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Ageist attitudes and psychological distress in older adults: The moderating role of reflective functioning. 老年人的年龄歧视态度与心理困扰:反思功能的调节作用。
Y. Bergman, Gali H. Weissberger
Ageist attitudes have been associated with various aspects of psychological functioning in older adults. According to Terror Management Theory, older adults may be seen as a reminder of human demise and death, and research has demonstrated links between ageist attitudes and compromised abilities to seek and maintain close personal relationships, which ward off awareness of one's mortality. Accordingly, the current work examined whether reflective functioning, or the ability to comprehend one's own and others' mental states, mitigates the negative psychological manifestations of ageist attitudes in older adults. Data was collected from 686 participants aged 60-94 (Mage = 72.64, SD = 6.28), who completed scales assessing ageist attitudes, reflective functioning, and psychological distress, as well as relevant socio-demographic information. Results indicated that ageist attitudes were linked with low levels of reflective functioning and enhanced psychological distress. Moreover, reflective functioning moderated the ageist attitudes-distress link, which was not significant in individuals reporting high levels of reflective functioning. This study provides insight into how the ability to comprehend others' mental states mitigates the adverse psychological effects of ageist attitudes and highlights the importance of examining relationship-enhancing personal factors within the context of negative ageing perceptions and psychological distress.
年龄歧视态度与老年人心理功能的各个方面有关。根据 "恐怖管理理论"(Terror Management Theory),老年人可能会被视为人类消亡和死亡的提醒者,研究表明,老年歧视态度与寻求和维持亲密人际关系的能力受损之间存在联系,而亲密人际关系可以避免人们意识到自己的死亡。因此,本研究探讨了反思功能(或理解自己和他人心理状态的能力)是否能减轻老年人年龄歧视态度的负面心理表现。这项研究收集了 686 名年龄在 60-94 岁之间的参与者(平均年龄为 72.64 岁,最小年龄为 6.28 岁)的数据,他们填写了评估老年歧视态度、反思功能和心理困扰的量表以及相关的社会人口信息。结果表明,年龄歧视态度与低水平的反思功能和增强的心理困扰有关。此外,反思功能调节了老年歧视态度与心理压力之间的联系,这种联系在反思功能水平高的个体中并不明显。这项研究深入探讨了理解他人心理状态的能力如何减轻老龄歧视态度的不良心理影响,并强调了在消极老龄化观念和心理困扰的背景下研究增进关系的个人因素的重要性。
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引用次数: 0
The role of alexithymia in suicide ideation among Taiwanese army military personnel: A serial mediation model investigating the effects of perceived stress and depression. 亚历山大症在台湾军队军人自杀意念中的作用:研究感知压力和抑郁影响的串联中介模型。
Yu-Chia Hong, Sy-Jou Chen, Yue-Cune Chang, Chun-Wei Chang, Hui-Hsun Chiang
Maintaining the good mental health of Taiwanese military personnel is crucial, especially in light of incidents such as the Taiwan Strait crisis. Suicide is a leading cause of death among military personnel and alexithymia is a significant risk factor for suicidal ideation. However, the mechanisms linking alexithymia and suicidal ideation in this psychologically burdened population remain poorly understood. In total, 863 voluntary army military personnel from Taiwanese reserve brigades and combined-arms brigades were enroled between May 2020 and February 2021. Structured questionnaires about alexithymia, perceived stress, depression, suicidal ideation, and background characteristics were used. Mediation analyses were conducted to examine the serial mediation roles of perceived stress and depression in the relationship between alexithymia and suicidal ideation. Significant positive correlations were observed between alexithymia, perceived stress, depression, and suicidal ideation in bivariate analyses. Serial mediation analyses revealed that alexithymia significantly predicted higher levels of perceived stress, subsequently leading to depressive symptoms, which were associated with suicidal ideation. Depression served as a significant mediator between alexithymia and suicidal ideation. The strongest mediating effect (71.4%) was observed in the pathway from alexithymia through perceived stress and depression to suicidal ideation. Limitations included the utilization of cross-sectional data and a reliance on retrospective self-report measures. Perceived stress and depression were identified as serial mediators in the association between alexithymia and suicidal ideation. Clinically, it is crucial to prioritise interventions that target emotional regulation skills and assess the presence of alexithymia to effectively reduce suicidal ideation in military personnel.
