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Perceived social support, newborn temperament and socioeconomic status in postpartum depression: report from southwest Serbia 产后抑郁症的感知社会支持、新生儿气质和社会经济地位:来自塞尔维亚西南部的报告
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/152779
Anida Vrcić Amar, Hana Sejfović
The aim of this study is to asses the relationship between postpartum depression and perceived social support, newborn temperament, and selected sociodemographic variables.The sample consisted of 145 mothers, with an average age of 27, mostly married. The following instruments were used in the research: Questionnaire on sociodemographic characteristics, Neonatal temperament scale, Edinburgh scale of postpartum depression - EPDS and Scale of perceived social support.The results showed that reduced social support from partners, friends, and family, difficult newborn temperament, and low socioeconomic status correlated with postpartum depression.The practical implications of the research are reflected in the understanding of social support as a significant predictor of depression in the postpartum period and the implementation of the social component in the system of support and assistance to pregnant women and mothers.Recognizing the factors that cause mood disorders after childbirth is an important part of the diagnosis and prevention of postpartum depression. Postpartum depression is a non-psychotic postpartum mood disorder that can last up to 12 months postpartum. The etiological disorder is still not differentiated because it is differentiated through a bio-psycho-social basis.
本研究的目的是评估产后抑郁症与感知的社会支持、新生儿气质和选定的社会人口学变量之间的关系。样本包括145名母亲,平均年龄27岁,大部分已婚。研究使用了以下工具:社会人口学特征问卷、新生儿气质量表、爱丁堡产后抑郁量表(EPDS)和感知社会支持量表。研究结果表明,来自伴侣、朋友和家人的社会支持减少、新生儿脾气暴躁和社会经济地位低下与产后抑郁症相关。这项研究的实际意义体现在对社会支持作为产后抑郁症的重要预测因素的理解,以及对孕妇和母亲的支持和援助系统中社会组成部分的实施。认识导致产后情绪障碍的因素是产后抑郁症诊断和预防的重要组成部分。产后抑郁症是一种非精神性产后情绪障碍,可持续产后12个月。病因障碍仍然没有被区分,因为它是通过生物-心理-社会基础来区分的。
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引用次数: 0
The mediating role of cognitive processing in the relationship between social support and secondary traumatic stress symptoms in healthcare professionals 认知加工在医护人员社会支持与继发性创伤应激症状关系中的中介作用
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/155143
P. Gurowiec, Janina Ogińska-Bulik, Paulina Michalska, Edyta Kędra
The aim of this study was to establish how cognitive processing of trauma may mediate the interaction between social support and secondary traumatic stress (STS) symptoms in healthcare professionals.We collected data from 419 Polish paramedics and nurses. The age of study participants ranged from 19 to 65 years (M = 39.60, SD = 11.03). We used a custom-developed survey and the Secondary Traumatic Stress Inventory, Social Support Scale and Cognitive Processing of Trauma Scale. Pearson’s correlation coefficients were applied to analyze the relationships between variables. A mediation analysis was used to check a mediating role of cognitive trauma processing.The results showed significant links between STS symptoms and social support, as well as cognitive processing of trauma.Cognitive coping strategies, play the intermediary role in the relationship between social support and STS symptoms, however, this role varies depending on the source of support and preferred cognitive coping strategies.Paramedics and nurses have higher risk in developing STS. Our findings show that cognitive trauma processing and social support may play an important role in secondary traumatic stress symptoms. It is crucial to develop and implement programs for the prevention and treatment of STS symptoms, which would take into account the studied variables.
