改革是伴随着社会经济改革与发展的过程慢慢地进行摸索,改革的‘彼岸’并没有一个清晰的图景;由于改革的目标模式所提供的信息是不充分的,我们没有更多的信息来判断我们改革的进程与结果。因此,卫生改革最迫切的事情是需要更大的耐心,以新的认识,新的理念和勇气,来进行系统的反思,以促进卫生改革从一种经验性的改革进入到一种理性的改革过程。     

公共卫生的责任主体缺位是众多医学伦理问题产生的根源

我国的卫生、医疗服务系统近年来产生了大量严重的伦理问题,引起了国内外广泛的关注。通过对大量材料的归类、分析,找出我国众多严重伦理问题产生的主要根源是公共卫生责任主体的缺位。解决的主要措施是:加快卫生母法的建立;政府对“公共性”卫生服务责任到位,扭转卫生工作严重的市场化和趋利化倾向;彻底改变医疗费用的“后付制”和“第三方付费制”,实行政府正向投入;改变当前在疾病预防和初级卫生保健投入方面过于细化的分级财政体制;制止药品广告和虚假的医疗广告;加大控制政府公立医院建设的成本和降低医院运行费用的工作,严格收费价格纪律等。     

上大学前、后生活事件与大学生心理健康的关系研究

本研究分析了大学生的心理健康特点以及生活事件对其的影响,结果表明：（1）SCL-90量表得分在心理健康的总体状况、焦虑、敌对、精神病性上存在年级与经济收入的交互作用,月均经济来源在200元以下的大学生,随着年级的升高,心理症状愈加严重;（2）影响大学生心理健康的生活事件均为负性生活事件,生活事件能解释大学生的心理健康总体水平变异量的30．1％;（3）上大学前后的生活事件在性质上的差异具有个体发展的阶段特点;（4）上大学后的生活事件对大学生的心理健康总体水平的影响约占27．4％,上大学前的生活事件的影响约占2．6％。     

Women's experiences of workplace bullying: changes in social relationships

This article reports a qualitative study, which investigated social processes in workplace bullying, based on in‐depth interviews with ten British women professionals who were targets of workplace bullying. Data were analysed using grounded theory methods. The resulting analysis showed links between disclosures of bullying, reactions of others, and some impacts on targets' psychological health. Key themes which emerged from the data included ‘being heard’ which describes how others reacted to disclosures of bullying behaviours, and the ‘ripple effect’ which describes how bullying impacted upon targets' significant others; these predominantly describe relationships with others outside the workplace. The theme of ‘withdrawal’ describes how targets and others managed relationships within the workplace, and ‘denial’ and ‘personalizing problems’ describe how others within the workplace responded to knowledge of bullying behaviours. The theme ‘maintaining self’ describes how participants responded to changed relationships and struggled to maintain a coherent sense of self during and subsequent to bullying. This research emphasizes the role of social processes and social environments, rather than individual or personality characteristics, in explaining the development of workplace bullying and its impacts on targets. Copyright © 2004 John Wiley & Sons, Ltd.     

农村卫生改革面临的深层次的矛盾和问题

对健康缺失阻碍农村经济发展没有清楚的认识,是制约农村卫生发展的重要因素.农村卫生纯属公共品范畴,理所当然是政府实现公共服务目标的基本职责.我国财政整体分配格局不合理,是农村卫生投入不足的基本原因.农村卫生保健制度一个非常突出的问题,是基本模式的选择,忽视关键制度的设计与调整.卫生院是医疗服务的提供者,是合作医疗保障制度的利益主体,同时又是合作医疗的组织者与管理者,不符合医疗保障制度的要求,同时也难以形成纠错的机制.     

American Indian Historical Trauma: Community Perspectives from Two Great Plains Medicine Men

The field of community psychology has long been interested in the relations between how community problems are defined, what interventions are developed in response, and to what degree power is distributed as a result. Tensions around these issues have come to the fore in debates over the influence of historical trauma (HT) in American Indian (AI) communities. After interviewing the two most influential medicine men on a Great Plains reservation to investigate how these tensions were being resolved, we found that both respondents were engaging with their own unique elaboration of HT theory. The first, George, engaged in a therapeutic discourse that reconfigured HT as a recognizable but malleable term that could help to communicate his “spiritual perspective” on distress and the need for healing in the reservation community. The second, Henry, engaged in a nation-building discourse that shifted attention away from past colonial military violence toward ongoing systemic oppression and the need for sociostructural change. These two interviews located HT at the heart of important tensions between globalization and indigeneity while opening the door for constructive but critical reflection within AI communities, as well as dialogue with allied social scientists, to consider how emerging discourses surrounding behavioral health disparities might be helpful for promoting healing and/or sociostructural change.     

Growing Older in Portugal: Gender Issues in Physical Health and Well-being

This article presents three studies which demonstrate that (1) Older women enjoy the status of grandparenthood, and they show resources, continued personal growth, and positive functioning; (2) Spouses provide emotional support, and widowhood has an impact on the experience of emotional loneliness; and (3) As they age, men remain cognitively more preserved, and women affectively more preserved. Over a 3-year period, older people showed smooth changes in physical health, cognitive functioning, and mental health. Results are discussed in terms of healthy living, resilience, positive affect, and also conditions that promote undesirable pathways in older age. Implications for feminist therapy with older people are discussed.     

Mood as a resource in dealing with health recommendations: How mood affects information processing and acceptance of quit-smoking messages

Objective: An experimental study tested the effects of positive and negative mood on the processing and acceptance of health recommendations about smoking in an online experiment. It was hypothesised that positive mood would provide smokers with the resources to systematically process self-relevant health recommendations.

Design: One hundred and twenty-seven participants (smokers and non-smokers) read a message in which a quit smoking programme was recommended. Participants were randomly assigned to one of four conditions: positive versus negative mood, and strong versus weak arguments for the recommended action.

Main outcome measures: Systematic message processing was inferred when participants were able to distinguish between high- and low-quality arguments, and by congruence between attitudes and behavioural intentions. Persuasion was measured by participant's attitudes towards smoking and the recommended action, and by their intentions to follow the action recommendation.

Results: As predicted, smokers systematically processed the health message only under positive mood conditions; non-smokers systematically processed the health message only under negative mood conditions. Moreover, smokers’ attitudes towards the health message predicted intentions to quit smoking only under positive mood conditions.

Conclusion: Findings suggest that positive mood may decrease defensive processing of self-relevant health information.