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1.
J Behav Ther Exp Psychiatry ; 83: 101926, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38070454

RESUMO

BACKGROUND AND OBJECTIVES: Scrupulosity, despite its considerable prevalence and morbidity, remains under-investigated. The present study develops and examines the psychometric properties of a comprehensive assessment tool, the Scrupulosity Inventory (SI). METHODS: The SI, along with other measures of obsessive-compulsive disorder (OCD) and perfectionism, were administered to a sample (N = 150) of college undergraduates similar in size to other scale development studies of related measures. We conducted exploratory and confirmatory factor analyses of the SI, examined its convergent and divergent validity, and assessed its ability to predict categorical diagnoses of scrupulosity using a receiver operator characteristic analysis. RESULTS: We found a well-fitting confirmatory bifactor model (RMSEA = 0.049) with a strong general Scrupulosity factor ( [Formula: see text] ) and specific factors for Personal Violations ( [Formula: see text] ), Ritualized Behavior ( [Formula: see text] ), Interference with Life ( [Formula: see text] ), and Problem Pervasiveness ( [Formula: see text] ). As predicted, we also found the strongest convergence (r = 0.63) between the SI and the Penn Inventory of Scrupulosity (PIOS), intermediate convergence (r = 0.54) between the SI and Perfectionism Inventory (PI), and weaker convergence (r = 0.47) between the SI and YBOCS. Finally, we found that a categorical diagnosis of scrupulosity was highly predicted by the SI (AUC = 0.84), less well-predicted by the PIOS (AUC = 0.75) and less well predicted by the YBOCS (AUC = 0.69). LIMITATIONS: This study was conducted among a sample of undergraduates at a religiously affiliated university. CONCLUSIONS: These results suggest utility in using the SI to measure the severity of scrupulosity symptoms and that scrupulosity and OCD may present significantly different clinical features.


Assuntos
Transtorno Obsessivo-Compulsivo , Humanos , Transtorno Obsessivo-Compulsivo/diagnóstico , Comportamento Obsessivo/diagnóstico , Análise Fatorial , Psicometria , Estudantes , Reprodutibilidade dos Testes
2.
J Couns Psychol ; 69(5): 722-731, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35311300

RESUMO

It is not yet fully understood how alliance, cohesion, and climate differentially correlate with client outcome in group therapy, especially when assessed simultaneously. This study aims to elucidate these relationships through an archival analysis of continuous Group Questionnaire (GQ) and Outcome Questionnaire-45 (OQ-45) data from 412 group therapy clients at college counseling centers, which were originally collected by Burlingame, Whitcomb, et al. (2018). We predicted that alliance, cohesion, and climate would each correlate with improvements in outcome and, further, that they would have similar relationships with change in outcome. Results indicate that greater alliance, cohesion, and climate are individually associated with lower distress. This relationship was significant regarding session-to-session fluctuations on individual client scores (p < .01), as well as regarding differences between clients in their personal averages across sessions (p < .01). However, when linear growth trajectories were considered, only alliance was significantly associated with improvement (p < .05). In other words, alliance, climate, and cohesion all correlate with outcome when time is ignored; however, alliance alone significantly correlates with outcome when change over time is taken into account. This study highlights the importance of the client-therapist relationship, emphasizing how alliance is significantly related to change in group therapy. Thus, therapists should prioritize a strong bond with clients. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Relações Profissional-Paciente , Psicoterapia de Grupo , Aconselhamento , Humanos , Inquéritos e Questionários , Universidades
3.
Lancet Reg Health Am ; 7: 100159, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34961858

