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991.
Klára Čapková Martin Vaculík Jason Ellis Miroslav Šipula 《Anxiety, stress, and coping》2018,31(3):338-347
Objective: It has been questioned whether elevated pre-sleep cognitive arousal contributes to poor sleep or whether it is the use of maladaptive thought control strategies, used to manage this cognitive arousal, that are responsible. The study aimed to examine how these factors – cognitive arousal (with and without anxiety) and maladaptive thought control strategies contribute to perceived sleep quality (SQ). Design: 129 “healthy adults” (46 males, 83 females) were exposed to picture-stimuli eliciting either anxious cognitive arousal or non-anxious cognitive arousal at bedtime. The groups were then randomly split and briefed to use either a cognitive distraction or cognitive suppression thought control strategy or no instructions were given (controls). Subjective SQ was measured immediately on waking. Results: Induced anxious cognitive arousal was associated with lower SQ compared to non-anxious cognitive arousal. Analyses revealed a significant interaction between arousal and the strategies used to control unwanted thoughts on SQ. When experiencing anxious cognitive arousal, the strategy of distraction was associated with poorer sleep outcomes. Conclusion: The findings suggest that the efficacy of differing thought control strategies vary depending upon whether cognitive arousal elicits anxiety or not. With that in mind, clinical implications in terms of augmenting the treatment of insomnia are discussed. 相似文献
992.
Samuel L. Perry 《Personal Relationships》2018,25(2):233-248
Studies often report a negative association between pornography use and marital quality. A number of studies, however, find this negative association to be stronger among religious Americans, suggesting that “moral incongruence” may be a key moderating factor. This theory is tested with panel data from the nationally representative 2006–2012 Portraits of American Life Study (N = 612). Support for the theory is mixed. Any pornography use in 2006 predicts lower marital quality in 2012 regardless of whether the viewer felt pornography use was always immoral. However, among pornography viewers, the negative association between marital quality and viewing frequency is stronger for those who morally oppose pornography. Findings hold regardless of gender. Data limitations and implications for future research are discussed. 相似文献
993.
Objective: We investigated the feasibility, acceptability and preliminary effectiveness of a writing intervention for individuals with epilepsy or psychogenic nonepileptic seizures.
Methods: Individuals were randomised to write about potentially ‘therapeutic’ topics (n = 43) or about their daily events (n = 25). Participants were asked to write on four separate occasions for at least 20 min. Repeated-measures analysis of variance was used to investigate change in measures of health-related quality of life (NEWQoL-6D), depression (NDDI-E), anxiety (GAD-7) and illness perception (B-IPQ) from baseline to one and three-month follow-ups. Qualitative and quantitative data taken from a Writing Task Questionnaire was analysed between the two conditions.
Results: Recruitment was acceptable with 52% of those randomised completing the full writing intervention. In both conditions, participants wrote for longer than 20 min suggesting those who completed the study engaged well with the procedure. Greater benefits were observed in the ‘therapeutic’ condition (p < 0.05), which was associated with an improvement in health-related quality of life at one-month follow-up (p = 0.02). No differences were found in the other measures.
Conclusions: A writing intervention is acceptable in this population. Self-reported benefits were modest, suggesting therapeutic writing may be more suitable as a supplement to other therapies rather than a stand-alone therapeutic intervention. 相似文献
994.
Nadine J. Kaslow Catherine L. Grus Lucy J. Allbaugh David Shen-Miller Kimberly E. Bodner Jennifer Veilleux 《Ethics & behavior》2018,28(6):429-449
Increasingly, professionalism has been recognized as a core competency for health service professionals and is the domain in which vexing competence problems are observed in trainees. We begin by describing manifestations of problems of professionalism in accord with the values that fall within the rubric of this multifaceted construct. We provide an approach for evaluating problems of professionalism and discuss intervention for trainees with mild, moderate, or severe problems in this domain. We propose implications for training focused on enhancing the culture of programs; bolstering the education, guidance, and mentoring provided related to professionalism; and encouraging best practices for addressing trainees with problems of professionalism. We conclude by sharing ideas about defining professionalism, identifying problems of professionalism, strengthening our approach to assessing professionalism and intervening when problems are evident, developing strategies for preventing professionalism problems, and ensuring that psychologists take seriously their responsibility to address professionalism concerns with colleagues. 相似文献
995.
