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OBJECTIVE: To examine predictors of perceived susceptibility to breast cancer and assess differences across three dependent measures. DESIGN: Annual surveys were completed by US women veterans (N = 3,758) participating in a repeat mammography intervention trial. Multivariable non-linear mixed model analyses examined individual- and group-level changes in perceived susceptibility to breast cancer. DEPENDENT MEASURES: Three single-item measures of perceived susceptibility to breast cancer (percent risk, ordinal risk, and comparative risk likelihood). Predictors included demographic, health status, health behavior, affect, knowledge, and subjective norm variables. RESULTS: Breast symptoms and greater cancer worry increased perceived susceptibility for all three measures. Other predictors varied by dependent measure. Random change, indicating individual variability, was observed for percent risk only. CONCLUSION: Despite small model effect sizes, breast symptoms and cancer worry were consistent predictors and may be good targets for messages designed to influence women's perceived susceptibility to breast cancer. Researchers may benefit from using measures of perceived susceptibility with larger response scales, but additional measurement research is needed. Combining indicators of perceived susceptibility may be undesirable when different predictors are associated with different measures. 相似文献
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Religious Resources,Spiritual Struggles,and Mental Health in a Nationwide Sample of PCUSA Clergy 总被引:1,自引:0,他引:1
Christopher G. Ellison Lori A. Roalson Janelle M. Guillory Kevin J. Flannelly John P. Marcum 《Pastoral Psychology》2010,59(3):287-304
A growing body of research explores patterns and correlates of mental health among clergy and other religious professionals.
Our study augments this work by distinguishing between religious resources (i.e., support from church members, positive religious
coping practices), and spiritual struggles (i.e., troubled relations with God, negative interactions with members, chronic
religious doubts). We also explore several conceptual models of the interplay between these positive and negative religious
domains and stressful life events. After reviewing theory and research on religious resources, spiritual struggles, and mental
health, we test relevant hypotheses using data on a nationwide sample of ordained clergy members in the Presbyterian Church
(USA). At least some support is found for all main effects hypotheses. Religious resources predict well-being more strongly,
while spiritual struggles are more closely linked with psychological distress. There is some evidence that stressful life
events erode mental health by fostering an elevated sense of spiritual disarray and struggle. We find limited support for
the stress-buffering role of religious resources, and limited evidence for a stress-exacerbating effect of spiritual struggle.
Study limitations are identified, along with a number of implications and promising directions for future research. 相似文献
365.
Lori?M.?HiltEmail author Katie?A.?McLaughlin Susan?Nolen-Hoeksema 《Journal of abnormal child psychology》2010,38(4):545-556
This study examined the Response Styles Theory in a large, racially and ethnically diverse sample (N = 722) of 6th, 7th, and 8th graders. We examined the role of response styles (rumination, distraction, and problem-solving)
as predictors of changes in depressive symptoms over a seven-month period. Higher levels of rumination and lower levels of
problem-solving and distraction were associated with increases in depressive symptoms over time. Response style ratio scores
(rumination scores divided by the sum of distraction and problem-solving scores) also predicted increases in depressive symptoms
over time. Girls reported greater depressive symptoms compared to boys, and both rumination and response style ratio score
statistically accounted for the gender difference in depressive symptoms. Clinical implications include the importance of
problem-solving training and rumination reduction techniques in preventive interventions. 相似文献
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Lori Duin Kelly 《The Journal of medical humanities》2018,39(3):285-301
Although it has disappeared as a clinical diagnosis, a Disability Studies perspective on Civil War nostalgia offers an opportunity to recover the process by which understanding around a medical event occurs. By incorporating and examining the interplay between and among participants in the conversation surrounding nostalgia as they operate within various site specific temporal and social contexts, this method of analysis offers an opportunity to arrive at an understanding not only of the factors that contribute to different perspectives on an illness, but also into how some voices become ascendant in constructing medical understanding and why others become subordinate, dismissed, or disappear. 相似文献
369.
Three studies examined the hypothesis that feeling tired along with feeling happy might be linked to the acceptance of atypical ideas. Consistent with this hypothesis, across 3 studies and using 2 different measures of accepting atypical ideas, feelings of happiness and tiredness interacted. When people were high in tiredness, as happiness increased, so too did acceptance of atypical ideas (choosing more unusual exemplars and suggesting more unusual solutions to the gestalt completion test). When people were low in tiredness, happiness had no effect on acceptance of atypical ideas. The studies also examined whether differences in sensation-seeking (Studies 1 & 2) and acquiescence (Study 3) mediated the effect, but neither consistently did so. This work suggests that the combination of feeling tired and happy may enhance acceptance of atypical or unusual ideas, which could potentially help creative thought. 相似文献
370.
Debra Lochner Doyle Rawan I. Awwad Jehannine C. Austin Bonnie J. Baty Amanda L. Bergner Stephanie J. Brewster Lori A. H. Erby Cathi Rubin Franklin Anne E. Greb Robin E. Grubs Gillian W. Hooker Sarah Jane Noblin Kelly E. Ormond Christina G. Palmer Elizabeth M. Petty Claire N. Singletary Matthew J. Thomas Helga Toriello Carol S. Walton Wendy R. Uhlmann 《Journal of genetic counseling》2016,25(5):868-879