RESUMO

BACKGROUND: Non-emergent clinical services were limited or suspended during the early stages of the coronavirus disease 2019 (COVID-19) pandemic in the United States (U.S.). This could adversely impact epidemics of public health importance, such as HIV, and access to testing, which is a cornerstone of prevention efforts. METHODS: In this observational study, we collected HIV testing and positivity rate clinical data from four geographically diverse U.S. healthcare systems in New Orleans, Louisiana; Minneapolis, Minnesota; Providence, Rhode Island; and, Seattle, Washington. Data from 2019 to 2020 were examined to assess changes in HIV testing in community-based, emergency department, and outpatient settings. Poisson regression was used to explore trends in HIV testing through phases of the COVID-19 pandemic. FINDINGS: In outpatient settings, there was a 68-97% reduction in the number of HIV tests per week during each state's stay-at-home order period, compared to during the pre-stay-at-home order period in early 2020. HIV testing remained reduced 11-54% after states transitioned to advisory phases. The HIV positivity rate increased slightly at outpatient settings, except in New Orleans where it fell. INTERPRETATION: We found a concerning trend of substantially decreased HIV testing across four geographically diverse sites. These findings suggest that new HIV infections within the U.S. may be undiagnosed and not yet linked to clinical care and services, as a consequence of the COVID-19 pandemic. Thus, augmented efforts to identify patients and link them to HIV services will be needed as healthcare settings return to full operation. FUNDING: U.S. National Institute of Mental Health.

4.
Sex Transm Dis ; 48(8): 595-600, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34030154

RESUMO

BACKGROUND: People experiencing homelessness are disproportionately infected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV). In response to COVID-19, cities nationwide temporarily housed people experiencing homelessness in unused hotels. One such initiative in New Orleans also enacted a screening, counseling, and linkage-to-care model for HIV and HCV treatment for this temporarily housed population between May and July 2020. METHODS: A nonconcurrent cohort study was performed assessing follow up in the treatment of HIV and HCV for this population. Outcome data were collected on seropositive patients' electronic medical record to assess patient progression through the treatment cascade. RESULTS: Of 102 unhoused residents, 25 (24.5%) tested HCV seropositive. Of the HCV positive 21/25 (84%) were connected to the associated clinic for follow up care and 10 (40%) obtained HCV treatment medication. Furthermore, all 3 patients who tested seropositive for HIV either started or re-initiated antiviral treatment. The greatest barrier to providing medication for the HCV seropositive patients, once care was initiated, was loss-to-follow-up. CONCLUSIONS: Targeting homeless persons living in temporary residences for HCV and HIV screening can be effective at promoting access to care for those infected due to this population's high HCV seropositivity especially significant if the patient has a history of intravenous drug use or is older than 40 years. However, continued outreach strategies are needed to assist patients in retention of care.


Assuntos
COVID-19 , Infecções por HIV , Hepatite C , Pessoas Mal Alojadas , Estudos de Coortes , HIV , Infecções por HIV/tratamento farmacológico , Infecções por HIV/epidemiologia , Hepacivirus , Hepatite C/tratamento farmacológico , Hepatite C/epidemiologia , Humanos , Nova Orleans , Pandemias , SARS-CoV-2
5.
Dev Psychobiol ; 63(5): 997-1005, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33719106

RESUMO

Temperament is an individual's nature and is widely believed to have a heritable foundation. Few studies, however, have evaluated paternal and maternal contributions to the triadic dimensions of temperament. Rhesus monkeys are widely utilized to model genetic contributions to human development due to their close genetic-relatedness and common temperament structure, providing a powerful translational model for investigating paternal and maternal genetic influences on temperament. The temperament of rhesus monkey infants born to 19 different sires and 50 different dams was assessed during the first month of life by comparing the temperament of paternal or maternal half-siblings reared with their mothers in species-normative conditions or reared in a neonatal nursery. Factor scores from three dimensions of temperament were obtained (Orienting/Regulation, Negative Affectivity, and Surgency/Extraversion) and ANOVAs were used to assess genetic effects. For paternal half-siblings, results showed a statistically significant paternal contribution to Orienting/Regulation, Negative Affectivity, and Surgency/Extraversion factor scores. For maternal half-siblings, results showed a statistically significant contribution to Orienting/Regulation factor scores. When parsed by early rearing condition, results showed a paternal contribution Orienting/Regulation, Negative Affectivity, and Surgency/Extraversion scores for paternal half-siblings reared in the neonatal nursery, while there was only a paternal contribution to Surgency/Extraversion for paternal half-siblings reared by their mothers. There was only a maternal contribution to Orienting/Regulation for maternal half-siblings reared by their mothers. These results show that paternal and maternal contributions to temperament vary by environmental context, and that mothers may environmentally buffer their infants from paternal contributions to their temperament.


