职业倦怠与抑郁症的相关性及其生物学基础研究*

职业倦怠和抑郁症是当今社会人群中普遍存在的影响心理健康的重要因素和疾病,这两者之间有一定的相关性.职业倦怠主要表现在三个方面:情感枯竭,去个性化,个人成就感缺乏.抑郁症主要表现在心境障碍或情感性障碍,缺乏激情.职业倦怠和抑郁症在表现行为方面存在一定关联,患有职业倦怠和抑郁症的人通常态度消极,缺乏对生活和工作的热情,自我评价低,影响工作和生活质量.抑郁情绪易引发职业倦怠,职业倦怠也可以导致抑郁症,二者相互影响.本文就职业倦怠与抑郁症的概念,两者之间的联系及相关的生物学基础进行了综述.     

护士职业压力与职业倦怠的相关性研究

目的:了解护士职业压力、职业倦怠现状;探讨两者之间的关系。方法:方便抽样,抽取哈尔滨市5所三级医院的468名护士进行问卷调查。采用护士一般情况调查表、护士工作压力源量表、职业倦怠量表进行调查。结果:护士职业倦怠程度为中等,去人格化属于中度倦怠,情感衰竭、低成就感程度达到了高度倦怠;职业压力得分为87.56±20.43,以工作量及时间分配维度压力最高,病人护理维度压力最低。情感耗竭与除工作环境及资源之外的职业压力维度呈显著正相关;去人格化与职业压力各维度均呈显著正相关;低成就感与职业压力中护理专业及工作、病人护理呈显著负相关(P0.05)。护士职业压力各维度对其职业倦怠的3个维度均有较好的预测作用,尤其对护士情感耗竭的解释程度达25.5%。结论:护士职业倦怠现象不容忽视,护理管理者有针对性的对护士进行管理,鼓励护士加强自身修养、学会自我疏导,适当授权等是降低护士职业倦怠的正性激励措施。     

职业倦怠与焦虑的相关性及其生物学基础研究

职业倦怠作为当前社会从业人员普遍存在的心理现象,其生理机制主要与长期过度应激引起神经系统的紊乱相关,焦虑与职业倦怠关系密切,都受到神经系统和内分泌系统共同调节。神经系统中神经递质及其受体:如5-羟色胺,去甲肾上腺素和多巴胺的异常,导致焦虑的发生,可能诱发了职业倦怠。本文从激素水平、分子水平、基因水平三个方面分别阐述了职业倦怠发生和焦虑发生的机制以及两者之间相互作用的生物原理,为今后职业倦怠的心理预防以及基因治疗提供了生物医学研究相关的基础理论,也为职业倦怠易感人群,尤其是女性易感人群的焦虑情绪产生的机制研究奠定了详尽的生物医学方面的基础。     

45,X及46,XX男性的起因——X—Y交换机制的探讨

自1957年弗格森-史密斯(Ferguson-Smith)对男性不育进行研究,已发现某些染色体异常可导致不育症,其中XX或X男性是男性不育原因之一。本文收集的68例X及XX男性,其中46,XX男性37例,约占54%,45,X男性8例,占11%,两性畸形17例,约占25%,1例46,XX/47,XXX男性嵌合体,5例Y染色体不同程度的缺失和1例Y染色体长臂与15号染色体短臂易位表现为女性。其中丹麦哥本哈根实验室从1973-1980年对5.580例孕妇进行羊膜穿     

生理性别和生理周期对条件性关联学习和条件性消退的影响:事件相关电位研究

研究显示条件性关联学习和条件性消退存在周期相关差异。近年来,学者们采用事件相关电位技术分析关联学习和消退的情况。本研究旨在用事件相关电位技术和条件性关联学习模型相结合的方法,考察生理性别和女性生理周期对条件性关联学习和条件性消退的影响。实验分为两个阶段:条件性关联学习阶段和消退阶段。在条件性关联学习阶段,在可预测情境下,条件刺激后100%匹配负性或中性图片;在不可预测情境下,条件刺激之后20%匹配负性或中性图片。在消退阶段,只出现条件性刺激,从不出现图片。结果显示,在条件性关联学习阶段,黄体期女性较男性表现增大的P2波幅,经期女性也较男性表现更大的P2波幅。在消退阶段,黄体期女性较男性体现更大的P2波幅,而男性和经期女性的P2波幅没有显著差异。以上结果表明女性生理周期影响条件性关联学习和条件性消退的性别差异,提示黄体期女性较男性对条件性关联学习和条件性消退投入了更多的注意资源,习得更强的条件刺激和非条件刺激之间的联结,且消退得更慢,这可能是女性月经前焦虑障碍的原因之一。     

