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Applied Research in Quality of Life - Maintaining health and well-being in later life is becoming increasingly crucial because of rapid population aging and prolonged years in retirement.... 相似文献
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Abhijit Patwardhan Joyce Evans Eugene Bruce Charles Knapp 《Integrative psychological & behavioral science》2001,36(2):109-120
Respiration influences heart rate variability, leading to the suggestion that respiration should be controlled to assess autonomic
function by using heart rate variability. Clearly, control of respiration is advantageous or even essential in several experimental
circumstances. However, control of respiration, by itself, produces a small, but significant, increase in mean heart rate
and a decrease in respiratory synchronous variation in heart rate. We tested whether, in some experimental situations, it
may be possible to arrive at similar interpretation about autonomic function with and without using control of respiratory
rate. heart rate spectral powers from nine subjects were compared between spontaneous and metronomic breathing during two
sympatho-excitatory stresses, lower body negative pressure (LBNP) and head up tilt (HUT). The normalized spectral powers in
supine and HUT during spontaneous breathing were: 0.43 and 0.75 in very low (VLF) and 0.28 and 0.09 in high frequency (HF)
regions. The powers during metronomic breathing were: 0.36 and 0.82 (VLF) and 0.36 and 0.09 (HF). The powers in supine and
LBNP during spontaneous breathing were: 0.43 and 0.81 (VLF) and 0.28 and 0.06 (HF). The powers during metronomic breathing
were: 0.36 and 0.80 (VLF) and 0.36 and 0.07 (HF). All p values were <0.05. Therefore, changes in heart rate spectral powers
during HUT and LBNP were similar during metronomic breathing and spontaneous breathing. These results suggest that in experimental
designs such as in our study, using metronomic breathing may not provide any additional insight into autonomic function than
that can be obtained during spontaneous breathing. 相似文献
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ABSTRACT A case study at Okutama-Kohan Park in Japan was designed to explore adult participants’ preferences for interpretive programs. The study included adults who participated in an interpreter-led program in the park. A questionnaire survey with 492 participants examined their preferences for interpretive program types, topics, timing, and types of social interaction during a program. The associations between participants’ preferences and their age, gender, or group composition were also explored. Designing programs that are consistent with these preferences should help to enhance free-choice adult learning environments. 相似文献
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Kashdan TB Frueh BC Knapp RG Hebert R Magruder KM 《Behaviour research and therapy》2006,44(2):233-247
To examine the prevalence and correlates of social anxiety disorder (SAD) in veterans, 733 veterans from four VA primary care clinics were evaluated using self-report questionnaires, telephone interviews, and a 12-month retrospective review of primary care charts. We also tested the concordance between primary care providers’ detection of anxiety problems and diagnoses of SAD from psychiatric interviews. For the multi-site sample, 3.6% met criteria for SAD. A greater rate of SAD was found in veterans with than without post-traumatic stress disorder (PTSD) (22.0% vs. 1.1%), and primary care providers detected anxiety problems in only 58% of veterans with SAD. The elevated rate of comorbid psychiatric diagnoses and suicidal risk associated with SAD was not attributable to PTSD symptom severity. Moreover, even after controlling for the presence of major depressive disorder, SAD retained unique, adverse effects on PTSD diagnoses and severity, the presence of other psychiatric conditions, and suicidal risk. These results attest to strong relations between SAD and PTSD, the inadequate recognition of SAD in primary care settings, and the significant distress and impairment associated with SAD in veterans. 相似文献
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Acuff C Bennett BE Bricklin PM Canter MB Knapp SJ Moldawsky S Phelps R 《Professional psychology, research and practice》1999,30(6):563-575
How does one maintain an ethical practice while facing the requirements and limits of a health care system that is dominated by managed care? Psychologists are increasingly raising such questions about ethical issues when working in or contracting with managed care organizations. The authors review the process involved in ethical decision making and problem solving and focus on 4 areas in which ethical dilemmas most commonly arise in a managed care context: informed consent, confidentiality, abandonment, and utilization management-utilization review. The need for sustained and organized advocacy efforts to ensure patient access to quality health care is discussed, as is the impact of managed care's competitive marketplace on professional relationships. Hypothetical examples of typical dilemmas psychologists face in the current practice environment are provided to illustrate systematic ethical decision making. 相似文献
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