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Background

Recognition of pregnancy-related anxiety as a distinct anxiety is supported by evidence differentiating it from general anxiety and depression. Adverse associations with pregnancy-related anxiety further support this distinction. An influential study by Huizink et al. (2004), demonstrated that anxiety and depression contribute little to the variance of pregnancy-related anxiety, yet this study has not been replicated. Further, addressing limitations of the original study will provide further clarity to the findings.

Methods

Participants (N = 1209), were recruited online and completed three scales: pregnancy-related anxiety, general anxiety and depression. Multiple regression assessed the unique contribution of general anxiety and depression (predictors) to pregnancy-related anxiety scores (criterion) for each trimester.

Results

Across pregnancy, general anxiety and depression explained only 2–23% of the variance in the pregnancy-related anxiety scores. Anxiety and depression showed small unique contributions for some trimesters and specific areas of concern, ranging from 2 to 11%. Comparisons to the original Huizink study showed most results were comparable.

Conclusions

The methodology and more detailed analyses employed addressed noted limitations of the Huizink study. Findings that the contribution of general anxiety and depression to the variance in pregnancy-related anxiety scores was low, supports previous conclusions that pregnancy-related anxiety is a discrete anxiety type. Recognition of this unique anxiety (associated with many deleterious outcomes) may provide opportunity for prenatal screening/early intervention, potentially resulting in improved pregnancy outcomes. Limitations include no exclusion of women deemed as high-risk pregnancy and the pregnancy-related anxiety scale limited in its ability to fully assess this anxiety type.  相似文献   
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The traditional methodologies including spatial decision support systems have at times showed their ineffectiveness in terms of gathering, analyzing and incorporating diversified views of affected persons into resettlement planning. This ineffectiveness is in dealing with unstructured problems and uncertainty in analyzing alternative strategies. This paper therefore proposes an integrated methodology (combination of argumentative mapping and qualitative probabilistic networks) to counter these limitations. The new methodology was introduced in a large-scale infrastructure project to verify its applicability. Results derived from the study not only provide better insights into resettlement-related problems, but also indicate critical management options for desired objectives.  相似文献   
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The performance of Australian Indigenous1 learners is a national concern. The federal government has recognised that health and education are keys to closing the gap between the achievement of Indigenous and non‐Indigenous people and has made health and education a national priority. Through its ‘Closing the Gap’ initiative, the Rudd government is allocating significant amounts of money to redress the poor health and education among Indigenous Australians. In this paper, we discuss an innovation in education that is being implemented in a cluster of remote communities in Western Australia.2 The innovation draws on international research that has positively affected mathematics learning, particularly among students who are traditionally excluded from formal schooling. While the research is innovative, the mechanisms that may be the most effectual in bringing about strong mathematical learning for Indigenous Australians are unknown.  相似文献   
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Understanding the context of practice is an essential component of social work practice as is providing service that respects diversity. These twin concepts are necessary to include in planning and delivering services across all levels of practice. However, while we might understand how the context impacts on service users (and such an understanding is a vital part of assessment processes), the context has greater and more far reaching impacts. For example, in rural practice research, there is evidence that the context strongly influences the choice of practice methods, the behaviour of the professional as an individual and as a community member, and the management of complex ethical situations. This paper proposes a model that may be useful in analysing the various impacts of diversity and context in social work practice, and is relevant for the education of social workers and other human service personnel. The SUPAmodel (Service User, Professional, Agency) uses practice examples to explore how changes in context impact on professional decision making and choices about intervention.  相似文献   
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Community development--action research in community settings   总被引:1,自引:0,他引:1  
This paper considers the concept of resilience and how the natural qualities supportive of resilience in children and families can best be nurtured. It argues that there is an emerging crisis in bureaucratised child protection systems that alienates and undermines both social workers and clients, and that runs counter to the spirit of resilience‐led practice. Responding to this crisis requires a new emphasis on relationships, strengths and the clients' social context in child and family social work. It also requires practitioners and students to reflect carefully on the nature of helping. The paper explores some of the implications of these ideas for social work practice, education and policy.  相似文献   
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Abstract

Communities in Australia and internationally are experiencing massive change. Climate variability is an aspect of change that social workers in Australia, particularly in rural areas, are grappling with. Vulnerable populations will be at increased risk as extreme weather events increase in frequency. Communities will be facing social challenges hitherto unknown. The experience of uncertainty and fragmentation as characteristics of postmodernism has exposed the ambiguous and contested nature of much of social work practice and contributed to a crisis of confidence for the social work profession. The move towards rationality and linear approaches in the postwelfare state is often at odds with the complexity and uncertainty of human situations that has always been social work terrain. It can be argued that social work, with its ethical base, person-in-environment approach, expertise in ambiguity and complexity, and recognition of context, is well-placed to manage postmodern uncertainty. Using the 2009 Victorian bushfire example, I argue that an uncertain future is an opportunity for social workers, those working in rural areas in particular, to reassert social work's moral purpose in working with communities facing change. Implications for social work policy, practice, and education are briefly explored.  相似文献   
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The rise of the corporate profession has contributed to a more varied and ambiguous professional terrain that is increasingly seen to be indeterminate and fluid. This paper advances the current debate around the development of corporate professions, exploring how practitioners respond to this environment. Drawing on research with public relations practitioners, the paper shows how the idea of being a liminar facilitates the formation of a professional identity in conditions of high indeterminacy. In taking an individual level of analysis of professions, the paper suggests that indeterminacy is a more resonant feature for corporate professionals than previously suggested in the research, but that this indeterminacy is navigated in professional identity construction through ‘being a liminar’, and thus greater nuance may need to be recognized in the conceptualization of both corporate professions and corporate professionalization. It also demonstrates the use of liminality as a discursive resource in identity construction and with it, challenges the common association of liminality with self‐doubt and existential anxiety. In turn, the paper considers the implications of the liminal professional identity for the future of contemporary professions, and for understanding the liminal experience.  相似文献   
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