Assuntos
Extroversão Psicológica , Temperamento , Animais , Pai , Feminino , Humanos , Macaca mulatta , Masculino , Mães , Temperamento/fisiologia
6.
Int J Psychophysiol ; 166: 174-187, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33465427

RESUMO

The reliability of event-related brain potential (ERP) scores depends on study context and how those scores will be used, and reliability must be routinely evaluated. Many factors can influence ERP score reliability; generalizability (G) theory provides a multifaceted approach to estimating the internal consistency and temporal stability of scores that is well suited for ERPs. G theory's approach possesses a number of advantages over classical test theory that make it ideal for pinpointing sources of error in observed scores. The current primer outlines the G-theory approach to estimating internal consistency (coefficients of equivalence) and test-retest reliability (coefficients of stability). This approach is used to evaluate the reliability of ERP measurements. The primer outlines how to estimate reliability coefficients that consider the impact of the number of trials, events, occasions, and groups. The uses of two different G-theory reliability coefficients (i.e., generalizability and dependability) in ERP research are elaborated, and a dataset from the companion manuscript, which examines N2 amplitudes to Go/NoGo stimuli, is used as an example of the application of these coefficients to ERPs. The developed algorithms are implemented in the ERP Reliability Analysis (ERA) Toolbox, which is open-source software designed for estimating score reliability using G theory. The toolbox facilitates the application of G theory in an effort to simplify the study-by-study evaluation of ERP score reliability. The formulas provided in this primer should enable researchers to pinpoint the sources of measurement error in ERP scores from multiple recording sessions and subsequently plan studies that optimize score reliability.


Assuntos
Algoritmos , Potenciais Evocados , Humanos , Reprodutibilidade dos Testes
7.
Dev Psychobiol ; 63(1): 65-73, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32469093

RESUMO

Attempts to describe the latent structure of human infant temperament have led some to suggest the existence of three major dimensions. An earlier exploratory factor analysis (EFA) supported a triadic structure of temperament in week-old rhesus monkey infants, paralleling the structure in human infants. This study sought to confirm the latent triadic structure of temperament across the first month of life in a larger sample of rhesus monkey infants (N = 668), reared by their mothers or in a neonatal nursery. A weekly behavioral assessment was obtained during the first month of life using a subset of items from the widely utilized Infant Behavioral Assessment Scale (IBAS), an instrument designed to measure temperament in infant monkeys. Using the latent constructs proposed by the earlier EFA (Orienting/Regulation, Negative Affectivity, Surgency/Extraversion), multi-group, multi-time point confirmatory factor analyses were conducted to confirm the latent temperament structure across rearing groups at each time point (weeks 1-4). Results confirm and extend those of the earlier EFA: latent Orienting/Regulation,  Negative Affectivity, and Surgency/Extraversion constructs were present across the rearing groups at each time point, with the IBAS items consistently loading onto the latent factors to a similar degree across rearing groups at each time point. These findings suggest foundational evolutionary roots for the triadic structure of human infant temperament, but that its behavioral manifestations vary across maturation and rearing condition. Similarities in latent temperament structure in humans and a representative nonhuman primate highlights the potential for utilizing translational nonhuman primate models to increase understanding of human temperament.


