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61.
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Obstructive sleep apnea (OSA) is one of the most prevalent sleep disorders in the United Sates and is a risk factor for poor health outcomes. Continuous positive airway pressure (CPAP) therapy is an effective treatment for OSA, but adherence rates are poor. Although the spouses of patients with OSA have high potential to influence adherence, there has been minimal research to date. The purpose of this review is to summarize key findings regarding spousal influence on health‐related behavior change and treatment adherence from other medical fields (e.g., type 2 diabetes and cardiovascular disease) in which this line of inquiry has been more thoroughly developed. Recommendations are presented to guide future research investigating spousal influence on CPAP adherence based on findings from other patient populations. In particular, we emphasize the use of spousal health‐related social control as it applies to adherence and provide guidance regarding conceptual and methodological moderators.  相似文献   
63.
    
We investigated whether viewing September 11 footage affected peoples’ perceived distress spanning past, present, and anticipated future. Participants (n = 174) were randomly assigned to a 9/11, fear, or neutral condition and completed measures of temporal perceived distress, distress of future terrorism, Islamophobia, and restriction of civil liberties attitudes. Participants in the neutral and fear conditions perceived their 9/11‐related distress as declining over time. Those in the 9/11 condition perceived their distress as higher at present and declining from present (vs. past ratings). Those viewing 9/11 (vs. neutral or fear) footage reported greater future terrorism distress, more prejudice, and greater restriction of civil liberties. These differences were explained by higher 9/11‐related distress ratings for past 5 years, present, and future.  相似文献   
64.
    
Law enforcement officials have asked health care providers to evaluate patient applications for concealed weapon permits. The current study was designed to examine physician beliefs regarding competency to carry a concealed weapon for patients with specific physical and mental conditions. Among 222 North Carolina physicians who participated in this survey (40% response rate), large variation and uncertainty existed for determining competency. Physicians most frequently chose mild dementia, post-traumatic stress disorder, and recent depression as conditions that would render a patient not competent to carry a concealed weapon. Male physicians and those owning a gun were more likely to deem a patient competent. Almost a third of physicians were unsure about competence for most conditions. Physicians asked to assess competency of patients to carry a concealed weapon have quite disparate views on competency and little confidence in their decisions. If physicians are expected to assess patient competence to carry a concealed weapon, more objective criteria and training are needed. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
65.
    
Older adults are often more susceptible to various illusions and distortions of memory than young adults. In the experiments reported here, we explored the question of whether normal aging was associated with a larger revelation effect, an illusion of memory in which items that are revealed gradually during a recognition test are more likely to be called old than unrevealed items that are shown in their entirety. Contrary to expectations, older adults were not susceptible to this memory illusion. A revelation effect occurred for young but not older adults, even when older adults were similar to young adults on measures of recognition and repetition priming. When data across experiments were combined, there was evidence for a negative revelation effect in older adults in which revealed items were less likely called old than unrevealed items. These results place boundary conditions on the claim that older adults are more susceptible than young adults to memory illusions, and imply that one or more mechanisms underlying the revelation effect are age sensitive.  相似文献   
66.
    
Objectives: Postnatal depression affects approximately 15% of women in Western countries. There are conflicting findings about the effects on fathers as well as the extent to which fathers buffer against the negative effects of depression on children. This study sought to understand the ways in which maternal postnatal depression affects men and their ways of fathering.

Design: Narrative interviews were conducted with 14 British fathers (mean age?=?33.9?years) whose (ex)partners had experienced at least one episode of postnatal depression. Interviews explored how their partner’s depression affected them, the partner relationship, their children and their ways of fathering. Data were analysed with interpretative phenomenological analysis.

Results and Conclusions: Men felt that their partner’s depression led to significant physical and/or psychological maternal absence as well as a fracturing of the family unit, which had been an important ideological foundation for men’s fathering. Unequal divisions of labour, unfulfilled expectations, a thwarting of preferred ways of fathering and preoccupation with their partner’s depression took some men away from fathering. Others reported adaptation by accepting the loss of shared parenting and investing in an exclusive father–child relationship. Fathering appears to be particularly affected by the loss of a close adult relationship.  相似文献   
67.
    
Adolescent decision‐making has been described as impulsive and suboptimal in the presence of incentives. In this study we examined the neural substrates of adolescent decision‐making using a perceptual discrimination task for which small and large rewards were associated with correctly detecting the direction of motion of a cloud of moving dots. Adults showed a reward bias of faster reaction times on trials for which the direction of motion was associated with a large reward. Adolescents, in contrast, were slower to make decisions on trials associated with large rewards. This behavioral pattern in adolescents was paralleled by greater recruitment of fronto‐parietal regions important in representing the accumulation of evidence sufficient for selecting one choice over its alternative and the certainty of that choice. The findings suggest that when large incentives are dependent on performance, adolescents may require more evidence to accumulate prior to responding, to be certain to maximize their gains. Adults, in contrast, appear to be quicker in evaluating the evidence for a decision when primed by rewards. Overall these findings suggest that rather than reacting hastily, adolescents can be incentivized to take more time to make decisions when large rewards are at stake. A video abstract of this article can be viewed at http://youtu.be/1g4F5vzFDl0  相似文献   
68.
    
The ethical implications for psychological practice of genetic testing are largely unexplored. Predictive testing can have a significant impact on health and well-being, and increasing numbers of individuals with knowledge of their risk for various disorders are likely to present for psychotherapy. In addition, more people will struggle with the decision of whether to obtain information regarding their genetic material. Psychologists will need to have the appropriate knowledge and clinical skills to effectively counsel this population. This article highlights the relevant ethical issues surrounding psychological treatment of individuals pursuing or considering undergoing genetic testing. These issues are extended to psychologists working in research, education, and policy domains. Recommendations for graduate training programs to facilitate current and future practitioner competence are also discussed.  相似文献   
69.
The transition from preschool to formal schooling constitutes an important developmental milestone for children and their families. Very few empirical studies investigating the kindergarten transition for typically developing children have been published, and fewer have examined transition experiences from the perspective of caregivers. The aims of our study were to investigate: (1) parent concerns during transition, (2) perceived needs during transition, and (3) parent involvement in kindergarten preparation activities. Parents/caregivers of 86 general education students transitioning to kindergarten completed a survey assessing their concerns, needs, and involvement in transition preparation activities. Results suggest that although the majority of parents expressed few concerns regarding their child’s kindergarten transition, a subset (i.e., 27.9%) reported significant concerns. The areas of concern most often cited by families in this sample were socio-behavioral in nature. Parents in this sample expressed a desire for various types of information during transition. Parents most often reported engaging in low intensity transition practices characterized by generic forms of contact, rather than more individualized and intensive practices often cited in the literature as best practices. In addition, parent involvement in transition preparation activities differed by family socioeconomic status as well as district locale. This study offers practical suggestions and policy implications for coordinating family and school efforts during children’s kindergarten transition.  相似文献   
70.
There has been much philosophical interest regarding the ‘hierarchy of evidence’ used to determine which study designs are of most value for reporting on questions of effectiveness, prognosis, and so on. There has been much less philosophical interest in the choice of outcome measures with which the results of, say, an RCT or a cohort study are presented. In this paper, we examine the FDA’s recently published guidelines for assessing the psychometric adequacy of patient-reported outcome measures. We focus on their recommendations for demonstrating content validity and also for how researchers should weigh up the sum of psychometric evidence when choosing these measures. We argue that questions regarding judgment and understanding meaning of these measures should play a more central role in determining their adequacy.  相似文献   
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