本研究的目的是确定医疗保健专业人员对创伤的认知处理如何介导社会支持和继发性创伤应激(STS)症状之间的相互作用。我们收集了419名波兰护理人员和护士的数据。研究参与者的年龄从19岁到65岁不等(M=39.60,SD=11.03)。我们使用了一项定制的调查和二次创伤应激量表、社会支持量表和创伤认知处理量表。应用皮尔逊相关系数分析变量之间的关系。使用中介分析来检验认知创伤处理的中介作用。结果显示STS症状与社会支持以及创伤的认知处理之间存在显著联系。认知应对策略在社会支持和STS症状之间的关系中发挥着中介作用,然而,这种作用因支持来源和首选的认知应对策略而异。医护人员和护士患STS的风险更高。我们的研究结果表明,认知创伤处理和社会支持可能在继发性创伤应激症状中发挥重要作用。制定和实施STS症状的预防和治疗计划至关重要,这将考虑到所研究的变量。
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引用次数: 0
Mental health predictors of medical staff in the early stage of COVID-19 pandemic in Poland. 波兰COVID-19大流行早期医务人员的心理健康预测因素
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/156923
M. Gawrych, E. Cichoń, A. Kiejna
To identify the sociodemographic predictors of general functioning, stress, anxiety and depression in Polish medical workers’ group in the early stage of COVID-19 pandemic.A cross-sectional observational study using an online questionnaire was conducted via both professional organizations and social media groups. A total of 303 completed responses were received. More than half of participants (54.8%) work in public hospitals, the majority was females (77.6%), nurses (38.3%), the age was ranged from 22 to 68 years (M = 41.37; SD = 11.38). The semi-structured online questionnaire covered following areas: (1) general sociodemografic data, including health state and COVID-19 related questions; (2) psychological impact and mental health, measured by GHQ-30 and DASS-21.Overall, our results showed that sex, years of experience and profession have predictive power to explain mental health being of medical workers during COVID-19. In our study, females reported worse general functioning (GHQ-30) and higher stress (DASS-21) than males. Longer working experience is predictor of better interpersonal relationships (GHQ-30).Years of experience and gender accounted for 27% of the variance of the level of stress in medical staff group. With the years of experience of healthcare professionals, the stress decreases. Nurses reported less severity of anxiety than other medical workers. We assume those results are connected with education process as well as experience level.It may be important to develop a personalized interventions, taking into account the main predictors of mental well-being. Authorities should consider creating the tailored-made programs for particular medical professions.
目的:确定新冠肺炎大流行早期波兰医务工作者群体一般功能、压力、焦虑和抑郁的社会人口学预测因素。通过专业组织和社交媒体团体进行了一项使用在线问卷的横断面观察研究。我们共收到303份填妥的回复。半数以上(54.8%)在公立医院工作,以女性(77.6%)、护士(38.3%)居多,年龄22 ~ 68岁(M = 41.37;Sd = 11.38)。半结构化在线问卷涵盖以下领域:(1)一般社会人口统计数据,包括健康状况和COVID-19相关问题;(2)心理影响与心理健康,采用GHQ-30和DASS-21测量。总体而言,我们的研究结果表明,性别、经验年限和职业对解释COVID-19期间医务工作者的心理健康状况具有预测能力。在我们的研究中,女性报告的一般功能(GHQ-30)和压力(DASS-21)比男性更差。工作经验越长,人际关系越好(GHQ-30)。工作年限和性别占医务人员组压力水平差异的27%。随着医疗保健专业人员多年的经验,压力减轻了。护士报告的焦虑程度低于其他医务工作者。我们假设这些结果与教育过程和经验水平有关。考虑到心理健康的主要预测因素,制定个性化的干预措施可能很重要。有关部门应考虑为特定医疗行业制定量身定制的课程。
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引用次数: 1
Increasing awareness of the connection between breastfeeding and mental health through an educational session for healthcare providers 通过医疗保健提供者的教育课程提高对母乳喂养与心理健康之间联系的认识
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/152777
Sara Dalley, C. Hickey
The relationship between breastfeeding and mental health is complex and complicated by various confounding factors. Although no direct causative link has been established, several trends have arisen in the literature. The aim of this study was to see if an educational session on these trends could increase awareness of how breastfeeding affects mental health in women. Specifically, we aimed to see if this session could increase awareness in a group of clinicians (nurses, physicians, and lactation consultants) who provide care in the peripartum.A 45-minute education session was offered to health care providers for members of this population. The goal of this session was to increase awareness of how breastfeeding impacts mental health and how, when it is going well, it can positively affect mood. The session also emphasized the importance of support in the perinatal period.The session was evaluated for changes in awareness and knowledge and perceived usefulness and relevance via a short pre-and post- 8 question survey. There were significant differences in the post answers for Questions 1-5 compared to the pre- answers.These particular questions dealt with awareness and perceived relevance of the topic, the understanding of the complexity of the topic, perceived knowledge of the topic, and training on the topic.These findings suggest that an educational session may improve awareness, knowledge levels, and perceived importance of this topic.
