谈武术教学中的膝关节损伤及预防措施与治疗方法

本文对武术教学中膝关节损伤(骨骼劳损) 的病发原理、损伤原因、诊断、治疗方法以及预防措施等,进行了较为全面的论述。以引起武术教学工作者和学主足够重视.     

Shared Family Identity,Age Salience,and Intergroup Contact: Investigation of the Grandparent–Grandchild Relationship1 This study was part of the first author's doctoral dissertation and portions of the study were presented at the National Communication Association annual meeting,Chicago, 2004.

This study investigated communicative and relational aspects of the grandparent–grandchild relationship that lead to perceptions of age salience and shared family identity with the grandparent. The perceptions represent manifestations of inter- and intragroup levels of categorization in dealing with the other family member. The association between these group-oriented categorizations and perceptions of intergenerational contact outside of the family was examined. Participants (N?=?369) completed questionnaires assessing perceptions of experiences with multiple grandparents. Findings showed that general family identification of the grandchild, parental encouragement, and personal communication (social support and reciprocal self-disclosure) are positively associated with perceptions of shared family identity, whereas intergroup communication (under/overaccommodation) and perceptions of impaired health are associated with age salience. Results suggest that age salience may moderate the relationship between shared family identity and perceptions of older adults in some circumstances.     

如何引导中职学生矫正过去的心理创伤

面对中职学生这样一个特别需要关注的群体,笔者从家庭教育、学校教育和社会偏见等方面分析了学生过去所受的心理创伤,并提出了引导中职学生矫正过去的心理创伤的三条途径:一、进行"自我省察";二、运用"生命线"回溯;三、写"情绪日记",希望对矫正中职学生过去的心理创伤有所帮助。     

Comorbidity of PTSD in anxiety and depressive disorders: Prevalence and shared risk factors

The present study aims to assess comorbidity of posttraumatic stress disorder (PTSD) in anxiety and depressive disorders and to determine whether childhood trauma types and other putative independent risk factors for comorbid PTSD are unique to PTSD or shared with anxiety and depressive disorders. The sample of 2402 adults aged 18–65 included healthy controls, persons with a prior history of affective disorders, and persons with a current affective disorder. These individuals were assessed at baseline (T0) and 2 (T2) and 4 years (T4) later. At each wave, DSM-IV-TR based anxiety and depressive disorder, neuroticism, extraversion, and symptom severity were assessed. Childhood trauma was measured at T0 with an interview and at T4 with a questionnaire, and PTSD was measured with a standardized interview at T4. Prevalence of 5-year recency PTSD among anxiety and depressive disorders was 9.2%, and comorbidity, in particular with major depression, was high (84.4%). Comorbidity was associated with female gender, all types of childhood trauma, neuroticism, (low) extraversion, and symptom severity. Multivariable significant risk factors (i.e., female gender and child sexual and physical abuse) were shared among anxiety and depressive disorders. Our results support a shared vulnerability model for comorbidity of anxiety and depressive disorders with PTSD. Routine assessment of PTSD in patients with anxiety and depressive disorders seems warranted.     

Engaging foster parents in treatment: A randomized trial of supplementing Trauma-focused Cognitive Behavioral Therapy with evidence-based engagement strategies

The goal of this study was to examine the impact of supplementing Trauma-focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al., 2006) with evidence-based engagement strategies on foster parent and foster youth engagement in treatment, given challenges engaging foster parents in treatment. A randomized controlled trial of TF-CBT standard delivery compared to TF-CBT plus evidence-based engagement strategies was conducted with 47 children and adolescents in foster care and one of their foster parents. Attendance, engagement, and clinical outcomes were assessed 1 month into treatment, end of treatment, and 3 months post-treatment. Youth and foster parents who received TF-CBT plus evidence-based engagement strategies were more likely to be retained in treatment through four sessions and were less likely to drop out of treatment prematurely. The engagement strategies did not appear to have an effect on the number of canceled or no-show sessions or on treatment satisfaction. Clinical outcomes did not differ by study condition, but exploratory analyses suggest that youth had significant improvements with treatment. Strategies that specifically target engagement may hold promise for increasing access to evidence-based treatments and for increasing likelihood of treatment completion.     

