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This study aims to investigate the utility of the Contextual Model of Health-Related Quality of Life (HRQOL) to explain the relationship among the domains of HRQOL with a diverse, population-based sample of breast cancer survivors (BCS). We employed a cross-sectional design to investigate HRQOL among 703 multiethnic, population-based BCS. The study methodology was guided by the Contextual Model of HRQOL. Structural Equation Modeling (SEM) was conducted to assess the hypothesized model. SEM identified significant relationships among the bio-psychological domain (general health status, cancer-related factors, and psychological factors), the cultural-socio-ecological domain (health care satisfaction, socio-ecological factor, and socio-economic status), and HRQOL. The best fitting model indicates direct pathways from ‘general health status’, ‘years since diagnosis’, ‘health care satisfaction’ and ‘socio-ecological factor’ to ‘HRQOL’ variables. Additionally, ‘socio-ecological factor’ and ‘socio-economic status’ variables were indirectly associated with HRQOL through ‘general health status’. Findings suggest that the Contextual Model of HRQOL adds valid factors to explain overall HRQOL and increases our understanding of the socio-ecological dimensions predicting HRQOL outcomes. The revelation of inter-relations among the dimensions of HRQOL may inform the translational and clinical utility of the HRQOL construct.
Jung-Won Lim (Corresponding author)Email:

Dr. Kimlin T. Ashing-Giwa   is professor and director of the Center of Community Alliance for Research and Education (CCARE) at City of Hope. She received her doctorate in clinical psychology from the University of Colorado-Boulder. Her scholarship and life work is to understand and investigate how culture, ethnicity, ecological and systemic context influence health outcomes. Currently, she is developing and implementing community participatory interventions to reduce the risk and burden of chronic illness, in particular cancer. Dr. Jung-won Lim    is a research fellow of the CCARE at City of Hope. She received her doctorate from the University of Southern California, School of Social Work. Her research focuses on adjustment and quality of life among patients with chronic physical illness and their family. She is currently conducting studies related to health beliefs, health behaviors, and quality of life among breast cancer survivors.  相似文献   
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This study investigated the effects of gender and sex role orientation (masculinity and femininity) on attitudes toward seeking professional psychological help in a sample of 163 student trainee teachers (52 males and 111 females) in Singapore. The mean age of students was 25.39 years (SD = 3.80). ANOVAs revealed statistically significant main effects for gender and femininity on attitudes toward help-seeking. Specifically, females were reported to have more positive overall attitudes toward professional help-seeking and were more willing to recognize a personal need for professional help compared to males. Femininity significantly influenced students’ level of stigma tolerance. These findings suggest that both gender and sex role orientation play an independent role in influencing help-seeking attitudes. In addition, these variables appear to have a differential impact on different aspects of helpseeking.  相似文献   
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This study examined the emotion experience of Asian Americans in relation to respondents' orientation to acculturation: Assimilation, Integration, Separation, or Marginalization (J. W. Berry, 1980). Ego- versus other-focused emotion experiences (H. R. Markus & S. Kitayama, 1991) and attention and valence, 2 stages in P. C. Ellsworth's (1994) model of emotion appraisal, were used to investigate the relation between acculturation and affect. Asian Americans most and least assimilated to the dominant Anglo American culture were expected to exhibit emotion responses correspondingly similar to and different from those of Anglo Americans. Those with a bi-cultural or integrationist trajectory should occupy a middle ground in terms of emotional experience. Compared with the appraisal process, ego- versus other-focused emotions, mediated in part by one's self-construal (e.g., independent or interdependent), were more strongly associated with acculturation orientation in the expected directions. The implications of recognizing the influence of acculturation on the emotional meaning of life encounters of newcomers are discussed in light of community psychology and clinical practice.  相似文献   
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Journal of Business and Psychology - Building on trait activation and attention capacity theories, we hypothesized and tested the moderating effect of task variety on the relationship between...  相似文献   
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The interest in mindfulness meditation interventions has surged due to their beneficial effects in fostering resilience and reducing stress in both clinical and non-clinical populations. However, the relaxation benefits that may occur while practicing mindfulness meditation and long-term benefits of these interventions remain unclear. Fifty-one participants were recruited and randomized into the experimental and control groups, which underwent 4 days of Intensive Meditation (Templestay program, n = 33) and Relaxation (Control, n = 18), respectively. The self-report measures of Cognitive and Affective Mindfulness Scale-Revised (CAMS) and the modified Korean version of the Resilience Quotient Test (RQT) were administered pre-, post- and 3 months after the intervention to measure participants’ levels of mindfulness and resilience. Participants in both the Templestay program and Control groups showed significant increases in their scores on CAMS and RQT after completing the program. During the 3-month follow-up, a significant interaction effect of the intervention method and time was revealed for the individuals’ CAMS and RQT scores. Our findings support the hypothesis that while relaxation practices may have certain stress reduction effects, the effects are predominantly mediated by the mindfulness meditation practice. Furthermore, the long-term benefits of increased resilience observed in the Templestay program group suggest that the practice may be a possible treatment strategy in clinical populations, such as patients with depression and anxiety.  相似文献   
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We examined the utility of social cognitive variables in the longitudinal prediction of academic persistence and success of engineering students. The participants, 908 students enrolled in engineering majors at two state universities, completed measures of academic support, self-efficacy, outcome expectations, interests, satisfaction, positive affect, and intended persistence at the end of each of their first four semesters. In the current study, students' first and second semester responses were used to predict persistence and grade performance in engineering by the end of six semesters. Path analytic findings indicated that second-semester persistence intentions, satisfaction with the major, self-efficacy, and social support each produced direct paths to persistence. Objective ability (mathematics SAT scores), outcome expectations, and interests were linked to persistence indirectly via their relations to other variables in the model. In addition, self-efficacy and objective ability jointly predicted grade performance. Results were stable across gender and racial/ethnic groups. Implications for research and practice on academic adjustment in engineering are considered.  相似文献   
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