保持台湾军人良好的心理健康至关重要,尤其是在台海危机等事件中。自杀是军人死亡的主要原因之一,而亚历山大症是自杀意念的一个重要风险因素。然而,人们对这一心理负担沉重的人群中亚历山大症与自杀意念之间的关联机制仍然知之甚少。2020 年 5 月至 2021 年 2 月期间,共有 863 名来自台湾预备役旅和联合部队旅的志愿军人员参加了研究。研究人员使用结构化问卷调查了亚历山大症、感知压力、抑郁、自杀意念和背景特征。研究人员进行了中介分析,以检验感知到的压力和抑郁在亚历山大症与自杀意念之间关系中的串联中介作用。在双变量分析中观察到,自闭症、感知到的压力、抑郁和自杀意念之间存在显著的正相关。序列中介分析表明,lexithymia 能显著预测较高水平的感知压力,进而导致抑郁症状,而抑郁症状又与自杀意念相关。抑郁症是lexithymia和自杀意念之间的重要中介。在从lexithymia到感知压力和抑郁再到自杀意念的路径中,观察到了最强的中介效应(71.4%)。该研究的局限性包括采用了横断面数据,并依赖于回顾性自我报告测量。感知到的压力和抑郁被认为是亚历山大症与自杀意念之间关联的连续中介因素。在临床上,优先采取针对情绪调节技能的干预措施并评估是否存在自闭症以有效减少军人的自杀意念至关重要。
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引用次数: 0
Relationship between stigma and infertility-related stress among couples undergoing AID: The mediating role of communication patterns. 接受艾滋病治疗的夫妇的耻辱感与不孕症相关压力之间的关系:沟通模式的中介作用。
Qing Wang, Dongmei Jia, Yiming Gao, Miao Zhou, Xiangyu Zhao, Rui Qin, Linghua Kong, Ping Li
Infertility can be stressful for infertile couples. This study aims to examine the intra-dyadic associations between stigma, communication patterns, and infertility-related stress in couples undergoing artificial insemination by donor semen (AID). This cross-sectional study was conducted from January to April 2021. Two hundred and three couples undergoing AID were recruited from a reproductive centre in China. All of the couples completed a two-item stigma questionnaire, Communication Pattern Questionnaire, and Fertility Problem Inventory. The actor-partner interdependence mediation analysis was performed using AMOS 23.0. The analysis demonstrated significant actor-actor effects for couples undergoing AID. More specifically, higher levels of stigma among wives and husbands were associated with more negative communication patterns, thereby increasing their own infertility-related stress. Simultaneously, there was a significant partner-actor effect among infertile wives, demonstrating that the husband's stigma can affect his wife's infertility-related stress by influencing her communication patterns. Couples undergoing AID experience increased infertility-related stress when they have high levels of stigma and negative communication patterns, and husbands' stigma is correlated to wives' communication patterns. Therefore, dyadic interventions aiming to improving stigma and enhancing positive communication may be conducive to reducing infertility-related stress.
