Analysis of the Role of Cognitive Behavioral Therapy on Self-Care in Thyroid Cancer Patients

Objective:To explore the effect of cognitive behavioral therapy on self-care in thyroid cancer patients.Methods:A total of 144 thyroid cancer patients treated at the Affiliated Hospital of Hebei University from January 2022 to August 2023 were selected as research subjects.Using the random number table method,they were divided into a control group and an experimental group,each consisting of 72 cases.The control group received routine nursing intervention,while the experimental group received cognitive behavioral therapy based on standard nursing practices.The self-care ability(self-concept,self-efficacy,self-care skills,health knowledge level),coping style(confrontation,avoidance,and surrender),and quality of life(psychological function,social function,material life,physical function)of both groups before and after the intervention were compared.Results:In comparison to the pre-intervention period,the experimental group exhibited significantly higher self-care ability,quality of life,and confrontation scores after the intervention,as opposed to the control group.Additionally,the avoidance and surrender scores were lower in the experimental group than in the control group,with these differences proving to be statistically significant(P<0.01).Conclusion:The application of cognitive behavioral therapy can enhance the self-care ability of thyroid cancer patients,aid in better disease coping,and improve their overall quality of life.This approach is deserving of further promotion.

Effect of cognitive behavior therapy combined with exercise intervention on the cognitive bias and coping styles of diarrhea-predominant irritable bowel syndrome patients

BACKGROUND Irritable bowel syndrome(IBS)is a common digestive system disease with a high incidence rate and is common in women.The cause of IBS remains unclear.Some studies have shown that mental and psychological diseases are independent risk factors for IBS.At present,the treatment of IBS is mainly symptomatic treatment.Clinically,doctors also use cognitive behavioral therapy to improve patients'cognitive ability to diseases and clinical symptoms.In recent years,exercise therapy has attracted more and more attention from scholars.Improving the symptoms of IBS patients through psychosomatic treatment strategy may be a good treatment method.AIM To explore the effects of an intervention of cognitive behavioral therapy combined with exercise(CBT+E)on the cognitive bias and coping styles of patients with diarrhea-predominant irritable bowel syndrome(IBS-D);and to provide a theoretical reference for the management of IBS.METHODS Sixty IBS-D patients and thirty healthy subjects were selected.The 60 IBS-D patients were randomly divided into experimental and control groups.The experimental group was treated with the CBT+E intervention,while the control group was treated with conventional drugs without any additional intervention.The cognitive bias and coping styles of the participants were evaluated at baseline and after 6 wk,12 wk and 24 wk using the Automatic Thoughts Questionnaire(ATQ),Dysfunctional Attitudes Scale(DAS)and Pain Coping Style Questionnaire(CSQ)instruments,and the intervention effect was analyzed using SPSS 17.0 statistical software.RESULTS At baseline,the scores on the various scales showed that all subjects had cognitive bias and adverse coping styles.The IBS Symptom Severity Scale(IBSSSS)scores,ATQ total scores,DAS scores and CSQ scores of the two groups were not significantly different(P>0.05).Compared with baseline,after 6 wk of the CBT+E intervention,there were significant differences in the ATQ scores,the dependence and total scores on the DAS,and the catastrophization,distraction and prayer scores on the CSQ(P<0.05).After 12 wk,there were significant differences in the scores for perfectionism on the DAS and in the scores for reinterpretation,neglect and pain behavior on the CSQ in the experimental group(P<0.05).After 24 wk,there were significant differences in the vulnerability,dependence,perfectionism,and total scores on the DAS and in the catastrophization,distraction and prayer scores on the CSQ in the experimental group(P<0.01).The IBS-SSS scores were negatively correlated with the ATQ and DAS total scores(P<0.05)but were positively correlated with the CSQ total score(P<0.05).CONCLUSION Intervention consisting of CBT+E can correct the cognitive bias of IBS-D patients and eliminate their adverse coping conditions.CBT+E should be promoted for IBS and psychosomatic diseases.

