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881.
882.
The Application of Behavior Change Theory to Family-Based Services: Improving Parent Empowerment in Children’s Mental Health 总被引:1,自引:0,他引:1
S. Serene Olin Kimberly E. Hoagwood James Rodriguez Belinda Ramos Geraldine Burton Marlene Penn Maura Crowe Marleen Radigan Peter S. Jensen 《Journal of child and family studies》2010,19(4):462-470
We describe the development of a parent empowerment program (PEP) using a community-based participatory research approach.
In collaboration with a group of dedicated family advocates working with the Mental Health Association of New York City and
state policy makers, academic researchers took an iterative approach to crafting and refining PEP to better prepare family
advocates to help bridge the gaps in service access among children with emotional and behavioral problems. Despite the growth
of family-led, family support programs nationally, research that demonstrates the positive benefits of such programs is scarce
in the children’s mental health literature. The PEP model is based on research data about barriers families face in mental
health service utilization (e.g., stigma, perceptions of providers, attitudes towards mental illness, service availability,
etc.). PEP is premised on (a) the concept of empowerment as a process, (b) the need to engage parents in becoming active agents
of change, and (c) the application of an integrated framework to empower parents, called the Parents as Agents of Change model.
Our paper focuses on describing the application of a Unified Theory of Behavior Change as a theoretical framework to help
activate parents as change agents in meeting their children’s mental health needs. Based on an integrated model of grassroots
driven Principles of Parent Support and research-based Unified Theory of Behavior Change, PEP’s Parents as Agents of Change
model provides a conceptual framework for testing the effectiveness of family support services in children’s mental health,
a much-needed area for future research. 相似文献
883.
Janice Lillian Zeman Michael Cassano Cynthia Suveg Kimberly Shipman 《Journal of child and family studies》2010,19(4):381-392
We investigated the psychometric properties of a new instrument, the Children’s Worry Management Scale (CWMS). The CWMS has
three subscales that specify methods of regulating worry: inhibition (the suppression of worry), dysregulation (exaggerated
displays of worry), and coping (constructive ways of managing worry). Using a Caucasian, middle-class sample of 214 children
(M = 9 years, 1 month), Study 1 provides reliability and validity data through patterns of correlations to parent- and child-completed
measures of emotion management and behavioral problems. Internal consistencies range from .69 to .74. Study 2 establishes
discriminant validity by demonstrating that the CWMS Dysregulation and Coping subscales differentiated, in the expected directions,
between a group of children (n = 27) with DSM-IV anxiety diagnoses and a control group of children with no psychological disorders. 相似文献
884.
The present investigation examined the relationship between perceived discrimination and depressive symptoms among First Nations adults in Canada (N = 220). It was considered that specific aspects of ethnic identity (in-group affect, centrality, in-group ties) could serve as resilience and/or vulnerability factors. Whereas in-group affect (positive feelings regarding one's group) was directly associated with decreased depressive symptoms and buffered against perceived discrimination, high levels of centrality (salience of group membership) was associated with increased symptomatology and intensified the relation between perceived discrimination and depressive symptoms. In-group ties (connection to other group members) buffered against perceived discrimination, although this protective effect only applied for males. The data underscore the importance of examining different aspects of identity and gender differences in determining the role of ethnic identity in the well-being of minority populations. 相似文献
885.
Kimberly E. Hoagwood Mary A. Cavaleri S. Serene Olin Barbara J. Burns Elaine Slaton Darcy Gruttadaro Ruth Hughes 《Clinical child and family psychology review》2010,13(1):1-45
A comprehensive review of structured family support programs in children’s mental health was conducted in collaboration with
leadership from key national family organizations. The goals were to identify typologies of family support services for which
evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met criteria for inclusion. Programs
were categorized by whether they were delivered by peer family members, clinicians, or teams. Five salient components of family
support were identified: (a) informational, (b) instructional, (c) emotional, (d) instrumental, and (e) advocacy. Clinician-led
programs were heavily represented (n = 33, 66%), followed by family-led (n = 11, 22%), and team-delivered (n = 6, 12%) programs. Key differences between programs delivered by clinicians or by peer family members were found in the
degree of emphasis, research methodology, and outcomes. However, the content of the components was similar across all three
program types. There are both important differences in emphasis across typologies of family support provided by clinicians,
family members, or teams as well as important similarities in content. Family-delivered support may be an important adjunct
to existing services for parents, although the research base remains thin. A research agenda to promote more rigorous evaluations
of these services especially those delivered by peer family members is critical. 相似文献
886.
