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61.
Azijada Srkalović Imširagić Dražen Begić Livija Šimičević Žarko Bajić 《Women and birth : journal of the Australian College of Midwives》2017,30(1):e17-e23
Background
Following childbirth, a vast number of women experience some degree of mood swings, while some experience symptoms of postpartum posttraumatic stress disorder.Aim
Using a biopsychosocial model, the primary aim of this study was to identify predictors of posttraumatic stress disorder and its symptomatology following childbirth.Methods
This observational, longitudinal study included 372 postpartum women. In order to explore biopsychosocial predictors, participants completed several questionnaires 3–5 days after childbirth: the Impact of Events Scale Revised, the Big Five Inventory, The Edinburgh Postnatal Depression Scale, breastfeeding practice and social and demographic factors. Six to nine weeks after childbirth, participants re-completed the questionnaires regarding psychiatric symptomatology and breastfeeding practice.Findings
Using a multivariate level of analysis, the predictors that increased the likelihood of postpartum posttraumatic stress disorder symptomatology at the first study phase were: emergency caesarean section (odds ratio 2.48; confidence interval 1.13–5.43) and neuroticism personality trait (odds ratio 1.12; confidence interval 1.05–1.20). The predictor that increased the likelihood of posttraumatic stress disorder symptomatology at the second study phase was the baseline Impact of Events Scale Revised score (odds ratio 12.55; confidence interval 4.06–38.81). Predictors that decreased the likelihood of symptomatology at the second study phase were life in a nuclear family (odds ratio 0.27; confidence interval 0.09–0.77) and life in a city (odds ratio 0.29; confidence interval 0.09–0.94).Conclusion
Biopsychosocial theory is applicable to postpartum psychiatric disorders. In addition to screening for depression amongst postpartum women, there is a need to include other postpartum psychiatric symptomatology screenings in routine practice. 相似文献62.
J. Brian Houston Jennifer First Matthew L. Spialek Mary E. Sorenson Toby Mills-Sandoval McKenzie Lockett 《Journal of American college health : J of ACH》2017,65(1):1-9
Objective: The purpose of this pilot study was to evaluate the Resilience and Coping Intervention (RCI) with college students. Participants: College students (aged 18–23) from a large Midwest US university who volunteered for a randomized controlled trial during the 2015 spring semester. Methods: College students were randomly assigned to an intervention (n = 64) or a control (n = 65) group. Intervention participants received three 45-minute RCI sessions over subsequent weeks. All participants completed pre- and post-intervention assessments at the beginning of Week 1 and end of Week 3. Student resilience, coping, hope, stress, depression, and anxiety were assessed. Results. RCI participants reported significantly more hope and less stress and depression from Week 1 to Week 3 compared with control participants. Results for resilience also approached statistical significance. Effect sizes were small to moderate. Conclusions: This study found preliminary evidence that RCI is an effective resilience intervention for use with college students. 相似文献
63.
Objective: To determine if weight gain is accompanied by development of insulin resistance (IR) during 4 years in college. Participants: Two cohorts of college students were enrolled in fall semesters 2009 and 2010 and tracked for 4 years. Methods: Following a 12-hour fast, subjects reported for measurement of body mass index (BMI), perceived stress (PSS), aerobic fitness, and blood glucose, insulin, and lipids. Results: In the first year, 33% of subjects were overweight or obese, and 20% were hyperinsulinemic. Year 4 had 29 remaining subjects with disproportionate attrition of overweight and obese individuals. Just over half the subjects gained weight (WI), whereas nearly 30% lost considerable amounts (WD). WD showed significant decline in fasting insulin, low-density lipoprotein (LDL) cholesterol, and PSS from year 1. WI was primarily highly fit men who did not demonstrate increased IR. Conclusion: WI was not associated with IR over 4 years of college. 相似文献
64.
Kamila Dvořáková Moé Kishida Jacinda Li Steriani Elavsky Patricia C. Broderick Mark R. Agrusti 《Journal of American college health : J of ACH》2017,65(4):259-267
Objective: Given the importance of developmental transitions on young adults' lives and the high rates of mental health issues among U.S. college students, first-year college students can be particularly vulnerable to stress and adversity. This pilot study evaluated the effectiveness and feasibility of mindfulness training aiming to promote first-year college students' health and wellbeing. Participants: 109 freshmen were recruited from residential halls (50% Caucasian, 66% female). Data collection was completed in November 2014. Methods: A randomized control trial was conducted utilizing the Learning to BREATHE (L2B) program, a universal mindfulness program adapted to match the developmental tasks of college transition. Results: Participation in the pilot intervention was associated with significant increase in students' life satisfaction, and significant decrease in depression and anxiety. Marginally significant decrease was found for sleep issues and alcohol consequences. Conclusions: Mindfulness-based programs may be an effective strategy to enhance a healthy transition into college. 相似文献
65.