Assuntos
Mães , Temperamento , Animais , Extroversão Psicológica , Análise Fatorial , Feminino , Humanos , Macaca mulatta
8.
Arch Sex Behav ; 49(8): 3027-3039, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32240436

RESUMO

With the increase in the availability and usage of pornography, the research on the effects of pornography has also increased. This research has uncovered several controversies in the field regarding how pornography usage influences attitudes, sexual behaviors, and relationships. However, many of the measures of pornography are problematic as there is often little reliability and validity information for them and it is not clear that participants in these research studies are referring to the same types of materials when they answer pornography usage questions. Consequently, many of the research findings are suspect and it is crucial to develop reliable and valid scales to measure general pornography usage. In this study, we present both a 20-item and a 7-item version of the Pornography Usage Measure (PUM) that is based on extensive previous research on what types of materials individuals consider pornographic and that indicates pornography is a multidimensional construct. We evaluated the reliability and validity of both versions by using an MTurk sample of 934 males and 705 females (N =1639 total) to conduct confirmatory factor analyses, item response analyses, and structural equation model analyses. These analyses demonstrated that there were adequate reliability and early evidence for content, construct, concurrent, and predictive validity for both versions of the PUM. This measure could improve the quality of future research on pornography by providing more consistency between different studies about what is being measured when individuals indicate their pornography usage patterns.


Assuntos
Literatura Erótica/psicologia , Psicometria/métodos , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes
9.
Lang Speech Hear Serv Sch ; 50(2): 253-266, 2019 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-31017858

RESUMO

Purpose Teacher ratings were used to compare children with developmental language disorders (DLD) and their typically developing peers on 2 subtypes of social withdrawal (shyness and unsociability). Measurement invariance analysis was utilized to determine if teachers rated the 2 groups using the same underlying construct for each of the rating scale items that have been designed to assess withdrawn behavior. Method The Teacher Behavior Rating Scale (TBRS; C. H. Hart & Robinson, 1996 ) was administered to the teachers of 173 children with DLD and 182 typically developing children (age range: 5;0-12;11 years;months) to compare 2 subtypes of withdrawal, shyness and unsociability. Measurement invariance analysis was used to establish an appropriate basis for comparing the latent group means and other structural parameters, and partial invariance models were used to compare the groups. Results For the TBRS, shyness and unsociability were measured by 4 and 5 items, respectively. The measurement invariance analysis indicated that classroom teachers approached 1 item on each of these scales using a different underlying construct when rating the 2 groups of children. Taking this into account, the groups were compared. Teachers rated children with DLD as significantly more withdrawn on both shyness and unsociability in comparison with typically developing children. Age and gender were not significant factors. Conclusions When conducting assessments, it should not be assumed that teachers or other raters approach even commonly used rating scale items using the same underlying perception for typically developing children and children with disorders. However, the analysis of invariant items on the TBRS reconfirmed that children with DLD are at risk for social withdrawal as operationalized by assessments of both shyness and unsociability. Supplemental Material https://doi.org/10.23641/asha.7789472.


Assuntos
Desenvolvimento Infantil , Transtornos do Desenvolvimento da Linguagem/psicologia , Transtornos do Desenvolvimento da Linguagem/terapia , Psicometria/métodos , Timidez , Comportamento Social , Adolescente , Criança , Comportamento Infantil , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Grupo Associado
10.
Dev Psychopathol ; 31(4): 1467-1475, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30626459

RESUMO

Bullying has been understudied among preschool children, especially those from Chinese American families. Previous research has also neglected the dimensional effects of psychological control on child bullying development. This study examined two psychological control dimensions, love withdrawal and guilt induction, and their effects on children's bullying aggressive behavior using a longitudinal design. Participants were first-generation Chinese American mothers (N = 133; mean age [Mage] = 37.82) and their preschool children (Mage = 4.48). Chinese immigrant mothers reported their psychologically controlling parenting and teachers rated children's bullying aggressive behaviors in the school setting. Confirmatory factor analyses were conducted to establish the psychometric properties and cross-wave measurement equivalence of the study constructs. Cross-lagged structural equation modeling analysis indicated that maternal love withdrawal prospectively predicted more bullying aggressive behavior, whereas guilt induction predicted less bullying aggressive behavior in children 6 months later. These results held after controlling for the initial level of children's problem behaviors and demographic variables (child age, gender, and maternal education). For child effects, child bullying aggressive behavior predicted more maternal guilt induction over time but not love withdrawal. Our findings highlight the importance of construct specificity and cultural context in understanding associations between parenting and child development.


