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Sample records for worries scale para

  1. Initial Validation of the Children's Worry Management Scale

    Science.gov (United States)

    Zeman, Janice Lillian; Cassano, Michael; Suveg, Cynthia; Shipman, Kimberly

    2010-01-01

    We investigated the psychometric properties of a new instrument, the Children's Worry Management Scale (CWMS). The CWMS has three subscales that specify methods of regulating worry: inhibition (the suppression of worry), dysregulation (exaggerated displays of worry), and coping (constructive ways of managing worry). Using a Caucasian, middle-class…

  2. A survey on worries of pregnant women - testing the German version of the Cambridge Worry Scale

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    Gensichen Jochen

    2009-12-01

    Full Text Available Abstract Background Pregnancy is a transition period in a woman's life characterized by increased worries and anxiety. The Cambridge Worry Scale (CWS was developed to assess the content and extent of maternal worries in pregnancy. It has been increasingly used in studies over recent years. However, a German version has not yet been developed and validated. The aim of this study was (1 to assess the extent and content of worries in pregnancy on a sample of women in Germany using a translated and adapted version of the Cambridge Worry Scale, and (2 to evaluate the psychometric properties of the German version. Methods We conducted a cross-sectional study and enrolled 344 pregnant women in the federal state of Baden-Württemberg, Germany. Women filled out structured questionnaires that contained the CWS, the Spielberger-State-Trait-Anxiety Inventory (STAI, as well as questions on their obstetric history. Antenatal records were also analyzed. Results The CWS was well understood and easy to fill in. The major worries referred to the process of giving birth (CWS mean value 2.26 and the possibility that something might be wrong with the baby (1.99, followed by coping with the new baby (1.57, going to hospital (1.29 and the possibility of going into labour too early (1.28. The internal consistency of the scale (0.80 was satisfactory, and we found a four-factor structure, similar to previous studies. Tests of convergent validity showed that the German CWS represents a different construct compared with state and trait anxiety but has the desired overlap. Conclusions The German CWS has satisfactory psychometric properties. It represents a valuable tool for use in scientific studies and is likely to be useful also to clinicians.

  3. Psychometric evaluation of revised Task-Related Worry Scale (TRWS-R: A Mokken model analysis

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    Martin Marko

    2016-01-01

    Full Text Available Task-related worries can be understood as an inherent component of an anxious state and stress response. Under evaluating conditions (e.g. cognitive testing, these worries, due to cognitive interference they create, may have undesirable effects on a cognitive performance at hand. Since cognitive interference has been documented to affect a broad spectrum of cognitive performance (Hembree, 1988, development of a method for its assessment is required. For this purpose we modified a part of the original Cognitive Interference Questionnaire (Sarason et al., 1986 in order to create the revised Task- Related Worry Scale (TRWS-R and investigated its psychometric properties. Data from two hundreds of participants (72 male, 139 female; age ranging from 18 to 24 were obtained to inspect the modified scale’s properties on Slovak sample. After the scale was reformulated and shortened, the resulting set of eight items was subjected for examination of internal consistency (Cronbach'salpha, Revelle’sbeta, Armor'stheta, and McDonald'somega coefficients, expected unidimensionality (confirmatory factor analysis, and scalability (nonparametric item response model - Mokken scale analysis. The results indicate that the scale has rather reasonable consistency. Both mean inter-item correlation and corrected mean item-score correlation were relatively high (r= .469 and r = .636 respectively. Additionally, all estimated consistency coefficients reached required thresholds (namely: ? = .88,ß = .79,? = .86,? =.88. Robust confirmatory factor analysis and Cronbach-Mesbah curve convergently supported the hypothesized unidimensional factor solution (CFA fit indexes: ?2 (28= 26.73, p = .143, CFI = .994, TLI = .992, RMSEA = .041, SRMR = .055.. Moreover, Mokken scale analysis indicated that the scale is scalable (scale’s H = .496 and satisfies the criteria of both monotone homogenity model and double monotonicity model (no significant violations were present. Consistency

  4. Reliability and validity of the Cambridge Worry Scale in pregnant Turkish women.

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    Gunay, Emine Yigit; Gul, Asiye

    2015-03-01

    this study examined the psychometric properties of the Cambridge Worry Scale (CWS) and assessed worries in pregnant Turkish women. a descriptive, cross sectional study. the 35 Family Health Centres located in the Yıldırım sub-province of Bursa. the data were collected using the 'Pregnant Information Form', which determines the individual characteristics of the women and the 'CWS', which determines worries. The CWS is a Likert-type scale that consists of 16 items and has four sub-dimensions including the women's own health, relationships, socio-medical and socio-economic conditions. In the CWS, the total score is not calculated, and each article is evaluated in itself. 200 pregnant women were recruited from December 2010 to November 2011. The mean age of the pregnant women was 25.92 ± 5.33, 43.0% had completed primary school, and 69.0% were not in paid employment. It has been determined that the content validity index for the Turkish form is 0.98 and that the internal consistency of Cronbach's alpha value of the scale is 0.795. As a result of exploratory factor analysis, it has been concluded that the factor loadings of the scale from 0.435 to 0.902, and it can be used in a particular dimension that is not divided into the components of the scale. On the basis of the confirmatory factor analysis, it has been determined that the Goodness of Fit Index of the one-factor structure is better than four-factor structure, but the values of the goodness fit index in each model are under 0.85 and the inaccuracy of the fit index is high. the Turkish form of the CWS is an appropriate measurement tool in terms of language and content validity, and its single-factor structure can be applied to Turkish culture and can correctly identify the worries of pregnant women. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Interpretability of the PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with functional and organic gastrointestinal diseases

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    The present study investigates the clinical interpretability of the Pediatric Quality of Life Inventor (PedsQL) Gastrointestinal Symptoms Scales and Worry Scales in pediatric patients with functional gastrointestinal disorders or organic gastrointestinal diseases in comparison with healthy controls....

  6. PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with functional and organic gastrointestinal diseases in comparison to healthy controls

    Science.gov (United States)

    The primary objective was to compare the gastrointestinal (GI) symptoms and worry of pediatric patients with functional GI disorders (FGIDs) and organic GI diseases to healthy controls utilizing the Pediatric Quality of Life Inventory (PedsQL) Gastrointestinal Symptoms and Worry Scales for patient s...

  7. The Cancer Worry Scale: detecting fear of recurrence in breast cancer survivors.

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    Custers, José A E; van den Berg, Sanne W; van Laarhoven, Hanneke W M; Bleiker, Eveline M A; Gielissen, Marieke F M; Prins, Judith B

    2014-01-01

    In 9% to 34% of cancer patients, the fear of cancer recurrence becomes so overwhelming that it affects quality of life. Clinicians need a brief questionnaire with a cutoff point that is able to differentiate between high- and low-fearful survivors. This study investigated if the Cancer Worry Scale (CWS) could serve as an instrument to detect high levels of fear of recurrence in female breast cancer survivors. One hundred ninety-four female breast cancer patients were assessed up to 11 years after their primary treatment for cancer. The women returned the questionnaires including the 8-item CWS, 2 items of the Cancer Acceptance Scale, the Checklist Individual Strength-Fatigue subscale, and the Cancer Empowerment Questionnaire. A cutoff score of 13 versus 14 (low: ≤13, high: ≥14) on the CWS was optimal for detecting severe levels of fear of recurrence. A cutoff score of 11 versus 12 (low: ≤11, high: ≥12) was optimal for screening. The Cronbach α coefficient of the CWS was .87; evidence to support the convergent and divergent validity of the CWS was also obtained. The CWS is able to detect high levels of fear of recurrence. The CWS is a reliable and valid questionnaire to assess fear of recurrence in breast cancer survivors. With the CWS, it is possible for nurses to screen breast cancer survivors for severe levels of fear of cancer recurrence. Thereby, nurses can screen and assist survivors in accessing appropriate and available support.

  8. Differential item function analysis of a scale measuring worry about affording healthcare in multiple sclerosis.

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    Jones, Salene M W; Amtmann, Dagmar

    2016-11-01

    A measure of worry about affording health care was developed in people with multiple sclerosis (MS) to further the study of how trouble affording health care can affect health. This study examined whether the measure showed bias by gender, age, insurance type, income, and type of MS. Absence of bias would facilitate comparisons between groups in future studies. Research methods/Design: A sample of 433 people with MS completed the 5-item worry about affording health care measure. Demographic information was also collected. To test for bias, we used differential item function analysis with the graded response model of item response theory. We tested for bias from gender, age, insurance type, income, and type of MS. Differential item function analyses found no significant bias for the worry about affording health care measure when comparing the following groups: men to women; younger than 55 years old to 55 years and older; public insurance to no public insurance; lower income to higher income; and relapsing/remitting MS type to other MS types. This brief measure of worry about affording health care can be used in future studies without concern for measurement bias on the factors examined here. Future studies should examine the relationship of this worry to adherence to treatment and other factors that may be affected by worries about health care affordability. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  9. Helping Kids Handle Worry

    Science.gov (United States)

    ... About Stress (Video) Anxiety, Fears, and Phobias Childhood Stress How Can I Help My Child Cope With Divorce? Relax & Unwind Center Worry Less in 3 Steps Five Steps for Fighting Stress Worrying About War - for Kids Stress What Stresses ...

  10. PedsQL gastrointestinal symptoms scales and gastrointestinal worry scales in pediatric patients with inflammatory bowel disease in comparison with healthy controls

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    Patient-reported outcomes are essential in determining the broad impact of inflammatory bowel disease (IBD) and treatments from the patient's perspective. The primary study objectives were to compare the gastrointestinal symptoms and worry of pediatric patients with IBD with matched healthy controls...

  11. Values and worries of ovarian cancer patients.

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    Pisu, Maria; Kenzik, Kelly M; Rim, Sun Hee; Funkhouser, Ellen M; Bevis, Kerri S; Alvarez, Ronald D; Cantuaria, Guilherme; Rocconi, Rodney P; Martin, Michelle Y

    2017-11-01

    Older women with ovarian cancer (OC) are less likely to receive guideline concordant treatment. Differences in values and worries about treatment may explain why. Women with OC in 2013-2015 were surveyed about values and worries at the time of initial treatment. Existing values (11 item, e.g., maintaining quality of life) and worries (12 items, e.g., treatment side effects) scales were adapted based on OC literature. Responses were very/somewhat/a little/not at all important or worried. Principal Component Analyses (PCA) identified groups of values and worries that best explained scales' variation. We examined proportions reporting very/somewhat important/worried on ≥1 item in each component by age (older ≥65years, younger values were: functional well-being (3 survey items, proportion of variance explained [PoVE] 26.3%), length of life and sexual functioning (3 items, PoVE 20.1%), attitudes (3 items, PoVE 14.2%), and not becoming a burden (2 items, PoVE 13.7%). PCA components for worries were: economic (4 items, PoVE 27.2%), uncertainty (6 items, PoVE 26.0%), and family impact (2 items, PoVE 16.3%). Older women were less likely to indicate very/somewhat worried to ≥1 item in the economic (51.4% vs 72.4%, p=0.006), uncertainty (80.6% vs. 98.0%, p=0.001), and family impact component (55.6% vs. 70.4%, p=0.03). No other age differences were found. While worry during OC treatment decision-making may differ across age groups, values do not. Research should assess how differences in worry might affect OC medical decision-making for older and younger women. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Self-rated worry in acute care telephone triage

    DEFF Research Database (Denmark)

    Gamst-Jensen, Hejdi; Huibers, Linda; Pedersen, Kristoffer

    2018-01-01

    BACKGROUND: Telephone triage is used to assess acute illness or injury. Clinical decision making is often assisted by triage tools that lack callers' perspectives. This study analysed callers' perception of urgency, defined as degree of worry in acute care telephone calls. AIM: To explore...... emotions of feeling bothered to feeling distressed. Callers provided more contextual information when asked about their degree of worry. CONCLUSION: Callers were able to rate their degree of worry. The degree of worry scale is feasible for larger-scale studies if incorporating a patient-centred approach...

  13. Meta-worry, worry, and anxiety in children and adolescents: relationships and interactions.

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    Esbjørn, B H; Lønfeldt, N N; Nielsen, S K; Reinholdt-Dunne, M L; Sømhovd, M J; Cartwright-Hatton, S

    2015-01-01

    The metacognitive model has increased our understanding of the development and maintenance of generalized anxiety disorders in adults. It states that the combination of positive and negative beliefs about worry creates and sustains anxiety. A recent review argues that the model can be applied to children, but empirical support is lacking. The aim of the 2 presented studies was to explore the applicability of the model in a childhood sample. The first study employed a Danish community sample of youth (n = 587) ages 7 to 17 and investigated the relationship between metacognitions, worry and anxiety. Two multiple regression analyses were performed using worry and metacognitive processes as outcome variables. The second study sampled Danish children ages 7 to 12, and compared the metacognitions of children with a GAD diagnosis (n = 22) to children with a non-GAD anxiety diagnosis (n = 19) and nonanxious children (n = 14). In Study 1, metacognitive processes accounted for an additional 14% of the variance in worry, beyond age, gender, and anxiety, and an extra 11% of the variance in anxiety beyond age, gender, and worry. The Negative Beliefs about Worry scale emerged as the strongest predictor of worry and a stronger predictor of anxiety than the other metacognitive processes and age. In Study 2, children with GAD have significantly higher levels of deleterious metacognitions than anxious children without GAD and nonanxious children. The results offer partial support for the downward extension of the metacognitive model of generalized anxiety disorders to children.

  14. TRAIT ANXIETY, DEFENSIVENESS, AND THE STRUCTURE OF WORRY

    NARCIS (Netherlands)

    EYSENCK, MW; VANBERKUM, J

    1992-01-01

    A principal components analysis of the ten scales of the Worry Questionnaire revealed the existence of major worry factors or domains of social evaluation and physical threat, and these factors were confirmed in a subsequent item analysis. Those high in trait anxiety had much higher scores on the

  15. Trait anxiety, defensiveness, and the structure of worry.

    NARCIS (Netherlands)

    Eysenck, M.W.; van Berkum, J.J.A.|info:eu-repo/dai/nl/146736842

    1992-01-01

    A principal components analysis of the ten scales of the Worry Questionnaire revealed the existence of major worry factors or domains of social evaluation and physical threat, and these factors were confirmed in a subsequent item analysis. Those high in trait anxiety had much higher scores on the

  16. Penn State Worry Questionnaire

    DEFF Research Database (Denmark)

    Esbjørn, Barbara Hoff; Reinholdt-Dunne, Marie Louise; Caspersen, Ida Dyhr

    2013-01-01

    Anxiety disorders are among the most prevalent psychiatric disturbances in childhood. Nonetheless, they often go unrecognized and untreated, which puts the child at risk for developing additional difficulties, such as academic difficulties, depression, and substance abuse. Further knowledge...... and valid assessment tools are essential to identify at-risk children. The present study investigates (i) the factor structure of the Penn State Worry Questionnaire for Children (PSWQ-C) using a large Danish community sample (N¿=¿933), and (ii) its treatment sensitivity in clinically anxious children (N......¿=¿30) treated with cognitive behavioral therapy. Results from the community sample replicated previous findings supporting the strong psychometric properties of the PSWQ-C, and yielded Danish norms and clinical cut-offs for the measure. Clinically anxious children with a generalized anxiety disorder...

