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Thanos Karatzias Sally Jowett Elsie Yan Robert Raeside Ruth Howard 《Psychology, health & medicine》2017,22(9):1021-1031
We set out to investigate the mediating roles of depression, resilience, smoking, and alcohol use, in the relationship between potentially traumatic life events and objective and subjective, physical and mental health in a single study. A face-to-face, population-based survey was conducted in Hong Kong (N = 1147). Information on health conditions and traumatic life events was obtained, and participants completed measures of subjective physical and mental health, depression, and resilience. Smoking and drinking were not significant mediators of the relationship between life events and both objective and subjective health. Depressive symptomatology was found to mediate the relationship between life threatening illness and subjective physical health, the relationship between abuse (physical and sexual) and subjective mental health, and the relationship between the death of a parent/partner and subjective mental health. Resilience was found to mediate the relationships between multiple traumatic life events and subjective physical and mental health. Our results indicate that psychological factors rather than biological are important mediators of the relationship between life events exposure and health. Our findings provide evidence that depressive symptomatology has a mediating role only in the case of specific potentially traumatic life events and that resilience is only a critical factor in the face of exposure to multiple traumatic events, rather than single events. Our results also indicate that behavioural factors, such as smoking and drinking, are not significant mediators of the relationship between life events and health. 相似文献
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There have been a number of publications in recent years on generalising the AGM paradigm to the Horn fragment of propositional logic. Most of them focused on adapting AGM contraction and revision to the Horn setting. It remains an open question whether the adapted Horn contraction and Horn revision are inter-definable as in the AGM case through the Levi and Harper identities. In this paper, we give a positive answer by providing methods for generating contraction and revision from their dual operations. Noticeably, we cannot apply the Levi and Harper identities directly in such methods as the Horn fragment does not fully support negation. To overcome this difficulty, a Horn approximation technique called Horn strengthening is used. We show that Horn contraction generated from Horn revision is always plausible whereas Horn revision generated from Horn contraction is, in general, implausible and, to regain plausibility, the generating contraction has to be properly restricted. 相似文献
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以123名小学四、五年级汉语儿童为研究对象,采用回归分析、结构方程模型探讨语音意识、命名速度和语素意识在阅读能力不同方面(准确性、流畅性和理解)的作用。结果显示,语音意识、命名速度和语素意识都是影响阅读能力的重要认知因素,但对不同方面阅读能力的作用存在差异:(1)语音意识、命名速度和语素意识均直接影响阅读准确性,且语素意识的贡献相对较大;(2)命名速度除直接影响阅读流畅性外,还通过阅读准确性的部分中介作用影响阅读流畅性,而语音意识和语素意识则通过阅读准确性的完全中介作用影响阅读流畅性;(3)语音意识、命名速度和语素意识对阅读理解均无直接影响,分别通过阅读准确性和阅读流畅性间接影响阅读理解。 相似文献
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为了明确义符对归纳推理影响,本研究使用有义符和无义符汉字为材料,使用ERP技术考查义符对不同层级类别概念归纳推理的影响。行为结果显示,有义符条件下反应速度更快,肯定判断率更高。脑电指标上,P3阶段义符主效应显著,有义符条件下P3波幅更大;N1、N400和P600阶段义符与层级交互作用显著,组内简单效应分析显示,层级主效应仅在无义符条件下显著;组间简单效应分析显示,义符主效在N400和P600阶段仅在下-上推理条件下显著,无义符条件下,下-上推理引发更大的N400和P600波幅。这些结果表明,义符促进了归纳推理过程,这种促进主要表现在对下-上推理的促进。 相似文献
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Galen Joseph Rena J. Pasick Dean Schillinger Judith Luce Claudia Guerra Janice Ka Yan Cheng 《Journal of genetic counseling》2017,26(5):1090-1104
As genetics and genomics become part of mainstream Medicine, these advances have the potential to reduce or exacerbate health disparities. Gaps in effective communication (where all parties share the same meaning) are widely recognized as a major contributor to health disparities. The purpose of this study was to examine GC-patient communication in real time, to assess its effectiveness from the patient perspective, and then to pilot intervention strategies to improve the communication. We observed 64 English-, 35 Spanish- and 25 Chinese-speaking (n = 124) public hospital patients and 10 GCs in 170 GC appointments, and interviewed 49 patients who were offered testing using the audio recordings to stimulate recall and probe specific aspects of the communication. Data analyses were conducted using grounded theory methods and revealed a fundamental mismatch between the information provided by GCs and the information desired and meaningful to patients. Several components of the communication that contributed to this mismatch and often resulted in ineffective communication included: (1) too much information; (2) complex terminology and conceptually difficult presentation of information; (3) information perceived as not relevant by the patient; (4) unintentional inhibition of patient engagement and question-asking; (5) vague discussions of screening and prevention recommendations. Our findings indicate a need to transform the standard model of genetic counseling communication using evidence-based principles and strategies from other fields of Medicine. The high rates of limited health literacy in the US, increasing access of diverse populations to genetic services, and growing complexity of genetic information have created a perfect storm. If not directly addressed, this convergence is likely to exacerbate health disparities in the genomic age. 相似文献
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