药物干预近视眼发生发展的研究现状

近视是儿童及青少年最为常见的眼部疾病。随着近视和高度近视的患病率逐年增加,高度近视及其并发症所导致的低视力及致盲的人数也逐渐增加。但近视的发生和发病机理目前并不清楚,现有的干预方法有光学和药物等措施。本文旨在总结近年来在临床和动物试验期方面讨论药物干预近视的研究进展。     

Improving Wheat Productivity in Pakistan: Econometric Analysis Using Panel Data from Chaj in the Upper Indus Basin

Abstract

Increasing water scarcity, degradation of land and water resources, continuing low agricultural productivity, and increasing populations are posing the largest ever challenges for development of agricultural economies in many developing countries including Pakistan. Using panel data from irrigated settings in Chaj sub-basin of the Indus basin in Pakistani Punjab, we attempt to: (a) analyze the causes of low productivity; (b) disentangle factors (both land, water and other factors) contributing to productivity variations; and (c) identify limits and opportunities for narrowing productivity gaps and increasing overall wheat production, with a view to enhance food security for the poor. The results of the study indicate that locational inequities in distribution of canal water, use of groundwater of varying quality, differences in use of seed varieties, and other inputs lead to significant variations in wheat productivity. Key implications are that large gains in wheat productivity are possible by (a) improving the production environment at the tail-end through integrated water management practices; (b) adjusting the mix of canal and groundwater use; and (c) using technological interventions to improve the adoption of modern wheat varieties and dissemination of knowledge on planting dates and timings and application rates of inputs, especially water and fertilizer. Not only such interventions are economically, financially, and environmentally desirable, they are also pro-poor. What is needed is a strong political will and commitment.     

Teaching evidence-based interventions: Perceptions of influences on use in professional practice in school psychology.

This study examined perceptions of school psychologists regarding their use of evidence-based interventions in school settings after completing a graduate course in school-based psychosocial interventions. Ninety-four individuals who completed the course during the 10 years prior to the study were asked to complete a survey that focused on personal and organizational factors affecting the implementation of evidence-based interventions through assessment of (a) the extent of their use of interventions in professional school psychology practice, (b) perceptions of facilitators to implementation, and (c) perceptions of barriers to implementation. Fifty-four responded (a 57% response rate); analyses were conducted on the responses of 34 individuals who indicated that they were currently school psychologists working in schools. Results indicated that school psychologists’ personal beliefs about the interventions influenced their decisions to implement them. Several evidence-based interventions were less likely to be used in urban practice settings. Training in evidence-based interventions should address the personal and contextual issues that are related to implementation, as well as the procedures of the interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Battlemind debriefing and battlemind training as early interventions with soldiers returning from iraq: Randomization by platoon.

Researchers have found that there is an increase in mental heath problems as a result of military-related traumatic events, and such problems increase in the months following return from combat. Nevertheless, researchers have not assessed the impact of early intervention efforts with this at-risk population. In the present study, the authors compared different early interventions with 2,297 U.S. soldiers following a year-long deployment to Iraq. Platoons were randomly assigned to standard postdeployment stress education, Battlemind debriefing, and small and large group Battlemind training. Results from a 4-month follow-up with 1,060 participants showed those with high levels of combat exposure who received Battlemind debriefing reported fewer posttraumatic stress symptoms, depression symptoms, and sleep problems than those in stress education. Small group Battlemind training participants with high combat exposure reported fewer posttraumatic stress symptoms and sleep problems than stress education participants. Compared to stress education participants, large group Battlemind training participants with high combat exposure reported fewer posttraumatic stress symptoms and lower levels of stigma and, regardless of combat exposure, reported fewer depression symptoms. Findings demonstrate that brief early interventions have the potential to be effective with at-risk occupational groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Self-Relations in the Psychotherapy Process.

Reviews the book, Self-Relations in the Psychotherapy Process by J. Christopher Muran (see record 2000-16556-000). The self is alive and well and living in psychology, at least if the contributors to J. Christopher Muran's stimulating volume, Self-Relations in the Psychotherapy Process, are to be taken seriously. The self is a central construct in psychoanalytic, humanistic, and cognitive-behavioral theories, but nowadays even some radical behaviorists find the self to be an important concept. Thus, the present is a propitious time for a book that presents the major theoretical approaches to the self in psychotherapy and, fortunately for us, Muran, by gathering the views of leading psychodynamic, humanistic, cognitive-behavioral, and radical behavioral thinkers, has assembled a volume of almost uniformly high quality. Inspired by postmodernism, especially by the growing popularity of dialogic and perspectival epistemologies, Muran has a constructed this book as a set of six dialogues among contributors of varying theoretical persuasions, and although I doubt that dialogic and perspectival epistemologies are necessarily postmodern, I nevertheless find that this volume's dialogic structure makes for interesting reading and adds to its intellectual contributions. Because Muran's contention, with which I agree, is that the self is not an isolated entity but rather part of a relational matrix, it is perhaps necessary for this book to be structured dialogically. Whether postmodern or not, this book is an important one, one that conveys a great deal about what it means to be human as we enter the 21st century. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Forms of Intersubjectivity in Infant Research and Adult Attachment.