  17. Stool Color: When to Worry

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    Stool color: When to worry Yesterday, my stool color was bright green. Should I be concerned? Answers from Michael ... M.D. Stool comes in a range of colors. All shades of brown and even green are ...

  18. Meta-worry, worry, and anxiety in children and adolescents

    DEFF Research Database (Denmark)

    Esbjørn, Barbara Hoff; Lønfeldt, Nicole Nadine; Nielsen, Sara Kerstine Kaya

    2015-01-01

    The metacognitive model has increased our understanding of the development and maintenance of generalized anxiety disorders in adults. It states that the combination of positive and negative beliefs about worry creates and sustains anxiety. A recent review argues that the model can be applied...... to children, but empirical support is lacking. The aim of the 2 presented studies was to explore the applicability of the model in a childhood sample. The first study employed a Danish community sample of youth (n = 587) ages 7 to 17 and investigated the relationship between metacognitions, worry and anxiety....... Two multiple regression analyses were performed using worry and metacognitive processes as outcome variables. The second study sampled Danish children ages 7 to 12, and compared the metacognitions of children with a GAD diagnosis (n = 22) to children with a non-GAD anxiety diagnosis (n = 19...

  19. Diagnostic utility of worry and rumination: a comparison between generalized anxiety disorder and major depressive disorder.

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    Yang, Min-Jeong; Kim, Bin-Na; Lee, Eun-Ho; Lee, Dongsoo; Yu, Bum-Hee; Jeon, Hong Jin; Kim, Ji-Hae

    2014-09-01

    Although previous reports have addressed worry and rumination as prominent cognitive processes in generalized anxiety disorder (GAD) and major depressive disorder (MDD) and their distinct correlation with anxious and depressive symptoms, the differential association of worry and rumination with the diagnosis of GAD and MDD remains unclear. The purpose of this study was to investigate the distinct features of worry and rumination in factor structure and their predictive validity for the diagnosis of GAD and MDD. Four hundred and sixty-eight patients with GAD (n = 148) and MDD (n = 320) were enrolled and the diagnoses were confirmed with the Structured Clinical Interview for DSM-IV. Participants completed the Penn State Worry Questionnaire and Ruminative Response Scale and the severity of anxiety and depressive symptoms was assessed via clinician ratings. In joint factor analysis using the Penn State Worry Questionnaire and Ruminative Response Scale items, worry and rumination emerged as distinct factors. In logistic regression analyses, worry contributed to a higher probability of the diagnosis of GAD than rumination, as rumination did in MDD than worry. This is the first comprehensive study investigating the diagnostic utility of worry and rumination in a well-defined clinical sample of both GAD and MDD. Our results suggest that worry and rumination are distinct cognitive processes and play a differential role in the diagnosis of GAD and MDD, distinguishing them at the cognitive level. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  20. Worry and rumination in anorexia nervosa.

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    Startup, Helen; Lavender, Anna; Oldershaw, Anna; Stott, Richard; Tchanturia, Kate; Treasure, Janet; Schmidt, Ulrike

    2013-05-01

    Difficulties with comprehending and managing emotions are core features of the pathology of anorexia nervosa (AN). Advancements in understanding aetiology and treatment have been made within other clinical domains by targeting worry and rumination. However, worry and rumination have been given minimal consideration in AN. This study is the largest to date of worry and rumination in AN. Sixty-two outpatients with a diagnosis of AN took part. Measures of worry, rumination, core AN pathology and neuropsychological correlates were administered. Findings suggest that worry and rumination are elevated in AN patients compared with both healthy controls and anxiety disorder comparison groups. Regression analyses indicated that worry and rumination were significant predictors of eating disorder symptomatology, over and above the effects of anxiety and depression. Worry and rumination were not associated with neuropsychological measures of set-shifting and focus on detail. The data suggest that worry and rumination are major concerns for this group and warrant further study.

  1. Worry, Intolerance of Uncertainty, and Statistics Anxiety

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    Williams, Amanda S.

    2013-01-01

    Statistics anxiety is a problem for most graduate students. This study investigates the relationship between intolerance of uncertainty, worry, and statistics anxiety. Intolerance of uncertainty was significantly related to worry, and worry was significantly related to three types of statistics anxiety. Six types of statistics anxiety were…

  2. Concreteness of idiographic worry and anticipatory processing.

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    McGowan, Sarah Kate; Stevens, Elizabeth S; Behar, Evelyn; Judah, Matt R; Mills, Adam C; Grant, DeMond M

    2017-03-01

    Worry and anticipatory processing are forms of repetitive negative thinking (RNT) that are associated with maladaptive characteristics and negative consequences. One key maladaptive characteristic of worry is its abstract nature (Goldwin & Behar, 2012; Stöber & Borkovec, 2002). Several investigations have relied on inductions of worry that are social-evaluative in nature, which precludes distinctions between worry and RNT about social-evaluative situations. The present study examined similarities and distinctions between worry and anticipatory processing on potentially important maladaptive characteristics. Participants (N = 279) engaged in idiographic periods of uninstructed mentation, worry, and anticipatory processing and provided thought samples during each minute of each induction. Thought samples were assessed for concreteness, degree of verbal-linguistic activity, and degree of imagery-based activity. Both worry and anticipatory processing were characterized by reduced concreteness, increased abstraction of thought over time, and a predominance of verbal-linguistic activity. However, worry was more abstract, more verbal-linguistic, and less imagery-based relative to anticipatory processing. Finally, worry demonstrated reductions in verbal-linguistic activity over time, whereas anticipatory processing demonstrated reductions in imagery-based activity over time. Worry was limited to non-social topics to distinguish worry from anticipatory processing, and may not represent worry that is social in nature. Generalizability may also be limited by use of an undergraduate sample. Results from the present study provide support for Stöber's theory regarding the reduced concreteness of worry, and suggest that although worry and anticipatory processing share some features, they also contain characteristics unique to each process. Published by Elsevier Ltd.

  3. Effects of total-body digital photography on cancer worry in patients with atypical mole syndrome.

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    Moye, Molly S; King, Sallyann M C; Rice, Zakiya P; DeLong, Laura K; Seidler, Anne M; Veledar, Emir; Curiel-Lewandrowski, Clara; Chen, Suephy C

    2015-02-01

    Cancer worry about developing melanoma in at-risk patients may affect one's quality of life and adherence to screening. Little is known about melanoma-related worry in patients with atypical mole syndrome (AMS). To quantify levels and elucidate predictors of worry related to developing melanoma in patients with AMS and to determine whether total-body digital photography (TBDP) in pigmented lesion clinics (PLCs) reduces worry. In this pretest-posttest study, patients with AMS from PLCs at 2 academic medical centers were recruited from June 1, 2005, through October 31, 2008, to answer questions about cancer worry before and after undergoing TBDP. Questionnaires used included the new melanoma and recurrent melanoma Revised Impact of Event Scale (RIES), the Melanoma Worry Scale (MWS), the Hospital Anxiety and Depression Scale, and the Life Orientation Test. All patients underwent TBDP. Changes in the MWS and new melanoma RIES scores. A total of 138 patients completed baseline questionnaires; 108 patients (78.3%) completed questionnaires after TBDP. Baseline levels of worry were low and reduced further after TBDP. In patients with a personal history of melanoma, worry was reduced on all scales. In patients without a personal history of melanoma, only the new melanoma RIES score was significantly decreased. Predictors of baseline MWS scores include female sex, personal history of melanoma, and higher Hospital Anxiety and Depression Scale scores, adjusted for demographics, family history of melanoma, and Life Orientation Test scores. Adjusted predictors of the baseline new melanoma RIES score were similar but also included lower educational level and did not include sex. Patients with AMS have low levels of melanoma-related worry, which is similar to data from other populations at high risk of cancers. We found that TBDP is a clinically useful tool that can be used in PLCs to help decrease worry about developing melanoma in at-risk patients.

  4. A cognitive model of pathological worry

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    Hirsch, Colette R.; Mathews, Andrew

    2012-01-01

    We present an evidence-based model of pathological worry in which worry arises from an interaction between involuntary (bottom-up) processes, such as habitual biases in attention and interpretation favouring threat content, and voluntary (top-down) processes, such as attentional control. At a pre-conscious level, these processes influence the competition between mental representations when some correspond to the intended focus of attention and others to threat distracters. Processing biases influence the probability of threat representations initially intruding into awareness as negative thoughts. Worry in predominantly verbal form then develops, influenced by conscious processes such as attempts to resolve the perceived threat and the redirection of attentional control resources to worry content, as well as the continuing influence of habitual processing biases. After describing this model, we present evidence for each component process and for their causal role in pathological worry, together with implications for new directions in the treatment of pathological worry. PMID:22863541

  5. Information-processing, storage characteristics and worry.

    Science.gov (United States)

    Pratt, P; Tallis, F; Eysenck, M

    1997-11-01

    Eysenck (1984, Bulletin of the Psychonomic Society, 22, 545-548) suggested that storage characteristics may be an important determinant of worry, and postulated that prolonged worry occurs in individuals who have tightly organised clusters of worry-related information stored in long-term memory. These clusters reflect areas or domains of worry. Because the information is stored in tight clusters, it becomes more accessible, more rapidly activated and therefore retrieved more quickly. The Worry Domains Questionnaire (WDQ) (Tallis, 1991c) is used to determine which domain worried subjects most (Primary) and least (Secondary). Two experiments are reported using a word allocation task, which requires subjects to make categorical decisions, based on these worry domains. It is reported that priming facilitates the emergence of domain effects, thus providing support for a structural hypothesis. High worries take longer to reject negative words if they are from the Primary domain and have difficulty rejecting Primary domain words when they are under a congruent heading. In addition, high worriers are reported to show retarded latencies when attempting to process ambiguous information, consistent with Metzger et al.'s studies (1990, Journal of Clinical Psychology, 48, 76-88). It is suggested that the initiation and maintenance of worry is largely attributable to an elevated evidence requirement and this may link to the personality trait of perfectionism.

  6. Modern health worries and idiopathic environmental intolerance.

    Science.gov (United States)

    Bailer, Josef; Witthöft, Michael; Rist, Fred

    2008-11-01

    We conducted two studies to test whether modern health worries (MHWs) were associated with central features of a condition called idiopathic environmental intolerance (IEI) and medical care utilization. In Study 1, 474 Internet users completed an Internet-based questionnaire that assessed MHWs, IEI features, and medical care utilization. In Study 2, the diagnostic specificity of MHWs was investigated by comparing the level of MHWs of three diagnostic groups: 46 people with IEI, 38 people with somatoform disorder but without IEI, and 46 people with neither IEI nor somatoform disorder. The good psychometric properties of the MHW scale were confirmed. MHWs were related to various features of IEI, and people who met IEI case criteria showed consistently higher levels of MHWs compared with people without IEI. The link between MHWs and number of doctor visits was mediated by perceived IEI complaints. In Study 2, the MHW scale effectively discriminated the IEI group from the non-IEI groups. These results suggest that MHWs may contribute to the development of IEI. However, only prospective longitudinal studies will enable us to determine the predictive importance of MHWs for later development of IEI.

  7. Worry as an Uncertainty-Associated Emotion: Exploring the Role of Worry in Health Information Seeking.

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    Lee, Sun Young; Hawkins, Robert P

    2016-08-01

    This study was carried out to understand how and why worry motivates health-related information seeking, and whether worry decreases after obtaining health-related information. It was proposed that worry influences health-related information-seeking behavior indirectly through cancer patients' desire for obtaining additional information. It was further expected that perceived knowledge about cancer could be increased after 2 months of searching for health information over the Internet, which would subsequently affect levels of worry. Using panel data collected from 224 women diagnosed with breast cancer, worry was found to predict patients' health information seeking via the perceived need for additional information. The results further showed significant increases in patients' perceived knowledge about breast cancer and decreased levels of worry after the seeking of health information for 2 months. Theoretical and practical implications of the findings are discussed.

  8. Melanoma Biopsy Results Can Differ, Worrying Patients

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_166955.html Melanoma Biopsy Results Can Differ, Worrying Patients Doctor discovers ... her dermatologist said her skin biopsy indicated possible melanoma, she knew just what to do -- get a ...

  9. Autism's 'Worryingly' High Suicide Rates Spur Conference

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_165946.html Autism's 'Worryingly' High Suicide Rates Spur Conference Signs of ... News) -- High rates of suicide among people with autism are drawing specialists to a conference this week ...

  10. Catastrophic worries in mothers of adolescents with internalizing disorders.

    Science.gov (United States)

    Triantafyllou, Kalliopi; Cartwright-Hatton, Sam; Korpa, Terpsichori; Kolaitis, Gerasimos; Barrowclough, Christine

    2012-09-01

    This study investigates worrying in mothers of adolescents with internalizing disorders, and tests the hypothesis that these mothers will produce a greater number of worries with higher catastrophic content compared to control groups. Differences in worry steps and in catastrophic content of worries were investigated in a cross-sectional, between groups design, employing a clinical internalizing group, a clinical control, and a non-referred control group. Twenty-five mothers of adolescents with internalizing disorders, 24 mothers of adolescents with externalizing disorders, and 28 mothers with non-referred adolescents participated in two interviews about their 'real' pre-existing worries and their worries in response to a hypothetical situation. The internalizing group produced both a greater number of worry steps and a higher catastrophic content when they talked about their 'real' worries, compared to both control groups. They also produced a greater number of worry steps in response to a hypothetical situation compared to the other two groups. The number of worry steps and the level of catastrophic content of 'real' worries were associated with adolescent depression and anxiety. Additionally, the number of worry steps and the level of catastrophic content of worries in response to a hypothetical situation were related to adolescent depression. The number of worry steps in 'real' worries and the level of catastrophic content in hypothetical worries were also associated with maternal depressive symptoms. Mothers of adolescents with internalizing disorders may worry more catastrophically about their children than other mothers. ©2012 The British Psychological Society.

  11. The patient with excessive worry | Shearer | South African Family ...

    African Journals Online (AJOL)

    Worry is a normal response to uncertainty. Education, empathetic support, reassurance, and passage of time usually ameliorate ordinary worries. However, these common-sense strategies for dealing with transient worries often prove ineffective for patients with excessive worry, many of whom meet the criteria for disorders ...

