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1.
OBJECTIVES: The objectives were: (1) to investigate the association during pregnancy of sexual abuse before the age of 18 on depressive symptomatology in pregnancy, controlling for the presence of negative life events and challenges; and (2) to investigate the association of selected pregnancy outcomes (maternal labor and delivery factors, infant birth weight and gestational age) with sexual abuse before age 18. METHODS: Three hundred fifty-seven primiparous women aged 18 years and older were interviewed between 28-32 weeks gestation with reference to current functioning and past history (Objective 1). Medical record information was abstracted after delivery for pregnancy, labor and delivery factors, and pregnancy outcomes (Objective 2). RESULTS: Thirty-seven percent of the women reported past sexual abuse. Prevalence was not associated with ethnic background, educational level, or hospital payment source. Previously sexually-abused pregnant women reported significantly higher levels of depressive symptomatology, negative life events, and physical and verbal abuse before and during pregnancy. There were no significant associations found between past sexual abuse and labor or delivery variables or newborn outcomes. CONCLUSIONS: Previously sexually-abused pregnant women reported a wider constellation of past and current functioning problems than nonabused women although past sexual abuse was not associated with pregnancy outcome. Prenatal care provides a unique opportunity to evaluate the impact of life history and current life events during pregnancy, and to develop a coordinated intervention plan.  相似文献   

2.
We aimed to explore older people's subjective leisure experiences and to further examine associations of such experiences with their depressive symptoms in Taiwan. Known correlates of depression, such as demographics, physical health, and social support, were taken into account. Face-to-face interviews were conducted to collect data using structured questionnaires from a national representative sample of community older people (N = 1308, aged 65 +). We found that (a) being female, older, single, less educated, and having lower family income were demographic risk factors of depression; (b) worse physical health, lack of independent functioning in Activities of Daily Living (ADL), and disability were related to more depressive symptoms; (c) greater social support was related to fewer depressive symptoms; (d) having controlled for effects of demographics, physical health, and social support, positive leisure experiences were independently related to fewer depressive symptoms. The benefits of meaningful leisure pursuits for successful aging are discussed.  相似文献   

3.
Many older adults have experienced or witnessed devastating life events including wars, hurricanes, and explosions. This study examined retraumatization and the relationship between certain risk factors, resilience, and psychological distress in the post-9/11 environment among 120 community-dwelling older adults. Results indicate that Holocaust survivors suffered more posttraumatic symptoms during the ongoing War on Terrorism than a comparison group. A significant contributor to posttraumatic symptomatology was anxiety followed by sense of safety, and survivor status. Clinicians should anticipate that older adults exposed again to trauma may experience posttraumatic symptomatology. Health-care practitioners should focus on distant history of trauma when assessing older adults for posttraumatic stress.  相似文献   

4.
OBJECTIVE: While research has supported associations between experiencing abuse and engaging in risky sexual behaviors during adolescence, research regarding these associations among adult women is much more equivocal. In addition, few studies have attempted to identify potential pathways from abuse experiences to sexual risk behaviors. The current study examined the associations between a history of physical or sexual abuse and recent sexual risk behaviors among adult women. Additionally, this study evaluated binge drinking and depressive symptomatology as potential mediators of any relationships between abuse history and sexual risk behaviors. METHODS: A total of 1,428 women between 18 and 40 years of age attending family planning clinic appointments completed a self-report survey regarding their recent sexual behaviors and sexual and physical abuse history. Logistic regressions using backward elimination were conducted to identify factors associated with sexual risk behavior. RESULTS: A history of physical abuse by a romantic partner was associated with several sexual risk behaviors. Few significant associations between intrafamilial physical or sexual abuse and recent sexual risk behaviors were found. Additionally, there was no evidence that these relationships were mediated by binge drinking or depressive symptomatology. CONCLUSIONS: Familial abuse experiences are not necessarily associated with recent sexual risk behaviors among adults. In contrast, physical abuse experiences, particularly those perpetrated by a romantic partner, are associated with engaging in adult sexual risk behaviors among women. However, these associations are not mediated by alcohol use or depressive symptomatology.  相似文献   

