高中生考试焦虑应对方式社会支持关系的研究

目的探求高中生考试焦虑、应对方式、社会支持三者之间的关系.方法用状态焦虑问卷、简易应对方式问卷、社会支持问卷测查某高中的高一、高二、高三学生共170名.结果 积极应对、社会支持与考试焦虑之间存在显著负相关(r= -0.299～-0.307,P<0.01);消极应对与考试焦虑之间存在显著正相关(r= 0.154,P<0.05);积极应对与社会支持之间存在显著正相关(r=0.418,P<0.01);高焦虑组和低焦虑组在积极应对、社会支持上差异有显著性(t= 4.550～3.865,P<0.001);社会支持、对支持的利用度在性别上差异有显著性(t=2.668～3.590,P<0.01～0.001);高二和高三在社会支持、主观支持上存在显著性差异(P<0.05).结论考试焦虑、应对方式、社会支持三者显著相关,为了降低考试焦虑水平,学生应掌握有效的应对方式,家长和学校应给予学生足够的社会支持.     

高原地区军人焦虑及其相关因素研究

目的了解高原地区军人焦虑状况及其相关因素。方法采用焦虑自评量表、自动思维问卷、简易应对方式问卷、青少年生活事件量表、社会支持评定量表和艾森克个性问卷对 2 67名高原地区军人进行测评。结果高原地区军人的焦虑水平 ( 3 7.2 2± 6.64 )显著高于全国常模 (t =17.92 ,P <0 .0 1) ;焦虑与自动思维、消极应对、生活事件、精神质和神经质呈显著正相关 ( r=0 .45 9,0 .2 42 ,0 .5 2 4,0 .2 75 ,0 .5 18,P<0 .0 1) ,与社会支持呈显著负相关 (r = 0 .2 73 ,P <0 .0 1) ;多因素回归分析表明 (R2 =0 .3 67) :自动思维、消极应对、生活事件、社会支持、精神质和神经质对高原地区军人心理健康水平均有预测性 ,其中生活事件和神经质直接影响焦虑 ,自动思维、消极应、精神质对和社会支持间接导致焦虑。结论高原地区军人有较高的焦虑水平 ,对高原地区军人焦虑的发生 ,自动思维、消极应对、生活事件、社会支持、精神质和神经质既存在直接影响又有交互作用。     

社会支持、应对方式在依恋影响心理健康中的作用

目的 探讨依恋对心理健康的直接影响以及依恋通过应对方式、社会支持对心理健康的间接影响.方法 采用整群抽样的方法 对哈尔滨市某技工学校一年级新生372人进行亲密关系经历量表(ECR),症状自评量表(SCL-90),应对方式量表(CSS),领悟社会支持(PSSS)问卷调查.结果 (1)SCL-90总分与父、母,同伴依恋焦虑,与父、母依恋回避呈显著正相关(r=0.165～0.370,P＜0.01);与情绪集中性应对显著正相关(r=0.291～0.552,P＜0.01);与领悟社会支持呈显著负相关(r=-0.245,P＜0.01).(2)父、母,同伴依恋焦虑与情绪集中性应对呈显著正相关(r=0.237～0.383,P＜0.01),而父、母,同伴依恋回避与问题集中性应对呈显著负相关(r=-0.267～-0.403,P＜0.01).(3)领悟社会支持与父、母,同伴依恋回避呈显著负相关(r=-0.425～-0.459,P＜0.01),而与父、母,同伴依恋焦虑相关不显著.(4)依恋焦虑通过应对方式影响心理健康,应对方式的中介效应占总效应的65.2%;依恋回避调节领悟社会支持.结论 (1)依恋焦虑和回避对心理健康状况都有直接影响;(2)依恋焦虑也可通过情绪集中性应对的中介作用间接影响心理健康,依恋回避通过对社会支持的调节效应影响心理健康.     