  12. Pain-related worry in patients with chronic orofacial pain.

    Science.gov (United States)

    Davis, C Ervin; Stockstill, John W; Stanley, William D; Wu, Qiang

    2014-07-01

    Pain-related worry is distinct from, but related to, pain catastrophizing (PC) and anxiety. Worry and its relationship with other variables have been studied in people with chronic pain but not in people with chronic orofacial pain. The authors explored the prevalence of trait, general and pain-related worry and the association of worry with higher pain levels and other variables. The authors assessed people who had a diagnosis of chronic orofacial pain by using nonpain-related trait worry, state anxiety, trait anxiety, PC and pain measures. The participants' answers to an open-ended question about what they were most worried about led to the identification of worry domains, including worry about pain. The authors found that worrying about pain was related significantly to worst and least pain levels, pain interference and pain duration, as well as moderated trait worry in predicting pain interference. Although trait worry was not correlated directly with pain, when moderated by PC, it made substantial contributions in predicting pain interference. Participants with chronic orofacial pain reported experiencing substantial levels of trait worry, anxiety, PC and worry about pain that related to pain ratings directly and indirectly. Clinicians should assess pain-related worry in patients with chronic orofacial pain to understand the effects of worry on pain and functioning. Clinicians could treat these patients more effectively by helping them reduce their levels of pain-related worry and focusing on improved coping.

  13. Intolerance of uncertainty in adolescents: correlations with worry, social anxiety, and depression.

    Science.gov (United States)

    Boelen, Paul A; Vrinssen, Inge; van Tulder, Floor

    2010-03-01

    The current study examined Intolerance of Uncertainty (IU)-the tendency to react negatively to situations that are uncertain-in psychological problems among adolescents. Using data from 191 adolescents, aged 14 to 18, we examined (a) the dimensionality of IU as tapped by the Intolerance of Uncertainty Scale short-form (IUS-12), (b) the relationship of IU with worry, social anxiety, and depression, (c) the specificity of IU to these variables, and (d) the role of IU as a mediator of the linkages between negative affectivity (NA) and worry, social anxiety, and depression. Results showed that the IUS-12 encompassed 2 components of IU, named Prospective Anxiety and Inhibitory Anxiety. Furthermore, IU was specifically related with worry and social anxiety, but not depression, when controlling the shared variance between these variables and NA, age, and gender. Finally, IU and its 2 components were found to mediate the linkages of NA with worry and social anxiety.

  14. Worry and anger rumination in fibromyalgia syndrome

    Directory of Open Access Journals (Sweden)

    A. Ricci

    2016-12-01

    Full Text Available The aim of the present study was twofold: 1 to investigate the psychological profile of patients with fibromyalgia syndrome (FS as compared to patients with other chronic pain syndromes (CP and healthy subjects (HS; 2 to examine the associations between anxiety, depression, worry and angry rumination in FS patients. FS patients (N=30, CP patients (N=30 and HS (N=30 completed measurements of anxiety, depression, worry and angry rumination. FS patients showed higher levels of state and trait anxiety, worry and angry rumination than CP patients and HS, and higher levels of depression than HS. Worry and angry rumination were strongly associated in the FS group. FS patients may use worry and rumination as coping strategies to deal with their negative emotional experience, which might impair their emotional wellbeing. Findings from the present study add to our understanding of the psychological profile of FS patients, and have important implications for developing a tailored CBT protocol for pain management in FS patients.

  15. A Preliminary Investigation into Worry about Mental Health: Development of the Mental Health Anxiety Inventory.

    Science.gov (United States)

    Commons, Della; Greenwood, Kenneth Mark; Anderson, Rebecca A

    2016-05-01

    Worry about physical health is broadly referred to as health anxiety and can range from mild concern to severe or persistent anxiety such as that found in DSM-IV hypochondriasis. While much is known about anxiety regarding physical health, little is known about anxiety regarding mental health. However, recent conceptualizations of health anxiety propose that individuals can experience severe and problematic worry about mental health in similar ways to how people experience extreme worry about physical health. Given the paucity of research in this area, the aim of the current study was to explore anxiety regarding mental health through validation of the Mental Health Anxiety Inventory (MHAI), a modified version of the Short Health Anxiety Inventory. The MHAI, and measures of state anxiety (Depression, Anxiety and Stress Scales-21), trait worry (Penn State Worry Questionnaire), and health anxiety (Short Health Anxiety Inventory) were administered to 104 adult volunteers from the general community. The MHAI demonstrated high internal consistency, acceptable test-retest reliability, and good construct validity when correlated with other measures of anxiety. Results also indicated that participants worried about their mental health and physical health equally, and that almost 9% of participants reported levels of mental health anxiety that were potentially problematic. Preliminary results suggest that a small proportion of adults in the community may experience high levels of mental health anxiety requiring treatment, and that the MHAI, if validated further, could be a useful tool for assessing this form of anxiety.

  16. WORRY, ANXIETY AND TENSION — IMPORTANCE ...

    African Journals Online (AJOL)

    Enrique

    Adaptive anxiety ensures that you safely navigate the road in your car every day and prepare adequately for examinations. Losing money, having a car accident or a fight with a loved one will normally result in worry as we try to understand and cope with the consequences and emotions that these events have caused. It.

  17. What is that we were worried about?

    NARCIS (Netherlands)

    Bedir, M.; Ince, A.

    2014-01-01

    “What is it that you were worried about” is an art video3 where an energy rebalancing coach heals and cleans the unsettling energies of spaces by putting them into a holographic energy scan. Two artists draw our attention to an old bunker in a Bosnian Town, which used to be Tito’s atomic bomb

  18. Risking Hope in a Worried World

    Science.gov (United States)

    Silin, Jonathan

    2017-01-01

    Hope is at the heart of the educational endeavour. Yet it is a challenge for educators to sustain a sense of hope in a worried world where terrorism, mass migrations, global warming and ultra-right political movements are on the rise. Acknowledging that hopefulness always involves risk, this article identifies three pedagogical practices which…

  19. Vulture worries stalk activists on Uttarayan

    African Journals Online (AJOL)

    2007-03-01

    Mar 1, 2007 ... Vulture worries stalk activists on Uttarayan. Anon. Ahmedabad – When kites take to the skies on Uttarayan, animal activists will be biting their nails in apprehension. Their main concern is the White-rumped. Vulture, a highly endangered species, of which only 137 birds are left in the city, according to figures ...

  20. Angry Adolescents Who Worry about Becoming Violent.

    Science.gov (United States)

    Silver, Marcia E.; Field, Tiffany M.; Sanders, Christopher E.; Diego, Miguel

    2000-01-01

    High school students who answered affirmatively to the following statement (n=31): "Sometimes I get so angry that I worry I will become violent" were compared to non-angry peers (n=58). Variables examined were: anger/potential violence; family relationships; friends; grade point average; depression; and marijuana use. Depression and dating were…

  1. The Dual Effects of Critical Thinking Disposition on Worry

    Science.gov (United States)

    Sugiura, Yoshinori

    2013-01-01

    This study investigated the relationship between disposition (people’s consistent motivation) toward critical thinking (CT) and worrying. In spite of its connection to psychopathology, worry is thought to represent an effort at problem-solving. Moreover, worry has been found to be underpinned by cognitive development, leading us to predict a positive relationship between worry and CT disposition. On the other hand, cognitive behavioral therapy, which involves techniques similar to CT, has been shown to be effective in reducing worrying, suggesting that increasing CT disposition decreases worrying. This study attempted to reconcile these seemingly contrasting predictions about the relationship between CT disposition and worrying by using multiple mediator analysis. A model was proposed wherein the mediators, responsibility to continue thinking and detached awareness of negative thinking, were related to two opposing predictions. The former is thought to lead to enhanced worrying and the latter to reduced worrying, with both positively related to CT disposition. A questionnaire study with university students (N = 760) revealed that CT disposition enhanced worrying by obliging people to continue thinking about a problem, but that it also reduced worrying by enhancing the detached and objective awareness of their negative thoughts. This study thus demonstrated the dual effects of CT disposition on worrying through different mediators. Thus, when enhancing CT disposition, it is important for educators to be aware of possible disadvantages apart from its worry-reducing effect. Future studies should therefore examine the underlying mechanisms of these two effects of CT disposition. PMID:24278160

  2. The dual effects of critical thinking disposition on worry.

    Science.gov (United States)

    Sugiura, Yoshinori

    2013-01-01

    This study investigated the relationship between disposition (people's consistent motivation) toward critical thinking (CT) and worrying. In spite of its connection to psychopathology, worry is thought to represent an effort at problem-solving. Moreover, worry has been found to be underpinned by cognitive development, leading us to predict a positive relationship between worry and CT disposition. On the other hand, cognitive behavioral therapy, which involves techniques similar to CT, has been shown to be effective in reducing worrying, suggesting that increasing CT disposition decreases worrying. This study attempted to reconcile these seemingly contrasting predictions about the relationship between CT disposition and worrying by using multiple mediator analysis. A model was proposed wherein the mediators, responsibility to continue thinking and detached awareness of negative thinking, were related to two opposing predictions. The former is thought to lead to enhanced worrying and the latter to reduced worrying, with both positively related to CT disposition. A questionnaire study with university students (N = 760) revealed that CT disposition enhanced worrying by obliging people to continue thinking about a problem, but that it also reduced worrying by enhancing the detached and objective awareness of their negative thoughts. This study thus demonstrated the dual effects of CT disposition on worrying through different mediators. Thus, when enhancing CT disposition, it is important for educators to be aware of possible disadvantages apart from its worry-reducing effect. Future studies should therefore examine the underlying mechanisms of these two effects of CT disposition.

  3. The dual effects of critical thinking disposition on worry.

    Directory of Open Access Journals (Sweden)

    Yoshinori Sugiura

    Full Text Available This study investigated the relationship between disposition (people's consistent motivation toward critical thinking (CT and worrying. In spite of its connection to psychopathology, worry is thought to represent an effort at problem-solving. Moreover, worry has been found to be underpinned by cognitive development, leading us to predict a positive relationship between worry and CT disposition. On the other hand, cognitive behavioral therapy, which involves techniques similar to CT, has been shown to be effective in reducing worrying, suggesting that increasing CT disposition decreases worrying. This study attempted to reconcile these seemingly contrasting predictions about the relationship between CT disposition and worrying by using multiple mediator analysis. A model was proposed wherein the mediators, responsibility to continue thinking and detached awareness of negative thinking, were related to two opposing predictions. The former is thought to lead to enhanced worrying and the latter to reduced worrying, with both positively related to CT disposition. A questionnaire study with university students (N = 760 revealed that CT disposition enhanced worrying by obliging people to continue thinking about a problem, but that it also reduced worrying by enhancing the detached and objective awareness of their negative thoughts. This study thus demonstrated the dual effects of CT disposition on worrying through different mediators. Thus, when enhancing CT disposition, it is important for educators to be aware of possible disadvantages apart from its worry-reducing effect. Future studies should therefore examine the underlying mechanisms of these two effects of CT disposition.

  4. Generalized Anxiety Disorder (GAD): When Worry Gets Out of Control

    Science.gov (United States)

    WHAT IS GAD? Occasional anxiety is a normal part of life. You might worry about things like health, money, or family problems. But people with generalized anxiety disorder (GAD) feel extremely worried or feel nervous ...

  5. Perseverative cognition : the impact of worry on health

    NARCIS (Netherlands)

    Verkuil, Bart

    2010-01-01

    For a majority of people worries about upcoming stressful events are a common experience in daily life. The aim of this thesis was to examine the effects of common worries on somatic health. In particular, the effects of worry on somatic health complaints, like headache and back pain, and on cardiac

  6. A preliminary study of worry and metacognitions in hypochondriasis

    NARCIS (Netherlands)

    Bouman, T.K.; Meijer, K.J

    It was investigated whether hypochondriasis is characterized by either a general or a more content-specific tendency to worry and to engage in meta-worry (i.e. beliefs about worries). In samples of hypochondriacal patients (n = 14), matched healthy controls (n = 25) and psychology students (n = 122)

  7. Assessment of worry and OCD : how are they related?

    NARCIS (Netherlands)

    van Rijsoort, S; Emmelkamp, P; Vervaeke, G

    This study investigates the overlap and differences between measures of worry and Obsessive Compulsive Disorder (OCD). It was expected that: (1) worry and obsessive compulsive symptoms are distinct concepts, yet that (2) worry and the cognitive components of OCD are more strongly related compared to

  8. Reducing worry and subjective health complaints: A randomized trial of an internet-delivered worry postponement intervention.

    Science.gov (United States)

    Versluis, Anke; Verkuil, Bart; Brosschot, Jos F

    2016-05-01

    Several studies have shown that perseverative, worrisome thoughts are prospectively related to subjective health complaints (SHC) and that a short worry postponement intervention can decrease these complaints. As SHC and worry are prevalent and costly, we tested whether the intervention can be offered online to reduce these complaints in the general population. A randomized parallel-group trial was conducted with self-selected participants from the general population. Via the research website, 996 participants were instructed to register their worrying for 6 consecutive days. The intervention group was instructed to postpone worry to a special 30-min period in the early evening. The Subjective Health Complaints inventory, as administered before and after the intervention, and daily worry frequency and duration were considered the primary outcomes. Three hundred and sixty-one participants completed the study. Contrary to our expectation, the registration group (n = 188) did not differ from the intervention group (n = 163) in SHC (ηp² = .000, CI [0.000-0.003]), or in worry frequency or duration. Nevertheless, the different worry parameters were moderately related to SHC (r between .238 and .340, p ≤ .001). In contrast to previous studies using pen-and-pencil versions of the worry postponement intervention, this study suggests that a direct online implementation was not effective in reducing SHC and worry. Overall, participants had high trait worry levels and reported difficulty with postponing worrying. Reducing SHC and worries via the Internet might require more elaborate interventions that better incorporate the advantages of delivering interventions online. What is already known on this subject? The perseverative cognition hypothesis argues that perseverative cognition, such as worry and rumination, acts as a mediator by which psychosocial stress may produce negative health effects. Prior research has indeed shown that worry and subjective health complaints

  9. Physical activity, depressed mood and pregnancy worries in European obese pregnant women

    DEFF Research Database (Denmark)

    de Wit, Linda; Jelsma, Judith G M; van Poppel, Mireille N M

    2015-01-01

    -related worries with the Cambridge Worry Scale (CWS). In addition, socio-demographic characteristics, lifestyle factors, and perceptions and attitude regarding weight management and physical activity were measured. Linear regression analyses were performed to assess the association of mental health status......BACKGROUND: The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. METHODS: Baseline data from the vitamin D...... and lifestyle intervention for the prevention of gestational diabetes mellitus (DALI) study were used. Time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behaviour was measured with accelerometers. Depressed mood was measured with the WHO well-being index (WHO-5) and pregnancy...

