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Nudging for improving mental health treatment-seeking 为改善寻求心理健康治疗的情况而采取的鼓励措施
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-06 DOI: 10.1016/j.copsyc.2024.101857
Frederick T. Schubert , Norman B. Schmidt

Underutilization of mental health services is a complex problem that requires the investigation of new strategies to facilitate treatment-seeking. Nudging is a relatively new approach which has shown promise in promoting healthy behaviors in a variety of domains, though little work has investigated how nudges may be applied to the initiation of mental health treatment. In this paper, we review the limited work examining nudging related to treatment initiation and discuss findings from a study evaluating the impact of nudges on treatment-seeking. Findings provide insights into the acceptability and efficacy of nudging as a strategy for increasing treatment, and implications for future work exploring this approach for improving treatment access are discussed.

心理健康服务利用不足是一个复杂的问题,需要研究新的策略来促进寻求治疗。劝导是一种相对较新的方法,它在促进不同领域的健康行为方面表现出了良好的前景,但对于如何将劝导应用于心理健康治疗的启动,却鲜有研究。在本文中,我们回顾了与开始治疗相关的有限的推导工作,并讨论了一项评估推导对寻求治疗的影响的研究结果。研究结果让我们深入了解了 "劝导 "作为一种增加治疗的策略的可接受性和有效性,并讨论了未来探索这种方法以改善治疗机会的工作的意义。
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引用次数: 0
A critical review of clinician-directed nudges 对临床医生指导性建议的批判性审查
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-02 DOI: 10.1016/j.copsyc.2024.101856
Briana S. Last , Rinad S. Beidas , Katelin Hoskins , Claire R. Waller , Gabriela Kattan Khazanov

As nudges—subtle changes to the way options are presented to guide choice—have gained popularity across policy domains in the past 15 years, healthcare systems and researchers have eagerly deployed these light-touch interventions to improve clinical decision-making. However, recent research has identified the limitations of nudges. Although nudges may modestly improve clinical decisions in some contexts, these interventions (particularly nudges implemented as electronic health record alerts) can also backfire and have unintended consequences. Further, emerging research on crowd-out effects suggests that healthcare nudges may direct attention and resources toward the clinical encounter and away from the main structural drivers of poor health outcomes. It is time to move beyond nudges and toward the development of multi-level, structurally focused interventions.

在过去的 15 年中,"暗示"--通过微妙地改变提供选项的方式来引导人们做出选择--在各个政策领域大受欢迎,医疗保健系统和研究人员也迫不及待地采用这些轻触式干预措施来改善临床决策。然而,最近的研究发现了 "暗示 "的局限性。虽然在某些情况下 "暗示 "可以适度改善临床决策,但这些干预措施(尤其是作为电子健康记录警报实施的 "暗示")也可能适得其反,产生意想不到的后果。此外,有关挤出效应的新兴研究表明,医疗保健干预可能会将注意力和资源引向临床治疗,而偏离造成不良健康结果的主要结构性驱动因素。现在是超越勉励,发展多层次、结构性干预措施的时候了。
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引用次数: 0
Considering information-sharing motives to reduce misinformation 考虑信息共享动机以减少错误信息
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-02 DOI: 10.1016/j.copsyc.2024.101852
Laura K. Globig , Tali Sharot

Misinformation has risen in recent years, negatively affecting domains ranging from politics to health. To curb the spread of misinformation it is useful to consider why, how, and when people decide to share information. Here we suggest that information-sharing decisions are value-based choices, in which sharers strive to maximize rewards and minimize losses to themselves and/or others. These outcomes can be tangible, in the form of monetary rewards or losses, or intangible, in the form of social feedback. On social media platforms these rewards and losses are not clearly tied to the accuracy of information shared. Thus, sharers have little incentive to avoid disseminating misinformation. Based on this framework, we propose ways to nudge sharers to prioritize accuracy during information-sharing.

