Journal of Rational-Emotive & Cognitive-Behavior Therapy - Individuals with insomnia complaints often report intrusive thoughts. In this sense, strategies to cope with cognitive arousal are a... 相似文献
Attention-deficit/hyperactivity disorder (ADHD), Oppositional Defiant Disorder (ODD), and Conduct Disorder (CD) are highly comorbid, with symptoms that share some similarities. The evidence-based diagnostic process for these disorders includes ratings from adults in the child’s life to assess behavior across settings, so it is important to understand how these raters think about potentially overlapping symptoms. Researchers have identified negative halo effects in ratings of ADHD and ODD symptoms, but ratings of CD have not been examined in these prior studies. Thus, the current study extended past research to examine negative halo effects in parent ratings of the predominantly hyperactive-impulsive presentation of ADHD (i.e., ADHD/HI), ODD, and CD. Parent participants read one of four vignettes that portrayed an 11-year-old boy displaying symptoms of ADHD/HI, ODD, CD, or typical development, and then completed a disruptive behavior scale. The general trend we found was that the presence of a relatively more severe disorder (i.e., CD) artificially inflated ratings of - or showed a negative halo effect for - the relatively less severe disorder (i.e., ADHD/HI), but with some nuance as discussed in the paper. These findings explain and validate how important it is that clinicians conduct evidence-based psychological assessments to decrease the chance of misdiagnosis.
Current Psychology - Although it is today commonly accepted that cognitive and emotional factors interact in guiding decisions and behaviour in various domains, including medical and health related... 相似文献
Recent research has shown that the acquisition of a second cue–outcome association can interfere with responding appropriate to a previously acquired association between another cue and the same outcome, even if the two cues had never received compound training (Matute & Pineño, 1998a). This is similar to other results in the paired-associate literature but it is problematic for associative theories of learning because all of them assume that compound training is necessary for cues to interfere with each other. However, given several assumptions, a recent revision of Wagner's (1981) SOP model proposed by Dickinson and Burke (1996) could account for most of the data available on interference between elementally trained cues. According to the modified SOP model, the target cue that is paired with the outcome during Phase 1 could acquire an inhibitory association with the outcome during the Phase 2 trials in which the interfering cue is trained and the target cue is absent. This inhibitory association could be responsible for the weak responding observed to the target cue during testing because it could interfere with the excitatory association acquired during Phase 1. If this is true, interference should be weaker as the number of Phase 2 interfering trials is reduced. However, the three experiments reported here show that interference can occur even when only one interfering trial is given during Phase 2. The results of these experiments, along with other results in the literature, add support to the idea that interference between elementally trained cues occurs during retrieval and that it is not due to the formation of inhibitory associations between an absent cue and the outcome. 相似文献
Using data from Grades 5 to 7 of the longitudinal 4-H Study of Positive Youth Development (PYD), this research assessed the structure and development of PYD. Building on Grade 5 findings, that “Five Cs” (Competence, Confidence, Connection, Character, and Caring) could be empirically defined as latent constructs converging on a second-order construct, labeled PYD, we used structural models to assess the fit of this original model for Grades 5, 6, and 7. Results indicated that PYD continued to be a robust construct that can be defined comparably for Grades 6 and 7, as it was in Grade 5. We discuss implications for future research and for applications of the finding that, across the three years of early adolescence that we assessed (about ages 10 to 12), there is continuity in the structure of PYD. 相似文献
Despite the amount of privatizations around the world in recent decades, only limited research attention has been paid to how privatization affects the employees. The effects are likely to vary depending on the individual's position in the organization. The aim of this study was to investigate how employees' work‐related attitudes and strain changed after privatization of a Swedish acute care hospital, and to analyze whether the effects of privatization differed between employees at various hierarchic levels. Questionnaire data collected at a hospital 1 year before and 2 years after privatization, as well as at a hospital which remained a public administration unit, suggest only limited effects of privatization on a general level, but that employees at various hierarchic levels may be affected differently. While employees at a high level (physicians) and low level (assistant nurses) reported only marginal differences over time in work attitudes and strain, also in comparison with their colleagues at the comparison hospital, work attitudes of employees at the intermediate level (registered nurses) decreased after privatization. These results emphasize the importance of taking hierarchic level into account when a privatization is implemented and analyzed. 相似文献
Healthcare professionals currently working in Advanced Chronic Kidney Disease (ACKD) units must cope with difficult situations regarding assisting patients with the dialysis decision-making process, and they are often untrained for these conversations. Although we have evidence from the literature that these skills can be learned, few professionals feel confident in this area. A Communication and Bioethical Training (CoBiT) Program for ACKD staff (physicians, nurses and allied health professionals) was developed to improve their ability and self-confidence in conducting these conversations. A four-stage study was conducted: (1) development of the CoBiT program, beginning with the creation of an interdisciplinary focus group (N = 10); (2) design of a questionnaire to assess self-confidence based on the areas identified by the focus group. The face validity of the instrument was tested using an inter-judge methodology (N = 6); (3) design of the format and contents of the program; (4) piloting the program. Thirty-six health professionals took an 8-h workshop based on role-playing methodology. Participants assessed their self-confidence in their communication skills before and after the program using self-report measures. The results show that after the program, participants reported significantly higher levels of self-confidence measured with a five-point Likert scale (p < 0.001). Participants felt that communication with colleagues of other professions significantly increased after the workshop (p = 0.004). The CoBiT program improves ACKD Unit healthcare professionals’ self-confidence in their ability to perform a specific communication task. 相似文献
This study aimed to investigate whether variable patterns of responses can be acquired and maintained by negative reinforcement under an avoidance contingency. Six male Wistar rats were exposed to sessions in which behavioral variability was reinforced according to a Lag contingency: Sequences of three responses on two levers had to differ from one, two or three previous sequences for shocks to be avoided (Lag 1, Lag 2 and Lag 3, respectively). Performance under the Lag conditions was compared with performance on a Yoke condition in which the animals received the same reinforcement frequency and distribution as in the Lag condition but behavioral variability was not required. The results showed that most of the subjects varied their sequences under the Lag contingencies, avoiding shocks with relatively high probability (≥ 0.7). Under the Yoke procedure, responding continued to occur with high probability, but the behavioral variability decreased. These results suggest that behavioral variability can be negatively reinforced. 相似文献