  10. Experiments at Scale with In-Situ Visualization Using ParaView/Catalyst in RAGE

    Energy Technology Data Exchange (ETDEWEB)

    Kares, Robert John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-10-31

    In this paper I describe some numerical experiments performed using the ParaView/Catalyst in-situ visualization infrastructure deployed in the Los Alamos RAGE radiation-hydrodynamics code to produce images from a running large scale 3D ICF simulation on the Cielo supercomputer at Los Alamos. The detailed procedures for the creation of the visualizations using ParaView/Catalyst are discussed and several images sequences from the ICF simulation problem produced with the in-situ method are presented. My impressions and conclusions concerning the use of the in-situ visualization method in RAGE are discussed.

  11. Statistics Anxiety and Worry: The Roles of Worry Beliefs, Negative Problem Orientation, and Cognitive Avoidance

    Science.gov (United States)

    Williams, Amanda S.

    2015-01-01

    Statistics anxiety is a common problem for graduate students. This study explores the multivariate relationship between a set of worry-related variables and six types of statistics anxiety. Canonical correlation analysis indicates a significant relationship between the two sets of variables. Findings suggest that students who are more intolerant…

  12. Prevalence of women's worries, anxiety, and depression during pregnancy in a public hospital setting in Greece.

    Science.gov (United States)

    Gourounti, K; Anagnostopoulos, F; Lykeridou, K; Griva, F; Vaslamatzis, G

    2013-01-01

    Many studies have examined the prevalence and risk factors of postnatal depression. However, only a few studies have explored the prevalence of anxiety and depressive symptoms in pregnancy. The aim of this study was to investigate the prevalence of worries, antenatal anxiety (AA), and antenatal depression (AD). The sample of this study consisted of 163 pregnant women with gestational age from 11 to 26 weeks. Worries were measured with Cambridge Worry Scale (CWS), anxiety was measured with State-Trait Anxiety Inventory (STAI), and depression was measured with Center for Epidemiologic Studies-Depression scale (CES-D). Depressive symptoms were found in 32.7% of the participants and 44.4% had STAI scores indicating anxiety symptoms of clinical significance. The mean score for total CWS was 26 (SD = 12.3). It is noteworthy that the most important worries in the study sample were "the possibility of something going wrong with the baby", "giving birth", and "financial problems". The prevalence of antenatal anxiety and depression identified in this study is of concern. Screening for antenatal anxiety and depressive symptoms with validated instruments is crucial.

  13. Adolescents' Daily Worry, Morning Cortisol, and Health Symptoms.

    Science.gov (United States)

    Arbel, Reout; Shapiro, Lauren Spies; Timmons, Adela C; Moss, Ilana Kellerman; Margolin, Gayla

    2017-06-01

    To assess short-term effects of daily worries on hypothalamic-pituitary-adrenal axis activity and later implications for adolescents' health symptoms. We hypothesized that heightened worry would be associated with stronger next-morning cortisol awakening response (CAR) to prepare the body for the demands of the upcoming day. Guided by biological adaptation to stress theories, we also hypothesized that dysregulated CAR would heighten associations between worries and later health symptoms, while also testing direct associations between worries and dysregulated CAR and health. Ninety-nine late adolescents during waves 5 and 6 of a longitudinal study reported on 26 worries for 10 days. On 3 of the 10 days, participants also provided morning saliva samples that were assayed for cortisol to capture the CAR. At both waves, participants reported on 22 common health symptoms. Multilevel models showed significant within-person associations between high daily worries and next-morning heightened CAR for females. Contrary to expectation, worries were inversely related to concurrent health symptoms. For the whole sample, CAR moderated the effect of worries on later health symptoms: Worries were positively associated with health symptoms in adolescents with high CAR and inversely associated with health symptoms for those with low CAR. In this sample of typically developing adolescents, worries alone do not increase the risk for common health complaints and may be somewhat protective in the short run. However, high worries in the context of high CAR appear to increase the risk for health symptoms. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  14. The "drinking-buddy" scale as a measure of para-social behavior.

    Science.gov (United States)

    Powell, Larry; Richmond, Virginia P; Cantrell-Williams, Glenda

    2012-06-01

    Para-social behavior is a form of quasi-interpersonal behavior that results when audience members develop bonds with media personalities that can resemble interpersonal social interaction, but is not usually applied to political communication. This study tested whether the "Drinking-Buddy" Scale, a simple question frequently used in political communication, could be interpreted as a single-item measure of para-social behavior with respect to political candidates in terms of image judgments related to interpersonal attraction and perceived similarity to self. The participants were college students who had voted in the 2008 election. They rated the candidates, Obama or McCain, as drinking buddies and then rated the candidates' perceived similarity to themselves in attitude and background, and also the social and task attraction to the candidate. If the drinking-buddy rating serves as a proxy measure for para-social behavior, then it was expected that participants' ratings for all four kinds of similarity to and attraction toward a candidate would be higher for the candidate they chose as a drinking buddy. The directional hypotheses were supported for interpersonal attraction, but not for perceived similarity. These results indicate that the drinking-buddy scale predicts ratings of interpersonal attraction, while voters may view perceived similarity as an important but not essential factor in their candidate preference.

  15. Responsibility Attitudes in Obsessive-Compulsive Patients: The Contributions of Meta-Cognitive Beliefs and Worry

    Directory of Open Access Journals (Sweden)

    Changiz Rahimi

    2010-09-01

    Full Text Available Background: Obsessive patients are distressed by intrusivethoughts, which are related to unreal threats. These patientsfeel that they are responsible for harming themselves and others.While controlling worry and meta-cognitive beliefs, thepresent study aimed at comparing the responsibility attitudesin obsessive compulsive patients with those in normal subjectsto determine whether the difference in responsibility attitudesbetween two groups was significant.Methods: A group of 15 patients were compared with normalsubjects (n=15 who matched the patient group in terms ofgender, age and education. All subjects filled the ResponsibilityAttitude Scale, the Penn, State Worry Questionnaire andthe Meta-cognition Questionnaire -30. The findings were analyzedusing descriptive statistics as well as student t and ANCOVAtests.Results: Responsibility attitudes in obsessive patients weresignificantly higher than those in normal subjects (P<0.001,when patient worries and meta-cognitive beliefs were notcontrolled. However, after controlling patient's worry andmeta-cognitive beliefs there was no significant differencebetween responsibility attitudes in normal and obsessive–compulsive group.Conclusion: The findings might suggest that responsibilityattitude is not strongly related to obsessive-compulsive symptoms.It seems that it is a characteristic caused by basic metacognitivebeliefs, because the relationship between the responsibilityand the symptoms was dependent on meta-cognition.Therefore, in studying the etiology and treatment of obsessivecompulsive disorders focus on the responsibility attitudesalone cannot be very helpful.

  16. Anxiety and worry when coping with cancer treatment: agreement between patient and proxy responses.

    Science.gov (United States)

    Hermont, Ana Paula; Scarpelli, Ana Carolina; Paiva, Saul M; Auad, Sheyla M; Pordeus, Isabela A

    2015-06-01

    Assess agreement between proxy respondents (caregivers) and children/adolescents related to the impact of cancer on children's/adolescents' health-related quality of life, with respect to anxiety and worry issues. A cross-sectional study was conducted among 83 Brazilian children/adolescents, of both genders, diagnosed with cancer, aged 5-18 years and their proxy respondents. Anxiety and worry were assessed through items of the instrument Pediatric Quality of Life Inventory™ Cancer Module Scale. Participants were recruited from the pediatric hematology/oncology centers at two public hospitals. All individuals were receiving medical care. Descriptive statistics were performed as well as a weighted kappa coefficient, Spearman's correlation coefficient, Wilcoxon signed-rank test and Bland-Altman plots. The magnitude of the difference between the mean scores obtained from children/adolescents and that of their proxy respondents was evaluated through effect size. The proxy respondents underestimated the feelings of worry among children (8-12 years) (p anxiety (p children/adolescents to report increasing feelings of worry as they got older. In the 'treatment anxiety' subscale, there was a tendency for proxy respondents to present higher mean scores, revealing that proxy respondents believed the children's/adolescents' treatment anxiety decreased as they aged. Discrepancies between the reports of children/adolescents and their proxy respondents were observed. Children's/adolescents' reports should not be ignored nor replaced by proxy reports; both reports should be analyzed together.

  17. The spectrum of worry in the community-dwelling elderly.

    LENUS (Irish Health Repository)

    Golden, Jeannette

    2011-11-01

    In this study, we examine the prevalence and distribution of worry, its content, and its associations with quality of life and depression, based on a large sample of community-dwelling elderly. We will attempt to distinguish between pathological and non-pathological worry based on these associations.

  18. Intolerance of Uncertainty, Fear of Anxiety, and Adolescent Worry

    Science.gov (United States)

    Dugas, Michel J.; Laugesen, Nina; Bukowski, William M.

    2012-01-01

    A 5 year, ten wave longitudinal study of 338 adolescents assessed the association between two forms of cognitive vulnerability (intolerance of uncertainty and fear of anxiety) and worry. Multilevel mediational analyses revealed a bidirectional and reciprocal relation between intolerance of uncertainty and worry in which change in one variable…

  19. Homeschooling Worries: Trusting That the Dots Will Connect

    Science.gov (United States)

    Rivero, Lisa

    2012-01-01

    Homeschooling parents worry a lot. And homeschooling parents of gifted children seem to worry even more than most. Parents who homeschool intense, smart, sensitive, and perfectionist children and teens are often themselves intense, smart, sensitive, and perfectionistic, even if they don't always think of themselves as gifted. One shouldn't be too…

  20. Why are they worried? Concern about AIDS in rural Malawi

    Directory of Open Access Journals (Sweden)

    2003-09-01

    Full Text Available There are two main types of models of behavioral change. What are collectively referred to as "individual models" are the predominant frameworks for studying risk behaviors including those related to HIV/AIDS. Individual models focus on risk perceptions, attitudes, outcome expectations, perceived norms, and self-efficacy. Models of risk behavior that focus on social or community factors have more recently been developed in response to criticisms of individual models. I use longitudinal data from the Malawi Diffusion and Ideational Change Project to study worry about HIV/AIDS. Specifically, I ask, what factors determine how much a person worries about HIV/AIDS, and are the predominant factors those that individual models would suggest, or are there are other determinants that have a greater impact on worry? I find that levels of network worry and suspected spousal infidelity have the strongest and most robust influence on respondent worry, providing support for the importance of social factors.

  1. The perseverative worry bout: A review of cognitive, affective and motivational factors that contribute to worry perseveration.

    Science.gov (United States)

    Davey, Graham C L; Meeten, F

    2016-12-01

    This paper reviews the cognitive, affective and attentional factors that contribute to individual perseverative worry bouts. We describe how automatic biases in attentional and interpretational processes contribute to threat detection and to the inclusion of negative intrusive thoughts into the worry stream typical of the "what if …?" thinking style of pathological worriers. The review also describes processes occurring downstream from these perceptual biases that also facilitate perseveration, including cognitive biases in beliefs about the nature of the worry process, the automatic deployment of strict goal-directed responses for dealing with the threat, the role of negative mood in facilitating effortful forms of information processing (i.e. systematic information processing styles), and in providing negative information for evaluating the success of the worry bout. We also consider the clinical implications of this model for an integrated intervention programme for pathological worrying. Copyright © 2016 Elsevier B.V. All rights reserved.

  2. Perceived attachment: relations to anxiety sensitivity, worry, and GAD symptoms.

    Science.gov (United States)

    Viana, Andres G; Rabian, Brian

    2008-06-01

    This investigation examined the relation between perceived alienation from parents and peers, anxiety sensitivity (AS), and current worry and generalized anxiety disorder (GAD) symptoms with the goal of expanding the knowledge base on factors that may contribute to the development of AS and its role in worry. The mediating role of AS between perceptions of alienation and current worry and GAD symptoms was also examined. Ninety-four non-clinical worriers completed self-report questionnaires assessing their perceptions of attachment, AS levels, and worry and GAD symptoms. Even after controlling for worry and GAD symptoms, greater perceptions of alienation from mothers and peers were significantly associated with higher AS symptoms. AS as a unitary construct mediated the relation between perceptions of alienation from mothers and peers and worry and GAD symptoms. The facets fear of publicly observable symptoms and fear of cognitive dyscontrol also mediated this relation. The role of alienation in relation to AS, worry, and GAD symptoms is discussed along with directions for future research.

  3. Illness perceptions, risk perception and worry in SDH mutation carriers

    NARCIS (Netherlands)

    Hulsteijn, L.T. van; Kaptein, A.A.; Louisse, A.; Biermasz, N.R.; Smit, J.W.; Corssmit, E.P.

    2014-01-01

    Succinate dehydrogenase (SDH) mutation carriers are predisposed for developing paragangliomas. This study aimed to explore illness perceptions, risk perception and disease-related worry in these individuals. All consecutive SDHB and SDHD mutation carriers followed at the Department of Endocrinology

  4. Generalized Anxiety Disorder: When Worry Gets Out of Control

    Science.gov (United States)

    ... Where can I find more information? Share Generalized Anxiety Disorder: When Worry Gets Out of Control Download ... Order a free hardcopy What Is GAD? Occasional anxiety is a normal part of life. You might ...

  5. Sexagesimal scale for mapping human genome Escala sexagesimal para mapear el genoma humano

    Directory of Open Access Journals (Sweden)

    RICARDO CRUZ-COKE

    2001-03-01

    Full Text Available In a previous work I designed a diagram of the human genome based on a circular ideogram of the haploid set of chromosomes, using a low resolution scale of Megabase units. The purpose of this work is to draft a new scale to measure the physical map of the human genome at the highest resolution level. The entire length of the haploid genome of males is deployed in a circumference, marked with a sexagesimal scale with 360 degrees and 1296000 arc seconds. The radio of this circunference displays a semilogaritmic metric scale from 1 m up to the nanometer level. The base pair level of DNA sequences, 10-9 of this circunsference, is measured in milliarsec unit (mas, equivalent to a thousand of arcsecond. The "mas" unit, correspond to 1.27 nanometers (nm or 0.427 base pair (bp and it is the framework for measure DNA sequences. Thus the three billion base pairs of the human genome may be identified by 1296000000 "mas" units in continous correlation from number 1 to number 1296000000. This sexagesimal scale covers all the levels of the nuclear genetic material, from nucleotides to chromosomes. The locations of every codon and every gene may be numbered in the physical map of chomosome regions according to this new scale, instead of the partial kilobase and Megabase scales used today. The advantage of the new scale is the unification of the set of chromosomes under a continous scale of measurement at the DNA level, facilitating the correlation with the phenotypes of man and other speciesEn un trabajo anterior yo diseñé un diagrama del genoma humano basado en un ideograma circular del conjunto haploide de cromosomas, usando una escala de baja resolución en megabases. El propósito de este trabajo es el de diseñar una nueva escala para medir el mapa físico del genoma humano al más alto nivel de resolución. La longitud completa del genoma haploide del varon es extendido en una circunsferencia, marcada con una escala sexagesimal de 360 grados y 1296000

  6. Worrying about terrorism and other acute environmental health hazard events.

    Science.gov (United States)

    Greenberg, Michael; Babcock-Dunning, Lauren

    2012-04-01

    To better understand why some people worry more about terrorism compared with others, we measured how much US residents worried about a terrorist event in their area and examined the association of their fears with their concerns about acute and chronic hazards and other correlates. In 2008 (n = 600) and 2010 (n = 651), we performed a random-digit dialing national landline telephone survey. We asked about worries about terrorism and 5 other environmental health hazard issues. We also collected demographic and socioeconomic data. Only 15% worried "a great deal" about a terrorist event in their area and 18% to 33% were greatly concerned about other environmental issues. Fear about acute hazard events was a stronger predictor of a great deal of concern about terrorism than were age, race/ethnicity, gender, educational achievement, and other correlates. Those who worried most about acute environmental health hazard events were most likely to worry about terrorism. Also, those who were older, poorer, Blacks, or Latinos, or who lived in populous urban areas felt they were most vulnerable to terrorist attacks. We recommend methods to involve US citizens as part of disaster planning.

