Given the importance of measuring QOL and the need for sound and efficient planning to improve and enhance the well-being of citizens, the objective of this study was to investigate QOL in rural areas of Tehran province, Iran. To this end, the relevant literature and secondary sources were used to develop a questionnaire whose validity was determined by a panel of experts. To the best knowledge of the authors, no similar study has assessed QOL in rural areas of Tehran province and none of them has compared objective and subjective QOL in rural areas. The findings showed that in terms of objective QOL, which indicates the minimum living standards, the villagers in Tehran province were in a moderate to high status, but in the subjective QOL, about 20% of the villagers were rated as poor. According to the findings, there was a significant difference between the residents of different rural areas of Tehran in terms of objective and subjective QOL at the 99% level, but the differences were not the same. This calls for policymakers’ attention. In this regard, policies should be put on the planning agenda to reduce rural migration by adopting a coordinated approach to rural and urban development and improving the physical and environmental conditions of rural communities to provide welfare services and reduce the disparity between urban and rural areas.
Between 30 and 70% of patients with eating disorders drop out from outpatient treatment. However, research has been unable to identify factors that consistently predict dropout from eating disorder treatment. Most studies have exclusively investigated the role that individual patient characteristics play in dropout and have ignored more process-based factors such as expectations about treatment, the therapeutic alliance, or time spent on a treatment waiting list. This study aimed to investigate the roles of both individual patient characteristics and process-based factors in dropout from outpatient treatment for eating disorders. The study involved data collected from consecutive eating disorder referrals to the only public specialist eating disorder service for youth and adults in Perth, Western Australia. The standard treatment provided at this service is Enhanced Cognitive Behaviour Therapy on an individual basis. The study involved 189 patients referred to the service between 2005 and 2010. Forty five percent of this sample dropped out of treatment. Results showed that, in this sample, two individual factors, lowest reported weight and the tendency to avoid affect, and one process-based factor, time spent on the wait list for treatment, were significant predictors of dropout. These findings are valuable because a process-based factor, such as wait-list time, may be easier to address and modify than a patient's weight history or the trait of mood intolerance. Increased resources for eating disorder services may reduce waiting list times which would help to reduce dropout and maximize treatment outcomes. 相似文献
The present research intends to understand the influence of employee’s perception of psychological contract breach on their
organizational citizenship behaviour and trust on employers. The study was carried out in private banks of North Delhi. Data
were gathered from 90 junior level executives using convenience sampling method. Result revealed that psychological contract
breach significantly predicts organizational citizenship behaviour and trust. The findings imply that the organization needs
to understand and manage employee’s psychological contract properly otherwise perception of its breach can jeopardize employee’s
citizenship behaviour and also their trust in employer which in turn may affect their job performance. 相似文献
Although school‐aged children living in foster care have been identified as a high‐risk group for mental health and developmental disorders, there is a paucity of data relating to preschool children in care (CIC). This study aimed to identify the prevalence of mental health and developmental disorders along with corresponding need for interventions in preschool CIC. All CIC aged 0 to 5 years in an inner city local authority underwent comprehensive, multifaceted assessments consisting of the Ages and Stages Questionnaire (J. Squires, D. Bricker, & E. Twombly, 2003), interviews with caregivers based on the Preschool Age Psychiatric Assessment (H.L. Egger & A. Angold, 2006), Mullen Scales of Early Learning (E.M. Mullen, 1995 ), and systematic clinical observation. Of 58 eligible preschoolers, 43 completed the assessment. At least one mental health disorder was found in 26 (60.5%) participants, and at least one developmental disorder was found in 11 (25.6%). When mental health and/or developmental disorders were considered together, 30 (69.8%) preschoolers fulfilled criteria for at least one diagnosis, and 18 (41.9%) had two or more comorbid conditions. Whereas 36 (83.7%) of the preschoolers needed an intervention, only 3 of these had received adequate input. In conclusion, preschool CIC constitute a high‐risk group for mental health and developmental disorders. Without age‐appropriate assessments, their needs go undetected, and opportunities for early intervention are being missed. 相似文献
Substance use disorders (SUD) are common among people with psychotic disorders and are associated with many negative consequences. Understanding the reasons for substance use in this population may allow for the development of more effective prevention and intervention strategies. We examined reasons for tobacco, alcohol, or cannabis use among people with psychotic disorders. Sixty-four participants with a diagnosed psychotic disorder completed a self-report reasons for use questionnaire. A subset of eight participants completed semi-structured qualitative interviews. Both the qualitative and quantitative data indicated that reasons for use of tobacco, alcohol, and cannabis differed considerably. Tobacco was primarily used for coping motives, alcohol for social motives, and cannabis for pleasure enhancement motives. Prevention and intervention strategies targeting coexisting psychotic disorders and SUD may improve in effectiveness if they address the perceived beneficial effects of tobacco use, the strong social pressures influencing alcohol use and if they encourage cannabis users to seek alternative pleasurable activities. 相似文献
