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191.
Wade CH Shiloh S Woolford SW Roberts JS Alford SH Marteau TM Biesecker BB 《Psychology & health》2012,27(4):430-444
New genetic tests reveal risks for multiple conditions simultaneously, although little is understood about the psychological factors that affect testing uptake. We assessed a conceptual model called the multiplex genetic testing model (MGTM) using structural equation modelling. The MGTM delineates worry, perceived severity, perceived risk, response efficacy and attitudes towards testing as predictors of intentions and behaviour. Participants were 270 healthy insured adults aged 25-40 from the Multiplex Initiative conducted within a health care system in Detroit, MI, USA. Participants were offered a genetic test that assessed risk for eight common health conditions. Confirmatory factor analysis revealed that worry, perceived risk and severity clustered into two disease domains: cancer or metabolic conditions. Only perceived severity of metabolic conditions was correlated with general response efficacy (β?=?0.13, p<0.05), which predicted general attitudes towards testing (β?=?0.24, p<0.01). Consistent with our hypothesised model, attitudes towards testing were the strongest predictors of intentions to undergo testing (β?=?0.49, p<0.01), which in turn predicted testing uptake (OR 17.7, β?=?0.97, p<0.01). The MGTM explained a striking 48% of the variance in intentions and 94% of the variation in uptake. These findings support use of the MGTM to explain psychological predictors of testing for multiple health conditions. 相似文献
192.
Jessica L. Waxler Kelsey E. O’Brien Linda M. Delahanty James B. Meigs Jose C. Florez Elyse R. Park Barbara R. Pober Richard W. Grant 《Journal of genetic counseling》2012,21(5):684-691
Advances in genetic epidemiology have increased understanding of common, polygenic preventable diseases such as type 2 diabetes. As genetic risk testing based on this knowledge moves into clinical practice, we propose that genetic counselors will need to expand their roles and adapt traditional counseling techniques for this new patient set. In this paper, we present a genetic counseling intervention developed for a clinical trial [Genetic Counseling/Lifestyle Change for Diabetes Prevention, ClinicalTrials.gov identifier: NCT01034319] designed to motivate behavioral changes for diabetes prevention. Seventy-two phenotypically high-risk participants received counseling that included their diabetes genetic risk score, general education about diabetes risk factors, and encouragement to participate in a diabetes prevention program. Using two validated genetic counseling scales, participants reported favorable perceived control and satisfaction with the counseling session. Our intervention represents one model for applying traditional genetic counseling principles to risk testing for polygenetic, preventable diseases, such as type 2 diabetes. 相似文献
193.
Shannon Dorsey Barbara J. Burns Dannia G. Southerland Julia Revillion Cox H. Ryan Wagner Elizabeth M. Z. Farmer 《Journal of child and family studies》2012,21(5):816-824
Very little research has focused on rates of trauma exposure for youth in treatment foster care (TFC). Available research has utilized record review for assessing exposure, which presents limitations for the range of trauma types examined, as records are predominantly focused on abuse and neglect. The current study examines exposure rates and association with emotional and behavioral outcomes for 229 youth in 46 TFC agencies. The youth in this study had exceptionally high rates of trauma exposure by foster parent report, similar to youth in traditional foster care, with nearly half of the sample exposed to four or more types of traumatic events. A composite child abuse and neglect exposure variable was associated with child and adolescent emotional and behavioral outcomes. Implications for services provided as part of TFC are discussed. 相似文献
194.
Teri?Brister Mary?A.?CavaleriEmail author S.?Serene?Olin Sa?Shen Barbara?J.?Burns Kimberly?E.?Hoagwood 《Journal of child and family studies》2012,21(3):439-442
This brief report describes results from an evaluation of NAMI Basics, a peer-delivered family education program for family
caregivers of children and adolescents with mental illness. Over six classes, family members are given information (e.g. education
about mental illness and treatments), skills training (e.g. family communication skills) and advocacy support. We report data
from 36 caregivers who completed pre and posttest instruments measuring self-care, empowerment, and family problem-solving
and communication skills. Results showed significant improvements in self-care, empowerment, and “incendiary” family communication
after participation in the program. Results suggest that NAMI Basics may improve both parental functioning and familial processes.
