运动员睡眠质量及其相关因素的研究

通过对运动员睡眠质量及其相关因素的研究 ,为运动员更好地改善睡眠状况 ,提高睡眠质量 ,保证训练或比赛顺利进行提供一些有价值的资料。以 16 3名运动员 (平均年龄为 2 0 81± 2 85岁 ,男 70人 ,女 93人 )为研究对象 ,采用“匹兹堡睡眠质量指数 (PSQI)”等心理量表进行调查研究。研究发现 :(1)除“睡眠时间”、“催眠药物”、“日间功能”三项指标外 ,PSQI其它分析指标男女运动员之间存在着显著性差异 (P <0 0 5或 <0 0 1) ;(2 )比较分析发现 ,除“催眠药物”一个因子外 ,PSQI其余各项指标 ,运动员得分明显高过体院学生(P <0 0 1) ;(3)相关分析显示 ,除“催眠药物”外 ,PSQI其它各项指标与各项心理测试成分都存在着不同程度的相关 ;(4)逐步回归分析发现 ,在α =0 0 5水平上进入回归模型且具有显著性意义的因素是 :比赛失利、人际关系、APSC总分、ACL_90总分、人际敏感、焦虑、特质焦虑、支持利用度、内外压力。运动员的睡眠质量显著低于体院学生 ;女性运动员睡眠质量比男性运动员差 ;运动员睡眠质量与诸多心理因素密切相关     

The deployment,training and teacher relationships of teaching assistants supporting pupils with autistic spectrum disorders (ASD) in mainstream secondary schools

Growing numbers of pupils with autistic spectrum disorders (ASD) are attending mainstream schools, and increasing numbers of additional staff are being deployed to support them. Recent research has cast doubt on the effectiveness of this support, by highlighting issues relating to deployment and training, and to relationships with class teachers. This study, conducted by Wendy Symes, who is a Research Associate at the University of Manchester, and Neil Humphrey, who is Professor of Education in the same university, interviewed 15 teaching assistants supporting pupils with ASD in four mainstream secondary schools in the north‐west of England to explore these issues. Analysis yielded several key findings. The majority of teaching assistants worked with just one pupil at a time and worked in a variety of lessons. Their role primarily involved helping pupils to stay focused and follow instructions. Many teaching assistants had no experience of ASD prior to starting their job. The amount of training received varied, but all felt that generic training about ASD was not helpful. A lack of time for joint planning with teachers was raised as a key concern. These findings are discussed in relation to the growing literature on inclusive education for pupils with ASD.     

Becoming Fathers: Initial Exploration of a Support Program for New Fathers

Emerging fathers experience a variety of stressors, including identity and role transitions, changes in their relationships, and challenges in developing caregiving skills. Increasing expectations for father involvement in childcare are emphasizing the importance of the father role, but social supports for new fathers remain scarce. Nineteen expectant and new fathers participated in a pilot 5-week group intervention aimed at improving stress coping and involvement attitudes using a combination of mindfulness practices and skill-building for parenting and partner communication. We administered surveys pre- and postintervention to assess efficacy in the areas of stress, depressive symptoms, father involvement attitudes, and mindfulness. Within-participant differences were compared across participants as well as examining individual reliable change. Results indicated initial reductions in stress and depressive symptoms and increases in the mindfulness constructs of nonjudgment and nonreactivity. No significant changes were found in father involvement attitudes. Perinatal intervention specific to fathers holds promise as an underexplored avenue for supporting families across the transition to parenthood.     

Adult mental health outcomes of child sexual abuse survivors born at extremely low birth weight

The high prevalence of child sexual abuse (CSA) is concerning, particularly as survivors are at increased risk for multiple adverse outcomes, including poor mental health across the lifespan. Children born at an extremely low birth weight (ELBW; <1000 g) and who experience CSA may be a group that is especially vulnerable to psychopathology later in life. However, no research has considered the mental health risks associated with being born at ELBW and experiencing CSA. In this study, we investigated the mental health of 179 ELBW survivors and 145 matched normal birth weight (NBW; >2500 g) participants at ages 22–26 and 29–36. At age 22–26, CSA was associated with increased odds of clinically significant internalizing (OR = 7.32, 95% CI: 2.31–23.23) and externalizing (OR = 4.65, 95% CI: 1.11–19.51) problems among ELBW participants exposed to CSA compared to those who did not, though confidence intervals were wide. At age 29–36, CSA was linked to increased odds of any current (OR = 3.43, 95% CI: 1.08–10.87) and lifetime (OR = 7.09, 95% CI: 2.00–25.03) non-substance use psychiatric disorders, however, this did not hold after adjustment for covariates. Statistically significant differences in mental health outcomes were not observed in NBW participants exposed to CSA compared to NBW participants who were not exposed. Survivors of significant perinatal adversity who are also exposed to CSA may be at higher risk for psychopathology through the fourth decade of life.     

自闭症谱系障碍儿童睡眠问题的研究:回顾及思考

睡眠问题在自闭症谱系障碍儿童中有高发生率,与他们的核心特征存在错综复杂的关联.睡眠问题属于失眠症的范畴,潜在病原包括神经生物学、心理及行为和家庭环境等因素,对儿童的影响体现在社会交往与沟通、行为表现及认知和个人成长及家庭等方面,现有治疗措施主要有行为干预、药理治疗和其他疗法,最后对自闭症谱系障碍儿童教育与康复提出几点建议.     

