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This study examined the role of illness uncertainty in pain coping among women with fibromyalgia (FM), a chronic pain condition of unknown origin. Fifty-one FM participants completed initial demographic and illness uncertainty questionnaires and underwent 10-12 weekly interviews regarding pain, coping difficulty, and coping efficacy. Main outcome measures included weekly levels of difficulty coping with FM symptoms and coping efficacy. Multilevel analyses indicated that pain elevations for those high in illness uncertainty predicted increases in coping difficulty. Furthermore, when participants had more difficulty coping, they reported lower levels of coping efficacy. Results were consistent with hypothesized effects. Illness uncertainty accompanied by episodic pain negatively influenced coping efficacy, an important resource in adaptation to FM.  相似文献   
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The current study was designed to gain a better understanding of the nature of the relationship between substance use and sexual risk taking within a community sample of women (N = 1,004). Using confirmatory factor analysis, the authors examined the factor structure of sexual risk behaviors and substance use to determine whether they are best conceptualized as domains underlying a single, higher order, risk-taking propensity. A 2 higher order factor model (sexual risk behavior and substance use) provided the best fit to the data, suggesting that these 2 general risk domains are correlated but independent factors. Sensation seeking had large general direct effects on the 2 risk domains and large indirect effects on the 4 first-order factors and the individual indicators. Negative affect had smaller, yet still significant, effects. Impulsivity and anxiety were unrelated to sexual health risk domains.  相似文献   
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This study examined the usefulness of an 8-week applied problem-solving training program. Specifically, the study examined (a) whether problem-solving training that emphasised self-management principles would be useful, (b) if the effects of training would persist over time, (c) whether an individual difference variable (problem-solving appraisal) would affect training outcomes, and (d) whether the cognitive responses of the subjects during the course of training were related to their problem-solving appraisal or the change process. Results indicated that problem solving training was effective at enhancing students’ problem-solving appraisal, and that the self-report changes were maintained at a 1 year follow-up. In particular, training seemed most useful for students who initially appraised their problem solving very negatively. Finally, the results suggested that the process-oriented cognitive responses were related to students' initial problem-solving self-appraisal as well as the impact of training. Implications of the results are discussed in terms of counselling interventions, problem solving training, the interpersonal influence process, and future research.  相似文献   
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We introduce two new belief revision axioms: partial monotonicity and consequence correctness. We show that partial monotonicity is consistent with but independent of the full set of axioms for a Gärdenfors belief revision sytem. In contrast to the Gärdenfors inconsistency results for certain monotonicity principles, we use partial monotonicity to inform a consistent formalization of the Ramsey test within a belief revision system extended by a conditional operator. We take this to be a technical dissolution of the well-known Gärdenfors dilemma.In addition, we present the consequential correctness axiom as a new measure of minimal revision in terms of the deductive core of a proposition whose support we wish to excise. We survey several syntactic and semantic belief revision systems and evaluate them according to both the Gärdenfors axioms and our new axioms. Furthermore, our algebraic characterization of semantic revision systems provides a useful technical device for analysis and comparison, which we illustrate with several new proofs.Finally, we have a new inconsistency result, which is dual to the Gärdenfors inconsistency results. Any elementary belief revision system that is consequentially correct must violate the Gärdenfors axiom of strong boundedness (K*8), which we characterize as yet another monotonicity condition.This work was supported by the McDonnell Douglas Independent Research and Development program.  相似文献   
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