Models, Psychological

模型,心理
  • 文章类型: Journal Article
    自杀是青少年死亡的主要原因,最近的自杀理论试图澄清促进自杀观念向行动过渡的因素。具体来说,自杀人际理论(IPTS),综合激励-动力模型(IMV),三步理论(3ST)强调了自杀意念和自杀行为形成的核心危险因素,这是自杀死亡所必需的。然而,这些模型最初是在成年人中开发和测试的,考虑到青少年的核心社会情感和神经发育差异,这些模型的适用性尚不清楚.直接解决知识上的这一差距,本系统综述旨在(1)描述主导从概念到行动理论的证据(即,IPTS,IMV,3ST),因为它们与青少年的自杀风险有关,(2)在青少年自杀的普遍生物学框架内整合概念到行动理论,(3)为未来青少年自杀研究提供建议。总的来说,很少有研究提供了对青少年样本模型的完整测试,实证研究检验这些理论的组成部分提供了混合支持。未来的研究将受益于整合神经发育和发育敏感的心理社会框架,以增加观念对行动理论对青少年的适用性。Further,利用实时监测方法可能有助于进一步阐明危险因素与自杀之间的时间关联。
    Suicide is a leading cause of death among adolescents, and recent suicide theories have sought to clarify the factors that facilitate the transition from suicide ideation to action. Specifically, the Interpersonal Theory of Suicide (IPTS), Integrated Motivational-Volitional Model (IMV), and Three Step Theory (3ST) have highlighted risk factors central to the formation of suicidal ideation and suicidal behaviors, which is necessary for suicide death. However, these models were initially developed and tested among adults, and given core socioemotional and neurodevelopmental differences in adolescents, the applicability of these models remains unclear. Directly addressing this gap in knowledge, this systematic review aimed to (1) describe the evidence of leading ideation-to-action theories (i.e., IPTS, IMV, 3ST) as they relate to suicide risk among adolescents, (2) integrate ideation-to-action theories within prevailing biological frameworks of adolescent suicide, and (3) provide recommendations for future adolescent suicide research. Overall, few studies provided a complete test of models in adolescent samples, and empirical research testing components of these theories provided mixed support. Future research would benefit from integrating neurodevelopmental and developmentally sensitive psychosocial frameworks to increase the applicability of ideation-to-action theories to adolescents. Further, utilizing real-time monitoring approaches may serve to further clarify the temporal association among risk factors and suicide.
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  • 文章类型: Journal Article
    研究人员越来越意识到数据分析决策会影响结果。这里,我们系统地研究了多项式处理树(MPT)模型的这个问题,一类流行的分类数据认知模型。具体来说,我们研究了由两个重要决策产生的MPT模型参数估计的鲁棒性:数据聚合水平(完全池化,没有池化,或部分汇集)和统计框架(频率论或贝叶斯)。这些决定涵盖了多种估计方法。我们用元分析策略综合了13,956名参与者(164个已发布的数据集)的数据,并分析了心理学中9个流行的MPT模型的参数的估计方法之间的差异程度(例如,过程解离,源监控)。我们进一步研究了主持人作为分歧的潜在来源。我们发现,估计方法之间的绝对差异平均很小(<.04;MPT参数介于0和1之间);在某些情况下,然而,发散量几乎达到了最大可能范围(0.97)。分歧部分由少数主持人解释(例如,特定的MPT模型参数,参数估计的不确定性),但不是由其他似是而非的候选主持人(例如,参数权衡,参数相关性)或它们的相互作用。部分合并方法在合并级别内和之间显示出最小的差异,因此似乎是适当的默认方法。以MPT模型为例,我们展示了如何在认知建模领域提高透明度和鲁棒性。(PsycInfo数据库记录(c)2024APA,保留所有权利)。
    Researchers have become increasingly aware that data-analysis decisions affect results. Here, we examine this issue systematically for multinomial processing tree (MPT) models, a popular class of cognitive models for categorical data. Specifically, we examine the robustness of MPT model parameter estimates that arise from two important decisions: the level of data aggregation (complete-pooling, no-pooling, or partial-pooling) and the statistical framework (frequentist or Bayesian). These decisions span a multiverse of estimation methods. We synthesized the data from 13,956 participants (164 published data sets) with a meta-analytic strategy and analyzed the magnitude of divergence between estimation methods for the parameters of nine popular MPT models in psychology (e.g., process-dissociation, source monitoring). We further examined moderators as potential sources of divergence. We found that the absolute divergence between estimation methods was small on average (<.04; with MPT parameters ranging between 0 and 1); in some cases, however, divergence amounted to nearly the maximum possible range (.97). Divergence was partly explained by few moderators (e.g., the specific MPT model parameter, uncertainty in parameter estimation), but not by other plausible candidate moderators (e.g., parameter trade-offs, parameter correlations) or their interactions. Partial-pooling methods showed the smallest divergence within and across levels of pooling and thus seem to be an appropriate default method. Using MPT models as an example, we show how transparency and robustness can be increased in the field of cognitive modeling. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Journal Article