Implications and future directions are discussed. 相似文献
195.
196.
McNicholas F Dooley B McNamara N Lennon R 《European eating disorders review : the journal of the Eating Disorders Association》2012,20(5):355-362
This paper considers the impact of pubertal status and pubertal timing on disordered eating in Irish adolescents. 1190 boys and 1841 girls completed the Eating Attitudes Test-26, the Eating Disorder Inventory-III and self-report measures of pubertal status and pubertal timing. Regarding pubertal status, greater maturity in girls was associated with increased overall eating concerns, higher drive for thinness and higher levels of body dissatisfaction. In boys, greater maturity was associated with lower drive for thinness and lower body dissatisfaction. Regarding pubertal timing, early-maturing girls showed the most eating concerns, the highest drive for thinness, scored highest on bulimic symptoms and were the most dissatisfied with their bodies. In contrast, late-maturing boys had more bulimic symptoms and more dissatisfaction with their bodies than on-time peers. The findings suggest that puberty itself is a risk factor for disordered eating for girls rather than boys; however, pubertal timing is a risk factor for both. Copyright ? 2012 John Wiley & Sons, Ltd and Eating Disorders Association. 相似文献
197.
We examined whether eight capuchins and eight chimpanzees were able to retrieve a reward placed inside a tube, of varying length, by selecting the correct stick from different sets of three sticks differing in length (functional feature) and handle (non-functional feature). Moreover, to investigate whether seeing the stick inside the tube (visual feedback) improves performance, half of the subjects were tested with a transparent apparatus and the other half with an opaque apparatus. Phase 1 included (a) Training 1 in which each stick had a different handle and (b) Transfer 1 in which the handles were switched among sticks, so that the functional tool had the same length but a different handle than before. The seven chimpanzees and one capuchin that passed Transfer 1 received Transfer 2. The other subjects received (a) Training 2, which used the same sticks from Phase 1 with handles switched in every trial, and (b) Transfer 2 in which the tube was longer, all sticks had the same new handle, and the formerly longest tool became intermediate in length. Eight chimpanzees and three capuchins passed Transfer 2. Results showed that (1) chimpanzees applied relational structures in tool using tasks more quickly than capuchins and (2) capuchins required more varied experience to attend to the functional feature of the tool. Interestingly, visual feedback did not improve performance in either species. 相似文献
198.
199.
Participants were presented with sentences mentioning an entity with a typical location in the upper or lower vertical space (e.g., roof vs. root). Sentences supported or reversed the typical location of the target entity. Sensibility judgments requiring upwards or downwards responses were faster when the response matched rather than mismatched the target entity's typical location. This compatibility effect was independent of whether the sentence context supported or reversed the target entity's typical location. The results, therefore, provide clear evidence for word-based but no evidence for sentence-based simulation processes. 相似文献
200.
Collishaw S Gardner F Maughan B Scott J Pickles A 《Journal of abnormal child psychology》2012,40(1):119-132
The coincidence of historical trends in youth antisocial behavior and change in family demographics has led to speculation
of a causal link, possibly mediated by declining quality of parenting and parent–child relationships. No study to date has
directly assessed whether and how parenting and parent–child relationships have changed. Two national samples of English adolescents
aged 16–17 years in 1986 (N = 4,524 adolescents, 7,120 parents) and 2006 (N = 716 adolescents, 734 parents) were compared using identical questionnaire assessments. Youth-reported parental monitoring,
expectations, and parent–child quality time increased between 1986 and 2006. Ratings of parental interest did not change.
Parenting differences between affluent and disadvantaged families narrowed over time. There was thus little evidence of a
decline in quality of parenting for the population as a whole or for disadvantaged subgroups. Parent-reported youth conduct
problems showed a modest increase between 1986 and 2006. Findings suggested that the increase in youth conduct problems was
largely unrelated to observed change in parent–child relationships. 相似文献