排斥体验对大学生新生抑郁的影响：反刍思维的作用
The Role of Rumination in the Relationship between Social Exclusion and Depression among College Freshmen
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- Keywords: Social exclusion; Depression; Rumination; College freshman社会排斥; 抑郁; 反刍思维; 大学新生
- Abstract: Objective: In order to explore the relationship among rumination, social exclusion and depression, and to provide a way to predict and control the depression of freshmen. Methods Totally 801 college freshmen from Shenzhen were assessed with Social Exclusion Questionnaire for Undergraduate (SEQU) , Ruminative Responses Scale (RRS) and Center for Epidemiological Studies Depression Scale (CES—D) . Results: Social exclusion, rumination and depression of college freshman were significantly positive correlated ( r =0.49, 0.50, P<0.01) , and social exclusion and rumination were also positively correlated ( r =0.42, p<0.01) . The mediating effect test showed that rumination played a mediating role between social exclusion and depression, with the mediating effect value β =0.12. The moderation effect test showed rumination moderated the relationship between social exclusion and depression. To be specific, the positive relationship between social exclusion and depression was stronger for freshmen with higher levels of rumination. Conclusion There is a close relationship among social exclusion, rumination and depression among college freshman. Therefore, important ways to improve and prevent the depression of college freshman are to reduce the impact of social exclusion and adjust the pattern of negative cognition.目的：探讨大学新生反刍思维、排斥体验以及抑郁的关系，以期掌握社会排斥对大学新生抑郁症状的影响。方法：采用社会排斥问卷、反刍思维量表和抑郁量表，对812名深圳市属高校大学新生进行调查。结果：大学新生社会排斥、反刍思维均与抑郁存在显著正相关（r值分别为0.49和0.50，p值均<0.01），社会排斥与反刍思维也存在显著正相关（r=0.42，p<0.01）。中介效应检验表明，反刍思维在排斥体验与抑郁之间起中介作用，中介效应值β=0.15。调节效应检验表明，反刍思维会放大排斥体验对抑郁的消极影响，对于高反刍思维的新生，排斥体验会诱发更高的抑郁水平。结论：大学新生社会排斥、反刍思维与抑郁关系密切，可以通过改善大学新生的人际关系、减少反刍思维等消极认知方式缓解大学新生的抑郁状况。
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三幕式教学法在中西医结合内科教学中的应用：一项基于理论分析的整合性改革框架研究
Application of the Three-Act Teaching Method in Integrated Traditional Chinese and Western Medicine Internal Medicine Education: A Theoretical Analysis-Based Study on an Integrative Reform Framework
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- Keywords: Integrated Traditional Chinese and Western Medicine (TCM-WM); Medical education; Three-Act Teaching Method (TATM）; Clinical thinking; Teaching method reform中西医结合; 医学教育; 三幕式教学法; 临床思维; 教学方法改革
- Abstract: Current Integrated Traditional Chinese and Western Medicine (TCM-WM) internal medicine education faces core challenges such as the disconnection between theory and clinical practice, fragmentation of TCM-WM knowledge systems, weak integrative thinking among students, a homogeneous teaching staff structure, and onesided evaluation methods. To cultivate interdisciplinary medical talents with integrative capabilities, there is an urgent need to explore systematic teaching model reforms. Three-Act Teaching Method (TATM), as an active learning approach, shows potential in enhancing clinical reasoning skills. However, its targeted application and mechanism exploration in the interdisciplinary field of integrated traditional Chinese and Western medicine remain insufficiently studied. This study employs the oretical analysis and logical deduction to deeply examine the core logic of the TATM: “Scenario Construction → Multi-dimensional Exploration → Integrative Review”. The research focuses on systematically deconstructing how this method serves as a strategic framework to precisely target and reshape the teaching process in TCM-WM internal medicine, thereby addressing its inherent deep-seated pedagogical contradictions. The analysis indicates that the three-act teaching method, by using complete and