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141.
Primary objective: To undertake a systematic review which aimed to locate, appraise and synthesise evidence to obtain a reliable overview of the clinical effectiveness, cost‐effectiveness and user perspectives regarding counselling in primary care. Main results: Evidence from 26 studies was presented as a narrative synthesis and demonstrated that counselling is effective in the short term, is as effective as CBT with typical heterogeneous primary care populations and more effective than routine primary care for the treatment of non‐specific generic psychological problems, anxiety and depression. Counselling may reduce levels of referrals to psychiatric services, but does not appear to reduce medication, the number of GP consultations or overall costs. Patients are highly satisfied with the counselling they have received in primary care and prefer counselling to medication for depression. Conclusions and implications for future research: This review demonstrates the value of counselling as a valid choice for primary care patients and as a broadly effective therapeutic intervention for a wide range of generic psychological conditions presenting in the primary care setting. More rigorous clinical and cost‐effectiveness trials are needed together with surveys of more typical users of primary care services. 相似文献
142.
We used 1997 International Social Survey Programme data from 14 countries to examine the relationship of job attribute preferences
to family responsibilities, employment, and paid work hours. Separate regression analyses for women and men examined whether
family responsibilities (marriage, children, spousal employment, and housework responsibility) predicted job attribute preferences.
Many family responsibilities were significant predictors of men's and women's extrinsic and intrinsic preferences. Family
responsibilities also predicted women's flexibility preferences. We next examined whether job attribute preferences were associated
with employment and weekly paid work hours when family responsibilities were controlled. Job attribute preferences showed
several significant relationships to women's and men's employment and several significant relationships to women's paid work
hours. 相似文献
143.
This is the first study to examine the independent, simultaneous, and relative roles of several factors—sex, relationship commitment, perceptions of the benefits vs. costs of cross-sex (vs. same-sex) friendships, gender role orientation, and sexism—in the number of cross-sex (vs. same-sex) friendships people have. The latter four constructs were independently found to predict participants’ proportions of cross-sex friendships. Furthermore, a model comprised of all five factors provided a very good fit to the data, explaining 35% of the variability in the degree to which the participants possessed cross-sex friendships. Perceptions regarding the general benefits of both same- and cross-sex friendships and cross-gender role orientation continued to explain proportion of cross-sex friendship when the other factors were controlled. 相似文献
144.
145.
Fetal alcohol syndrome and the developing socio-emotional brain 总被引:1,自引:0,他引:1
Niccols A 《Brain and cognition》2007,65(1):135-142
Fetal alcohol syndrome (FAS) is currently recognized as the most common known cause of mental retardation, affecting from 1 to 7 per 1000 live-born infants. Individuals with FAS suffer from changes in brain structure, cognitive impairments, and behavior problems. Researchers investigating neuropsychological functioning have identified deficits in learning, memory, executive functioning, hyperactivity, impulsivity, and poor communication and social skills in individuals with FAS and fetal alcohol effects (FAE). Investigators using autopsy and brain imaging methods have identified microcephaly and structural abnormalities in various regions of the brain (including the basal ganglia, corpus callosum, cerebellum, and hippocampus) that may account for the neuropsychological deficits. Results of studies using newer brain imaging and analytic techniques have indicated specific alterations (i.e., displacements in the corpus callosum, increased gray matter density in the perisylvian regions, altered gray matter asymmetry, and disproportionate reductions in the frontal lobes) in the brains of individuals prenatally exposed to alcohol, and their relations with brain function. Future research, including using animal models, could help inform our knowledge of brain-behavior relations in the context of prenatal alcohol exposure, and assist with early identification and intervention. 相似文献
146.
