The Relationship between Psychological Vulnerability,Aging Attitudes and Life Meaning in Elderly Patients with Comorbidities

Background:With the rapid aging of China’s population and the increasing prevalence of comorbidities in the elderly,psychological crises have become more common.This study aims to investigate the present status of psychological vulnerability,aging attitudes,and life meaning in elderly patients with comorbidities.Methods:A total of 685 elderly inpatients and outpatients at Renmin Hospital of Wuhan University between July and December 2022 were selected using the simple random sampling method.Social demographic data were collected,and the Attitudes to aging Questionnaire(AAQ),the Chinese Life Meaning Questionnaire(C-MLQ),and the Psychological Vulnerability Scale(C-PVS)were used for the analysis.A total of 685 questionnaires were received,and 602 valid questionnaires were collected,with an effective rate of 87.88%.Data analysis was performed using SPSS V25.0 and AMOS V24.0.Results:The total scores of psychological vulnerability,aging attitudes,and life meaning were 69.4±12.8,80.2±13.5 and 39.2±8.3,respectively.The psychological vulnerability was significantly negatively correlated with life meaning and aging attitudes(r=-0.351,-0.264;p<0.01).There was a significant positive correlation between aging attitudes and life meaning(r=0.515;p<0.01).Life meaning played a partial mediating role between psychological vulnerability and aging attitudes(β=3.070,p<0.05).Conclusion:This study found that the psychological vulnerability in elderly patients with comorbidities was at the lower level,which was related to the elderly patients’aging attitudes and their current status of life meaning.The level of psychological vulnerability in elderly patients with senile-related comorbidities needs to be further improved.Medical workers should pay attention to the psychological vulnerability of elderly patients and improve the identification of psychological crises of such patients.

Effects of supervised movie appreciation on the improvement of college students’ life meaning sense

The purpose of this study was to explore the effects of supervised movie appreciation on improving the life meaning sense among college students. The intervention combined by “pre-video, post counseling” was conducted on the experimental group, while the control group received no intervention. Results have shown that the scores on the subscales of will to meaning, life purpose, life control, suffer acceptance and on the total scale have improved significantly. No gender difference was found on the intervention effect, and participants receiving intervention maintained higher level on related subscales a week later, indicating that supervised movie appreciation is an effective way to improve the life meaning sense among college students.

Meaning in life and well-being of older stroke survivors in Chinese communities: Mediating effects of mastery and self-esteem

The study aims to examine the role of mastery and self-esteem as a potential mediator of the relationship of meaning in life and well-being among older Chinese stroke survivors. A cross-sectional study was conducted in 214 community-dwelling older stroke survivors (128 men and 86 women), ranging from 60 years to 88 years old. The meaning in life, mastery, self-esteem and subjective well-being were measured. The results indicated that: 1) The meaning in life and subjective well-being of stroke survivors were significantly positive correlated;2) Mastery and self-esteem played partial mediating roles between existential vacuum and subjective well-being;Self-esteem played full a mediating role between suffer acceptance and subjective well-being;Mastery played a full mediating role between life control and subjective well-being;Mastery played a partial mediating role between death acceptance and subjective well-being;Self-esteem also played a partial mediating role between mastery and subjective well-being.

Meaning in Life and Mental Health Issues in Older Adults:A Meta-Analysis

This study aims to be the first to use meta-analysis to explore the relationship between meaning in life(MIL)and mental health issues among older adults.A meta-analysis was conducted using six databases,resulting in 16 studies with 5,074 participants in total.The“metacor”and“forestplot”packages in R-Studio were used for data analysis.The total effect was calculated using a random-effects model,with I2=86%in the heterogeneity test.The results showed a moderate negative correlation between MIL and mental health issues among older adults,with an average effect of−0.37.Five potential moderating variables were examined:the conceptualization of MIL(value vs.purpose),region(Asian vs.Western countries),residence status(community vs.nursing home vs.hospital),types of mental health issues,and evaluation methods(clinical vs.non-clinical).The first four had no significant moderating effect.The mean correlation coefficients between mental health issues and value/purpose were−0.49/−0.33;the mean correlation coefficients in Asian countries and Western countries were−0.48 and−0.34;the mean correlation coefficients among participants living in community/nursing home/mixed status were−0.33/−0.40/−0.40;the mean correlation coefficients between MIL and depression/others were−0.37/−0.35;however,the negative relationship between MIL and mental health issues was stronger when non-clinical evaluations(self-report only)were used.Specifically,the mean correlation coefficient for non-clinical evaluations was−0.42 and for clinical evaluations was−0.29.This study is the first meta-analysis to identify the negative correlation between older adults’MIL and mental health issues.Significant moderating effects of evaluation methods were found.

