African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, Mage = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes. 相似文献
Jung’s final psychoid theory of archetypes was an additional attempt to find a solution to the philosophical problem of how to relate mind and matter. In the following essay Jung’s solution is summarized by a set of 17 theses, and Jung’s philosophy will be called psychoid monism. According to psychoid monism, what ultimately and primarily is, is the psycho-physically neutral domain of instinctual experience. The origin of this view can be traced back to Post-Kantian German Idealism (Schopenhauer, Schelling, Hölderlin), and a systematization of the view requires a dialectic approach and, in particular, contradiction-tolerant dialectic logic. 相似文献
American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention. 相似文献
This paper aims to motivate a scepticism about scepticism in contemporary epistemology. I present the sceptic with a dilemma: On one parsing of the BIV (brain-in-a-vat) scenario, the second premise in a closure-based sceptical argument will turn out false, because the scenario is refutable; on another parsing, the scenario collapses into incoherence, because the sceptic cannot even save the appearances. I discuss three different ways of cashing out the BIV scenario: ‘Recent Envatment’ (RE), ‘Lifelong Envatment’ (LE) and ‘Nothing But Envatment’ (NBE). I show that RE scenarios are a kind of ‘local’ sceptical scenario that does not pose a significant threat to the possibility of perceptual knowledge as such. I then go on to consider the more radical (or global) LE and NBE scenarios, which do undermine the possibility of perceptual knowledge of an ‘external’ world by positing that it is conceivable that one has always been envatted and, hence, trapped in a ‘global’ illusion. I start by assuming that we could be in such a scenario (LE or NBE) and then spell out what we would need to presuppose for such scenarios to be capable of being actual. Drawing on some central insights from Wittgenstein’s anti-private language considerations, I show that the truth of a global scepticism would presuppose the possibility of a private ‘vat-language’, a notion that cannot be rendered coherent. But, if so, then neither can the sceptical scenarios that presuppose such a conception.
Civic actions are behaviours intended to improve conditions for others or help shape a community's future. Such actions vary widely from voting to voluntary helping, from canvassing to community organizing, and attempts have been made to categorize the array of civic actions. However, the question of why young adults engage in some types of civic actions versus others is not well understood. Using data from 598 White, cisgender, heterosexual young adults in the United States, we examined the relations between individual civic efficacy, collective civic efficacy, and seven actions: writing social media posts, voting, buycotting, volunteering, participating in an organization, supporting political candidates, and protesting. We hypothesized that individual efficacy would be positively related to all seven actions, but collective efficacy would be more strongly related to collective or political actions, compared to the individual or civil ones. Logistic regression analyses showed that individual efficacy positively predicted engagement in all seven civic actions. Individual and collective efficacy had a complex curvilinear relation with buycotting and supporting political candidates. Implications for future research and applications aimed at promoting civic engagement amongst young adults are discussed. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement . 相似文献
Animal Cognition - Learning by observing others (i.e. social learning) is an important mechanism to reduce the costs of individual learning. Social learning can occur between conspecifics but also... 相似文献
In a recent article published in this journal, Yuan and Fang (British Journal of Mathematical and Statistical Psychology, 2023) suggest comparing structural equation modeling (SEM), also known as covariance-based SEM (CB-SEM), estimated by normal-distribution-based maximum likelihood (NML), to regression analysis with (weighted) composites estimated by least squares (LS) in terms of their signal-to-noise ratio (SNR). They summarize their findings in the statement that “[c]ontrary to the common belief that CB-SEM is the preferred method for the analysis of observational data, this article shows that regression analysis via weighted composites yields parameter estimates with much smaller standard errors, and thus corresponds to greater values of the [SNR].” In our commentary, we show that Yuan and Fang have made several incorrect assumptions and claims. Consequently, we recommend that empirical researchers not base their methodological choice regarding CB-SEM and regression analysis with composites on the findings of Yuan and Fang as these findings are premature and require further research. 相似文献
This article contains the principal ideas that I presented in four different sessions at the IRAS 2022 conference, on the theme “‘We' and ‘They’: Cross-Cultural Conversation on Identity.” Focusing on the central topic, the article begins with (i) the contents of my opening lecture; followed by (ii) a broad outline of the concerns discussed in my book, Cross-Cultural Conversation: A New Way of Learning, intertwined with glimpses of the intellectual journey that led me to CCC, delivered in the Book-discussion session; (iii) a summary of the main ideas about the importance of meeting of religions today, which formed the background for the CCC Panel discussion on religion, where I was in conversation with spokespersons of five world religions; and (iv) my comments on how science–religion dialogue can help promote a sense for human solidarity by combining knowledge with wisdom, in the concluding session. 相似文献