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851.
Patient and Partner Quality of Life and Psychosocial Adjustment Following Radical Prostatectomy 总被引:2,自引:0,他引:2
Andrea A. Thornton Martin A. Perez Beth E. Meyerowitz 《Journal of clinical psychology in medical settings》2004,11(1):15-30
We prospectively examined differences in quality of life and psychosocial adjustment in 80 prostate cancer patients and their partners (n = 65) beginning before radical prostatectomy and proceeding across the first year postsurgery. Both members of the couple experienced significant changes associated with the patient's cancer, however their experiences differed in some regards. Patients experienced reprieve from emotional distress and negative affect immediately following surgery despite worsened physical functioning. Partner quality of life and psychosocial adjustment scores were generally more constant from presurgery to postsurgery, with improvements noted 1 year later. For both patients and partners, cancer-specific stress symptoms declined progressively over the year. We also obtained partial support for the effectiveness of a single-session communication intervention on patient social/family wellbeing and partner general stress. Findings have implications for patient and partner adjustment following radical prostatectomy, and attest to the importance of incorporating partner evaluations into psychosocial oncology research. 相似文献
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Leonard Bickman Catherine M. Smith E. Warren Lambert Ana Regina Andrade 《Journal of child and family studies》2003,12(2):135-156
In order to determine whether expenditures for mental health could be reduced and quality improved, Congress mandated that the Department of Defense conduct a demonstration project utilizing a wraparound mental health service system for child and adolescent military dependents. A longitudinal quasiexperimental design was used to evaluate the cost-effectiveness of the demonstration. The results showed that children in the Wraparound Group received more wraparound services than those in the treatment as usual (TAU) Comparison Group. These services included case management, in-home treatment, and other nontraditional services. The Demonstration also provided better continuity of care. Multiple methods were used to investigate the impact of wraparound. Both groups showed some improvement on some measures but there were no differences between the groups in functioning, symptoms, life satisfaction, positive functioning, or sentinel events. Regardless of which statistical model was used to estimate costs, the Demonstration was also more expensive. The higher level of expenditures for the Wraparound group was a result of some expensive traditional care and the addition of nontraditional services. Several possible explanations of these results are provided. 相似文献
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Ana‐Maria Bliuc Tuyet‐Ngan Doan David Best 《Journal of community & applied social psychology》2019,29(2):121-132
In the context of addiction research, positive recovery outcomes are affected by the quality of people's social interactions and perhaps to an even greater extent, by the defining norms of the groups they identify with—that is, using versus recovery groups. Here, we examine the role of online supportive networks in the process of recovery from alcohol addiction. We analyse the relationship between negative and positive aspects of recovery capital (i.e., self‐stigma, and respectively, positive recovery identity and self‐efficacy) as they relate to well‐being outcomes among alcohol users in an online recovery support group. Based on a computerised linguistic analysis of the naturally occurring data extracted from an online recovery support group (i.e., 257 posts made by 237 group members), we found that self‐stigma negatively predicts self‐efficacy and well‐being, and social identification with a recovery identity mediates these relationships. Overall, these findings highlight that positive engagement with supportive recovery networks is central to an effective and sustainable recovery. 相似文献
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Maria Jesús Blasco Gemma Vilagut Jos Almenara Miquel Roca Jos Antonio Piqueras Andrea Gabilondo Carolina Lagares Victoria Soto‐Sanz Itxaso Alayo Carlos G. Forero Enrique Echeburúa Margalida Gili Ana Isabel Cebri Ronny Bruffaerts Randy P. Auerbach Matthew K. Nock Ronald C. Kessler Jordi Alonso 《Suicide & life-threatening behavior》2019,49(3):881-898
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