authentic medical cases as a vehicle, can compel the initiation of associative thinking between TCM and WM knowledge, addressing the issue of knowledge fragmentation. Its core component — structured debate — simulates real clinical decision-making scenarios, training students to formulate plans from TCM-WM, and integrative perspectives. This effectively cultivates the clinical mindset of when and how to integrate. The method also transforms the teacher’s role into that of a curriculum designer and debate facilitator, reducing absolute reliance on their personal level of knowledge integration, and drives a reform towards a process-oriented evaluation system. Ultimately, by reviewing real clinical pathways, it completes the cognitive loop for students from theory to practice. The three-act teaching method provides a systematic reform framework for integrated TCM-WM internal medicine education. Through its closed-loop mechanism of “Compelling Association - Simulated Decision-Making - Feedback Calibration”, it effectively targets and addresses the main pedagogical pain points in this field, holding promise for systematically improving the quality and efficiency of talent cultivation. Its successful implementation relies on the development of a high-quality integrated case library and training in teachers’ facilitation skills.当前中西医结合内科教学中，面临理论与临床脱节、中西医知识体系割裂、学生整合思维薄弱、师资结构单一及评价方式片面等核心挑战。三幕式教学法在提升临床推理能力方面具有潜力，但其在中西医结合这一交叉学科领域的针对性应用与机制探讨尚不充分。本研究采用理论分析与逻辑推演的研究方法，深入剖析三幕式教学法“情境构建→多元探索→整合复盘”的核心逻辑。研究重点在于系统解构该方法如何作为一个战略框架，精准切入并重塑中西医结合内科的教学过程，从而解决教学矛盾。通过“强制关联—模拟决策—反馈校准”的闭环机制，有效针对并解决了该领域的主要教学痛点。
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负性情绪对青少年网络游戏成瘾的影响：工作记忆与冲动性的链式中介效应
Negative Emotions’ Impact on Adolescents’ Internet Gaming Addiction: The Chain Mediating Effects of Working Memory and Impulsivity
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- Keywords: Adolescents; Negative emotions; Working memory; Impulsivity; Internet gaming addiction青少年; 负性情绪; 工作记忆; 冲动性; 网络游戏成瘾
- Abstract: Objective: To explore the relationships among negative emotions, working memory, impulsivity, and Internet gaming addiction among adolescents. Methods: A total of 755 adolescents (aged 12-18 years, with a mean age of 15.0±0.06 years) from three middle schools in Beijing, Hebei, and Henan were surveyed using convenience sampling. The scales employed included the Internet Gaming Disorder Scale-Short Form, the Adult Executive Functioning Inventory-Self, the Short Version of the UPPS-P Impulsive Behavior Scale, the Depression Anxiety Stress Scale. SPSS 25.0 was used for common method bias test and other analyses, while Mplus 8.11 was applied to test the mediating effects. Results: (1) Negative emotions, impulsivity, and Internet gaming addiction were all significantly positively correlated; working memory was significantly negatively correlated with negative emotions, impulsivity, and Internet gaming addiction; (2) The mediating effect analysis indicated that negative emotions had no significant direct effect on adolescents’ Internet gaming addiction. Both working memory and impulsivity independently mediated the relationship between negative emotions and adolescents’ Internet gaming addiction, with mediating effect values of 0.049 and 0.010. And they also exerted a chain mediating effect, with a mediating effect value of 0.007. Conclusion: The relationship between negative emotions and adolescents’ Internet gaming addiction is influenced by the independent mediating effects of working memory and impulsivity, as well as the chain mediating effect of working memory and impulsivity.目的：探讨负性情绪、工作记忆、冲动性与青少年网络游戏成瘾的关系。方法：采用网络游戏障碍自评量表、成人执行功能自评量表、简式UPPS-P冲动行为量表、抑郁—焦虑—压力量表简体中文版，以方便取样对北京、河北、河南三所中学755名青少年（12～18岁，平均15.0±0.06岁）施测；使用SPSS25.0进行共同方法偏差检验等分析，采用Mplus8.11检验中介效应。结果：（1）负性情绪、冲动性、网络游戏成瘾均显著正相关；工作记忆与负性情绪、冲动性、网络游戏成瘾均显著负相关；（2）中介效应表明，负性情绪对青少年网络游戏成瘾无显著直接效应；工作记忆和冲动性在负性情绪与青少年网络游戏成瘾之间均起独立中介效应，中介效应值分别是0.049和0.010，二者还存在链式中介作用，中介效应值为0.007。结论：负性情绪与青少年网络游戏成瘾的关系分别受工作记忆、冲动性的独立中介作用，以及工作记忆与冲动性的链式中介作用影响。
