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71.
The available resources for global health assistance are far outstripped by need. In the face of such scarcity, many people endorse a principle according to which highest priority should be given to the worst off. However, in order for this prioritarian principle to be useful for allocation decisions, policy‐makers need to know what it means to be badly off. In this article, we outline a conception of disadvantage suitable for identifying the worst off for the purpose of making health resource allocation decisions. According to our total advantage view: (1) the worst off are those who have the greatest total lifetime disadvantage; (2) advantage foregone due to premature death should be treated in the same way as other ways of being disadvantaged at a time; (3) how badly off someone is depends on the actual outcomes that will befall her without intervention, not her prospects at a time; and (4) all significant forms of disadvantage count for determining who is worst off, not just disadvantage relating to health. We conclude by noting two important implications of the total advantage view: first, that those who die young are among the globally worst off, and second, that the epidemiological shift in the global burden of disease from communicable to non‐communicable diseases should not lead to a corresponding shift in global health spending priorities. 相似文献
72.
73.
William G. Sharp David L. Jaquess Jane F. Morton Caitlin V. Herzinger 《Clinical child and family psychology review》2010,13(4):348-365
A systematic review of the literature regarding treatment of pediatric feeding disorders was conducted. Articles in peer-reviewed
scientific journals (1970–2010) evaluating treatment of severe food refusal or selectivity were identified. Studies demonstrating
strict experimental control were selected and analyzed. Forty-eight single-case research studies reporting outcomes for 96
participants were included in the review. Most children presented with complex medical and developmental concerns and were
treated at multidisciplinary feeding disorders programs. All studies involved behavioral intervention; no well-controlled
studies evaluating feeding interventions by other theoretical perspectives or clinical disciplines met inclusion criteria.
Results indicated that behavioral intervention was associated with significant improvements in feeding behavior. Clinical
and research implications are discussed, including movement toward the identification of key behavioral antecedents and consequences
that promote appropriate mealtime performance, as well as the need to better document outcomes beyond behavioral improvements,
such as changes in anthropometric parameters, generalization of treatment gains to caregivers, and improvements in nutritional
status. 相似文献
74.
Rapson Gomez Suzanne McLaren Mersey Sharp Cara Smith Kate Hearn Leah Turner 《Journal of personality assessment》2015,97(2):191-199
The Dispositional Hope Scale (DHS; Snyder et al., 1991) is composed of items assessing an individual's perception of his or her agency and pathways. This study examined support for the bifactor structure and relation of the factors in this model with depressive symptoms. It also examined cross-gender measurement invariance for the bifactor model. A community sample of 413 women and 257 men completed the DHS. Confirmatory factor analysis indicated more support for the bifactor model than the 1- and 2-factor models. Results also indicated full measurement invariance across gender for the bifactor and the 2-factor models. The general and the specific agency factors, but not the specific pathways factor, correlated with depressive symptoms. The better support for the bifactor model suggests that ideally hope has to be measured and examined by factors reflecting high covariance for agency and pathways, and also factors reflecting unique variances for agency and pathways. The support for full cross-gender measurement invariance indicated that there are no differences in measurement and scaling properties for the DHS across ratings provided by women and men, and therefore the DHS ratings can be scored in the same way for women and men. 相似文献
75.
Alan T. Flynn Nicola L. Sharp James J. Walsh Nash Popovic 《Counselling psychology quarterly》2018,31(3):375-396
This mixed methods study explored the effectiveness and experience of an integrated counselling and coaching approach with young people. An effectiveness study allocated 80 young people aged between 13 and 25 years from four Youth Information Advice and Counselling Services centres in England to two groups: an integrated counselling and coaching group, based on the Personal Consultancy (PC) model, and a humanistic counselling group. Self-report measures of distress were administered at baseline and endpoint. Findings of the quantitative analysis showed that although baseline distress levels between groups were equivalent, post-intervention levels were significantly lower in the integrated group. Interpretative Phenomenological Analysis of qualitative experiences from five young people from the integrated group explored possible reasons for these results. Five master themes emerged: making sense of past, present and/or future, developing a sense of agency, management of affect, enhancing interpersonal relationships and development of self. Findings indicated that young people responded well to the integrated treatment; attending to intra-psychic issues alongside their developmental challenges seemed to have a beneficial effect on their sense of agency in particular. In conclusion, PC may be an effective means of reducing distress in young people. 相似文献
76.
