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71.
Darren B. Courtney Stephanie Duda Peter Szatmari Joanna Henderson Kathryn Bennett 《Suicide & life-threatening behavior》2019,49(3):707-723
This study aimed to systematically identify and appraise clinical practice guidelines (CPGs) relating to the assessment and management of suicide risk and self‐harm in children and adolescents. Our research question is as follows: For young people (under 18 years old) presenting to clinical care with suicide ideation or a history of self‐harm, what is the quality of up‐to‐date CPGs? Using the PRISMA format, we systematically identified CPGs meeting our inclusion and exclusion criteria. Subsequently, two independent raters conducted appraisals of the eligible CPGs using the Appraisal of Guidelines for Research and Evaluation II instrument. CPGs were then classified as “poor quality,” “minimum quality,” and “high quality” using operationally defined criteria developed a priori. We identified 10 eligible CPGs published or renewed between 2005 and May 2017. Only the long‐term management of self‐harm CPGs produced by the National Institute for Health and Care Excellence met “high‐quality” criteria. Despite multiple options of CPGs published to choose from, only one was identified as “high quality,” where bias is adequately minimized. Clinicians are advised to direct resources to implementing the “high‐quality” CPG. 相似文献
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Weil J Ormond K Peters J Peters K Biesecker BB LeRoy B 《Journal of genetic counseling》2006,15(2):85-93
Nondirectiveness has been a guiding principle for genetic counseling since the founding of the profession. However, its efficacy and appropriateness in this role have been frequently questioned. A workshop at the 2003 Annual Education Conference of the National Society of Genetic Counselors provided audience participation in a discussion of these issues. Participants presented arguments for and against nondirectiveness as a central ethos. They described complex personal transitions in adapting what they had learned about nondirectiveness during training to the realities of the workplace. There was support for flexible approaches to genetic counseling, with varying adherence to nondirectiveness, based on client and family needs and values, clinical circumstances, and desired counseling outcomes. The discussion supports the use of clinical experience, outcomes research, and the experience of other professions to move beyond nondirectiveness and more accurately identify the theoretical bases that underlie genetic counseling in the variety of circumstances in which it is currently practiced. 相似文献
76.
The social context of adolescent suicide attempts: interactive effects of parent, peer, and school social relations 总被引:1,自引:0,他引:1
Kidd S Henrich CC Brookmeyer KA Davidson L King RA Shahar G 《Suicide & life-threatening behavior》2006,36(4):386-395
An ecological developmental model of adolescent suicidality was used to inform a hierarchical logistic regression analysis of longitudinal interactions between parent, peer, and school relations and suicide attempts. Reanalyzing data from the National Longitudinal Study of Adolescent Health, it was found that parent relations were the most consistent protective factor, and among boys with prior suicide attempts, school relations augmented the effects of parent relations when peer relations were low. Results indicated the need to understand suicidal behavior as a component of interactive social processes in the design of clinical interventions. 相似文献
77.
Shahar G Porcerelli JH Kamoo R Epperson CN Czarkowski KA Magriples U Mayes LC 《Journal of the American Psychoanalytic Association》2010,58(5):953-974
In an attempt to illustrate the relevance of psychoanalytic theory and research to behavior medicine, an empirical investigation was conducted of females treated at a high-risk pregnancy specialty clinic (N = 58). Drawing from psychoanalytic object relations theory, it was hypothesized and confirmed that use of projection as a defense mechanism during pregnancy, superimposed on simplistic object relations, predicted an erosion of patient-provider relationships during the pregnancy/postdelivery period. Findings are interpreted through the perspective of mentalization, pertaining to individuals' ability to understand the mental states of self and others, specifically under significant stress. Implications for psychoanalytically oriented assessment and treatment, and for the rift between psychoanalysis and research, are discussed. 相似文献
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Preschoolers' knowledge of the appearance of proper names was tested in three experiments with 25 boys and 22 girls from low-income families. Children from a Head Start program, whose parents signed a permission letter, participated. Their ages ranged from 3 yr. 6 mo. to 5 yr. 6 mo. (M = 52.2 mo., SD = 4.9). When shown consonant-vowel-consonant trigrams such as Rit or baF or dEg with various capitalization patterns, the children showed a tendency to recognize that CVC trigrams with the first letter capitalized or all letters capitalized were the ones most likely to represent a person's name. When their own names were substituted, which typically contained more than three letters, their performance was markedly better. Children also had a strong tendency to consider trigrams of Latin letters as more likely to be a person's name than trigrams of non-Latin characters (e.g., Sanskrit). 相似文献
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Olga L. Walker Kathryn A. Degnan Nathan A. Fox Heather A. Henderson 《Journal of applied developmental psychology》2013
The purpose of this study was to examine developmental change and the influence of shyness on social problem-solving (SPS). At 24, 36, and 48 months, children (N = 570) were observed while interacting with an unfamiliar peer during an SPS task and at 24 months, maternal report of shyness was collected. Results showed that across the full sample, children displayed low but stable levels of withdrawn SPS and increasing levels of SPS competence over development. In addition, results showed multiple trajectories of withdrawn and competent SPS. Shyness was associated with high-increasing and high-decreasing withdrawn SPS trajectories compared with the low-increasing withdrawn SPS trajectory. Shyness was also associated with the low-increasing compared with the high-increasing SPS competence trajectory. Findings demonstrate the development of SPS competence over early childhood, and the influence of early shyness on this developmental course, with some shy children showing improvement in SPS skills and others continuing to show SPS difficulties over time. 相似文献