Antidepressants combined with psychodrama improve the coping style and cognitive control network in patients with childhood trauma-associated major depressive disorder

BACKGROUND The use of antidepressant therapy alone has a limited efficacy in patients with childhood trauma-associated major depressive disorder(MDD).However,the effectiveness of antidepressant treatment combined with psychodrama in these patients is unclear.AIM To evaluate the effectiveness of antidepressant treatment combined with psychodrama.METHODS Patients with childhood trauma-associated MDD treated with antidepressants were randomly assigned to either the psychodrama intervention(observation group)or the general health education intervention(control group)and received combination treatment for 6 mo.The observation group received general health education given by the investigator together with the“semi-structured group intervention model”of Yi Shu psychodrama.A total of 46 patients were recruited,including 29 cases in the observation group and 17 cases in the control group.Symptoms of depression and anxiety as well as coping style and resting-state functional magnetic resonance imaging were assessed before and after the intervention.RESULTS Symptoms of depression and anxiety,measured by the Hamilton Depression Scale,Beck Depression Inventory,and Beck Anxiety Inventory,were reduced after the intervention in both groups of patients.The coping style of the observation group improved significantly in contrast to the control group,which did not.In addition,an interaction between treatment and time in the right superior parietal gyrus node was found.Furthermore,functional connectivity between the right superior parietal gyrus and left inferior frontal gyrus in the observation group increased after the intervention,while in the control group the connectivity decreased.CONCLUSION This study supports the use of combined treatment with antidepressants and psychodrama to improve the coping style of patients with childhood trauma-associated MDD.Functional connectivity between the superior parietal gyrus and inferior frontal gyrus was increased after this combined treatment.We speculate that psychodrama enhances the internal connectivity of the cognitive control network and corrects the negative attention bias of patients with childhood trauma-associated MDD.Elucidating the neurobiological features of patients with childhood trauma-associated MDD is important for the development of methods that can assist in early diagnosis and intervention.

Learners＇ Cognitive Styles and Foreign Language Teaching

Individual learners possess distinctive cognitive styles which have a great effect on foreign language learning. The present paper intends to study the relationship between foreign language learning proficiency and cognitive styles from the perspectives of psychology, psycholinguistics, and second language acquisition. Through the analysis, the author has arrived at a conclusion that learners with different cognitive styles adopt quite different strategies in learning a foreign language. The best-matched methods fitting for different cognitive styles may help learners improve their learning proficiency. Therefore, in order to improve teaching proficiency, foreign language teachers should keep a match between learners＇ cognitive styles and teaching methodologies.

The Significance of Holistic-Analytic CognitiveStyle to Approach Reading Comprehension

Reading is a major way to learn a foreign language.In the past,reading is regarded as a passive process to receive information.The key point of reading is to comprehend.It requires learners to think,judge and reorganize the information according to one's own experience and to create meaning for the context.

Research on British and American Literature Research and Development Trend based on Cognitive Theory and Style Analysis

In this paper, we conduct theoretical research on British and American literature research and development trend based on cognitive theory and style analysis. Literature as a form of historical culture, the culture of different era, can better reflect the social culture background. Into contact with the cultural background of English-speaking countries, for teachers of English teaching and students＇ English learning has great significance. Under the basic influence of cultural background in English countries, learning English, will quickly understand the characteristics of syntax and understand the charm of language. Works covered by historical background, English can help students experience a good text artistic conception, thus extended thinking. Under this background, we integrate the basic cognitive theory and style analysis to propose the literature research and development trend that will assist the English community to find better developmental orientation.

On Cognitive Style in English Web-based Autonomous Learning

Since Henry Holec first put forward the term‘Autonomy'in 1980's, autonomous learning has been drawing the universal attention of scholars both at home and abroad. Promoting learners' ability of self-regulated learning has been taken as one of the important goals of modern education. College English autonomous learning based on network environment does not mean free study without any restraints or monitoring, but rather involves the self-monitoring and external monitoring. Meanwhile, different learners may have different cognitive styles in their learning processes, which may have an influence on the improvement of the learners' efficiency in the autonomous language learning. Proper monitoring models coordinating with the students' different field cognitive styles.

An Analysis of Foreign Language Learning Styles from the Cognitive Perspective

From the 1970s,learning styles began to enter the domain of foreign language learning researches.Foreign language learning style is often regarded as a significant factor attributing to individual differences among language learners.Nowadays,many researchers begin studying individual learners'characteristics and exploring how different learners interact with external factors from cognitive perspective.The field-independence/dependence construct became a focus.Based on previous studies,the paper is committed to analyzing the nature of FID learners.It is expected that this research can establish a well-grounded basis for following studies.

A study of the effects of students' cognitive styles on their learning behaviors of online database search strategies

Purpose: Based on a quasi-experimental design, this study sought to investigate the effects of two different cognitive styles, field independence and field dependence, on students' learning behaviors of online database search strategies.Design/methodology/approach: An experiment was carried out among senior students in a Chinese university.Findings: The field independent(FI) subjects performed better in terms of their search strategy scores. When comparing how many people in each cognitive style group learned the targeted search strategies, more field dependent(FD) subjects were successors, whereas the FI subjects were more inclined to learn from their past experience. When analyzing the reasons for the subjects' selection of search strategies, we found that the FI subjects demonstrated more rational thinking behaviors than the FD subjects.Research limitations: Only 28 students participated in the study, which was a relatively small sample size. A larger sample will give more information and therefore more precise results.Practical implications: This research can provide some suggestions to the information system designers on how the system interface can be better designed to suit the cognitive styles of different users.Originality/value: So far, few studies have been published about the effects of users' cognitive styles on their learning behaviors of online database search strategies.

