中文版婴儿态度量表在已婚育龄女性中的信效度检验

目的 将婴儿态度量表(Attitude Toward Babies Scale,ABS)进行汉化,并检验在中国已婚育龄女性中的信效度。方法 采用方便取样的方法,选取贵州、山西、湖北等地的700名育龄女性进行施测,通过项目分析、内容效度分析、探索性因素分析、验证性因素分析、效标关联效度、Cronbach α系数、分半信度、重测信度评价其信效度。结果 项目分析表明,婴儿态度量表各条目与量表各维度总分显著相关,具有良好的区分度; 内容效度分析表明专家间一致性水平(IR)为1,I-CVI在0.83～1之间,S-CVI/UA为0.82,S-CVI/Ave为0.97; 探索性因素分析得出5个特征值>1的因子,累计方差贡献率为54.399%; 验证性因素分析表明五因素模型拟合度较好(χ2/df=2.500,CFI=0.922,TLI=0.914,RMSEA=0.048,SRMR=0.050); 各效标与该量表显著相关; 总量表Cronbach α系数为0.748,量表的分半信度为0.661,重测信度为0.639。结论 修订后的ABS具有良好的信效度,可以作为已婚育龄女性生育动机的有效测量工具。     

Determining Risk in Pediatric Research with No Prospect of Direct Benefit: Time for a National Consensus on the Interpretation of Federal Regulations

United States federal regulations for pediatric research with no prospect of direct benefit restrict institutional review board (IRB) approval to procedures presenting: 1) no more than “minimal risk” (§ 45CFR46.404); or 2) no more than a “minor increase over minimal risk” if the research is commensurate with the subjects' previous or expected experiences and intended to gain vitally important information about the child's disorder or condition (§ 45CFR46.406) (DHHS 2001). During the 25 years since their adoption, these regulations have helped IRBs balance subject protections with the pursuit of scientific knowledge to advance children's welfare. At the same time, inconsistency in IRB application of these regulations to pediatric protocols has been widespread, in part because of the ambiguity of the regulatory language. During the past decade, three federally-charged committees have addressed these ambiguities: 1) the National Human Research Protections Advisory Committee (NHRPAC) (Washington, DC), 2) the Institute of Medicine (IOM) Committee on the Ethical Conduct of Clinical Research Involving Children (Washington, DC); and 3) the United States Department of Health and Human Services Secretary's Advisory Committee for Human Research Protections (SACHRP) (Washington, DC). The committees have reached similar conclusions on interpretation of language within regulations § § 45CFR46.404 and 406; these conclusions are remarkably consistent with recent international recommendations and those of the original National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research (1977) National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. 1977. Report and recommendations: Research involving children, Washington, DC: U.S. Government Printing Office.  [Google Scholar] report from which current regulations are based. Drawing on the committees' public reports, this article identifies the ethical issues posed by ambiguities in regulatory language, summarizes the committees' deliberations, and calls for a national consensus on recommended criteria.     

New Beginnings–an experience-based programme addressing the attachment relationship between mothers and their babies in prisons

Data about the quality of attachment between infants and parents in high-risk populations suggests that early intervention may be advantageous for positive developmental outcomes for the child. Mothers in prison represent a high-risk parenting population in terms of both attachment histories and economic and social risk factors. New Beginnings was constructed as a short term, experience-based programme for mothers and infants in the Mother and Baby Units of two UK women's prisons. It is based on the early intervention model developed at the Anna Freud Centre. The programme was piloted in 2004–5, with 27 participating dyads. This paper presents an overview of the pilot stage. Our aim is to introduce the thinking that went into the programme and to present initial observations concerning the effect of the programme. We describe the development of a framework for the programme and its preliminary evaluation using pre- and post-interview protocols concerning the mothers' thoughts and feelings about their babies. We used the Parent Development Interview, for both a qualitative analysis of the major themes in connection to child rearing and quantitative measures of reflective capacity in relation to the child on the part of mother-participants.     

降低剖宫产率 维护母婴利益

剖宫产作为一种生产方式,其比率居高不下,已经引起医学界和卫生管理部门的重视。分析其原因,开展相应的对策研究,已成为当务之急。通过健康教育使产妇走出认识误区;加强医务人员职业道德建设;加强医疗卫生法制建设;完善医疗卫生管理体制;建立和谐的医患关系是降低剖宫产比率,维护母婴利益的重要保证。     

Seeing overweight adults as babies: Physical cues and implications for stigmatization

Human babies not only are reliable triggers of tender feelings and protective tendencies, they also happen to be exceptionally fat compared to the newborns of most other species. These two facts are used to formulate a hypothesis predicting that overweight males, due to their great physical resemblance to babies, not only are perceived as cute, but also are associated with negatively evaluated traits (e.g., immaturity, lack of willpower) that are saliently inconsistent with traits required for adults. In this study, a great many physical features of adult males varying widely in weight were measured and correlated with subjective judgements. Providing preliminary support for the hypothesis, it was found that the features that were correlated with objective and perceived fatness (e.g., circularity of body parts, relatively large head, short and thick neck) also correlated with perceived babyishness. Perceived fatness and babyishness had curvilinear influences on the positive and prosocial appraisal of cuteness, but were primarily negatively related to perceived willpower and beauty. Results are used to formulate an alternative evolutionary perspective on social responses to overweight and obese individuals, emphasizing the uniquely human adaptive value of fatness and the misfiring of the underlying response mechanism under modern conditions of living.