Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.
Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.
Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).
Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.
Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL. 相似文献
We explored differences in distress scores at intake as well as the change in anxiety and depression scores over the course of 12 therapy sessions for Native Hawaiian and Pacific Islander (NHPI) college students. Data were collected from the Center for Collegiate Mental Health (N = 256,242). Results support the notion that NHPI college students experience anxiety and depression in therapy differently from other ethnic groups with moderate-to-large magnitudes of effect. 相似文献
In recent years, the effort to formalize erotetic inferences—i.e., inferences to and from questions—has become a central concern for those working in erotetic logic. However, few have sought to formulate a proof theory for these inferences. To fill this lacuna, we construct a calculus for (classes of) sequents that are sound and complete for two species of erotetic inferences studied by Inferential Erotetic Logic (IEL): erotetic evocation and erotetic implication. While an effort has been made to axiomatize the former in a sequent system, there is currently no proof theory for the latter. Moreover, the extant axiomatization of erotetic evocation fails to capture its defeasible character and provides no rules for introducing or eliminating question-forming operators. In contrast, our calculus encodes defeasibility conditions on sequents and provides rules governing the introduction and elimination of erotetic formulas. We demonstrate that an elimination theorem holds for a version of the cut rule that applies to both declarative and erotetic formulas and that the rules for the axiomatic account of question evocation in IEL are admissible in our system.
In June 2016, the United Kingdom held a referendum on EU membership; 52% of those who voted, voted to leave, and 48% voted to remain. During the referendum campaign, two identities emerged: “Brexiter” and “Remainer,” which remained salient post‐referendum. This study explores how the categories of Brexiter and Remainer were deployed by posters online. Data comprise comment threads collected from four online newspapers both during the campaign and after the vote, which focus on the Brexit campaign promise: “We send £350m a week to the EU. Let's fund our NHS instead.” We draw on membership categorization analysis and discursive psychology to analyse when categories were made salient and what responses to the invocation of categories were. Analysis revealed that posters explicitly categorize the out‐group and in doing so implicitly define their group. Posters resisted other political identities when attributed to them in relation to the referendum. The analysis shows how Brexiter and Remainer are new, albeit contested, political categories and identities in their own right, with other political identities resisted when used. The paper highlights implications for the political system in the United Kingdom and for social divisions within U.K. society. 相似文献
This article offers a brief history on the origin of universities, summarizes how faith shaped higher education from the European university’s advent to its Western reproduction, and presents recommendations from a contemporary faith integration method employed in many faith-based universities in the United States. Response to intervention was used to direct two examples of faith integration performed for 14 candidates enrolled in a teacher preparation program. The study advocates the instruction, modeling, and practicum elements of faith integration in curricula that provide postsecondary instructors with valuable insight to develop proficiency in the art of merging biblical content with discipline-specific content. 相似文献
Reprising and revising a question from Longino regarding an earlier phase of standpoint theory, I raise some issues regarding the place of a substantive normative social theory in the strong objectivity project in Harding’s recent book, Objectivity and Diversity. I offer reasons to think the issue needs to be reframed in the co-constructionist and pluralist setting of the new book but that interesting issues continue to arise in thinking about the philosophical resources feminist philosophies of science can or might rely on. 相似文献
ABSTRACTThis article will focus on the life of the late Dr. E. Kitch Childs and her impact on Feminist Therapy. It seeks to celebrate and pay homage to her as one of the pioneers who helped pave the way for women in therapy. Dr. Childs was an African American lesbian woman who stood in the gap for social justice with her intellect, tenacity, and bravery and took the lead as a radical visionary. 相似文献