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291.
Mirella Di Benedetto G. Len Burns Helen Lindner Stephen Kent 《Psychology & health》2013,28(9):1061-1075
A partial latent structural regression analysis was used to evaluate the influence of perceived stress and coping resources on depression following acute coronary syndromes (ACS) in a sample of 113 participants (25 females and 88 males with a mean age of 57.61 years (SD = 12.63). Out of them, 55 participants were Australian born and 48 were born elsewhere, with 53 of the patients scoring in the mild to high depression range on the Beck Depression Inventory and the Cardiac Depression Scale. Perceived stress and coping resources, after controlling for age and smoking explained 89% of the variance in the latent variable depression. Higher perceived stress levels and fewer coping resources predicted higher levels of depression. Higher levels of perceived stress predicted fewer coping resources and fewer coping resources predicted higher levels of depression. There was a significant direct and indirect effect of perceived stress through coping on depression. Cognitive and physical coping resources were the best predictors of the depression construct. These results have potential implications for the treatment of depression post-ACS. In particular, cognitive and physical coping mechanisms and perceived stress reduction need to be addressed when treating depression post-ACS. 相似文献
292.
Negative psychological states such as depression, fatigue and anxiety are experienced by many women during pregnancy. This study examined whether engaging in an exercise programme during pregnancy is associated with improvements in psychological well-being among previously inactive women (n?=?56, M age?=?30.34, SD?=?4.57; M weeks pregnant?=?22.58, SD?=?5.32). Participants completed the Profile of Mood States–Short Form and State Trait Anxiety Scale-Trait version at baseline and after four weeks of exercise. Exercise was assessed using accelerometers and these data were used to determine bouts of 30-min of moderate-to-vigorous exercise. Factorial repeated measures ANOVAs demonstrated that participants who met Canadian guidelines for exercise during pregnancy at week four (n?=?17) experienced significant decreases in depression (p?=?.004, η2?=?.13), anger (p?=?.03, η2?=?.08), tension (p?=?.03, η2?=?.08), fatigue (p?=?.01, η2?=?.10), trait anxiety (p?=?.01, η2?=?.12) and increases in vigour (p?=?.001, η2?=?.19) compared to those who were not meeting guidelines (n?=?39). From a psychological health perspective, these findings highlight the importance of continuing to promote exercise during pregnancy. 相似文献
293.
Elizabeth S. Leigh Anna Wikman Gerard J. Molloy Gemma Randall Andrew Steptoe 《Psychology & health》2013,28(7):737-752
Objective: Partners of acute coronary syndrome (ACS) patients are at risk of experiencing long-term distress and the purpose of this study was to identify its predictors.Design: Using an observational design, 80 partners of ACS patients completed validated questionnaires at three time points. The predictor variables, marital satisfaction and optimism were assessed three weeks after patient hospital discharge (T1). The outcomes, depressive symptoms and physical health status (from a quality of life scale) were measured 6 (T2) and 12 (T3) months post-discharge, and scores were combined to indicate the long-term response.Main outcome measures: Depressive symptoms and physical health status.Results: Partner depressive symptoms increased and physical health status deteriorated over the months following the patients’ ACS. After controlling for demographics, clinical severity of ACS and T1 levels of the outcome variable, partners’ long-term depressive symptoms were predicted by poor marital satisfaction and low optimism at T1, and poor physical health status was predicted by low T1 optimism.Conclusion: Psychosocial factors are predictors of long-term distress for ACS partners. Partners in an unhappy marriage or with low optimism after ACS are at an increased risk of depression and low physical health status, and should be the target of additional support. 相似文献
294.
Eric B. Hekler Matthew P. Buman David Ahn Genevieve Dunton Audie A. Atienza Abby C. King 《Psychology & health》2013,28(9):1009-1020
The physical environment is thought to influence walking; however, daily variations in perceived environment have received little attention. The current study sought to examine if key within-person factors (i.e., implementation intentions, social support, affect and self-efficacy) would be associated with walking and if perceived access to supportive environments (e.g., access to nice walking paths) and perceived environmental barriers (e.g., bad weather and safety issues) were uniquely associated with walking after controlling for other constructs. Participants (N?=?14, 50.0% men, 78.6% White, M age?=?59.4?±?6.4) were in the intervention arm of an 8-week controlled trial promoting walking via personal digital assistants. Participants completed electronic surveys twice a day (total entries?=?804) in which they reported brisk walking levels and psychosocial and environmental factors. Multilevel modelling was used to examine within-person variations in constructs as determinants of walking. Results suggested that daily variations in implementation intentions, social support and positive affect were positively associated with walking. Further, perceived access to supportive environments, though not perceived environmental barriers, was positively associated with walking after controlling for other constructs (p?<?0.05). Future research should explore intervention components that target context-specific information about perceived access to supportive environments as part of a broader perspective on intervention development. 相似文献
295.
