Objective:To explore the relationship between childhood emotional trauma and loneliness in the college students and the role of basic psychological needs and positive coping style.Methods:A total of 11 295 col-lege students were assessed with the UCLA Loneliness Scale,Emotional Neglect and Emotional Abuse Question-naire of the Childhood Trauma Questionnaire,Basic Psychological Needs Scale,and Positive Coping Style Question-naire of the Simple Coping Style Questionnaire.Mplus 8.3 was used to analyze the mediating effect and the moder-ated mediating effect based on structural equation,and the non-parametric Bootstrap method was used to test the mediating effect.Results:The childhood emotional trauma was positively correlated with college students'loneli-ness(γ=0.61,P＜0.001).Basic psychological needs partially mediated the relationship between emotional trauma and loneliness(95％CI:0.45-0.49).Positive coping styles significantly moderated the first half of the path(γ=-0.10,P＜0.001)and the direct path(γ=0.05,P＜0.001)of the mediation model.Conclusion:College students'loneliness is associated with childhood emotional trauma and it is partially mediated by basic psychological needs,with positive coping playing a moderating role.

Objective:To investigate the attribution therapy on self-efficacy and physical function among patients with rheumatoid arthritis, and provide reference for functional rehabilitation of patients.Methods:A total of 72 rheumatoid arthritis patients of Rheumatology Department of Henan Province Orthopaedic Hospital were divided into experimental group ( n=36) and control group ( n=36) by random digits table method. The control group received routine nursing, while experimental group implemented attribution therapy for 6 times. Before and after 3 months of intervention, the intervention effect was assessed by using Health Assessment Questionnaire (HAQ), Clinical Disease Activity Index (CDAI), morning stiffness time as well as Arthritis Self-efficacy Scale (ASES), respectively. Results:After intervention, the scores of HAQ, CDAI were 0.62 ± 0.23, 9.52 ± 3.15, morning stiffness time were (31.76 ± 5.80) minutes in the experimental group, significantly lower than those in the control group (0.91 ± 0.33, 12.41 ± 2.70) points and (35.91 ± 7.90) minutes. The differences were statistically significant ( t=4.09, 4.04, 2.46, all P<0.05). The scores of self-efficacy pain subscale, self-efficacy function subscale, self-efficacy other symptoms subscale and total ASES scores were 6.58 ± 1.20, 5.88 ± 1.36, 6.67 ± 1.90 and 6.30 ± 0.81, significantly higher than those in the control group (5.97 ± 0.76, 5.18 ± 1.24, 5.59 ± 1.73 and 5.59 ± 0.74), the differences were statistically significant ( t values were 2.21-3.77, P<0.05). Conclusions:Attribution therapy can effectively alleviate physical function and promote self-efficacy of patients with rheumatoid arthritis.