A Study on the Correlation among FD-FI Cognitive Style,Working Memory Capacity and English Reading Performance among College EFL Learners

In the past few decades,there have been eminent interests in reading performance as essential means for language input.In view of that,extensive studies have been conducted to explore the factors that affect reading performance from various aspects.In the cognitive psychology field,some studies have examined the relationship between field dependent-field independent(FD-FI)cognitive styles and working memory capacity(WMC)on English reading,respectively.However,only limited studies focused on the correlation among FD-FI cognitive styles,WMC and English reading performance.Therefore,this study was conducted to explain these correlations.A total of 42 intermediate“English as Foreign Language”(EFL)learners participated in this study.In order to measure the learners’FD-FI cognitive style,WMC and English reading performance,the Cognitive Style Figures Test,reading span task and the International English Language Test System(IELTS)reading test were adopted,respectively.Data analyses such as Pearson’s correlation,independent sample t-test and two-way ANOVA were done using Statistical Package for the Social Science(SPSS)version 25.The results suggested a statistically significant correlation between FD-FI cognitive style and WM with English reading performance,respectively.The main effect of WM and FD-FI cognitive style is significant while the interaction between them is not significant in reading performance.

Effect Evaluation of Cognitive Behavioral Intervention on Stress Response in Breast Cancer Patients

Objective: To investigate the effects of cognitive behavioral intervention on psychological stress response in breast cancer patients by cognitive behavioral intervention in breast cancer patients. Methods: Adopting the random comparison method, 100 patients with breast cancer were divided into comparison group and intervention group by 50 cases. The intervention group underwent cognitive behavioral intervention at the same time as the comparison group only received conventional treatment without cognitive behavioral intervention. Two groups of breast cancer patients were enrolled in the general questionnaire, the Self-Rating Anxiety Scale (SAS), and the Medical Coping Modes Questionnaire (MCMQ) within one week after admission and one month after treatment to understand the psychological stress levels of the two groups. Results: There was no significant difference in the scores of SAS and MCMQ between the intervention group and the comparison group before intervention (P > 0.05). But after intervention, the scores of SAS and MCMQ in the comparison group were significantly higher than those in the intervention group (P 0.05). It shows that the implementation of cognitive behavioral intervention therapy for breast cancer patients has the effect of improving their psychological status. Conclusion: Cognitive behavioral intervention therapy combined with psychology for breast cancer patients can effectively reduce their stress level, improve mental health status and improve their positive coping ability.

A Cognitive Perspective on the Safety Communication Factors That Affect Worker Behavior

Communication is vital for construction safety, but how it influences unsafe behavior in the work-place remains unclear. This study aims to explore the relationships between communication, cognitive failure, and unsafe behaviors in order to clarify those mechanics. We defined communication as management input, worker cognitive failure as process, and actual behaviors as management output. We collected data from three Chinese steel construction crews and utilized experience/behavior sampling and questionnaire surveys to collect project information. Bivariate statistical analyses were conducted to explain how communication affected unsafe behavior. The results showed that, rather than communication frequency, management communication style was significantly related to worker cognitive failure;specifically, communication style was related to perception of convenience and self-capacity, which could be upstream factors explaining unsafe behavior at the construction jobsite. This research provided statistical evidence supporting the hypothesized association among safety communication, cognitive failure, and behavior, bridging the missing gaps of previous research. Nonetheless, readers should interpret the results cautiously because of the limitations listed as follows. First, sample size is relatively small. In addition, crew turnover may mediate the relationship between communication and safe behaviors therefore, the impact of communication on cognitive failure can be blurred and a longitudinal study on specific crews working on the same job site could be used to evaluate it. Third, future research should focus on communication style, as it directly relates to the human cognitions that affect unsafe behavior at construction sites.