Child maltreatment deaths in the U.S. National Child Death Review Case Reporting System

Comprehensive reviews of child death are increasingly conducted throughout the world, although limited information is available about how this information is systematically used to prevent future deaths. To address this need, we used cases from 2005 to 2009 in the U.S. National Child Death Review Case Reporting System to compare child and offender characteristics and to link that information with actions taken or recommended by review teams. Child, caretaker, and offender characteristics, and outcomes were compared to team responses, and findings were compared to published case series. Among 49,947 child deaths from 23 states entered into the Case Reporting System during the study period, there were 2,285 cases in which child maltreatment caused or contributed to fatality. Over one-half had neglect identified as the maltreatment, and 30% had abusive head trauma. Several child and offender characteristics were associated with specific maltreatment subtypes, and child death review teams recommended and/or planned several activities in their communities. Case characteristics were similar to those published in other reports of child maltreatment deaths. Teams implemented 109 actions or strategies after their review, and we found that aggregating information from child death reviews offers important insights into understanding and preventing future deaths. The National Child Death Review Case Reporting System contains information about a large population which confirms and expands our knowledge about child maltreatment deaths and which can be used by communities for future action.     

Cumulative childhood trauma and psychological maladjustment of sexually abused children in Korea: Mediating effects of emotion regulation

The purpose of the present study was to identify the mediating effects of emotion regulation on the association between cumulative childhood trauma and behavior problems in sexually abused children in Korea, using structural equation modeling (SEM). Data were collected on 171 children (ages 6–13 years) referred to a public counseling center for sexual abuse in Seoul, Korea. Cumulative childhood traumas were defined on the basis of number of traumas (physical abuse, witnessing domestic violence, neglect, traumatic separation from parent, and sexual abuse) and the severity and duration of traumas. Children were evaluated by their parents on emotion regulation using the Emotion Regulation Checklist and internalizing and externalizing behavior problems using the Korean-Child Behavior Checklist. SEM analyses confirmed the complete mediation model, in which emotion dysregulation fully mediates the relationship between cumulative childhood traumas and internalizing/externalizing behavior problems. These findings indicate that emotion regulation is an important mechanism that can explain the negative effects of cumulative childhood traumas and that there is a need to focus on emotion regulation in sexually abused children exposed to cumulative trauma.     

高校辅导员心理创伤归因及对策探究

高校辅导员作为大学生心理危机的主要干预者,长期处于高应激状态下而易患创伤后应激障碍。学校应该对辅导员进行积极的心理危机预防、干预和恢复管理,降低他们创伤后应激障碍的发生概率,这不仅有利于促进高校心理健康工作的有效开展,同时也有利于促进平安校园和和谐校园的建设。     

Posttraumatic Stress Disorder and Substance Use Disorders in College Students

ABSTRACT

Research indicates that many college students report posttraumatic stress disorder (PTSD) or substance use disorder (SUD), yet there has been scant attention paid to the co-occurrence of these disorders in college students. This review examines the co-occurrence of PTSD and SUD in college students. Recommendations for counseling centers are provided regarding the assessment of this population, an overview of treatment issues, and three areas of clinical importance when working with this population: risk behaviors, interpersonal violence, and social isolation. Future directions for research are also suggested.     

The relationship between perceived instructor communicator style,argumentativeness, and verbal aggressiveness

The purpose of this study was to examine the interrelationships among perceived instructor communicator style, perceived instructor trait argumentativeness, and perceived instructor trait verbal aggressiveness in the college classroom. Participants were 236 undergraduate students enrolled in a variety of communication courses at a large Eastern university. Results indicated that (a) perceived instructor trait argumentativeness was positively related to the perceived instructor communicator style attributes of impression leaving, contentious, open, dramatic, dominant, precise, relaxed, attentive, and animated; (b) perceived instructor trait verbal aggressiveness was positively related to the perceived instructor communicator style attributes of contentious and precise, and negatively related to the perceived communicator style attributes of impression leaving, relaxed, friendly, attentive, and animated; and (c) perceived instructor use of verbally aggressive messages was related in some way to the perceived instructor communicator style attributes of contentious, impression leaving, friendly, attentive, animated, relaxed, dramatic, and precise.