    相对最近,2009年,进行了实验研究,以确定社会观察学习在形成痛觉减退中的作用,对安慰剂的镇痛和痛觉过敏反应。在2018年之前发表的研究中获得的研究结果被整合,并构成了Bajcar和Bšbel提出的安慰剂效应在疼痛中的社会学习理论模型的基础。该模型考虑了不同类型的建模的参与(即,行为建模,符号建模,和言语建模)在形成安慰剂痛觉减退/镇痛和nocebo痛觉过敏中。该模型假设疼痛预期可能与观察引起的疼痛安慰剂效应有关,并且观察学习在形成安慰剂效应中的有效性可以通过观察者的倾向来调节。尤其是同理心。根据最新的研究数据,我们提出了这个模型的修改和显著扩展的版本。修订后的模型包括特定类型的模型参与安慰剂效应及其在塑造有意识的疼痛相关期望中的作用。它解释了性格移情在塑造观察性安慰剂效应中的作用。值得注意的是,该模型的扩展版本考虑了被观察者的特征对社会学习引起的安慰剂效应大小的贡献。观点:本文提出了一种综合的理论方法来解释观察学习在形成疼痛安慰剂效应中的作用。所提出的模型强调了这种学习形式在塑造安慰剂反应方面的潜力,并指出了可以改变观察学习有效性的因素。
    Relatively recently, in 2009, experimental studies were undertaken to determine the role of social observational learning in forming hypoalgesic, analgesic and hyperalgesic responses to a placebo. The research findings obtained in studies published before 2018 were integrated and formed the basis of the theoretical model of social learning of placebo effects in pain proposed by Bajcar and Bąbel. This model considered the involvement of different types of modeling (ie, behavioral modeling, symbolic modeling, and verbal modeling) in shaping placebo hypoalgesia/analgesia and nocebo hyperalgesia. The model assumed that pain expectancies might be involved in observationally induced placebo effects in pain and that the effectiveness of observational learning in shaping placebo effects could be moderated by the observer\'s dispositions, especially empathy. Based on the latest research data, we propose a modified and significantly extended version of this model. The revised model includes the involvement of particular types of modeling in placebo effects and their role in shaping conscious pain-related expectancies. It explains the role of dispositional empathy in shaping observationally induced placebo effects. Notably, the extended version of the model considers the contribution of the characteristics of the observed person to the magnitude of placebo effects induced by social learning. PERSPECTIVE: The paper proposes a comprehensive theoretical approach to explaining the role of observational learning in shaping placebo effects in pain. The proposed model emphasizes the potential of this form of learning in shaping placebo responses and indicates factors that can modify the effectiveness of observational learning.
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  • 文章类型: Journal Article
    两个患有物质使用障碍的人(或双重SUD夫妇)之间的浪漫关系很普遍。双重SUD夫妇的治疗参与度和结果较差。研究已经建立了关系动力学之间的相互联系(例如,冲突,亲密)和物质使用。因此,夫妻关系为双方的物质使用提供了不同的社会背景。双重SUD夫妇面临着独特的挑战,因为物质使用是一种共享行为,可以作为兼容性的有益来源,亲密关系,和短期关系满意度,尽管它是以其他无物质强化的替代来源为代价的。然而,这些夫妇的治疗选择很少。双重适应不良健康行为(例如,双重物质的使用)是具有挑战性的治疗;然而,理论和初步研究表明,夫妻共同动机向适应性健康行为改变的转变可能会导致双方更令人满意的关系和改善治疗结果。本文从理论上回顾了关于双重SUD夫妇的现有文献,实证,和治疗研究,并提出了一个关于我们如何理解双SUD夫妇的扩展范式,目的是为基础研究和治疗发展提供信息。
    Committed romantic relationships between two individuals with Substance Use Disorder (or dual-SUD couples) are prevalent. Dual-SUD couples have poor treatment engagement and outcomes. Research has established a reciprocal link between relationship dynamics (e.g., conflict, intimacy) and substance use. Thus, the couple\'s relationship presents a distinct social context for both partner\'s substance use. Dual-SUD couples face unique challenges due to substance use being a shared behavior that may serve as a rewarding source of compatibility, closeness, and short-term relationship satisfaction despite it being at the cost of other alternative sources of substance-free reinforcement. Yet, treatment options for these couples are scarce. Dual-maladaptive health behaviors (e.g., dual-substance use) are challenging to treat; however, theory and preliminary research suggests that transformation of couple\'s joint motivation toward adaptive health behavior change may result in a more satisfying relationship and improved treatment outcomes for both individuals. The current paper reviews the extant literature on dual-SUD couples from theoretical, empirical, and treatment research and proposes an expanded paradigm regarding how we understand dual-SUD couples with the aim of informing basic research and treatment development.
