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This study examined the role of illness uncertainty in pain coping among women with fibromyalgia (FM), a chronic pain condition of unknown origin. Fifty-one FM participants completed initial demographic and illness uncertainty questionnaires and underwent 10-12 weekly interviews regarding pain, coping difficulty, and coping efficacy. Main outcome measures included weekly levels of difficulty coping with FM symptoms and coping efficacy. Multilevel analyses indicated that pain elevations for those high in illness uncertainty predicted increases in coping difficulty. Furthermore, when participants had more difficulty coping, they reported lower levels of coping efficacy. Results were consistent with hypothesized effects. Illness uncertainty accompanied by episodic pain negatively influenced coping efficacy, an important resource in adaptation to FM.  相似文献   
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The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.  相似文献   
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Pigeons in a matching-to-sample experiment received (a) element samples (one of two colors or vertical or horizontal white lines), (b) separated compound samples (a color and a line element presented together), and (c) unified compound samples (vertical or horizontal colored lines). In Phase I, test stimuli were the two elements from one dimension; the dimension tested varied randomly when the sample was a compound. Element samples were matched better than unified samples, which were matched better than separated samples. In Phase II, two samples preceded the tests. On EC trials, the first sample (S1) was an element, and the second sample (S2) was a compound; on CE trials this order was reversed. One element of the compound sample was always the one appearing as the element sample on that trial (e.g., S1 = red, S2 = red-vertical). This element also served as the correct test alternative (e.g., test = red+ vs. green) except on probe trials when the correct test was the other element appearing in the compound (e.g., test = vertical+ vs. horizontal). Accuracy varied as a function of sample sequence when the compound was separated (EC greater than CE on nonprobe trials and CE greater than EC on prove trials). This pattern was not observed when the compound was unified. The data suggest that the element in EC trials served as a cue that increased processing of the cued dimension and decreased processing of the noncued dimension of separated compounds. However, both dimensions of unified compounds seem to have been processed regardless of cuing.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   
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This study examined the usefulness of an 8-week applied problem-solving training program. Specifically, the study examined (a) whether problem-solving training that emphasised self-management principles would be useful, (b) if the effects of training would persist over time, (c) whether an individual difference variable (problem-solving appraisal) would affect training outcomes, and (d) whether the cognitive responses of the subjects during the course of training were related to their problem-solving appraisal or the change process. Results indicated that problem solving training was effective at enhancing students’ problem-solving appraisal, and that the self-report changes were maintained at a 1 year follow-up. In particular, training seemed most useful for students who initially appraised their problem solving very negatively. Finally, the results suggested that the process-oriented cognitive responses were related to students' initial problem-solving self-appraisal as well as the impact of training. Implications of the results are discussed in terms of counselling interventions, problem solving training, the interpersonal influence process, and future research.  相似文献   
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Genetic issues are demanding more attention in the area of public health. Adoption agencies and policymakers are beginning to address these issues where they relate to the adoption process and to the many families involved in adoption in this country. Genetic counselors need to play an active role as both educators of and consultants for adoption professionals and the families with whom they work. To facilitate a partnership between genetics and adoption we have developed a workshop intended to educate adoption professionals about the lifelong implications of genetic conditions on the adoption triad.  相似文献   
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Navon's (1977) global precedence hypothesis was based primarily on the joint occurrence of two effects: a response time (RT) advantage for identifying global targets, and interference by global distractors on responding to local targets. Although the hypothesis has been questioned on the basis of experiments in which it has been shown that a local RT advantage and local interference can occur, it is still frequently assumed that these two effects are a valid measure of the order in which local and global levels of structure are processed. In the present experiment, this assumption was examined. Subjects identified target letters that occurred randomly at the global or local level in a divided-attention task. The visual angle subtended by the stimulus pattern was varied, a manipulation known to affect the relative speed of response to local- or global-level information. Local targets were identified faster than global targets at the larger visual angles, but there was no difference in RT at the smallest visual angle. Despite this change in RT advantage, the interference effect did not change as a function of the visual angle of the stimulus pattern. Moreover, global distractors interfered with responding to local targets but local targets had no effect on responding to global targets, which is exactly the opposite of the finding one would expect if RT advantage and interference reflected order of processing. These findings are not consistent with the assumption that RT advantage and interference reflect order of processing in a simple way.  相似文献   
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