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631.
    
This article proposes the use of Narrative Therapy with family caregivers of family members diagnosed with HIV/AIDS. The authors identify the reasons for using Narrative Therapy with African family caregivers who have relocated to the United States of America. The tenets of Narrative Therapy are outlined, and a case illustration is provided to show how Narrative Therapy can be implemented. In this case study, the client moves from a state of helplessness and hopelessness to being able to regain control of her life and improve the care of her sister. She was able to re-write her story: from feeling incompetent to a position of strength. Although Narrative Therapy was used successfully with an African family caregiver within the USA, the authors assert that the interventions have the potential to be used as effectively with those clients living in Africa, provided counselors are sensitive to cultural differences that will affect their practice.  相似文献   
632.
    
This study reports on teachers' perceptions of the effects of poverty on education participation in a district in the Eastern Cape Province in South Africa. Participants were 21 teachers (males = 10; females = 11) from seven schools (primary =5, high schools =1, special school =1). Focus group discussions and key informant interviews were used to collect the data. Teachers were of the view that poverty prevented learners and parents (or guardians) from full participation of the education provided by the schools. Poverty had the effects to disempowered both learners and parents as partners in education. It also constrained the quality of teaching.  相似文献   
633.
    
The aim of this study was to validate a community collective efficacy scale in an African context. An abridged version of the Community Collective Efficacy Scale was validated in a cross-sectional survey design. Participants (N = 1050) from urban (n = 451) and rural (n = 599) areas completed the CCES and other measures of self-efficacy and psychological well-being. Results indicated a Cronbach alpha reliability coefficient of 0.72 and satisfactory inter-item correlations ranging between 0.17 and 0.25. Significant correlations between the CCES and other measures of self-efficacy and psychological well-being indicated good criterion-related validity. Construct validity was supported by confirmatory and exploratory factor analysis. Exploratory factor analysis yielded one factor that relates to a sense of “we-ness”. The CCES thus has good reliability and validity in an African context.  相似文献   
634.
    
An increasing trend of noncommunicable diseases is a worldwide phenomenon, also including the developing countries. Few studies focus on adolescents' substance use in relation to mental distress and protective factors in African countries. The purpose of this study was to assess the prevalence and correlates (mental distress and protective factors) of substance use among school-going adolescents in six African countries. The sample included 20,765 students aged from 13 to 15 years from six African countries (Kenya, Namibia, Swaziland, Uganda, Zambia, Zimbabwe), chosen by a two-stage cluster sample design to represent all students in grades 6, 7, 8, 9, and 10 in each country. The measure used was part of the Global School-Based Health Survey (GSHS) questionnaire, including various domains of health behaviour. Results indicate a prevalence of 12.6% tobacco use (past month), 6.6% risky alcohol use (two or more per day for at least 20 days or more in the past month), and 10.5% of illicit drug use (three or more times ever) in school-going adolescents in six African countries. School truancy, loneliness, sleeping problems, sadness, suicidal ideation, suicide plans, and poverty were associated with substance use (tobacco, alcohol, illicit drugs), while school attendance and parental supervision and connectedness were protective factors for substance use, and peer support protective for tobacco use. It is concluded that tobacco use, risky drinking and illicit drug use were common, clustered together and were associated with school truancy, mental distress, and lack of parental and peer support among adolescent African school children. These findings stress the need for early and integrated prevention programmes.  相似文献   
635.
    
The incidence of mental health problems, and their treatment, for immigrant South Asians in Britain appear to be similar to that of the White population. However, there are some significant differences in relation to problems of substance misuse, treatment for depression and suicide. Difficulties in acculturation and in developing an integrated ethnic identity may contribute to some of these differences. Drawing from narratives of marginal immigrant South Asian men, a range of themes is identified. The implications of these issues for therapists are discussed.  相似文献   
636.
    