Johanna Terrasson Florence Terrade Alain Somat Sylvie Nivot-Adamiak Marie-Aline Guitteny Marc de Kerdanet 《Psychology, health & medicine》2018,23(3):347-359
Children and adolescents account for half of all cases of type 1 diabetes, which is one of the most common pediatric chronic diseases. The disease’s effects and the treatment/disease-management protocols patients must follow can lead to a marked deterioration in quality of life, especially for adolescents. Patients’ illness perceptions have been shown to impact their quality of life, but do other people’s illness perceptions also have an effect? The present study addressed this question by investigating possible links between the quality of life of adolescent patients with type 1 diabetes and illness perceptions, measured in terms of the adolescents’ self-perceptions, parents’ self-perceptions, and the adolescents’ evaluations of their parents’ perceptions. We asked 41 adolescents (M = 13.9 years; SD = 1.9) who had been undergoing treatment for type 1 diabetes for at least a year (M = 6.6 years; SD = 3.7) to complete the Diabetes Quality of Life for Youth Questionnaire-Short Form (DQOLY-SF) and the Illness Perception Questionnaire-Revised (IPQ-R). They completed the IPQ-R twice, once to state their own opinions (self-report) and once to give their evaluations of their parents’ perceptions. At the same time, but in a different room, their parents (N = 47) completed the IPQ-R (self-report). Quality of life was predicted by gender (p < .05) and by the parents’ emotional representations (p < .01) and perceptions of consequences (p < .01) as evaluated by the adolescents. This new approach provides new insights into the impact of parents’ perceptions on the quality of life of adolescents with type 1 diabetes. 相似文献
996.
Meagan C. Alder Jeremy B. Yorgason Jonathan G. Sandberg Stephanie Davis 《Journal of couple & relationship therapy》2018,17(2):146-164
This study sought to examine the relationship between perception of parents' marriage, marital satisfaction, and attachment behaviors. Participants included 521 married couples taken from the RELATE project. Gender differences were found between husbands and wives perception of parents' marriage and marital satisfaction. Results also indicated that attachment behaviors were positively and significantly related to increased martial satisfaction for both husbands and wives. Additionally, attachment behaviors moderated the relationship between perception of parents' marriage and marital satisfaction. When perception of parents' marriage was negative but attachment behaviors were high, marital satisfaction increased. These findings underscore the importance attachment behaviors play in married relationships. Clinical implications and future research are discussed. 相似文献
997.
探讨循证医学方法在妇产科医疗纠纷防范中的意义。选取12例医疗纠纷病例,对照研究其原决策与循证决策、专家意见。结论认为循证医学决策更加科学化,有利减少医疗纠纷。 相似文献
998.
中医学是临床实践很强的经验医学,临床实践一直是中医理论创新的源泉,现代中医理论创新研究必须基于临床疗效为导向,以中医有治疗特色的重大疾病和难治病为突破口,借鉴现代科学和技术,深入开展证候构成要素的中医病因病机研究。中医病因病机既是构成病证的核心要素,又深刻揭示了病证的本质,它体现中医整体观、辨证论治的思维,是中医治病理论的结晶和精华浓缩,抓住重大疾病和难治病中医病证病因病机的本质和核心问题进行现代研究,必将导致中医药理论的重大创新和发展。 相似文献
999.
从科学认识的过程看中药指纹图谱技术的发展历程 总被引：1，自引：0，他引：1
中药指纹图谱是一种通过色谱峰反映中药成分和综合效应的分析手段,具有整体性和稳定性的特点,能较全面地反映中药的质量,现已成为现代中药质控的发展趋势。但其研究仍属初级阶段,如何准确地解析“谱”与“效”的关系及减少中药质量的不稳定性对图谱构建的影响,尚待进一步探索与研究。 相似文献
1000.