South African Journal of Psychology最新文献_第4页

South African fathers’ experiences with healthcare providers during their partners’ medically high-risk pregnancy and childbirth 南非父亲在其伴侣医学上高风险的怀孕和分娩期间与医疗保健提供者的经历

4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-10-30 DOI: 10.1177/00812463231207511

Pascal Richardson, Michelle Andipatin

Obstetric research in sub-Saharan Africa largely focuses on the material, physical, and psychosocial aspects of pregnancy and childbirth in relation to mothers. This research aimed to address a research gap in terms of fathers’ experiences of pregnancy and childbirth, particularly in the context of a medically high-risk pregnancy. Specifically, this article focuses on fathers’ interactions with the healthcare system and healthcare professionals throughout the antenatal and neonatal periods. This study was exploratory and qualitative in nature. Eight fathers whose partners had experienced at least one medically high-risk pregnancy participated in semi-structured interviews that were examined using interpretive phenomenological analysis. The findings indicate that fathers’ experiences vacillated between healthcare providers being supportive and informative versus them being uncompassionate and not conveying adequate information. Importantly, the distinctions were largely attributed to the type of healthcare facility (i.e. public or private) that was attended. This research offers recommendations to healthcare workers to enhance fathers’ experiences during pregnancy and childbirth, especially in potentially traumatic situations.

撒哈拉以南非洲的产科研究主要集中在与母亲有关的怀孕和分娩的物质、身体和社会心理方面。这项研究的目的是解决在父亲怀孕和分娩经历方面的研究差距，特别是在医学上高风险怀孕的情况下。具体地说，这篇文章的重点是父亲在整个产前和新生儿时期与医疗保健系统和医疗保健专业人员的互动。本研究为探索性质的研究。有八位父亲的伴侣至少经历过一次医学上高风险的怀孕，他们参加了半结构化的访谈，并使用解释现象学分析进行了检查。研究结果表明，父亲的经历在医疗服务提供者的支持和信息与他们的无情和没有传达足够的信息之间摇摆不定。重要的是，这些差异主要归因于所就诊的医疗机构类型(即公立或私立)。这项研究为医疗工作者提供了建议，以提高父亲在怀孕和分娩期间的经验，特别是在潜在的创伤情况下。

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引用次数: 0

The well-being correlates of religious commitment amongst South African and Kenyan students 在南非和肯尼亚学生中，幸福感与宗教信仰相关

4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-09-30 DOI: 10.1177/00812463231199960

Itumeleng P Khumalo, Sahaya G Selvam, Angelina Wilson Fadiji

Religious commitment is a prominent feature in the lives of many students in Africa. The present study investigated the well-being correlates (emotional well-being, social contribution, and depression) of religious commitment, and compared them across sex. A cross-sectional sample of 471 students from South Africa and Kenya (men = 244; women = 227; with an average age of 22.8 years) completed the Religious Commitment Inventory, Patient Health Questionnaire, Social Well-being Scale, and Mental Health Continuum Short-Form. Structural equation modelling in Mplus was used to estimate direct effects of religious commitment on emotional well-being, social contribution and depression, and comparison across sex. The results showed significant direct effects, attesting to the association of religious commitment with higher emotional well-being and social contribution, and lower depression, with no significant sex differences. In addition to insight into positive and negative intra- and interpersonal well-being correlates of religious commitment, the absence of sex differences shows uniformity in how religious commitment is related to well-being for male and female students.

宗教信仰是许多非洲学生生活中的一个突出特点。本研究对宗教信仰的幸福感相关因素(情绪幸福感、社会贡献和抑郁感)进行了调查，并进行了性别间的比较。来自南非和肯尼亚的471名学生的横断面样本(男性= 244;女性= 227;平均年龄22.8岁)完成了宗教承诺量表、患者健康问卷、社会幸福感量表和心理健康连续量表。采用Mplus的结构方程模型来估计宗教信仰对情绪幸福感、社会贡献和抑郁的直接影响，并进行跨性别比较。结果显示了显著的直接影响，证明了宗教信仰与更高的情感幸福感和社会贡献，以及更低的抑郁之间的联系，没有显著的性别差异。除了深入了解宗教承诺与内部和人际幸福感之间的积极和消极关系外，性别差异的缺失表明，宗教承诺与男女学生幸福感之间的关系是一致的。