  7. The Effects of Worry and Rumination on Affect States and Cognitive Activity

    Science.gov (United States)

    McLaughlin, Katie A.; Borkovec, Thomas D.; Sibrava, Nicholas J.

    2007-01-01

    The effects of worry and rumination on affective states and mentation type were examined in an unselected undergraduate sample in Study 1 and in a sample of individuals with high trait worry and rumination, high rumination, and low worry/rumination in Study 2. Participants engaged in worry and rumination inductions, counterbalanced in order across…

  8. Factors related to surgery worries among iranian high school adolescents

    Directory of Open Access Journals (Sweden)

    Meshkani Z.S

    2007-11-01

    Full Text Available Background: Surgery operations are the fearful events among all other medical procedures. This fear causes anxiety and stress which affects the outcome of treatments, recovery from surgery and some maladaptive behaviors. To cope with surgery worries and minimize the fear, it is important to study these fears and its associated factors. This study attempts to explore the surgery worries and the associated factors among Iranian high school adolescents.Methods: To measure surgery worries, high school adolescents of age 11-15 completed the Child Worries Questionnaire (CPCI adolescent form, and also answered the questions about the 14 independent variables (sex, age, parents education and occupation, previous hospitalization experience of child and immediate family and friends, number of hospitalization during Child's life long, previous surgery experience of child and her or his immediate families, death of close friends in hospital. Multivariate regression method was used for statistical analysis to determine the effective factors.Results: The results of this study showed that the Iranian Adolescents have most worries about the "Not being able to do the same things as before" and least worries about "What I will feel during the anesthesia". The factors associated with Surgery worries are; parent's education (P=.021 for father and 0.049 for mother, adolescent previous experience and number of hospitalizations (P=0.025 and P=0.008, respectively, the number of previous hospitalizations (P=.003, previous experience of hospitalization of immediate family and friends (P=0.035. The findings of this study have implications for parents, family, hospitals' staff and care given.Conclusions: It seems, according to the findings of this study, there should be a special educational program for children who are going to be operated in a hospital ward to reduce their worriships.

  9. Dispositional pandemic worry and the health belief model: promoting vaccination during pandemic events.

    Science.gov (United States)

    Scherr, Courtney L; Jensen, Jakob D; Christy, Katheryn

    2017-12-01

    Promoting vaccination during pandemics is paramount to public health, yet few studies examined theoretical motivations for vaccination during pandemics. Thus, the relationships between dispositional pandemic worry, constructs of the health belief model (HBM) and vaccination during the H1N1 pandemic were studied. Participants (N = 1377) completed surveys assessing dispositional pandemic worry, HBM variables and H1N1 vaccination. Principle axis factor analysis and point biserial correlations were conducted. Differences in worry and vaccination were assessed via independent samples t-tests. Relationships between vaccination, demographics and worry were investigated using hierarchical linear regression. PROCESS analysis was conducted to explicate the relationship between worry and vaccination intention. A two-factor structure of dispositional pandemic worry-worry frequency and worry severity-was confirmed. Dispositional worry was higher among those who intended to and received H1N1 vaccine. Worry frequency and worry severity were positively related to vaccination. Threat, benefits and barriers mediated the impact of worry severity and threat and barriers mediated the impact of worry frequency on vaccination intentions. Messages increasing dispositional worry and benefits while decreasing barriers may boost vaccination behavior during a pandemic event. Future study of relationships between dispositional worry and HBM variables is warranted.

  10. Worry tendencies predict brain activation during aversive imagery.

    Science.gov (United States)

    Schienle, Anne; Schäfer, Axel; Pignanelli, Roman; Vaitl, Dieter

    2009-09-25

    Because of its abstract nature, worrying might function as an avoidance response in order to cognitively disengage from fearful imagery. The present functional magnetic resonance imaging study investigated neural correlates of aversive imagery and their association with worry tendencies, as measured by the Penn State Worry Questionnaire (PSWQ). Nineteen healthy women first viewed, and subsequently imagined pictures from two categories, 'threat' and 'happiness'. Worry tendencies were negatively correlated with brain activation in the anterior cingulate cortex, the prefrontal cortex (dorsolateral, dorsomedial, ventrolateral), the parietal cortex and the insula. These negative correlations between PSWQ scores and localized brain activation were specific for aversive imagery. Moreover, activation in the above mentioned regions was positively associated with the experienced vividness of both pleasant and unpleasant mental pictures. As the identified brain regions are involved in emotion regulation, vivid imagery and memory retrieval, a lowered activity in high PSWQ scorers might be associated with cognitive disengagement from aversive imagery as well as insufficient refresh rates of mental pictures. Our preliminary findings encourage future imagery studies on generalized anxiety disorder patients, as one of the main symptoms of this disorder is excessive worrying.

  11. Worry exposure versus applied relaxation in the treatment of generalized anxiety disorder.

    Science.gov (United States)

    Hoyer, Jürgen; Beesdo, Katja; Gloster, Andrew T; Runge, Juliane; Höfler, Michael; Becker, Eni S

    2009-01-01

    Worry exposure (WE) is a core element of cognitive-behavioral treatment for generalized anxiety disorder (GAD). Its efficacy as a stand-alone treatment method (without further cognitive-behavioral therapy interventions) has never been tested.We aimed to examine whether WE alone is as efficacious as the empirically supported stand-alone treatment for GAD, applied relaxation (AR). In a randomized controlled study, 73 outpatients meeting DSM-IV criteria for GAD as primary diagnosis were allocated to either WE or AR or a waiting list control group; in a 2nd randomization procedure the waiting list subjects were reallocated to WE or AR. The treatment was manualized (15 sessions with WE or AR), included 6-month and 1-year follow-ups, as well as last observation carried forward and completer analyses, and was controlled for allegiance effects.The Hamilton Anxiety Rating Scale and the State-Trait Anxiety Scale were used as primary outcome measures. Self-report scales of anxiety, worrying and depression including negative metacognition about worrying and thought suppression served as secondary outcome measures. The dropout rate was moderate. The pre-/posttreatment effects were high for the Hamilton Anxiety Rating Scale (standardized mean difference >1) and for the State-Trait Anxiety Inventory (standardized mean difference >0.87). The proportion of patients reaching high end state functioning was 48% (WE) and 56% (AR). WE and AR did not differ with regard to dropout rate or treatment effects. The treatment effects were stable at 6 month and 1 year follow-up. This is the first study to show that a stand-alone exposure in sensu technique--WE--is efficacious in the treatment of GAD. Both AR and WE seem to represent effective principles of change in GAD. 2009 S. Karger AG, Basel.

  12. Common Factors of Meditation, Focusing, and Cognitive Behavioral Therapy: Longitudinal Relation of Self-Report Measures to Worry, Depressive, and Obsessive-Compulsive Symptoms Among Nonclinical Students.

    Science.gov (United States)

    Sugiura, Tomoko; Sugiura, Yoshinori

    Meditation has a long tradition with substantial implications for many psychotherapies. It has been postulated that meditation may cultivate therapeutic processes similar to various psychotherapies. A previous study used joint factor analysis to identify five common factors of items of scales purported to capture psychological states cultivated by meditation, focusing, and cognitive behavioral therapy, namely, refraining from catastrophic thinking, logical objectivity, self-observation, acceptance, and detached coping. The present study aimed to extend previous research on these five factors by examining their longitudinal relationship to symptoms of depression, obsession and compulsion, and worrying, with two correlational surveys without intervention. Potential mediators of their effect on worrying were also explored. Longitudinal questionnaire studies from two student samples (n = 157 and 232, respectively) found that (a) detached coping was inversely related to obsessive-compulsive symptoms about 5 weeks later; (b) detached coping was inversely related to depressive symptoms about 5 weeks later; (c) refraining from catastrophic thinking was inversely related to worrying, while self-observation was positively related to worrying about 2 months later; and (d) the relation of refraining from catastrophic thinking to worrying was mediated by negative beliefs about worrying, while the relation of self-observation to worrying was mediated by negative beliefs about worrying and monitoring of one's cognitive processes. As refraining from catastrophic thinking involves being detached from one's negative thinking and detached coping involves distancing oneself from external circumstances and problems, the results suggest that distancing attitudes are useful for long-term reduction of various psychological symptoms.

  13. Comparison of quality of life and worry of cancer recurrence between endoscopic and surgical treatment for early gastric cancer.

    Science.gov (United States)

    Choi, Jae Hyuk; Kim, Eun Soo; Lee, Yoo Jin; Cho, Kwang Bum; Park, Kyung Sik; Jang, Byoung Kuk; Chung, Woo Jin; Hwang, Jae Seok; Ryu, Seung Wan

    2015-08-01

    The quality of life (QOL) of patients who survive early gastric cancer (EGC) is an area of increasing interest. To compare the QOL and degree of worry of cancer recurrence in EGC patients who underwent endoscopic submucosal dissection (ESD) or surgery. Cross-sectional study. A tertiary referral center. A total of 565 patients with EGC who received ESD or surgery. Questionnaires. QOL was evaluated using the Short-form Health Survey and the European Organization for Research and Treatment of Cancer QOL questionnaires (QLQ-C30 and EORTC-QLQ-STO22). Mood disorders and the worry of cancer recurrence were estimated using the Hospital Anxiety and Depression Scale (HADS) and Worry of Cancer Scale, respectively. Questionnaires were completed by 55.7% of the ESD (137/246) and 58.9% of the surgery (188/319) patients. The surgery group had more QOL-related symptomatic and functional problems, including fatigue (P=.044), nausea/vomiting (P=.032), appetite loss (P=.023), diarrhea (Pbody image (P<.001). The ESD group had significantly higher worry of cancer recurrence scores after adjusting for covariates, especially when visiting their physicians. The HADS results did not differ between the groups. Cross-sectional design. Endoscopic treatment for EGC provides a better QOL, but stomach preservation might provoke cancer recurrence worries. Endoscopists should address this issue for relieving a patient's concern of cancer recurrence during follow-up period after ESD. ( WHO ICTRP KCT0000791.). Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

  14. Worry in Head and Neck Cancer Caregivers: The Role of Survivor Factors, Care-Related Stressors, and Loneliness in Predicting Fear of Recurrence.

    Science.gov (United States)

    Maguire, Rebecca; Hanly, Paul; Balfe, Myles; Timmons, Aileen; Hyland, Philip; O'Sullivan, Eleanor; Butow, Phyllis; Sharp, Linda

    Fear of recurrence (FOR) is a primary concern for both cancer survivors and their caregivers, yet little is known about what care-related factors exacerbate this worry. This study aimed to establish the role of care-related stressors-as distinct from survivor characteristics-in predicting FOR in head and neck cancer caregivers. HNC survivor-caregiver dyads took part in a mailed survey. Survivors provided information on health and quality of life (using the Functional Assessment of Cancer Therapy Questionnaire). Caregivers provided sociodemographic information, impact of caring on their time and finances, as well as their level of social support (Oslo Support Scale), loneliness (3-point loneliness scale), and completed the Worry of Cancer Scale (to measure FOR). Data from 180 dyads were available for analysis. Multiple regression analysis was used to examine the role of caregiver stressors, social support, and loneliness while controlling for caregiver and survivor characteristics. The model explained 28% of the variance in Worry of Cancer scores (FOR). Caregivers who reported more loneliness, spent more time caring, and had greater financial stress from caring had higher scores on Worry of Cancer (FOR). Female caregivers, those caring for younger survivors, and those with survivors who had undergone less extensive forms of surgery also reported higher FOR. A combination of factors place caregivers at greater risk of cancer-related worry, paving the way for designing interventions aimed at reducing FOR in caregivers of patients with head and neck cancers.

  15. How I Learned to Stop Worrying and Love Standardized Testing

    Science.gov (United States)

    Moxey, Tim

    2005-01-01

    The benefits of standardized testing for a teacher are mentioned for which the teacher has to prepare for the students only for the test and not worry for preparing the students for college, work and life. Standardized testing takes away individualized instruction, does not allow creativity, does not measure true progress or advance critical…

  16. Worry and rumination : underlying processes and transdiagnostic characteristics

    NARCIS (Netherlands)

    Drost, Jolijn

    2014-01-01

    Worry and rumination are cognitive processes that have been proposed to constitute a driving force across many psychological disorders, emotional disorders in particular. The two concepts are often referred to by the overarching term repetitive negative thinking (RNT), however whether they are

  17. Illness perceptions, risk perception and worry in SDH mutation carriers.

    Science.gov (United States)

    van Hulsteijn, L T; Kaptein, A A; Louisse, A; Biermasz, N R; Smit, J W A; Corssmit, E P M

    2014-03-01

    Succinate dehydrogenase (SDH) mutation carriers are predisposed for developing paragangliomas. This study aimed to explore illness perceptions, risk perception and disease-related worry in these individuals. All consecutive SDHB and SDHD mutation carriers followed at the Department of Endocrinology of the Leiden University Medical Center (LUMC), a tertiary referral center, were eligible for inclusion. Illness perceptions were assessed using the validated Illness Perception Questionnaire-Revised and compared to reference populations. Risk perception and worry were measured by two items each and associations with illness perceptions explored. Twenty SDHB and 118 SDHD mutation carriers responded. Compared with various reference groups, SDH mutation carriers perceived less controllability of their condition. SDHB mutation carriers considered their condition to be less chronic in nature (p = 0.005) and perceived more personal (p = 0.018) and treatment control (p = 0.001) than SDHD mutation carriers. Mutation carriers with manifest disease reported more negative illness perceptions and a higher risk perception of developing subsequent tumors than asymptomatic mutation carriers. Illness perceptions, risk perception and disease-related worry were strongly correlated. Risk perception and disease-related worry may be assessed through illness perceptions. The development of interventions targeting illness perceptions may provide tools for genetic counseling.

