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Drawing on a qualitative study based on in-depth interviews with 30 rural and urban Australian women, we analyze their experiences of a hysterectomy for conditions other than cancer. Women were recruited via advertisements in community newspapers and the network sampling technique. The study aimed to identify the personal, social and medical factors that influenced their decision to undergo surgery and on their understandings of self following this procedure. Three common themes emerged: a negative response to a hysterectomy, ambivalence about it and a perceiving it as having a positive impact on the woman’s self. The latter pattern predominated, indicating that contrary to the medical rhetoric, women’s own accounts are different and relevant when counseling women about a hysterectomy.  相似文献   
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We examined the effect of training history on the load-power relationship in vertical jumping (VJ) by employing external loads ranging from -30% to +30% body weight (BW). Based on previous findings, we hypothesized that (1) the maximum dynamic output (power production and momentum generation) would be within the tested loading interval, and (2) the load-power and load-momentum relations would depend on the subject's training history. Thirty-one healthy male subjects of different training history (i.e., 9 strength-trained athletes, 12 speed-trained athletes, and 10 sedentary individuals), performed maximum countermovement jumps on a force plate while a pulley system was used to either reduce or increase the subject's BW. An increase in external loading during VJ resulted in a systematic decrease (p<.001) in power production and momentum generation in all 3 studied groups. We also observed significant Group×Load interactions (p<.01) for the load-power and the load-momentum relationships, probably due to the group differences in slopes of the trend lines that describe the loading-associated changes in power and momentum. The results suggest that, from the evolutionary standpoint, the human muscular system of the lower limbs could be designed to produce the maximum power output against the loads that are well below the mass and inertia of the human body.  相似文献   
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A social surrogate is an individual who offers help and comfort in social situations or makes social events more exciting. In this study of 157 young adolescents (55% female; Mage = 13.84 years, SD = 0.75 years), the authors examined whether the linear and curvilinear associations between self-reported social surrogate use and adjustment outcomes (social problems, loneliness, anxiety symptoms, depressive symptoms) varied as a function of shyness and gender, after accounting for the effects of positive friendship quality. Regression analyses revealed that low and high levels of social surrogate use were related to greater social problems for all adolescents. In addition, shyness emerged as a moderator for several curvilinear effects. Specifically, results indicated that (a) high levels of social surrogate use were associated with greater anxiety for adolescents high in shyness; and (b) low levels of social surrogate use were associated with greater depressive symptoms for adolescents low in shyness. Findings highlight the developmental importance of specific types of relationship experiences during early adolescence and point to different implications of social surrogate use for shy and non-shy young adolescents.  相似文献   
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Shy children’s risk for psychosocial difficulties may result partly from ineffective coping with social stressors. Little is known about which shy children are most susceptible to maladaptive coping styles. Personality self-theories may be one source of individual differences in shy children’s coping with social stressors. The purpose of this study was to examine whether the links between shyness and coping were moderated by personality self-theories. Participants were 175 children (Mage = 10.11 years), who completed self-report assessments of shyness, personality self-theories, and coping strategies. Self-theories moderated links between shyness and coping, sometimes differentially for boys and girls. For example, shyness was most strongly related to internalizing coping among entity-oriented children. However, shyness was most strongly negatively related to approach coping (social support, problem-solving) among incrementally-oriented boys and entity-oriented girls.  相似文献   
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Older participants (mean age = 72.82 years) attempted to recall items from shopping lists while shopping in a supermarket and subsequently in their homes on recognition tests. They also attempted to identify local landmarks on a map. The recall occurred either together with their spouses or independently. Collaborative recall was compared to the pooled, nonredundant recall of spouses who completed the memory tasks alone (nominal groups). Nominal groups produced more hits on most measures and never fewer hits than did collaborative groups. However, collaborative groups consistently generated fewer memory errors than did nominal groups. In many everyday contexts, a tendency for collaboration to reduce false recall could be advantageous to older people. Signal detection analyses revealed that collaboration leads couples to require a higher level of certainty before they are willing to claim that they recognize an item. Finally, we examined the relation between expertise and recall in the shopping and landmark tasks. Copyright © 2004 John Wiley & Sons, Ltd.  相似文献   
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A hom-based therapeutic program for infants with developmental disorders is described. The program is used at the Institute for Psychophysiological and Speech Disorders, Belgrade, Yugoslavia. Significant changes in infant developmental competence provide support for the use of parents as direct intervention agents for their infants. Positive changes in marital and family relationships are important side effects of parent involvement in the therapeutic habilitation of their children.  相似文献   
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In this study, the authors hypothesized that life event stress is associated with an increased risk of spontaneous abortion. Using a nested case-control design in an emergency department (N = 970), stress was measured using a life event inventory and a sample drawn from R. B. Ness et al.'s (1999) Early Pregnancy Study. Gestational age at time of fetal loss served as a marker of chromosomal status. Women experiencing more than one life event used more alcohol and public assistance. Spontaneous abortion at 11 weeks or greater was associated with more life event stress (adjusted odds ratio 2.9, 95% confidence interval 1.4-6.2), whereas spontaneous abortion at any gestational age was not, implying that life event stress increases the risk of chromosomally normal spontaneous abortion. An analysis of confounders showed tobacco use was associated with an increased risk of spontaneous abortion, whereas prenatal care was only associated with fetal loss at 11 weeks or greater.  相似文献   
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