Gyöngyi Kökönyei Anna Józan Antony Morgan Eszter Szemenyei Róbert Urbán Melinda Reinhardt 《Psychology & health》2013,28(8):969-986
Stable tendency to perseverative thoughts such as trait rumination and worry can influence somatic health. The purpose of the study was to investigate the relationship between perseverative thoughts and somatic complaints, and the possible mediating effects of perceived stress, negative and positive affectivity in adolescence. Having an acute or a chronic condition was also assessed to be controlled for and to reveal their effects on symptom reporting. Three hundred and six adolescents from 7th to 12th grade with mean age of 16.33 (SD = 1.29) participated in the study. Mediation analysis suggested that impact of trait-like perseverative thoughts on complaints were mediated by perceived stress and negative affectivity. Having an acute condition had also an effect on symptom reporting through increased negative affectivity. Our results highlight that ruminations or worry as stable intrapersonal characteristics are relevant processes in health and can be potential targets in prevention programmes in adolescence. 相似文献
296.
Compensatory health beliefs, beliefs that healthy behaviours can compensate or neutralise unhealthy behaviours, have been proposed as one way of understanding why people engage in health-risk behaviours (Knäuper, B., Rabiau, M., Cohen, O., & Patriciu, N. (2004). Compensatory health beliefs scale development and psychometric properties. Psychology and Health, 19, 607–624). However, measuring compensatory health beliefs has proved a challenge, with several recent studies being unable to replicate the psychometric properties of Knäuper et al.'s (2004) scales. The aims of this study were to: (1) test the factor structure of the compensatory health beliefs scale in the UK, (2) examine the predictive validity of the scale by testing the relationships between compensatory health beliefs and health behaviours over a six-month time interval and (3) assess the 6-month test–retest reliability of the scale. A total of 393 participants completed measures of compensatory health beliefs and health behaviours at two time points separated by six months. The findings were potentially problematic for research into compensatory health beliefs: the factor structure was not confirmed, there was little evidence of predictive validity, and test–retest reliability was poor. Further research is required to understand the operation of compensatory health beliefs and to develop the measurement of compensatory health beliefs. 相似文献
297.
《Women & Therapy》2013,36(2):75-87
SUMMARY As a therapist I have chosen to work with adolescent girls whose voices are among the weakest in our society. They have been sexually, physically and/or emotionally abused as children. Many have seen their mothers beaten by their boyfriends or husbands. Many have body-perfection obsessions such as anorexia and bulimia. Almost all of them have run away from home, hung out downtown, stolen property, relied on drugs and alcohol, and purposefully hurt themselves to take away their feelings. Many have resorted to selling their bodies on the streets or within their peer groups. They all operate from a self-belief of worthlessness, a belief that has gender socialization and abuse at its core. It is at this core that the therapeutic relationship must begin. This article describes a therapy relationship with a 14-year-old girl. This work with adolescent girls is described as being guided by three main principles, that of relationship, justice and soul work. 相似文献
298.
Isca Wittenberg 《Journal of Child Psychotherapy》2013,39(1):22-30
The aim of this paper is to describe some acute responses to the suicide of a parent, through the account of the analytic psychotherapy of a latency child who found the body of his dead father. The acute traumatic responses of the child show that the perceptual apparatus, time and space are subverted, while the functioning of the contact barrier is deeply damaged. The importance of the environment in facilitating the first stages of the mourning process is stressed as well as the pre-traumatic personality structure. Both the Bionian model of preconception and the post-Jungian notion of archetype, revisited in terms of an unsaturated predisposition, are considered from a theoretical point of view. Preconceptions and archetypal dispositions to survive traumatic events are very important to the therapeutic outcome, along with the opportunity to start the treatment as early as possible after the traumatic event. This is particularly relevant in relation to the latency period, in terms of the capacity to contemplate the effects of the drives. The importance of allowing the child to work through all the stages of mourning is also considered, particularly rage, protest and hostile fantasies towards the lost object. The clinical material is structured as a narrative in an attempt to evoke the emotional climate experienced during the sessions as well as the state of mind of the child. The narrative is a secondary elaborated account with condensation and displacement at its core, like in dream work. Events, filtered through the analyst's state of self, are reported by lending the first person to the child in the narrative reconstruction. 相似文献
299.
This study examines the interplay of unemployment stress, trait anxiety and physical exercise in the development of physical health. Longitudinal data were taken from a sample of East German migrants (N = 330) who were confronted with the potentially stressful demand of finding a job in the Western society. Unemployment stress was found to exert a main effect on illness level. Trait anxiety was a moderator of the stress-illness relationship, but exercise was not. As indicated by a three-way interaction involving exercise, anxiety, and stress, exercise was most beneficial among high-anxious subjects who were not exposed to unemployment stress. Results of this study suggest that exercise may not buffer the deleterious effects of stressful situational conditions (unemployment), but may effectively mitigate the health-damaging consequences of lacking personal resources, such as high dispositional anxiety. 相似文献
300.
Marcus Free 《International Journal of Applied Psychoanalytic Studies》2008,5(4):273-296
Critically reviewing and comparing various psychoanalytic perspectives on conscious and unconscious motivations in sport, this paper contends that the appeal of sports participation may variously derive from its simultaneously involving the indulgence of pre‐Oedipal and Oedipal symbolism within the outward maturity and disciplining frame of a post‐Oedipal symbolic form. It considers differences between distinct psychoanalytic frames, favouring Kleinian and object relations above Lacanian approaches, based on their closer attention to the corporeality and sensuousness of sports participation and the conscious and unconscious fantasies embedded in it. Sport's sensuous corporeality, which enables its embodiment of pre‐Oedipal fantasy as well as post‐Oedipal submission to social reality, lies at the heart of its appeal. Copyright © 2008 John Wiley & Sons, Ltd. 相似文献