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Funding
民办高校法学专业大学生就业困境与辅导员协同破解路径探究
Exploring the Employment Dilemmas of Law Students in Private Universities and Collaborative with Counselors
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- Keywords: Private universities; Law major; Employment challenges; Counselors; Collaborative approaches民办高校; 法学专业; 就业困境; 辅导员; 协同路径
- Abstract: As the core force in ideological and political education and career guidance for college students, counselors play an important role in improving the employment quality of law majors in private universities. Currently, law majors in private universities face multiple challenges, including an oversupply of graduates, high entry barriers to the profession, mismatched market supply and demand, and low social recognition, while the collaborative value of counselors in employment guidance has not yet been fully realized. Based on the perspective of counselors’ work, this paper analyzes the core causes of employment difficulties by considering the characteristics of private universities and the employment traits of law majors. It focuses on exploring collaborative led by counselors in areas such as professional education guidance, cultivation of professional identity, resource integration and coordination, and the integration of ideological-political and employment education. The aim is to provide theoretical and practical support for enhancing the employment quality of law majors in private universities and promoting the professional development of counselors.辅导员作为高校学生思想政治教育与就业指导的核心力量，在民办高校法学专业就业质量提升工作中肩负重要职责。当前，民办高校法学专业面临毕业生总量过剩、职业准入门槛高、市场供需错位及社会认同偏低等多重困境，而辅导员在就业指导中的协同价值尚未充分发挥。本文立足辅导员工作的视角，结合民办高校办学特点与法学专业就业特性，剖析就业困境的核心成因，重点探究辅导员在职业化教育引导、专业认同培育、资源整合联动、思政与就业教育融合等方面的协同破解路径，为提升民办高校法学专业就业质量、助力辅导员职业发展提供理论与实践支撑。
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Funding
助其走出阴霾——一例抑郁症大学生心理危机干预的案例研究
Helping Them Overcome the Shadows: A Case Study on Psychological Crisis Intervention for a College Student with Depression
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- Keywords: College students; Major depressive disorder; Psychological crisis intervention; Social support theory; Cognitive behavioral therapy大学生; 重度抑郁症; 心理危机干预; 社会支持理论; 认知行为疗法
- Abstract: In recent years, the incidence of depression among college students has been rising year by year. Major depression not only seriously affects students’ academic performance and quality of life but may also lead to extreme safety incidents, posing a severe challenge to mental health education in universities. This paper takes the case of a freshman named Xiaolin at a certain university, who is experiencing a severe depressive crisis, as the research subject. By reviewing the case background and analyzing the root causes of the problem, and combining psychological theories such as cognitive behavioral therapy and social support theory, a comprehensive intervention system of “problem-solving — professional treatment — home-school collaboration — multi-party coordination” is constructed. The study aims to provide practical reference for university counselors and mental health educators handling similar depressive crises among college students, helping students with depression emerge from psychological distress and rebuild a state of healthy growth.近年来，大学生抑郁症的发生率呈逐年上升趋势，重度抑郁症不仅严重影响学生的学业与生活质量，更可能引发极端安全事件，这对高校心理健康教育工作提出了严峻的挑战。本文对某高校新生小林的重度抑郁症心理危机干预个案进行研究，通过梳理案例背景、剖析问题根源，结合认知行为疗法、社会支持理论等心理学理论，构建“问题解决—专业诊疗—家校协同—多方联动”的综合干预体系。本研究旨在为高校辅导员及心理健康教育工作者处理类似抑郁症学生心理危机个案提供实践参考，助力抑郁症大学生走出心理阴霾，重塑健康成长的状态。
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