不孕不育会给不孕不育夫妇带来压力。本研究旨在探讨接受供精人工授精(AID)的不孕不育夫妇的耻辱感、沟通模式和不孕不育相关压力之间的内在联系。这项横断面研究于 2021 年 1 月至 4 月进行。研究人员从中国一家生殖中心招募了 23 对接受供精人工授精的夫妇。所有夫妇均填写了两项目成见问卷、沟通模式问卷和生育问题量表。使用 AMOS 23.0 进行了行为者-伴侣相互依赖中介分析。分析结果表明,对于接受 AID 的夫妇来说,行为者-行为者效应非常明显。更具体地说,妻子和丈夫的成见水平越高,沟通模式就越消极,从而增加了他们自身与不孕不育相关的压力。与此同时,不育妻子的伴侣-行为者效应也很明显,这表明丈夫的成见会影响妻子的沟通模式,从而影响妻子与不育相关的压力。当接受人工受孕的夫妇有较高的成见和消极的沟通模式时,他们与不孕不育相关的压力就会增加,而丈夫的成见与妻子的沟通模式相关。因此,旨在改善耻辱感和加强积极沟通的夫妻干预措施可能有助于减轻与不孕症有关的压力。
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引用次数: 0
Longitudinal mediation effect of hassles between neuroticism and dimensions of the tripartite model in college students. 大学生神经质与三方模型各维度之间烦恼的纵向中介效应。
Wenxin Du, Jieyi Wang, Qi Li, Shan Lu, Jing Xiao
This study addresses a gap in the literature by exploring the longitudinal effects of hassles in mediating the relationship between neuroticism and the tripartite model of depression and anxiety. The research investigates these associations in a large sample of university students, utilising baseline and 6-month follow-up data. Initial assessments involved participants completing measures for neuroticism, depression and anxiety symptoms, and the occurrence of stress, followed by monthly assessments of stress, anxiety symptom and mood symptoms over a 6-month period. Our results illuminate the mediating role of daily hassles in the relationship between neuroticism and various dimensions of anxiety and depression, including general distress, specific depression, and anxiety symptoms. These findings underscore the significant impact of neuroticism and hassles on a broad spectrum of mood symptoms, offering valuable insights for both research and clinical practice. Discussions around the implications of these findings are provided in the our paper, where we also outline potential directions for future research and clinical applications.
本研究通过探讨烦恼在调解神经质与抑郁和焦虑三方模型之间关系方面的纵向影响,填补了文献空白。研究利用基线数据和 6 个月的随访数据,在大量大学生样本中调查了这些关联。最初的评估包括参与者完成神经质、抑郁和焦虑症状以及压力发生情况的测量,然后在 6 个月内每月对压力、焦虑症状和情绪症状进行评估。我们的研究结果表明,日常烦恼在神经质与焦虑和抑郁(包括一般苦恼、特定抑郁和焦虑症状)的各种维度之间的关系中起着中介作用。这些发现强调了神经质和烦恼对各种情绪症状的重要影响,为研究和临床实践提供了有价值的见解。我们在论文中讨论了这些发现的意义,并概述了未来研究和临床应用的潜在方向。
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引用次数: 0
Risk factors for depression and anxiety during COVID-19 in Israel: A two-wave study before and during the pandemic. 以色列COVID-19期间抑郁和焦虑的危险因素:大流行之前和期间的两波研究
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-01-25 DOI: 10.1002/smi.3127
Ohad Gilbar, Marc Gelkopf, Rony Berger, Talya Greene

Research indicates that mental health problems increased across the globe after the outbreak of the COVID-19 pandemic. However, there is a need for research examining specific risk factors for mental health problems, while accounting for symptoms before the pandemic. This study examined risk factors for depression and anxiety symptoms among Israeli adults following the first wave of the COVID-19 pandemic in Israel, above and beyond depression and anxiety symptoms reported 3 years before the pandemic. We performed a two-wave 3-year longitudinal study (W1 July-September 2017; W2 May-June 2020). The final sample included 578 participants who completed anxiety and depression self-report questionnaires at both waves. The W2 assessment additionally included being considered high-risk for COVID-19, and measures regarding loneliness, perceived stress, and COVID-19 worries. Both anxiety and depression symptoms were significantly higher at W2 during the pandemic. Worries related to COVID-19, perceived stress, loneliness, and prior mental health symptoms predicted depression and anxiety in W2. Additionally, being younger was associated with W2 anxiety. The current study highlights risk factors for psychological distress in light of the COVID-19 pandemic. Attention of clinicians and policy makers should be given to the important role of loneliness when screening and treating people during this pandemic.

