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171.
Gordon L. Flett Abby L. Goldstein Paul L. Hewitt Christine Wekerle 《Current psychology (New Brunswick, N.J.)》2012,31(1):49-64
The current study examined the extent to which an expanded self-punitiveness model could be applied to deliberate self-harm
(DSH) among students making the transition to university. Specific components of the self-punitiveness model included perfectionism,
overgeneralization, self-criticism, and shame. A sample of 319 university students completed a measure of deliberate self-harm
as well as two multidimensional perfectionism measures and measures of self-criticism, overgeneralization, and shame. Correlational
analyses found few significant associations among deliberate self-harm and the self-punitiveness factors among men. In contrast,
among women, deliberate self-harm was associated with dimensions of trait perfectionism such as parental criticism and socially
prescribed perfectionism, as well as with overgeneralization, self-criticism, and both characterological shame and bodily
shame with the strongest associations found with shame. Supplementary analyses found a strong link between overgeneralization
and shame and an association between self-criticism and shame among women. The results support the contention that particularly
among young women making the transition to university, deliberate self-harm behavior is a reflection of a self-punitive personality
orientation with multiple facets and a sense of shame associated with an overgeneralized sense of failing to meet social expectations. 相似文献
172.
Jessica L. Waxler Kelsey E. O’Brien Linda M. Delahanty James B. Meigs Jose C. Florez Elyse R. Park Barbara R. Pober Richard W. Grant 《Journal of genetic counseling》2012,21(5):684-691
Advances in genetic epidemiology have increased understanding of common, polygenic preventable diseases such as type 2 diabetes. As genetic risk testing based on this knowledge moves into clinical practice, we propose that genetic counselors will need to expand their roles and adapt traditional counseling techniques for this new patient set. In this paper, we present a genetic counseling intervention developed for a clinical trial [Genetic Counseling/Lifestyle Change for Diabetes Prevention, ClinicalTrials.gov identifier: NCT01034319] designed to motivate behavioral changes for diabetes prevention. Seventy-two phenotypically high-risk participants received counseling that included their diabetes genetic risk score, general education about diabetes risk factors, and encouragement to participate in a diabetes prevention program. Using two validated genetic counseling scales, participants reported favorable perceived control and satisfaction with the counseling session. Our intervention represents one model for applying traditional genetic counseling principles to risk testing for polygenetic, preventable diseases, such as type 2 diabetes. 相似文献
173.
Langford AT Resnicow K Roberts JS Zikmund-Fisher BJ 《Journal of genetic counseling》2012,21(3):440-447
To examine the association of 1) race/ethnicity and 2) numeracy with awareness of DTC genetic tests. Secondary analysis of
6,754 Hispanic, black, and white adult respondents to the National Cancer Institute’s 2007 Health Information National Trends
Survey (HINTS). Logistic regression was used to examine sociodemographic predictors of DTC genetic tests awareness including
race/ethnicity, income, education, and gender. Next, two numeracy variables were added to the model. After controlling for
sociodemographic variables, black respondents were significantly less likely to have heard of DTC genetic tests compared to
white respondents (OR = 0.79; CI: 0.65–0.97). When numeracy variables were added to the model, the effect of black race was
no longer significant (OR = 0.84; CI: 0.69–1.04). Hispanic respondents did not significantly differ from white respondents
in awareness of DTC genetic tests. Other significant correlates of DTC genetic tests awareness in the full model included
education, income, age, and numeracy variables including degree to which people use medical statistics and numbers to make
health decisions, and preference for words or numbers when discussing “the chance of something happening.” Although black
respondents were generally less aware of DTC genetic tests than white respondents, this relationship appears to be partially
mediated by numeracy. 相似文献
174.
Christianson CA Powell KP Hahn SE Blanton SH Bogacik J Henrich VC;Genomedical Connection 《Journal of genetic counseling》2012,21(5):652-661
Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and "just-in-time" educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up. 相似文献
175.
Technological advances and information-seeking consumers have pushed forward the movement of direct-to-consumer (DTC) genetic
testing. Just like with other types of testing, there are potential risks, benefits and limitations. A major limitation of
DTC testing is the incomplete view it provides regarding lifetime risk for common, complex diseases, since most tests only
analyze 1–2 single nucleotide polymorphisms (SNPs) and do not include evaluation of medical or family histories, which is
necessary to risk assessment. Further, it is not currently well-established whether personal genomic testing results will
lead toward improved health behaviors, adverse psychological effects or potential overuse of the health care system. To display
these and other issues, we present an in-depth case study of an individual who ordered DTC genetic testing and subsequently
sought genetic counseling. This case presents a unique learning experience for the field of genomic counseling, as the patient
did not fit the typical assumptions regarding ‘early adopters’ of DTC testing. It also allowed the genetics health care providers
involved in the case to identify gaps in current genetic counseling practice that need to be filled and approaches to employ
for successful delivery of genomic counseling. Based on our experience, we developed practical recommendations for genomic
counseling, which include novel approaches to case preparation, use of electronic tools during the counseling session, and
focusing on education as the major component of the genomic counseling session, in order to provide patients with the knowledge
necessary to independently interpret and understand large amounts of genomic testing information provided to them. 相似文献
176.
