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1.
Sarah B. Woods Angela Hiefner Patricia N. E. Roberson Nida Zahra Elizabeth Mayfield Arnold Victoria Udezi 《Family process》2023,62(1):230-253
African Americans are at significantly greater risk of hypertension and worse cardiovascular outcomes than other racialized groups, yet hypertension intervention effects remain limited. Thus, it is necessary to understand the potential mechanisms whereby interventions may be more effectively targeted to improve health. Supported by prior research evidence and guided by the Biobehavioral Family Model, this study examined associations between family relationship quality, psychological wellbeing, and self-management behaviors for African Americans with hypertension. Data were pooled from three Midlife Development in the U.S. projects, resulting in a sample of 317 African Americans (63.4% female, Mage = 53.32) with self-reported high blood pressure in the past 12 months. We tested four cross-sectional multiple mediator models, with depressed mood and environmental mastery mediating associations between family strain and exercise, smoking, problematic alcohol use, and stress-eating. Environmental mastery mediated the association between greater family strain and decreased odds of achieving recommended exercise levels; greater odds of reporting problematic alcohol use; and greater stress-eating. Though family strain was associated with depressed mood in each model, this variable did not serve as an indirect pathway to self-management behaviors. Family strain, and the potential pathway identified via environmental mastery, may be a meaningful predictor of disease self-management for African Americans with hypertension. Longitudinal studies are needed to examine directionality and to support intervention trials for improving self-management and hypertension outcomes. 相似文献
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Jim Lantz Phd 《Contemporary Family Therapy》1994,16(4):315-327
The author uses Gabriel Marcel's topology of primary and secondary thought to clarify and outline the process of reflection in Existential Family Therapy. Clinical material is used to illustrate the differences between primary and secondary reflection during the practice of Existential Family Therapy. 相似文献
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Edward B. Blanchard Stephen T. Miller Gene G. Abel Mary R. Haynes Rebecca Wicker 《Journal of applied behavior analysis》1979,12(1):99-109
Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension. 相似文献
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Jiin-huarng Guo Wei-ming Luh 《The British journal of mathematical and statistical psychology》2020,73(2):316-332
The equality of two group variances is frequently tested in experiments. However, criticisms of null hypothesis statistical testing on means have recently arisen and there is interest in other types of statistical tests of hypotheses, such as superiority/non-inferiority and equivalence. Although these tests have become more common in psychology and social sciences, the corresponding sample size estimation for these tests is rarely discussed, especially when the sampling unit costs are unequal or group sizes are unequal for two groups. Thus, for finding optimal sample size, the present study derived an initial allocation by approximating the percentiles of an F distribution with the percentiles of the standard normal distribution and used the exhaustion algorithm to select the best combination of group sizes, thereby ensuring the resulting power reaches the designated level and is maximal with a minimal total cost. In this manner, optimization of sample size planning is achieved. The proposed sample size determination has a wide range of applications and is efficient in terms of Type I errors and statistical power in simulations. Finally, an illustrative example from a report by the Health Survey for England, 1995–1997, is presented using hypertension data. For ease of application, four R Shiny apps are provided and benchmarks for setting equivalence margins are suggested. 相似文献
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为探究留守初中生同伴侵害与攻击性的关系机制,通过构建链式多重中介模型,考察歧视知觉、孤独感和心理韧性在二者关系中的多重中介效应。采用问卷调查法对519名留守初中生进行调查,结果显示:(1)留守初中生同伴侵害的发生率为96.3%,具有普遍性;(2)留守初中生同伴侵害、歧视知觉、孤独感、心理韧性与攻击性之间均呈显著相关;(3)留守初中生的歧视知觉、孤独感和心理韧性在其同伴侵害与攻击性的关系中具有链式多重中介作用;(4)同伴侵害与攻击性关系模型具有一定稳定性,同时在是否留守及单亲与双亲外出留守初中生群体中存在显著差异。研究结果揭示了同伴侵害与攻击性的关系机制,可为探索留守初中生不良同伴关系的教育策略提供参考。 相似文献
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17α-羟化酶缺陷症(17α-OHD)是先天性肾上腺皮质增生症(CAH)的一种罕见类型,很容易漏诊和误诊。17α-OHD是一种常染色体隐性遗传性疾病,可导致糖皮质激素合成减少,促肾上腺皮质激素增多;性腺激素合成减少,而促性腺激素反馈性增高,同时可伴有盐皮质激素水平的升高。对该疾病的早期诊断非常重要,早期诊断并予以激素替代治疗对提高患者生活质量有很大帮助。现报道2例我科17α-OHD的诊治经过,以提高对本病的认识。 相似文献