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  • 文章类型: Journal Article
    目的:心理健康的双因素模型提出,心理健康包括两个相互关联但截然不同的维度-精神病理学和幸福感。然而,遵循这些模型的证据没有系统化。本综述旨在解决以下研究问题:使用双因素模型存在哪些证据?方法:当前的系统综述是使用以下数据库上的PRISMA指南进行的:Web-of-science,Scopus,学术搜索完成,APAPsycarticles,APAPsycInfo,心理学与行为科学合集,ERIC,和MEDLINE。筛选过程产生了85份手稿,这些手稿测试了双因素模型的假设。结果:证据揭示了双因素模型二维的心理计量依据,85%的手稿提供了将参与者分为不同心理健康组的相关证据。大多数研究表明,完全心理健康或积极心理健康群体是最普遍的状态群体,纵向证据表明,大多数参与者(约50%-64%)在不同时间内保持在同一组中。关于与心理健康状况群体相关的因素,本手稿中审查的研究主要关注与学校相关的结果,其次是支持性的关系,社会人口统计学特征,心理资产,个人属性,身体健康,和紧张的事件。结论:这篇综述强调了在概念化时考虑心理健康两个维度的重要性,操作,衡量心理健康。促进心理健康必须不仅仅是减轻症状,和从业者将能够在他们的常规实践中包括与福祉相关的干预措施,以改善个人的心理健康结果。
    Objective: Dual-factor models of mental health propose that mental health includes two interrelated yet distinct dimensions - psychopathology and well-being. However, there is no systematization of the evidence following these models. This review aims to address the following research question: what evidence exists using dual-factor models? Method: The current systematic review was conducted using PRISMA guidelines on the following databases: Web-of-science, Scopus, Academic Search Complete, APA PsycArticles, APA PsycInfo, Psychology and Behavioral Sciences Collection, ERIC, and MEDLINE. The screening process resulted in 85 manuscripts that tested the assumptions of dual-factor models. Results: Evidence revealed psychometric substantiation on the two-dimensionality of the dual-factor model, and 85% of the manuscripts provided evidence related to classifying participants into different mental health groups. Most studies showed that the Complete Mental Health or Positive Mental Health group is the most prevalent status group, and longitudinal evidence suggests that most participants (around 50%-64%) remain in the same group across time. Regarding the factors associated with mental health status groups, studies reviewed in this manuscript focus mainly on school-related outcomes, followed by supportive relationships, sociodemographic characteristics, psychological assets, individual attributes, physical health, and stressful events. Conclusions: This review highlights the importance of considering the two dimensions of mental health when conceptualizing, operationalizing, and measuring mental health. Fostering mental health must go beyond reducing symptoms, and practitioners would be able to include well-being-related interventions in their regular practice to improve individuals\' mental health outcomes.
