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51.
Identifying patterns of fearful behaviors early and accurately is essential to identify children who may be at increased risk for psychopathology. Previous work focused on the total amount of fear by using composites across time. However, considering the temporal dynamics of fear expression might offer novel insights into the identification of children at risk. One hundred and twenty‐five toddlers participated in high‐ and low‐fear tasks. Data were modeled using a novel two‐step approach. First, a hidden Markov model estimated latent fear states and transitions across states over time. Results revealed children's behavior was best represented by six behavioral states. Next, these states were analyzed using sequence clustering to identify groups of children with similar dynamic trajectories through the states. A four‐cluster solution found groups of children varied in fear response and regulation process: “external regulators” (using the caregiver as a regulation tool), “low reactive” (low reaction to stimulus), “fearful explorers” (managing their own internal state with minimal assistance from the caregiver), and “high fear” (fearful/at‐caregiver state regardless of task). The combination of analytic tools enabled fine‐grained examination of the processes of fearful temperament. These insights may help prevention programs target behaviors that perpetuate anxious behavior in the moment.  相似文献   
52.
Relations between mothers’ mind‐mindedness (appropriate attunement to their infants’ internal states) at 6 and 12 months and infants’ early symbolic play during infant–mother pretense at 12 and 18 months were investigated in a sample of 43 mothers and infants. Mothers’ appropriate mind‐related comments were associated with average level, length, complexity, and maturity level of symbolic play. Specific sub‐categories of appropriate mind‐related comments were identified as independent predictors of children's symbolic play. Appropriate comments about desires and cognitions at 6 months were associated with average level and length of episodes, as well as with maturity level of symbolic play at 12 months. Longitudinal stability in the appropriateness and content of mothers’ mind‐related comments was also investigated. The results are discussed in terms of the proposal that attunement to specific types of internal state should vary as a function of infant age in order to index mind‐mindedness.  相似文献   
53.
Studies have generally supported telehealth as a feasible, effective, and safe alternative to in‐office visits. Telehealth may also be of particular benefit to couples/families interested in relational treatments, as it addresses some of the barriers that may be more prominent for families, such as childcare and scheduling difficulties. Therapists interested in expanding their practice to include telehealth should understand ethical and practical considerations of this modality. This article discusses areas unique to the delivery of telehealth to couples and families. Each broad domain is then elaborated upon with case examples from actual clinical practice and specific recommendations for addressing potential difficulties. Authors recommend further empirical research examining differences in modality outcome, as well as feasibility of the suggestions proposed here.  相似文献   
54.
This study examined whether residents' level of resilience mediated the relationship between social support for exercise from staff and resident satisfaction in assisted living. This was a secondary data analysis using baseline data from a function-focused care intervention study including 171 residents from four assisted living facilities. Using structural equation modeling, we found that mood and social support for exercise from staff were the only variables associated with resilience. Mood, gender, cognition, and social support for exercise from staff directly influenced resident satisfaction and explained 31% of the variance in the model. Implications for future research and practice are discussed.  相似文献   
55.
The adolescent transition begins with the onset of puberty which, upstream in the brain, is initiated by the gonadotropin‐releasing hormone (GnRH) pulse generator that activates the release of peripheral sex hormones. Substantial research in human and animal models has revealed a myriad of cellular networks and heritable genes that control the GnRH pulse generator allowing the individual to begin the process of reproductive competence and sexual maturation. Here, we review the latest knowledge in neuroendocrine pubertal research with emphasis on genetic and epigenetic mechanisms underlying the pubertal transition.  相似文献   
56.
This study uses intersectional methodology to critically explore vulvodynia, chronic female genital pain, as it disrupts norms governing gender roles in heterosexual sex and reproduction. Interviews with 26 women with vulvodynia illuminate core tenets of the critical interpersonal and family communication (CIFC) framework, which include power; private and public sphere bidirectionality; the critique, resistance, and transformation of the status quo; and considerations of author reflexivity. As the author is herself a heterosexual woman navigating vulvodynia, reflexivity is particularly salient. Status quo social constructs are explicated. Results demonstrate how participants experience losses of relational power and problematic media depictions establishing standards for “normal” heterosexual sex. Discourses and practices concerning the perpetuation, resistance, and potential transformation of the status quo are described.  相似文献   
57.
Urban Ecosystems - Urban areas with residential yards (= domestic gardens) provide a diverse environmental mosaic characterized by high plant architectural and species diversity and variation in...  相似文献   
58.
Teenage parenting is a challenging venture—particularly when parenting while homeless. The present study explores in‐depth through case‐based analysis the lived experiences of three young homeless and parenting teens (one mother and two fathers). It is the first known study of teenage parenting and homelessness among Native Hawaiian youth, a key affected population. Interpretative phenomenological analysis of participants' individual interviews revealed three themes that characterize the experience of parenting as a teen while homeless: (a) They never raised me up (childhood experiences); (b) becoming mommy and daddy (early experiences of teen pregnancy and parenting while homeless); and (c) finding our place (current experiences of teen parenting and perspectives on teen pregnancy and homelessness). Implications for direct practice, social policy, and future research are discussed in the context of this complex reality.  相似文献   
59.
Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative exposure therapy (NET) is an evidence‐based intervention for decreasing individuals’ post‐traumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post‐conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this paper is to examine some of the ecological implications of using NET with trauma‐affected populations in low‐resource settings. We describe the implications of NET at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.  相似文献   
60.
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