Assuntos
Agressão/psicologia , Asiático/psicologia , Bullying/psicologia , Culpa , Amor , Relações Mãe-Filho/psicologia , Poder Familiar/psicologia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Comportamento Problema/psicologia , Psicometria
11.
Psychotherapy (Chic) ; 55(2): 105-115, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29863391

RESUMO

The use of outcome monitoring systems to identify clients that are at-risk for treatment failure has now become part of daily clinical practice, shown in >25 empirical studies to improve client outcomes. These promising findings have led to outcome monitoring systems being recognized as evidence-based. Feedback systems based on client perception of therapeutic processes are recent additions to the monitoring literature, and the research suggests that these too lead to improved outcomes. Unfortunately, feedback systems and research have been primarily limited to individual therapy, creating a knowledge gap for multiperson treatment. This study reports on the development of a therapeutic relationship monitoring system for group treatment using results from 6 Group Questionnaire (GQ) studies conducted in 4 unique clinical populations: nonclinical process, counseling center, European inpatient, and seriously mentally ill inpatients. The GQ is a factor-analytically derived scale, which assesses a client's perception of 3 relationship quality constructs (positive bond, positive work, and negative relationship) across 3 structural domains (member-member, member-leader, and member-group). The first goal of the present study was to replicate the previously established factor structure across each clinical population. The second goal was to establish normative values and relevant feedback alerts for the GQ subscales in each population. Findings support the GQ factor structure across clinical populations, indicating that the constructs measured by the GQ bear similar relationships in each population. Further, findings support the implementation of unique norms and feedback alerts in each clinical population, reflecting the reality of meaningful differences between clinical populations. (PsycINFO Database Record


Assuntos
Processos Grupais , Transtornos Mentais/terapia , Psicoterapia de Grupo/métodos , Inquéritos e Questionários , Humanos , Resultado do Tratamento
12.
Psychotherapy (Chic) ; 55(2): 116-131, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29863392

RESUMO

Routine outcome monitoring (ROM) systems that identify clients at-risk for treatment failure using outcome and therapeutic process measures are a recognized evidence-based practice. However, only 3 empirical studies have tested ROMs in group therapy, producing mixed results. This randomized clinical trial tested the Outcome Questionnaire System, the ROM system with the most empirical support for individual therapy patients, with 430 group therapy patients who were randomly assigned to 2 experimental arms (Group Questionnaire [GQ] + Outcome Questionnaire-45 [OQ-45] vs. OQ-45). Given the strong evidence for progress feedback, the primary purpose of this study was to ascertain if therapeutic relationship feedback using the GQ reduced rates of relationship deterioration and failure when progress feedback was held constant. Group leaders simultaneously ran pairs of groups that were randomly assigned to the 2 conditions. Of the 430 patients enrolled in 58 groups, 374 attended more than 4 sessions. Results showed that therapeutic relationship predicted improvement in outcome and that feedback reversed the course of relationship deterioration and reduced rates of relationship failure. Although there were no effects on attendance and dropout for feedback, the 2 experimental arms produced mixed results for the OQ-45 not-on-track cases. The combined relationship and progress feedback (GQ/OQ-45) was associated with fewer outcome deterioration cases, while the progress feedback condition (OQ-45) showed higher outcome improvement cases. Findings are discussed with respect to previous group ROM studies, clinical implications, and future research. (PsycINFO Database Record