闽南人的体质特征

在福建漳州地区调查了322例男性(城市男性为149例,乡村汉族男性为173例)和357例女性(城市女性为164例,乡村女性为193例)成人的86项体质指标,计算了24项体质指数,统计了指数分型情况,与我国族群资料进行了比较,对闽南人体质特征进行了初步分析。结果 1)闽南人有皱褶率高,有蒙古褶率低,眼裂高度眼裂多为狭窄型,眼外角多高于眼内角,鼻根高度多为中等型,直鼻背,颧部突出度多为微弱型;鼻基部男性多呈水平,女性多呈上翘;鼻翼高度多为中等,鼻孔最大径多为斜位,鼻翼较宽;男性耳垂多为圆形,女性多为三角形;上唇皮肤部高度多为中等,红唇男性薄型率、中等型均较高,女性薄型率最高,发黑,肤黄、眼褐。2)总体说来,闽南人头面部测量指标值介于北亚、南亚类型族群之间。3)从指数均数来看,闽南人男女性均为圆头型、高头型、狭面型,狭鼻型。城市女性为狭头型,城市男性、乡村男性、乡村女性为中头型。闽南人头面部指数值更接近于南亚类型族群。4)从体部指标值和体部指数来看。闽南人更接近于北亚类型族群。闽南人体质介于南亚与北亚类型族群之间,男性相对接近于北亚类型族群,女性相对接近于南亚类型族群。     

医生职业倦怠量表的编制及信效度检验

目的:编制医生职业倦怠量表.方法:通过查阅文献、访谈及专家讨论,建立量表结构,并确定初始量表项目48条.在西安的两所三级甲等医院施测,2次分别选取176和436名医生作为样本.采用项目分析、探索性因素分析、信度分析、验证性因素分析等统计方法对数据进行统计分析.结果:医生职业倦怠量表由六个因素构成:疲劳感、工作能力下降、投入性下降、成就感降低、工作控制感下降以及工作前景.共有30个项目,量表总分与各因素之间的相关系数0.541～0.856(P＜0.001).六个因素的α系数在0.886～0.896之间,总量表的α系数为0.894.验证性因素分析拟合度较高(RESEA=0.062,GFI=0.859,CFI=0.842,IFI=0.851).医生职业倦怠量表总分及各因子分与工作倦怠问卷的总分及各因子分之间具有显著的相关性(P＜0.05).结论:编制的医生职业倦怠量表信度和效度符合心理测量学要求,可以作为医生职业倦怠测量的工具.     

工作记忆的负荷影响心理旋转任务中的性别差异

目的:探讨心理旋转任务中的性别差异是否受工作记忆的负荷的影响。方法:采用先后呈现提示刺激和目标刺激的范式,任务分为三种:1.无效提示的数字旋转;2.有效提示的数字旋转;3.有效提示的PMA图形旋转。结果:重复测量的方差分析表明:对无效提示的数字旋转任务,男性和女性之间的反应时和正确率都无差异;对有效提示的数字旋转任务,男性和女性之间的正确率无差异,而反应时的差异边缘显著;对有效提示的PMA图形旋转任务,男性和女性之间的正确率无差异,而反应时有显著差异。结论:工作记忆的负荷可能会影响心理旋转任务中的性别差异。     

性激素对大鼠胃酸分泌的影响

尽管人们早巳注意到消化性溃疡病男性发病率明显高于女性,还发现雌激素对溃疡病的痊愈有明显疗效,但由于性激素治疗溃疡病的同时尚带来副作用,而一定程度上阻碍了人们对性激素与溃疡病关系的进一步研究。本实验利用大鼠急性实验,观察性激素对基础胃酸分泌的影响,以探索性激素影响消化性溃疡病发病之可能机理。     

