This study examines whether certain psychiatric disorders are associated more closely with adverse life events than other disorders are, and whether some adverse life events are associated with a specific group of disorders (e.g., depressive disorders), but not with other disorders (e.g., anxiety disorders). A probability sample of youth aged 9–17 at 4 sites is used (N = 1,285). Univariate and multivariate logistic regressions identify specific relationships between 25 adverse life events and 9 common child and adolescent psychiatric disorders, measured by the Diagnostic Interview Schedule for Children. Conduct Disorder, Oppositional Defiant Disorder, Major Depressive Disorder, and Dysthymia are significantly associated with many of the adverse life events examined, whereas Attention Deficit/Hyperactivity Disorder, Agoraphobia, and Social Phobia are related to very few. This study suggests that certain psychiatric disorders may be more closely associated with adverse life events than other psychiatric disorders are, and that some adverse life events seem to be related to specific types of disorders. 相似文献
In order to be satisfied with one's life, one has to adapt goals to opportunities; from this, two hypotheses follow: Life satisfaction should be more strongly determined by success evaluation rather than life success, and more strongly by late rather than early life success. Both hypotheses are examined in a longitudinal study of former Gymnasium students from age 16 to 43.Dependent variables are the satisfaction with occupational and with private life at age 43. Independent variables are life success in occupational and private life between ages 16 and 43, satisfaction with occupational and private life at age 30, and strategies of coping with and attributing of success at age 43. As hypothesized, satisfaction with occupational and with private life are determined more strongly by success evaluation rather than by life success and by late rather than early life success. Furthermore, occupational satisfaction is more strongly determined by the former occupational career than private satisfaction by the private career. 相似文献
Previous research has found cross-national variations in the association between search for meaning in life (SMIL) and well-being (i.e. SMIL–WB link). This study extended and tested a “self-improvement hypothesis” that accounts for such cross-national variations based on an international database—the sixth wave of World Values Survey. SMIL represents a self-improvement effort which is more demanded in contexts with stronger external constraints. Thus, we expected a stronger positive SMIL–WB link in such contexts. A series of multilevel analyses was used to verify this hypothesis. The results showed that the SMIL–WB link varied across different societies, with well-being indexed by happiness, life satisfaction and subjective health. Moreover, external constraints from cultural, social-institutional, economic and ecological contexts (collectivism, peace threats, economic scarcity and environmental threats) moderated the SMIL–WB links. We thus call for advancing SMIL theory by considering person–context interaction. 相似文献
Struggle with ultimate meaning reflects concerns about whether one’s life has a deeper meaning or purpose. We examined whether this construct could be distinguished from presence of meaning in life and search for meaning. In two US samples – a web-based sample (N = 1047) and an undergraduate sample (N = 3978) – confirmatory factor analyses showed that struggle with ultimate meaning loaded on a factor that was distinct from but related to presence (negatively) and search (positively). Moderated regression analyses showed that people with low levels of presence combined with high levels of search for meaning were particularly likely to struggle with ultimate meaning. Additionally, when compared to presence and search, struggle with ultimate meaning related more strongly to depressive symptoms than presence or search. These results suggest that struggle with ultimate meaning represents a distinct component of how people grapple with meaning that has implications for mental health. 相似文献
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
Objective: Investigate the relationship between optimism and pessimism and the cortisol awakening response (CAR) and past life review in healthy older people.
Design: 76 older volunteers summarised their lives, highlighting the most important events, impressions and experiences. Cortisol saliva samples were collected on two consecutive weekdays. High and low optimism and pessimism groups were computed by mean split.
Main Outcome Measures: Percentages of positive (PE) and negative events (NE) and positive (PCE) and negative cognitions and emotions (NCE) were obtained. Optimism and pessimism were measured with the Life Orientation Test Revised. The areas under the curve with respect to the ground and with respect to the increase were computed, with the latter understood as the CAR.
Results: The high pessimism group reported more NE and NCE and less PE and PCE (p’s < 0.041). No significant differences in CAR were found between high and low optimism and pessimism groups after removing suspected non-adherent participants (p’s > 0.116). Higher CAR was related to lower PCE, but higher NCE (both p < 0.008).
Conclusion: Pessimism seems to increase the focus on negative aspects of the past, which may lead to a worse perception of life in ageing, whereas optimism contributes to a healthier CAR. 相似文献