Assuntos
Processos Grupais , Transtornos Mentais/terapia , Psicoterapia de Grupo/métodos , Adolescente , Adulto , Retroalimentação Psicológica , Feminino , Humanos , Masculino , Inquéritos e Questionários , Resultado do Tratamento , Utah , Adulto Jovem
13.
Aggress Behav ; 44(1): 98-108, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28960431

RESUMO

Traditionally, assessments of social information processing and associated emotional distress have used children's self-reports. We posit that additional informants, such as parents, may help illuminate the association between these variables and aggression. Our sample was composed of 222 dual-parent families of fourth-grade children (103 boys; 119 girls). Children responded to instrumental and relational provocations and their parents read the same scenarios and responded the way they believed their child would. Peer nominations provided aggression scores. We explored how means differed by provocation type (relational vs. instrumental), informant (mother, father, and child), and gender of child. The results also suggest that parent perceptions may effectively predict children's participation in relational and physical aggression, above and beyond the child's self-reports.


Assuntos
Emoções/fisiologia , Hostilidade , Intenção , Percepção Social , Estresse Psicológico/psicologia , Agressão/psicologia , Criança , Feminino , Humanos , Masculino , Pais , Grupo Associado
14.
Arch Sex Behav ; 46(6): 1723-1731, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28364134

RESUMO

Pornography may be a construct with a single trait or one with many traits. Research in the past was inconsistent in this regard with most researchers assuming that pornography was unidimensional (with one single trait of pornography). However, the considerable amounts of residual variation found in these studies beyond that explained by the single trait hints at what might be a multidimensional construct (with multiple traits such as sensitization and differentiation). Consequently, in this study, we intended to address the question of whether pornography consisted of a single trait or if it was multidimensional. Using MTurk, 2173 participants from the United States and the Commonwealth of Nations (in which pornography is not strictly illegal) were recruited and asked to rate how pornographic they thought a list of different depictions were. The data were analyzed utilizing the cross-validation procedure in which two subsamples were created from the main sample and one was used to establish the model building and the other to validate the model. Various models, including first-order and higher-order exploratory and confirmatory factor models, were tested. Results indicated that a bi-factor (multidimensional) model generated the best model fit, and that it was most appropriate to consider pornography multidimensional. The final model contained two dimensions ("Sensitization" and "Differentiation"). While sensitization revealed the participants' general tendency to rate all items to be more or less pornographic, differentiation revealed the participants' tendency to differentiate highly pornographic items from less pornographic items. Based on the findings of this study, we suggest that future research on the usage and effects of pornography be conducted while taking into consideration the multidimensional nature of pornography.


Assuntos
Literatura Erótica/psicologia , Adolescente , Adulto , Idoso , Atitude , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Percepção , Estados Unidos
15.
Soc Sci Med ; 156: 154-66, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-27039017

RESUMO

This study assessed the association between exposure to political violence over a 25-year period and adult functioning among a population that has experienced protracted and severe political conflict. Instead of aggregating exposure to political violence across time and type of exposure, as is commonly done, the event history calendar pioneered in this study assessed exposure to five forms of political violence annually from 1987 to 2011 in a representative sample of 1788 adults, aged 37 on average, in the occupied Palestinian territories (West Bank, East Jerusalem, and the Gaza Strip). This method allowed for the identification of trajectories of exposure to political violence from childhood to adulthood using latent profile analysis. We then correlated the trajectories of exposure to measures of economic, political, community, family, psychological, and health functioning. As expected, being shot at, having one's home raided, being hit or kicked, being verbally abused, and witnessing someone close being humiliated were all elevated during periods of heightened political conflict (the first intifada (1987-1993) and, less so, the second intifada (2000-2005)). In addition, 12% of women and men reported high and persistent levels of exposure to humiliation (being verbally abused and/or witnessing someone close being humiliated) across the entire 25-year period. These individuals lived predominantly in neighborhoods with a high Israeli military presence. Compared to those who experienced periodic exposure to political violence, persistently humiliated men and women reported significantly lower health, economic, political, and psychological functioning, as well as higher social cohesion and political expression. Relevant literatures are reviewed when concluding that persistent humiliation is a neglected form of political violence that is best represented as a direct (versus structural), acute (versus chronic), macro (versus micro), and high-grade (versus low-grade) stressor whose particular injury is due to the violation of individual and collective identity, rights, justice and dignity.


