Caregiver burden and family functioning in different neurological diseases

Aim of this study is to examine caregiver burden and family functioning in different neurological conditions. Forty-two primary caregivers of patients with Amyotrophic Lateral Sclerosis (ALS), Alzheimer’s Disease and other dementia (AD), Parkinson’s Disease (PD), Acquired Brain Injuries (ABI) and Multiple Sclerosis (MS) were administered scales for the evaluation of caregiver burden (CBI) and family functioning (FACES IV). Caregiver burden was overall high, with caregivers of patients with ALS and ABI having exceeded the CBI cut-off score for possible burn-out. The average scores of caregivers of patients with AD or other dementia and PD were close to the cut-off score, whereas those of caregivers of patients with MS were significantly lower than the others. Family cohesion, family satisfaction and the quality of family communication were associated with reduced levels of caregiver burden, whereas disengagement was associated with a higher burden. The data from the present study confirm that caregiver burden is a relevant issue in the context of neurological diseases, especially for those causing higher degrees of impairment. Significant correlations with family functioning emerged as well, highlighting the importance of studying and treating caregiver burden within the context of family relations.     

课业负担对学校生活满意度的影响:学校氛围的多水平调节作用

课业负担对学校生活满意度有重要影响,但是学校氛围对课业负担的多水平调节作用少有研究涉及。在发展系统理论的基本框架下,本研究构建了一个多水平的调节模型,同时考察学校氛围中不同水平的变量对学生学校生活满意度的影响及其作用机制。以20155名五、八年级学生为研究对象,本研究采用学生知觉的师生关系及校长知觉的学生士气、教师士气、学生消极行为、教师负面状态来考察学生和校长对学校氛围的评价。多水平模型分析发现:(1)在控制了年级、性别、城乡后,课业负担对学校生活满意度仍有显著的消极影响;(2)课业负担对学校生活满意度的负向影响,随学生知觉的师生关系和校长知觉的学生士气的变好而减弱。研究结果有利于从发展系统理论及相互作用的视角理解学校氛围的作用,"减负"不仅要确实减少学生的课业负担,也要重视学校中其他环境变量的综合影响。     

Manoeuvring Strategically with Praeteritio

This paper investigates the role that the stylistic device of praeteritio (or paralipsis) can play in arguers’ attempts to reconcile their rhetorical with their dialectical aims by manoeuvring strategically when carrying out particular discussion moves of the dialectical procedure for resolving a dispute. First, attention will be paid to the ways in which praeteritio can be realized in discourse. Next, an analysis is given of the effects the use of praeteritio may have as a result of the presentational means that are employed. This analysis will be used to establish the possibilities for strategic manoeuvring with this device in the different stages of an argumentative discussion. Finally, an indication is given of how the types of strategic manoeuvring that a praeteritio can be instrumental in may derail, and in which violations of the rules for critical discussion such derailed manoeuvrings may result.

So what? Profiles for relevance criticism in persuation dialogues

This paper discusses several types of relevance criticism within dialogue. Relevance criticism is a way one could or should criticize one's partner's contribution in a conversation as being deficient in respect of conversational coherence. The first section tries to narrow down the scope of the subject to manageable proportions. Attention is given to the distinction between criticism of alleged fallacies within dialogue and such criticism as pertains to argumentative texts. Within dialogue one may distigguish tenability criticism, connection criticism, and narrow-type relevance criticism. Only the last of these three types of criticism constitutes a charge of fallacy and carries with it a burden of proof. In the second it is observed that a full study of narrow-type relevance criticism would require the construction of complicated, many-layered, dialogue systems. Such a study can, however, be profitably preceded by setting up profiles of dialogue that help us discuss the ins and outs of certain types of move. This is illustrated with an example.     

On the continuing utility of argument in a postmodern world

In this essay we contend that traditional theories of argument are consonant with and enrich the project of postmodernity. Reading postmodernity as a rhetoric underscores how the process of discursively resolving conflicts is occasionally threatened by politically motivated efforts to misuse the methods of argument; it alerts us to the egregious acts that are and can be performed in the name of, but not because of, rationality. Postmodernity is thus an attempt by a new generation of theorists to recast and draw attention to perennial philosophical problems in the context of contemporary political difficulties.     

The wastefulness principle. A burden-sharing principle for climate change

The prominent burden-sharing principles in the emerging literature of the political theory of climate change fail to sufficiently tackle the task they set out to solve. This paper sets out properties that an alternative principle should aim to meet. Based on these properties, it develops a consequentialist moral principle – the wastefulness principle. This principle holds that it is wrong to waste a shared, scarce resource. The paper argues that this principle can be used to solve the question of who should bear the burdens of anthropogenic climate change in a more suitable way than existing principles. After developing the wastefulness principle, this paper discusses in a non-exhaustive manner how it can be employed in the real world, which challenges it might meet, and how additional principles might solve them.     