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引用次数: 0

Interviewing older men at an interdisciplinary pain clinic: the journey to chronic pain and treatment experience 在跨学科疼痛诊所采访老年男性:慢性疼痛的旅程和治疗经验

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-09-07 DOI: 10.1177/00812463231198059

David Blackbeard, Colleen Aldous

The relationship between sources of acute pain and its persistence as chronic pain is complex, involving multiple systems that include emotional, cognitive, and interpersonal functioning. This study explored the lived experiences of male patients ( N = 14) at an interdisciplinary chronic pain clinic and is based on two major themes: (1) the journey to chronic pain; and (2) experiences within treatment settings. The purpose of the study was to investigate the lived experiences of men living with chronic pain conditions in relation to masculine identity in their everyday contexts. Interview material was collected in 2019 from 14 male patients at a chronic pain clinic using a life-world interviewing approach. Participant validation interviews took place to verify the findings. Team data analysis, thematic network diagrams, and tabulations were used for thematic analysis of transcripts and interview data. The narratives included distress, losses, adjustment, and other psychosocial sequelae linked to the meaning of living with chronic pain in relation to masculine identity and ageing. The men experienced the chronic pain clinic to be supportive and helpful, although with significant challenges of access and treatment, which they associated with having to adjust and adapt. The affective, cognitive, and social components were highly relevant in the participants’ accounts and therefore crucial considerations for the effective, contextualized, and responsive management of chronic pain among persons living with chronic pain.

急性疼痛的来源与其作为慢性疼痛的持续存在之间的关系是复杂的，涉及包括情感、认知和人际功能在内的多个系统。本研究探讨了一个跨学科慢性疼痛诊所的男性患者(N = 14)的生活经历，并基于两个主要主题:(1)慢性疼痛之旅;(2)在治疗环境中的经历。这项研究的目的是调查患有慢性疼痛的男性在日常生活中与男性身份的关系。访谈材料于2019年从一家慢性疼痛诊所的14名男性患者中收集，采用了生活世界访谈法。进行了参与者验证访谈以验证研究结果。使用团队数据分析、专题网络图和表格对笔录和访谈数据进行专题分析。这些叙述包括痛苦、损失、调整和其他社会心理后遗症，与男性身份和衰老相关的慢性疼痛生活的意义有关。这些男性经历了慢性疼痛诊所的支持和帮助，尽管在进入和治疗方面面临着重大挑战，他们不得不调整和适应。情感、认知和社会因素在参与者的描述中高度相关，因此对于慢性疼痛患者的有效、情境化和反应性管理至关重要。

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引用次数: 0

What motivates South African students to attend university? A cross-sectional study on motivational orientation 是什么激励南非学生上大学？动机取向的横断面研究

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-09-06 DOI: 10.1177/00812463231196297

Kyle Jackson, B. Faroa, Nicolaas Adriaan Augustyn, A. Padmanabhanunni

Students’ reasons for attending university are likely to impact their participation, academic engagement, and learning outcomes. This study aims to investigate undergraduate students’ motivations for attending a South African university and its association with specific socio-demographic factors. The study used a cross-sectional survey design. Participants were undergraduate students ( N = 220) who completed a socio-demographic survey and the Student Motivations for Attending University Questionnaire-Revised scale. Descriptive statistics, correlations, and analysis of variance were used to determine associations between the study variables. The reasons for attending university were significantly related to racial identity, student generational status, parental educational status, and family characteristics. Students in their first and second years of study were motivated to attend university to prove their self-worth. Students who identified as Black as well as those coming from a single- or double-parent household and students whose parents had a school-level education were more likely to attend university to help their families. The findings suggest that students are motivated beyond the immediate benefits of employment and personal earnings and that the upliftment of their families is a central reason for attending university. For universities striving to connect with their students, understanding students’ motivational orientation can inform intervention efforts aimed at enhancing retention and throughput.