Assuntos
Adultos Sobreviventes de Eventos Adversos na Infância/psicologia , Emoções , Política , Violência/psicologia , Violência/estatística & dados numéricos , Adulto , Adultos Sobreviventes de Eventos Adversos na Infância/estatística & dados numéricos , Feminino , Humanos , Estudos Longitudinais , Masculino , Oriente Médio/epidemiologia , Pesquisa Qualitativa , Apoio Social , Estresse Psicológico/epidemiologia , Fatores de Tempo , Populações Vulneráveis/estatística & dados numéricos
16.
Psychother Res ; 26(5): 556-72, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-26170048

RESUMO

OBJECTIVE: While empirically-supported treatment (EST) choices are continually expanding, choices regarding formats for delivery (individual only, group only, or conjoint [simultaneous individual & group]) are often determined by agency resources or clinician preference. Studies comparing individual and group formats have produced mixed results, while recent meta-analytic reviews support format equivalence. METHOD: We employed a multilevel model to test for outcome differences using the OQ-45 on an outpatient archival data set of clients receiving individual-only (n = 11,764), group-only (n = 152) or conjoint (n = 1557). RESULTS: Individual and group outcomes were equivalent with some analyses showing conjoint trailing. Moderators of change included initial distress, treatment duration, intra-group dependency, and format. CONCLUSIONS: Results support meta-analytic findings of format equivalence in a naturalistic setting for group and individual. Referral practices and future results are discussed.


Assuntos
Pesquisa sobre Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde Mental/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Psicoterapia de Grupo/estatística & dados numéricos , Psicoterapia/estatística & dados numéricos , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
17.
Int J Behav Dev ; 39(3): 285-292, 2015 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-26052168

RESUMO

Despite the theoretical conceptualization of parental psychological control as a multidimensional construct, the majority of previous studies have examined psychological control as a unidimensional scale. Moreover, the conceptualization of shaming and its associations with love withdrawal and guilt induction are unclear. The current study aimed to fill these gaps by evaluating the latent factor structure underlying 18 items from Olsen et al. (2002) that were conceptually relevant to love withdrawal, guilt induction, and shaming practices in a sample of 169 mothers of Chinese-American preschoolers. A multidimensional three-factor model and bi-factor model were specified based on our formulated operational definitions for the three dimensions of psychological control. Both models were found to be superior to the unidimensional model. In addition, results from the bi-factor model and an additional second-order factor model indicated that psychological control is essentially empirically isomorphic with guilt induction. Although love withdrawal and shaming factors were also fairly strong indicators of psychological control, each exhibited important additional unique variability and mutual distinctiveness. Implications for the conceptualization of love withdrawal, guilt induction, and shaming as well as directions for future studies are discussed.

18.
Photochem Photobiol Sci ; 14(4): 833-41, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25679960

RESUMO

A CN-free hydrocarbon fluorophore (Perylene-TPE) was synthesized as a new luminescent down-shifting (LDS) material. Its photophysical properties in both the solution state and the solid state were studied. The unity fluorescence quantum yield of Perylene-TPE observed in its solid state is considered to be from the characteristics of intramolecular energy transfer (IET) and restricted internal rotation (RIR). This is supported by the results from theoretical calculations and spectroscopic measurements. For the photovoltaic application of Perylene-TPE, a theoretical modeling study suggests that using the LDS film of Perylene-TPE may increase the output short circuit current density (Jsc) of a CdTe solar cell by 2.95%, enhance the spectral response of a CdTe solar cell at 400 nm by 41%, and shift the incident solar photon distribution from short-wavelength (<500 nm) to long-wavelength (>500 nm). Experimentally, placing a LDS film of Perylene-TPE on a CdTe solar cell can enhance its output Jsc by as high as 3.30 ± 0.31%, which is comparable to the current commercially available LDS material ­ Y083 (3.28% ± 0.37%).