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  • 文章类型: Journal Article
    强迫症(OCD)的寻求内部状态代理(SPIS)模型解释了强迫症的症状源于对内部状态的减弱,通过使用代理来补偿,它们是这些状态的指数,更可辨别的或不那么模糊。SPIS模型中的内部状态是其他人无法访问的主观状态,包括生理状态,动机,preferences,回忆,和情感。OCD中的补偿性代理包括固定的规则和仪式,以及寻求和依赖外部信息。在本次审查中,我们概述了SPIS模型并描述了其基本原理。然后,我们使用SPIS概念化来解释两个关键的强迫症相关现象-强迫性怀疑和强迫性仪式。接下来,我们提供了在几个领域支持SPIS的当前经验证据的详细概述,包括生理状态,情感,理解感,决策,和代理意识。我们通过讨论获取内部状态的难度的可能的神经相关性来得出结论,重点关注前岛叶皮质(AIC),并强调该模型对强迫症治疗的潜在临床意义。
    The Seeking Proxies for Internal States (SPIS) model of obsessive-compulsive disorder (OCD) explains symptoms of OCD as stemming from attenuated access to internal states, which is compensated for by using proxies, which are indices of these states that are more discernible or less ambiguous. Internal states in the SPIS model are subjective states that are not accessible to others, encompassing physiological states, motivations, preferences, memories, and emotions. Compensatory proxies in OCD include fixed rules and rituals as well as seeking and relying on external information. In the present review, we outline the SPIS model and describe its basic tenets. We then use the SPIS conceptualization to explain two pivotal OCD-related phenomena - obsessive doubt and compulsive rituals. Next, we provide a detailed overview of current empirical evidence supporting the SPIS in several domains, including physiological states, emotions, sense of understanding, decision-making, and sense of agency. We conclude by discussing possible neural correlates of the difficulty in accessing internal states, focusing on the anterior insular cortex (AIC) and highlighting potential clinical implications of the model to the treatment of OCD.
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  • 文章类型: Journal Article
    慢性阻塞性肺疾病(COPD)患者的焦虑很普遍,但通常未被识别,因此无法充分控制。临床医生发现很难发现焦虑症状和区分亚临床焦虑和焦虑症,因为COPD的症状和焦虑之间存在相当大的重叠。
    我们综合了现有的关于COPD相关焦虑患者经历的定性研究,目的是获得更丰富的理解并提出构建模型。
    由PubMed(MEDLINE)数据库中的两名作者独立进行了COPD相关焦虑患者经历的定性研究的搜索,CINAHL(EBSCO),和PsycInfo(APA)。对包括被诊断为COPD的患者在内的英语研究进行了回顾,并采用专题分析法对数据进行分析。
    共纳入41项研究。确定了与COPD相关的焦虑相关的四个主题:初始事件;内部维持因素;外部维持因素;和行为维持因素。根据确定的四个主题,从患者角度建立了COPD相关焦虑的概念模型.
    从患者的角度来看,COPD相关焦虑的概念模型现已可用,有可能为未来改善COPD相关焦虑的识别和管理提供信息。未来的研究应该集中在开发COPD特异性焦虑问卷,其中包含从患者角度相关的领域。
    Anxiety in patients with chronic obstructive pulmonary disease (COPD) is prevalent but often unidentified and therefore not adequately managed. Clinicians find it difficult to detect anxiety symptoms and to differentiate subclinical anxiety from anxiety disorders, because of the considerable overlap between symptoms of COPD and anxiety.
    We synthesized existing qualitative research on patients\' experiences of COPD-related anxiety with the purpose of gaining a richer understanding and proposing a model of the construct.
    Searches for qualitative studies of patients\' experiences of COPD-related anxiety were conducted independently by two authors in the databases of PubMed (MEDLINE), CINAHL (EBSCO), and PsycInfo (APA). English-language studies including patients diagnosed with COPD were reviewed, and data were analyzed using thematic analysis.
    A total of 41 studies were included in the review. Four themes related to COPD-related anxiety were identified: initial events; internal maintaining factors; external maintaining factors; and behavioral maintaining factors. Based on the identified four themes, a conceptual model of COPD-related anxiety from the patient perspective was developed.
    A conceptual model of COPD-related anxiety from the patient perspective is now available, with the potential to inform future attempts at improving identification and management of COPD-related anxiety. Future research should focus on the development of a COPD-specific anxiety questionnaire containing domains that are relevant from the patient perspective.
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  • 文章类型: Journal Article
    社交焦虑障碍(SAD)的现有认知行为模型主要集中在维持该障碍的认知和行为上。已经研究了SAD的情绪方面,但尚未充分整合到当前模型中。为了促进这种整合,我们回顾了关于情绪建构的文献(情绪智力,情感知识,情绪清晰,情感分化,和情绪调节),和离散的情绪(愤怒,羞耻,尴尬,孤独,内疚,内疚骄傲,和嫉妒)在悲伤和社交焦虑中。我们介绍了对这些结构进行的研究,总结主要发现,建议未来研究的领域,在现有SAD模型的背景下讨论这些发现,并尝试将这些发现整合到这些现有的疾病模型中。我们的研究结果的临床意义也进行了讨论。
    Extant cognitive behavioral models of social anxiety disorder (SAD) have primarily focused on cognitions and behaviors that maintain the disorder. Emotional aspects of SAD have been investigated but have not been sufficiently integrated into current models. To facilitate such integration, we reviewed the literature on emotional constructs (emotional intelligence, emotional knowledge, emotional clarity, emotion differentiation, and emotion regulation), and discrete emotions (anger, shame, embarrassment, loneliness, guilt, pride, and envy) in SAD and social anxiety. We present the studies conducted on these constructs, summarize the main findings, suggest areas for future research, discuss the findings in the context of existing models of SAD and attempt to integrate the findings into these existing models of the disorder. Clinical implications of our findings are also discussed.