学生上大学的原因可能会影响他们的参与度、学术参与度和学习成果。本研究旨在调查本科生就读南非大学的动机及其与特定社会人口因素的关系。该研究采用了横断面调查设计。参与者为本科生（N = 220）完成了一项社会人口学调查和学生上大学动机问卷修订量表。使用描述性统计、相关性和方差分析来确定研究变量之间的相关性。上大学的原因与种族认同、学生世代状况、父母教育状况和家庭特征显著相关。在学习的第一年和第二年，学生们被激励上大学，以证明他们的自我价值。被认定为黑人的学生、单亲或双亲家庭的学生以及父母受过学校教育的学生更有可能上大学帮助家人。研究结果表明，学生的动机超出了就业和个人收入的直接利益，家庭的幸福感是上大学的核心原因。对于努力与学生建立联系的大学来说，了解学生的动机取向可以为旨在提高保留率和吞吐量的干预努力提供信息。

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引用次数: 0

Perceptions of causes and treatment of mental illness among traditional health practitioners in Johannesburg, South Africa. 南非约翰内斯堡传统保健从业者对精神疾病原因和治疗的认识

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-09-01 Epub Date: 2023-07-13 DOI: 10.1177/00812463231186264

Michael Galvin, Lesley Chiwaye, Aneesa Moolla

Mental disorders are among the most poorly treated illnesses in sub-Saharan Africa. It is estimated that 70%-80% of South Africans consult traditional health practitioners for the treatment of psychological ailments. As traditional health practitioners maintain a strong role in assessing and treating patients with mental illness in this context, this study contributes to the burgeoning research literature on the topic. Semi-structured in-depth interviews were conducted with 18 traditional health practitioners in Johannesburg, South Africa, between January and May 2022. Interviews were transcribed and translated into English. The data were managed using NVivo 12 software and thematically analysed. Traditional health practitioners interviewed generally perceived mental illness to be of supernatural causation, either as a result of bewitchment, a calling for patients to become THPs themselves, due to displeased ancestors, or due to natural causes. Traditional health practitioners identified eight primary treatments that they use for treating mental illness. Among these were throwing of bones (tinhlolo) to start communicating with ancestors, steaming (ukufutha) to start a cleansing process, sneezing (umbhemiso) to forcefully dispel the spirit causing the illness, induced vomiting (phalaza), and the administration of laxatives (mahlabekufeni) to remove the spirits poisoning the body as well as animal sacrifice to purge spirits and communicate with ancestors. This is all followed by cutting (ukucaba), which is the final part of the treatment and ensures that the evil spirit cannot return. Due to the ubiquity of traditional health practitioner usage for mental illness in sub-Saharan Africa, it is essential to understand what conceptions traditional health practitioners have of the aetiology of these disorders as well as their modalities for administering treatment.

精神障碍是撒哈拉以南非洲治疗最差的疾病之一。据估计，70%-80%的南非人向传统健康从业者咨询心理疾病的治疗。在这种情况下，传统的健康从业者在评估和治疗精神疾病患者方面发挥着重要作用，这项研究为该主题的新兴研究文献做出了贡献。2022年1月至5月，在南非约翰内斯堡对18名传统卫生从业者进行了半结构化的深入访谈。访谈被转录并翻译成英文。数据使用NVivo 12软件进行管理，并进行专题分析。受访的传统健康从业者普遍认为精神疾病具有超自然的因果关系，要么是由于蛊惑，要么是因为祖先的不满，要么是自然原因。传统健康从业者确定了他们用于治疗精神疾病的八种主要治疗方法。其中包括扔骨头（tinhlolo）以开始与祖先交流，蒸蒸汽（ukufutha）以开始清洁过程，打喷嚏（umbhemiso）以强力驱散致病精神，诱发呕吐（phalaza），以及使用泻药（mahlabekufeni）来清除毒害身体的灵魂，以及动物祭祀来净化灵魂和与祖先交流。这一切之后都是切割（ukucaba），这是治疗的最后一部分，确保邪恶的灵魂不能回来。由于传统健康从业者在撒哈拉以南非洲普遍使用精神疾病，因此了解传统健康从业者对这些疾病的病因有什么概念以及他们的治疗方式至关重要。