Effect of Cognitive Behavioral Intervention Therapy on Immune Index in Patients with Breast Cancer

Objective: To explore the effect of cognitive behavioral intervention therapy on the cellular immune function of patients undergoing radical mastectomy for the first time, and to provide a scientific basis for improving the treatment of breast cancer patients. Methods: 100 patients with breast cancer who were eligible for admission to the Department of Breast Surgery, Hainan Provincial People’s Hospital from January 2016 to December 2017 were selected as subjects. It is the first time to improve the radical mastectomy. They were randomly divided into control group and intervention group, 50 cases each. The control group used conventional treatment and routine care. On the basis of this, the intervention group conducted cognitive behavioral interventions including cognitive reconstruction and behavioral therapy. The patients were measured for serum IL-2, IL-4, IL-6, IL-8 and TNF-α levels on the second day after admission and three months after discharge. The changes of serum IL-2, IL-4, IL-6, IL-8 and TNF-α levels in the two groups were compared before and after cognitive intervention. Results: The concentrations of IL-2, IL-4, IL-6, IL-8 and TNF-α in the serum of the intervention group and the control group before intervention were compared. The difference was not statistically significant (P > 0.05). After the intervention, the serum levels of IL-2, IL-4 and IL-8 in the intervention group were lower than before the intervention. The concentration of TNF-α was higher than before the intervention. The difference was statistically significant (P Conclusion: Cognitive behavioral intervention therapy can change the levels of IL-2, IL-4, IL-6, IL-8 and TNF-α in serum of breast cancer patients. It has a positive effect on the regulation of immune function in breast cancer patients.

A Cognitive Analysis on Translation Strategy

A cognitive interpretation of the basic translation strategy, domestication and foreignization, is elaborated in this paper. It is pro posed that based on differences in linguistic presentation and cultural connotation, the application of translation strategy is determined by the style of the source text (ST) and the translator's performance, both of which are generated from individualized style of construe, decided by a range of experiences. So great importance should be attached to experience and construe. Such an interpretation is proposed to pro vide a new perspective to study translation strategy and initiate a better comprehension of the ST and translation.

Serial Multiple Mediation of the Relationshipbetween Positive Coping Style and PostTraumatic Growth among Chinese CollegeStudents in the Aftermath of COVID-19

Given the ongoing character of COVID-19, higher-education students encountered multifaceted pressures brought about by thepandemic and had to overcome many difficulties during this period. Accordingly, it is imperative to identify the factors that mayhave protective effects on the social functioning and mental status of college students in the aftermath of COVID-19. This crosssectional study sought to ascertain the internal mechanism of positive coping (PC) styles affecting post-traumatic growth (PTG)and considered the mediating roles of cognitive reappraisal (CR), psychological resilience (PR), and deliberate rumination (DR),which are essential for understanding how and to what extent these factors shaped PTG in the context of the present pandemic. 463Chinese college students recruited via a convenience sampling method completed a set of online self-report measures of PC, PTG,CR, PR and DR. The findings revealed that the abovementioned five variables were positively correlated with each other, and theindependent variable directly predicted the dependent variable. More importantly, two out of three mediators in parallel mediatedthe relationship between PC and PTG, illustrating that more PC adoption was associated with increased PTG through high levels ofPR and DR, respectively. The two significant serial mediating effects also indicated that PC could contribute to CR, which furtherfacilitates either PR or DR and subsequently promotes the development of PTG. Colleges should adopt routine protectivebehaviors in accordance with such evidence to strengthen students’ mental health education and establish scientific methods toboost their psychological well-being. Overall, our results may shed new light on the process of positive adaption and providetheoretical support for targeted crisis intervention during the late phase of the pandemic.

相倚性自尊及其对心理健康影响的研究综述

通过对相倚性自尊的研究进行梳理,梳理出相倚性自尊形成影响因素与发展变化。相倚性自尊水平会随着成年而减少,但受到不安全依恋、父母条件性关注、内在−外在相倚性自尊水平失衡、社会文化及对负面信息分配更多的认知资源的影响,相倚性自尊会维持在较高水平。相倚性自尊较高水平的个体更有可能产生情绪障碍、行为障碍及人格障碍。在心理治疗中,可通过改善亲子教养方式、提高自我认知、认知行为治疗等方法改善相倚性自尊水平,预防其对心理健康的危害性。

在线学习个性化推荐中多维度学习者模型研究

随着在线学习平台的广泛使用,在线学习资源快速增长,“信息迷航”问题亟待解决。针对在线学习个性化推荐中以单一特征为主,多维度学习者模型研究较少的问题,文中以CELTS-11学习者模型规范为基础,以教育学相关理论为指导,对学习者的学习风格、知识状态、认知能力、兴趣偏好等多维度的个性化特征进行细化分类研究。利用教育数据挖掘等技术获得学习者特征项,进而构建出个性化的多维度学习者模型。该模型为后续在线学习个性化的推送服务提供有力的依据。

