Lay Theories Concerning Causes and Treatment of Depression

This study compared perceptions of the causes of, therapies for, and means of coping with, depression between two groups of currently nondepressed adults: one with a history of major depression and one with no history of depression. Currently nondepressed participants were selected so that effects of past experience of depression could be distinguished from those of current mood. Recovered depressed participants (RD) (n = 25) and Never depressed participants (ND) (n = 25) recruited via newspaper advertisements completed self-report measures of (a) the perceived utility of either professional or self-help coping strategies for managing their own experiences of depression; (b) likely effectiveness of several major therapies for depression; and (c) perceived accuracy of several etiological theories of depression. RD participants rated depression as being less amenable to everyday self-help methods of coping and more in need of professional intervention. However, RD and ND subgroups did not differ significantly in their perceptions of the plausibility of etiological theories of depression in general, nor in their ratings of the likely helpfulness of major therapies.     

Content Analysis of Cognitive Bias: Development of a Standardized Measure

The purpose of this research was to develop a standardized content analytic measure of cognitive bias as conceptualized in Beck's (1987) cognitive theory of depression. In a pilot study it was determined that a written stimulus format was preferable to an audiotaped stimulus format with respect to comprehensibility. Valence and expectancy ratings collected in this pilot study also served as the basis for selection of items for the final measure, balancing positive and negative, expected and unexpected events. In study 2 open-ended written responses to questions about the main cause of each event, and the justifications for these attributions, were coded for indices of bias, defined (as in Cook & Peterson, 1986) as justifications that fail to cite covariation of the ascribed cause with the effect. Cognitive bias scores in Study 2 showed internal consistency (positive item-remainder correlations) and high interrater reliability. As predicted, justifications of attributions for expected events were more biased and less rational than were justifications of attributions for unexpected events.     

Depression vulnerability moderates the effects of cognitive behavior therapy in a randomized controlled trial for smoking cessation

Several clinical trials have tested the hypothesis that smoking cessation treatments with a mood management component derived from cognitive behavior therapy (CBT) for depression would be specifically effective for depression-vulnerable smokers, with mixed results. This trial addressed methodological concerns with some of the previous studies to clarify whether depression vulnerability does in fact moderate CBT smoking cessation outcome. The study compared 8-session group CBT with a time-matched comparison group condition in a sample of 100 cigarette smokers randomized to treatment condition. Each treatment group was led by one of 7 American University clinical psychology graduate students; therapists were crossed with treatment conditions. Outcome (7-day point prevalence abstinence) was evaluated 1 month and 3 months after quit date. Baseline self-reported depression vulnerability (sample median split on the Depression Proneness Inventory) moderated treatment response, such that more depression-prone smokers fared better in CBT whereas less depression-prone smokers fared better in the comparison condition. These results may have implications for determining when to use CBT components in smoking cessation programs.     

异体造血干细胞移植问题、发展与思考

异体造血干细胞移植(Allo-HSCT)已成为治疗恶性血液病及其他各种疾病的有效方法之一。在Allo-HSCT中由于供体和受体免疫屏障的存在。从而一开始就是一个供受体矛盾的对立统一的过程。对其中矛盾的研究和解决充满了辩证唯物的哲学思想。也促使Allo-HSCT技术不断发展。新的方法和理念不断出现。使Allo-HSCT治疗白血病的疗效不断提高。     

退步原来是向前

从契此的“手把青苗插满田,低头便见水中天,六根清净方为道,退步原来是向前”偈中,反映了退让并不是完全的消极,有时反而是一种积极的进取,从而揭示出丰富的人生哲理。     

苏辙“示疾而病”的禅学思想

＂多病则与学道者宜,多难则与学禅者宜＂,苏辙却因有＂喜汝因病悟,或免终身著＂的示疾而病的禅学思想。＂示疾而病＂的苏辙以维摩自喻,在深层意义上,是他借维摩诘而表现其忧以天下、以乐天下的人格理想。     

试论卫生与法律的关系

卫生是人类重要的社会实践活动。卫生也是保护人体健康的重要社会事业,需要法律的保护和导向。卫生法为卫生发展提供了良好的社会环境,并控制医药卫生无序、失控及异化带来的社会危害性,造福人类,促进经济发展和社会进步。     

A healthy dose of criticism for randomized trials: comment on Westen, Novotny, and Thompson-Brenner (2004)

D. Westen, C. M. Novotny, and H. Thompson-Brenner identified many important concerns in their critique of methods typically used in randomized controlled trials (RCTs) of psychotherapy outcome and by extension in methods of identifying empirically supported therapies (ESTs). Some of the concerns would be mitigated if empirical support of treatments were assessed multidimensionally (separating favorability of results from definitiveness of research methods used) and continuously rather than categorically. Other concerns can and should be addressed within the existing framework of RCTs and ESTs, including consideration of inclusion criteria other than a single Axis I condition, experimental evaluation of some of the procedural assumptions codified in psychotherapy manuals, and far more detailed reporting of RCT results.     

Measurement of rational-emotive therapy in outcome studies

Outcome research has to date yielded little convincing evidence concerning the effectiveness and mechanisms of action of RET. One major cause of this problem appears to be the lack of empirical evidence to confirm that outcome studies have implemented RET as it is theoretically intended and with high quality. This paper reviews constructs relevant to the measurement of psychotherapy conditions in outcome studies (adherence, purity, differentiability, and quality), surveys the extent to which these constructs have been considered in prior RET outcome research, and offers recommendations for methodological improvements in future studies in this area.David A. F. Haaga, Ph.D. is Assistant Professor of Psychology at The American University, Windy Dryden, Ph.D. is Senior Lecturer in Psychology at Goldsmiths' College, University of London. Christine P. Dancey, Ph.D. is now Lecturer in Psychology at the Polytechnic of East London.