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Gruber J Eidelman P Johnson SL Smith B Harvey AG 《Journal of abnormal psychology》2011,120(4):956-961
Rumination has been consistently implicated in the onset and maintenance of depression. Less work has examined rumination in the context of bipolar disorder, especially rumination about positive emotion. The present study examined rumination about negative and positive emotion in interepisode bipolar disorder (BD; n = 39) and healthy controls (CTL; n = 34). Trait rumination about positive and negative emotion, as well as experiential and physiological responses to a rumination induction, was measured. Illness course was also assessed for the BD group. Results indicated that the BD group reported greater trait rumination about positive and negative emotion compared with the CTL group, though no group differences emerged during the rumination induction. For the BD group, trait rumination about positive and negative emotion, as well as increased cardiovascular arousal (i.e., heart rate), was associated with greater lifetime depression frequency; trait rumination about positive emotion was associated with greater lifetime mania frequency. These findings suggest that interepisode BD is associated with greater rumination about positive and negative emotion, which in turn is associated with illness course. 相似文献
96.
Peters JA Kenen R Hoskins LM Koehly LM Graubard B Loud JT Greene MH 《Journal of genetic counseling》2011,20(5):450-464
Family communication is essential for accurate cancer risk assessment and counseling; family blockers play a role in this
communication process. This qualitative analysis of social exchanges is an extension of earlier work characterizing those
who are perceived by study participants as health information gatherers, disseminators, and blockers within families with
Hereditary Breast and Ovarian Cancer (HBOC) susceptibility. Eighty-nine women, ages 23–56 years, enrolled in a Breast Imaging
Study (BIS) and participated in a sub-study utilizing a social assessment tool known as the Colored Ecological Genetic Relational
Map (CEGRM). Purposive sampling ensured that participants varied according to numbers of participating family members e.g., ranging from 1 to 6. Eighty-nine women from 42 families (1–8 relatives/family) participated. They collectively designated
65 blockers, both male and female. Situational factors, beliefs, attitudes and cultural traditions, privacy and protectiveness
comprised perceived reasons for blocking intra-family health communications. Longitudinal data collected over 4 years showed
families where blocking behavior was universally recognized and stable over time, as well as other families where blocking
was less consistent. Self-blocking was observed among a significant minority of participating women. Blocking of health communications
among family members with HBOC was variable, complex, and multifaceted. The reasons for blocking were heterogeneous; duration
of the blocking appeared to depend on the reasons for blocking. Blocking often seemed to involve bi-directional feedback loops,
in keeping with Lepore’s Social Constraints and Modulation Theory. Privacy and protectiveness predominated as explanations
for long-term blocking. 相似文献
97.
Bipolar disorder (BD) is presumed to involve difficulties in emotion regulation. Little is known, however, about the specific emotion regulation profile associated with this disorder. The present study examined the use of specific emotion regulation strategies among individuals with BD (n = 37) and healthy controls (n = 38). Participants' spontaneous use of reappraisal and suppression, as well as their associated effort and success at regulating their emotions, was measured in the context of three emotionally evocative films (neutral, happy, sad). Results indicated that the BD participants made greater use of spontaneous suppression and reappraisal across all films compared to the control group. BD participants also reported greater effort, but less success, when spontaneously regulating emotions. These findings suggest that bipolar disorder is associated with less success when regulating emotions despite a widespread engagement of regulatory efforts. Discussion focuses on the disjunction between troubled emotion functioning in bipolar disorder and sustained efforts to modify intense emotions. (PsycINFO Database Record (c) 2012 APA, all rights reserved). 相似文献
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Assistant Professor June Ann Smith Ph.D. CSW NCC ACS 《The American journal of family therapy》2013,41(4):317-318
The purpose of this study was to modify a study by Hansen, Harway, and Cervantes (1991) that investigated whether clinicians recognized and responded to indicators of intimate partner violence. In the current study participants included 112 mental health clinicians who read a clinical vignette, then responded to several open-ended questions, while still blind to the purpose of the study. Participants then answered several objective questions about how they respond when treating cases of intimate partner violence. Logistic regressions were conducted for recognition of and response to partner violence to determine significant predictors. While the overall models were significant, few significant individual predictors emerged. The significant predictors included: education, mental health discipline, and theoretical orientation. 相似文献
99.
Kirsten E. Gilbert Susan Nolen-Hoeksema June Gruber 《Behaviour research and therapy》2013,51(11):736-741
Maladaptive regulation of positive emotion has increasingly been associated with psychopathology. Little is known, however, about how individual strategies used to manage positive emotion predict concurrent emotional responding and prospective illness course across mood disorders. The present study examined the concurrent and prospective influence of amplification and dampening regulation strategies of positive emotion (i.e., self-focused positive rumination, emotion-focused positive rumination, and dampening) among remitted individuals with bipolar I disorder (BD; n = 31) and major depressive disorder (MDD; n = 31). Rumination over positive emotional states concurrently predicted increased positive emotion across both mood disordered groups during an experimental rumination induction. However, dampening positive emotion concurrently predicted increased emotional reactivity (i.e., heart rate and negative affect) and prospective increases in manic and depressive symptoms for the BD group only. This suggests that amplifying positive emotion transdiagnostically increases positive emotion across mood disordered groups, while attempts to dampen positive emotion may paradoxically exacerbate emotional reactivity and illness course in BD. For individuals with BD, negative thinking about one's positive emotion (via dampening) may be particularly maladaptive. 相似文献
100.
June Gruber Kirsten E. Gilbert Eric Youngstrom Jennifer Kogos Youngstrom Norah C. Feeny Robert L. Findling 《Journal of abnormal child psychology》2013,41(7):1053-1065
Research on bipolar spectrum disorders (BPSD) in adolescence has burgeoned in the last decade, but continued work is needed to identify endophenotypic markers associated with illness onset and course. The present study examined reward dysregulation—measured via the behavioral activation system (BAS)—as one putative marker of BPSD in adolescence. A diverse group of 425 outpatient adolescents between 11 and 17 years of age (52 % male) completed the Behavioral Inhibition and Activation Scale (BIS-BAS) scale to measure reward dysregulation. Semi-structured interviews determined diagnoses and severity of mood symptoms. Parent-reported BAS was associated with increased symptoms of mania, and parent and adolescent-reported BAS were associated with symptoms of depression. Parent-reported BIS scores were associated with increased symptoms of mania. Results held independent of diagnostic status. Furthermore, parent BIS/BAS reports were stronger predictors for manic symptoms compared to adolescent-reports. Results extend work in adults with BPSD, suggesting a transdiagnostic association between reward dysregulation and mood symptom severity in adolescence. 相似文献