Self-Esteem Instability and Humor Styles: Does the Stability of Self-Esteem Influence How People Use Humor?

The purpose of the present study was to examine whether self-esteem instability moderated the association between self-esteem level and the use of humor. This was accomplished by examining the associations that humor styles had with self-esteem level and self-esteem instability among 499 undergraduates. The results of the present study show that self-esteem instability moderated the association between self-esteem level and humor styles such that individuals with stable high self-esteem reported the highest levels of affiliative humor as well as the lowest levels of aggressive and self-defeating humor. These results suggest that individuals with stable and unstable forms of self-esteem employ different styles of humor.     

变异性心绞痛患者心率变异性与冠状动脉病变关系的研究

研究变异性心绞痛患者 ST 段抬高对心率变异性的影响。回顾性分析122例变异性心绞痛患者 ST 段抬高幅度及持续时间对心率变异性的影响;心率变异性与冠状动脉病变及病变支数、狭窄程度有相关性。结果心率变异性在 ST 段抬高≥0．4mv 患者中较 ST 段抬高＜0．4mv 患者中明显降低（P＜0．05）;其在 ST 段抬高持续时间≥3min 患者中较 ST 段抬高持续时间＜3min 患者中明显降低（P＜0．05）;其在冠状动脉狭窄≥50％患者中较冠状动脉狭窄＜50％患者中明显降低（P＜0．05）;心率变异性在多支较单支病变明显降低（P ＜0．05）,单支病变狭窄程度≥75％较50％～75％者明显降低（P＜0．05）。提示变异性心绞痛患者自主神经系统受损程度与冠状动脉缺血严重程度,缺血持续时间密切相关,心率变异性能一定程度反映变异性心绞痛患者冠状动脉病变严重程度。     

When bad gets worse: Negative wording amplifies negative recall in persons with the borderline personality trait

The emotional valence of memory recall strongly influences the extreme, and often self‐destructive behavioral response. Overall, 4427 people from the community filled out our screening questionnaire, of which 674 (mean age: 32.9 years, 64.7% women) passed the threshold for the likely presence of borderline personality disorder (BPD). Participants watched one of 9 possible video clips differing in valence (positive, negative or neutral). Results indicate support (ß = .151, p < .05) for a negative cognitive tendency in the evaluations proportionate to the severity of BPD but only when the impression is assessed with negatively‐worded items. This effect is detectable regardless of other factors such as negative mood, extremity of the answers or general impression of the character. These effects are unaffected by acute trauma. To conclude, different factors influence the recall of emotional stimuli, depending on the valence of the stimuli and the valence of the rating scale in persons with strong borderline tendencies.     

When intergroup apology is not enough: Seeking help and reactions to receiving help among members of low status groups

Relations between groups are characterized by competition and suspicion. As a consequence, members of low status groups may question the meaning of apologies offered by a high status group, especially under unstable status relations. In two experiments, the present research investigated the role of the intergroup versus interpersonal apology and the potential moderating effect of the stability of intergroup relations on low status group members' (a) help seeking (Study 1) and (b) responses to receiving help (Study 2) from a high status group. Consistent with our hypotheses, when status relations were unstable rather than stable, following a formal intergroup relative to an interpersonal apology by an Israeli official, Israeli‐Arab students sought less dependency‐oriented and more autonomy‐oriented help from an Israeli‐Jewish study coordinator (Study 1) and Jewish‐Ethiopian newcomers reacted more negatively when they read about an Ethiopian‐Jewish student receiving unsolicited dependency‐oriented help from an Israeli‐Jewish college student (Study 2). Theoretical and practical implications are discussed.     

