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Repetition of deliberate self-harm (DSH) is common. Some patients repeat multiple times. We have investigated the characteristics of repeaters, and mortality in three groups of DSH patients by repetition status. Data collected by the Oxford Monitoring System for Attempted Suicide were used to examine the pattern of repetition of DSH patients presenting to a general hospital between 1990 and 1997. Each patient was tracked through the monitoring system with regard to repetition. Patients traceable through National Death Registers were followed up until 2000 with respect to mortality. A total of 4,167 patients were studied of which 1,022 (24.5%) repeated at least once during follow-up. Using multinomial regression, past history of DSH was the variable most strongly associated with frequent (4+) and less frequent (1-3) repetitions. Risk of suicide was significantly increased in females with frequent repetition (7.7% dying by suicide), compared with both those with 1-3 repetitions (2.3%) and those not repeating (1.0%). The analyses were repeated for the 2,167 patients with no past history of DSH at their first presentation. Using multinomial regression, personality disorder was the only variable that was associated with 4+ repetitions compared with no repetitions, although a number of variables distinguished between patients with 1-3 repetitions and no repeat episodes. For clinicians assessing DSH patients, past history of DSH is the best predictor of infrequent and frequent repetition. In patients with no past history of DSH the presence of personality disorder increases the risk of frequent repetition of DSH.  相似文献   
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The relationship between working memory skills and performance on national curriculum assessments in English, mathematics and science was explored in groups of children aged 7 and 14 years. At 7 years, children's levels of attainment in both English and mathematics were significantly associated with working memory scores, and in particular with performance on complex span tasks. At 14 years, strong links persisted between the complex working memory test scores and attainments levels in both mathematics and science, although ability in the English assessments showed no strong association with working memory skill. The results suggest that the intellectual operations required in the curriculum areas of mathematics and science are constrained by the general capacity of working memory across the childhood years. However, whereas success in the acquisition in literacy (tapped by the English assessments at the youngest age) was also linked with working memory capacity, achievements in the higher‐level skills of comprehension and analysis of English literature assessed at 14 years were independent of working memory capacity. Copyright © 2003 John Wiley & Sons, Ltd.  相似文献   
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This study aimed to compare perspective-taking with a hypothetical target and perspective-taking occurring during a real interaction with an outgroup member in reducing prejudice toward people with disabilities and other groups (e.g., immigrants, homosexual people), via increased empathy. We adopted an experimental design with two treatment groups (Hypothetical target vs. Real target) and one control group (no intervention), one pretest and two posttest measures. Participants, who were 437 students aged 11–17 years (M = 14.28; SD = 1.17), were randomly assigned to the various conditions on a classroom basis. Perspective-taking was facilitated asking participants to travel in a wheelchair on a path that simulated a real pavement in the presence (or not) of an individual with a motor disability. Findings showed that perspective-taking in the presence of a real target was more effective in reducing prejudice toward people with disabilities than perspective-taking task without encountering an outgroup member. Perspective-taking with a hypothetical target was not sufficient to increase participants' empathy toward people with disabilities, which instead was enhanced when the task was performed at the presence of a real member of that group. Positive effects produced by perspective-taking (with both a hypothetical and a real target) were transferred to immigrants and homosexuals. These findings suggest that, when possible, perspective-taking in the presence of the target, which can improve empathy by favoring a two-way exchange process, is highly recommended to improve attitudes toward different stigmatized groups, not necessarily targeted by the intervention.  相似文献   
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Involvement in organized sport can be highly demanding for young athletes who encounter many difficult situations and stressors. This can be exacerbated among youth athletes who have been recruited into talent-identification youth sport programs. Given that there are a range of negative consequences that can result when talent-identified (TI) youth athletes are unable to cope with the stressors they encounter, additional support is therefore necessary. Parents are uniquely situated to assist in this regard, but they are not always equipped to provide optimal levels of support. Therefore, the aim of this study was to understand the experiences of being a TI youth athlete and present the findings as “lessons” for parents seeking to enhance their involvement in TI youth sport settings. This article reports on qualitative data collected from the 1st year of a 3-year longitudinal study involving TI youth athletes from South Australia. Fifty male athletes (M age = 14.6 years) participated in focus groups to hear their experiences of being a TI youth athlete and understand what difficulties they want their parents to know. From the thematic analysis, 3 major themes were identified from the focus groups with TI youth athletes: (a) difficulties with being talented, (b) negotiating the future, and (c) playing for improvement. From the findings, a number of lessons for parents and youth sport organizations are offered to assist the transmission of knowledge to an applied setting.  相似文献   
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Journal of Psychopathology and Behavioral Assessment - Distress tolerance represents the capacity to bear and manage negative psychological states associated with distress. Low distress tolerance...  相似文献   
37.

Objective

Feasibility, acceptability, and efficacy of a Dialectical Behavioral Therapy (DBT) -based method developed in Germany were evaluated in a Swedish outpatient psychiatric context.

Method

Fifty-one adults with ADHD on stable medical treatment or on no medication were randomized to the DBT-based skills training (n = 26) or a parallel loosely structured discussion group (n = 25). Self-rating scales were administered before randomization and after the treatment.

Results

Feasibility and participant satisfaction were good in both groups while skills training was perceived as more logical and effective for ADHD-related problems. The analyses of the individuals who completed the treatment and remained stable with regard to medication (n = 19 in skills training; n = 18 in control group) showed a significant reduction in ADHD symptoms in the skills training group, but not in the control group. No reduction of comorbidity was observed in any of the groups.

Conclusions

The treatment was feasible in an outpatient psychiatric context, well tolerated, and significantly reduced ADHD symptoms in on-treatment individuals who remained stable regarding medication status.  相似文献   
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A sophisticated and flexible understanding of the equals sign (=) is important for arithmetic competence and for learning further mathematics, particularly algebra. Research has identified two common conceptions held by children: the equals sign as an operator and the equals sign as signaling the same value on both sides of the equation. We argue here that, in addition to these two conceptions, the notion of substitution is also an important part of a sophisticated understanding of mathematical equivalence. We provide evidence from a cross-cultural study in which English and Chinese children were asked to rate the "cleverness" of operational, sameness, and substitutive definitions of the equals sign. A principal components analysis revealed that the substitutive items were distinct from the sameness items. Furthermore, Chinese children rated the substitutive items as 'sort of clever' or 'very clever', whereas English children rated them as not so clever, suggesting that the notion of substitution develops differently across the two countries. Implications for developmental models of children's understanding of equivalence are discussed.  相似文献   
40.
The birth of a first child can be stressful on intimate partner relationships and the women having their first child. Conflict can occur, and hurts might be experienced, which could lead to post-partum depression. Thus, capacity for forgiveness with specific hurts might affect post-partum depression. We investigated women having their first child (N?=?52), and examined whether dyadic adjustment, trait forgiveness, and situational forgiving during pregnancy predicted postpartum depression. This study found that marital forgiveness predicted lower levels of depression above and beyond the effects of general dyadic adjustment. Dyadic adjustment and trait forgiveness predicted postpartum depression while situational forgiving was mixed. Postpartum depression researchers are encouraged to consider the inclusion of positive psychology variables, such as forgiveness, in future research studies.  相似文献   
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