  18. Future Money-Related Worries among Adolescents after Divorce

    Science.gov (United States)

    Koerner, Susan Silverberg; Korn, Marcella; Dennison, Renee Peltz; Witthoft, Sara

    2011-01-01

    The present research examined adolescents' views of their future with respect to money and financial well-being via an open-ended question and inductive content analysis. The participants were adolescents (N = 255) whose parents were divorced between 5 and 24 months at the time of data collection. The most common worries pertained to (a) being…

  19. Living with Waste: Major Sources of Worries and Concerns about ...

    African Journals Online (AJOL)

    This is one part of a twin paper that addresses the individual and community level impacts around landfills in Lagos metropolis. While this paper examines the major sources of worries and concerns about landfills in Lagos metropolis, the second paper examines the coping mechanisms in response to impacts experienced ...

  20. Increased Pathological Worry Levels in Patients with Alopecia Areata

    Directory of Open Access Journals (Sweden)

    Basak Sahin

    2017-01-01

    Full Text Available Aim: Alopecia Areata (AA is a type of hair loss that has been considered to have associations with various psychiatric disorders. In this study, we aimed to compare pathological worry levels between patients with AA and healthy controls (HC. Material and Method: Sixty-three patients with AA and 90 HCs were included in the present study after applying inclusion and exclusion criteria. The socio-demographic characteristics, some clinical characteristics, and the scores from the Penn State Worry Questionnaire (PSWQ were compared between groups. Results: The demographic characteristics were found to be similar between groups except for gender. The family history of AA was significantly higher in the AA group. The mean score of PSWQ in the AA group was 44.02 ± 11.59, compared to 39.71 ± 7.77 in the HC group. The mean score of PSWQ was significantly higher in the AA group (t=-3.27, p= 0.001.Discussion: The present study is the first to compare pathological worry between patients with AA and HCs. We suggest that pathological worry should be more thoroughly investigated in patients with AA to improve their quality of life. Also, this can be an effective approach to targeting the patients who may develop anxiety disorder.

  1. Parental perceptions of teen driving: Restrictions, worry and influence.

    Science.gov (United States)

    Jewett, Amy; Shults, Ruth A; Bhat, Geeta

    2016-12-01

    Parents play a critical role in preventing crashes among teens. Research of parental perceptions and concerns regarding teen driving safety is limited. We examined results from the 2013 Summer ConsumerStyles survey that queried parents about restrictions placed on their teen drivers, their perceived level of "worry" about their teen driver's safety, and influence of parental restrictions regarding their teen's driving. We produced frequency distributions for the number of restrictions imposed, parental "worry," and influence of rules regarding their teen's driving, reported by teen's driving license status (learning to drive or obtained a driver's license). Response categories were dichotomized because of small cell sizes, and we ran separate log-linear regression models to explore whether imposing all four restrictions on teen drivers was associated with either worry intensity ("a lot" versus "somewhat, not very much or not at all") or perceived influence of parental rules ("a lot" versus "somewhat, not very much or not at all"). Among the 456 parent respondents, 80% reported having restrictions for their teen driver regarding use of safety belts, drinking and driving, cell phones, and text messaging while driving. However, among the 188 parents of licensed teens, only 9% reported having a written parent-teen driving agreement, either currently or in the past. Worrying "a lot" was reported less frequently by parents of newly licensed teens (36%) compared with parents of learning teens (61%). Parents report having rules and restrictions for their teen drivers, but only a small percentage formalize the rules and restrictions in a written parent-teen driving agreement. Parents worry less about their teen driver's safety during the newly licensed phase, when crash risk is high as compared to the learning phase. Further research is needed into how to effectively support parents in supervising and monitoring their teen driver. Published by Elsevier Ltd.

  2. Worrying about the LHC, a lesson from astrophysics?

    CERN Multimedia

    CERN. Geneva

    2008-01-01

    To worry about the LHC is a popular sport. I shall share my own worries, hopefully original, and do it via a parable (for this method, I can quote earlier authors). The parable concerns a topic in astrophysics (gamma-ray bursts) which happens to be a simple exercise --but quite an interesting one-- on elementary particle-physics and beam dynamics, topics not unrelated to the LHC. Though most of the talk will be dedicated to the physics and, in particular, to its recent developments, the allegory will allow me to detect what, I shall argue, may be dangerous 'viruses' invading science. I do not have the decisive antidotes, but I shall discuss some possible ones.

  3. Worries about others' substance use-Differences between alcohol, cigarettes and illegal drugs?

    Science.gov (United States)

    Moan, Inger Synnøve; Storvoll, Elisabet E; Lund, Ingunn Olea

    2017-10-01

    While it is well documented that many experience harm from others' substance use, little is known about the psychological strain associated with others' use. The aims were: (1) to describe the prevalence of worries about others' alcohol, cigarette and illegal drug use, (2) whose substance use people worry about, (3) the overlap in worries, and (4) to examine how worries about others' use of each substance vary according to demographics, own substance use and experience of harm from others' use. A population survey was conducted among 16-64year old Norwegians (N=1667). Respondents' reported on worries about others' alcohol, cigarette and illegal drug use, measures of experiences of harm from others' use of the three substances, and own substance use. Worries about others' drinking were most prevalent. Among those who worried, others' cigarette and illegal drug use caused more frequent worry. While worry about cigarette use was mostly associated with family members' use, worry about others' alcohol and illegal drug use more often concerned friends'/acquaintances' use. About half worried about others' use of at least one substance. Across all three substances, experience of harm from others' substance use was most strongly related to worries. Worries about others' substance use are common and reflect the prevalence of use of the substances in the population. In sum, the findings suggest that worry about others' alcohol and illegal drug use is primarily related to acute harm while worry about others' cigarette smoking is more related to chronic harm. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Modern health worries - the dark side of spirituality?

    Science.gov (United States)

    Köteles, Ferenc; Simor, Péter; Czető, Márton; Sárog, Noémi; Szemerszky, Renáta

    2016-08-01

    Modern health worries (MHWs) are widespread in modern societies. MHWs were connected to both negative and positive psychological characteristics in previous studies. The study aimed to investigate the relationships among intuitive-experiential information processing style, spirituality, MHWs, and psychological well-being. Members of the Hungarian Skeptic Society (N = 128), individuals committed to astrology (N = 601), and people from a non-representative community sample (N = 554) completed questionnaires assessing intuitive-experiential information processing style, spirituality, modern health worries (MHWs), and psychological well-being. Astrologers showed higher levels of spirituality, intuitive-experiential thinking, and modern health worries than individuals from the community sample; and skeptics scored even lower than the latter group with respect to all three constructs. Within the community sample, medium level connections between measures of spirituality and the experiential thinking style, and weak to medium level correlations between spirituality and MHWs were found. The connection between MHWs and experiential thinking style was completely mediated by spirituality. Individuals with higher levels of spirituality are particularly vulnerable to overgeneralized messages on health related risks. Official communication of potential risks based on rational scientific reasoning is not appropriate to persuade them as it has no impact on the intuitive-experiential system. © 2016 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  5. Nature relatedness is connected with modern health worries and electromagnetic hypersensitivity.

    Science.gov (United States)

    Dömötör, Zsuzsanna; Szemerszky, Renáta; Köteles, Ferenc

    2017-03-01

    Although nature relatedness is considered a positive characteristic, its relationship to constructs involving worries about the negative effects of artificial environmental factors is also feasible. A questionnaire assessing modern health worries, electrosensitivity, somatosensory amplification, spirituality, and nature relatedness was completed by 510 individuals. Nature relatedness was related to electrosensitivity, modern health worries, and spirituality. In a binary logistic regression analysis, somatosensory amplification, modern health worries, and nature relatedness were associated with electrosensitivity, and nature relatedness moderated the connection between modern health worries and electrosensitivity. In naive representations, "natural" might be associated with health, whereas "modern" and "artificial" evoke negative associations.

  6. The Relationship Between Worry and Dimensions of Anxiety Symptoms in Children and Adolescents.

    Science.gov (United States)

    Rabner, Jonathan; Mian, Nicholas D; Langer, David A; Comer, Jonathan S; Pincus, Donna

    2017-03-01

    Worry is a common feature across many anxiety disorders. It is important to understand how and when worry presents from childhood to adolescence to prevent long-term negative outcomes. However, most of the existing studies that examine the relationship between worry and anxiety disorders utilize adult samples. The present study aimed to assess the level of worry in children and adolescents and how relationships between worry and symptoms of separation anxiety disorder (SAD) and social anxiety disorder (Soc) may present differently at different ages. 127 children (age 8-12 years) and adolescents (age 13-18 years), diagnosed with any anxiety disorder, presenting at a child anxiety out-patient clinic, completed measures of worry, anxiety and depression. Worry scores did not differ by age group. Soc symptoms were significantly correlated with worry in both age groups; however, SAD symptoms were only significantly correlated with worry in younger participants. After the inclusion of covariates, SAD symptoms but not Soc symptoms remained significant in the regression model with younger children, and Soc symptoms remained significant in the regression model with older children. The finding that worry was comparable in both groups lends support for worry as a stable construct associated with anxiety disorders throughout late childhood and early adolescence.

  7. Adaptação transcultural para o português do instrumento "Revised Conflict Tactics Scales (CTS2" utilizado para identificar violência entre casais

    Directory of Open Access Journals (Sweden)

    Moraes Claudia Leite

    2002-01-01

    Full Text Available Este artigo enfoca a avaliação da equivalência transcultural entre o instrumento Revised Conflict Tactics Scales (CTS2, concebido em inglês e usado para identificar a violência entre casais, e uma versão em português a ser proposta para uso no Brasil. Além de uma ampla revisão bibliográfica, a avaliação da equivalência conceitual e de itens, envolveu discussões de grupos de especialistas sobre a existência e pertinência em nosso meio dos conceitos teóricos subjacentes e dos itens componentes do instrumento. A avaliação da equivalência semântica constou das seguintes etapas: duas traduções e respectivas retraduções; uma avaliação subseqüente da equivalência de significado referencial e geral (conotativo entre as retraduções e o original; novos encontros com especialistas para a definição de uma versão-síntese e a pré-testagem desta, realizada em 774 mulheres. Constatou-se boa equivalência conceitual de itens e semântica, entre a versão final em português e o original, bem como uma excelente aceitabilidade. Apesar de encorajadores, os resultados obtidos devem ser revistos à luz de avaliações psicométricas futuras.

  8. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women.

    Directory of Open Access Journals (Sweden)

    Danielle Mourady

    Full Text Available Health-related quality of life (QOL is reported to be reduced during pregnancy. Associations between QOL, physical activity (PA, insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression. This is an observational cross-sectional study, conducted among a convenient sample of 141 healthy pregnant women using five questionnaires: WHOQOL-brief (WHO quality of life questionnaire, brief version, ISI (Insomnia Severity Index, PSWQ (Penn State Worry Questionnaire, ZSRDS (Zung Self-Rating Depression Scale, and Pregnancy Physical Activity Questionnaire (PPAQ. Pre-gestational BMI was inversely correlated to overall health while education was positively correlated to psychological health, social relationships and environment domains. Smoking before and during pregnancy significantly impacted the general health and psychological health. Total and light PA were positively correlated to psychological health and social relationships. Sports/exercise showed positive correlations with several QOL domains. Insomnia and depression were significantly associated with a decrease in all domains of QOL, while worries were associated with a decrease in physical, psychological and environmental domains. There were significant negative correlations between ZSRDS scores and total activity. PA, worries, depression and insomnia affected QOL during pregnancy. Furthermore, pregnant women presenting depression had a reduced total PA. Sleep and mental health as well as encouraging PA during pregnancy are necessary to improve the quality of life of pregnant women.

  9. The role of stress in the association between low self-esteem, perfectionism, and worry, and eating disorders.

    Science.gov (United States)

    Sassaroli, Sandra; Ruggiero, Giovanni Maria

    2005-03-01

    Several theorists have hypothesized that stressful situations may trigger abnormal eating and even eating disorders in predisposed people. The purpose of the current study was to assess whether a stressful situation would reveal an association between perfectionism, low self-esteem, worry, and body mass index (BMI) and measures of eating disorder symptoms in female high school students. A sample of 145 female high school students completed the Eating Disorder Inventory, the Multidimensional Perfectionism Scale, the Penn State Worry Questionnaire, and the Self Liking and Competence Scale three times--on an average school day, on the day of an examination, and on the day the subjects received the results of that examination. Linear regression analysis was performed to verify whether the dimensions of perfectionism were associated with the measures of eating disorders. Low self-esteem, worry, and parental criticism (a dimension of perfectionism) were associated with the measures of eating disorders only during the stressful situation, whereas concern over mistakes (another dimension of perfectionism) was associated in both stressful and nonstressful situations. The results suggest that in nonclinical female individuals, stress might bring out a previously absent association between some psychological predisposing factors for eating disorders and an actual desire or plan to lose weight. Such a finding suggests that stress may stimulate behaviors related to eating disorders in a predisposed personality. (c) 2005 by Wiley Periodicals, Inc.

  10. "What else are you worried about?" – Integrating textual responses into quantitative social science research

    Science.gov (United States)

    Brümmer, Martin; Schmukle, Stefan C.; Goebel, Jan; Wagner, Gert G.

    2017-01-01

    Open-ended questions have routinely been included in large-scale survey and panel studies, yet there is some perplexity about how to actually incorporate the answers to such questions into quantitative social science research. Tools developed recently in the domain of natural language processing offer a wide range of options for the automated analysis of such textual data, but their implementation has lagged behind. In this study, we demonstrate straightforward procedures that can be applied to process and analyze textual data for the purposes of quantitative social science research. Using more than 35,000 textual answers to the question “What else are you worried about?” from participants of the German Socio-economic Panel Study (SOEP), we (1) analyzed characteristics of respondents that determined whether they answered the open-ended question, (2) used the textual data to detect relevant topics that were reported by the respondents, and (3) linked the features of the respondents to the worries they reported in their textual data. The potential uses as well as the limitations of the automated analysis of textual data are discussed. PMID:28759628

  11. Belief in the paranormal and modern health worries

    Directory of Open Access Journals (Sweden)

    Utinans A.