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引用次数: 0

Experiences of Xhosa women providing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa 科萨妇女在南非西开普省一家三级医院为袋鼠妈妈提供护理的经验

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-08-31 DOI: 10.1177/00812463231193167

Sibongile Mpongwana-Ncetani, R. Roomaney, A. Lachman

Kangaroo mother care has been recognized as an intervention to improve preterm birth outcomes by the World Health Organization. Kangaroo mother care requires high user engagement and consists of continuous skin-to-skin contact between the mother and infant and exclusive breastfeeding. We conducted a qualitative study of Xhosa women ( n = 10) practicing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa. All interviews were conducted in isiXhosa, audio-recorded, and transcribed. The transcribed data were analysed using thematic analysis. Four themes emerged: (1) Kangaroo mother care, a beneficial but foreign concept; (2) distress in the Kangaroo mother care ward; (3) the missing umbilical cord: cultural experiences of mothers in the Kangaroo mother care ward; and (4) the Kangaroo mother care village: interpersonal relations in the ward. Our study showed that cultural practices still pose a challenge to fully accepting Kangaroo mother care. We suggest more studies on cultural sensitivity to encourage acceptance of interventions that affect culturally diverse groups.

世界卫生组织认为，袋鼠妈妈护理是一种改善早产结果的干预措施。袋鼠妈妈护理需要高度的用户参与度，包括母婴之间持续的皮肤接触和纯母乳喂养。我们对科萨妇女（n = 10）在南非西开普省的一家三级医院进行袋鼠妈妈护理。所有采访都是在伊西科萨进行的，录音并转录。转录的数据采用专题分析法进行分析。出现了四个主题：（1）袋鼠妈妈护理，一个有益但陌生的概念；（2）袋鼠妈妈护理病房的痛苦；（3）丢失的脐带：袋鼠母亲护理病房母亲的文化体验；（4）袋鼠妈妈护理村：病房内的人际关系。我们的研究表明，文化习俗仍然对完全接受袋鼠妈妈的照顾构成挑战。我们建议对文化敏感性进行更多的研究，以鼓励接受影响文化多样性群体的干预措施。

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引用次数: 0

Fertility preservation among women diagnosed with cancer in South Africa 南非被诊断为癌症妇女的生育能力保护

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-08-05 DOI: 10.1177/00812463231191437

Charlene Purdy, R. Roomaney

There is a growing trend worldwide to offer fertility preservation to newly diagnosed cancer patients, but little research exploring the experience of fertility preservation among this population exists. Our aim was to explore fertility preservation among female cancer survivors in South Africa. We conducted interviews with 10 women who received fertility preservation at fertility clinics in Cape Town and Johannesburg. Interviews lasted between 38 and 76 min and were audio recorded, transcribed, and then entered into ATLAS.ti. We analysed the interviews using reflexive thematic analysis. Four themes were constructed, namely (1) entering fertility preservation: motivation and risk, (2) an emotional rollercoaster, (3) needing more information, and (4) a costly source of hope. Participants reflected on choosing between cancer treatment and delaying the cancer treatment to accommodate for fertility preservation, with the importance of biological motherhood reported as a key factor. Both the cancer diagnosis and hormones taken as part of treatment resulted in participants feeling highly emotional. Participants expressed a need for more information on fertility preservation. Finally, even though the process was costly, participants reported that it was a worthwhile endeavour as it instilled in them a sense of hope. Our findings indicate that there is a need to increase awareness of fertility preservation in South Africa. Moreover, considering the pressure that patients are under, their emotional states, and their lack of adequate information, it is important for healthcare professionals to pay careful attention to the needs of patients throughout the process and provide patients with referrals to psychological services when needed. Our findings also indicate gaps in the informed consent process between patients and healthcare professionals that must be addressed by the latter.