研究表明,在2019冠状病毒病大流行爆发后,全球精神健康问题有所增加。然而,有必要进行研究,审查精神健康问题的具体风险因素,同时考虑到大流行之前的症状。本研究调查了以色列第一波COVID-19大流行后以色列成年人抑郁和焦虑症状的危险因素,超出了大流行前3年报告的抑郁和焦虑症状。我们进行了一项为期3年的两波纵向研究(W1, 2017年7月至9月;W2 2020年5月至6月)。最终样本包括578名参与者,他们在两波中都完成了焦虑和抑郁自我报告问卷。W2评估还包括被认为是COVID-19的高危人群,以及有关孤独、感知压力和COVID-19担忧的措施。在大流行期间,焦虑和抑郁症状在W2时明显更高。与COVID-19相关的担忧、感知压力、孤独感和先前的心理健康症状预测了W2中的抑郁和焦虑。此外,年轻与W2焦虑有关。目前的研究强调了在COVID-19大流行背景下造成心理困扰的风险因素。临床医生和政策制定者在本次大流行期间筛查和治疗人群时,应注意孤独的重要作用。
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引用次数: 2
Childhood maltreatment experiences and emotion perception in young Chinese adults: Sex as a moderator. 中国青少年童年虐待经历与情感感知:性别是调节因素。
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-01-04 DOI: 10.1002/smi.3122
Yiran Zhao, Chao Wu

Men and women seem to perceive and react differently to emotional stimuli and have different susceptibilities to childhood trauma. With a cross-sectional design, this study aimed to investigate whether specific patterns of childhood-maltreatment experiences are associated with specific patterns of emotion perception and the sex differences in this relationship. A total of 173 adults rated valence, arousal, and dominance for 60 pictures (varying in pleasantness, unpleasantness, and neutral emotion) from the International Affective Picture System and completed the Childhood Trauma Questionnaire-Short Form. Using a partial least squares (PLS) regression analysis, after controlling for depressive and anxious states, recent stressful life events, personality, and cognitive reappraisal strategy, we identified a profile (linear combination) of childhood-maltreatment experiences (emotional neglect, physical neglect, and physical abuse) that was associated with a profile of emotion-perception dimensions (perceiving negative visual stimuli as more unpleasant and subservient, positive stimuli as more pleasant and dominant, and neutral stimuli as more arousing). This association pattern was significant only for the male participants. Hence, our findings suggest that childhood maltreatment might make men more "emotional" in their adulthood. The impact of this childhood-maltreatment-associated alteration in emotion perception on male mental health needs further investigation.

男性和女性对情绪刺激的感知和反应似乎不同,对童年创伤的易感性也不同。本研究采用横断面设计,旨在探讨特定的童年虐待经历模式是否与特定的情绪感知模式相关,以及这种关系的性别差异。共有173名成年人对来自国际情感图片系统的60张图片(包括愉快、不愉快和中性情绪)的效价、唤醒和支配度进行了评分,并完成了《儿童创伤问卷-简短表格》。使用偏最小二乘(PLS)回归分析,在控制了抑郁和焦虑状态、最近的压力生活事件、个性和认知重评策略后,我们确定了童年虐待经历(情感忽视、身体忽视和身体虐待)的轮廓(线性组合),它与情绪感知维度的轮廓(将负面视觉刺激视为更不愉快和服从)相关。积极的刺激更令人愉快和占主导地位,而中性的刺激更令人兴奋)。这种关联模式仅对男性参与者有意义。因此,我们的研究结果表明,童年虐待可能会使男性在成年后更“情绪化”。这种与童年虐待相关的情绪感知改变对男性心理健康的影响需要进一步调查。
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引用次数: 2
The role of resilience in depression and anxiety symptoms: A three-wave cross-lagged study. 心理弹性在抑郁和焦虑症状中的作用:一项三波交叉滞后研究
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-02-24 DOI: 10.1002/smi.3136
Way K W Lau

Cultivation of resilience is believed to ameliorate mental health problems. The impact of mental health problems on resilience is however rarely discussed. This study investigated the reciprocal relationship of resilience with depression and anxiety symptoms using a three-wave cross-lagged design. Resilience level, depression, and anxiety symptoms were assessed at baseline, the third and the sixth month in 125 university students without psychiatric disorders (62 females). No significant changes in resilience levels were observed across the 6 months. Depressive symptoms, but not anxiety symptoms significantly increased at the third and sixth months compared with baseline. The three-wave cross-lagged models revealed an unstable reciprocal relationship of resilience with depression and a stable reciprocal relationship between resilience and anxiety symptoms over time. The reciprocal relationship between resilience and mental health problems indicates the importance of cultivating resilience for the prevention of mental illness as well as the importance of managing mental health symptoms at non-clinical levels for monitoring resilience. The unstable reciprocal relationship between resilience and depression symptoms across time suggests the existence of potential moderators that impact the relationship between resilience and depression. Our findings further support the notion that resilience is conceptualized as a dynamic process.