5.
Sexual abuse has the potential to generate serious emotional consequences for its victims, but there is high variability in the symptoms reported by different victims. Therefore, it is necessary to ascertain the factors associated with the symptoms presented by sexual abuse victims. The aim of the study was to use a single model to evaluate the relationship between sexual abuse characteristics (frequency, violence, relation with the aggressor and physical commitment), cognitive and behavioral factors (self-efficacy, active coping and perceived family support) and internalizing symptoms (anxiety, depression and posttraumatic stress) in a group of sexually abused adolescents. The participants included 106 female adolescent victims of sexual abuse (M = 14.25 years, SD = 1.74). The results of a path analysis indicated that sexual abuse characteristics were unrelated to symptomatology. Only a negative relationship was observed between the victim’s relationship with the aggressor and PTSD symptomatology. The violence of the sexual abuse was negatively related to self-efficacy, and self-efficacy was positively related to active coping and negatively related to symptomatology. Finally, the perception of family support was positively related to self-efficacy and negatively related to symptomatology. These results suggest the need to consider the studied factors in the process of psychotherapy with victims of sexual abuse.  相似文献   

6.
This study examined a multicultural group experience on students' (N= 94) ethnic identity development and social‐cognitive maturity. Although no differences were identified between treatment and comparison group participants, group therapeutic factors scores were predictive of ethnic identity development and social‐cognitive maturity. Implications for counselor educators and future research are discussed.  相似文献   

7.
The outcome evaluation of Pare-Chocs, a school-based cognitive-behavioural (CB) prevention program for adolescent depression, was conducted with 53 adolescents at risk of school dropout and exhibiting high depressive symptoms using a theory-driven evaluation model. Our results show a significant relationship between the intervention and proximal variables: Experimental-group students presented less cognitive distortions and better problem-solving strategies at post-treatment and follow-up. Greater participation intensity predicts less cognitive distortions and better problem-solving strategies at follow-up. Moreover, less cognitive distortions at post-treatment and follow-up are linked to less depressive symptoms. These promising results encourage future evaluative research on school dropout prevention programs linked with at-risk students’ characteristics. For practitioners, they suggest that the implementation of a CB prevention program for depressive symptoms in school settings could lead to decrease depression risk factors and improve protective factors among youth at risk of school dropout.  相似文献   

8.
The demographic shift towards an older population combined with the increasing demand for self-reliance and community-based care for the elderly calls for a thorough examination of continuing education programs in local communities as a viable means of promoting successful and active aging. This study examined patterns of older adults’ motivations for, and perceived benefits from, participating in a publicly funded local continuing education program in relationship with their gender, income, and self-perceived general health. Six hundred ninety-nine learners over 60 years old were surveyed. The study found both commonalities as well as distinct patterns of difference due to the influence of gender, income, and health. The results of the study provide validation and additional knowledge to buttress previous studies, while underscoring the necessity for further research on older adults’ participation, motivations, and benefits in the intersection with sociodemographic and health factors. The findings of this study also reaffirmed the importance of maintaining and developing an affordable, accessible, and inclusive continuing education program in local communities for achieving successful and active aging for all.  相似文献   

9.
Although low income status and parent alcohol misuse are considered critical risk factors for child neglect, little is known about the mechanisms of this association. No known research has assessed the parallel effect of each on occurrence of child neglect. This study aimed to explore the direct and indirect effects of parent alcohol misuse and low family income on risk of supervisory neglect through mediating factors such as parent depressive symptoms and low social support.The study used a sample of 2990 parents of children under 13 years old who completed a listed telephone survey conducted in 50 mid-sized cities within California during 2009. We used a structural equation model to estimate the direct and indirect effects of parent alcohol misuse (defined as heavy drinking frequency) and low family income on supervisory neglect toward a focal child, as well as the indirect effect via parental depressive symptoms and low social support. Mediation analysis to capture direct, indirect, and total effects of these two independent variables was also conducted.Results revealed a significant direct effect of low family income on likelihood of supervisory neglect. Low income also exhibited an indirect effect via increased depressive symptoms and low social support. Annual frequency of heavy drinking showed no direct effect on supervisory neglect likelihood, but an indirect effect was observed via increased depressive symptoms and decreased social support. Parent low income and high frequency heavy drinking likely increase risks for supervisory neglect through distinct pathways. Longitudinal research is needed to confirm the pathways identified within this study.  相似文献   