基于机器学习与眼动追踪的认知风格模型构建

认知风格反映了学生接近、获取、组织、处理和解释信息的模式,可用来解释和指导学生的行为。将认知风格集成到智能系统中,有助于开发个性化的用户模型,推动智能教育发展。当前有关认知风格自动分类的研究较为匮乏,尚未将机器学习与眼动追踪技术联合起来进行应用。基于机器学习与眼动追踪的认知风格模型,选取注视时长、注视点数量、扫视时长、眼跳次数、眼跳距离与瞳孔直径等6个与认知有着密切关系的眼动指标,归一化处理后借助机器学习算法进行认知风格自动分类。实验结果表明:在进行同样时长的视频学习时,不同场认知风格的学习者表现出不同的视觉行为模式;场依存型学习者注视点较为分散,表现出有较多的扫视行为、较少的注视行为、较长的眼跳距离与较大的瞳孔直径变化,信息搜索效率较低;而场独立型学习者有着较为密集与定向的视觉注意模式,信息搜索效率更高。对5种机器学习算法进行性能对比后发现,逻辑回归算法的分类效果最好,准确率达到89.01%,Kappa值达到0.774。该认知风格自动化分类模型既可用于智能学习系统的课程资源优化设计,也可用于个性化学习路径的推荐。未来可整合更多生理数据,通过不同模态数据之间的信息互补,提升数据分析的准确性以及对学习者认知能力评估的可靠性。

基于多模态数据的在线学习认知风格智能识别

在人工智能技术迅速发展的背景下,多模态数据分析在教育领域的重要性日益凸显。本研究通过提取学习者在线学习中产生的脑电数据、表情数据和眼动数据等,构建了基于多模态数据的认知风格智能识别框架,并运用六种机器学习模型验证其有效性。研究结果显示,四种机器学习模型的识别准确率超过80%,且最佳模型的准确率达89.17%,F1分数达0.9241。此外,与基于单模态数据的模型相比,基于多模态数据的认知风格模型识别表现更佳。这表明,多模态数据融合策略具有优越性,有助于加强在线学习平台的适应性和个性化。

社区中老年人降低痴呆风险的知信行类型及认知功能差异性研究

背景生活行为方式是痴呆重要的可调控风险因素,知识和信念又是影响生活方式的重要原因。然而,目前尚缺乏针对降低痴呆风险的知识、信念、行为的类型研究,不同知信行类型居民的痴呆风险及认知功能是否有差异也未可知。目的了解社区中老年人群降低痴呆风险的知识、信念和行为现状,探索分析其知信行类型及认知功能差异,为社区制订有针对性的痴呆预防措施提供依据。方法2021年3月—2022年2月采用便利抽样法选取重庆市沙坪坝区5个社区中参加社区卫生服务中心免费体检并建立健康管理档案的中老年人为调查对象。采用一般资料问卷、痴呆预防相关知识量表(DKAS)、改变生活方式和健康行为以降低痴呆风险的动机量表(MCLHB-DRR)、降低痴呆风险的生活方式量表(DRRLS)、蒙特利尔认知评估量表(MoCA)北京版及心血管风险因素、衰老和痴呆风险(CAIDE)评分进行调查。采用K-means聚类分析,对居民降低痴呆风险的知识、信念和行为表现进行分类,比较分析不同类型间一般资料、认知功能及痴呆风险的差异。结果共发放调查问卷232份,回收有效问卷211份,有效回收率为90.9%。聚类分析结果显示,社区中老年人降低痴呆风险的知识、知信念和行为表现可分为3个类型:知信行优良型、低知识-行为不良型、低信念-行为不良型,分别占比为39.8%(84/211)、37.4%(79/211)、22.8%(48/211)。知信行优良型社区中老年人平均受教育年限高于低知识-行为不良型(t=2.703,P<0.001)、低信念-行为不良型(t=1.524,P=0.022)。低知识-行为不良型(t=1.431,P<0.001)、低信念-行为不良型(t=1.080,P=0.002)社区中老年人CAIDE得分高于知信行优良型。低知识-行为不良型社区中老年人MoCA得分低于知信行优良型(t=-2.529,P<0.001)、低信念-行为不良型(t=-1.869,P=0.018)。结论重庆市中老年人降低痴呆风险的知信行类型可分为知信行优良型、低知识-行为不良型、低信念-行为不良型,且不同类型中老年人受教育年限、痴呆风险及认知功能评分有显著差异。根据不同知信行类型的特征制订有针对性的痴呆预防措施,可能有效降低痴呆风险,减缓认知功能下降情况。