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  • 文章类型: Journal Article
    研究表明,管理者的积极支持对于成功实施与心理健康相关的组织干预措施至关重要。然而,目前,人们对什么样的主观信念和感知(=心理模型)使领导者支持这种干预措施知之甚少。据我们所知,这是对这个特定主题的第一次定性系统回顾,它考虑了17项关于管理者视角的定性研究。基于计划行为理论,这篇综述概述了三个行动导向因素(态度,组织规范和行为控制),可以作为使管理人员参与实施与心理健康相关的措施并确保其成功的起点。我们的结果提供了证据,证明支持性组织规范可能特别有助于在管理者之间建立共同的责任感,并增强他们对不断变化的工作条件的可控性。因此,我们的研究有助于对与健康相关的组织干预措施的管理者心理模型进行更有区别的理解。
    Research indicates that managers\' active support is essential for the successful implementation of mental health-related organizational interventions. However, there is currently little insight into what subjective beliefs and perceptions (=mental models) make leaders support such interventions. To our knowledge, this is the first qualitative systematic review of this specific topic, and it considers 17 qualitative studies of managers\' perspective. Based on the theory of planned behavior, this review provides an overview of three action-guiding factors (attitudes, organizational norms and behavioral control) that can serve as starting points for engaging managers in the implementation of mental health-related measures and ensuring their success. Our results provide evidence that supportive organizational norms may particularly help to create a common sense of responsibility among managers and foster their perceived controllability with respect to changing working conditions. Our study thus contributes to a more differentiated understanding of managers\' mental models of health-related organizational interventions.
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  • 文章类型: Journal Article
    接受和承诺疗法(ACT)基于心理灵活性模型,包括6个过程:接受,认知融合,自我作为语境,在场,值,和承诺的行动。
    这项对随机对照试验(RCT)的系统评价和荟萃分析旨在研究基于互联网的ACT(iACT)对过程措施的影响。
    使用4个数据库进行全面搜索。使用Cochrane协作偏差风险工具评估纳入的随机对照试验的质量。使用了随机效应或固定效应模型。根据对照组的类型对每个结果进行亚组分析,使用治疗师的指导,交付模式,以及使用目标参与者,适用时。
    共有34项RCT符合纳入标准。这项荟萃分析发现,iACT对心理灵活性的影响中等,对正念的影响小,有价值的生活,和立即后测的认知减退。此外,iACT对随访时的心理灵活性影响较小。研究中偏倚的总体风险尚不清楚。
    相对而言,很少有研究将iACT与主动对照组的影响进行比较,并测量了对正念的影响。有价值的生活,和认知融合。这些发现支持iACT的变化过程,哪些心理健康从业者可以用来支持iACT的使用。
    Acceptance and commitment therapy (ACT) is based on a psychological flexibility model that encompasses 6 processes: acceptance, cognitive defusion, self-as-context, being present, values, and committed action.
    This systematic review and meta-analysis of randomized controlled trials (RCTs) aimed to examine the effects of internet-based ACT (iACT) on process measures.
    A comprehensive search was conducted using 4 databases. The quality of the included RCTs was assessed using the Cochrane Collaboration Risk of Bias Tool. A random-effects or fixed-effects model was used. Subgroup analyses for each outcome were conducted according to the type of control group, use of therapist guidance, delivery modes, and use of targeted participants, when applicable.
    A total of 34 RCTs met the inclusion criteria. This meta-analysis found that iACT had a medium effect on psychological flexibility and small effects on mindfulness, valued living, and cognitive defusion at the immediate posttest. In addition, iACT had a small effect on psychological flexibility at follow-up. The overall risk of bias across studies was unclear.
    Relatively few studies have compared the effects of iACT with active control groups and measured the effects on mindfulness, valued living, and cognitive defusion. These findings support the processes of change in iACT, which mental health practitioners can use to support the use of iACT.
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