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91.
Andrew Joseph McCarty Jeffrey M. Miller Heather Fecteau Jeffrey W Pennington Lisa Kessler 《Journal of genetic counseling》2018,27(2):406-415
Many medical institutions have converted to a digital model for record keeping due to the Health Information Technology for Economic and Clinical Health Act. This Act provides incentives to health care systems to accelerate and encourage the adoption of electronic health record (EHR) systems. The pedigree as a tool in medicine provides an efficient method to assess and represent an individual’s health and family health risks that may otherwise not be apparent in the medical record in a clearly identifiable way (Schuette, J. L., & Bennett 2009). Many clinicians continue to construct pedigrees using pen and paper method despite findings of improved identification of at risk patients with similar electronic intake tools (Arar et al. in Personalized Medicine 2011 8:523–32). The goal of this study was to explore the patient and practitioner experience with electronic pedigree programs using Proband, an application developed at The Children’s Hospital of Philadelphia for genetic counselors to construct pedigrees during genetic counseling sessions directly on iPads. The first part of this study looked at the patient experience and assessed time to take the pedigree and the impact of using an electronic pedigree tool on the relationship between participant and genetic counselor. This involved 50 participants and was compared with the traditional paper method of taking a pedigree. There was no statistical significance found between the two different mediums in accuracy, speed, and rapport with provider. The second part of the study assessed the usability of Proband by ten genetic counselors. Overall, the application received a system usability score of 90/100 with a majority (7/10) of counselors agreeing that they would use this application in their clinic. The positive outcome of this study encourages future work to assess the impact and usability of programs on a larger scale as they continue to integrate into current electronic health records. 相似文献
92.
Wendy Hadley Amy Lansing David H. Barker Larry K. Brown Heather Hunter Geri Donenberg Ralph J. DiClemente 《Journal of child and family studies》2018,27(4):1098-1109
Parents can play a vital role in shaping teenagers’ sexual attitudes, behavior, and contraceptive use through communication, however, less is known about how to modify parent–adolescent communication among youth with mental health problems. The impact of a family-based sexual risk prevention intervention on both observational and self-report of parent–adolescent sexual communication was examined at 12 months among adolescents with mental health problems. Of the 721 parent–adolescent dyads recruited for the study, 167 videotapes of sexual discussions between parents and adolescent were coded for the family-based intervention and 191 videotapes for the active comparison. Longitudinal analyses examined differences between conditions (family-based vs. comparison) in self-reported and observed parent–adolescent sexual discussions and also examined the impact of gender on intervention response. More parent I-statements, healthier parent body language, and fewer adolescent Negative Vocalizations were detected for family-based intervention participants 12 months after participating in the brief intervention (11?h of total intervention time) relative to those in the comparison condition. Parents in the family-based intervention also self-reported better sexual communication at 12 months. The current study provides supporting evidence that a relatively brief family-based intervention was successful at addressing parent–adolescent sexual communication among a mental health sample. 相似文献
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94.
Heather B. MacIntosh 《Psychoanalytic Inquiry》2018,38(5):331-358
ABSTRACTThis systematic review of contributions to peer-reviewed journals in the area of couple interventions aims to provide a comprehensive and intensive overview of this evolving field, within psychoanalysis. Using a pan theoretical systematic review methodology, 113 peer-reviewed journal articles were reviewed, dated between 1963 and 2014, addressing the topic of couple therapy and psychoanalysis. This article addresses a number of specific questions including, where authors have published their work, what methodologies they have used, with which couples psychoanalysts have been working, how writers from within different theoretical orientations talk about their work with couples, and how the field has changed over time. It also explores emerging themes of the relationship between couple and individual therapy, sex, and co-therapy. This review of writing over the past 50 years suggests that although Classical contributions have waned over time, couple psychoanalysts from within Object Relations, Self Psychology, Intersubjectivity, and Relational orientations have evolved in their discourse about couple distress, from an application of psychoanalytic concepts to full-bodied, well-articulated, clear, and concise approaches to diagnosis and treatment. The first 50 years of writing in the field of couple psychoanalysis has brought us distinct treatment models, which have opened the door for greater communication and sharing within and between orientations. 相似文献
95.
Grace E. Giles Julie A. Cantelon Marianna D. Eddy Tad T. Brunyé Heather L. Urry Holly A. Taylor Caroline R. Mahoney Robin B. Kanarek 《Motivation and emotion》2018,42(4):482-496
Emotion regulation may influence psychological responses to exercise. We examined whether the emotion regulation strategies, cognitive reappraisal and distraction, influenced psychological state and prefrontal cortex oxygenation during endurance exercise. Twenty-four endurance runners ran for 90 min at 75–85% maximum heart rate in three separate sessions with no instruction or with instructions to use cognitive reappraisal or distraction. Participants rated their emotional arousal, emotional valence, and perceived exertion before, every 30 min during, and after exercise. Functional near-infrared spectroscopy quantified changes in prefrontal cortex oxygenation. Participants felt lower emotional arousal and physical exertion when instructed to utilize cognitive reappraisal than when given no emotion regulation instruction. Such responses to distraction did not differ from the other conditions. Emotion regulation strategies did not influence emotional valence or prefrontal cortex oxygenation. Participants’ analytical interpretation of the cognitive reappraisal instruction could contribute to small effect sizes and limited effects. Further research should determine contexts under which emotion regulation strategies most benefit endurance exercise experience. 相似文献
96.