10.
Research Findings: This study investigated the relationship of preschool teachers’ self-reported depressive symptomatology, perception of classroom control, and perception of school climate to classroom quality as measured by the Classroom Assessment Scoring System Pre-K. The sample consisted of 59 urban preschool classrooms serving low-income and linguistically diverse students in the northeastern and southeastern United States. Results of hierarchical linear modeling revealed that teachers’ individual reports of depressive symptomatology were significantly and negatively predictive of the observed quality of their instructional support and classroom organization. Practice or Policy: The findings of this study have implications for increasing access to mental health supports for teachers in an effort to minimize depressive symptoms and potentially improve classroom quality.  相似文献   

11.
OBJECTIVE: The goals of this study were to examine the role of dissociation and depression as possible mediators of the relationship between several forms of childhood trauma and bulimic symptomatology and to explore potential ethnic differences in these relationships. METHOD: Four hundred seventeen female undergraduates participated in this cross-sectional study. They completed measures of dissociative, depressive, and bulimic symptoms, and childhood trauma. Experiences of multiple forms of childhood trauma were measured, including physical abuse, sexual abuse, emotional abuse, physical neglect, and emotional neglect. However, only emotional abuse was correlated with bulimic symptoms at p<.01. Therefore, other forms of trauma were excluded from the analyses to control for Type I error. RESULTS: Dissociation was not associated with emotional abuse after controlling for depression; therefore, tests of dissociation as a mediator were discontinued. Depression was significantly associated with emotional abuse after controlling for dissociation. Emotional abuse was significantly associated with bulimia. Finally, emotional abuse and depression together were significantly associated with bulimia after controlling for dissociation. However, emotional abuse became nonsignificant when entered with depression, indicating that depression mediated the relationship between emotional abuse and bulimic symptoms. There were no ethnic differences in this relationship. CONCLUSIONS: It appears that among women who have experienced childhood emotional abuse, depression is more strongly associated with unhealthy eating behaviors than is dissociation. Results also suggest that emotional abuse is a form of childhood trauma particularly relevant to bulimia.  相似文献   

12.
Using interview data from a sample of 241 single African American mothers and their seventh- and eighth-grade children, this study tests a model of how 2 economic stressors, maternal unemployment and work interruption, influence adolescent socioemotional functioning. In general, these economic stressors affected adolescent socioemotional functioning indirectly, rather than directly, through their impact on mothers' psychological functioning and, in turn, parenting behavior and mother-child relations. Current unemployment, but not past work interruption, had a direct effect on depressive symptomatology in mothers. As expected, depressive symptomatology in mothers predicted more frequent maternal punishment of adolescents, and this relation was fully mediated by mothers' negative perceptions of the maternal role. More frequent maternal punishment was associated with increased cognitive distress and depressive symptoms in adolescents, and consistent with predictions, these relations were partially mediated by adolescents' perceptions of the quality of relations with their mothers. Increased availability of instrumental support, as perceived by mothers, predicted fewer depressive symptoms in mothers, less punishment of adolescents, and less negativity about the maternal role. Both economic stressors were associated with higher levels of perceived financial strain in mothers, which in turn predicted adolescents' perceptions of economic hardship. Adolescents who perceived their families as experiencing more severe economic hardship reported higher anxiety, more cognitive distress, and lower self-esteem.  相似文献   