Mary Jo Coiro Alexandra H. Bettis Bruce E. Compas 《Journal of American college health : J of ACH》2017,65(3):177-186
Objective: The ways that college students cope with stress, particularly interpersonal stress, may be a critical factor in determining which students are at risk for impairing mental health disorders. Using a control-based model of coping, the present study examined associations between interpersonal stress, coping strategies, and symptoms. Participants: A total of 135 undergraduate students from 2 universities. Methods: Interpersonal stress, coping strategies, depression, anxiety, and somatization were assessed via self-report. Results: Students reporting more interpersonal stress reported more depression, anxiety, and somatization, and they reported less use of engagement coping strategies and greater use of disengagement coping strategies. Engagement coping strategies accounted for a significant portion of the association between interpersonal stress and mental health symptoms. Unexpectedly, coping strategies did not moderate the association between stress and mental health symptoms. Conclusion: Interventions designed to improve students' coping strategies may be an effective way to reduce mental health problems on college campuses. 相似文献
66.
There is a growing literature investigating the association between coping and work stress among social workers. An area that remains under-researched is the association between work–family conflict and coping. The present study explored the coping strategies adopted by social workers in dealing with the competing demands emanating from their work and family domains. In a larger study involving 439 Australian social workers, we analyzed the responses to two open-ended questions that explored the challenges experienced by social workers in meeting their work and family demands, and the coping strategies they adopt to deal with these challenges. The findings confirm that social workers experience work–family conflict and they adopt several coping strategies to deal with it including support from supervisors and colleagues, cognitive reframing, timely communication, setting clear expectations, time management, job flexibility and developing personal hobbies. We discuss the implications of our findings for social work policy and practice. 相似文献
67.
首先,指出Lemaitre等提出的高周疲劳损伤演化方程只适用于等效应力循环为等幅的加载情形.然后,基于等效应力循环为不等幅的加载情形,推导出适用于高周疲劳的损伤演化方程,说明上述等幅加载情形的损伤演化方程只是高周疲劳损伤演化方程的一个特例,且后者的结果更具一般性. 相似文献
68.
徐光御 《贵州民族学院学报》2006,(1):128-129
“城”最初是人类修建的环卫聚居处的防御性建筑,最初的功能是政治性和军事性的最初的功能是政治性和军事性的。它的出现大约在新石器时期的晚期到青铜时代早期。而“市”虽然出现较早,但它的完善与发展与“城”息息相关。而“市”对“城”从一种必要的补充进而到相互促进和发展。如今,人们认识到我国城市的发展离不开经济的发展,其中农业尤为重要,甚至取决于农业的发展。 相似文献
69.
This paper develops the Bayesian estimation for the Birnbaum–Saunders distribution based on Type-II censoring in the simple step stress–accelerated life test with power law accelerated form. Maximum likelihood estimates are obtained and Gibbs sampling procedure is used to get the Bayesian estimates for shape parameter of Birnbaum–Saunders distribution and parameters of power law–accelerated model. Asymptotic normality method and Markov Chain Monte Carlo method are employed to construct the corresponding confidence interval and highest posterior density interval at different confidence level, respectively. At last, the results are compared by using Monte Carlo simulations, and a numerical example is analyzed for illustration. 相似文献
70.
Elizabeth J. Krumrei Annette Mahoney Kenneth I. Pargament 《Journal of marriage and the family》2009,71(2):373-383
This study examined the role of three spiritual responses to divorce for psychological adjustment: appraising the event as a sacred loss/desecration, engaging in adaptive spiritual coping, and experiencing spiritual struggles. A sample of 100 adults (55% female) was recruited through public divorce records. Most appraised their divorce as a sacred loss/desecration (74%), experienced spiritual struggles (78%), and engaged in adaptive spiritual coping (88%). Appraisals of sacred loss/desecration and spiritual struggles were tied to higher levels of depression. Adaptive spiritual coping was tied to greater posttraumatic growth. Spiritual coping and struggles each contributed uniquely to adjustment beyond parallel forms of nonspiritual coping and struggles and mediated links between viewing the divorce as a sacred loss/desecration and depression. 相似文献