Insomnia symptom trajectories among adult survivors of childhood sexual abuse: A longitudinal study

BackgroundChildhood sexual abuse (CSA) is associated with sleep disturbances in adulthood. However, longitudinal studies have yet to identify among CSA-survivors subgroups distinguished by the trajectory of their insomnia severity, or predictors of subgroup membership.ObjectiveThe objective of this study was to examine longitudinal insomnia symptom trajectories, as well as predictors and correlates of the identified trajectories, over a 4 year study period in a sample of adult, mainly female CSA-survivors.Participants and settingThe sample comprised 533 adult survivors of CSA (94.9% women, mean age 39.2 years, mean age of abuse onset 6.5 years), recruited from support centers for sexual abuse survivors in Norway.MethodsLatent class growth analyses were used to identify insomnia symptom trajectories.ResultsThree distinct trajectories of insomnia symptoms were identified; one characterized by high insomnia symptom scores minimally decreasing over the study period (‘high and decreasing’, 30.6%), one characterized by stable intermediate insomnia symptom scores (‘intermediate and stable’, 41.5%), and one characterized by stable low insomnia symptom scores (‘low and stable’, 27.9%). Predictors of belonging to the high and decreasing trajectory (using the low and stable trajectory as a reference), was lower age of abuse onset (expotentiated coefficient (EC): 0.93, p = 0.026), abuse involving penetration (EC: 2.36, p = 0.005), threats (EC: 3.06, p < 0.001) or physical violence (EC: 3.29 p < 0.001), a higher score on a composite variable comprising multiple other abuse and perpetrator aspects (EC: 2.55, p < 0.001), as well as scoring above a clinical cut-off on a measure of posttraumatic stress symptoms (EC: 12.17, p < 0.001). Those belonging to the high and decreasing trajectory also reported lower levels of perceived social support and higher levels of subjectively experienced relational difficulties compared to those belonging to the two other trajectories.ConclusionsWe conclude that different longitudinal insomnia trajectories exist among adult CSA survivors. The overall results, as well as the significant predictors, are discussed alongside their potential clinical implications.     

我国高校女教师心理健康实证研究

调查我国部分高校女教师的心理健康状况,以探讨心理压力的成因,为改善和提高高校女教师的心理健康水平提供科学依据。方法采用症状自评量表（SCL-90）对我国部分高校的1800名女教师进行心：哩测评。结果不同任教科目、不同职称、不同工资水平的高校女教师在心理健康上的差异具有统计学意义;不同教龄的高校女教师在躯体化、强迫、敌对因子上存在显著性差异。结论高校女教师心理健康状况不容乐观,应尽早加强心。理干预。     

对驻豫某部队装甲兵心理健康状况的调查分析

为了解装甲兵的心理健康状况,采用症状自评量表SCL-90为工具,在驻豫某部队抽取132名装甲兵进行了测试,对结果进行了统计分析并与国内军人常模和青年常模进行了比较。结果表明:驻豫某部队装甲兵的心理健康状况略优于国内军人常模,但显著低于青年常模;影响被试心理健康状况最主要的症状因子是强迫、人际敏感及抑郁因子;入伍时间长短与士兵心理健康状况存在显著相关;城市兵源心理健康状况优于农村兵源;独生子女兵源心理健康状况优于非独生子女兵源。     

自闭症个体青春期的症状变化及干预

随着青春期的身心发展,自闭症个体的典型症状会发生改变,智力水平和言语能力对其症状变化进行较好的预测。自闭症个体在青春期也会出现焦虑、不适当性行为等问题。文章根据国内外研究,对自闭症青春期的症状变化、面临的突出问题及干预方法进行了综述。     

对女大学生心理健康状况的研究

在查阅有关大学生心理健康献资料的基础上，针对当前高校女大学生的心理健康状况，从心理学角度出发，采用了SCL-90症状自评量表(the Self-Report Symptom Inventort，StmptomCheck-list90，SCL-90)，对同济大学2000级女生137人(年龄18～19岁)进行了心理健康方面的测试。从学生个体心理健康的综合评价、心理健康问题程度的偏向、阳性症状的范围、程度以及心理健康状况的10大因子的分布特点等方面进行了分析研究，并结合高校体育教育，在管理、教学方法、教师等方面提出了相应对策。     

