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151.
Negative mood, depressive symptoms, and major depressive episodes (MDEs) were examined in 179 smokers with a history of major depression in a trial comparing standard smoking cessation treatment to treatment incorporating cognitive-behavioral therapy for depression (CBT-D). Early lapses were associated with relatively large increases in negative mood on quit date. Mood improved in the 2 weeks after quit date among those returning to regular smoking but not among those smoking moderately. Continuous abstinence was associated with short- and long-term reductions in depressive symptoms. MDE incidence during follow-up was 15.3% and was not associated with abstinence. Unexpected was that CBT-D was associated with greater negative mood and depressive symptoms and increased MDE risk. Results suggest complex bidirectional associations between affect and smoking outcomes.  相似文献   
152.
Some studies have shown that burnout may have a negative impact on clinical empathy during internship. However, clinical empathy may also be a protective factor, preventing residents from experiencing burnout. Although several quantitative studies have been conducted to examine these relationships between burnout and empathy, no qualitative studies have been carried out. To examine how residents in general practice evaluate the link between burnout and empathy, 24 of them participated in a semi-structured interview. A thematic analysis was carried out to examine residents’ discourses and answers to closed questions. The results indicated that residents thought that empathy and burnout were clearly related in different ways. They identified five types of relationship: regulation strategy, empathy as protection, psychological balance/imbalance, fatigue and moderating factors.  相似文献   
153.
The choice of constraints in correspondence analysis   总被引:2,自引:0,他引:2  
A discussion of alternative constraint systems has been lacking in the literature on correspondence analysis and related techniques. This paper reiterates earlier results that an explicit choice of constraints has to be made which can have important effects on the resulting scores. The paper also presents new results on dealing with missing data and probabilistic category assignment.I am most grateful to the following for their helpful comments. Arto Demirjian, Michael Greenacre, Michael Healy, Shizuhiko Nishisato, Roderick Mcdonald, and several anonymous referees.  相似文献   
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155.
Since the global financial crisis of 2007/8, proliferating calls for a Keynesian Green New Deal have cast the publicly (and environmentally) minded state as a necessary driver of technological innovation and social transformation, while, vice versa, innovation has moved to political centre-stage. The history and genesis of this particular Green Keynesian paradigm illustrate that some of its most high-profile proponents selectively and problematically frame twentieth-century Keynesianism and the ‘public good’. It is important to examine critically the calls for an ‘entrepreneurial state’ in which Green Keynesian ideas are mobilized in support of an agenda for continued and accelerated development of commercially focused, privately developed green technologies. The entrepreneurial state represents a neoliberal re-appropriation of Green Keynesianism, where dominant financial actors (in Silicon Valley, as opposed to on Wall Street) are tapped as the visionaries who can and should set our collective innovation agenda. Although there is a need for large-scale, coordinated techno-social efforts to address climate change, supporting ‘green’ innovation cannot simply be framed as maximizing ‘innovation’ while taking the ‘state’ for granted. Instead, it must entail a careful assessment of the specific trajectories of innovation being enabled and the underlying socio-natures that they maintain and promote. Science and technology studies (STS)-informed analysis allows, and compels, asking how socio-technological innovation and their constitutive power relations are crucially interrelated, making the reshaping of the state—still the primary institution and system of social relations of collective governance—a core but neglected political, technological and ecological project of our time, with a key role for STS.  相似文献   
156.
To determine the differential effects of maternal emotional and physical unavailability on infant interaction behavior, 4-month-old infants were subjected to the mothers' still-face and to a brief separation from the mother. Although the infants became more negative and agitated during both conditions, the still-face was more stressful.  相似文献   
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158.
The youth in Bolgatanga municipality in Ghana have relatively less knowledge of sexual and reproductive health (SRH) compared to the youth in other parts of Ghana. More fundamental knowledge is needed of the factors that influence young people to have protected and unprotected sex in specific social and cultural contexts, in order to protect them from adverse consequences, such as sexually transmitted diseases (STIs), HIV/AIDS and unintended pregnancies. This study therefore analyzed the conceptions and attitudes of the youth toward protected and unprotected sex, and particularly condom use, in Bolgatanga municipality. Semi-structured and focus group interviews were held with 71 young males and females and 17 adults. The results indicated that many of them lack a comprehensive knowledge of STIs, contraceptives and pregnancy, while a group of them had a negative attitude towards contraceptives. Not all parents, schools and organisations provide young people with a comprehensive education about SRH, and some even discourage such education because they believe it would encourage young people to have sex before marriage. In addition, young people also inform each other about SRH issues, sharing stories and personal experiences with their peers. The information they exchange is not always correct, however; sometimes it merely reflects their own personal preferences. The unequal power in the sexual relationships of young people—related to the traditional value system that gives men, but not women, “sexual freedom, both in and outside marriage”—is another determining factor for unprotected sex.  相似文献   
159.
160.
The associations between mothers' part-time employment and mother well-being, parenting, and family functioning were examined using seven waves of the NICHD Study of Early Child Care and Youth Development data (N = 1,364), infancy through middle childhood. Concurrent comparisons were made between families in which mothers were employed part time and both those in which mothers were not employed and those in which mothers were employed full time. Using multivariate analysis of covariance with extensive controls, results indicated that mothers employed part time had fewer depressive symptoms during the infancy and preschool years and better self-reported health at most time points than did nonemployed mothers. Across the time span studied, mothers working part time tended to report less conflict between work and family than those working full time. During their children's preschool years, mothers employed part time exhibited more sensitive parenting than did other mothers, and at school age were more involved in school and provided more learning opportunities than mothers employed full time. Mothers employed part time reported doing a higher proportion of child care and housework than mothers employed full time. Part-time employment appears to have some benefits for mothers and families throughout the child rearing years.  相似文献   
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