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
Previous research has suggested a need to understand the social-psychological factors contributing to HIV risk among African American men who have sex with men (MSM). We conducted individual in-depth interviews with 34 adult African American MSM to examine their personal experiences about: (i) sources of social support, (ii) psychological responses to the presence or absence of social support and (iii) influences of social support on sexual behaviours. The majority of participants described limited positive encouragement and lack of emotional support from family, as well as few meaningful personal relationships. Feelings of isolation and mistrust about personal relationships led many participants to avoid emotional intimacy and seek physical intimacy through sexual encounters. Findings highlight a need for multilevel interventions that enhance social support networks and address the social-psychological, emotional and interpersonal factors that contribute to HIV risk among African American MSM. 相似文献
This article explores the impact of the economic crisis on the Orthodox Church of Greece (OCG). The first three parts of the article set the current stage by offering a short overview of the crisis and the response of the OCG through its charitable social welfare activities. The fourth part looks at church–state relations in Greece, covering more particularly its financial aspects. The fifth and final part discusses how the economic crisis has affected the OCG itself, including its own finances and governance, and sustainability and mission in the long term. Although the OCG provides social assistance to the Greek population during the economic crisis, it also finds itself very much affected by the same crisis. The economic crisis has forced the OCG to reduce its operating costs while at the same time continue its extensive social work. The crisis has also prompted public debates and questions about the finances of the OCG. This situation may gradually force either the Greek state or the OCG, or perhaps both, to rethink their relationship in the future. 相似文献
The article discusses the link between religious and civic participation in Riga based on the data obtained from a social survey in 2014. Religious and civic participation is a prerequisite for building social capital within a local community. Four types of relationships between civic and religious engagement have been identified: (1) individuals with no religious or civic activity; (2) religiously active individuals with no civic activity; (3) individuals involved in civic activities but who are religiously inactive; and (4) individuals involved in both religious and civic activities. Although the survey data indicate a weak correlation between civic and religious activities, religiously active individuals are more likely to be involved in civic activities. 相似文献
While symptoms of grief pose the most immediate psychological concern in the aftermath of sibling death, emerging research suggests that distal correlates may include strained interpersonal relations and externalized forms of psychological distress. College students with a history of Sibling Loss (n = 36), Parental Loss (n = 32), or No Loss (n = 367) were compared on the Minnesota Multiphasic Personality Inventory (MMPI-2). Sibling Loss was associated with higher Psychopathic Deviate (Pd; d = .62) and Hypomania (d = .42) scores. The relative risk (RR = 2.96) of a Pd elevation (T > 65) was higher after sibling death. 相似文献
This study explored attachment, social support, and well‐being among 237 emerging adults. The model predicted that social support would (a) mediate the relationship between attachment anxiety and well‐being and (b) moderate the relationship between attachment avoidance and well‐being. All hypotheses were supported. Implications for counselors are discussed. 相似文献
Recent years have shown increased awareness of the importance of personality tests in educational, clinical, and occupational settings, and developing faking-resistant personality tests is a very pragmatic issue for achieving more precise measurement. Inspired by Stark (2002) and Stark, Chernyshenko, and Drasgow (2005), we develop a pairwise preference-based personality test that aims to measure multidimensional personality traits using a large-scale statement bank. An experiment compares the resistance of the developed personality test to faking with that of rating scale-based personality tests in the item response theory model framework. Results show that latent traits estimated from the personality test based on the rating scale method are severely biased, and that faking effect can be pragmatically ignored in the personality test developed based on the pairwise preference method. 相似文献
The Bivalent Fear of Evaluation (BFOE) model of social anxiety proposes that fear of negative evaluation (FNE) and fear of positive evaluation (FPE) play distinct roles in social anxiety. Research is however lacking in terms of how FPE is related to perfectionism and how these constructs interact to predict social anxiety. Participants were 382 individuals from the general community and included an oversampling of individuals with social anxiety. Measures of FPE, FNE, perfectionism, and social anxiety were administered. Results were mostly consistent with the predictions made by the BFOE model and showed that accounting for confounding variables, FPE correlated negatively with high standards but positively with maladaptive perfectionism. FNE was also positively correlated with maladaptive perfectionism, but there was no significant relationship between FNE and high standards. Also consistent with BFOE model, both FNE and FPE significantly moderated the relationship between maladaptive perfectionism and social anxiety with the relationship strengthened at high levels of FPE and FNE. These findings provide additional support for the BFOE model and implications are discussed. 相似文献