Mailey EL Wójcicki TR Motl RW Hu L Strauser DR Collins KD McAuley E 《Psychology, health & medicine》2010,15(6):646-659
The prevalence of mental health disorders among college students is rising and the increasing rates of anxiety and depression have important societal implications. Physical activity has been proposed as an adjuvant to traditional treatment approaches (i.e. psychotherapy or pharmacotherapy), and the internet is a potentially useful means of delivering physical activity information to the college-aged population. This randomized pilot trial examined the effects of an internet-based physical activity intervention on physical activity, self-efficacy, depression, and anxiety in college students (n?=?47) receiving mental health counseling. Physical activity, depression, anxiety, exercise self-efficacy, and barriers self-efficacy were assessed at baseline and post-intervention. There was a significant time effect for physical activity, with both groups increasing their physical activity levels across the 10-week intervention but with a larger increase in the intervention condition (d?=?0.68) than the control condition (d?=?0.05). Exercise and barriers self-efficacy declined across the intervention, but more so in the control than intervention condition. Effects on depression and anxiety were nonsignificant. Finally, correlation analyses showed increases in physical activity were associated with increases in exercise self-efficacy (r?=?0.62) and barriers self-efficacy (r?=?0.63) and decreases in depression (r?=?-0.44) in the intervention condition, but not in the control condition. These results suggest that an internet-delivered physical activity intervention may be a promising approach to promoting physical activity among college students undergoing mental health counseling. 相似文献
887.
Kimberly M. Lymore 《The Ecumenical review》2019,71(4):552-554
This article outlines the development of a scholarship programme geared toward African American laypeople in the Archdiocese of Chicago as a partnership between the archdiocese and the Catholic Theological Union. 相似文献
888.
Depression is a common and costly problem. Behavioral Activation (BA) is an effective treatment for depression when delivered 1:1, but group treatments often do not perform as well as 1:1 treatments. One way to begin to understand how group treatments perform is to assess the process of change during treatment. This study examined trajectories of change across 10-session group BA for individuals with severe, chronic, or recurrent forms of depression. We also tested whether individuals who had associated sudden gains or depression spikes had better outcomes than those who did not have these change patterns. We examined psychological and sociodemographic predictors of the patterns of change. Participants were 104 individuals who met diagnostic criteria for major depressive disorder and participated in one of 10 BA groups, provided over a 2-year period. A linear, but not quadratic or cubic, rate of change fit the data and the effect size for the change in mood symptoms from baseline to posttreatment was large, Cohen’s d = 1.25. Although 34% (26 of the 77 who provided outcome data) of individuals had a sudden gain and 10% (7/77) had a depression spike, neither sudden gains nor depression spikes predicted posttreatment outcomes. None of the demographic or psychological factors (rumination, behavioral activation) predicted the pattern of change. These results suggest that although group BA may help to reduce depressive symptoms in individuals with severe, recurrent, and/or chronic forms of depression, the overall linear pattern of change is different from quadratic patterns of change reported for 1:1 BA. 相似文献
889.
Lois James Denise Smart Tamara Odom-Maryon Kimberly A. Honn Stephanie Rowan 《Military psychology》2019,31(2):138-146
National Guard personnel remain largely unstudied within the sleep research community, despite their unique and important role. In response, the purpose of this study was to investigate the extent of sleep deprivation in National Guard medical personnel from two separate Air Force Bases (AFBs) responding to simulated disaster-training exercises. National Guard medical personnel (N = 77) were fitted with wrist activity monitors (actigraphy) to objectively measure their sleep for 4 days of their civilian time (baseline), followed by a 4-day transition period from civilian to military duty, and a 3–5-day disaster-training exercise. Differences in sleep quantity, quality, and “cognitive effectiveness” were analyzed using generalized linear mixed models. Participants’ sleep quantity was significantly reduced from civilian to disaster-training periods, and their cognitive effectiveness also dropped significantly. National Guard medical personnel were sleep-deprived during a simulated disaster-training exercise, which, although a valid proxy for real-world disasters, is likely to be a conservative approximation of the stress and fatigue National Guard personnel experience during crisis response. As such, the need for targeted fatigue-related interventions to safeguard our service members during these critical times is clear. 相似文献
890.
Concerns regarding American schools and mental health services for children abound, including inadequate educational achievement, school violence, over-referral to special education and disproportionate placement of minorities into special education, under-utilization of mental health services for children, and a poorly coordinated system of child mental health services. All of the above concerns share two common attributes: (a) they are statements regarding populations, rather than specific individuals; and (b) they are best addressed by changing system-wide elements of psychological service delivery. We argue that, although conceptualizing school psychology as primarily an indirect service specialty (e.g., J. Sch. Psychol. 28 (1990) 203) has advanced our thinking about effective service delivery, conceptualizing school psychological services from a public health perspective will provide an even broader framework that can increase both the efficacy and efficiency of school psychologists' work. 相似文献