Objective: The purpose of this study was to examine the relationships between medical mistrust and trust and to determine if these measures differentially predict antiretroviral therapy (ART) medication adherence for African-American adults living with HIV.Design: A total of 458 HIV positive African-Americans completed a cross-sectional survey.Main Outcome Measures: Self-reported ART adherence was collected using the visual-analog scale. The Beliefs About Medicines Questionnaire was used to assess medication necessity and concern beliefs.Results: All measures of medical mistrust and trust were significantly negatively correlated, ranging from r = ?.339 to ?.504. Race-based medical mistrust significantly predicted medication necessity and concern beliefs, whereas general medical mistrust only significantly predicted medication concerns. Both measures of trust significantly predicted medication necessity beliefs and medication concerns. Higher levels of race-based medical mistrust predicted lower medication adherence, whereas, neither trust in own physician nor trust in health care provider significantly predicted medication adherence. However, trust in own physician significantly predicted medication necessity beliefs, which predicted medication adherence.Conclusion: Trust and mistrust are not simply opposites of one another. These findings provide evidence for the complexity of understanding the relationship between health care trust, mistrust and patient-related health beliefs and behaviours. 相似文献
The DSM-IV model of personality disorders is composed of trait sets arranged into 10 theoretically distinct, polythetically assessed categories, with little regard for how the traits comprising these disorders are interrelated and structured. Research since the publication of DSM-III has shown that this model is untenable. The question is not whether this model needs revision; rather, the question is how to move from the existing DSM-IV framework to a model better connected with data. Empirically-based models of personality trait variation provide a starting point for DSM-5, and ongoing research will be used to delineate further the empirical structure of personality traits in the pathological range. The ultimate goal is to frame future DSMs in a way that is maximally useful for clinicians as well as researchers. It is also critical to understand that the DSM-5 is intended to be a living document that will facilitate novel inquiry and clinical applications, as opposed to a document designed to promote and perpetuate a fixed set of constructs. Thus, we view a proposed trait system as a first step on a path to a well-validated, clinically-useful structure. 相似文献
For twenty years the Nuprl (“new pearl”) system has been used to develop software systems and formal theories of computational mathematics. It has also been used to explore and implement computational type theory (CTT)—a formal theory of computation closely related to Martin-Löf's intuitionistic type theory (ITT) and to the calculus of inductive constructions (CIC) implemented in the Coq prover.
This article focuses on the theory and practice underpinning our use of Nuprl for much of the last decade. We discuss innovative elements of type theory, including new type constructors such as unions and dependent intersections, our theory of classes, and our theory of event structures.
We also discuss the innovative architecture of Nuprl as a distributed system and as a transactional database of formal mathematics using the notion of abstract object identifiers. The database has led to an independent project called the Formal Digital Library, FDL, now used as a repository for Nuprl results as well as selected results from HOL, MetaPRL, and PVS. We discuss Howe's set theoretic semantics that is used to relate such disparate theories and systems as those represented by these provers. 相似文献
This article constructs an ecological theology following Emmanuel Levinas’ philosophy of religion. I suggest that the Son and Spirit express divinity through corporeal and temporal realities best described through Levinas’ ideas concerning the an‐archy and awakening of time. Following Levinas, and theologians such as Mark I Wallace, I construct a materialist theology that blurs the line between God and corporeal bodies, positing that such an understanding of the Son and Spirit re‐sacralizes nature in a way that assists Christianity in overcoming the tenuous relationship between humanity and Earth. 相似文献
Child‐witness presentation mode, judicial instructions, and deliberation stage effects on juror ratings of child witness and defendant were investigated Perceptions of the impact of presentation mode on witnesses, juror task, and justice also were explored. Participants (N= 108) viewed a simulated child sexual abuse trial videotape. Overall child‐witness credibility was significantly more positive with videodeposition or court‐given child evidence than with videolink. The defendant was seen as more definitely guilty when child testimony was court given than by videodeposition or videolink. Presentation mode also significantly influenced perceived impact on child witness, defendant case, and juror task. Judicial instructions interacted with presentation mode to affect perceptions of impact on child witness and juror task. Findings are discussed in relation to previous research, and implications for future research and practice are outlined. 相似文献
Sex Roles - The current study examines how intersecting stereotypes about gender and race influence faculty perceptions of post-doctoral candidates in STEM fields in the United States. Using a... 相似文献