在世界范围内，为新诊断的癌症患者提供保留生育能力的趋势越来越大，但对这一人群中保留生育能力经验的研究很少。我们的目的是探索南非癌症女性幸存者的生育能力保护。我们采访了10名在开普敦和约翰内斯堡的生育诊所接受生育保护的妇女。访谈持续时间为38至76 min和被录音、转录，然后输入ATLAS.ti。我们使用反射性主题分析来分析访谈。构建了四个主题，即（1）进入生育保护：动机和风险，（2）情绪过山车，（3）需要更多信息，以及（4）代价高昂的希望来源。与会者思考了在癌症治疗和推迟癌症治疗之间做出选择，以适应生育能力的保持，据报告，生物学母亲的重要性是一个关键因素。癌症的诊断和作为治疗一部分的激素都导致参与者情绪高度激动。与会者表示需要更多关于保持生育能力的信息。最后，尽管这一过程代价高昂，但与会者报告说，这是一项值得的努力，因为它给他们带来了希望。我们的研究结果表明，有必要提高南非对保持生育能力的认识。此外，考虑到患者所承受的压力、他们的情绪状态以及他们缺乏足够的信息，医疗保健专业人员在整个过程中仔细关注患者的需求，并在需要时为患者提供心理服务转诊，这一点很重要。我们的研究结果还表明，患者和医疗保健专业人员在知情同意过程中存在差距，后者必须加以解决。

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引用次数: 0

Repetitive negative thinking mediates the relationship between experiential avoidance and emotional distress among South African university students 南非大学生重复消极思维在经验回避与情绪困扰之间起中介作用

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-07-23 DOI: 10.1177/00812463231186340

Kimberley Munsamy, S. Walker, L. McHugh

The psychological processes contributing to emotional distress among university students in South Africa have not been extensively researched. The current study sought to examine the mediating role of repetitive negative thinking on the relationship between experiential avoidance and student emotional distress. A convenience sample of 419 students from a large public university in South Africa participated in this study. The results indicated that experiential avoidance and repetitive negative thinking positively predict emotional distress. Furthermore, repetitive negative thinking partially mediates the interaction between experiential avoidance and emotional distress. These findings highlight the importance of targeting experiential avoidance and repetitive negative thinking in the alleviation and management of emotional distress among students in the South African higher education environment.

导致南非大学生情绪困扰的心理过程尚未得到广泛研究。本研究试图检验重复性消极思维在体验回避和学生情绪困扰之间关系中的中介作用。来自南非一所大型公立大学的419名学生参加了这项研究。结果表明，经验回避和重复消极思维对情绪困扰有正向预测作用。此外，重复的消极思维在一定程度上调节了体验回避和情绪困扰之间的互动。这些发现强调了在南非高等教育环境中，针对体验式回避和重复性消极思维在缓解和管理学生情绪困扰方面的重要性。

引用次数: 0

An exploration of risk factors in a community sample of low socioeconomic status youth in South Africa 南非低社会经济地位青年社区样本的风险因素探讨

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-07-12 DOI: 10.1177/00812463231186390

Lingum G Pillay, B. Pillay, W. Kliewer, W. Sibanda

Youth in low socioeconomic status communities experience multiple risks which disrupts their emotional, cognitive, and psychological development. In South Africa, there is a tacit acceptance of risk constructs as researched globally. This study examines risk occurrence with the aim of identifying and examining the uniqueness of risks in a community sample of youth. Data were collected from youth and their maternal caregivers through interviews and standardized instruments. Youth from grade 7 and grade 10, 9 to 18 years (M = 13.11; SD = 1.54) were recruited. Sixty-five percent were female. Thirty-five frequent risk factors were identified using a z-test for proportion of means. Five risk factors, namely, low household income, race, English not being the primary home language of the parent, low maternal self-esteem, and low dyadic satisfaction, emerged as significant risks. Other risk factors (e.g., single-parent household), which feature prominently in international studies, did not emerge as significantly present. While risk occurrence in our sample shares commonalities with international trends, our study further highlights how risk is underscored and shaped by South Africa’s socioeconomic and political history. We argue that traditional concepts, like family, race, and language require conceptual review when undertaking research and developing policies and interventions that are relevant to South African communities.

