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21.
The presence of multiple comorbid conditions is common after combat deployment and complicates treatment. A potential treatment approach is to target shared mechanisms across conditions that maintain poorer health-related quality of life (HRQOL). One such mechanism may be decrements in pleasurable activities. Impairment in pleasurable activities frequently occurs after deployment and may be associated with poorer HRQOL. In this brief report, we surveyed 126 veterans who had previously sought an assessment at a Veterans Affairs postdeployment health clinic and assessed pleasurable activities, HRQOL, and postdeployment health symptoms. Forty-three percent of veterans met our criteria for all 3 postdeployment conditions (posttraumatic stress disorder, depression, and chronic widespread physical symptoms). Greater engagement in pleasurable activities was associated with better HRQOL for all veterans regardless of type or level of postdeployment health symptoms. Future research should study if interventions that encourage veterans with postdeployment health conditions to engage in pleasurable activities are effective rehabilitation strategies.  相似文献   
22.
The nature of secularization is of enduring interest in the social science of religion. Numerous recent papers have established downward cohort trends as characterizing religious change. We examine potential mechanisms by assessing cultural participation and secular engagement during the formative period of one cohort. We provide estimates of active and nominal religiosity, nonreligion and religious belief for those born between 1933 and 1942, using multiple surveys fielded between 1957 and 2018. We model the association between religiosity and secular cultural and social participation for this cohort in 1957, then examine how cultural socialization in childhood relates to religiosity in their later adulthood using surveys fielded between 2005 and 2007. Increased secular competition is found to be associated with less active religiosity. These trends were underpinned by an ethic of increasing autonomy for the young. We conclude by affirming the link between increasing secular competition, long-run modernization, and changing cultural socialization.  相似文献   
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