RESUMO
A family in which transitional cell carcinoma (TCC) of the renal pelvis and upper ureter developed in three siblings is presented. A description of these patients and their relatives together with a survey of the literature is presented.
Assuntos
Carcinoma de Células de Transição/genética , Neoplasias Renais/genética , Pelve Renal , Neoplasias Ureterais/genética , Carcinoma de Células de Transição/patologia , Feminino , Humanos , Neoplasias Renais/patologia , Pelve Renal/patologia , Masculino , Pessoa de Meia-Idade , Linhagem , Ureter/patologia , Neoplasias Ureterais/patologiaRESUMO
This study explored the association of shame and guilt with PTSD among women who had experienced intimate partner violence (IPV). Sixty-three women were assessed by a research clinic serving the mental health needs of women IPV survivors. Results indicated that shame, guilt-related distress, and guilt-related cognitions showed significant associations with PTSD but global guilt did not. When shame and guilt were examined in the context of specific forms of psychological abuse, moderation analyses indicated that high levels of both emotional/verbal abuse and dominance/isolation interacted with high levels of shame in their association with PTSD. Neither guilt-related distress nor guilt-related cognitions were moderated by specific forms of psychological abuse in their association with PTSD. These data support the conceptualization of shame, guilt distress, and guilt cognitions as relevant features of PTSD. Results are discussed in light of proposed changes to diagnostic criteria for PTSD.
Assuntos
Mulheres Maltratadas/psicologia , Culpa , Parceiros Sexuais/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Mulheres/psicologia , Adolescente , Adulto , Feminino , Humanos , Saúde Mental , Pessoa de Meia-Idade , Vergonha , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Inquéritos e Questionários , Sobreviventes/psicologiaRESUMO
Although fear and travel avoidance among anxious drivers are well documented, relatively little is known about the behavior of anxious individuals who continue to drive. Previous research has identified three broad domains of anxious driving behavior: exaggerated safety/caution behaviors, anxiety-based performance deficits, and hostile/aggressive driving behaviors. In an effort to explicate factors associated with the development of anxious driving behavior, associations with objective accident severity, accident-related distress, and life stress history were explored among individuals reporting accident involvement (N=317). Interactive effects of accident distress and self-reported stress history were noted across all three domains of anxious driving behavior. Examination of these effects indicates unique associations between accident distress and anxious behavior only in those reporting more severe life stress. Consistent with contemporary models of anxiety, these data suggest stress history may serve as a general vulnerability factor for development of anxious driving behavior following accident involvement.