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651.
Intervening with depressed women during their childbearing years, especially with those on low incomes, is critically important.
Not only do mothers and expectant mothers suffer unnecessarily, but their untreated depression has critical negative consequences
for their families. Despite this, these women have proven especially difficult to engage in psychotherapy. In this paper we
describe several adaptations and additions we have made to a brief form of Interpersonal Psychotherapy (IPT) to meet the needs
of mothers and expectant mothers living on low incomes in the community who suffer from depression, but face significant practical,
psychological, and cultural barriers to engaging in and staying in treatment. In addition, we present some preliminary data
on the extent to which our enhanced, brief IPT approach promotes improvements in treatment engagement and retention relative
to usual care for expectant mothers on low incomes. 相似文献
652.
653.
The psychometric properties of Scheier and Carver's 1985 Life Orientation Test (LOT), which is a measure of optimism, were examined as part of a study of education, training, work experience, and expectations of sentenced adult prisoners in Western Australia. All prisoners at five metropolitan public prisons were invited to participate and 453 accepted. This represented a response rate overall of about 41%, with response rates at each of the individual prisons ranging from 13% to 90%. The average age of the prisoner sample was 34.4 yr. (SD = 10.2 yr.). The proportion of men in the sample was 79.7%. Mean sentence length was 66.9 mo. (58.5 for women and 69.2 for men), and the number of months of sentence remaining averaged 44.4 mo. (41.0 for women and 45.3 for men). Means and standard deviations of the LOT scores for prisoners were similar to those of other groups, and demographic differences between prisoners were not statistically significantly related to scores. The internal reliability of the LOT scores was acceptable. Confirmatory factor analyses indicated that the two-factor item-keying model fitted the prisoner data better than a one-factor model. However, the two factors did not simply reflect underlying optimism and pessimism constructs but were substantially affected by item keying. 相似文献
654.
Exposure and ritual prevention (EX/RP) is an efficacious treatment for obsessive-compulsive disorder (OCD), but high dropout rates and variable treatment adherence limit its effectiveness. Motivational interviewing (MI) has shown promise as an adjunct to symptom-focused treatments for improving treatment adherence and outcomes. The authors developed a manual integrating MI with EX/RP, consisting of three information-gathering/motivational enhancement sessions and 15 EX/RP sessions with an optional MI module to be used as needed. Six patients with moderate to severe OCD symptoms (Yale-Brown Obsessive Compulsive Scale [Y-BOCS] score> or =16) underwent treatment. Five showed a decrease in their baseline Y-BOCS scores and an increase in their quality of life, with three achieving an excellent response (i.e. Y-BOCS< or =12 at Session 18). The authors briefly describe the motivational strategies used in the six cases and suggest that integrating MI with standard EX/RP is a promising method to increase and sustain patient engagement with EX/RP. Challenges in combining these treatments and maintaining the integrity of each as well as limitations of the study are discussed. 相似文献
655.
We examined the affective consequences of everyday attention lapses and memory failures. Significant associations were found between self-report measures of attention lapses (MAAS-LO), attention-related cognitive errors (ARCES), and memory failures (MFS), on the one hand, and boredom (BPS) and depression (BDI-II), on the other. Regression analyses confirmed previous findings that the ARCES partially mediates the relation between the MAAS-LO and MFS. Further regression analyses also indicated that the association between the ARCES and BPS was entirely accounted for by the MAAS-LO and MFS, as was that between the ARCES and BDI-II. Structural modeling revealed the associations to be optimally explained by the MAAS-LO and MFS influencing the BPS and BDI-II, contrary to current conceptions of attention and memory problems as consequences of affective dysfunction. A lack of conscious awareness of one's actions, signaled by the propensity to experience brief lapses of attention and related memory failures, is thus seen as having significant consequences in terms of long-term affective well-being. 相似文献
656.
Is there a specific neurocognitive system underlying the subjective sense of having a unitary continuous self across time? If so, it should be possible to isolate functions involved in the sense of self from those supporting mental activities that the self is currently engaged in. We report a study of real-time noninvasive recordings of the brain's electrical activity (event-related potentials, ERPs). We found a common neural signature that is associated with self-referential processing regardless of whether subjects are retrieving general knowledge (noetic awareness) or reexperiencing past episodes (autonoetic awareness). These ERP data are consistent with models of autobiographical memory that postulate a single locus of control over explicit memory for various kinds of self-related information. The temporal properties and scalp distribution of this novel self-reference ERP effect also suggest that it may be a neurophysiological correlate of self-related activation in medial prefrontal and parietal neocortical circuits identified in functional magnetic resonance imaging experiments. 相似文献
657.
Emotional arousal is believed to enhance memory for details central to an episode but impair memory for peripheral details. However, new research suggests that arousal induced thematically (i.e., through involvement with an unfolding event) produces only memory enhancements. This article examines whether consciously controlled elaborative processing in the aftermath of an arousing experience is responsible. A dual task manipulation was used to prevent participants from ruminating over a video that depicted an abduction and attack. Several indices of recall showed greater memory for emotional event details than for details from a neutral control video, which remained the case when the opportunity for post-stimulus elaboration was prevented. Thus, superior retention of the content of emotional experiences may arise from the way in which arousal is induced rather than through immediate postevent cognitions. 相似文献
658.
Crump MJ Hannah SD Allan LG Hord LK 《Quarterly journal of experimental psychology (2006)》2007,60(6):753-761
The present research was conducted to establish the validity of a novel procedure for measuring human contingency judgements aimed at shortening the length of conventional procedures. Cues and outcomes were simple geometric shapes that were presented in a rapid streaming fashion, reducing the length of a block of trials from several minutes to a few seconds. We establish the reliability of the procedure by replicating two central findings in the contingency judgement literature, and we elaborate on the importance of this method for future research. 相似文献
659.
660.
Susanna Siegel 《Australasian journal of philosophy》2013,91(3):429-430
I argue that there are phenomenological constraints on what it is to see an object, and that these are overlooked by some theories that offer allegedly sufficient causal and counterfactual conditions on object-seeing. 相似文献