汶川地震后高三学生心理健康状况调查及其影响因素

目的 探讨地震后高三学生的应对方式,社会支持、抑郁、应激水平和心理健康之间的关系.方法 采用整群随机抽样的方法从都江堰灾区临时安置点的6所中学抽取820个学生,通过卫生部心理问题调查问卷、贝克抑郁量表、社会支持问卷、简易应对方式问卷等工具进行测量,运用方差、相关、分层回归等方法分析变量间的关系.结果 卫生部心理问题调查问卷得分[(7.49±4.41)分],贝克抑郁量表得分[(14.66±9.12)分]偏高.心理问题与抑郁症状、应激水平正相关(r=0.69、0.15),与积极应对、社会支持负相关(r=-0.33、-0.30).积极应对和社会支持的交互作用显著(β=0.14,△R2=0.02),抑郁症状和应激水平的交互作用显著(β=0.07,△R2=0.01).结论 抑郁是积极应对和心理问题的中介变量;社会支持是积极应对和抑郁之间的显著调节变量,随着社会支持的升高,积极应对的保护作用增强;应激水平是抑郁和心理问题之间的调节变量.     

大学生自尊状况及其相关因素分析

目的探讨大学生的自尊状况,分析相关因素.方法采取整群分层取样的方法,随机抽取河南新乡地区512名在校大学生.对他们进行缺陷感量表、抑郁量表、焦虑量表、社会支持量表、社会应对方式问卷、艾森克人格问卷的测试.结果除体能因子分[男性(20.70±6.12)分,女性(18.69±6.36)分,P＜0.01]外(t=3.624),缺陷感量表的总分和其他因子分在性别上差异无显著性(P＞0.05).三年级学生在社交自信因子和自尊总分方面高于一年级、二年级,差异有显著性(F=4.44,P＜0.01).逐步多元回归分析表明:影响大学生自尊水平因素主要有:神经质、内外向、积极应对方式、焦虑、抑郁.自尊水平与积极应对(r=0.153)、内外向(r=0.191)呈正相关,而与抑郁(r=-0.148)、焦虑(r=-0.173)、神经质(r=-0.330)呈显著负相关.结论大学生缺陷感量表体能因子有性别差异,总分和其他因子分性别差异无显著性;大学生自尊水平有随年级增长而提高的趋势;神经质、内外向、焦虑、积极应对方式、抑郁与大学生的自尊水平显著相关.     

初入高原工作的医务人员不同应对方式与焦虑抑郁的关系以及心理弹性的中介作用

  目的  探索赴高原执行任务的医务人员的不同应对方式、心理弹性和焦虑抑郁之间的关系以及心理弹性的中介效应。  方法  使用一般调查问卷、简易应对方式问卷(SCSQ)、心理弹性量表(CD-RISC)、医院焦虑抑郁量表(HADS)对2021年9-11月某医院赴高原执行任务的113名医务人员进行问卷调查。  结果  (1) 经分析, 性别、学历和收入在焦虑水平上; 婚姻状态、收入水平在抑郁水平上; 学历和收入在应对方式上; 婚姻状态和收入在心理弹性得分上比较差异有统计学意义(均P < 0.05)。(2)应对方式与心理弹性之间呈正相关(r=0.390, P < 0.01), 与焦虑抑郁之间呈正相关(r=0.371, P < 0.01);心理弹性与焦虑抑郁之间呈正相关(r=0.206, P < 0.05)。其中, 焦虑与消极呈正相关(r=0.550, P < 0.01), 与积极、力量、坚韧呈负相关(r=-0.221, 0.257, -0.221;均P < 0.05);抑郁与积极、乐观、力量、坚韧呈正相关(r=0.425, 0.560, 0.696, 0.694;均P < 0.01)。验证心理弹性在应对方式与焦虑抑郁之间存在中介效应(P=0.001, R2=0.142)。其中, 心理弹性在积极应对与抑郁水平存在完全中介效应; 力量与坚韧在积极应对与焦虑水平存在部分中介效应。  结论  初入高原工作的医务人员存在焦虑、抑郁状态, 应对方式、心理弹性与焦虑抑郁之间有相关性, 心理弹性在应对方式与焦虑抑郁之间存在中介效应。      

武警新兵交往焦虑的相关因素分析

目的:研究某部武警新兵交往焦虑水平及其影响因素. 方法:采用交往焦虑量表(IAS)、艾森克个性问卷(EPQ)、自尊量表(SES)、领悟社会支持量表(PSSS)、简易应对方式问卷,测评981名新兵的交往焦虑状况、人格、自尊、社会支持、应对方式,并作相关分析和多元线性逐步回归分析. 结果:入伍新兵的交往焦虑平均分(42.93±7.35). 交往焦虑与神经质、消极应对呈正相关(r=0.46,0.26,P＜0.01);与内外向、积极应对、自尊、社会支持呈负相关(r=-0.43, -0.26,-0.15,-0.24,P＜0.01). 进入以交往焦虑评分为因变量的回归方程的因素依次有神经质、内外向、积极应对、消极应对、自尊(R=0.58,R2=0.34,P＜0.01). 结论:神经质、内外向、积极应对、消极应对、自尊是影响交往焦虑的主要因素.     