弹性的培养被认为可以改善心理健康问题。然而,心理健康问题对恢复力的影响很少被讨论。本研究采用三波交叉滞后设计探讨心理弹性与抑郁和焦虑症状的相互关系。在基线、第三个月和第六个月对125名无精神障碍的大学生(62名女性)的恢复能力水平、抑郁和焦虑症状进行评估。在6个月内,没有观察到恢复力水平的显著变化。抑郁症状,而非焦虑症状在第三和第六个月与基线相比显著增加。三波交叉滞后模型揭示了心理弹性与抑郁之间的不稳定的反向关系,以及心理弹性与焦虑症状之间的稳定的反向关系。心理弹性与心理健康问题之间的相互关系表明,培养心理弹性对于预防精神疾病的重要性,以及在非临床层面管理心理健康症状对于监测心理弹性的重要性。随着时间的推移,心理弹性和抑郁症状之间不稳定的相互关系表明存在影响心理弹性和抑郁之间关系的潜在调节因子。我们的研究结果进一步支持了弹性被概念化为一个动态过程的观点。
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引用次数: 12
Optimising the efficacy of a stress-reducing psychological intervention using placebo mechanisms: A randomized controlled trial. 使用安慰剂机制优化减压心理干预的效果:一项随机对照试验。
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-01-24 DOI: 10.1002/smi.3128
Stefan Salzmann, Marcel Wilhelm, Sebastian Schindler, Winfried Rief, Frank Euteneuer

This study examined whether i) brief videos aiming to optimise outcome expectations would augment the efficacy of progressive muscle relaxation (PMR) and ii) whether participants' characteristics would moderate these effects. Sixty-eight healthy subjects randomized to one of three experimental manipulations before undergoing a single PMR session either watched i) a video displaying a neutral expert, ii) a video with a warm expert, or iii) were part of an active control condition. Constrained linear mixed models indicated increased relaxation and decreased stress levels for all participants after the PMR session. The primary outcome was the change of perceived relaxation/stress from pre to post. Participants with high neuroticism and trait anxiety indicated an augmented PMR's efficacy and increased outcome expectations when watching the warm expert video compared to the control group or the less warm expert. Brief videos displaying an expert aiming to optimise outcome expectations regarding a brief stress-reducing psychological intervention may boost or decrease an intervention's efficacy. Effects may depend on the viewer's personality and the (video) expert's communication style. Trial Registration: The study protocol was approved by the local Ethics Committee of the University of Marburg, Germany. This study was registered at www.clinicaltrials.gov (NCT03330431).