Shannon Self-Brown Jessica R. Valente Robert C. Wild Daniel J. Whitaker Rachel Galanter Shannon Dorsey Jenelle Stanley 《Journal of child and family studies》2012,21(6):1041-1049
Benchmarking is a program evaluation approach that can be used to study whether the outcomes of parents/children who participate in an evidence-based program in the community approximate the outcomes found in randomized trials. This paper presents a case illustration using benchmarking methodology to examine a community implementation of Parent–Child Interaction Therapy (CI-PCIT) utilized as a child maltreatment prevention effort. Data were collected from 83 parent–child dyads. Change scores were compared to treatment and control effect sizes aggregated from the PCIT literature. Pre-post results indicated significant positive changes in child behavior for CI-PCIT completers. Benchmarking analyses revealed that parents who completed CI-PCIT reported significantly greater positive child outcomes than the aggregate control group benchmark, and significantly less than observed in the treatment benchmark. A summary of decision points and implications for utilizing this methodology in the child maltreatment field are postulated. 相似文献
177.
We investigated the relationship between conformative peer bullying and issues of peer conformity among adolescents. This
relationship is examined through the establishment of a mediated moderation model for conformative peer bullying using structural
equation modeling in a sample of 391 second-year middle school students in Seoul, South Korea. We found that peer pressure
and resistance to peer influence interact with one another to affect antisocial conformity, which then affects conformative
peer bullying, thereby establishing its mediated moderation effect. The results suggest that conformative peer bullying that
encourages and assists active bullies is affected by antisocial conformity; moreover, an individual’s capacity to resist peer
influence plays a protective role against peer conformity, and this must be acknowledged as a significant influence in conformative
peer bullying among adolescents. 相似文献
178.
Michelle R. Haney 《Journal of child and family studies》2012,21(3):466-473
Few programs exist for after school care designed to support children with Autism Spectrum Disorder (ASD). Not only do parents often depend on after school care, but also children with ASD are likely to benefit from opportunities to generalize skills in an authentic setting and interact with typically developing peers. This lack of support occurs at a time during which there is increasing research and community awareness regarding the need for high quality after school programs to support typically developing children. This study investigates reported experiences with and needs for after school care by parents of children with ASD. Survey results (N = 54) revealed that the majority of parents surveyed desired after school programs within their child’s school but are often denied access to such services or received low quality care for their child in after school programs. Recommendations are provided for future research and program development. 相似文献
179.
In the aftermath of several school shooting incidents in recent years, students’ perceptions of unsafe schools has been a
major concern for parents, teachers, school officials, school practitioners, and policy-makers. Using Bronfenbrenner’s ecological
systems framework, we examined the micro-, meso-, and exosystem level factors associated with perceptions of unsafe school
environments in a nationally representative sample of 10- to 15-year-old youth in the United States. We found that for the
socio-demographic characteristics, students who were older, male, and poor had increased risks of perceiving higher levels
of unsafe school environments. Within the microsystem of the family, our results indicate that parent-youth discussions of
school activities/events decreased the risk of students perceiving unsafe schools. All of the school environment variables—ease
of making friends, teachers’ involvement, observed weapon carrying, and school rule enforcement—were related in the expected
direction to students’ perceiving their schools as unsafe. At the mesosystem level, findings from our study demonstrate that
variables measuring parental school involvement were unrelated to perceptions of school safety. Finally, at the exosystem
level, we found that students’ perceptions of residing in a safer neighborhood and residence in a non-central city metropolitan
area, compared with a central city, decreased the odds of perceiving school environments as unsafe. School policy and practice
implications are discussed. 相似文献
180.
Elizabeth H. Blodgett Salafia Jessica L. Lemer 《Journal of child and family studies》2012,21(1):148-157
Stress is common during adolescence, yet no known studies have linked particular types of stress (performance, relationship,
education, financial, and family) with disordered eating among adolescents in middle school. The present study investigated
sex differences in types of stress and how multiple types of stress were associated with girls’ and boys’ body dissatisfaction,
dieting behaviors, and bulimic symptoms. We found that girls reported higher levels of stress than boys and that different
associations between stress and disordered eating existed for girls and boys. We also examined a path model for both sexes
such that stress first led to body dissatisfaction, which then led to dieting and finally bulimic symptoms. Our model was
supported for girls with performance, relationship, and family stress driving the process. For boys, all five types of stress
were associated with body dissatisfaction, which was linked with dieting; however, the relation between dieting and bulimic
symptoms was not significant. Future research and therapy should focus on the unique experiences of each sex in order to gain
a better understanding of the processes involved in coping with stress and promoting healthy development. 相似文献