Thomas M Piasecki Alison E Richardson Shawn M Smith 《Psychology of addictive behaviors》2007,21(3):328-337
College student smokers (N = 50) were asked to carry electronic diaries for 14 days and record smoking events (n = 1,139). They indicated why they were smoking each cigarette on a checklist of potential motives. Results suggest that a desire to reduce craving (62.8% of occasions) and habit/automatic processes (42.8%) were the most frequent motives. More dependent and daily smokers were especially likely to endorse smoking to reduce craving and for habit/automatic reasons and were less likely to cite coping with negative emotion as a reason for smoking. Dependent and daily smokers were more likely to endorse at least 1 dependence-like motive and were less likely to exclusively attribute smoking to nondependence motives. Self-monitored motives appeared valid, according with conceptually related states, activities, and events in the diary records. Diary-recorded motives were compared with smokers' responses to a retrospective motives questionnaire administered at baseline. The 2 assessment modes produced discrepant estimates of the most influential motivational processes. Questionnaire responses incompletely forecast conceptually similar diary-reported motives. Dependence and daily smoking showed a different pattern of associations with diary-based versus retrospective motives measures. 相似文献
147.
Babb DA Pemba L Seatlanyane P Charalambous S Churchyard GJ Grant AD 《Psychology, health & medicine》2007,12(3):314-320
As antiretroviral therapy (ART) becomes more available in African countries, the potential for interaction with traditional medicines becomes more important. We carried out a cross-sectional survey among individuals with moderate or advanced HIV disease attending a workplace clinic providing ART in South Africa to determine prevalence of traditional medicine use, source, recommended products and costs. Among 44 clinic attendees (100% male, median age 42 years, 30 taking ART), 37 (84%) reported ever using traditional medicines, 25 obtained from a healer or herbalist, eight from their own fields and four from a pharmacy. Fourteen of the 44 (32%) were currently using traditional medicines, most frequently African potato (9/14) and Aloe vera (3/14). Seven out of 30 persons taking ART (23%) reported currently using traditional medicines. Participants spent 4 - 27 pounds per month on traditional medicines. Traditional medicine use is common among individuals with moderate and advanced HIV disease. Concomitant use with ART has the potential for drug interactions and should be discussed routinely in ART counselling. Further work is warranted to investigate whether commonly used traditional medicines interact with ART in vivo. 相似文献
148.
Firestone A Turk-Browne NB Ryan JD 《Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition》2007,14(6):594-607
Previous studies demonstrating age-related impairments in recognition memory for faces are suggestive of underlying differences in face processing. To study these differences, we monitored eye movements while younger and older adults viewed younger and older faces. Compared to the younger group, older adults showed increased sampling of facial features, and more transitions. However, their scanning behavior was most similar to the younger group when looking at older faces. Moreover, while older adults exhibited worse recognition memory than younger adults overall, their memory was more accurate for older faces. These findings suggest that age-related differences in recognition memory for faces may be related to changes in scanning behavior, and that older adults may use social group status as a compensatory processing strategy. 相似文献
149.
Helinä Häkkänen Karl Ask Mark Kebbell Laurence Alison Pär Anders Granhag 《Applied cognitive psychology》2009,23(4):468-481
This study examined the effects of case‐specific facts and individual discomfort with ambiguity (DA) on investigators' beliefs concerning effective interviewing tactics for suspects. Violent crime investigators (n = 30) responded to a questionnaire including the Need for Closure Scale (NFCS) and ratings of the importance of 39 interrogation tactics in two hypothetical interrogations with a homicide suspect, where the evidence consisted of either technical evidence or soft information. Twenty tactics were analysed with a multidimensional scaling procedure which confirmed two discrete interviewing themes: humane and dominant. More tactics, both dominant and humane, were rated as important if the evidence was soft compared with technical. In the soft evidence condition, investigators who were high on DA rated both types of tactics as more important than did low‐DA investigators. In the technical evidence condition, no such difference emerged. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献
150.
It is widely held that hearers grasp an utterance's truth conditions by assigning contents to the linguistic expressions used, and combining these contents according to semantic composition rules. To preserve compositionality of truth-conditional content while accounting for context-sensitivity that is not traceable to overt linguistic form, semanticists posit covert linguistic structure. The strongest justification for this approach is the allegedly unconstrained nature of the alternative, whereby a process of 'free pragmatic enrichment' supplies constituents of content that are not traceable to (overt or covert) encoded meaning. This paper argues that free enrichment is tightly constrained by purely pragmatic factors, thus undermining the motivation for semantic compositionality. 相似文献