Mindfulness Associates Life Satisfaction:The Mediating Role of Internal Control and the Presence of Meaning in Life

This study explored the internal mechanism of the effect of mindfulness on life satisfaction from the perspective of logotherapy theory and achievement attribution theory.We recruited 1021 college students using a combination of random sampling and cluster sampling.They completed the relevant questionnaire.The results showed that,from the perspective of logotherapy theory,wefind that the presence of meaning in life is an important intermediary between mindfulness and life satisfaction.From the perspective of achievement attribution theory,we found that internal control was an important intermediary between mindfulness and life satisfaction.In addition,we also found the chain mediating path that mindfulness positively predicted life satisfaction by influencing internal control and then influencing the presence of meaning in life.This study proves for thefirst time that the theory of logotherapy and achievement attribution explain the internal mechanism of the relation of mindfulness on life satisfaction.This study provides an important reference for how to effectively improve life satisfaction from the perspective of mindfulness.

Depression by the Theory of Breathing and Finding Meaning of Life

This study aimed to examine the relationship of finding meaning to life with the level of depression and investigates the effect of using breathing theory in treating or reducing depression in a sample of individuals suffering from depression in the Kuwait Mental Health Center. In order to achieve these objectives, the researcher used the descriptive and analytical approach through an applied questionnaire on the study sample which consist of (380) individuals and the quasi-experimental approach by dividing the study sample individuals into two groups;control group consisted of (190) individuals and experimental group consist of (190) individuals. Also, the researcher developed meaning of life scale and breathing strategy, also used beck depression inventory scale. The study found a set of results, there is a negative relationship between finding meaning in life and depression and there are statistically significant differences between the members of the two groups due to the use of the breathing strategy, in favor of the experimental group. In the light of this result, the study came out with a set of recommendations, the most important of which are holding training and educational courses for depressed patients on ways and methods of finding meaning in life, as these courses have the benefit in reducing the level of depression among patients.

The Ethics and the Meaning of Life among College Students

The concern of the ethics and the meaning of life in young adults became universal and are present in all contexts of human life. Such universality is due to the development of modern rationality, to establish a relationship between the intrinsic theoretical dimensions (scientific) and practical dimensions (ethical), originated that are present in the own array of knowledge. This descriptive cross-sectional study, aims to identify the values of the ethical dimension and meaning of life defended by the college students of the Universities of Madeira, Portugal and Fortaleza, Brazil. The sample consists of 605 University students (Madeira = 225 and Fortaleza = 380), with an average age of 21 years and a standard deviation of 2. We used the questionnaire on values (adapted from the European Values Survey). Most of the young people referred to have a religion (60% wood and 78.4% stronghold), being the most Catholic, however, present in your frequency disinterest and, yet, in Brazil there is a greater diversity of religions. Supporting the intervention of religious institutions in situations of everyday life is accepted mostly by Brazilians, with the exception of politics (35.5%). On the other hand, the university students of the University of Madeira understand that Religious Institutions should only give their opinion on racial discrimination (76.6%). Believe in God (90.8% and 55.1% Stronghold) and Soul (80.3% and 66.4% Stronghold) are beliefs more referred to by college students. These results are intended to contribute in the field of research on ethical values and meaning of life in young people. This study contributes to future comparative research among university students and to developing strategic programs in education and health, increasing the success and excellence in the formation of a full citizenship, preventing the fanaticisms and the social discrimination that today devastate the collective globally.