失智症患者照顾者照顾感受、应对方式及社会支持对疲劳的影响

目的 探讨失智症患者照顾者的照顾感受、应对方式和社会支持对疲劳的影响.方法 运用照顾者负担量表、照顾者积极感受量表、简易应对方式问卷、社会支持评定量表和疲劳量表对重庆市190名失智症患者的照顾者进行问卷调查,并对结果进行路径分析.结果 失智症患者照顾者的疲劳分别与照顾负担(r=0.56,P＜0.01)和消极应对方式(r=0.31,P＜0.01)呈显著正相关,与积极感受(r=-0.33,P＜0.01)、社会支持(r=-0.36,P＜0.01)及积极应对方式(r=-0.55,P＜0.01)呈显著负相关.路径分析显示:应对方式、社会支持直接影响疲劳;照顾负担可以直接影响疲劳,也可通过社会支持、应对方式间接影响疲劳;积极感受既可以减轻疲劳,又会因消极应对而加重疲劳.结论 预防或减轻失智症患者照顾者疲劳,应鼓励其采取积极的应对方式,增加社会支持,从而减少照顾负担、增加积极感受.     

服刑人员人际敏感性与自我接纳、应对方式社会支持的相关研究

目的 探讨服刑人员的人际敏感性与应对方式、社会支持及自我接纳的相关性.方法 采用症状自评量表(SCL-90)、自我接纳问卷、应付方式问卷及领悟社会支持问卷对410名服刑人员进行调查.所有数据采用SPSS11.5进行分析.结果 1.服刑人员的人际敏感性与解决问题(r=-0.15,P=0.00)、求助应对方式(r=-0.12,P=0.02)及家庭内外社会支持(r=-0.22,P=0.00)和自我接纳(r=-0.36,P=0.00)呈显著负相关,与自责(r=0.26,P=0.00)、退避(r=0.19,P=0.00)及合理化应对方式(r=0.18,P=0.00)呈显著正相关;2.人际敏感性低的个体倾向于解决问题、求助应对方式及家庭内外社会支持和自我接纳,而人际敏感性高的个体则倾向于自责、退避及合理化应对方式;3.影响人际关系敏感性的多元逐步回归分析发现,依次进入回归方程的是:自我接纳、求助和家庭内社会支持.结论 应对方式、社会支持及自我接纳是影响服刑人员人际敏感性的重要相关因素,服刑人员人际敏感受多种因素的影响.     

生活事件社会支持压力反应对医务人员应对方式的影响

目的研究生活事件、社会支持、应激反应等应激有关因素对医务人员应对方式的影响 ,探讨应对方式在应激系统中的理论意义。方法应用特质应对方式问卷、领悟社会支持量表、自编压力反应问卷和生活事件量表 ,及一般情况调查表对 5 5 6名医务人员进行调查 ,将结果输入SPSS10 .0软件进行统计分析。结果单因素相关分析显示 :医务人员消极应对方式与压力反应、家庭事件、工作学习事件、社交与其他事件和经济事件呈正相关 ,与家庭内支持、年龄、性别、文化程度有负相关 (P <0 .0 5或P <0 .0 1)。医务人员积极应对方式与压力反应、工作学习事件呈负相关 ,与家庭内支持、家庭外支持、性别有正相关 (P<0 .0 1)。多元逐步回归分析提示 :影响医务人员消极应对方式的主要因素有压力反应总分、年龄、性别和工作学习问题 (P <0 .0 5或P <0 .0 0 1) ,影响医务人员积极应对方式的主要因素有家庭外支持、压力反应和性别 (P <0 .0 1或P <0 .0 0 1)。结论医务人员的应对方式与生活事件、社会支持、压力反应、性别和年龄有关 ,提示心理应激是一个多因素交互作用的系统。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.