Nasiri Farzad Sharifi Shokofeh Mashhadi Ali Sharp Rebecca 《Journal of Rational-Emotive & Cognitive-Behavior Therapy》2022,40(3):440-451
Journal of Rational-Emotive & Cognitive-Behavior Therapy - The aim of the current study was to compare women with premenstrual syndrome (PMS) and with women in a non-PMS group with regard to... 相似文献
77.
Shane Sharp 《Journal of religion and health》2018,57(3):1020-1037
I use data from the General Social Survey to evaluate several hypotheses regarding how beliefs in and about God predict attitudes toward voluntary euthanasia. I find that certainty in the belief in God significantly predicts negative attitudes toward voluntary euthanasia. I also find that belief in a caring God and in a God that is the primary source of moral rules significantly predicts negative attitudes toward voluntary euthanasia. I also find that respondents’ beliefs about the how close they are to God and how close they want to be with God predict negative attitudes toward voluntary euthanasia. These associations hold even after controlling for religious affiliation, religious attendance, views of the Bible, and sociodemographic factors. The findings indicate that to understand individuals’ attitudes about voluntary euthanasia, one must pay attention to their beliefs in and about God. 相似文献
78.
Kathryn A. Johnson Carissa A. Sharp Morris A. Okun Azim F. Shariff Adam B. Cohen 《The International journal for the psychology of religion》2018,28(2):121-140
We conducted two studies investigating the extent to which self-identification as Spiritual but not Religious (SBNR) was associated with (H1) the development of idiosyncratic religious beliefs and exposure to religious diversity and/or (H2) negative attitudes toward organized religion and being hurt by members of a religious group. In Study 1, SBNRs scored higher than religious and nonreligious participants on belief in God as an impersonal cosmic force (but not as a personal being) and individualistic spirituality. Although SBNRs had positive attitudes toward religion, they were less positive than those identifying as religious. Exposure to religious diversity and hurt by religious groups were not significant predictors of SBNR. We replicated these results in Study 2 using a multi-item measure of God representations and also found that SBNRs’ attitudes toward religion were predicted by a perceived dissimilarity with religious groups over and above individualism, secular group participation, perceptions of Christianity as too structured, and liberalism. 相似文献
79.
J Williams T Phillips M L Griebel G B Sharp B Lange T Edgar P Simpson 《Child neuropsychology》2001,7(1):15-20
Decreased memory skills have been reported in children with epilepsy. However, standardized instruments to evaluate learning and memory in children have been unavailable until recently. The present study was designed to assess memory patterns in children with epilepsy based on the California Verbal Learning Test-Children's Version (CVLT-C). The test was administered to 44 children with complex partial seizures and 21 children with generalized seizures between 8 and 13 years of age. Children in the study had been treated for epilepsy for at least 6 months, had well-controlled seizures on monotherapy, and had no evidence of anticonvulsant toxicity. Children with head injuries, learning disabilities, or hyperactivity were excluded. Test results did not reflect differences in memory performance based on seizure type. Scores for the entire sample indicated intact new learning, decreased intrusions and perseverative responses, and better short-term than long-term delayed recall. Recognition skills were stronger than long-term delayed recall skills and suggested that memory performance may be improved for these children when a multiple-choice format is available in academic settings. 相似文献
80.
Amee B. Patel Carla Sharp Peter Fonagy 《Journal of psychopathology and behavioral assessment》2011,33(3):403-408
The criterion validity of the McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD; Zanarini et al., Journal
of Personality Disorders 17:568–573, 2003) as a quick screening device for borderline personality disorder (BPD) was evaluated alongside the more established Personality
Diagnostic Questionnaire-4+ Borderline subscale (PDQ-BPD; Hyler 1994) using receiver operator characteristic (ROC) analysis. Both instruments demonstrated adequate criterion validity with the
diagnosis of BPD derived from a clinician-administered diagnostic interview. Optimal cutoffs for each measure were determined
using sensitivity, specificity, and positive and negative likelihood ratios. The previously established cutoff for the MSI-BPD
of seven (Zanarini et al., Journal of Personality Disorders 17:568–573, 2003) was confirmed. The current study provides the first support for the use of the MSI-BPD as a screening measure for use in
community-based studies of BPD. 相似文献