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The present study elaborates the conceptualization and process of development of a scale for assessing diabetes self-care efficacy (DSCE) in patients of diabetes, type 1 and type 2. Health maintenance in chronic illness as diabetes is dependent on performing several key self-care behaviours. The present study discusses two parts—Part I elaborates the qualitative exploration of the research construct through semi-structured interview of diabetic patients. It included 25 diabetic patients, Type-I (n?=?5) and Type-II (n?=?20). Part II discusses the quantitative research methods. The sample consisted of 233 diabetic patients, Type-1 (n?=?39) and Type-2 (n?=?194), who were randomly selected from diabetes and endocrine outpatient department (OPD) of a hospital in, Kolkata, India. Following an exploratory approach employing Principal Component Analysis (PCA), three components were yielded that accounted for approximately 60% of explained variance. Cronbach’s alpha was established at 0.89 indicating satisfactory internal reliability. The components were identified as component 1, “Beliefs about physical exercise regimen” (BPE), component 2, “Beliefs about food and insulin administration and medication recommendations” (FMR) and component 3, “Beliefs about learning and following from others” (LFO). To test the obtained factor structure of the proposed DSCE scale, a confirmatory analysis was performed to help validate the 3-factor, 15-item DSCE scale. The scale is first one of its kind to be proposed and developed in an Indian diabetes context and can prove useful in other settings. Study findings have implications for use in hospital setup and for development of intervention programs in dealing with diabetes patient population.  相似文献   
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Epidemiological research suggests racial differences in the presentation of eating disorder symptoms. However, no studies have examined associations between race and eating disorder symptom trajectories across youth and adolescence, which is necessary to inform culturally sensitive prevention programs. The purpose of the current study was to examine the trajectories of eating disorder symptoms from childhood to young adulthood and to examine whether race was associated with trajectory group membership. Data were drawn from 2,305 Black and White girls who participated in a community-based longitudinal cohort study (Pittsburgh Girls Study) examining the development of psychopathology. The child and adult versions of the Eating Attitudes Test assessed self-reported eating disorder symptoms at six time points between ages 9 and 21 years. Growth mixture modeling was used to examine developmental trajectories of dieting, bulimia/food preoccupation, and total eating disorder symptom scores. Given potential confounds with race and disordered eating, financial strain (i.e., receiving public assistance) and weight were included as covariates. Four to six distinct developmental patterns were found across eating disorder symptoms, including none, increasing, decreasing, or increasing-decreasing trajectories. Black girls had a greater likelihood of being in the decreasing trajectories for dieting, bulimia/food preoccupation, and total eating disorder symptom scores. White girls were more likely to follow increasing trajectories of dieting and total eating disorder symptom scores compared to Black girls. These results highlight the importance of examining the influence of racial background on eating disorder symptoms and the potential need for differences in the timing and focus of prevention interventions in these groups.  相似文献   
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This article considers question‐begging's opposite fallacy. Instead of relying on my beliefs for my premises when I should be using my adversary's beliefs, I rely on my adversary's beliefs when I should rely on my own. Just as question‐begging emerges from egocentrism, its opposite emerges from other‐centrism. Stepping into the other person's shoes is an effective strategy for understanding him. But you must return to your own shoes when forming your beliefs. Evidence is agent centered. Other‐centric reasoning is most striking when both parties partake simultaneously. We are then treated to the spectacle of each side using the other's premises to establish its conclusion. These remarkable debates arise regularly when there is open disagreement about whether a right‐conferring relationship has ended. Those who contend the relationship is abrogated will be tempted to stand on the rights persistently credited to them by their adversary.  相似文献   
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Tool use is typically explored via actor-tool interactions. However, the target-object (that which is being acted on) may influence perceived action possibilities and thereby guide action. Three different tool-target-object pairings were tested (Experiment 1). The hammering action demonstrated the greatest sensitivity and therefore subsequently used to further investigate target-object pairings. The hammer was removed as an option and instructions were provided using pictorial (Experiment 2), written (Experiment 3), and both pictorial and written formats (Experiment 4). The designed tool is chosen when available (Experiment 1) and when removed as a choice (i.e., the hammer), participants perform the same action associated with the designed tool (i.e., hammering) regardless of instruction method (Experiments 2, 3, and 4).  相似文献   
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The Rotter Incomplete Sentences Blank (RISB; Rotter, Lah, & Rafferty, 1992) is a sentence completion test intended to detect psychological maladjustment. To investigate the construct validity of the measure, we investigated what aspects of personality and psychopathology are correlated with the RISB and also tested the incremental validity of the RISB in a combined sample of clinical (n = 72) and undergraduate participants (n = 69). Interrater reliability of the RISB was good (intraclass correlation > .80). The RISB overall adjustment score discriminated between clinical and undergraduate participants, and high scores on the RISB were associated with higher negative affect, more anxiety and depression, irrational thinking, and interpersonal problems. The incremental validity of the RISB was modest, but it did explain variance in satisfaction with life and personality disorder symptoms above and beyond an extracted measure of general psychological distress. Our findings support the construct validity of the RISB.  相似文献   
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The transition to middle/junior high school is associated with declines in students’ academic performance, especially among low‐income, urban youth. Developmental psychologists posit such declines are due to a poor fit between the needs of early adolescents—industry, identity, and autonomy—and the environment of their new schools. Extracurricular participation during these years may act as a buffer for youth, providing a setting for development outside the classroom. The current study examines participation within and across activity settings among low‐income, urban youth in New York City over this transition. Using the Adolescent Pathways Project data, this study explores how such participation relates to course performance. We find that a large percentage of youth are minimally or uninvolved in extracurricular activities during these years; that participation varies within youth across time; and that the association between participation and course performance varies by activity setting. Youth who participate frequently in community or athletic settings or have high participation in two or more settings are found to have higher GPAs in the year in which they participate and youth who participate frequently in the religious setting are found to have lower GPAs. High participation in more than two settings may be detrimental.  相似文献   
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