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891.
Chen H Cohen P Crawford TN Kasen S Johnson JG Berenson K 《Journal of personality disorders》2006,20(5):510-523
Little is known about long-term prognostic implications of personality disorder (PD) for quality of life (QOL) in the young adult population not selected for psychiatric treatment. The purpose of this study was to determine the association of PDs with QOL assessed after an 11-year interval. PDs were assessed in 1991-1994 at mean age 22, and indicators of QOL were assessed in 2001-2004 at mean age 33 based on a community sample of 588 young adults. Findings indicated that any PD, or a cluster A, B, or C PD each were independently associated with elevated impairment in overall QOL after adjusting for demographic variables, co-occurring Axis I disorder, and physical illness, and PDs in other clusters. Cluster B PD had a greatest adverse impact on QOL. Symptoms of antisocial, borderline, and schizotypal PD symptoms were independently associated with significant reductions in QOL; avoidant, paranoid, and dependent PD symptoms were associated with smaller reductions, not reaching statistical significance. Symptoms of other individual PDs were not associated with reduced QOL. PDs in young adults in the community have an enduring and adverse impact on subsequent QOL that cannot be attributed to physical illness or Axis I psychiatric disorder. 相似文献
892.
Conrod PJ 《Cognitive behaviour therapy》2006,35(4):216-225
This study examined the specificity of the relationship between anxiety sensitivity (AS), a measure of catastrophizing about arousal-related sensations, and pain responses, by examining the effect of AS on responses to stressors of a physical and social nature. Healthy men and women (n = 129) between the ages of 18 and 25 years were recruited from the community to participate in a study examining subjective, cognitive and behavioural responses to different types of stressors. Participants were randomly assigned to one of 3 groups: (i) a neutral condition in which they sat quietly and read a popular magazine; (ii) a social stress condition in which they anticipated having to give a self-disclosing speech; and (iii) a physical stress condition in which they were presented with 3 countdown to shock trials where a mild electrical shock was administered on the non-dominant arm. Subjective ratings and physiological responses were recorded in anticipation of the stressor and immediately after stress exposure. Results indicated that AS was indirectly related to pain ratings via its effect on anticipatory anxiety ratings. AS was associated with anticipatory anxiety ratings, regardless of whether the stressor was of a physical or social nature. Furthermore, AS was not shown to be directly associated with exaggerated subjective or physiological reactions to the physical stressor. These results indicate that the role of AS in pain responses may be mediated through a global effect on anxiety, and limited to the anticipatory stage of the pain experience. If future studies yield similar findings in pain patients, then they would suggest that interventions for helping individuals high in AS should focus on catastrophic thinking in anticipation of stressors in general, rather than on pain-specific stressors. 相似文献
893.
Anholt GE Cath DC Emmelkamp PM van Oppen P Smit JH van Balkom AJ 《Behaviour research and therapy》2006,44(11):1537-1543
There is considerable overlap in symptomatology between Tourette's syndrome (TS) and obsessive-compulsive disorder (OCD). Increased rates of tics are found in OCD and up to 60% obsessive-compulsive symptoms in TS. However, in OCD obsessive-compulsive symptoms are more often anxiety-related and, as a consequence, aimed at anxiety-reduction, whereas in TS these symptoms are more stimulus-bound. Therefore, it is of clinical interest to study whether these phenomenological differences are reflected in differences between dysfunctional cognitions accompanying OC symptoms in OCD with or without tics and TS. Current cognitive theory of OCD ascertains that specific dysfunctional beliefs are important in the etiology and maintenance of OCD. To assess these beliefs, the obsessive-compulsive beliefs questionnaire-87 (OBQ-87) has been developed. In the present study, OBQ-87 scores of OCD patients without tics, OCD with tics, and TS (without OCD) patients were compared to those of normal controls. Results: OCD without tic patients exhibited higher OBQ-87 scores than TS patients. No differences were found between OCD with or without tic patients on any of the OBQ-87 subscales. These results suggest that: (1) dysfunctional beliefs have no discriminative power with respect to OCD with or without tic patients; (2) the direct relationship between types of OC symptoms and specific dysfunctional beliefs is questionable. Therefore, one can doubt the specificity of cognitive theory of OCD to explain specific OC behavior. 相似文献
894.
