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181.
This study examined the effects of reported maternal and paternal support, psychological control, and spanking on externalizing behavior of toddler boys. Questionnaires were administered to both parents of 104 two‐parent families with a 3‐year‐old son. Both maternal and paternal psychological control was related to boys' externalizing behavior. Interaction effects were found, in that the association between maternal spanking and boys' externalizing behavior was stronger when levels of maternal support were high. High levels of paternal support strengthened the association between maternal support and boys' externalizing behaviors. Results suggest that the associations between specific parenting dimensions and children's externalizing behavior need to be considered within the context of other parenting dimensions that are displayed within the family.  相似文献   
182.
This prospective, longitudinal study investigated the moderating role of pubertal timing on reciprocal links between adolescent appraisals of parent–child relationship quality and girls' (N=1,335) and boys' (N=1,203) cigarette and alcohol use across a 12‐month period. Reciprocal effects were found between parent–child relations and on‐time maturing boys and girls' cigarette and alcohol use, after estimating stability in these constructs across time. Parent–child relationship quality was associated with increased alcohol use 12 months later for early maturing girls. Cigarette and alcohol use were associated with increased problems in the parent–child relationship for late maturing girls. No effects were observed for early and late maturing boys in the pathways between parent–child relationship quality and substance use. Pubertal timing moderated the pathway linking parent–child relationship quality with cigarette use 1 year later such that the association was stronger for late maturing girls compared with early and on‐time maturing girls. The findings indicate interplay between the psychosocial aspects of maturation, family relationships, and adolescent substance use and highlight possible gender‐specific influences.  相似文献   
183.
By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far the fastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of later life is essential. In particular, anxiety and depression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.  相似文献   
184.
Although there has been some increased attention to the issue of homelessness and homeless shelter services, little effort has been made to understand the operation of rural homeless shelters. This situation persists despite decades of effort showing that the rural environment provides a very different context for the delivery of services than an urban environment. This study hypothesized that contextual differences in rural environments would produce various strategies of service delivery among homeless shelters. A typology of rural environments was created. Homeless shelters within each of four cells of the typology were selected. Comparative case study analysis provided partial support for the hypothesis.  相似文献   
185.
This article aims to provide more insight into advantages and challenges of conducting action research with the intention to improve health care. Action research is distinctive in the sense that the researcher has a dual role as both researcher and implementer of the program studied. The article is based on two Norwegian action-oriented studies that aimed to explore the potential role of online self-help groups for breast cancer patients and adolescents with mentally ill parents respectively. We argue that action research can contribute both to the generation of knowledge, as well as a greater sense of ownership to the program among those who are intended to use it. Nonetheless, a potential conflict between the researcher's pursuit of data, and ethical considerations became apparent in the contexts studied here. Bearing these challenges in mind, we still conclude that action research offers an important contribution for the further development of health care services.  相似文献   
186.
With the increase in special needs adoption, there is growing concern about the adjustment of these children and families beyond legalization. The purpose of this study was to explore in greater depth the use of intensive family preservation services with adoptive families and the factors related to the family’s ability to stay intact beyond services. Multiple regression analyses were used to determine factors that were predictive of the family’s ability to remain intact at 6 and 12 months post services. Potential predictors of family intactness included child characteristics, family characteristics, previous placement history and service characteristics. Results at 6 months found no significance in the full model; however, the individual factors of ethnic origin of the child, full‐time employment of the primary parent and initial placement reason were significant predictors of family intactness. At 12 months post services, the full model was highly significant, with service characteristics being the greatest predictor of the family’s ability to remain intact.  相似文献   
187.
This paper raises issues involved in doing research in partnership with Native American communities. The paper explores methodological concerns such as: access and cooperation, protocol, culturally appropriate methods, and ineffective methods. Integral to this discussion are the rights of the Native American communities and the responsibilities of the researchers. Specific topics include: getting started on a project, control of the research project, negotiating the release of the information gathered during the project, recognition for involvement in the research, and other ethical issues.  相似文献   
188.
The 2008 Health Indicators Project surveyed a probability sample (N = 1,870) of New York City senior center participants. Attendees of racially and ethnically diverse and nondiverse senior centers were compared across 5 domains: demographics; health and quality of life; social support networks; neighborhood perceptions and engagement; health service access/utilization. Although homogeneous and diverse center participants demonstrate similar health and quality-of-life outcomes, those from diverse centers demonstrate greater risk of social isolation, receive less family support, and more likely seek medical care from hospitals or community clinics. Implications and future directions for research, practice and policy are discussed.  相似文献   
189.
So far, the large majority of studies on burnout in the international literature have employed the Maslach Burnout Inventory (MBI). In this paper we criticize the MBI on a number of points and present a new tool for the measurement of burnout: the Copenhagen Burnout Inventory (CBI). The CBI consists of three scales measuring personal burnout, work-related burnout, and client-related burnout, for use in different domains. On the basis of an ongoing prospective study of burnout in employees in the human service sector, the PUMA study (Project on Burnout, Motivation and Job Satisfaction; N=1914 at baseline), we analysed the validity and reliability of the CBI. All three scales were found to have very high internal reliability, and non-response rates were small. The scales differentiated well between occupational groups in the human service sector, and the expected pattern with regard to correlations with other measures of fatigue and psychological well-being was found. Furthermore, the three scales predicted future sickness absence, sleep problems, use of pain-killers, and intention to quit. Analyses of changes over time showed that substantial proportions of the employees changed with regard to burnout levels. It is concluded that the analyses indicate very satisfactory reliability and validity for the CBI instrument. The CBI is being used in a number of countries and translations into eight languages are available.  相似文献   
190.
This study of 67 chronically mentally ill outpatients with psychotic disorders examined subjective quality of life scores from Lehman's Quality of Life (QOL) interview. Factor analyses identified ‘Affiliative’ and ‘Instrumental’ dimensions which accounted for 67% of the variance in subjective satisfaction ratings. The results suggest a model in which instrumental and affiliative needs comprise significant portions of subjective life satisfaction and that global QOL satisfaction is related more to instrumental than affiliative needs. These findings further clarify the concept of life satisfaction in this population of severely mentally ill individuals and suggest modifications in how quality of life information is evaluated.  相似文献   
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