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141.

Objective

This study aimed to examine the relationship between maternal and contextual factors including maternal personality traits, the quality of mother–child relationship, the characteristics of sexual abuse and maternal outcomes: (1) maternal reactions including feelings of anger and responsibility, anger and perceptions of responsibility of the child, and (2) maternal support provided to the child following the disclosure of sexual abuse.

Method

The sample included 190 mothers recruited from youth centers in Québec (Canada). Data were collected using self-assessment questionnaires and semi-structured interviews.

Results

Regression analyses revealed that maternal neuroticism, the quality of the preexisting mother–child relationship, the relationship between the mother and the perpetrator, and the occurrence of physical violence, were significant predictors of outcomes including maternal support, mothers’ feelings of responsibility and/or anger towards the abuser and/or child.

Conclusion

These findings suggest that considering neurotic traits and addressing feelings of anger and responsibility among mothers might improve child outcomes following CSA.  相似文献   
142.
The occupational physicians are obliged, like any doctor, to respect the ethical obligations imposed on their profession, including in the exercise of the missions specific to occupational medicine and contained in the Labor Code. The occupational physician is not isolated and works in a multidisciplinary team of a health service at work. He must communicate with other health professionals, but also with employers, representative bodies of staff. Medical confidentiality holds a special place in the triangular relationship between the occupational physician, the employee and the employer. The medical practice in the field of occupational health requires that many provisions of the Labor Code be followed, including the respect of the secret of manufacture and the position of advising employers and employees. The occupational physician must communicate with the employer in order to best achieve his mission, but in practice, it may be difficult for the occupational doctor to make his recommendations heard to improve the working conditions of employees without power, when he cannot argue his opinions on medical information.  相似文献   
143.

Introduction

The present study focuses on patient-centered care and quality of life in dependent aging people living in nursing home.

Objective

Our aim was to assess the links between the perceptions of patient-centered care, autonomy, satisfaction with care, and quality of life, according to aging dependent people and to their proxies.

Method

Twenty-nine elderly residents in a nursing home and 32 close-relatives were jointly questioned on all indicators.

Results

Our results showed that: (1) aging dependent people and proxies have inconsistent perceptions for quality of life and patient-centered care; (2) quality of life is linked to autonomy perception and satisfaction with care in aging dependent people, but only with autonomy perception in proxies; (3) patient-centered care is linked to satisfaction with care in aging people and in proxies.

Conclusion

The results propose that fostering patient-centered care in nursing home for aging people may increase satisfaction with care, by involving both dependent residents and close-relatives.  相似文献   
144.
The educators’ work in juvenile justice residential communities and their capacity of affective attunement to the adolescent's needs is essential for the creation of a protective and enriching context for the adolescent and his life trajectories. This article aims to explore the social representations of educators and young people in residential communities in Italy, through the analysis of their discourses gathered during focus groups. Our results reveal the need to compare these representations and work to narrow the gap between the caregivers and the users, in order to improve the relationship between the different protagonists of the interaction and, consequently, the possibilities of good success of interventions.  相似文献   
145.
According to social identity theory (Tajfel, 1972), individual try to maintain a positive self-image. Places at which he/she is attached contribute to identity building (Proshansky et al., 1983; Twigger-Ross & Uzzell, 1996). Therefore, individual will try to maintain a positive a positive and stable image of such places. Our study is interested in what is the representation of their living area for individuals living in coastal area considered as exposed to erosion/flood risk, and attached to it. We are focused on how this representation influences their perception to coastal risk. We assume that individual attached to a place which he/she consider as “at risk” will put in place a strategy to preserve the positive image of this place and of himself/herself. Analyzing answers to a questionnaire, results demonstrate that individuals considering a place which they are attached as “at risk” mitigate the danger impact on that space. Thus, they conciliate probability of such negative event on place which they identifying themselves with positive image of this place and, by extension, of themselves.  相似文献   
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This article tested a model of parenting stress as a mediator between maternal depressive symptoms, emotion regulation, and child behavior problems using a sample of homeless, substance‐abusing mothers. Participants were 119 homeless mothers (ages 18–24 years) and their young children (ages 0–6 years). Mothers responded to questions about their depressive symptoms, emotion regulation, parenting stress, and child behavior problems. A path analysis showed that maternal depressive symptoms were positively associated with child behavior problems through increased parenting stress whereas maternal cognitive reappraisal was negatively associated with child behavior problems through decreased parenting stress. Moreover, maternal expressive suppression was negatively related to child externalizing problems. Findings support the parenting stress theory and highlight maternal parenting stress as a mechanism associated with homeless children's mental health risk. This study has significant implications for understanding the parenting processes underlying child's resilience in the context of homelessness and maternal substance use.  相似文献   
150.
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