体育系大学生心理健康状况调查分析

采用症状自评量表(SCL-90)对湖南大学体育系194名学生心理健康状况进行调查,旨在了解学生心理健康水平和存在的问题,分析其原因并提出合理化建议,为师范院校学生心理卫生工作提供参考.结果表明:有轻度心理问题的学生占23.71%,有明显心理问题的学生占2.06%;躯体化和精神病性因子分明显高于国内常模,人际关系敏感因子分明显低于国内常模;总体调查结果优于其他同类调查结果;高年级因子分高于低年级;男生因子分高于女生.     

太极拳锻炼对大学生身心保健作用的研究

通过对102名在校大学生有系统地进行一年太极拳锻炼。在锻炼前后进行生理、心理功能指标的测试，探讨了太极拳运动对人体的中枢神经系统、心血管系统及自我感觉症状的影响。说明了太极拳运动不但适用于中老年人的健康，对促进青年人的身心健康、防病治病，也是一项很好的运动项目。     

从系统科学到教育的科学发展观

本文从系统科学的基本原则出发,探讨我国高等教育的主要问题,指出教育的关键是质量。并指出,目前教育改革的关键之一是高教制度的改革。但改革要找到根本解,否则将是表面问题改善,新的问题随之发生,而且老问题还会再次不定期出现。文中指出目前教育的两大症结问题：平等竞争机制和人的创造性张力的产生。这两个问题将涉及到目前与高等教育相关的绝大多数问题的根．源。     

The homicide, the pervert act and paternity

Proposition to articulate perverse subjectivity and the pervert act was established, wherein, the dynamics of criminal acts, as means of lust, and convicts＇ positioning within social bonds configure the outlines. For this purpose, imprisoned were registered in unit of Rio de Janeiro Penal System was interviewed. The concept of perversion was a starting point and means for interpretation of the perverse phenomena present in subjects condemned for homicide. Social relationships, geared by violence and crime, offer criminality guaranteed space within its network. The assertive that social plot offers sponsorship, if not incentive, for occurrence and maintenance of crimes may be made, but this statement is uncertain when considering the criminal＇s perception of his role and part therein. This questioning leds to the investigation of imprisoned with the objective of studying the criminal act, the executor＇s implication and types of social engagement related to crime. Discursive production was collected from various interviews and analyzed. The results were： （1） The majority of criminals believe crime necessary and associated to citizen and criminal necessities. （2） The way media discloses criminal acts makes available methods and strategies which can be readily assimilated. （3） Criminals interpret their crimes as sociological-economic needs, a means of social ascension and empowerment, thus revealing remarkable change in customs. （4） Failure, or even absence of a paternal image was evidenced in family pattern study, inasmuch as majority come from women＇s homes with several children, each of different fathers. （5） Uncontrollable increase of criminality may be the consequence of subjective emptiness, observable by maximum concentration of the subject in the ego, allied to the loosening of links fundamental to social relationship. （6） The criminal have low scholastic levels. Homicidal hold the lowest academic level, some being illiterate. （7） Finally, the imprisoned reveal the existence of pleasure in stealing, killing, seizure, blackmailing and assaulting. He practices two categories of actions： （1） Torturer, which includes assailants and kidnappers, has primordial interest in the slow mortification process of the victims, continuous suffering, the abolition of desire and, not immediately, death; （2） Executioner, commonly known as contracted killers, those whose lust derives from the capture of death in those dying whilst dying, have the sole action present with complete dissubjectivation of victim.     

220例大肠癌的临床和病理学特征分析

[目的]分析大肠癌的临床和病理学特征.[方法]收集220例大肠癌患者的临床病理资料并进行回顾性分析.[结果]大肠癌发病率有随年龄增长而递增趋势,血便是大肠癌最常见的临床表现,以直肠检出率最高,病理类型以溃疡型和高分化腺癌最多,绝大多数患者发现时就已经是中晚期.[结论]大肠癌是临床上常见的恶性肿瘤,必须加强对大肠癌早期临床症状的宣传和对高危人群的普查,从而提高生存率.