母乳喂养与心理健康之间的关系是复杂的,有各种混杂因素。尽管还没有建立直接的因果关系,但文献中出现了一些趋势。这项研究的目的是观察关于这些趋势的教育课程是否可以提高人们对母乳喂养如何影响女性心理健康的认识。具体来说,我们的目的是看看这次会议是否能提高一组在围产期提供护理的临床医生(护士、医生和哺乳顾问)的意识。为这一人群的医疗保健提供者提供了45分钟的教育课程。本次会议的目标是提高人们对母乳喂养如何影响心理健康的认识,以及母乳喂养进展顺利时如何对情绪产生积极影响。会议还强调了围产期支助的重要性。通过8个问题前和8个问题后的简短调查,评估了会议在意识和知识以及感知有用性和相关性方面的变化。问题1-5的后回答与前回答相比有显著差异。这些特定问题涉及对主题的认识和感知相关性、对主题复杂性的理解、对主题的感知知识以及对主题的培训。这些发现表明,教育课程可以提高对这一主题的认识、知识水平和重要性。
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引用次数: 0
Cognitive-behavioral therapy in ultra high risk states of psychosis (UHR) 超高危精神病患者的认知行为治疗
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/152940
Katarzyna Rek-Owodziń, A. Konopka
Ultra-high risk of psychosis (UHR) is a condition associated with a higher risk of developing schizophrenia or another psychotic disorder as compared to the general population. Three groups of symptoms are reported to be related to UHR states: attenuated psychotic symptoms (APS), brief limited intermittent psychotic symptoms (BLIPS) and genetic risk and deterioration syndrome (GDR). In addition, specific cognitive deficits within attention, verbal and visual memory, executive functions and processing speed are all described as linked to UHR. UHR individuals also manifest negative cognitive beliefs and attribution biases, which affect their everyday lives. Hence, a first-line treatment recommended in UHR states is cognitive-behavioral therapy (CBT), whose effectiveness has been assessed across different studies. In this paper we describe the characteristics of UHR states, including specific cognitive difficulties they are linked with, alongside therapeutic recommendations and specificity of dedicated cognitive-behavioral treatment options.
超高精神病风险(UHR)是一种与普通人群相比,患精神分裂症或其他精神病障碍的风险更高的疾病。据报道,有三组症状与UHR状态有关:减弱性精神病症状(APS)、短暂有限性间歇性精神病症状和遗传风险与恶化综合征(GDR)。此外,注意力、言语和视觉记忆、执行功能和处理速度方面的特定认知缺陷都被描述为与UHR有关。UHR个体也表现出负面的认知信念和归因偏见,这影响了他们的日常生活。因此,在UHR州推荐的一线治疗方法是认知行为疗法(CBT),其有效性已在不同的研究中进行了评估。在本文中,我们描述了UHR状态的特征,包括与之相关的特定认知困难,以及治疗建议和专门的认知-行为治疗方案的特异性。
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引用次数: 0
Motivation for stuttering therapy and its concept and other determinants 口吃治疗的动机及其概念和其他决定因素
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/152778
Ewa Humeniuk, Z. Tarkowski, Jolanta Góral-Półrola, M. Samardakiewicz
Purpose: The objective of this research was to determine the level of motivation for stutter treatment and its dependence on age, gender, and the conception of stuttering.Methods: In our study, the Conception of Stuttering Scale (CSS) and the Motivation for Stutter Therapy Scale (MSTS) were used. Participants: The research involved 297 participants, 81 women and 216 men, all aged from 18 to 54 years. All participants had started to stutter before the age of 7, they all had stutter symptoms (confirmed by an experienced speech therapist), thought themselves to be stutterers, and had undergone at least one therapy.Overall, the respondents were likely to consider stuttering a speech impediment, logoneurosis, communication disorder, or an illness. They mostly supported the idea of comprehensively diagnosing stuttering and they did not have a uniform conception of stutter therapy. They were most likely to opt for therapies based on speech practice or psychotherapy. Their motivation for speech therapy was mostly moderate. Motivation for stutter therapy was markedly higher in women than in men.. A significant positive correlation was revealed between speech practice and non-acceptance of stuttering.Stuttering persons have differing conceptions of the etiology, basis, diagnosis, and treatment of stuttering. Motivation for stutter therapy in adults is moderate and is not associated with their concept of stuttering.Stuttering persons have differing conceptions of the etiology, basis, diagnosis, and treatment of stuttering. Motivation for stutter therapy in adults is moderate and is not associated with their concept of stuttering.
