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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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Carol VanZile-Tamsen Maria Testa Lisa L Harlow Jennifer A Livingston 《Health psychology》2006,25(2):249-254
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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Visual acuity for the detection of gratings at four orientations was measured for groups of ten boys and ten girls aged five to seven years, from the following four populations: Scots in Glasgow, Pakistanis in Glasgow, Gaels in Stornoway (Outer Hebrides) and East Anglians in Littleport (Cambridgeshire fenlands). The Glaswegians, both Scottish and Pakistani, showed the normal pattern of anisotropy, with poorest acuity for oblique orientations; the East Anglians showed no significant anisotropy; while the Gaels were unusual in showing poorest horizontal acuity. A group of fourteen Pakistani children in Stornoway differed slightly from a matched group of Gaels. The group differences bore little relation to the visual environments, and were probably due to genetic or cultural factors. The relatively poor horizontal acuity of the Gaels was not correlated with astigmatism. Sex differences were also found, with the boys showing higher mean acuity and a higher ratio between vertical and oblique acuity. 相似文献
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The nature of visually guided locomotion was examined in an experiment where subjects had to walk to targets under various conditions. Target distance was manipulated so that subjects had to (a) lengthen their paces in order to hit the target; (b) shorten their paces; (c) make no adjustments to their standard pace length at all. They did this under four visual conditions: (a) normal vision; (b) with vision restricted to a "snapshot" each time the foot that was to be placed on the target was on the ground; (c) with a snapshot each time the foot to be placed was in the swing phase; and (d) no vision after departure fro the target. The results show that the subjects succeed in reaching the target in most cases. However, the smoothness and fluidity of their movements vary significantly between conditions. Under normal vision or where visual snapshots are delivered when the pointing foot is on the ground, locomotion is smoothly regulated as the subjects approach the target. where snapshots are delivered when the pointing foot is in the swing phase, regulation becomes clumsy and ill coordinated. Where no vision is available at all during the approach, adjustments are made, but these are least coordinated of all. The results show that well-coordinated visual regulation does not require continuous visual guidance but depends on intermittent information being available at the appropriate times in the action sequence. Such timing is often more important than the total amount of information that is available for guidance. 相似文献
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