Getting good at small talk: student-directed learning of social conversation skills

For students with autism spectrum disorders (ASD), learning social skills is an intricate but essential task to facilitate social inclusion and participation. Limited research is available on social skills interventions for adolescents with ASD and intellectual disabilities (ID). This article presents a case study that illustrates how the Self-Determined Learning Model of Instruction was used to improve self-chosen social conversation skills in a Norwegian 14-year old student with ASD and mild ID. This case study illustrates that, also for students with ASD and ID, giving them the opportunity to set personally relevant goals may improve their autonomous motivation, thereby increasing the likelihood of goal attainment.     

12周惯性哑铃练习对轻度认知损害老年人的干预效果

目的观察12周惯性哑铃练习对轻度认知损害(MCI)老年人认知功能、身体活动能力、生活质量和睡眠质量的影响,并探讨认知改善与其他功能改变之间的关系。方法将45名MCI老年人随机分为干预组(n=22)和对照组(n=23)。干预组受试者进行惯性哑铃练习(3次/周,60 min/次,持续12周),对照组不进行运动干预。结果 12周后,干预组受试者阿尔茨海默病评定量表-认知部分(ADAS-Cog)总分/指令得分、蒙特利尔认知评估量表(MoCA)评分、起立行走计时(TUG)和SF-36健康调查问卷(SF-36)心理总得分均显著改善(均P<0.05)。与对照组相比,干预组受试者ADAS-Cog总分/单词回忆得分/注意力得分、简明精神量表(MMSE)评分、TUG和匹兹堡睡眠指数(PSQI)的改善程度均具有显著差异(P<0.05或P=0.05)。偏相关分析结果显示,SF-36心理总得分改变(r=-0.712)、PSQI改变(r=-0.380)与认知改善程度均呈显著负相关。结论 12周惯性哑铃练习可显著提高MCI老年人的认知功能,并对其移动能力、生活质量和睡眠质量具有积极影响,且心理和睡眠改变程度可能影响认知功能的改善效果。     

Evening electronic device use and sleep patterns in athletes

The present study aimed to investigate pre-sleep behaviours (including evening electronic device use) and sleep quantity in well-trained athletes. Seventy well-trained athletes (44 females, 26 males) aged 21 ± 4 y from a range of team and individual sports were asked to complete an online sleep diary for 7 days. The sleep diary included questions about pre-sleep behaviours (e.g. napping, caffeine intake), electronic device use in the 2 h prior to bedtime (e.g. type of device and duration of use) and sleep (e.g. time in bed, sleep onset latency). On average, athletes spent 8:20 ± 1:21 h in bed each night. Associations between age, time in bed and sleepiness suggested that younger athletes spent more time in bed (B = -0.05, p = 0.001) but felt sleepier (r = -0.32, p < 0.01) than older athletes. On average, athletes mostly used electronic devices for 0–30 min prior to sleep. The use of multiple devices in the evening was associated with more perceived difficulty in falling asleep (B = 0.22, p = 0.03), but no associations existed with other sleep variables. In summary, younger athletes may require later start times or improved sleep quality to resolve excessive sleepiness.     

Optimizing recovery to support multi-evening cycling competition performance

Road criterium and track bicycle racing occur at high speeds, demand repeated high power outputs, last 10–90?min, and offer little chance for recovery after the event. Consecutive evenings of criterium and track racing are respectively known as speed-week or six-day events and take place in evening hours over the course of a week. Given the schedule and timing of these competitions, return to homeostasis can be compromised. No recommendations exist on how to optimize recovery for cyclists participating in these types of repeated evening competitions. Criterium and track cyclists spend considerable time, near and above the individual lactate threshold and therefore mostly utilize carbohydrate as their chief energy substrate. Henceforth, pre – and post-race nutrition and hydration is examined and recommendations are brought forward for carbohydrate, protein, and fluid intake. As evening high-intensity exercise perturbs sleep, strategies to optimize sleep are discussed and recommendations for an optimal sleep environment are given. Active recovery is examined, and the benefits of a short duration low intensity exercise reviewed. Passive recovery methods such as compression garments and cold water immersion are recommended, while evidence for massage, pneumatic compression devices, and neuromuscular electrical stimulation is still lacking. Optimizing recovery strategies will facilitate a return to the resting state following strenuous night competition.     

Symptoms of common mental disorders and related stressors in Danish professional football and handball

The aim of the study was twofold, namely (i) to determine the prevalence of symptoms of common mental disorders (CMDs) among current and retired professional football and handball players and (ii) to explore the relationship of psychosocial stressors with the outcome measures under study. A total of 1155 players were enrolled in an observational study based on a cross-sectional design. Questionnaires based on validated scales were set up and distributed among current and retired professional football and handball players by the Danish football and handball players’ union. In professional football, the highest prevalence (4 weeks) of symptoms of CMDs was 18% and 19% for anxiety/depression among current and retired players, respectively. In professional handball, the highest prevalence (4 weeks) of symptoms of CMDs was 26% and 16% for anxiety/depression among current and retired players, respectively. For both the current and retired professional football and handball players, a higher number of severe injuries and recent adverse life events (LE) were related to the presence of symptoms of CMD. Players exposed to severe injuries and/or recent adverse LE were 20–50% times more likely to report symptoms of CMD. The results suggest that it is possible to recognize the population of professional athletes that are more likely to develop symptoms of CMD. This could create the opportunity to intervene preventively on athletes that suffered from severe injury and/or recent adverse LE that could lead to a faster and safer recovery and psychological readiness to return to play.