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501.
Tatiana M. Davidson Brian E. Bunnell Benjamin E. Saunders Rochelle F. Hanson Carla K. Danielson Danna Cook Brian C. Chu Shannon Dorsey Zachary W. Adams Arthur R. Andrews Jesse H. Walker Kathryn E. Soltis Judith A. Cohen Esther Deblinger Kenneth J. Ruggiero 《Behavior Therapy》2019,50(2):367-379
Mental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families. 相似文献
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Narrating and Navigating Authorities: Evangelical and Mainline Protestant Interpretations of the Bible and Science 下载免费PDF全文
Research on the way Protestants interpret the Bible in relationship to science has tended to focus on biblical literalists; less research, however, has examined the heterogeneity of how nonliteralists interpret the Bible. Utilizing data from semi‐structured interviews with 77 evangelical and mainline Protestants who attend high‐SES congregations, we find that members of both groups draw on similar interpretation strategies in discussing the Bible and evolution. Both eschew literal interpretations of the Bible, demarcate boundaries between the Bible and science, and subsume evolution under broader theological beliefs. Mainline Protestants and evangelicals differ in the way they interpret miracles, with mainline Protestants revealing more openness to scientific and social interpretations of the Bible's miracles, while evangelicals emphasize God's authority over nature. Findings show that different strategies are evoked depending on the issue discussed, revealing implications for a deeper understanding of the way different traditions provide resources for interpreting the Bible and its relationship to scientific issues. Finally, findings contribute to a more robust knowledge of boundary work between the Bible and science as institutional and epistemic authorities. 相似文献
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Lourdes Ezpeleta Roser Granero Núria de la Osa Esther Trepat Josep M. Domènech 《Journal of abnormal child psychology》2016,44(1):115-128
This study traces the developmental course of irritability symptoms in oppositional defiant disorder (ODD) from ages 3–5 and examines the psychopathological outcomes of the different trajectories at age 6. Method. A sample of 622 3-year-old preschoolers (311 were boys), followed up until age 6, was assessed yearly with a semi-structured diagnostic interview with parents and at age 6 with questionnaires answered by parents, teachers and children. Results. Growth-Mixture-Modeling yielded five trajectories of irritability levels for the whole sample (high-persistent 3.5 %, decreasing 3.8 %, increasing 2.6 %, low-persistent 44.1 % and null 46.0 %). Among the children who presented with ODD during preschool age, three trajectories of irritability symptoms resulted (high-persistent 31.9 %, decreasing 34.9 % and increasing 33.2 %). Null, low-persistent and decreasing irritability courses in the sample as a whole gave very similar discriminative capacity for children’s psychopathological state at age 6, while the increasing and high-persistent categories involved poorer clinical outcomes than the null course. For ODD children, the high-persistent and increasing trajectories of irritability predicted disruptive behavior disorders, comorbidity, high level of functional impairment, internalizing and externalizing problems and low anger control at age 6. Conclusions. Irritability identifies a subset of ODD children at high risk of poorer longitudinal psychopathological and functional outcomes. It might be clinically relevant to identify this subset of ODD children with a high number of irritability symptoms throughout development with a view to preventing comorbid and future adverse longitudinal outcomes. 相似文献
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Wilfred W. F. Lau C. Harry Hui Jasmine Lam Esther Y. Y. Lau Doris Ng Shu-Fai Cheung 《The International journal for the psychology of religion》2016,26(2):136-151
This study investigated the reliability and validity of the widely used 23-item Spiritual Transcendence Scale and tested whether there was factorial invariance of the scale by demographic variables such as gender, occupation, and religion in a large Chinese sample (n = 1,894). Exploratory factor analysis with a random subsample supported the original 3-factor structure (prayer fulfillment, universality, and connectedness) in a revised 16-item scale. Confirmatory factor analysis suggested that a 15-item model provided a good fit to the data of the remaining subsample. The scale had alpha reliabilities ranging from .64 to .92 in the exploratory factor analysis and .60 to .92 in the confirmatory factor analysis. Subsequent factorial invariance tests indicated that the scale was invariant across gender and occupation but not religion. Evidence of construct validity was equivocal. Additional empirical studies should be conducted to evaluate the psychometric properties of the scale in other culturally and religiously diverse settings. 相似文献
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Tevni E. Grajales Vicente Leon Fatimah Al Nasser Esther Hooley Melina Sample Brittany Sommers 《Journal of Research on Christian Education》2016,25(3):290-301
This study tested Berzsonky’s theory of identity styles and identity commitment in predicting religiosity. Participants were university students (N?=?320) from Chile who were surveyed with the ISI-3 and BRS-6 instruments to measure identity styles and religiosity. Path analysis was used to test the model, which suggested that the three identity styles all had direct effects on commitment. Commitment, in turn, had a direct effect on religiosity. Results revealed that normative, informational, and diffuse-avoidant styles had direct effects on identity commitment, with commitment having a direct effect on religiosity. Also, normative style was shown to have a direct effect on religiosity. Overall, results indicated that commitment is key in explaining religiosity from the perspective of Berzonsky’s theory. 相似文献
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Are children better than adults in acquiring new skills (‘how‐to’ knowledge) because of a difference in skill memory consolidation? Here we tested the proposal that, as opposed to adults, children's memories for newly acquired skills are immune to interference by subsequent experience. The establishment of long‐term memory for a trained movement sequence in adults requires a phase of memory consolidation. This results in substantial delayed, ‘offline’, performance gains, which nevertheless remain susceptible to interference by subsequent competing motor experience for several hours after training, unless sleep is afforded in the interval. Here we compared the gains attained overnight (delayed gains) by 9‐year‐olds and adults after training on a novel finger‐to‐thumb movement sequence, with and without subsequent interference by repeating a different movement sequence. Our results show that, in 9‐year‐olds, but not in adults, an interval of 15 min. between the training session and interfering experience sufficed to ensure the expression of delayed, consolidation phase, gains. Nevertheless, in the 9‐year‐olds, as well as in adults, the gains attained with no interference were significantly larger. Altogether, our results show that while the behavioral expressions of childhood and adult consolidation processes are similar, procedural memory stabilizes, in the waking state, at a much faster rate in children. We propose that, in children, rapid stabilization is a mechanism whereby the constraints on consolidating new experiences into long‐term procedural memory are relaxed at the cost of selectivity. 相似文献