13.
How do people learn about the environment and behave accordingly? What is the cognitive process at the base of this learning mechanism? The present paper is a pilot work investigating the dynamics of individual environmental knowledge on the basis of social capital theory. Using Tsai and Ghoshal’s findings, a well known framework widely accepted in organizational studies which supports the existence of a relationship between structural, relational and cognitive dimensions of social capital, and between social capital and knowledge exchange, these dynamics are then tested in the context of environmental behaviour studies. The quantitative analysis is carried out by means of a structural equation model based on data collected in the Republic of Latvia. Results support main theoretical hypotheses, but several effects are found to be highly sensitive to control variables (residence place dimensions, ethnic affiliation, age, personal income), leading to hypothesise a strong dependency of environmental learning patterns on the socio-demographic, socio-economic and cognitive context.  相似文献   

14.
OBJECTIVE: The aim of this study was to examine associations between childhood adversity, parental bonding, gender, depressive symptoms, and quality of life in non-treatment-seeking adults from the community. METHOD: Effects of differential parental rearing were compared in adults who reported a high degree of childhood maltreatment (n=72) and those who reported no significant adverse events in childhood (n=69). Subjects completed retrospective measures of childhood maltreatment and perceived parenting style, as well as measures of current depressive symptoms and quality of life. RESULTS: The subjects without childhood maltreatment were younger and endorsed less current depressive symptomatology than did subjects with childhood maltreatment. While the subjects without a history of maltreatment reported more "optimal" bonding experiences with their parents, the maltreatment group members were more likely to characterize their early parental bonding experiences in terms of "affectionless control" (p<.001 for both maternal and paternal parenting), "affectionate constraint" (p=.025 for maternal parenting and p=.004 for paternal parenting), or "weak or absent" bonding (p<.001 for both maternal and paternal parenting). Results of a multiple regression analysis revealed that overall quality of paternal care (p=.015) and current level of depressive symptoms (p<.001) were significant independent predictors of adult quality of life. Gender effects between subjects providing parental bonding data were limited to the group with childhood maltreatment. CONCLUSION: These findings extend previous work documenting a relationship between early life maltreatment and suboptimal parental bonding, suggesting gender-specific effects of maternal and paternal care. Effects of childhood maltreatment on quality of life in adulthood appear to be linked with the quality of childhood paternal care and the occurrence of depressive symptomatology in adulthood, suggesting possible targets for primary or secondary prevention.  相似文献   

15.
2010年中国综合社会调查数据,考察了不同代际城市居民主观幸福感的差异性,探讨了各类人口统计变量、客观因素和主观因素对不同代际城市居民主观幸福感的影响,检验了代际在不同因素对城市居民主观幸福感影响中的调节作用、研究发现:出生于“社会主义建设一代”(1950~1966)的城市居民的主观幸福感要显著低于“文革一代”(1967~1978)和“改革开放一代”(1979~1989);各类人口统计变量、客观因素和主观因素对不同代际城市居民的主观幸福感的影响方向和程度存在一定的差异;代际调节着年龄、个人收入、健康状况、个人社会阶层、家庭社会阶层、情绪状态和社会公平对城市居民主观幸福感的影响。  相似文献   

16.
Preschool children from economically disadvantaged families often experience difficulties in developing prosocial behavior. Risk associated with depressive symptomatology in caregivers (parents and guardians) may further compound these difficulties. The overall objective of the present study was to examine the compensatory effect of Head Start classroom environments on the development of prosocial behavior among children with caregivers high in depressive symptomatology. We initially examined the association between caregiver depressive symptoms and children's starting levels of prosocial behavior and then tested classroom emotional support as a moderator of the relation between caregivers’ depressive symptoms and children's prosocial behavior development during the school year. The sample of 194 Head Start preschoolers in 28 classrooms was part of a larger study designed to test the effects of an emotion-based prevention program. As expected, caregivers’ levels of depressive symptoms predicted lower starting levels of prosocial behavior. However, classroom emotional support promoted improvements in prosocial behavior for the children of the caregivers high in depressive symptomatology. The implications of these findings for the development of preventive interventions are discussed.  相似文献   