In a community sample (N = 543) followed over 20 years, the authors studied associations among childhood family violence exposure, personality disorder (PD) symptoms, and adult partner violence. PD symptoms (DSM-III-R Clusters A, B, and C) in early adulthood partially mediated the effect of earlier childhood risks on the odds of perpetrating partner violence. The authors tested whether stability of PD symptoms from adolescence to the early 20s differs for individuals who later perpetrated partner violence. Cluster A ("Odd/Eccentric") symptoms declined less with age among partner violent versus nonviolent men and women. Cluster B ("Dramatic/Erratic") symptoms were more stable through late adolescence in partner violent men, compared with nonviolent men and violent women. Cluster C ("Anxious") symptoms were most stable among partner violent men. 相似文献
895.
An implicit assumption of studies in the attentional literature has been that global and local levels of attention are involved in object recognition. To investigate this assumption, a divided attention task was used in which hierarchical figures were presented to prime the subsequent discrimination of target objects at different levels of category identity (basic and subordinate). Target objects were identified among distractor objects that varied in their degree of visual similarity to the targets. Hierarchical figures were also presented at different sizes and as individual global and local elements in order to investigate whether attention-priming effects on object discrimination were due to grouping/parsing operations or spatial extent. The results showed that local processing primed subordinate object discriminations when the objects were visually similar. Global processing primed basic object discriminations, regardless of the similarity of the distractors, and subordinate object discriminations when the objects were visually dissimilar. It was proposed that global and local processing aids the selection of perceptual attributes of objects that are diagnostic for recognition and that selection is based on two mechanisms: spatial extent and grouping/parsing operations. 相似文献
896.
Shields AE Fortun M Hammonds EM King PA Lerman C Rapp R Sullivan PF 《The American psychologist》2005,60(1):77-103
The use of racial variables in genetic studies has become a matter of intense public debate, with implications for research design and translation into practice. Using research on smoking as a springboard, the authors examine the history of racial categories, current research practices, and arguments for and against using race variables in genetic analyses. The authors argue that the sociopolitical constructs appropriate for monitoring health disparities are not appropriate for use in genetic studies investigating the etiology of complex diseases. More powerful methods for addressing population structure exist, and race variables are unacceptable as gross proxies for numerous social/environmental factors that disproportionately affect minority populations. The authors conclude with recommendations for genetic researchers and policymakers, aimed at facilitating better science and producing new knowledge useful for reducing health disparities. 相似文献
897.
Cognitive-behavioral therapy has been shown to be an effective treatment for hypochondriasis. An important element of most of the empirically validated CBT protocols for this problem is exposure. Various approaches to exposure may be useful including in vivo exposure to health and death-related situations, interoceptive exposure to feared bodily symptoms, and imaginal exposure to symptoms and feared illnesses that are difficult to reproduce in real life. Strategies for enhancing the effectiveness of exposure, such as response prevention, cognitive reappraisal, and acceptance, are also discussed. Practical suggestions for implementation of exposure with this population are provided. 相似文献
898.
The authors examined the extent to which Southeast Asian immigrant parents and adolescents agree on what it means to be a "good" parent and a "good" adolescent. Thirty-six parents and 37 adolescents of Cambodian, Hmong, Lao, and Vietnamese descent participated in a series of focus groups. Content analyses of their discussions showed that good adolescents were obedient, helpful around the house, and respectful to parents and elders, and good parents were those who provide for, nurture, and monitor children's activities. The findings suggest that ideas about good parents and good adolescents are influenced by both the parents' traditions and by adolescents' acculturation to American values. 相似文献
899.
In two experiments, category verification of images of common objects at subordinate, basic, and superordinate levels was performed after low-pass spatial filtering, high-pass spatial filtering, 50% phase randomization, or no image manipulation. Both experiments demonstrated the same pattern of results: Low-pass filtering selectively impaired subordinate-level category verification, while having little to no effect on basic-level category verification. Subordinate categorization consequently relies to a greater degree on high spatial frequencies of images. This vulnerability of subordinate-level processing was specific to a lack of high spatial frequency information, as opposed to other visual information, since neither high-pass filtering nor the addition of phase noise produced a comparable reduction in performance. These results are consistent with the notion that object recognition at basic levels relies on the general shapes of objects, whereas recognition at subordinate levels relies on finer visual details. 相似文献
900.
This is an historical review and contemporary empirical evaluation of the Motivation Analysis Test (MAT), one of the first tests to take a psychometric approach to the assessment of motivation. Reviews were quite positive, but the test is now over 50 years old. Nevertheless, it employs innovations in measurement not widely used in objective measurement then or now: (1) subtests with different formats, (2) disguised items, (3) speeded administration procedures, and (4) ipsative format and scoring procedures. These issues are discussed and a contemporary sample (N = 360) obtained to evaluate the Motivation Analysis Test in light of its innovative characteristics. 相似文献