电影疗法提升大学生生命意义感的团体心理辅导实践探索

目的:评估电影疗法在团体心理辅导中增强大学生生命意义感知的影响成效。方法:以电影《那山那人那狗》为教学素材,运用生命意义感理论、电影疗法、萨提亚模式和团体动力学等知识,涵盖观察学习、隐喻以及投射与认同等心理基础,探寻生命意义感团体心理辅导的作用机制。将自愿接受团体辅导的72名大二学生作为研究对象,其中36人作为对照组,36人作为干预组,运用扎根理论分析干预组生命意义感的三次访谈,以构成维度及发展机制。结果:大学生生命意义感的心理发展过程分为混沌期、觉察期和觉悟期等三个阶段,确定了生活质量、社会关系、价值观以及自我发展等四个维度,从而为生命意义感提供了兼具广度与纵深性的框评估架。结论:电影疗法在提升大学生生命意义的认知水平以及激发其探寻生命意义的动力方面发挥着积极作用,彰显出时代价值,为高校心理健康教育模式的创新提供了崭新的视角与范例,具有重要的应用推广价值。

大学生生命意义感与抑郁症状的关系:心理弹性的中介作用

采用中文人生意义问卷、医院焦虑抑郁量表、心理弹性量表对594名大学生进行调查,考察大学生生命意义感、心理弹性与抑郁症状的关系,以及心理弹性在大学生生命意义感与抑郁症状间的中介作用。研究发现:生命意义感及其两个维度(生命意义追寻、生命意义体验)与心理弹性呈显著正相关;生命意义感及其两个维度与抑郁症状呈显著负相关;心理弹性与抑郁症状呈显著负相关;心理弹性在大学生生命意义感与抑郁症状之间起部分中介作用。结果表明:大学生生命意义感、心理弹性对抑郁症状具有负向预测作用;大学生生命意义感不仅会直接影响抑郁症状,而且会通过心理弹性产生间接影响。

人们对什么终极问题感兴趣?

人们最感兴趣的问题都是没有必然答案或唯一答案的终极问题。无论多么困难,终究能够解决的问题属于科学,永远不能解决的问题就成为哲学问题。终极问题通常被认为属于哲学,但由于无法超越无穷性而不存在找到终极答案的方法,哲学反而回答不了哲学里的终极问题。如果非想要一个答案不可,就变成了神学。哲学必须是反思的,否则不是哲学,而反思的底色是怀疑论。怀疑论的基本方法就是悬搁,即对绝对或终极答案不置可否,以便理解本来就能够理解的事情。维特根斯坦提示了,哲学思考不是要去远方,而是留在原地。但人类还是永远向往不可能的“远方”。在很多时候,人们想要的就是令人满意的错误答案。

基于K-means与技术生命周期的技术预见方法研究——以水体净化技术为例

预见水体净化技术发展趋势有助于实现“美丽中国”建设目标。已有技术预见方法缺乏定量客观依据,相关评判指标也不够全面。从Innography数据库检索2008-2019年发布的3552个污水处理技术专利,运用多维标度分析和K均值聚类法,基于专利静态指标分析专利技术发展潜力,采用技术生命周期分析法从动态视角判断每类技术的发展前景。研究发现:①污水与污染物双重回收可持续性技术在多个静态评价指标方面均优于其它技术,且处于从引入期到发展期的过渡阶段,具有较大的发展空间;②以去除特定污染物为目标的功能单一技术已被淘汰,市场开始应用污水处理原理不同的多种技术联合处理方式。据此,提出企业应选择污染物回收率高、二次污染物排放少、整体“净效益”为正的污水处理技术,并采取新旧技术联合处理方式降低企业采用新技术的转换成本。