Although extensive studies demonstrate a link between infant sleep problems and parental depression, limited research explores this relation in parents of primary school aged children. Using cross-sectional data, we investigated direct, moderating and mediating risk and resistance factors in the relation between child sleep problems and parental depressive symptomatology in a sample of 145 Australian parents of primary school aged children. Parents completed the children’s sleep habits questionnaire, the short temperament scale for children, the perceived stress scale and the depression sub-scale of the depression, anxiety and stress–short form. Correlational analyses confirmed bivariate relations between parental stress and parental depressive symptomatology, and between child sleep problems and parental depressive symptomatology. Multiple regression analyses identified parental stress as a mediator of the relation between child sleep problems and parental depressive symptomatology, and the approach component of child temperament as a moderator of the relation between child sleep problems and parental depressive symptomatology. Findings suggest that parents of children with sleep problems experience increased stress levels and increased levels of depressive symptomatology and may be at increased risk of depression if their child has a difficult temperament characterized by low approachability. Implications for clinical intervention and future research are discussed. 相似文献
People who know the outcome of an event tend to overestimate their own prior knowledge or others' na?ve knowledge of it. This hindsight bias pervades cognition, lending the world an unwarranted air of inevitability. In four experiments, we showed how knowing the identities of words causes people to overestimate others' na?ve ability to identify moderately to highly degraded spoken versions of those words. We also showed that this auditory hindsight bias occurs despite people's efforts to avoid it. We discuss our findings in the context of communication, in which speakers overestimate the clarity of their message and listeners overestimate their understanding of the message. 相似文献
This review systematically investigates rates of physical intimate partner violence for both sexes in international samples. Surveys that accessed nationally representative samples, used gender inclusive methodology and neutral contexts are reviewed to determine 12-month and lifetime victimization and perpetration rates. Discrepancies between international rates, and the impact that gender equality may have upon these differences is also investigated. Electronic databases were systematically searched to identify surveys that met inclusion criteria. Eleven surveys were reviewed. Of these, Family Violence surveys had the highest methodological quality and showed equal rates for both sexes. Surveys of lesser quality typically showed higher female victimization and male perpetration rates. Countries at the extremes of gender empowerment measure scores differed in their patterns of rates. Gender equality in the US was associated with symmetry for the sexes, and inequality in Uganda associated with higher female victimization. However, as countries tended to use different methods to investigate the problem it was not possible to compare the effects of gender equality on differences in international rates of IPV. It is concluded that survey methodology needs to be consistent across nations, and specifically target family violence if true rates are to be determined and compared across the globe. 相似文献
Effects of behaviour change on cognitions are rarely examined within the Theory of Planned Behaviour. We tested whether increases in physical activity resulted in more positive beliefs about further change among a cohort of sedentary adults participating in a behavioural intervention trial (ProActive). At baseline, 6 and 12 months, 365 adults completed questionnaires assessing physical activity and cognitions about becoming more active over the coming year. Objective activity was assessed at baseline and 12 months. Participants reporting larger increases in activity were no more positive about making further increases than those reporting less behaviour change (p-values > 0.05). Participants with larger increases in objective activity reported weaker perceived control (β?=??0.342; p?=?0.001) and more negative instrumental attitudes (β?=??0.230; p?=?0.017) at 12 months. Participants may have felt that they had changed enough or measures of perceived success may be more sensitive to behaviour change. Alternatively, long measurement intervals may have missed immediate cognitive and affective consequences of behaviour change, or such effects may require participants to consistently self-monitor or receive feedback on performance. Future studies could test the effect of such techniques on physical activity and a wider range of cognitive, affective and physiological consequences, using more frequent measurement intervals. 相似文献
Two computer programs, SSWC (Sundararajan-Schubert Word Count) and LIWC (Linguistic Inquiry and Word Count), were used in combination to analyze the texts of 3 religious writers—one true mystic (Johannes Tauler), one false mystic (Thomas Müntzer) from medieval German Christianity, and one modern “saint,” Mother Teresa (Warren, 2010
Warren , R. ( 2010 , Aug. 31 ). Introduction . In D. Van Biema & R. Lacayo (Eds.), Mother Teresa at 100/The life and works of a modern saint (pp. 6 – 7 ). New York , NY : TIME Books .[Crossref], [Google Scholar], p. 7). Results suggest that reflections on spiritual suffering that loom large in both medieval German mysticism and Mother Teresa constitute an adaptive approach to negative emotions, so far unexplored. Implications for research on negative religious coping, and adaptive versus maladaptive reflections on negative emotions will be discussed. 相似文献