社会经济地位较低社区的青年面临着多种风险，这些风险扰乱了他们的情感、认知和心理发展。在南非，有一个默认的风险结构的接受研究全球。本研究考察风险的发生，目的是识别和检查社区青年样本中风险的独特性。通过访谈和标准化工具从青少年及其母亲照顾者中收集数据。7年级和10年级青少年，9 - 18岁(M = 13.11;SD = 1.54)。65%是女性。使用均值比例的z检验确定了35个常见的危险因素。五个风险因素，即低家庭收入、种族、英语不是父母的主要母语、低母亲自尊和低二元满意度，成为显著的风险因素。在国际研究中突出的其他风险因素(例如单亲家庭)并没有显著存在。虽然我们样本中的风险发生与国际趋势有共同之处，但我们的研究进一步强调了南非的社会经济和政治历史如何强调和塑造风险。我们认为，在进行研究和制定与南非社区相关的政策和干预措施时，需要对家庭、种族和语言等传统概念进行概念性审查。

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引用次数: 0

A systematic exploratory review investigating the relationship between working memory and emotion regulation: implications for working memory training 研究工作记忆与情绪调节关系的系统探索性综述：对工作记忆训练的启示

IF 1.9 4区心理学 Q3 Psychology

South African Journal of Psychology

Pub Date : 2023-07-12 DOI: 10.1177/00812463231186347

Tarryn L Papé, David J. F. Maree

Working memory training (WM-T), as an intervention strategy to improve emotion regulation (ER), has become popular in cognitive psychology. However, it poses many different challenges for researchers, and far-transfer effects on subsequent ER have been debated. This systematic exploratory review investigates how the WM-ER dyad is implicated in WM-T as an intervention strategy for improving ER. Systematic review protocols were followed for the selection of studies investigating the relationship between WM and ER, and WM-T to improve ER. An electronic database search following the PRISMA statement was conducted in which 15 studies were considered eligible. The studies were assessed for quality control using an adapted Critical Appraisal Skills Programme (CASP) tool for quantitative studies. Studies were analysed using the PVO (population, variables, and outcomes) strategy for systematic exploratory reviews. Five studies included psychological disorders and one study used brain imaging. From a neural perspective, the coupling of the prefrontal cortex and the anterior cingulate cortex over the amygdala was involved in the WM-ER dyad. Although there was a lack of evidence of far-transfer effects of WM-T to improve ER, the mechanisms of reward-enhancing effects in WM-T, as well as dopamine release (involved in brain-reward circuitry), should be explored further. This will allow researchers to re-evaluate the direction that the investigation is taking. More concerningly, there is a need for quality control in WM-T studies due to several studies lacking ethical consideration and standardisation. Future WM-T studies must ensure that research is founded on quality evidence.

工作记忆训练（WM-T）作为一种改善情绪调节（ER）的干预策略，在认知心理学中越来越受欢迎。然而，它给研究人员带来了许多不同的挑战，并且对后续ER的远距离转移影响一直存在争议。本系统探索性综述调查了WM-ER二元体如何与WM-T相关，作为改善ER的干预策略。在选择研究WM与ER之间关系的研究以及WM-T改善ER的研究时，遵循了系统综述协议。PRISMA声明之后进行了电子数据库搜索，其中15项研究被认为符合条件。使用适用于定量研究的关键评估技能计划（CASP）工具对研究进行质量控制评估。使用PVO（群体、变量和结果）策略对研究进行系统探索性审查。五项研究包括心理障碍，一项研究使用了大脑成像。从神经的角度来看，前额叶皮层和杏仁核上的前扣带皮层的耦合参与了WM-ER二元模型。尽管缺乏证据表明WM-T具有改善ER的远转移作用，但WM-T中奖赏增强作用的机制以及多巴胺释放（参与大脑奖赏回路）仍有待进一步探索。这将使研究人员能够重新评估调查的方向。更令人担忧的是，由于一些研究缺乏伦理考虑和标准化，WM-T研究需要进行质量控制。未来的WM-T研究必须确保研究建立在高质量证据的基础上。

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引用次数: 0