子女孝道行为与老年乳腺癌患者生命意义感的关系:自尊和自我感受负担的链式中介作用

目的:探讨子女孝道行为与老年乳腺癌患者生命意义感的关系,并考察自尊和自我感受负担的链式中介作用。方法:采用生命意义感问卷、自我感受负担量表、自尊量表、老年人接受成年子女支持量表,对安徽省某三甲医院170名老年乳腺癌患者进行问卷调查。结果:①子女孝道行为与自尊、生命意义感之间显著正相关(r=0.35,0.38;P<0.01)、与自我感受负担之间显著负相关(r=-0.30,P<0.01);自尊与自我感受负担显著负相关(r=-0.56,P<0.01)、生命意义感之间显著正相关(r=0.68,P<0.01);自我感受负担与生命意义感之间显著负相关(r=-0.70,P<0.01)。②中介效应分析显示,自尊在子女孝道行为和老年乳腺癌患者之间起到单独的中介作用,效应值占总效应的37.84%,但自我感受负担的单独中介作用不显著;自我感受负担自尊和自我感受负担起到链式中介作用,效应值占总效应的21.62%。结论:子女孝道行为不仅可以直接预测老年乳腺癌患者的生命意义感,还可以通过自尊和自我感受负担的链式中介作用预测老年乳腺癌患者的生命意义感。

基于ICA K-Means的产品口碑演化聚类与营销分析

对于产品而言,其在线口碑的活跃度是非常具有代表性的一个指标。在线口碑活跃度的高低,直接揭示产品的生命周期演化模式,对于产品生命周期有全面的了解有助于决策者制定营销计划以及战略。但由于产品在线评论的高维性和复杂性,使得其聚类的难度加大。所以,在普通的K均值算法的基础上引入独立成份分析,对异类产品之间或同类产品在线口碑的活跃度之间进行聚类分析,可以大大降低复杂性和提升聚类准确性;同时深入分析提取出的产品生命周期曲线,有效提升在线口碑信息在电子商务营销管理与决策支持中的作用,深化在线口碑活跃度的管理学视角研究。

大肠癌患者心理韧性与心理一致感生命意义感的相关性研究

目的探讨大肠癌患者心理韧性与心理一致感、生命意义感的相关性。方法对100例大肠癌患者采用一般资料调查表、压力弹性商数量表(SRQS)、心理一致感量表(SOC)和人生意义量表(MLQ)进行测评分析,并采用Spearman秩相关分析和多元线性回归分析探讨心理韧性、心理一致感和生命意义感之间的相关性。结果共发放问卷100份,回收有效问卷96份,有效回收率为96.00%。96例大肠癌患者SRQS评分为(55.30±12.81)分,SOC评分为(51.20±10.13)分,MLQ评分为(41.79±7.33)分。大肠癌患者SRQS总分及各维度评分与SOC、MLQ总分及各维度评分均呈正相关(P<0.05),SOC总分及各维度评分与MLQ总分及各维度评分也呈正相关(P<0.05)。文化程度、家庭月收入、宗教信仰、是否造口、临床病理分期、心理一致感及生命意义感均是大肠癌患者心理韧性的影响因素(P<0.05或0.01)。结论大肠癌患者的心理韧性与心理一致感、生命意义感相互关联。临床上除了提供高质量的医疗服务外,还应该关注患者的心理状态,通过提高其心理韧性、心理一致感和生命意义感,以提高其生活质量,实现心身全面康复。

PERMA心盛理论导向护理对乳腺癌化疗患者健康行为与生命意义感的影响

目的 探讨PERMA心盛理论导向护理对乳腺癌化疗患者健康行为与生命意义感的影响。方法 选择2021年2月至2023年2月于我院收治的106例乳腺癌化疗患者为研究对象,以随机数字表法将其分为对照组、试验组,每组53例。对照组实施常规护理,试验组在此基础上加用PERMA心盛理论导向护理干预。比较两组的干预效果。结果 干预后,试验组的健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)评分高于对照组(P<0.05)。干预后,试验组的生理健康、社会家庭评分及总分均低于对照组(P<0.05)。干预后,试验组的心理痛苦程度评分低于对照组(P<0.05)。干预后,试验组的生命意义寻求、生命意义体验评分及总分高于对照组(P<0.05)。结论 PERMA心盛理论导向护理应用于乳腺癌化疗患者中,有利于提升其健康行为水平、减轻恐惧疾病进展程度与心理痛苦程度、提高生命意义感。