非ST段抬高急性冠脉综合征药物治疗规范化分析

回顾性分析我院收治的129例非ST段抬高急性冠脉综合征患者的临床资料。对比在非ST段抬高急性冠脉综合征诊治上与最新指南的差距,找出改进措施。结果表明我院的临床实践与最新指南存在较大差距,在强化抗栓,调脂治疗,B受体阻滞剂及血管紧张素转换酶抑制荆类药物使用上均有待提高。今后应采取更加积极的措施,规范用药,以达到更好的预后和转归效果。     

Understanding Chest Pain: What Every Psychologist Should Know

Chest pain is one of the most frequent presenting complaints in Emergency Rooms and other medical settings. A considerable number of these patients do not have significant coronary artery disease. This led to plausible alternative explanations for these presenting symptoms and these patients tend to have unremarkable cardiac outcomes. Nevertheless, many studies have also documented that symptoms and related disability persist in the face of reassurances about benign cardiac status. Given the implied threat of chest pain (e.g., myocardial infarction) and the presence of chest pain symptoms in other noncardiac conditions (including anxiety and panic), it is not surprising that many of these patients present with considerable emotional distress. Consequently, chest pain symptoms represent diagnostic and treatment dilemmas for physicians and psychologists alike. The extent to which cardiac and noncardiac factors contribute to all forms of chest pain remains unknown. The function of this review is to provide mental health professionals with a primer on relevant clinical issues in chronic chest pain. We examine several common medical and psychiatric causes of chronic chest pain and selectively review (1) the relevant medical and psychiatric diagnostic and treatment considerations for chest pain and (2) the hypothetical biobehavioral mechanisms relevant to psychological intervention, (3) while expanding on existing conceptual models for understanding chest pain, and (4) offering some suggestions for future research.     

红细胞体积分布宽度与冠心病关系的研究近况

红细胞体积分布宽度是血常规检测报告的一部分,临床多用于各种贫血的诊断与鉴别诊断。近年国内外研究显示,其测量值的增高与冠心病的死亡等不良事件发生风险增加密切相关。本文对其生物学特性与检测原理、与冠心病关系、测量值的增高预测冠心病不良预后的可能机制的研究进行综述。     

Stress management and exercise training in chronic stable angina pectoris

Abstract

Patients suffering from chronic stable angina pectoris were allocated to one of four conditions: stress management training, exercise training, combined stress management and exercise, or waiting list control. Patients undertook an exercise tolerance test before and after intervention, and at follow-up assessment eight weeks later. They also kept a daily diary of the frequency, duration and intensity of all angina episodes, and recorded the amount of medication taken, for the week preceding and the week following intervention, as well as for the eighth week of follow-up. Patients who undertook the combined stress management and exercise programme faired best. They showed sustained gains in achieved workload on the exercise tolerance test at no cost in terms of ischaemia, as measured by ST-segment depression. They also registered less frequent angina attacks following intervention than the exercise only and waiting list control patients, and reported reduced reliance on medication; the latter benefit was sustained at follow-up. These clinical dividends invite further study of combined stress management and exercise training in angina pectoris.     

非ST段抬高急性冠脉综合征药物治疗规范化分析

回顾性分析我院收治的129例非ST段抬高急性冠脉综合征患者的临床资料.对比在非ST段抬高急性冠脉综合征诊治上与最新指南的差距,找出改进措施.结果表明我院的临床实践与最新指南存在较大差距,在强化抗栓,调脂治疗,β受体阻滞剂及血管紧张素转换酶抑制剂类药物使用上均有待提高.今后应采取更加积极的措施,规范用药,以达到更好的预后和转归效果.     

Effect of Heel Heights on Female Postural Control During Standing on a Dynamic Support Surface With Sinusoidal Oscillations

The authors aimed to investigate female balance or stability control with comparative analysis of the center of pressure trajectory and plantar pressure distribution with different high-heeled shoes while standing on a dynamic surface with multidirectional perturbations. College females with at least 2 years' history of wearing high-heel shoes voluntarily participated in the test with a Novel Pedar insole (Novel, GmBH, Munich, Germany. With heels height increasing, the pressure time integral obviously transfer to the medial forefoot region, with center of pressure trajectory medially deviated significantly, either under anteroposterior or mediolateral perturbations. The passive plantarflexion position of ankle incurred by high heel increased the range of motion in the frontal plane but decreased ankle stability, thus increasing the challenge of body balance maintenance.