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41.
This article provides an examination of the communicative needs and practices of those who have survived the loss of a loved one to suicide. Based on a study of a face-to-face support group for parents of children lost to suicide, and over 10,000 e-mails from a number of online support groups for survivors of the loss of a loved one to suicide, this article discusses intense communicative relations, exclusion from the general society, self-accrediting of experts in grief, reconstruction of identity to include the loss, ownership of the suicide, and rebuilding community.  相似文献   
42.
During cancer genetic counseling, different items which counselors consider important are discussed. However, relatively little empirical evidence exists regarding the needs and preferences of counselees. In this study needs and preferences were assessed from counselees with a personal and/or family history of colorectal cancer (CRC), who were referred for genetic counseling regarding CRC. They received a slightly modified version of the QUOTE-GENEca questionnaire prior to their first visit to the Hereditary Cancer Clinic. Response rate was 60 % (48/80 participants). Counselees rated the importance of 45 items assessing their needs and preferences regarding the content and process of genetic counseling. Participants rated the items regarding discussion of information about their familial CRC risk (100 %) and preventive options (98 %) as important or very important. Fewer participants rated items concerning general information on genetics as important. Sensitive communication during counseling was considered very important by a large percentage of counselees. Generally, no major differences were seen between participants in relation to individual characteristics. Our data suggest that focusing on familial CRC risk and surveillance options, in combination with sensitive communication may lead to better satisfaction with genetic counseling.  相似文献   
43.
Despite the proliferation of child maltreatment research over the last 30 years, there remains a dearth of research examining the long-term effects of child psychological maltreatment (CPM), particularly child verbal abuse (CVA). Using a college sample of 173 participants from a Southeastern university, this study examined the role of gender and perpetrator relationship in predicting psychological distress and self-worth of adults exposed to CVA. Maternal CVA emerged as a significant predictor of lower levels of self-worth in adult daughters and sons as well as greater psychological distress in adult daughters. Paternal CVA did not emerge as a significant predictor of greater psychological distress or lower levels of self-worth in either adult daughters or sons.  相似文献   
44.
Child abuse predicts a wide range of long-lasting deleterious outcomes, including disruptions in the biological systems central to emotion arousal and regulation. However, little is known about the specific ways in which child abuse affects adulthood sympathetic reactivity and recovery. This study investigated the association between child abuse experience and adult skin conductance level and habituation in 85 at-risk women as they completed a self-report trauma questionnaire. Childhood emotional abuse was independently associated with blunted skin conductance habituation over the course of survey completion after controlling for other abuse subtypes and current trauma symptoms. These results suggest that women emotionally abused as children experience prolonged emotional arousal and poor physiological regulation of emotion in response to reminders of traumatic experiences.  相似文献   
45.
Ample evidence exists that offenders eventually terminate their criminal careers, and this holds true for violent offenders. The causal mechanisms responsible for triggering and maintaining this process remain unclear; meaning that desistance from violence is poorly understood. This comprehensive review of the literature revealed that research in this area is hampered by definitional, operational, and measurement inconsistencies. Several of the conceptual frameworks used to explain desistance from delinquency have not been specifically applied in relation to violence. However, it was found that criminological enquiry suggests that informal social control (e.g., stable relationship and employment) play a role in desistance from violence and that theoretical frameworks which examine both internal and external change seem to show promise as an aid to understanding the desistance process. Psychological research has tended to focus on the role of risk and protective factors in relation to desistance but this, particularly protective factors, is currently under-researched. More knowledge needs to be assembled about how: (1) the mechanics of protective factors mitigate risk of future violence, and (2) how they play a role in the maintenance of violent free behaviors. Findings from criminology and psychology need to be expanded and integrated to extend our understanding of desistance from violence.  相似文献   
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47.
Older adults commonly experience declines in prospective memory, which describes one’s ability to “remember to remember,” and can adversely affect instrumental activities of daily living and healthcare compliance. However, the extent to which prospective memory failures may influence quality of life in typically aging older adults is not well understood. One-hundred and four community-dwelling older Australians (aged 50 to 82 years) were administered a comprehensive, neuropsychological battery that included the Memory for Intentions Screening Test (MIST), Prospective and Retrospective Memory Questionnaire (PRMQ), Instrumental Activities of Daily Living Questionnaire (IADLQ), and World Health Organization Quality of Life-8 (WHOQOL-8). Multiple regressions controlling for negative affect, medical comorbidities, and other neurocognitive functions revealed an interaction between prospective memory and instrumental activities of daily living in the concurrent prediction of quality of life. Among the 39 older adults who reported multiple problems on the IADLQ, lower performance-based prospective memory (MIST) and higher self-reported prospective memory failures in daily life (PRMQ) were significantly associated with lower quality of life (WHOQOL-8). Conversely, no significant associations were observed between prospective memory and quality of life in the 65 participants without IADL problems. Prospective memory difficulties adversely impact quality of life in community-dwelling older adults who experience problems independently managing their instrumental activities of daily living. These findings extend prior literature showing that prospective memory plays a unique role in the real-world outcomes of older adults and clinical populations and highlight the need to develop effective strategies to enhance prospective memory functioning in these vulnerable groups.  相似文献   
48.
Marital functioning is an important consideration in the treatment of depression. Although there are several studies of the marriages of depressed individuals, there is little data on the marital lives of those with chronic depression. In this article, we compare the marital history and marital satisfaction in a sample of carefully diagnosed outpatients with chronic depression compared to those with nonchronic depression. The groups were similar in terms of a history of divorce and for the percentage who had ever been married. However, the chronic group had significantly lower levels of marital satisfaction. Increased attention to marital functioning in this group may be beneficial during treatment.  相似文献   
49.
Gender discrimination has contributed to the gender imbalance in scientific fields. However, research on the effects of informing adolescent girls about gender discrimination in these fields is rare and controversial. To examine the consequences of learning about gender-based occupational discrimination, adolescent girls ( n = 158, ages 11 to 14) were randomly assigned to either (a) a standard intervention program aimed at increasing girls' interest in science or (b) a nearly identical program that included information about gender discrimination. Girls' interest in, and attitudes toward, science were assessed using a pre/post design. Only girls who learned about gender discrimination showed increases in science self-efficacy and belief in the value of science; interest in scientific fields was unaffected by the intervention programs. Theoretical and educational implications are discussed.  相似文献   
50.
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