临床护士生命意义感与临终关怀态度的关系:死亡态度和心理韧性的中介作用

目的:探究临床护士生命意义感、死亡态度、心理韧性与临终关怀态度的现状及其关系。方法:采用临终关怀态度量表(FATCOD-B)、生命意义感量表(MLQ)、死亡态度描绘量表(DAP-R)和心理韧性量表(CD-RISC)对江西省某市6所二级及以上医院共1 361名临床护士进行调查。结果:本科护士临终关怀态度、生命意义感、心理韧性得分高于专科护士(P<0.05);已婚护士临终关怀态度、生命意义感、心理韧性、消极死亡态度得分高于未婚护士(P<0.05);高级职称护士临终关怀态度、生命意义感、心理韧性得分高于低职称护士(P<0.05),消极死亡态度得分低于低职称护士(P<0.05),护士和护师消极死亡态度得分低于主管护师(P<0.05);临床护士的生命意义感、积极死亡态度以及心理韧性与临终关怀态度两两之间呈正相关(P<0.05);临床护士生命意义感(β=0.29)、积极死亡态度(β=0.26)、消极死亡态度(β=-0.45)以及心理韧性(β=0.24)显著预测临终关怀态度(均P<0.001)。结论:临床护士的生命意义感不仅可以直接影响临终关怀态度,还可以通过死亡态度和心理韧性影响临终关怀态度。

基于SEM—K-means聚类的农村公路项目投资控制影响因素及水平划分研究

为解析影响农村公路项目投资控制影响机理,改善农村公路项目建设过程中投资失控问题,从农村公路项目建设寿命全周期视角选取前期决策、设计规划、施工管理、运营维护、内部环境、外部环境与投资控制七类综合潜变量因素及38个测量变量,构建结构方程模型(SEM)解析所选因素与投资控制间的影响关系结构,应用中介效应检验法确定因素对投资控制的综合影响程度,最后选择显著影响因素,采用K-means聚类方法划分农村公路项目投资控制水平。结果表明,施工管理与设计规划对农村公路项目投资控制影响最为显著。研究共划分出6个投资控制水平,每个控制水平下特征相似,不同水平间特征差异明显。结合每个控制水平及特征,提出了相应的投资控制建议。

创造力与大学生生命意义感:积极情绪和创造性自我效能感的作用

为考察创造力与大学生生命意义感之间的关系,以及积极情绪和创造性自我效能感在其中的作用,本研究采用Runco创新观念行为量表、积极情绪量表、创造性自我效能感问卷和生命意义问卷对665名大学生进行了测查。结果显示:(1)创造力、积极情绪、创造性自我效能感和生命意义感之间存在两两正相关关系;(2)积极情绪在创造力与生命意义感之间起部分中介作用;(3)创造性自我效能感调节了创造力影响生命意义感的直接路径,随着创造性自我效能感的提升,创造力对生命意义感的预测作用减弱。本研究在理论上揭示了创造力对生命意义感的作用及其机制,对大学生生命意义教育具有一定实践参考价值。

A Statistical Analysis of Intensities Estimation on the Modeling of Non-Life Insurance Claim Counting Process

This study presents an estimation approach to non-life insurance claim counts relating to a specified time. The objective of this study is to estimate the parameters in non-life insurance claim counting process, including the homogeneous Poisson process (HPP) and the non-homogeneous Poisson process (NHPP) with a bell-shaped intensity. We use the estimating function, the zero mean martingale (ZMM) as a procedure of parameter estimation in the insurance claim counting process. Then, Λ(t) , the compensator of is proposed for the number of claims in the time interval . We present situations through a simulation study of both processes on the time interval . Some examples of the situations in the simulation study are depicted by a sample path relating to its compensator Λ(t). In addition, an example of the claim counting process illustrates the result of the compensator estimate misspecification.

全生命周期下K-means算法的电信客户价值分析

文中研究了大数据背景下电信客户价值的分析问题。基于电信客户全生命周期管理思想,建立了电信客户当前价值模型和电信客户长期价值模型,确立了以电信客户分类为基础的客户价值分析策略。基于电信客户的当前价值模型和长期价值模型,采用K-means聚类算法对电信客户分类,进而依据分类结果对客户的价值作出评价。实例验证结果表明,文中给出的基于全生命周期思想和K-means聚类算法的电信客户价值分析方法是行之有效的。