As publication of DSM-V draws near, research is needed to validate the diagnostic scheme for binge eating disorder (BED). Shape and weight overvaluation has stimulated considerable debate in this regard, given associations with psychosocial impairment and poor treatment outcome in BED. This study sought to further explore the convergent validity and diagnostic specificity of shape and weight overvaluation in BED. A total of 160 women with BED, and 108 women with non-eating disordered psychiatric disorders were recruited from the community. Women with BED were classified as more or less severe based on a global measure of eating-related psychopathology; subsequent receiver operating characteristics analysis determined that a threshold of at least “moderate” overvaluation best predicted membership into a more severe group. BED participants with threshold overvaluation exhibited poorer psychosocial functioning than those with subthreshold overvaluation, as well as participants with other psychiatric disorders. Discriminant function analysis revealed that threshold overvaluation predicted a diagnosis of BED versus other psychiatric disorder with 67.7% accuracy. Results suggest that shape and weight overvaluation is a useful diagnostic specifier in BED. Continued research is warranted to examine its predictive validity in natural course and treatment outcome studies. 相似文献
ObjectiveTo examine whether a brief reaching training with sticky mittens was effective to improve reaching behavior in newly reaching preterm infants.MethodsIn this randomized controlled trial, twenty four 5-month-old (±16-week-old corrected age) preterm infants were randomly allocated into experimental or control groups. Infants were assessed three times in a single session: pretraining (immediately before training), posttraining (immediately after training), and retention (4 min after the posttraining). During training, infants in the experimental group wore open fingers Velcro covered mittens. Training consisted of one 4-minute session of stimulated reaching using Velcro covered toys. Controls did not receive the training. During assessments, infants were placed in a baby chair and toys without Velcro were offered at their midline for 2 min. Number of total reaches, proximal adjustments and distal adjustments of reaching were primary outcomes. Grasping was a secondary outcome.ResultsGroups were similar in the pretraining. In the posttraining, trained infants performed greater amount of total reaches and bimanual reaches than untrained infants. Greater amount of bimanual reaches in trained infants was maintained in the retention test. Distal adjustments and grasping outcome were not influenced by the training.ConclusionsA brief-term training with open fingers sticky mittens benefited reaching behavior and favored retention of increased bimanual reaches in newly reaching late preterm infants. However, it was not sufficient to influence hand openness and early grasping. 相似文献
Although behavioral studies have demonstrated that executive function (EF) develops rapidly during early childhood, few studies have investigated neural systems supporting EF during the preschool years. These systems are sensitive to variations in children’s early life experiences, including preterm birth. The current study collected behavioral and event related potential (ERP) data during an EF task (directional Stroop) in a sample of 150 full-term and low-risk preterm children aged 4-years. Children’s IQ and processing speed (WPPSI-III), and parent report of EF (BRIEF-P), were also measured. Forty-nine children born full-term and 43 low-risk preterm children provided useable ERP data. Similar to prior studies with adults and older children, preschool-aged children showed modulation of ERP components (N2, P3) by cognitive conflict. Effects of trial type were also present for early attentional components (N1 and P2). Exploratory analyses demonstrated that ERP measures of EF were correlated with individual differences in cognitive and behavioral functioning in both full-term and low-risk preterm populations. Future research investigating the neural correlates of early measures of EF in low-risk preterm children and other at-risk groups is warranted to better understand how trajectories of EF development are altered in the first years of life. 相似文献
Despite mounting evidence that first-born children are overrepresented among incumbents in political office, there is no consensus about the cause of this overrepresentation. Some stress the impact of differential parenting, arguing that the first-born receive a larger share of parental resources and have a greater need to live up to parental expectations. Others emphasize the interaction among siblings, arguing that first-born children are better prepared for power struggles, having experience both as followers and as leaders within the family. This study, using birth-order data for nearly 1,200 incumbents in various offices in local and national politics in the Netherlands, found more support for the parental impact perspective. Singletons were also overrepresented among incumbents, whereas middle-born children were underrepresented. The data suggest that this birth-order effect is weaker among younger generations and is more pronounced among women. 相似文献
This article was prepared to extend the traditional view of metacognition to include the orientation of thematic and common features analyses of events in daily-life interactions. A brief historical development of metacognition was presented and discussed to pave the way for this new orientation. This heuristic conceptualization and direction of metacognition was realized and materialized due to research in deaf education. Metacognition, as presented in this article, dispelled misconceptions about the cognitive ability of individuals who live with deafness. It was viewed impetus for continued research. 相似文献
In the last decade there has been a pragmatic turn in the work of those doing Christian ethics, especially as represented by the work of Jeffrey Stout and Franklin Gamwell. The pragmatic turn represents a critique of the highly influential work of Stanley Hauerwas and Alasdair MacIntyre, which argues for a strongly intra-church ethics. The pragmatists are correct in arguing that Christian ethics must engage the public sphere. However, I argue that they are deeply mistaken in their claim that this engagement must rest on a weak or non-existent theology. I show that the claim that robust theology adds nothing to ethics, and that we can get along without it, is unsustainable. 相似文献
In this article, I argue that there is a lacuna in evolutionary psychological science. Women most likely adapted, via natural selection processes, to handle the birthing process successfully; not only physically and culturally, but also psychologically and behaviorally. However, current literature of evolutionary psychology largely ignores this reasonable assumption. A look at current prominent literature from the field revealed a consensus that women before and after birth are functioning subjects, shaped by natural selection to maximize success in reproduction. However, it appears that the same literature has little to say about the behavioral and psychological responses of women during birth itself. This is the lacuna discussed in the article. In other fields of research, different behaviors and mental processes have been found to correlate with a successful natural birth. Selection would likely have favored women who had such positive responses during birth because it is a process that all individuals must go through; natural childbirth was an integral part of reproductive success before modern obstetrics existed. Implications for resolving this lacuna vary widely and may contribute to our understanding of how selection might have shaped the human mind in general, as well as the female mind in particular. 相似文献
Objective: Examine the correspondence between autonomous motivation, self-control lapses, and adherence, to a gluten-free diet (GFD) and weight loss plan in adults with coeliac disease; and assess the impact of the interaction of motivation style and self-control lapses on adherence to both diets.
Design: Cross-sectional survey in 519 adults with coeliac disease, 238 of whom were also attempting weight loss.
Main outcome measures: Adherence, motivation style, frequency of temptation and self-control lapses (e.g. when tired, stressed, happy) for GFD and weight loss plan.
Results: Autonomous motivation was higher, and amotivation lower, for the GFD than weight loss; adherence to the two diets was unrelated. Similar circumstances led to temptation and self-control lapses across diets; both were less frequent for the GFD than weight loss. Motivation and self-control lapses explained 21% and 35% of the variance in adherence, respectively; the interaction between motivation and lapse frequency did not explain additional variance for either diet.
Conclusions: There are clear benefits to developing autonomous motivations and strategies to resist temptation for both the GFD and weight loss. Understanding how these processes differ and interact across diets may lead to the design of interventions to improve adherence and weight outcomes in coeliac disease. 相似文献