目的:本研究的目的是确定口吃治疗的动机水平及其对年龄、性别和口吃概念的依赖。方法:采用口吃概念量表(CSS)和口吃治疗动机量表(MSTS)。参与者:该研究涉及297名参与者,81名女性和216名男性,年龄从18岁到54岁不等。所有参与者都在7岁之前开始口吃,他们都有口吃症状(由经验丰富的言语治疗师证实),认为自己是口吃者,并且至少接受过一种治疗。总的来说,受访者可能认为口吃是一种语言障碍、语意障碍、沟通障碍或疾病。他们大多支持全面诊断口吃的想法,他们对口吃治疗没有统一的概念。他们最有可能选择基于语言练习或心理治疗的治疗方法。他们进行语言治疗的动机大多是温和的。女性接受口吃治疗的动机明显高于男性。言语练习与不接受口吃之间存在显著的正相关。口吃者对口吃的病因、基础、诊断和治疗有不同的认识。成人口吃治疗的动机是温和的,与他们的口吃概念无关。口吃者对口吃的病因、基础、诊断和治疗有不同的认识。成人口吃治疗的动机是温和的,与他们的口吃概念无关。
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引用次数: 0
Editorial 编辑
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-03-22 DOI: 10.12740/app/162354
Michał Lew Starowicz, K. Cyranka, J. Samochowiec
This year’s first issue of APP appears with a variety of relevant clinical topics presented by nine groups of authors from different countries. It opens with two original articles raising awareness about postpartum mental health conditions. Anida Vrcić Amar and Hana Sejfović from Serbia presented correlations of reduced social support from partners, friends and family, difficult newborn temperament, and low socioeconomic status with postpartum depression. In the second paper, Sara Dalley and Catherine M. Hickey from Memorial University of Newfoundland show the effects of implementation of an educational session aimed at increasing awareness of the impact of breastfeeding on mental health and it’s possible protective influence on female’s mood.
今年的第一期APP出现了来自不同国家的九组作者提出的各种相关临床主题。它以两篇提高人们对产后心理健康状况认识的原创文章开场。来自塞尔维亚的Anida VrcićAmar和Hana Sejfović提出了来自伴侣、朋友和家人的社会支持减少、新生儿气质困难和社会经济地位低下与产后抑郁症的相关性。在第二篇论文中,纽芬兰纪念大学的Sara Dalley和Catherine M.Hickey展示了实施教育课程的效果,该课程旨在提高人们对母乳喂养对心理健康影响的认识,以及母乳喂养可能对女性情绪产生的保护性影响。
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引用次数: 0
Prenatal attachment by first-time fathers – the pilot study of the factor structure of the Polish-language version of the Prenatal Attachment Inventory for men (PAI-M) 初生父亲的产前依恋——波兰语版男性产前依恋量表(PAI-M)因素结构的初步研究
IF 0.6 Q4 PSYCHIATRY Pub Date : 2023-01-05 DOI: 10.12740/app/156925
K. Kossakowska
This study aims to assess the psychometric properties and factor structure of the Polish translation of Prenatal Attachment Inventory (PAI) in the male version (PAI-M).A cross-sectional self-assessment study was conducted among a group of 406 Polish first-time expectant fathers during three sessions (n=113, n=186, and n=107, respectively). The reliability and construct validity of the PAI were evaluated. An Exploratory Factor Analysis (EFA) and a Confirmatory Factor Analysis (CFA) using Structural Equation Modelling (SEM) were conducted.The EFA extracted a three-factor structure (Feelings, Thoughts and beliefs, and Interactions and activities); its fit to the model has been confirmed by the CFA. Therefore, the final version of the PAI-M consists of 10 statements, comprising three factors, and demonstrates satisfactory internal consistency.The structure of PAI-M found in the current study confirms and emphasizes that the mode of experiencing pregnancy and forming an attachment to an unborn child differs between men and women. Fathers were found to be less likely to manifest attachment by sharing information about how active the baby is in the womb and found it more difficult to attribute traits to the baby during this period. They manifested prenatal attachment mainly through emotions such as joy, happiness or love.The PAI-M is a reliable and valid instrument for use in Polish first-time expectant fathers to investigate the development of the paternal attachment towards the unborn child.