The enduring impact of violence against children

More than one billion children – half of all children in the world – are exposed to violence every year. The violence children are exposed to includes both direct experiences of physical, sexual, and emotional abuse, as well as indirectly witnessing violence in their homes, schools, and communities. What these various forms of violence share, based on a review of the literature, is their enduring potential for life-long consequences. These consequences include increases in the risks of injury, HIV, sexually transmitted infections, mental health problems, reproductive health problems, and non-communicable diseases, including cardiovascular disease, cancer, chronic lung disease, and diabetes. Studies addressing biologic underpinnings of such consequences demonstrate that violence-associated toxic stress may cause damage to the nervous, endocrine, circulatory, musculo-skeletal, reproductive, respiratory, and immune systems. Furthermore, rigorous economic evaluations suggest that costs associated with the consequences of violence against children exceed $120 billion in the U.S. and account for up to 3.5% of the GDP in sub-regions of East Asia. The expanding literature confirming the mechanisms of consequences and the associated costs of violence against children has been accompanied by growing evidence on effective approaches to prevention. Moreover, the expanding evidence on prevention has been accompanied by a growing determination on the part of global leaders to accelerate action. Thus, as part of the Post-2015 Sustainable Development agenda, the UN has issued a call-to-action: to eliminate violence against children. This unprecedented UN call may foster new investments, to fuel new progress for protecting children around the world from violence and its preventable consequences.     

Validation française du Caregiving Strain Questionnaire sur une population de parents d’enfants avec troubles du spectre de l’autisme

The Caregiving Strain Questionnaire (CGSQ-21) allows the assessment of the burden of family caregivers. The objective of this study is to present a validation of a French translation of this questionnaire (FCGSQ-21) to parents of children with autism spectrum disorder (ASD). A literature review from 2002 to 2012 highlighted that five scales measured caregivers’ burden regarding children and only one English scale examined parents of children with ASD's burden. The CGSQ-21 was chosen for this study and has been validated with 167 French parents who completed an online survey. Those parents filled out a total of six questionnaires measuring optimism, perceived social support, care satisfaction, anxiety, depression and perceived burden. The factorial and convergent validities as well as the internal consistency of the FCGSQ-21 have been tested with an exploratory and confirmatory factor analysis (CFA). A three factors model was found to best fit the structure of this scale, those include the objective burden as well as the internalized and externalized subjective burdens. The convergent validity brings to light significant correlations between many scales of the protocol. In the present study, the FCGSQ-21's homogeneity is excellent with a Cronbach's alpha of 0.90. The FCGSQ-21 is a valid and useful tool to measure the burden perceived by parents of children with ASD. This study's objective was to confirm the tool's validity in order to improve clinical practice with children and their parents. This scale evaluates parents’ levels of burden perceived for the purpose of adapting interventions given to the children while taking into account parental well-being's specificities highlighted by the FCGSQ-21.     

父母学习陪伴与小学生学业不良的关系:亲子学业沟通的中介作用和学习负担的调节作用

采用父母学习陪伴问卷、亲子学业沟通问卷、学习负担量表和学业成绩自我评定量表对578名4-6年级小学生及家长进行调查,探讨父母学习陪伴与小学生学业不良的关系以及亲子学业沟通四个维度（成绩沟通、习惯沟通、态度沟通和方法沟通）的中介作用和学习负担的调节作用。结果发现：（1）父母学习陪伴对学业不良具有显著的负向预测作用;（2）亲子学业态度沟通和方法沟通在父母学习陪伴与学业不良的关系中起完全中介作用;（3）学习负担在亲子学业态度沟通与学业不良之间的调节作用显著。在低学习负担条件下,亲子学业态度沟通对学业不良的改善作用更为明显。本研究结果表明,提高父母学习陪伴的时间和陪伴质量、改善亲子学业沟通方式并适当降低学习负担,可能改善小学生的学业不良。     

Post-stroke depression as a predictor of caregivers burden of acute ischemic stroke patients in China

Our aim was to explore the independent attribution of Post-stroke depression (PSD) to caregiver burden of acute ischemic stroke patients. A cross-sectional survey was performed with 271 acute ischemic stroke patients in the Huai-He Hospital and First People’s Hospital of Kaifeng City in China. PSD was assessed by Self-rating Depressive Scale, and caregiver burden was assessed by Zarit Caregiver Burden Interview. Clustered logistic regression was applied to identify the impact of PSD on caregiver burden. As results, female patients, normal muscle strength and PSD were associated with caregiver burden. PSD correlated with an independent influence of 17.2% on the risk of caregiver burden, The independent influence of PSD on caregiver burden was smaller than that of social-demographics of caregivers and clinical factors of stroke patients This study suggests that PSD may have a modest influence on caregiver burden.