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291.
Life events as predictors of mania and depression in bipolar I disorder   总被引:1,自引:0,他引:1  
To date, few prospective studies of life events and bipolar disorder are available, and even fewer have separately examined the role of life events in depression and mania. The goal of this study was to prospectively examine the role of negative and goal-attainment life events as predictors of the course of bipolar disorder. One hundred twenty-five individuals with bipolar I disorder were interviewed monthly for an average of 27 months. Negative and goal-attainment life events were assessed with the Life Events and Difficulties Schedule. Changes in symptoms were evaluated using the Modified Hamilton Rating Scale for Depression and the Bech-Rafaelsen Mania Scale. The clearest results were obtained for goal-attainment life events, which predicted increases in manic symptoms over time. Negative life events predicted increases in depressive symptoms within regression models but were not predictive within multilevel modeling of changes in depressive symptoms. Given different patterns for goal attainment and negative life events, it appears important to consider specific forms of life events in models of bipolar disorder.  相似文献   
292.
In this randomized controlled trial, 108 women with binge-eating disorder (BED) recruited from the community were assigned to either an adapted motivational interviewing (AMI) group (1 individual AMI session + self-help handbook) or control group (handbook only). They were phoned 4, 8, and 16 weeks following the initial session to assess binge eating and associated symptoms (depression, self-esteem, quality of life). Postintervention, the AMI group participants were more confident than those in the control group in their ability to change binge eating. Although both groups reported improved binge eating, mood, self-esteem, and general quality of life 16 weeks following the intervention, the AMI group improved to a greater extent. A greater proportion of women in the AMI group abstained from binge eating (27.8% vs. 11.1%) and no longer met the binge frequency criterion of the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; American Psychiatric Association, 2000) for BED (87.0% vs. 57.4%). AMI may constitute a brief, effective intervention for BED and associated symptoms.  相似文献   
293.
As part of a longitudinal study, the Cognitive Triad Inventory for Children (CTI-C; N. J. Kaslow, K. D. Stark, B. Printz, R. Livingston, & S. L. Tsai, 1992) as well as other measures of cognitive style and depressive symptoms were administered annually to 3 cohorts of children starting in Grades 2, 4, and 6. Developmentally based analyses revealed 4 things: (a) The factor structure of the CTI-C changed over the course of middle childhood and then stabilized in early adolescence; (b) the CTI-C correlated significantly with measures of depression, self-perceived competence, self-worth, perceived controllability, and perceived contingency, but not with measures of attributional style; (c) 1-year stability correlations increased substantially from Grade 2 to Grade 8; and (d) the CTI-C did not generally predict self-reported depressive symptoms 1 year later. Implications emerge regarding developmental changes in the structure of children's depressive cognitions.  相似文献   
294.
Substantial research effort has recently focused on the potential protective effect of cognitively demanding activities on cognitive decline in late life. A significant methodological issue in this effort has been the lack of consistency in approaches to the operational measurement of cognitive activity. In this study, data in support of the reliability and construct validity of the recently developed Florida Cognitive Activities Scale (FCAS) in a sample of 223 African American older adults are provided. Consistent with the findings of the Schinka et al. study using a sample of Whites, the FCAS full scale showed a reasonably high level of internal consistency, small negative correlations with age and a measure of depressive symptomatology, and moderate positive correlations with years of education and neuropsychological measures of overall cognitive functioning, memory, and executive functioning. Even after controlling for the effects of age, education, and gender, the full scale score contributed significantly to the prediction of global cognitive functioning. The results of this study suggest that the FCAS is a reliable and valid measure of cognitive activities in older African Americans and provides additional, although not causative, evidence in support of the hypothesis of a protective effect of cognitive activity against cognitive decline regardless of ethnicity or race.  相似文献   
295.
The present study examined prevalence of lack of a close confidant in a medically underserved primary care sample, and evaluated demographic, medical, and psychological correlates of patients' deficits in close, personal contact. Adult patients (n = 413) reported on confidant status and symptoms of depression and anxiety. Sociodemographic and medical information were obtained through chart review. One-quarter of patients endorsed lack of a close confidant. Past month anxiety and depression symptoms, but not medical status, were associated with unmet socioemotional needs. Implications for primary healthcare interventions are discussed.  相似文献   
296.
When mobile organisms are spatially disoriented, for instance by rapid repetitive movement, they must re-establish orientation. Past research has shown that the geometry of enclosing spaces is consistently used for reorientation by a wide variety of species, but that non-geometric features are not always used. Based on these findings, some investigators have postulated a species-universal 'geometric module' that is transcended by the acquisition of spatial language at 6 years. This conclusion has been challenged, however, by findings that children as young as 18 months actually do use features to reorient in larger enclosures than those used in the original experiments. The reason for the room size effect is explored here in five experiments. Collectively, the data on age at which features are first used point to the importance of both restriction of movement in the small space and the fact that features are closer in the small space. In addition, success is seen at younger ages when the target object is adjacent to the feature. These results favor an adaptive combination model of spatial reorientation over a 'module-plus-language' view.  相似文献   
297.
A quantitative analysis of broadcasted violence by the main television (TV) channels transmitting for Madrid (Spain) was carried out using a novel method that randomly selects fragments of delimited duration from TV broadcasts. The device selects acts of aggression shown in those TV extracts, and classifies them according to their type. There was a high incidence of aggressive acts, especially physical (particularly leading to death), in TV fiction: films, serials and promos. The device also allowed examination of the prominence of aggression in children's programs, as well as showing minimal variation in the number of aggressive acts over screened time intervals. The pattern of the collected data suggests that the broadcasting of violence on TV emphasizes the conflicting elements of social reality, reproducing it in fiction, news reports and children's shows. Aggr. Behav. 32:137–145. 2006. © 2006 Wiley‐Liss, Inc.  相似文献   
298.
Amy Kiefer  Margaret Shih 《Sex roles》2006,54(11-12):859-868
The present research was designed to examine the effects of gender math stereotypes on performance attributions and persistence. Two experiments tested whether stereotypes guided men’s and women’s reactions to negative or positive feedback on an alleged test of verbal or math ability. In Study 1, attributions to ability were influenced by gender stereotypes: women were more sensitive to feedback on a test that was described as a test of their math ability than when the same test was described as a test of their verbal ability, whereas men showed the opposite pattern. Study 2 replicated these findings for negative feedback and further showed that gender differences in attributions to ability mediated the gender difference in persistence in the math domain following an alleged failure on a math test. The implications of stereotype-consistent attributions for women’s persistence in quantitative fields are discussed.  相似文献   
299.
In a 2‐phase study with a total of 392 participants, depressive symptoms mediated the association between disordered eating and lower problem‐solving confidence and an avoidance problem‐solving style. Depressive symptoms did not mediate the association between the ability to generate competent solutions to hypothetical stressful situations and disordered eating. Depressive symptoms appeared to influence responses to problem‐solving inventories/coping checklists but had less of an influence on open‐ended problem‐solving measures.  相似文献   
300.
Adverse sequelae of prenatal alcohol exposure include executive function and social skills impairments, although these two domains have not been empirically linked in alcohol-exposed individuals. This study investigated this relationship using the BRIEF and the SSRS in 98 children aged 6 to 11 years. Executive functions explained a significant percentage of variance in parent and teacher rated social skills. No differences were found among children with diagnoses of FAS, partial FAS, or alcohol-related neurodevelopmental disorder. It may be helpful to consider executive functioning in designing social skills interventions for alcohol-exposed children whether or not they have full FAS.  相似文献   
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