近年来,错误信息呈上升趋势,对从政治到健康等各个领域都产生了负面影响。为了遏制错误信息的传播,我们有必要考虑人们为什么、如何以及何时决定分享信息。在这里,我们认为信息共享决策是基于价值的选择,在这种选择中,共享者努力使自己和/或他人的回报最大化,损失最小化。这些结果可以是有形的,如金钱奖励或损失,也可以是无形的,如社会反馈。在社交媒体平台上,这些奖励和损失与分享信息的准确性没有明确的联系。因此,分享者几乎没有避免传播错误信息的动力。基于这一框架,我们提出了在信息分享过程中引导分享者优先考虑准确性的方法。
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引用次数: 0
Self-control and self-expression 自我控制和自我表达
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-01 DOI: 10.1016/j.copsyc.2024.101846
Michail D. Kokkoris

Does self-control express or suppress our true selves? This article reviews the emerging body of literature on the effect of self-control on authentic self-expression from the actors' (self-signaling) and the observers’ (other-signaling) perspective. While actors can experience self-control as either expression or suppression of the self, individual differences in decision-making or personal values can predict when self-control is more likely to be experienced in one way or the other. Self-control also signals to observers both positive (e.g., competent, trustworthy, powerful) and negative (e.g., inauthentic, robotic, less warm) identities, with specific inferences depending on the context (e.g., work vs. fun). Overall, the relationship between self-control and self-expression is more nuanced than earlier research suggested, and several open questions await further investigation.

自我控制是表达还是压制真实自我?本文从行为者(自我信号)和观察者(他者信号)的角度,回顾了有关自我控制对真实自我表达的影响的新兴文献。虽然行为者可以将自我控制体验为自我表达或自我压抑,但决策或个人价值观方面的个体差异可以预测何时自我控制更有可能以这种或那种方式被体验到。自我控制也会向观察者发出积极(如有能力、值得信赖、有力量)和消极(如不真实、机械、不那么热情)两种身份的信号,具体推论取决于情境(如工作与娱乐)。总体而言,自我控制与自我表达之间的关系比早期研究显示的更加微妙,有几个开放性问题有待进一步研究。
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引用次数: 0
Psychology of AI: How AI impacts the way people feel, think, and behave 人工智能心理学:人工智能如何影响人们的感觉、思维和行为方式
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-01 DOI: 10.1016/j.copsyc.2024.101835

Over the past decade, artificial intelligence (AI) technologies have transformed numerous facets of our lives. In this article, we summarize key themes in emerging AI research in behavioral science. In doing so, we aim to unravel the multifaceted impacts of AI on people's emotions, cognition, and behaviors, offering nuanced insights into this rapidly evolving landscape. This article concludes with proposing promising avenues for future research, outlining areas for further exploration and methodological approaches to consider.

过去十年间,人工智能(AI)技术改变了我们生活的方方面面。在本文中,我们总结了行为科学领域新兴人工智能研究的关键主题。在此过程中,我们旨在揭示人工智能对人们情感、认知和行为的多方面影响,为这一快速发展的领域提供细致入微的见解。本文最后提出了未来研究的可行途径,概述了进一步探索的领域和需要考虑的方法。
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引用次数: 0
The fable of state self-control 国家自我控制的寓言
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-01 DOI: 10.1016/j.copsyc.2024.101848
Michael Inzlicht , Brent W. Roberts

Trait self-control is highly valued, often equated with moral righteousness and associated with numerous positive life outcomes. This paper challenges the conventional conflation of trait self-control and state self-control. We suggest that while trait self-control is consistently linked to success, state self-control is not the causal mechanism driving these benefits. Trait self-control, sometimes also referred to as conscientiousness, grit, and the ability to delay gratification, predicts better health, wealth, and academic achievement. Conventional wisdom has it that people high in trait self-control reap all these benefits because they engage in more state self-control, defined as the momentary act of resolving conflict between goals and fleeting desires. Despite its intuitive appeal, there are problems with extolling state self-control because of our love for trait self-control. First, empirical evidence suggests that individuals high in trait self-control do not engage in more state self-control but engage it less. Second, changes to state self-control do not reliably and sustainably improve people's outcomes, as least in the long-term. And third, despite the possibility of dramatic improvements in trait self-control, these improvements are often short lived, with people returning to their baseline trait level over longer time horizons. The roots of this problem are numerous: Imprecise and inaccurate naming of our constructs that lead to construct drift and contamination; ignoring the numerous other facets of conscientiousness like orderliness or industriousness; and not appreciating that traits are sometimes not reducible to states. We suggest that the celebrated benefits of trait self-control arise from mechanisms beyond state self-control and highlight the need for a broader conceptualization of self-control in psychological research and practical interventions.