三甲综合医院住院医师职业倦怠现状调查与影响因素分析

目的:探究三甲综合医院住院医师职业倦怠的发生现状及其影响因素,为预防三甲综合医院住院医师发生职业倦怠提供依据。方法:选择三甲综合医院各临床住院医师218名为研究对象,采用问卷调查住院医师性别、年龄、文化程度、职务、婚姻状况、职称、工作时间、编制及身体健康情况等基线资料及职业倦怠程度,采用logistics回归分析住院医师职业倦怠的影响因素。结果:218例三甲住院医师中119例人(54.59%)发生职业倦怠,其中轻度倦怠者60人(27.52%),中度倦怠者49人(22.48%),重度倦怠者10人(4.59%);身体健康状况一般、差(OR=1.547,5.342;P0.05)是住院医师发生职业倦怠的危险因素,职称为初级、中级、副高及以上(OR=0.893,0.827,0.736;P0.05)是住院医师发生职业倦怠的保护因素。结论:三甲住院医师职业倦怠发生的现状不容乐观,无编制、身体健康状况一般、差是住院医师发生职业倦怠的危险因素,职称为初级、中级、副高及以上是住院医师发生职业倦怠的保护因素。     

For Love,Money, or Normalcy: Meanings of Strategy and Sentiment in the Russian-American Matchmaking Industry

Public debates about international matchmaking highlight the victimization of impoverished women by western men or the self-interested instrumentalism of women who marry for visas. Meanwhile, agencies and many of their clients portray this as a linking of well-intentioned lonely hearts who just want normal family lives. A meaningful anthropological account must incorporate and move beyond both types of narratives, acknowledging that deeply felt sentiment and ‘strategic’ plans to improve one's life overlap in all kinds of social exchange, romantic or otherwise. How the relationship between self-interest and affect is understood depends upon historically specific and gendered experiences of political economy. Participants’ framings of their own and their prospective spouses’ ‘sincerity’ and ‘seriousness’ are diagnostic of structural pressures each group has experienced, which they seek to address through international marriage.     

Refusing to Sing: Gender,Kinship and Patriliny in Macedonia

The issue of whether formal kinship structures and sentiments reflect the reality of social relations was of particular concern to specialists at the height of the kinship debates in the 1960s and 1970s, as it continues to be in some contemporary studies. So too, the classifications ‘patrilineal’ or ‘matrilineal’ have clearly been shown to be problematic given that there are multiple levels of discourse and relational and ideational realities in any given society. For many contemporary kinship specialists in fact no simple correlation can be made between type of descent system and actual social relations, especially relations between men and women. However, some anthropologists continue to argue that patrilineal kinship systems are somehow indicative of control or domination by men or, put inversely, of women's lack of power and authority. It is argued in this paper that even where the formal kinship structures and ideological discourses are dominated by agnation as appears to be the case in south Slav societies generally, and Macedonian in particular, this is not automatically mirrored in gender relations between men and women. In short, there is a long leap from patriliny to patriarchy.     

Depression and labor supply: Evidence from the Netherlands

We estimate the relationship between depression and labor-market outcomes using data from the Longitudinal Internet studies for the Social Sciences (LISS) panel (2008 — 2018) from the Netherlands. The paper provides three main findings. First, depression is not associated with women’s labor market participation, but it is associated with their likelihood of having paid employment (conditional on being in the labor force). Second, depression is associated with men’s labor force participation, likelihood of having paid employment and likelihood of working full time. Third, severity of depression matters. More severe symptoms are associated with more adverse labor-market outcomes. In addition, we examine the mechanism behind the relationship between depression and labor market outcomes. We find that happiness, life satisfaction, and pessimistic beliefs about the future are partially mediating the effects.     

The effect of ecological harshness on perceptions of the ideal female body size: an experimental life history approach

Why do researchers regularly observe a relationship between ecological conditions and the heaviness of female body weight ideals? The current research uses insights from life history theory and female reproductive physiology to examine whether variability in female body ideals might emerge from the different life history strategies typically adopted by individuals living in harsh versus benign ecologies. Across three experiments, we demonstrate that women who were sensitized to faster life history strategies during childhood – as indexed by earlier menarche or lower childhood SES – respond to cues of ecological harshness by shifting away from the thin body weight typically favored by Western women toward a heavier female body ideal. Additionally, although men’s perceptions of the ideal male body size did not shift in response to these cues, their perceptions of the ideal female body size did, with developmentally sensitized men also preferring a heavier female body size in the context of harsh ecologies.     

Mirroring Nature? Men's and Women's Models of Conception in Telefolmin

Telefol men are reluctant to talk about conception, which they claim is ‘bad talk’. Despite this, they espouse a theory of conception, and this theory accords well with the general form of Telefol kinship. Telefol women are cognizant of the men's model, but have a further one of their own which differs from that of the men in regard to the respective contributions of the sexes and the domains in which these contributions are relevant. These domains may be glossed as kinship and cult, and this paper argues that it is the relation between these domains, as well as between women and men, that is the bone of contention.     