    2014-01-01

    Full Text Available It has been found, that despite the improvement of the objective health indicators, people's subjective perception of health is that health indicators are getting worse (Barsky A.J., 1988, which is one of the reasons why a new term “modern health worries” is coming into use in medical literature (Petrie K.J., Wessely S., 2002. People are worried and scared of the effect of new high tech innovations (effect of cell phone radiation, environmental pollution, ozone layer depletion, etc., changes in manufacturing of food products (genetically modified food, food concentrates etc.. Nowadays, many people, being worried about their health, turn to new eating habits (veganism, defend themselves against various innovations in the health system (vaccination, etc. It could be defined as fear of consequences of scientific progress. The reason of fear is not only the misunderstanding of scientific innovations. Quite often, it is a belief in pseudoscientific theories (for example, “conspiracy” or belief in the paranormal phenomena (karma violations, disruption of the cosmic plan. In a part of cases protesters against vaccines and genetically modified food belong to new religious movements which are based on belief in the paranormal and magical thinking. Magical thinking predisposes to the negative attitude towards scientific assumptions and innovations, like a genetically modified food (Saher, 2006. Aim of study. To study the correlation between pseudoscientific assumptions, belief in the paranormal and modern health worries. This condition of modern health worries is becoming important for health care system. It causes the increase in the number of symptoms (Koteles et al., 2011, which, in its turn, increases the doctors' visit rate on one hand (Rief W et al., 2012, but, on the other hand, increases evasion to attend traditional medical care activities. Part of supporters of pseudoscientific beliefs experiences anxiety as to the bad food toxins

  12. Does Worrying Mean Caring Too Much? Interpersonal Prototypicality of Dimensional Worry Controlling for Social Anxiety and Depressive Symptoms.

    Science.gov (United States)

    Erickson, Thane M; Newman, Michelle G; Siebert, Erin C; Carlile, Jessica A; Scarsella, Gina M; Abelson, James L

    2016-01-01

    Worry, social anxiety, and depressive symptoms are dimensions that have each been linked to heterogeneous problems in interpersonal functioning. However, the relationships between these symptoms and interpersonal difficulties remain unclear given that most studies have examined diagnostic categories, not accounted for symptoms' shared variability due to general distress, and investigated only interpersonal problems (neglecting interpersonal traits, interpersonal goals, social behavior in daily life, and reports of significant others). To address these issues, students (Study 1; N=282) endorsed symptoms and interpersonal circumplex measures of traits and problems, as well as event-contingent social behaviors during one week of naturalistic daily interactions (N=184; 7,036 records). Additionally, depressed and anxious patients (N=47) reported symptoms and interpersonal goals in a dyadic relationship, and significant others rated patients' interpersonal goals and impact (Study 2). We derived hypotheses about prototypical interpersonal features from theories about the functions of particular symptoms and social behaviors. As expected, worry was uniquely associated with prototypically affiliative tendencies across all self-report measures in both samples, but predicted impacting significant others in unaffiliative ways. As also hypothesized, social anxiety was uniquely and prototypically associated with low dominance across measures, and general distress was associated with cold-submissive tendencies. Findings for depressive symptoms provided less consistent evidence for unique prototypical interpersonal features. Overall, results suggest the importance of multimethod assessment and accounting for general distress in interpersonal models of worry, social anxiety, and depressive symptoms. Copyright © 2015. Published by Elsevier Ltd.

  13. Nuclear War as a Source of Adolescent Worry: Relationships with Age, Gender, Trait Emotionality, and Drug Use.

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    Hamilton, Scott B.; And Others

    1988-01-01

    Compares the extent to which adolescents worry about nuclear war to their frequency of worry about other issues. Looks at the empirical relationships among worry and grade level, gender, trait emotionality, and drug use. Results indicate that adolescents worry more often about school performance and social interactions than about nuclear war.…

  14. Worry experienced during the 2015 Middle East Respiratory Syndrome (MERS pandemic in Korea.

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    Jun-Soo Ro

    Full Text Available Korea failed in its risk communication during the early stage of the Middle East Respiratory Syndrome (MERS outbreak; consequently, it faced difficulties in managing MERS, while disease-related worry increased. Disease-related worry can help disease prevention and management, but can also have a detrimental effect. This study measured the overall level of disease-related worry during the MERS outbreak period in Korea and the influencing factors and levels of disease-related worry during key outbreak periods.The cross-sectional survey included 1,000 adults who resided in Korea. An ordinal logistic regression was performed for the overall level of MERS-related worry, and influencing factors of worry were analyzed. A reliability test was performed on the levels of MERS-related worry during key outbreak periods.The overall level of MERS-related worry was 2.44. Multivariate analysis revealed that women and respondents w very poor subjective health status had higher levels of worry. Respondents with very high stress in daily life had higher levels of worry than those who reported having little stress. The reliability test results on MERS-related worry scores during key outbreak periods showed consistent scores during each period.Level of worry increased in cases having higher perceived susceptibility and greater trust in informal information, while initial stage of outbreak was closely associated with that at later stages. These findings suggest the importance of managing the level of worry by providing timely and accurate disease-related information during the initial stage of disease outbreak.

  15. Frequency of Worry and Anxiety in Epileptic Children's Mothers

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    Bagheri-Galeh S.

    2013-01-01

    Full Text Available Background and Objectives: Adverse effect of children's epilepsy on family members, especially mothers, is an issue that has been less considered. One of these effects is anxiety increase in mothers. This study has been done with the purpose of determining frequency of worry and anxiety in epileptic children's mothers and recognizing the factors affecting it.Methods: This descriptive cross-sectional study has been done with the participation of epileptic children's mothers referred to Mofid Neurology Clinic of Medical Training and Therapy Center of Children. Anxiety level was determined by the State Trait Anxiety Inventory (STAI standard questionnaire. The data was analyzed using t-test, Mann-Whitney test and one-way ANOVA and in all cases, p<0.05 considered as significant.Results: In this study, 206 mothers were surveyed. The mean anxiety scores of mothers was 45±9.5. 84 subjects (40.7% had mild anxiety, 71 (34.5% had moderate anxiety and 51 (24.8% had severe anxiety. Anxiety of mothers was significantly higher in cases such as education of child in special school (p=0.018, the high number of antiepileptic drugs (AEDs consumed for controlling epilepsy (p=0.011, worry of death (p<0.001, permanent brain damage (p=0.036, drug side effects (p<0.01 and paralysis of child (p=0.030. Mothers who had been previously trained about epilepsy in center, had lower anxiety (p<0.001.‍Conclusion: This study showed that the majority of epileptic children's mothers had moderate and severe anxiety. This phenomenon will be higher in cases like child’s education in special school, multi medication therapy and worries of side effects of epilepsy and will be lower by increasing mothers’ awareness.

  16. A Stress Inoculation Program to Cope with Test Anxiety: Differential Efficacy as a Function of Worry or Emotionality

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    Isabel Serrano Pintado

    2016-01-01

    Full Text Available Objective: This study experimentally investigated whether the effects of three different coping programs designed to reduce test anxiety were due to the predominant component of participants’ anxiety. Design: The study involved 259 participants, high text anxiety university students, real clinical cases collected and studied during eight years. The experimental sample was finally composed of 94 selected participants with irrational test anxiety. The experimental factors were: Therapy (intra-subject factor, pre and post- intervention, Treatment (cognitive, physiological and cognitive-physiological, Worry (high-low and Emotionality (high-low. Measures: Several anxiety questionnaires (TAS, TAI, ITA, CI, STAI were used as indicators of anxiety. Results: Using confidence intervals, we found evidence of changes in the level of measured anxiety in varied degree in the different Worry and Emotionality groups. Conclusion: The three different training programmes reduced test anxiety but did not lead to reductions on the same scale in pre-test anxiety in different groups of emotionality and worry. These results could be decisive in the phase of selection of the most suitable treatment for the patient along the therapeutic process.

  17. Breast cancer worry among women awaiting mammography: is it unfounded? Does prior counseling help?

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    Steinemann, Susan K; Chun, Maria B J; Huynh, Dustin H; Loui, Katherine

    2011-07-01

    The purpose of this study was to explore the prevalence of breast cancer anxiety and risk counseling in women undergoing mammography, and the association with known risk factors for cancer. Women awaiting mammography were surveyed regarding anxiety, prior breast cancer risk counseling, demographic and risk factors. Anxiety was assessed via 7-point Likert-type scale (LS). Risk was defined by Gail model or prior breast cancer. Data were analyzed by nonparametric methods; significance determined at alpha = 0.05. Of 227 women surveyed, 54 were classified "higher risk". Counseling prevalence was similar (52%) for all ethnic groups, but higher (72%, PCounseling by primary care physicians (PCP) did not correlate with lower worry scores. It was concluded that most women awaiting mammography are not unduly anxious. Additionally, the findings showed a correlation between a woman's concern about developing cancer with known risk factors and rural residence.

  18. The everyday dynamics of rumination and worry: precipitant events and affective consequences.

    Science.gov (United States)

    Kircanski, Katharina; Thompson, Renee J; Sorenson, James; Sherdell, Lindsey; Gotlib, Ian H

    2017-01-20

    Rumination and worry are two perseverative, negatively valenced thought processes that characterise depressive and anxiety disorders. Despite significant research interest, little is known about the everyday precipitants and consequences of rumination and worry. Using an experience sampling methodology, we examined and compared rumination and worry with respect to their relations to daily events and affective experience. Participants diagnosed with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), co-occurring MDD-GAD, or no diagnosis carried an electronic device for one week and reported on rumination, worry, significant events, positive affect (PA), and negative affect (NA). Across the clinical groups, occurrences of everyday events predicted subsequent increases in rumination, but not worry. Further, higher momentary levels of rumination, but not worry, predicted subsequent decreases in PA and increases in NA. Thus, in these clinical groups, rumination was more susceptible to daily events and produced stronger affective changes over time. We discuss implications for theory and clinical intervention.

  19. On the worrying fate of Data Deficient amphibians.

    Science.gov (United States)

    Nori, Javier; Loyola, Rafael

    2015-01-01

    The 'Data Deficient' (DD) category of the IUCN Red List assembles species that cannot be placed in another category due to insufficient information. This process generates uncertainty about whether these species are safe or actually in danger. Here, we give a global overview on the current situation of DD amphibian species (almost a quarter of living amphibians) considering land-use change through habitat modification, the degree of protection of each species and the socio-political context of each country harboring DD species. We found that DD amphibians have, on average, 81% of their ranges totally outside protected areas. Worryingly, more than half of DD species have less than 1% of their distribution represented in protected areas. Furthermore, the percentage of overlap between species' range and human-modified landscapes is high, at approximately 58%. Many countries harboring a large number of DD species show a worrying socio-political trend illustrated by substantial, recent incremental increases in the Human Development Index and lower incremental increases in the establishment of protected areas. Most of these are African countries, which are located mainly in the central and southern regions of the continent. Other countries with similar socio-political trends are in southeastern Asia, Central America, and in the northern region of South America. This situation is concerning, but it also creates a huge opportunity for considering DD amphibians in future conservation assessments, planning, and policy at different levels of government administration.

  20. Worry becomes hope in education for sustainable development

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    Lena Persson

    2011-01-01

    Full Text Available Researchers in environmental education and education for sustainable development (ESD have discussed in what ways young people’s experience in school may contribute to their action competence. This paper illustrates how an action research study centered on students’ reflections can contribute to a change in teaching that supports their action competence in education for sustainable development (ESD. The emphasis is on a pluralistic approach to ESD in which problems concerning sustainable development are considered as open-ended where students’ voices, action competence and decision-makingplay an important role. The researcher together with a teacher and her Year 9 class in a suburb of Stockholm carried out the action research study. The research corpus for the study was the students’ reflections in log books and interviews. Interviews were conducted with a smaller group of five students, and an interview was also made with the teacher at the end of the project to document her experiences. The case illustrates how students’ worries weremade salient through their reflections, which in turn made a change in teaching possible that transformed students’ worries into hope and supported their action competence. This way of working in the school practice may help teachers to think about ESD in new ways as well as in other areas of education.

  1. Dementia worry and its relationship to dementia exposure, psychological factors, and subjective memory concerns.

    Science.gov (United States)

    Kinzer, Adrianna; Suhr, Julie A

    2016-01-01

    With increased societal awareness of dementia, older adults show increased concern about developing dementia, leading to misidentification of aging-related cognitive glitches as signs of dementia. While some researchers have suggested self-reported cognitive concerns accurately identify older adults with early signs of dementia, there is evidence that subjective cognitive decline is not associated with objective cognitive performance and instead reflects psychological factors consistent with models of health anxiety, including dementia worry. We examined the construct of dementia worry and its relationship to subjective memory concerns in 100 older adults (Mage = 69 years) without signs of dementia, using a recently developed measure of dementia worry. Consistent with hypotheses, dementia worry was related to exposure to dementia, having a high number of depressive or general worry symptoms, and having more memory concerns. Exposure to dementia moderated the relationship of dementia worry to depression and general worry. Furthermore, dementia worry moderated the relationship of objective memory impairment to subjective memory ratings. The results provide further evidence of the role of psychological factors such as dementia worry in subjective memory report and emphasize the need for objective cognitive testing before making determinations about dementia in older adults expressing memory concerns.

  2. Validation and application of a measurement scale on environmental practices for high school teachers in Patos, Paraíba

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    Edevaldo Silva

    2016-12-01

    Full Text Available The objective was to create, validate and apply a measurement scale on environmental practices for teachers of various educational areas (exact sciences, humanities, natural sciences and Portuguese, from six public high schools in the city of Patos, Paraíba. To that end, it was created a questionnaire related to the topic, consisting of 24 items in the Likert scale model, being statistically validated as its consistency and reliability by factor analysis and by the α-Cronbach’s test. The assessed measurement scale has been validated (n = 34 with the exclusion of five items, getting excellent α-Cronbach’s coefficient (0.95. In the application of the questionnaire (n = 68, most teachers had social and environmental practices little consistent with environmentally sustainable practices. The results suggest that the high school teachers of the surveyed public schools have inadequate knowledge and/or practices for teaching Environmental Education, revealing that, probably, the students are not receiving basic environmental knowledge for their critical and reflective thinking on the various environmental problems.

  3. Transverse forces versus modified ashworth scale for upper limb flexion/extension in para-sagittal plane.

    Science.gov (United States)

    Seth, Nitin; Johnson, Denise; Abdullah, Hussein A

    2017-07-01

    Spasticity is a common impairment following an upper motor neuron lesion in conditions such as stroke and brain injury. A clinical issue is how to best quantify and measure spasticity. Recently, research has been performed to develop new methods of spasticity quantification using various systems. This paper follows up on previous work taking a closer look at the role of transversal forces obtained via rehabilitation robot for motions in the para-sagittal plane. Results from 45 healthy individuals and 40 individuals with acquired brain injury demonstrate that although the passive upper motions are vertical, horizontal forces into and away from the individual's body demonstrate a relationship with the Modified Ashworth Scale. This finding leads the way to new avenues of spasticity quantification and monitoring.

  4. Nurses' 'worry' as predictor of deteriorating surgical ward patients: A prospective cohort study of the Dutch-Early-Nurse-Worry-Indicator-Score.

