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James A. Naifeh PhD Matthew K. Nock PhD Robert J. Ursano MD Patti L. Vegella MS Pablo A. Aliaga MS Carol S. Fullerton PhD Ronald C. Kessler PhD Christina L. Wryter BA Steven G. Heeringa PhD Murray B. Stein MD MPH the Army STARRS Collaborators 《Suicide & life-threatening behavior》2017,47(5):589-602
This prospective cohort study used administrative data from the Army Study to Assess Risk and Resilience in Servicemembers to examine associations between neurocognitive functioning and subsequent suicidal events among Regular Army enlisted soldiers during the years 2004–2009. Cases were all soldiers who completed the Army's Automated Neuropsychological Assessment Metrics (ANAM) computerized testing battery prior to documented suicide attempt (n = 607), ideation (n = 955), or death (n = 57). Controls were an equal‐probability sample of 9,893 person‐months from other soldiers. Exploratory factor analysis of five ANAM tests identified a general neurocognitive factor that excluded the mathematic processing test (MTH). When examined separately in logistic regression analyses that controlled for sociodemographics and prior mental health diagnosis, both the general neurocognitive factor (logit [β] = ?.197 to ?.521; p < .01) and MTH (β = ?.024 to ?.064; p < .05) were associated with all outcomes. When both predictors were examined simultaneously, the general neurocognitive factor continued to be associated with all outcomes (β = ?.164 to ?.417; p < .05) and MTH continued to be associated with suicide attempt (β = ?.015; p = .046) and ideation (β = ?.014; p = .018). These small but robust associations suggest that future research must continue to examine the extent to which objective neurocognitive tests may enhance understanding and prediction of suicide risk. 相似文献
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Due to the benefits of voice and creativity on organizations’ effectiveness, scholars have tried to understand the reasons why employees engage in voice and creativity and determine the antecedents of these behaviors, including the role of personality. Previous literature, however, has shown inconsistent results about the effect of personality on voice and creativity. Addressing these inconsistencies, the authors use a meta-analytic approach to examine these relationships and to test potential boundary conditions that might exist in these relationships. This study also seeks to provide empirical support for the previous theoretical claims of similarity between voice and creativity. Clarifying these points, the results of this meta-analysis showed that Openness to Experience, Extraversion, and Conscientiousness are good predictors of creativity and voice. The findings also reveal similar directions and magnitudes of effects sizes in most of the relationships between the Big Five, voice, and creativity, which appears to support the similarities between voice and creativity. The moderation results provide further information about the role of gender differences, the sample type (student/employee sample), and the source of rating (self/other reporting) in these relationships. 相似文献
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Psychological distress,help‐seeking,and perceived barriers to psychological treatment among Australian parents 下载免费PDF全文
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Kelly C. Berg Carol B. Peterson Patricia Frazier 《Journal of counseling and development : JCD》2012,90(3):262-269
Despite the prevalence of and risk associated with disordered eating, there are few guidelines for counselors on how to conduct an eating disorder assessment. Given the importance of the clinical interview, the purpose of this article is to provide recommendations for the assessment and diagnosis of eating disorders that (a) specifically focus on assessment in the context of a clinical interview and (b) can be used by counselors whether or not they specialize in eating disorder treatment. 相似文献
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Christianson CA Powell KP Hahn SE Blanton SH Bogacik J Henrich VC;Genomedical Connection 《Journal of genetic counseling》2012,21(5):652-661
Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and "just-in-time" educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up. 相似文献
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Carol Jonas 《Médecine & Droit》2012,2012(117):179-181
Following a referral by a patient organization, the Constitutional Council gave on 20th April 2012 a decision on the law without consent of hospitalizations for mental patients. Four sections of the Act were examined. This results in one hand that ambulatory care is now supervised by a plan of care (POC) is constitutional. However, sections that provided a more rigorous regime for certain categories of patients deemed more dangerous than others are too vague. Lawmakers need to reform this part of the law before 1st October 2013. 相似文献