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241.
This study examines the potential impact of family conflict and cohesion, and peer support/bullying on children with autism spectrum disorder (ASD). While such impacts have been established for a range of non-ASD childhood disorders, these findings may not generalize to children with ASD because of unique problems in perspective-taking, understanding others’ emotion, cognitive rigidity, and social reasoning. A structural model-building approach was used to test the extent to which family and peer variables directly or indirectly affected ASD via child anxiety/depression. The sample (N = 322) consisted of parents of children with ASD referred to two specialist clinics. The sample contained parents of children with Autistic Disorder (n = 76), Asperger Disorder (n = 188), Pervasive Disorder Not Otherwise Specified (n = 21), and children with a non-ASD or no diagnosis (n = 37). Parents completed questionnaires on-line via a secure website. The key findings were that anxiety/depression and ASD symptomatology were significantly related, and family conflict was more predictive of ASD symptomatology than positive family/peer influences. The results point to the utility of expanding interventions to include conflict management for couples, even when conflict and family distress is low. Further research is needed on the potentially different meanings of family cohesion and conflict for children with ASD relative to children without ASD.  相似文献   
242.
腰椎间盘突出症患者MED术前心理状态调查与分析   总被引:1,自引:0,他引:1  
为了研究腰椎间盘突出症患者行MED微创治疗前的心理状况,对442例行MED手术治疗的患者应用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行术前心理评估。结果显示MED微创治疗前患者SAS、SDS测量分明显高于常模组。患者性别、年龄、婚姻状况、文化程度、病程长短等都与心理状况的改变相关。有34.9%的患者SAS得分和36.7%的患者SDS得分显示阳性。因此,临床骨科医师应重视心理因素的作用,在MED术前应对患者进行心理状况评估,并对心理状况较差的患者进行术前干预,才能取得更好的临床疗效。  相似文献   
243.
居民门诊费用现状及控制策略研究   总被引:1,自引:0,他引:1  
近年来,各级政府和卫生部门均在采取措施控制医疗费用的不合理增长,但我国的医疗费用仍然呈上升趋势。门诊费用是医疗费用的重要组成部分,其上升幅度虽然有所下降,但仍高于城乡居民人均收入的增长幅度和同期的物价上涨幅度,对门诊费用的现状及控制策略进行研究,将有助于更有效地解决贫困人群看病难、看病贵问题。  相似文献   
244.
Autism Overflows: Increasing Prevalence and Proliferating Theories   总被引:4,自引:2,他引:2  
This selective review examines the lack of an explanation for the sharply increasing prevalence of autism, and the lack of any synthesis of the proliferating theories of autism. The most controversial and most widely disseminated notion for increasing prevalence is the measles–mumps–rubella/thimerosal vaccine theory. Less controversial causes that have been proposed include changes in autism diagnostic criteria, increasing services for autism, and growing awareness of the disorder. Regardless of its causes, the increasing prevalence of autism has put pressure on the field of autism research to generate productive and predictive theories of autism. However, the heterogeneity of brain deficits, impaired behaviors, and genetic variants in autism have challenged researchers and theorists, and despite 45 years of research, no standard causal synthesis has emerged. Research going forward should assume that autism is an aggregation of myriad independent disorders of impaired sociality, social cognition, communication, and motor and cognitive skills.  相似文献   
245.
Autistic spectrum disorders impair the ability to interact socially. Detecting and understanding their onset is not only an empirical enterprise, but also a theoretical one, often linked to studies on intersubjectivity. Different theoretical perspectives have been elaborated in the past to account for the deficit. The main purpose of this paper is to reinforce and offer empirical grounding to a recent approach, termed Social Orienting Model, by presenting the main theoretical approaches to autism and contrasting them to this view, as well as considering its possible effect on empirical research, focusing on current literature analyzing gestures in children with autism.
Laura SparaciEmail:
  相似文献   
246.
The success of Bovens and Hartmann’s recent “impossibility result” against Bayesian Coherentism relies upon the adoption of a specific set of ceteris paribus conditions. In this paper, I argue that these conditions are not clearly appropriate; certain proposed coherence measures motivate different such conditions and also call for the rejection of at least one of Bovens and Hartmann’s conditions. I show that there exist sets of intuitively plausible ceteris paribus conditions that allow one to sidestep the impossibility result. This shifts the debate from the merits of the impossibility result itself to the underlying choice of ceteris paribus conditions.
Jonah N. SchupbachEmail:
  相似文献   
247.
高绩效工作系统是一系列以提升组织绩效为目标的人力资源管理实践的集合或捆绑。已有研究发现高绩效工作系统也可能对员工产生负面影响。针对此问题, 本文首先澄清了高绩效工作系统的概念, 从管理理念分析其可能产生负面影响的原因。厘清了高绩效工作系统对组织和员工带来的不同效果, 从多元论的视角分析其负面影响的来源。基于工作要求−资源模型、自我决定理论、归因理论和过犹不及效应, 阐释高绩效工作系统对员工负面影响的内在机制。并进一步从个人和组织层面分析高绩效工作系统产生负面影响的边界条件。最后, 提出未来的研究方向和建议。  相似文献   
248.
There are clear indications that both the reported incidence of autism in children and litigation involving this developmental disorder are increasing. However, to date there has been a dearth of research analyzing court cases and legal decisions concerning students with autism. The purpose of this review was to examine published hearing/review and court decisions concerning autism eligibility in educational settings in relation to empirically supported best practices in the assessment of autism. A total of 13 cases were identified for inclusion in the review. In general, the results indicated that hearing/review officers and judges neither relied upon nor explicitly acknowledged empirically supported assessment methods in their published eligibility decisions. It appeared that many hearing/review officers and judges relied on expert witnesses, who may or may not have had particular expertise and knowledge regarding current best practices in autism eligibility assessment. Implications of the findings and areas for future research are discussed.  相似文献   
249.
实事求是是邓小平经济伦理思想产生的哲学前提,批判、继承、改造传统道德化是邓小平经济伦理思想产生的化渊源,改革开放和经济建设的实践是邓小平经济伦理思想生长的土壤。  相似文献   
250.
Kraft, Pratt and Seidenberg (Ann. Math. Statist. 30 (1959) 408) provided an infinite set of axioms which, when taken together with de Finetti's axiom, gives a necessary and sufficient set of “cancellation” conditions for representability of an ordering relation on subsets of a set by an order-preserving probability measure. Fishburn (1996) defined f(n) to be the smallest positive integer k such that every comparative probability ordering on an n-element set which satisfies the cancellation conditions C4,…,Ck is representable. By the work of Kraft, Pratt, and Seidenberg (1959) and Fishburn (J. Math. Psychol. 40 (1996) 64; J. Combin. Design 5 (1997) 353), it is known that n-1?f(n)?n+1 for all n?5. Also Fishburn proved that f(5)=4, and conjectured that f(n)=n-1 for all n?5. In this paper we confirm that f(6)=5, but give counter-examples to Fishburn's conjecture for n=7, showing that f(7)?7. We summarise, correct and extend many of the known results on this topic, including the notion of “almost representability”, and offer an amended version of Fishburn's conjecture.  相似文献   
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