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941.
Timothy F. Platts-Mills Joseph A. Dayaa Bryce B. Reeve Kayla Krajick Laura Mosqueda Jason S. Haukoos 《Journal of elder abuse & neglect》2018,30(4):247-270
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing. 相似文献
942.
Kathleen S. Caffrey Bruce R. Wright Patricia L. Maarhuis 《Journal of American college health : J of ACH》2018,66(3):194-201
Objective: To examine the psychometric properties of a measure of cannabis-specific Protective Behavioral Strategies (PBS), which assesses ways in which students may reduce cannabis-related risk. Participants: Respondents to the American College Health Association – National College Health Assessment II (N = 580) during Spring 2015. Methods: Exploratory Factor Analysis (EFA) and Exploratory Structural Equation Modeling (ESEM) were used to identify and replicate the factor structure of the measure. Results: Results support a four-factor model (Respiratory Health, Frequency/Quantity, Socializing, and General Health) with close approximate fit (Χ2 (310) = 565.96, p < .001, RMSEA = .038 (.033, .043; 90% CI), CFI = .961, TLI = .929, SRMR = .033). Support for the convergent validity and construct validity of the measure was also found. Conclusions: This is the initial step in the development of a standard, psychometrically validated measure of cannabis PBS that has the potential to inform future research and interventions. 相似文献
943.
Objective: This study examined symptoms of anxiety and depression among college students with attention-deficit/hyperactivity disorder (ADHD). Participants: Data were collected between March 2011 and March 2016 from 150 college students with ADHD and 150 college students without ADHD. Method: Participants with ADHD were compared to a sex- and ethnicity-matched control group. For the ADHD group, parent and self-report of anxiety and depression were also compared. Results: College students with ADHD self-reported significantly higher anxiety and depressive symptoms than did students without ADHD. Scores on parent-report measures of anxiety and depressive symptoms were significantly higher than scores on self-report measures. Significant sex differences were found for participants with ADHD, with females showing higher depressive and anxiety symptoms than males. Parent-reported anxiety symptoms were higher for those with inattentive type ADHD compared to combined type ADHD. Conclusion: The current study highlights the importance of multi-informant assessment in ADHD evaluations for college-aged adults. 相似文献
944.
Janna North Carly Shadid Katherine M. Hertlein 《Australian and New Zealand Journal of Family Therapy》2018,39(1):38-53
Deception, in its many forms, is present in families and relationships across the globe. The impact of the presence and discovery of family secrets or deceptive acts on the individual, the family unit, and the therapeutic process, particularly in the field of marriage and family therapy, has not been thoroughly studied or discussed. Further, deceptive acts during the therapeutic process may have implications for effective treatment planning. This article defines the various forms of deception and its systemic effects on relationships and on the therapeutic process. Possible interventions to address deception in a family therapeutic setting are proposed. 相似文献
945.
946.
Is the Study of Happiness a Worthy Scientific Pursuit? 总被引:1,自引:1,他引:0
This paper critiques the view that the study of happiness is not a worthy scientific pursuit. The happiness set point and
hedonic treadmill theories denote the complexity of increasing happiness levels due to genetic limitations and adaptation,
however, there is mounting evidence to suggest that with the use of appropriate measures and specific interventions aimed
at fostering strengths and virtues, happiness can be increased. Furthermore, the benefits of investigating methods for increasing
happiness include improvements in physical, psychological and social health and well-being. It is concluded that approaching
human needs from a top down or holistic standpoint where individuals can use their strengths to overcome life’s challenges,
is beneficial to health and well-being. Hence, the study of happiness is a worthy scientific pursuit. 相似文献
947.
The Anamnestic Comparative Self Assessment (ACSA) measure of subjective well-being (SWB) aims to reduce the problems of cultural
bias and relativity to external standards by allowing people to define the endpoints or ‘anchors’ of the measurement scale.
In medical terminology anamnestic denotes ‘based on memory’. The ACSA uses subjects’ memories of the best and worst periods
in their lives to define the anchors of the scale. They then assess their current quality of life relative to these personal
anchors. The South African pilot study tested the match between self-assessment of SWB with ACSA and the conventional single-item
measures of life satisfaction and happiness used in the South African Quality of Life Trends Study and analysed the narratives
of the best and worst times of life. The quota sample of 46 consisted of 26 residents of Makana district in the Eastern Cape
Province, South Africa, and 20 patients undergoing treatment in the local TB hospital. Mean SWB ratings with all three measures
of life satisfaction, happiness and ACSA were between 5 and 6 on a 0–10-point scale. Ratings on all three scales were positively
correlated. However, on ACSA the TB patients rated their current SWB 1.84 points lower than the community respondents, suggesting
a greater sensitivity of this measure. It was observed that the starting points of the life stories produced by respondents
to define the anchor periods for ACSA were related to their current assessment of SWB. A typology was developed that combined
the starting point of the life stories with current SWB. The majority of community respondents matched the ‘Achiever’ type
who scored positively on ACSA (i.e., above the mid-point of the scale) and whose life stories started with the worst period
of their lives and proceeded to the best period. The TB patients were the only respondents to represent the ‘Survivor’ type
whose morale had recovered after misfortune in life. ‘Survivors’ started their narratives with the best period in their lives,
then moved to the worst (often health-related) one, and gave positive ACSA ratings. Based on the qualitative analysis of narratives,
it is concluded that ACSA is a sensitive measurement instrument and therefore particularly useful for monitoring the effects
of treatments and social interventions in longitudinal studies. However, further research is required to verify its cross-cultural
validity.
相似文献
Jan BernheimEmail: |
948.
This article uses a demographic approach and data from the Health and Retirement Survey, a nationally representative sample of the U.S. population, to investigate sex differences in the length of life lived with heart disease and after a heart attack for persons in the United States age 50 and older. On average, women live longer than men with heart disease. At age 50 women can expect to live 7.9 years and men 6.7 years with heart disease. The average woman experiences heart disease onset three years older and heart attacks 4.4 years older than men. 相似文献
949.
An ecological evolutionary viewpoint offers new perspectives on contemporary demographic problems in general and on population–environment issues in particular. In turn, rich and detailed human demographic data can help solve problems of interest in evolutionary theory. Such data have been analyzed in greatest detail in studies of traditional and historical societies. Evolutionary approaches using historical data go beyond small‐sample anthropological studies to the application of the evolutionary approach to large datasets, and illuminate important similarities between small‐scale traditional societies and large modern populations living in evolutionarily novel environments. This article provides a concise update of the breadth of questions and hypotheses of likely interest to demographers and others that evolutionary theorists address using a variety of traditional and historical datasets. It suggests opportunities for additional collaborative work between evolutionary theorists and historical demographers and highlights topics relevant to modern demography. 相似文献
950.