Most quality of life (QOL) assessments measure patients’ emotional well-being, functional well-being, interpersonal/social well-being, and satisfaction with treatment. Little attention has been given to patients’ spirituality or religiosity. Further, studies that have examined the impact of spirituality or religiosity on QOL have not differentiated between the constructs. The purpose of this study was to examine religiosity and spirituality as separate variables, and to define their relationship to QOL for 61 persons with cancer. Regression analyses indicated that, while spirituality and religiosity are moderately intercorrelated, spirituality has a stronger relationship with QOL than religiosity. When attempting to understand a person's spiritual life and its impact on QOL, there is a need for clear distinction between and separate assessment of spirituality and religiosity. 相似文献
People with vestibular dysfunction often complain of having difficulty walking in visually complex environments. Virtual reality (VR) may serve as a useful therapeutic tool for providing physical therapy to these people. The purpose of this pilot project was to explore the ability of people with and without vestibular dysfunction to use and tolerate virtual environments that can be used in physical therapy. We have chosen grocery store environments, which often elicit complaints from patients. Two patients and three control subjects were asked to stand and navigate in VR grocery stores while finding products. Perceived discomfort, simulator sickness symptoms, distance traveled, and speed of head movement were recorded. Symptoms and discomfort increased in one subject with vestibular dysfunction. The older subjects traveled a shorter distance and had greater speed of head movements compared with young subjects. Environments with a greater number of products resulted in more head movements and a shorter distance traveled. 相似文献
It is fairly common, among those who think propositions exist, to think they exist necessarily. Here, I consider three arguments
in support of that conclusion. What I hope to show is not that that claim is false, but, rather, that the arguments used in
its defense tend to presuppose a certain kind of approach to modality: a roughly Plantingian view. What the arguments show,
then, is that one cannot accept that approach to modality and accept contingently existing propositions. But there are other
approaches to modality – I discuss three such approaches – into which contingently existing propositions fit perfectly well.
This suggests that disputes over, for example, singular propositions, must be conducted within a broader agreement over modal
matters if they are to be at all productive. 相似文献
Counselor educators rely on a variety of teaching strategies to augment clinical instruction and enhance student learning. Such strategies include action methods, audio/video material, and self‐exploration. While using these strategies, educators are responsible for remaining sensitive to fundamental ethical issues, varied student needs, and academic/professional standards. Despite appearing straightforward and routine, this aspect of counselor education requires ongoing appraisal to ensure adherence to ethical guidelines, program integrity, and student well‐being. This article reviews various teaching strategies, discusses ethical implications associated with each strategy, and provides preliminary guidelines to enhance counselor educator ethical practice and student well‐being. 相似文献
Subjective well-being concerns an evaluation of one’s life, considering cognitive and affective aspects. Contextual factors, such as family, may influence this process. One of the main development contexts of children is family and aspects of these relationships, such as different settings, might contribute to children’s subjective well-being. The aim of this study was to compare the well-being of children from different family settings (intact, single-parent, stepfamilies, multigenerational). Participants were 2,135 boys and girls, from 9 to 13 years old (M = 10.97, SD = 0.99), students of public and private schools from a Brazilian southern State. Children answered a questionnaire with sociodemographic variables and three well-being scales (PWI-SC, BMSLSS, GDSI). Children were divided in four groups according to whom they live with (intact, single-parent, stepfamilies, multigenerational families). To evaluate differences between groups a Multivariate Analysis of Variance (MANOVA) were performed, considering well-being scales as dependent variables and family setting as independent variable. Results indicated significant differences in the well-being of children in relation to their family setting and age. Children from intact families showed significant positive differences on the well-being from children of other settings (the lowest means were from the children of stepfamilies). It is argued that transitions and instability that children are being subjected to may affect their well-being.
In the hopelessness theory of depression, a causal chain from stressors (e.g., perceived everyday discrimination [PED]) to 5 negative cognitive styles (NCSs) and depressive symptoms is delineated. In a sample of 243 diverse community college students, PED was positively associated with 4 NCSs. Furthermore, 2 specific NCSs were associated with depressive symptoms and mediated the effect between PED and depressive symptoms. Implications for research and practice with individuals who experience PED are discussed. 相似文献
This study assessed the relationship between the stigma of seeking psychological help and use of outpatient behavioral health services over a 2-year period among active duty military service members initially referred for neuropsychological evaluation secondary to their histories of mild traumatic brain injury. Although research has examined how stigma predicts proxies for help-seeking (i.e., attitudes towards/intentions to use services), very little research has looked at actual behavior, and studies that do have largely focused on previous use. In this study, we examined the relationship between participants’ stigma and subsequent behavioral health use. Our results indicated that whereas greater self-stigma (i.e., negative self-judgments for seeking psychological help) was associated with attending fewer behavioral health care sessions, public stigma (i.e., perceptions of public attitudes towards people who seek psychological help) was not associated with service use. These findings support the need for addressing the self-stigma associated with seeking behavioral health care. 相似文献