Reviews the book, Forms of Intersubjectivity in Infant Research and Adult Attachment by Beatrice Beebe, Steven Knoblauch, Judith Rustin, and Dorienne Sorter (2005). In this book, the authors use their 10 years of collaborative work to produce an in-depth and well-constructed discussion of verbal and nonverbal forms of intersubjectivity as observed in the treatment setting and as evidenced by data generated from more mainstream child development studies. They move beyond the lack of integration between these related though often dramatically disconnected disciplines and build on infant researchers' understanding of "prereflective" caregiver-child interactions to offer a new theory of intersubjectivity that enhances our understanding of the clinical interaction with adult patients. This book is not for those therapists who are interested in learning well-specified, new interventions to use in their psychotherapy practice. It is also not suggested for those clinicians who do not have some background in psychoanalytic theory and practice. It is, however, recommended for those clinicians who work psychodynamically and are interested in developing their awareness of the nonverbal aspects of treatment and the co-construction of the therapeutic encounter. This book would also be useful to those in the field of psychotherapy research as it poses new questions about the nature of the therapeutic process and suggests the importance of examining the role that implicit, nonverbal interactions play in psychotherapy. Beebe, Knoblauch, Rustin, and Sorter's book is well constructed, persuasively argued, and highly recommended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Positive psychology versus the medical model?: Comment.

Comments on "Positive psychology progress: Empirical validation of interventions" by Seligman, Steen, Park, and Peterson (see record 2005-08033-003). Seligman and colleagues provided a progress report on positive psychology, reviewing the impressive developments over the past five years. We wholeheartedly support the positive psychology movement and believe its success is a testimony to Seligman's vision and leadership. However, in looking back over the past five years, we are mindful of what the next five years may hold and are concerned over the future direction and development of the positive psychology movement. Positive psychology as a movement largely continues to operate within the medical model and thus to implicitly condone the "medicalization" of human experience. If positive psychology is seen only as a supplement, then a limited view is offered in which positive psychology may only be relevant as an "extra" for those who are already capable and well-functioning rather than as a useful guide for people wherever they are on the continuum of functioning. Our vision is that positive psychology should stand in contrast to the medical model and its impetus toward the medicalization of human experience. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men.

This study tested the efficacy of behavioral treatments for alcohol use disorders (AUD) among men who have sex with men (MSM) and who are at risk for HIV transmission. HIV-negative MSM with current AUD (N = 198) were recruited, offered treatment focused on reducing drinking and HIV risk, and followed during treatment and 12 months posttreatment. Participants (n = 89) accepted treatment and were randomized to either 4 sessions of motivational interviewing (MI) or 12 sessions of combined MI and coping skills training (MI + CBT). Other participants (n = 109) declined treatment but were followed, forming a non-help-seeking group (NHS). MI yielded significantly better drinking outcomes during the 12-week treatment period than MI + CBT, but posttreatment outcomes were equivalent. NHS participants significantly reduced their drinking as well. Service delivery and treatment research implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A qualitative investigation of eminent therapists' values within psychotherapy: Developing integrative principles for moment-to-moment psychotherapy practice.

Ample empirical research on values has demonstrated that clients' values tend to become increasingly like those of their therapist during therapy. There is little research, however, on how therapists negotiate value conflicts and the role of values in therapy. In order to better understand this process, 14 expert psychotherapists from four major psychotherapy orientations were interviewed about their use of values in the psychotherapeutic change process. A grounded theory analysis was conducted leading to an integrative understanding of how expert therapists from different orientations conceptualize the relationship of values and change in therapy and how they work with values in sessions. Based on this analysis, four transtheoretical principles were generated that can be applied to training and practice and used to inform research on psychotherapy process and integration. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Investigating the acceptability of behavioral interventions in applied conjoint behavioral consultation: Moving from analog conditions to naturalistic settings.

Whereas there exists a vast literature investigating consumer satisfaction ratings of various behavioral interventions, the majority of these studies have been limited to analogue conditions, which may compromise utility and generalization. Additionally, most research has failed to explore multiple-source, multiple-setting data in the investigation of treatment acceptability. This study investigated parent, teacher, and child treatment acceptability ratings derived from field-based conjoint behavioral consultation cases. Data indicate that overall, 67 parents (aged 23-54 yrs), 67 teachers (aged 22-57 yrs), and 67 children (aged 5-15 yrs) rated conjoint behavioral consultation-based behavioral interventions as very to highly acceptable. For parents, interventions with a reductive component were rated as more acceptable than interventions using both positive and negative components; no significant differences were found among teacher and child group ratings. For teachers, there was a positive relationship between (a) intervention complexity and treatment acceptability ratings and (b) problem severity ratings and treatment acceptability ratings... (PsycINFO Database Record (c) 2011 APA, all rights reserved)