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61.
This study assessed the performance of the PC-PTSD in diagnosing postdeployment posttraumatic stress disorder (PTSD) in a cohort of Air Force Medical Services personnel (N = 18,530). The prevalence of PTSD in the cohort was 5.18% based on medical record data. The area under the receiver operating characteristic curve was 0.69, indicating poor classification accuracy. Sensitivity was 47.55%, specificity was 90.68%, positive predictive value was 21.79%, and negative predictive value was 96.94%. The positive and negative likelihood ratios were 5.10 and 0.58, respectively. Several risk factors were found to be associated with a diagnosis of postdeployment PTSD: being a nurse, being enlisted in the medical service career field, being enlisted in the mental health service career field, those over age 30, being a member of the Active Duty service component, and having one’s first deployment be to Iraq. Being an officer was found to be a protective characteristic. These factors could potentially improve screening for PTSD among Air Force healthcare personnel.  相似文献   
62.
School counselors play a crucial role in the prevention, assessment, treatment, and overall management of eating‐related problems among children and adolescents. This article provides a framework for conceptualizing these difficulties on a continuum of severity and includes recommendations at each level for intervention and consultation. Collaboration with other professionals is encouraged when confronted with these multifaceted issues. Efforts by school counselors are vital to prevention and recovery from eating disorders.  相似文献   
63.
The identification performance of children (5 to 6 years, n = 180; 9 to 10 years, n = 180) and adults (n = 180) was examined using three types of video lineup procedures: simultaneous, sequential and elimination. Participants viewed a videotaped staged theft and then attempted to identify the culprit from a target‐present or target‐absent video lineup. Correct identifications in simultaneous and elimination video lineups did not differ as a function of age. The sequential video lineup was associated with a reduction in correct identifications for both child groups compared with adults. With respect to the target‐absent lineup condition, the video elimination lineup was associated with an increase in correct rejection rates for adult witnesses. Age was also significantly associated with accuracy. Differences in correct rejection rates were observed between adults and children and also between the two child groups. Implications and future directions are discussed. Copyright © 2011 John Wiley & Sons, Ltd.  相似文献   
64.
When a crime has been committed, investigators must obtain as much and as accurate information as possible from witnesses. Initial incomplete interviews may pose a potential cost to unretrieved information. We explored retrieval‐induced forgetting (RIF) in children's autobiographical memory for related episodic events. Children experienced four related play sessions across 4 days, followed by word stem retrieval practice of half of the items, and a cued recall task that took place either 15 minutes or 2 hours later. Categorized details were experienced either within a single day or across multiple days. The emergence of RIF was dependent upon the length of delay between practice and test phases and the temporal distribution of the episodic events. Our observations demonstrate that RIF can be a subtle phenomenon whose occurrence depends upon whether the retrieval context supports an environment of retrieval interference. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
65.
We investigated how holding participants accountable for their responses affected unconscious plagiarism when solving a Boggle puzzle task (finding words in a 4 × 4 letter matrix). Both experimental and control participants (N = 60) generated puzzle solutions with a computer partner, recalled their own previously generated solutions, and then produced new solutions to the puzzles. Accountability was manipulated by telling participants in the experimental group before beginning the initial‐generation phase that at the end of the session, they would review their generated responses with the researcher (accountable participants). Accountable participants plagiarized less than control participants when generating words with the computer and generating new solutions on their own but not when they were attempting to recall words they initially generated. The data are discussed in terms of the leading theoretical explanation of unconscious plagiarism, the source‐monitoring framework. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
66.
The present study evaluated the utility of brief experimental analysis (BEA) in predicting effective interventions for increasing the math fluency of 3 elementary students identified as having math skill deficits. Baseline data were collected followed by implementation of a BEA consisting of the following interventions: cover, copy, and compare, taped problems (TP), and math to mastery (MTM). An extended analysis phase using an alternating treatments design compared all 3 interventions against the results of the BEA. Two follow-up measurements were taken 5 days and 15 days after termination of the extended intervention analysis phase. Results indicated the BEA correctly predicted the most effective intervention for enhancing math fluency for all 3 students. Comparison of the intervention conditions revealed the MTM intervention to be the most effective intervention for 2 of the 3 students, while the TP intervention was the most efficient for 2 of the 3 students.  相似文献   
67.