Using data from the National Medical Expenditure Survey, a household survey of more than 18,000 respondents, this study examined racial and gender differences in social embeddedness, an indicator of community well-being and social support. The study hypothesized that higher levels of social embeddedness would be found among African Americans than among Whites and that the association between social embeddedness and psychological well-being would be stronger among African Americans than among Whites. African American men reported themselves more socially embedded overall than White men and, in one instance, their social involvement was especially important in predicting psychological well-being. African American women were more likely than White women to report attending meetings of churches and community groups, but otherwise were less socially involved than White women. There was no evidence of a difference between African American and White women in strength of the connection between social embeddedness and psychological well-being. African American social involvement is more selective than previously believed and generalizations must be qualified on the basis of gender.  相似文献   
637.
    
Maternal grandmothers residing in 3‐generation households often provide care and support to their grandchildren. However, the implications of grandmother coresidence and involvement for adolescent adjustment have been neglected in the South African literature. This study examined whether the involvement of maternal grandmothers who coreside with grandchildren and their parents differed from that of non‐coresident grandmothers. In addition, we assessed the associations between maternal grandmother coresidence and involvement, and adolescents' internalising problems, externalising problems and prosocial behaviour. Self‐report survey data were obtained from a sample of 384 “coloured” (mixed‐race) and black African Grade 8 and Grade 9 students in Cape Town. The mean age of the participants was 13.96 years, 58% were females and 27% lived in 3‐generation households. Results indicated that there was no significant difference in the involvement of coresident and non‐coresident grandmothers, and that adolescents in 3‐generation and 2‐generation households displayed similar levels of adjustment. Hierarchical multiple regression analyses revealed that greater maternal grandmother involvement was associated with more adolescent prosocial behaviour (p < .001) regardless of household structure, and with fewer adolescent internalising problems in 3‐generation households (p = .03). Findings underscore the need to move beyond the immediate family to consider how grandparents may influence adolescent development.  相似文献   
638.
    
Research documents a high prevalence of dating violence among U.S. youth. This violence is linked to a host of negative mental and physical health consequences and high-risk behaviors. African immigrants comprise about 3.9% of all immigrants in the United States and recent trends suggest this population is rapidly increasing. Despite this, limited research exists on dating violence among African immigrant youth. This article summarizes the literature on dating violence in Africa, then highlights the dearth of research on African immigrant youth. The literature suggests that African immigrant girls are in a uniquely vulnerable position that increases their risk for dating violence and other abuses, warranting our attention to the issue. Future research directions and service implications with this population are presented.  相似文献   
639.
    
Various theorists have explored how intergenerational transmission of trauma impacts minority groups. Intergenerational trauma theories suggest that trauma(s) endured by a community have long-standing effects that can be passed on through generations. However, much of the research has focused on indigenous populations or Holocaust survivors despite the historical experiences of the African American community. The minority stress model adds support to intergenerational trauma theories, in that racial minority groups might suffer worse health due to a variety of stressors. Racial minorities are also at greater risk of developing posttraumatic stress disorder (PTSD). Within military populations, PTSD is one of many mental health issues and has been labeled one of the signature injuries of the recent wars in Iraq and Afghanistan. However, the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) criteria for PTSD do not take into account the effects of intergenerational trauma, discrimination, or racism. This article proposes that intergenerational trauma theories and the minority stress model provide explanations for why many studies have found that African American military personnel have higher rates of PTSD compared to their White peers. Indeed, African American military personnel with PTSD might be better understood through more culturally inclusive frameworks (e.g., complex trauma, race-based traumatic stress), because the stressors they experience as racial minorities might exacerbate or lead to symptoms of PTSD.  相似文献   
640.
This article reports the findings of 30 semi-structured, qualitative interviews with new African American and Latina mothers who have histories of postpartum depression (PPD) to learn how their faith, church participation, and spiritual practices helped them cope with PPD. Six themes emerged: relief from stress, feeling valued and less alone, experiencing gratitude, developing perspective and accepting God’s guidance, changing and developing relationships, and preventing self-harm. Specifically, mothers who adhered to their faith beliefs and engaged in spiritual practices described shifts in their perspectives on various life stressors known to contribute to PPD such as negative thoughts and feelings, and strained family relationships, which in turn led them to make positive changes in their lives.  相似文献   
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