Adam M. Leventhal Jennifer B. Unger Janet Audrain-McGovern Steve Sussman Heather E. Volk David R. Strong 《Journal of personality assessment》2015,97(5):506-514
Anhedonia—the reduced capacity to experience pleasure—is a trait implicated in mental and physical health. Yet, psychometric data on anhedonia measures in adolescents are absent. We conducted an in-depth psychometric analysis of the Snaith–Hamilton Pleasure Scale (SHAPS; Snaith et al., 1995)—a self-report measure of anticipated pleasure response to 14 pleasant experiences—in adolescents. Adolescents (N = 585, M age = 14.5) completed the SHAPS and other paper-and-pencil surveys. Item response theory models were used to evaluate the psychometric performance of each SHAPS item. Correlations of the SHAPS with other personality and psychopathology measures were calculated to evaluate construct validity. Results showed that (a) certain items (e.g., reported pleasure from basic experiences like “seeing smiling faces” or “smelling flowers”) provided more information about latent anhedonia than others; and (b) SHAPS scales exhibited construct-consistent convergent and discriminant validity (i.e., stronger correlations with low positive affect constructs, weaker correlations with negative affect). Reporting diminished pleasure from basic pleasant experiences accurately indicates adolescent anhedonia, which is important for future scale development and understanding the phenomenology of anhedonia in teens. These data support using the SHAPS for assessing anhedonia in epidemiological research and school-based universal prevention programming in general adolescent populations. 相似文献
97.
Doubling‐down on deprivation: Using latent profile analysis to evaluate an age‐old assumption in relative deprivation theory 下载免费PDF全文
Danny Osborne Chris G. Sibley Yuen J. Huo Heather Smith 《European journal of social psychology》2015,45(4):482-495
Theorists have long argued that two forms of relative deprivation exist: individual‐based relative deprivation (IRD) whereby a person feels deprived relative to other individuals and group‐based relative deprivation (GRD) whereby a person feels his/her ingroup is deprived relative to other groups. Combinations of IRD and GRD are therefore assumed to produce four response profiles: (i) high on IRD and GRD (i.e. ‘doubly deprived’); (ii) high on IRD, low on GRD; (iii) low on IRD, high on GRD; or (iv) low on IRD and GRD. The existence of these profiles, however, has never been assessed. We address this oversight by using latent profile analysis to identify distinct response patterns to measures of IRD and GRD. Across two studies, we found no support for this typology, nor the oft‐assumed doubly deprived profile. Rather, response patterns showed moderate levels of IRD across discrete profiles accompanied by considerable variability in GRD. 相似文献
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99.
Heather M. Kleider‐Offutt Sarah E. Cavrak Leslie R. Knuycky 《Applied cognitive psychology》2015,29(2):314-319
High emotional arousal associated with witnessing a crime promotes memory error. Police are trained to use open‐ended questioning (i.e., Cognitive Interview) to guard against contaminating fragile witness memory, but do they follow this protocol? We investigated whether officers' belief about arousal's impact on crime scene memory influenced their questioning procedures. Officers read crime scenarios describing the witness/victim as either emotionally distraught or calm, and then they chose among open‐ended and close‐ended question options for witness interviews. Results showed that emotionally aroused witnesses were asked more closed questions by officers who believed arousal did not hurt memory, while officers who believed arousal negatively impacted memory accuracy asked more open‐ended questions. This relationship was not influenced by police experience. Results suggest that regardless of training and empirical findings, beliefs about the arousal–memory relationship may guide the questioning technique that officers employ, potentially contaminating already vulnerable witness memory. Copyright © 2015 John Wiley & Sons, Ltd. 相似文献
100.
The lived experiences of individuals with Tourette syndrome or tic disorders: A meta‐synthesis of qualitative studies 下载免费PDF全文
Heather Smith John R.E. Fox Penny Trayner 《British journal of psychology (London, England : 1953)》2015,106(4):609-634
There is a growing body of qualitative literature describing the lived experiences of people with tic disorders (TDs). The aim of this paper was to conduct a systematic review of this literature, synthesizing the perspectives of individuals on their experiences. Meta‐synthesis methodology was utilized to review and draw together findings from 10 articles, from which key concepts were extracted, and over‐arching themes generated. Six themes were identified to encompass the experience of TDs, including (1) cultural, semantic issues of the condition; (2) negative experiences in organizations and treatment; (3) the value and negative impact on interpersonal relationships; (4) personal identity in the constant presence of TDs; (5) concerns for the future; and (6) strategies to control and manage the observable presence of tics. Adaptive coping strategies were found to encompass continuous social adaptation, strategies to manage tics and social perceptions, self‐acceptance, advocacy, and support from others. The results highlighted the significant role of social and cultural issues related to understanding and stigma, which underpinned many of the lived experiences. Implications for clinical practice in supporting individuals with TDs were also highlighted. 相似文献