Gay, lesbian, bisexual, and transgender (GLBT) individuals comprise a growing patient population in genetic counseling, yet literature on working with this population is scarce. This study sought to investigate GLBT patient experiences in genetic counseling and genetic counselor attitudes and practices when counseling GLBT patients. Twenty-nine GLB individuals who had previously participated in genetic counseling, and 213 genetic counselors completed online surveys. No individuals identifying as transgender participated. The patient survey assessed disclosure of orientation, discrimination in genetic counseling, and quality of services received. The counselor survey assessed comfort with and attitudes about counseling GLBT patients, disclosure of counselor orientation, and whether they counsel differently with this population. Every patient denied experiencing discrimination during their session, but 17% reported their genetic counselor assumed they were heterosexual, and 45% indicated intake forms were not GLBT-inclusive. A majority of counselors (91%) reported having counseled GLBT patients and indicated they were comfortable doing so (86%), and 72% indicated no differences in their counseling approaches with GLBT patients. Few counselors (17%) received training in GLBT issues, and most (61%) desired such education. Additional findings and practice and research recommendations are presented.  相似文献   
68.
Created by the State Department's Office of the Coordinator for Reconstruction and Stabilization, the Civilian Response Corps (CRC) contains a diverse pool of qualified and ready‐to‐deploy civilian professionals that support conflict prevention and response efforts in countries or regions that are at risk of, are currently in, or are transitioning from conflict or civil strife. As such, it is vital to optimize the CRC's skill groupings to maximize adaptability and responsiveness to highly uncertain and trying political conditions and crises across the globe. The nature of the CRC value proposition is such that determining which skill set compositions deliver the greatest benefit requires a multi‐faceted perspective that looks at a number of attributes and factors, both tangible and intangible. To meet these needs, an organizational decision‐making approach utilizing multi‐criteria decision analysis (MCDA) was applied to ensure that skill‐grouping allocations were determined in a logical and robust manner. The MCDA analysis allowed for a wide range of worldviews and perspectives, drawn from select members of academia and partner agencies of the CRC who provided their expert opinions on the expected demand for skill groupings commonly identified as most necessary in a civilian ‘surge’ capacity. These skills were assessed with reference to a values hierarchy of representative country scenarios, missions and sub‐missions identified by the Office of the Coordinator for Reconstruction and Stabilization. Of particular interest was the use of the MCDA method to prioritize CRC skill groupings and to help inform the Department of State's understanding of the ‘ideal’ proportion and types of civilian skills for inclusion in the CRC. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
69.
The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling resulted in 23 participants selected by pregnancy, socioeconomic, and depression status. Participants completed semistructured interviews exploring their experiences of pregnancy and the postpartum period and its relationship to mood, and perspectives on ideal treatment content. Thematic analysis revealed a number of perinatal-specific themes that were relevant to CBT in three key domains: self, motherhood, and interpersonal. Mothers particularly struggled with: internalization of “motherhood myths,” self-sacrifice, and managing social support during this period. Shifts in women's themes across the perinatal period, and between racial and socioeconomic groups are discussed as are implications for modification of CBT to improve relevance for perinatal depression.  相似文献   
70.
Dating violence among college students is a widespread and destructive problem. The field of dating violence has seen a substantial rise in research over the past several years, which has improved our understanding of factors that increase risk for perpetration. Unfortunately, there has been less attention paid to dating violence prevention programming, and existing programs have been marred with methodological weaknesses and a lack of demonstrated effectiveness in reducing aggression. In hopes of sparking new research on dating violence prevention programs, the current review examines possible new avenues for dating violence prevention programming among college students. We discuss clinical interventions that have shown to be effective in reducing a number of problematic behaviors, including motivational interventions, dialectical behavior therapy, mindfulness, and bystander interventions, and how they could be applied to dating violence prevention. We also discuss methodological issues to consider when implementing dating violence prevention programs.  相似文献   
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