本研究旨在评估波兰语版产前依恋量表(PAI)男性版(PAI- m)的心理测量特征和因素结构。一项横断面自我评估研究进行了一组406波兰首次准爸爸在三个会议(n=113, n=186, n=107分别)。评估了PAI的信度和结构效度。利用结构方程模型(SEM)进行探索性因子分析(EFA)和验证性因子分析(CFA)。EFA提取了一个三因素结构(感觉、思想和信念、互动和活动);其与模型的拟合已被CFA证实。因此,PAI-M的最终版本由10个语句组成,包含三个因素,并且具有令人满意的内部一致性。本研究发现的PAI-M结构证实并强调了经历怀孕和对未出生的孩子形成依恋的模式在男性和女性之间是不同的。研究发现,父亲们不太可能通过分享婴儿在子宫里的活跃程度来表达依恋,并且发现在这段时间里,更难以将特征归因于婴儿。他们主要通过喜悦、幸福或爱等情绪来表现产前依恋。PAI-M是一种可靠和有效的工具,用于波兰首次准父亲调查对未出生孩子的父亲依恋的发展。
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引用次数: 0
Neuropsychological performance facilitates emotion recognition in bipolar disorder 神经心理学表现促进双相情感障碍的情绪识别
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-23 DOI: 10.12740/app/156208
A. Lewandowska, K. Górna, K. Jaracz, J. Rybakowski
In bipolar disorder (BD), evidence for both cognitive impairment and deficit in emotion recognition has been found. Several investigations indicate that cognition and face processing can be interrelated. In this study, we assessed the correlations between cognitive functioning and emotion recognition (face expression) in patients with BD during an acute manic and depressive episode as well as in remission using a large battery of neurocognitive tests.Twenty-four manic subjects, 21 with bipolar depression, and 22 euthymics, age-, sex-, and education-matched were included. Cognitive functions were assessed by the Wisconsin Card Sorting Test (WCST), Trail Making Test (TMT, Stroop Color-Word Interference Test (SCWT), California Verbal Learning Test (CVLT), Benton Visual Memory Test (BVRT), Rey-Osterreich Complex Figure Test (ROFT), d2 test and Verbal Fluency Test (VFT). For emotion recognition, the Penn Emotion Recognition Test and Penn Emotion Discrimination Test were employed.In mania, performances on selected measures of the WCST, TMT, SCWT, CVLT, ROFT, d2 test, and VFT, achieved 19 positive correlations with better recognition of happiness. In depression, conducting these tests obtained 20 correlations with finer recognition of sadness. In remission, such performances acquired 18 correlations with greater identification of sadness (10 replicated those obtained in depression).Better emotion recognition in manic patients concerns mostly happiness, while in depression and remission, mainly sadness.Better neuropsychological performance can facilitate emotion recognition. We hypothesize that the identification of sadness could be considered a biological marker of mood disorders.