Assuntos
Fontes de Energia Elétrica , Etilenos/química , Perileno/química , Energia Solar , Transferência de Energia , Etilenos/síntese química , Fluorescência , Modelos Químicos , Estrutura Molecular , Perileno/síntese química , Processos Fotoquímicos , Fótons , Rotação , Soluções , Análise Espectral
19.
J Youth Adolesc ; 44(8): 1542-54, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25146465

RESUMO

Moral identity has been positively linked to prosocial behaviors and negatively linked to antisocial behaviors; but, the processes by which it is linked to such outcomes are unclear. The purpose of the present study was to examine moral identity not only as a predictor, but also as a moderator of relationships between other predictors (moral disengagement and self-regulation) and youth outcomes (prosocial and antisocial behaviors). The sample consisted of 384 adolescents (42 % female), ages 15-18 recruited from across the US using an online survey panel. Latent variables were created for moral identity, moral disengagement, and self-regulation. Structural equation models assessed these latent variables, and interactions of moral identity with moral disengagement and self-regulation, as predictors of prosocial (charity and civic engagement) and antisocial (aggression and rule breaking) behaviors. None of the interactions were significant predicting prosocial behaviors. For antisocial behaviors, the interaction between moral identity and moral disengagement predicted aggression, while the interaction between moral identity and self-regulation was significant in predicting aggression and rule breaking. Specifically, at higher levels of moral identity, the positive link between moral disengagement and aggression was weaker, and the negative link between self-regulation and both antisocial behaviors was weaker. Thus, moral identity may buffer against the maladaptive effects of high moral disengagement and low self-regulation.


Assuntos
Comportamento do Adolescente/psicologia , Agressão/psicologia , Transtorno da Personalidade Antissocial/psicologia , Desenvolvimento Moral , Autoimagem , Adolescente , Feminino , Humanos , Controle Interno-Externo , Masculino , Grupo Associado , Personalidade , Psicologia do Adolescente , Inquéritos e Questionários , Estados Unidos
20.
Dev Psychopathol ; 26(3): 773-87, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25047298

RESUMO

Crick, Murray-Close, and Woods (2005) encouraged the study of relational aggression as a developmental precursor to borderline personality features in children and adolescents. A longitudinal study is needed to more fully explore this association, to contrast potential associations with physical aggression, and to assess generalizability across various cultural contexts. In addition, parenting is of particular interest in the prediction of aggression or borderline personality disorder. Early aggression and parenting experiences may differ in their long-term prediction of aggression or borderline features, which may have important implications for early intervention. The currrent study incorporated a longitudinal sample of preschool children (84 boys, 84 girls) living in intact, two-parent biological households in Voronezh, Russia. Teachers provided ratings of children's relational and physical aggression in preschool. Mothers and fathers also self-reported their engagement in authoritative, authoritarian, permissive, and psychological controlling forms of parenting with their preschooler. A decade later, 70.8% of the original child participants consented to a follow-up study in which they completed self-reports of relational and physical aggression and borderline personality features. The multivariate results of this study showed that preschool relational aggression in girls predicted adolescent relational aggression. Preschool aversive parenting (i.e., authoritarian, permissive, and psychologically controlling forms) significantly predicted aggression and borderline features in adolescent females. For adolescent males, preschool authoritative parenting served as a protective factor against aggression and borderline features, whereas authoritarian parenting was a risk factor for later aggression.


Assuntos
Agressão/psicologia , Autoritarismo , Transtorno da Personalidade Borderline/psicologia , Relações Interpessoais , Poder Familiar/psicologia , Adolescente , Adulto , Criança , Educação Infantil/psicologia , Pré-Escolar , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Federação Russa , Adulto Jovem
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