本研究考察了i)旨在优化结果预期的简短视频是否会增强渐进式肌肉放松(PMR)的效果,以及ii)参与者的特征是否会缓和这些效果。68名健康受试者在进行单个PMR会话之前随机分为三种实验操作之一,其中一种是观看i)展示中立专家的视频,ii)热情专家的视频,或iii)积极控制条件的一部分。约束线性混合模型表明,在PMR会话后,所有参与者的放松程度增加,压力水平降低。主要结果是感知放松/压力从前到后的变化。与对照组或不太热情的专家相比,高神经质和特质焦虑的参与者在观看热情专家视频时,PMR的效果增强,结果预期增加。简短的视频显示专家旨在优化关于简短的减压心理干预的结果预期,这可能会提高或降低干预的效果。效果可能取决于观看者的个性和(视频)专家的沟通风格。试验注册:研究方案已获得德国马尔堡大学当地伦理委员会的批准。本研究注册于www.clinicaltrials.gov (NCT03330431)。
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引用次数: 0
Losing sleep over work: A self-determination theory view on need frustration, sleep disturbance, and mental ill health. 工作时失眠:需求受挫、睡眠障碍和精神疾病的自我决定理论观点。
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-02-23 DOI: 10.1002/smi.3134
Christopher P Niemiec, Anja H Olafsen, Hallgeir Halvari, Geoffrey C Williams
Given the centrality of sleep and work in most individuals' lives, it is interesting to note that an empirical understanding of the association between what happens in the workplace and how well people sleep is in an early stage of development, at least relative to other topics that are of interest in the literature on stress and health. Using self-determination theory, the current study examined how maladaptive motivational processes at work relate to sleep disturbance and mental ill health. In line with hypotheses, the results of a cross-sectional analysis and analyses using data from two time points over 15 months revealed that employees are more likely to report sleep disturbance, anxiety, and depressive symptoms when they experience frustration of the basic psychological needs for autonomy, competence, and relatedness in the workplace. Additional results revealed an indirect effect of change in basic psychological need frustration on change in anxiety-but not on change in depressive symptoms-through change in sleep disturbance. Taken together, these findings add to the burgeoning literature on the maladaptive motivational origins of ill health and dysfunction in the workplace. This article is protected by copyright. All rights reserved.
考虑到睡眠和工作在大多数人生活中的中心地位,有趣的是,对工作场所发生的事情与人们睡眠质量之间关系的实证理解还处于发展的早期阶段,至少相对于压力和健康文献中感兴趣的其他主题来说是这样。利用自我决定理论,目前的研究调查了工作中不适应的动机过程与睡眠障碍和精神疾病的关系。与假设一致,横断面分析的结果和使用超过15个月的两个时间点的数据的分析显示,当员工在工作场所对自主、能力和人际关系的基本心理需求感到沮丧时,他们更有可能报告睡眠障碍、焦虑和抑郁症状。额外的结果显示,基本心理需求的改变对焦虑的改变有间接影响,但对抑郁症状的改变没有间接影响,这是通过改变睡眠障碍来实现的。综上所述,这些发现增加了新兴的关于工作场所不健康和功能失调的不适应动机根源的文献。
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引用次数: 3
The predictors of secondary traumatic stress and psychological resilience in healthcare workers during the COVID-19 pandemic: A cross-sectional study in Turkey. 2019冠状病毒病大流行期间医护人员继发性创伤应激和心理弹性的预测因素:土耳其的一项横断面研究
IF 4.1 Pub Date : 2022-10-01 Epub Date: 2022-02-07 DOI: 10.1002/smi.3129
Selda Yörük, Ayla Acikgoz, Döndü Güler

This study aims to investigate the relationship between predictive factors of secondary traumatic stress (STS), that is, sociodemographic and work characteristics, and the psychological resilience of healthcare professionals working in different regions of Turkey. This cross-sectional study included 1416 healthcare workers (HCWs). An independent sample t-test and hierarchical regression analysis were performed to analyse the data. The predictor variables for STS included perception of health, fear of contagion, anxiety about infecting family members, psychological resilience, type of work, having a COVID-19 diagnosis in the family, and experiencing a loss due to COVID-19 (p < 0.05). The variables that predicted psychological resilience included socioeconomic status, health status, age, marital status, work experience, and type of work (p < 0.05). A low number of resilient HCWs experienced secondary traumatic stress.

本研究旨在调查继发性创伤应激(STS)的预测因素,即社会人口统计学和工作特征与土耳其不同地区医疗保健专业人员的心理弹性之间的关系。本横断面研究包括1416名医护人员(HCWs)。采用独立样本t检验和分层回归分析对数据进行分析。STS的预测变量包括对健康的感知、对感染的恐惧、对感染家庭成员的焦虑、心理恢复能力、工作类型、家庭中是否患有COVID-19诊断以及因COVID-19而遭受损失(p
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引用次数: 7
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Stress and health : journal of the International Society for the Investigation of Stress
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