在双相情感障碍(BD)中,已经发现了认知障碍和情绪识别缺陷的证据。一些研究表明,认知和面部处理可能是相互关联的。在这项研究中,我们使用大量神经认知测试评估了BD患者在急性躁狂和抑郁发作期间以及缓解期间的认知功能和情绪识别(面部表情)之间的相关性。包括24名躁狂受试者,21名患有双相抑郁症,22名具有不同年龄、性别和教育程度的正常人。认知功能通过威斯康星卡片分类测试(WCST)、线索制作测试(TMT)、频闪颜色词干扰测试(SCWT)、加州言语学习测试(CVLT)、本顿视觉记忆测试(BVRT)、雷伊-奥斯特里奇复杂图形测试(ROFT)、d2测试和言语流利性测试(VFT)进行评估。在情绪识别方面,采用宾夕法尼亚州情绪识别测试和宾夕法尼亚州情绪辨别测试。在躁狂中,在WCST、TMT、SCWT、CVLT、ROFT、d2测试和VFT的选定指标上的表现与更好地识别幸福感实现了19个正相关。在抑郁症中,进行这些测试获得了20个与更精细地识别悲伤的相关性。在缓解期,这种表现与更大程度的悲伤识别有18个相关性(10个与抑郁症相似)。躁狂患者更好的情绪识别主要涉及幸福,而在抑郁症和缓解期,主要涉及悲伤。更好的神经心理学表现可以促进情绪识别。我们假设悲伤的识别可以被认为是情绪障碍的生物学标志。
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引用次数: 0
Jizz in birdwatching activity and clinical practice: how it works and why? 观鸟活动和临床实践中的骚动:它是如何工作的,为什么?
IF 0.6 Q4 PSYCHIATRY Pub Date : 2022-12-22 DOI: 10.12740/app/156924
Ramon Grimalt, S. Murawiec, P. Tryjanowski
The world “jizz” is part of the language of birding in the English-speaking nations. It’s meaning is combination of characteristics which identify kind of a bird, but this characteristics may not be distinguished individually. Jizz is described as embodied way of seeing that instantaneously reveals the identity of a birds species, suspending the laborious and meticulous study of an diagnostic characteristics. In medicine there is an idea of “clinical intuition” - making judgments and clinical diagnoses without clear awareness of consecutive stages of reasoning. Intuitive decision making has been found in some cases to improve decisions and eventually lead into better performance than analytic deliberation. Can a certain sudden conclusions that appear in minds of both birdwatchers (about bird species) and medical doctors (established diagnosis), based on the use of an incomplete set of information, be accurate? And how we can use this similarity to understand process of formulating medical diagnoses? In this paper we discuss the phenomena of jizz and “clinical intuition” in the light of theory of brain as a tool of making predictions. According to this view the primary function of the brain is to make predictions about the word, rather than laborious analysis of the stimuli coming in from the environment at each successive moment. That theory according to us can explain both Jizz observed by birdwatchers and clinical intuition in medical practice.
世界“摇摆”是英语国家观鸟语言的一部分。它的含义是识别鸟类种类的特征的组合,但这些特征可能无法单独区分。Jizz被描述为一种具体的观察方式,它可以瞬间揭示鸟类的身份,暂停对诊断特征的艰苦而细致的研究。在医学中,有一种“临床直觉”的概念——在没有明确意识到连续推理阶段的情况下做出判断和临床诊断。在某些情况下,直觉决策可以改善决策,并最终导致比分析深思熟虑更好的性能。观鸟者(关于鸟类)和医生(既定诊断)脑海中出现的基于一组不完整信息的突然结论是否准确?我们如何利用这种相似性来理解制定医学诊断的过程?本文从大脑作为预测工具的理论出发,讨论了“临床直觉”和“摇摆”现象。根据这种观点,大脑的主要功能是对单词进行预测,而不是费力地分析每一个连续时刻来自环境的刺激。根据我们的说法,这一理论可以解释观鸟者观察到的Jizz和医学实践中的临床直觉。
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引用次数: 0
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Archives of Psychiatry and Psychotherapy
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