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21.
This study compares the efficacy of 2 psychoeducational interventions—ACCENT skills-based and didactic information only—to prevent HIV among Portuguese women. At posttest and follow-up, participants in both intervention groups (n = 127) were more knowledgeable about HIV than at baseline. Although both intervention groups showed an increase in self-reported condom use over time, differences were marginally stronger in the ACCENT group. Both intervention groups showed more positive results than the non-intervention control group (n = 33). The study suggests that HIV prevention interventions can produce significant changes when they target a set of knowledge, social, and cognitive variables relevant to sexual behavior change.  相似文献   
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Emotions are connected to meaning making in human interactions. This can be seen not just in terms of the immediate participants and their developmental history but also through broader cultural, social, and gender lenses. In times of relational tension, which require system flexibility, some emotional interaction can constrain alternative actions or meanings being constructed. Therapists can hypothesize about these emotional dances (including those that are taking place in the therapist/client system) and such hypotheses can inform interventions aimed at generating different emotional sequences. If participants in therapy experience alternative emotional responses as a result of therapeutic intervention, then change can occur (e.g., a greater sense of agency or hope, or a different perception of the situation).  相似文献   
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This paper contributes to the problem of estimation of state space model parameters by proposing estimators for the mean, the autoregressive parameters and the noise variances which, contrarily to maximum likelihood, may be calculated without assuming any specific distribution for the errors. The estimators suggested widen the scope of the application of the generalized method of moments to some heteroscedastic models, as in the case of state-space models with varying coefficients, and give sufficient conditions for their consistency. The paper includes a simulation study comparing the proposed estimators with maximum likelihood estimators. Finally, these methods are applied to the calibration of the meteorological radar and estimation of area rainfall.  相似文献   
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Social class is not often discussed or examined in‐depth in couple and family therapy research and literature even though social class shapes familial relationships and is considered an important variable in marital satisfaction. In this qualitative study, we explored the perceptions of eight couples who made lasting commitments across class lines by asking them about the impact of their social class backgrounds on their relationships. Three categories of themes emerged including: (a) differences and similarities in values and attitudes toward education, work, money, and class awareness/classism, (b) relationship issues involving families of origin, friends, and class‐based couple conflict, and (c) differences in economic resources, social capital and privileges/opportunities. Implications for assessment and treatment of couples are included.  相似文献   
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American Indian adults are thought to experience significant depressive symptoms at rates several times higher than adults in the general population, yet we know very little about factors associated with depressive symptoms among this under studied group. Many researchers have argued that depressive symptoms are associated with conflicts between American Indian traditional cultural values, practices, and beliefs and those of the majority culture. This report, based on a sample 287 American Indian adults from the upper Midwest, takes into account two measures of cultural effects: perceived discrimination, as one indicator of culture conflict, and traditional practices, as a measure of cultural identification. The results indicate that discrimination is strongly associated with depressive symptoms among American Indian adults and that engaging in traditional practices is negatively related to depressive symptoms. Moreover, interaction effects between perceived discrimination and traditional practices indicate that engaging in traditional practices buffers the negative effects of discrimination among those who regularly participate in them.  相似文献   
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1. Walking groups provide activity and support for their members. 2. Exercise competes with anxiety and depression and may diminish these negative affects. 3. Most YMCAs provide financial aid by reducing fees for people with disabilities.  相似文献   
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This article reports on the survey component of a study examining urban high school students' experiences with violence. The survey's purpose was to collect information on students' experiences with violence, explore gender differences, and identify which factors are associated with the self-reported use of violence. Two prominent risk factors for the self-reported use of violence were found: having a close friend or family member injured by violence, and gun possession. Young men and women did not differ significantly in overall exposure, victimization, and perpetration. However, gender clearly informed the types of violence reported. The findings offer practical strategies for addressing adolescent violence, such as reducing gun availability and community-level violence, but future research must further examine the role of gender in order to structure more effective prevention and intervention approaches that target different kinds of violence.  相似文献   
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