特质自控力备受推崇,往往等同于道德正义,并与许多积极的人生结果相关联。本文对传统上将特质自我控制与状态自我控制混为一谈的做法提出了质疑。我们认为,虽然特质自我控制与成功始终相关,但状态自我控制并不是驱动这些益处的因果机制。特质自控力有时也被称为自觉性、勇气和延迟满足的能力,它能预测更好的健康、财富和学业成绩。传统观点认为,特质自控力强的人之所以能获得所有这些好处,是因为他们进行了更多的状态自控,状态自控被定义为解决目标与短暂欲望之间冲突的瞬间行为。尽管直观上很有吸引力,但由于我们对特质自我控制的喜爱,所以在颂扬状态自我控制方面存在一些问题。首先,经验证据表明,特质自我控制能力强的人并没有更多地去参与状态自我控制,而是参与得更少。其次,状态自控力的改变并不能可靠、持续地改善人们的结果,至少从长期来看是如此。第三,尽管特质自我控制能力有可能得到显著提高,但这些提高往往是短暂的,人们会在较长一段时间内恢复到他们的基线特质水平。这个问题的根源有很多:我们对建构的命名不准确,导致建构漂移和污染;忽略了自觉性的许多其他方面,如有序性或勤奋性;没有认识到特质有时不能还原为状态。我们认为,特质自我控制的显著益处来自于状态自我控制之外的机制,并强调在心理学研究和实际干预中需要对自我控制进行更广泛的概念化。
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引用次数: 0
The relevance of top-down self-regulation for children's and adolescents' developmental outcomes 自上而下的自我调节与儿童和青少年发展结果的相关性
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-08-01 DOI: 10.1016/j.copsyc.2024.101847
Nancy Eisenberg , Maciel M. Hernández , Antonio Zuffianò , Tracy L. Spinrad

A popular topic in developmental science is self-regulation, an aspect of functioning viewed as contributing to optimal development. Of particular theoretical importance is top-down (frontal cortically based) self-regulation (TDSR). This article briefly reviews recent research on TDSR's relation to four areas of development: maladjustment, social competence, prosocial development, and academic development. Recent studies on the topic often involve sophisticated methods and designs; moreover, several relevant meta-analyses have been published in the recent past. In general, a higher level of TDSR has been associated with better adjustment, social competence, prosociality, and success in the school setting. Limitations in the research and extant meta-analyses are briefly noted.

自我调节是发展科学中的一个热门话题,它是一种有助于实现最佳发展的功能。自上而下(以额叶皮层为基础)的自我调节(TDSR)具有特别重要的理论意义。本文简要回顾了近期有关 TDSR 与四个发展领域关系的研究:适应不良、社交能力、亲社会发展和学业发展。近期有关该主题的研究通常采用复杂的方法和设计;此外,近期还发表了几篇相关的荟萃分析文章。一般来说,较高水平的 TDSR 与较好的适应能力、社会能力、亲社会性和在学校环境中的成功有关。本文简要介绍了研究和现有荟萃分析的局限性。
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引用次数: 0
Episodic future thinking and psychopathology: A focus on depression and suicide risk 偶发性未来思维与精神病理学:关注抑郁症和自杀风险。
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-31 DOI: 10.1016/j.copsyc.2024.101853
Rachel J. Nam, Nathan J. Lowry, Olivia C. Lawrence, Layne J. Novotny, Christine B. Cha

Episodic future thinking (EFT), the ability to imagine future autobiographical events, is both an everyday and clinically significant cognitive process. With a focus on depression and suicidality, here we discuss evidence connecting EFT with psychopathology. Emotional valence of imagined future events has emerged as the most widely established feature of EFT detected to date, with less positive EFT being associated with depressive symptoms and suicidal thoughts and behaviors. This pattern may not be merely a byproduct of sadness or anhedonia. Promising directions for future research include clarifying the temporal association between EFT and clinical outcomes, investigating the potential benefits and drawbacks of positive EFT, and refining assessments for youth to measure EFT either preceding or soon after onset of psychopathology.