17.
北方民族传统文化与草原生态关系的调查与思考   总被引:1,自引:0,他引:1  
通过对内蒙古巴彦淖尔市、呼伦贝尔市、通辽市部分民族的调查,在经济类型、居民收入、政策法律、婚姻家庭、饮食文化、居住形式、宗教信仰、科技教育等方面,现代北方民族的传统文化与草原生态环境之间形成互动的本质关系。现今由于草原生态环境逐渐退化,导致了北方民族传统文化的弱化。将传统文化与生态环境的良性循环的链条继续保持下去,有利于促进北方民族传统文化的创新和草原生态环境的保护。  相似文献   

18.
《Educational gerontology》2012,38(12):708-718
ABSTRACT

Older adults often suffer from psychological, functional and health-related diseases. Literature has documented the relationship between, malnutrition with adverse health outcomes. This study aims to examine the relationship between malnutrition with the cognitive, functional and psychological status of older adults living in long-term care houses. The study employed a cross-sectional approach in which 99 participants were included from seven nursing homes in six different cities across the West Bank, Palestine. The nutritional status of older adults was assessed using anthropometric measurements and meal patterns. Malnutrition risk was assessed using Mini Nutritional Assessment; the cognitive function using Mini Mental Status Examination; the functional status using the Activity of Daily Living. Results: A total of 99 participants (45.5%) men and (54.5%) women were included in the final data analysis. The results revealed 47% of the participants were at risk of malnutrition, while 23% were malnourished. Variables that were significantly associated with malnutrition; male gender, higher score of depressive symptoms, and impaired cognitive function, p < .05 using chi square test. However, number of meals and hours of overnight fasting were not associated with being malnourished. Greater dependency level was associated with high risk of malnutrition, p < .05 using One Way ANOVA test.

Conclusion: Risk of malnutrition was common among the study sample, and it was associated with impaired cognitive, psychological and functional status. Hence, there is a need to provide older adults living in long-term care houses with health programs to enhance their overall health and decrease the level of dependency. These findings are important to design educational programs targeting the stakeholders in the long-term care facilities to improve the residents' nutritional and functional status.  相似文献   

19.
This study explores the relationship between state financial aid policies and postsecondary enrollment for high school graduates (or equivalent diploma holders). Utilizing an event history modeling for a nationally representative sample from the National Education Longitudinal Study (NELS:88/2000) in addition to state-level policy variables, this study examined how state aid policies differentially affect students’ postsecondary enrollment choices depending on their family income and race/ethnicity between the years 1992 through 2000. The findings demonstrate that there is a clear and consistent gap in college enrollment for students who are from different income and race/ethnic groups, and that changes in state financial aid policy are significantly related with the type of institutions a student attends across income and racial groups. The study findings have important implications for state aid policy as well as future research on the role of public financial aid policy in college choice of students from different income and racial/ethnic backgrounds.  相似文献   

20.
OBJECTIVE: This study examined the differential effects of various forms of abuse, as well as their combined effects. The study also sought to separate the factors uniquely associated with abuse from those associated with the more general problems present in an abusive family environment. METHODOLOGY: Data were collected from 329 homeless adolescents. Preliminary analyses indicated some degree of matching for family background variables. Any differences in demographic or family characteristics were controlled for statistically. RESULTS: Chi-square analyses revealed significant differences across groups for rates of assault, rape, depression/dysthymia, and attempted suicide. Multivariate analyses (MANOVAs) indicated significant differences in severity of internalizing problems and cognitive problems. Without exception, the group with histories of both physical and sexual abuse exhibited the most severe symptomatology and was at greatest risk for revictimization. Multiple regression analyses suggested that abuse histories were predictive of internalizing problems while family characteristics were more predictive of externalizing problems. CONCLUSIONS: The findings indicate that both abuse type and family characteristics contribute to the development of symptomatology. Future prospective and longitudinal studies are needed to clarify the sequelae of abuse, as well as the possible cause and effect relations between abuse, family characteristics, and psychological outcome.  相似文献   

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