Introduction to Special Issue on "Familial and Peer Influences on Adolescent Substance Use"

This study examined associations between well-being and positive and negative aspects of social relationships among 128 married older adults with a best friend. Women were more depressed than men if they did not have a friend in whom to confide, but women who did have a friend in whom to confide reported lower levels of depressive symptomatology, closer to levels reported by men. Men's depressive symptomatology was not related to having a friend confidant. Similarly, women who did not have a same-sex best friend in whom to confide were less satisfied with life than women who did have a friend confidant and men in general. Having a best friend who gets on their nerves was negatively related to men's life satisfaction and positively related to women's. Thus, positive and negative aspects of friendships were related to women's and men's well-being in different ways and were more important for women. Positive and negative aspects of marital relationships, on the other hand, related to depressive symptomatology and life satisfaction of women in comparable ways as for men. Results are considered in terms of the practical implications for supportive relationships to help older people meet the challenges of aging.     

Islamic preaching and women’s spectatorship in West Java

In the urban villages of Bandung, the capital city of the Indonesian province of West Java, many Muslim women routinely attend between four and six oratorical and/or pedagogical events per week. This article analyses this participation by observing the forms and patterns of these women’s spectatorship, specifically observing their mobility, the interaction between their life‐cycles and their participation habits, the gendered embodiment of Islamic knowledge they display, the effect of hegemonic masculinities, and preaching performances which treat them not only as Muslims intent on increasing their Islamic knowledge, but also as pleasure‐taking subjects. The article concludes that the conduct and management of preaching events intended for mixed audiences are highly sensitive to women’s spectatorship and warns against the assumption that Islamic practice is a punishing sphere of patriarchy. In fact, when the influence of women’s spectatorship on the conduct and management of such preaching events is appreciated, West Java’s preaching events appear as a feminised domain.     

Nobody likes to sleep alone: aspiring to kinship futures in post-Soviet Cuba

In post-Soviet Cuba, instead of the political future envisioned by Revolutionary authorities, poor residents of Havana aspire to create kinship futures where there is no need to ‘sleep alone’. Here, the idea of ‘sleeping together’ represents a trustworthy social bond that shelters a person from loneliness over time. For these habaneros, sexual love between men and women cannot be trusted, since it is often plagued by suspicions of material interest. By contrast, they view parent-child connections as a way to secure a cared-for future for themselves. Nevertheless, as Cuban socialism undergoes transformations, gendered inequalities create obstacles for many people's aspirations for parenthood. This article explores the contrast between sexual and filial love in Cubans’ efforts to create kinship futures for themselves, thereby adding to our understandings of poor people's life projects.     

Word patterns in the LIM (Life-line Interview Method) / life story

In this exploratory study, life story data on the word patterns in the LIM (Life-line Interview Method) are reported for 98 men and women, almost equally divided over a younger (18-30), a middle-aged (31-55) and an older (56-84) age group. All respondents tell about their past in great detail, but have a short view of the future. In terms of word frequency are memories (past) and expectations (future) in the proportion of about five to one. As expected, older persons need more words for telling their past story than younger people; word counts of the future life story, however, do not yield in any difference between young, middle-aged and older men and women. In general, the word frequency for memories of negative and positive life events is in the proportion of about three to two. The significance of the LIM word patterns for practical interventions (reminiscence, life-review) is discussed briefly.     

Sex,gender, and difference

Empirical research has demonstrated that women’s aggressive behavior is widespread and displays regularities across societies. Until recently, however, discussions about the aggressive behavior of women and gender differences in aggressive behavior have been based largely on data from nonhuman primates, children, or laboratory experiments. Using a unique corpus of naturalistic data on aggressive human interactions both between and among men and women, I explore the complexity of our questions about sex differences in aggression and further illuminate the ways in which men and women may use aggression in human interactions. In this paper I compare the aggressive behavior of men and women in an Australian Aboriginal community. In doing so I argue for the continuing use of a “sex differences” framework for organizing our understanding of gender relations and gender hierarchy. I believe, however, that this form of analysis benefits from, if not requires, a sensitivity to the most taken-for-granted aspects of our gender ideology and a commitment to attend to evidence that challenges our convictions about men and women.