情节性未来思维(EFT)是一种想象未来自传体事件的能力,它既是一种日常认知过程,也具有重要的临床意义。在此,我们以抑郁症和自杀为重点,讨论将外显未来思维与精神病理学联系起来的证据。想象未来事件的情绪价值已成为迄今为止所发现的EFT中最广泛确立的特征,较不积极的EFT与抑郁症状及自杀想法和行为相关。这种模式可能不仅仅是悲伤或失乐症的副产品。未来有希望的研究方向包括:明确EFT与临床结果之间的时间关联,调查积极EFT的潜在益处和弊端,以及改进青少年评估,以测量精神病理学开始之前或之后不久的EFT。
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引用次数: 0
Bypassing as a non-confrontational influence strategy 绕过作为一种非对抗性影响策略。
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-31 DOI: 10.1016/j.copsyc.2024.101855
Javier A. Granados Samayoa, Dolores Albarracín

Psychological interventions tend to be confrontational in nature. That is, when psychologists seek to bring about change in beliefs, attitudes, or behaviors, they often do so by directly confronting the presumed barrier to change. Confrontational approaches can be effective, but suffer from limitations to their efficacy, such as the possibility of arousing discomfort or defensiveness from the recipient. The current piece seeks to highlight an alternative strategy that we refer to as bypassing, which refers to a general approach for bringing about behavior change without confrontation. Leveraging insights from research on misinformation, stereotypes, and persuasion, we present evidence that non-confrontational approaches can be as effective, if not more so, than the traditional confrontational paradigm.

心理干预往往是对抗性的。也就是说,当心理学家试图改变人们的信念、态度或行为时,他们往往通过直接面对阻碍改变的假定障碍来实现。对抗式方法可能有效,但也有其局限性,比如可能会引起受试者的不适或防卫心理。本文试图强调另一种策略,我们称之为 "触类旁通"(bypassing),指的是在不对抗的情况下促成行为改变的一般方法。通过对误导、刻板印象和说服等方面的研究,我们提出证据表明,非对抗性方法可以与传统的对抗性范例一样有效,甚至更有效。
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引用次数: 0
Integrating insights from implementation science and behavioral economics to strengthen suicide screening strategies for pediatric populations 综合实施科学和行为经济学的见解,加强儿科人群的自杀筛查策略
IF 6.3 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-07-31 DOI: 10.1016/j.copsyc.2024.101854
Nathan Hodson , Christina Johnson , Rinad S. Beidas

Suicide is a leading cause of death for young people globally. Professional organizations such as the American Academy of Pediatrics (AAP) recommend suicide screening for every young person at every healthcare contact and these guidelines are now being implemented across the US. To optimize deployment of these guidelines, we draw on insights from two parallel fields, implementation science – or the study of how to support clinicians in providing evidence-based care within organizational constraints – and behavioral economics, which centers human decision-making. In this brief review, we offer potential barriers to suicide screening and strategies to address barriers drawing on these two literatures, illustrating how best to integrate insights from these fields for maximal impact.

自杀是全球青少年死亡的主要原因。美国儿科学会(AAP)等专业组织建议在每次医疗接触中对每个年轻人进行自杀筛查,这些指导方针目前正在全美范围内实施。为了优化这些指南的实施,我们借鉴了两个平行领域的见解,即实施科学(即研究如何支持临床医生在组织限制条件下提供与指南一致的医疗服务)和行为经济学(以人类决策为中心)。在这篇简短的综述中,我们提出了自杀筛查的潜在障碍,并根据这两篇文献提出了解决这些障碍的策略,说明了如何最好地整合这两个领域的见解,以产生最大的影响。
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引用次数: 0
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Current Opinion in Psychology
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