Objective: Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field.
Design: A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015.
Main outcome measures: Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined.
Results: The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges.
Conclusions: Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative and longitudinal samples, which are comparable across studies and encompassing of the patient perspective, should be doubled. 相似文献
Objective: Planning can bridge the gap between intentions and action, but what bridges the gap between planning and action? This study helps to answer the question by disentangling the interrelationships between self-efficacy, planning and preparatory behaviours in predicting physical activity. Preparatory behaviours are tested as a working mechanism of planning. Moreover, it is tested whether the utility of preparatory behaviours depends on an individual’s level of self-efficacy.Methods: A survey assessed planning, self-efficacy and preparatory behaviours for physical activity. Adults (N = 166) provided data at two measurement points. In a longitudinal model, preparatory behaviours were specified as a mediator between planning and physical activity. Self-efficacy was specified as a possible moderator at two points in the model.Results: Preparatory behaviours mediated the relationship between planning and physical activity. An interaction between self-efficacy and preparatory behaviours on physical activity was found, indicating that individuals with low self-efficacy beliefs were more active if they engaged more frequently in preparatory behaviours.Conclusion: Planning seems to stimulate preparatory behaviours, which in turn make future physical activity more likely. Furthermore, as performing preparatory behaviours represent a step forward towards the enactment of behavioural goals, preparatory behaviours may be particular beneficial for individuals afflicted by self-doubts regarding physical activity. 相似文献
Bicycle/pedestrian shared paths are an increasingly popular solution to providing cycling infrastructure, despite evidence suggesting safety issues. Improved design and management of shared paths should be informed by understanding of bicyclist and pedestrian behaviour on shared paths, and of relevant safety initiatives (e.g. centreline marking). However, relevant research is lacking. Bicyclist/pedestrian passing events (n = 407) were observed on three relatively busy shared paths in Sydney, Australia – one of them without centreline marking. User characteristics, relevant behaviours and incidents (aggression, near-misses, crashes) were recorded. A tendency toward left-hand travel, as on Australian roads, was stronger for cyclists than for pedestrians, and where centreline was present. Cyclists were often estimated to travel above 10 km/h, a speed limit that has been suggested based on pedestrian safety considerations, but that would be unacceptable for long stretches of commuter cycling. Centreline was associated with lower estimated speeds. Cyclists typically adhered to their responsibility of giving way to pedestrians, but often passed on the left, passed too close, passed without slowing, or passed without warning (e.g. with a bell). Use of mobile telephones and mp3 players is common, particularly amongst pedestrians. Five near collisions were observed, and 53 survey participants reported 2 collisions and 13 near misses. Contributing factors appear to include path users using potentially distracting devices, or straying from the rules of thumb to keep to the left, and to overtake on the right.A survey of cyclists and pedestrians suggested that there are issues with perceptions of space ownership. These results represent an important contribution to the evidence-base for initiatives to improve the safety of shared paths. 相似文献
The present research intends to shed light on the processes enabling political minorities to transition into normatively acceptable groups, by investigating how a previously marginalised far‐right movement (the French National Front) is progressively becoming mainstream. Drawing on the social representations approach, we argue that perceived social norms play a pivotal role in this process. Using a longitudinal and experimental design, the study (N = 233) was implemented in the ecological context of the 2012 French presidential election at a Parisian university campus, a traditional anti‐far‐right bastion. We tested whether the electoral campaign altered the perceptions of social norms, whether the perceived social norms were easily malleable in this specific context and, most important, whether they influenced people's willingness to speak out in public against the far‐right movement. The findings support affirmative answers to all three questions. We conclude that, in periods of collective uncertainty, changing perceptions of social norms might play an important role in the weakening of public opposition to far‐right movements. This, in turn, helps to explain the recent transition to mainstream recognition of a number of previously marginalised political movements in Europe and around the globe. 相似文献
The remarkable cognitive abilities of bats indicate that they may recognise particular conspecifics. Because of their highly developed auditory system, it is obvious that vocalisations of bats may give information about the individual emitting them. In a field study of the social behaviour in the Indian false vampire bat (Megaderma lyra), two different types of vocalisation were recorded and analysed. The bats emitted these vocalisations only while aggregating with conspecifics inside the day roost. The “landing strophe” consisted of a number of brief multiharmonic downward frequency-modulated (FMdown) sounds which levelled off as a constant frequency (CF), and the “clatter strophe” was composed of a number of multiharmonic FMdown sounds which became shallow at the end as a short CF. The sounds of the landing strophe and the ¶clatter strophe differed in repetition rate, duration, harmonic components and frequency. Time pattern and peak frequency of the two sound types differed highly significantly between single, unidentified bats. The sounds were inter-individually distinct when the three parameters were combined as an acoustical space. Therefore, these vocalisations might be used for individual recognition in adult bats. 相似文献
This study aimed to extricate the influence of rational (e.g. ‘I think …’) and intuitive (e.g. ‘I feel …’) probability beliefs in the behavioural decision-making process regarding skin cancer prevention practices. Structural equation modelling was used in two longitudinal surveys (sun protection during winter sports [N?=?491]; sun protection during summer [N?=?277]) to examine direct and indirect behavioural effects of affective and cognitive likelihood (i.e. unmediated or mediated by intention), controlled for attitude, social influence and self-efficacy. Affective likelihood was directly related to sun protection in both studies, whereas no direct effects were found for cognitive likelihood. After accounting for past sun protective behaviour, affective likelihood was only directly related to sun protection in Study 1. No support was found for the indirect effects of affective and cognitive likelihood through intention. The findings underscore the importance of feelings of (cancer) risk in the decision-making process and should be acknowledged by health behaviour theories and risk communication practices. Suggestions for future research are discussed. 相似文献