    Science.gov (United States)

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2016-07-01

    Nurses' 'worry' is used as a calling criterion in many Rapid Response Systems, however it is valued inconsistently. Furthermore, barriers to call the Rapid Response Team can cause delay in escalating care. The literature identifies nine indicators which trigger nurses to worry about a patient's condition. The objective of this study is to determine the significance of nurses' 'worry' and/or indicators underlying 'worry' to predict unplanned Intensive-Care/High-Dependency-Unit admission or unexpected mortality among surgical ward patients. A prospective cohort study. A 500-bed tertiary University affiliated teaching hospital. Adult, native speaking surgical patients, admitted to three surgical wards (traumatology, vascular- and abdominal/oncological surgery). We excluded patients with a non-ICU policy or with no curative treatment. Mentally incapacitated patients were also excluded. We developed a new clinical assessment tool, the Dutch-Early-Nurse-Worry-Indicator-Score (DENWIS) based on signs underlying 'worry'. Nurses systematically scored their 'worry' and the DENWIS once per shift or at any moment of 'worry'. DENWIS measurements were linked to routinely measured vital signs. The composite endpoint was unplanned Intensive-Care/High-Dependency-Unit admission or unexpected mortality. The DENWIS-indicators were included in a univariate and multivariate logistic regression analysis, subsequently inserting 'worry' and the Early Warning Score into the model. We calculated the area under the receiver-operating characteristics curve. In 3522 patients there were 102 (2.9%) patients with unplanned Intensive Care Unit/High Dependency Unit-admissions or unexpected mortality. 'Worry' (0.81) and the DENWIS-model (0.85) had a lower area under the receiver-operating characteristics curve than the Early Warning Score (0.86). Adding 'worry' and the Early Warning Score to the DENWIS-model resulted in higher areas under the receiver operating characteristics curves (0.87 and 0

  5. Relationships among Perceived Racial Stress, Intolerance of Uncertainty, and Worry in a Black Sample

    Science.gov (United States)

    Rucker, LaTanya S.; West, Lindsey M.; Roemer, Lizabeth

    2010-01-01

    The purpose of this study was to explore the relationships among chronic worry, perceived racial stress, and intolerance of uncertainty in a sample of adults who racially identify as Black. Intolerance of uncertainty has been associated with worry and generalized anxiety disorder in predominantly White samples. Given that racial stress is likely…

  6. Worry and Metacognitions as Predictors of Anxiety Symptoms: A Prospective Study

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    Truls Ryum

    2017-05-01

    Full Text Available Both worry and metacognitive beliefs have been found to be related to the development of anxiety, but metacognitive theory (Wells and Matthews, 1994; Wells, 2009 suggest that metacognitive beliefs may play a more prominent role. The aim of the present prospective study was to examine whether worry, metacognitive beliefs or the interaction between worry and metacognitive beliefs, were the best predictor of anxiety over time, utilizing a longitudinal, prospective study design. An undergraduate student sample (N = 190 was assessed on measures of worry (PSWQ, metacognitive beliefs (MCQ-30 and anxiety (BAI at three points in time over a 7-month period. A mixed-model analysis revealed that both worry and metacognitive beliefs predicted development of anxiety, independently of each other, with no indication of an interaction-effect (PSWQ * MCQ-30. Further, analyses of the MCQ-30 subscales indicated that negative metacognitive beliefs may be particularly important in the development of anxiety. While gender was correlated with worry, gender predicted anxiety beyond the effect of worry. Taken together, the results imply that both worry and metacognitive beliefs play a prominent role for the development of anxiety.

  7. Health Worry, Physical Activity Participation, and Walking Difficulty among Older Adults: A Mediation Analysis

    Science.gov (United States)

    Li, Kin-Kit; Cardinal, Bradley J.; Vuchinich, Samuel

    2009-01-01

    This study examined the effect of health worry (i.e., cognitive aspect of anxiety resulting from concern for health) on walking difficulty in a nationally representative sample (N = 7,527) of older adults (M age = 76.83 years). The study further tested whether physical activity mediates the effect of health worry on walking difficulty in a 6-year…

  8. Quality of life, self-esteem and worries in young adult survivors of childhood cancer

    NARCIS (Netherlands)

    Langeveld, N. E.; Grootenhuis, M. A.; Voûte, P. A.; de Haan, R. J.; van den Bos, C.

    2004-01-01

    This study assessed quality of life, self-esteem and worries in young adult survivors of childhood cancer compared to a group of young adults with no history of cancer. The impact of demographic, medical and treatment factors and self-esteem on survivors' quality of life and worries was studied.

  9. The Relation between Self-Reported Worry and Annoyance from Air and Road Traffic

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    Frits van den Berg

    2015-02-01

    Full Text Available Negative perceptions such as fear or worry are known to be an important determinant of annoyance. Annoyance caused by noise and odour has been analysed in relation to worry about safety or health due to environmental hazards, using responses to a health survey. In the survey area high environmental impacts come from air and road traffic. The survey results show a correlation between worry due to the airport or passing aircraft and noise and odour annoyance from aircraft (correlation coefficient (c.c. close to 0.6. For the relation between worry about a busy street and annoyance from road traffic the correlation is lower (c.c. 0.4–0.5. Worries about different situations, such as living below sea level, close to an airport, busy street or chemical industry, are highly correlated (c.c. 0.5–0.9, also for situations that are not obviously related. Personal factors can also lead to more worry: being female, above 35 years of age, having a high risk for anxiety/depression and being in bad health increase the odds for being worried. The results thus suggest that worry about safety or health is correlated to both personal and environmental factors.

  10. The Relation between Self-Reported Worry and Annoyance from Air and Road Traffic

    Science.gov (United States)

    van den Berg, Frits; Verhagen, Claudia; Uitenbroek, Daan

    2015-01-01

    Negative perceptions such as fear or worry are known to be an important determinant of annoyance. Annoyance caused by noise and odour has been analysed in relation to worry about safety or health due to environmental hazards, using responses to a health survey. In the survey area high environmental impacts come from air and road traffic. The survey results show a correlation between worry due to the airport or passing aircraft and noise and odour annoyance from aircraft (correlation coefficient (c.c.) close to 0.6). For the relation between worry about a busy street and annoyance from road traffic the correlation is lower (c.c. 0.4–0.5). Worries about different situations, such as living below sea level, close to an airport, busy street or chemical industry, are highly correlated (c.c. 0.5–0.9), also for situations that are not obviously related. Personal factors can also lead to more worry: being female, above 35 years of age, having a high risk for anxiety/depression and being in bad health increase the odds for being worried. The results thus suggest that worry about safety or health is correlated to both personal and environmental factors. PMID:25723645

  11. Worry and Rumination in Generalized Anxiety Disorder and Obsessive Compulsive Disorder.

    Science.gov (United States)

    Dar, Kaiser A; Iqbal, Naved

    2015-01-01

    Ample work has already been conducted on worry and rumination as negative thought processes involved in the etiology of most of the anxiety and mood related disorders. However, minimal effort has been exerted to investigate whether one type of negative thought process can make way for another type of negative thought process, and if so, how it subsequently results in experiencing a host of symptoms reflective of one or the other type of psychological distress. Therefore, the present study was taken up to investigate whether rumination mediates the relationship between worry and generalized anxiety disorder (GAD), and between worry and obsessive compulsive disorder (OCD) in two clinical groups. Self-report questionnaires tapping worry, rumination, generalized anxiety disorder (GAD), and obsessive compulsive disorder (OCD) were administered to a clinical sample of 60 patients aged 30-40. Worry, rumination, generalized anxiety disorder (GAD), and obsessive compulsive disorder (OCD) correlated substantially with each other, however, rumination did not mediate the relationship between worry and generalized anxiety disorder (GAD) and between worry and obsessive compulsive disorder (OCD). We also analyzed differences of outcome variables within two clinical groups. These results showed that worry and rumination were significantly different between GAD and OCD groups.

  12. A Survey of Worry Domains in Student of Zabol Universities in 2003

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    Mohammad Reza Firouzkouhi

    2009-02-01

    Full Text Available Background and purpose: Worry, as a cognitive domain to anxiety, defined as a central feature of some clinical disorders. Worry plays an important role in psychopathology. Among general population,higher education students are experiencing worry in several domains, which can influence on their educational performance and social activities.Methods: In this study worry domains of Zabol public university students have been examined. 362 students in seven faculty of 2003 academic year were randomly selected. All the students filled worry domains questionnaire.Results: The result revealed that the hierarchy of student’s worry domains could be placed under the following domains in descending order: 1 – future goals (82.3%. 2-job (75.5% 3- uncertainty (51%.4- financial conditon (66% 5- relationship (56.6%.Conclusion: According to the present findings Zabol public university student’s main worry domain is aimless future and work. The implication to this study can be used in counseling centers and in future planning for student’s mental health.Key word: ANXIETY, WORRY, UNIVERSITY STUDENTS 

  13. The power of positive thinking: Pathological worry is reduced by thought replacement in Generalized Anxiety Disorder.

    Science.gov (United States)

    Eagleson, Claire; Hayes, Sarra; Mathews, Andrew; Perman, Gemma; Hirsch, Colette R

    2016-03-01

    Worry in Generalized Anxiety Disorder (GAD), takes a predominantly verbal form, as if talking to oneself about possible negative outcomes. The current study examined alternative approaches to reducing worry by allocating volunteers with GAD to conditions in which they either practiced replacing the usual form of worry with images of possible positive outcomes, or with the same positive outcomes represented verbally. A comparison control condition involved generating positive images not related to worries. Participants received training in the designated method and then practiced it for one week, before attending for reassessment, and completing follow-up questionnaires four weeks later. All groups benefited from training, with decreases in anxiety and worry, and no significant differences between groups. The replacement of worry with different forms of positive ideation, even when unrelated to the content of worry itself, seems to have similar beneficial effects, suggesting that any form of positive ideation can be used to effectively counter worry. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  14. A Preliminary Investigation of Stimulus Control Training for Worry: Effects on Anxiety and Insomnia

    Science.gov (United States)

    McGowan, Sarah Kate; Behar, Evelyn

    2013-01-01

    For individuals with generalized anxiety disorder, worry becomes associated with numerous aspects of life (e.g., time of day, specific stimuli, environmental cues) and is thus under poor discriminative stimulus control (SC). In addition, excessive worry is associated with anxiety, depressed mood, and sleep difficulties. This investigation sought…

  15. Intolerance of uncertainty, depression, and anxiety: Examining the indirect and moderating effects of worry.

    Science.gov (United States)

    Dar, Kaiser Ahmad; Iqbal, Naved; Mushtaq, Arbaaz

    2017-10-01

    The present study sought to examine the indirect and moderating effects of worry between intolerance of uncertainty (IU) and symptoms of depression and anxiety. The study was a cross sectional study. Data were collected from 120 psychiatric patients, aged 22 to 37 years. A battery of self-report questionnaires was administered for tapping IU, worry, depression and anxiety symptoms. Results from indirect effects analyses revealed that even though IU, worry, depression, and anxiety symptoms correlated moderately with each other, worry carried a substantial proportion of variance in predicting symptoms of depression and anxiety. However, the relative effect was more pronounced for anxiety compared to depression symptoms. The results from hierarchical analyses supported the moderator role of worry. More specifically, a high level of worry enhanced the association between IU and symptoms of depression and anxiety. Given the potential for worry as a mechanism, and/or moderator between IU and symptoms of depression and anxiety, adults with a tendency to use this negative repetitive thought process (e.g. worry) may be at higher risk to develop psychological symptoms. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Worry about Terror in Israel: Differences between Jewish and Arab Adolescents and Young Adults

    Science.gov (United States)

    Peleg, Ora

    2010-01-01

    The current study examines group differences in (1) levels of worry about terror and (2) trait anxiety among a sample of high-school and university students, where groups are defined by cultural affiliation, religious commitment, place of residence, gender and age. The revealed group differences in levels of worry about terror point to the ability…

  17. Psychometric Properties of the Penn State Worry Questionnaire for Children in a Large Clinical Sample

    Science.gov (United States)

    Pestle, Sarah L.; Chorpita, Bruce F.; Schiffman, Jason

    2008-01-01

    The Penn State Worry Questionnaire for Children (PSWQ-C; Chorpita, Tracey, Brown, Collica, & Barlow, 1997) is a 14-item self-report measure of worry in children and adolescents. Although the PSWQ-C has demonstrated favorable psychometric properties in small clinical and large community samples, this study represents the first psychometric…

  18. The effect of state worry and trait anxiety on working memory processes in a normal sample.

    Science.gov (United States)

    Walkenhorst, Elizabeth; Crowe, Simon F

    2009-03-01

    This study investigated the effects of trait anxiety and state worry on working memory performance in a normal sample. Phase one investigated the effects of trait anxiety and state worry on the capacity of specific working memory components. Phase two investigated the validity of Eysenck and Calvo's (1992) Processing Efficiency Theory of worry. Sixty adult participants (40 females and 20 males with a mean age of 26 years) were assigned to a 2 (trait anxiety: Low vs. high)x2 (state worry: Low vs. high) between-subjects design. Contrary to prediction, worry did not lead to a decrement in performance on verbal working memory tasks but unexpectedly enhanced performance on visual tasks in participants with low trait anxiety (LTA). The results were also in opposition to expectations for Phase two. Individuals in the conditions of high trait anxiety and/or high state worry (LTA/HW, HTA/LW, and HTA/HW) displayed shorter response latencies than individuals in the LTA and low state worry (LTA/LW) condition on both verbal and spatial working memory (i.e., N-back) tasks. Although non-pathological worry is predominantly a verbal-linguistic activity, it may also be complemented by the processing of visual imagery which facilitates problem-solving and adaptive functions.

  19. Worry and problem-solving skills and beliefs in primary school children.

    Science.gov (United States)

    Parkinson, Monika; Creswell, Cathy

    2011-03-01

    To examine the association between worry and problem-solving skills and beliefs (confidence and perceived control) in primary school children. Children (8-11 years) were screened using the Penn State Worry Questionnaire for Children. High (N= 27) and low (N= 30) scorers completed measures of anxiety, problem-solving skills (generating alternative solutions to problems, planfulness, and effectiveness of solutions) and problem-solving beliefs (confidence and perceived control). High and low worry groups differed significantly on measures of anxiety and problem-solving beliefs (confidence and control) but not on problem-solving skills. Consistent with findings with adults, worry in children was associated with cognitive distortions, not skills deficits. Interventions for worried children may benefit from a focus on increasing positive problem-solving beliefs. ©2010 The British Psychological Society.

  20. Rumination and Worry in Daily Life: Examining the Naturalistic Validity of Theoretical Constructs.

    Science.gov (United States)

    Kircanski, Katharina; Thompson, Renee J; Sorenson, James; Sherdell, Lindsey; Gotlib, Ian H

    2015-11-01

    Rumination and worry, two forms of perseverative thinking, hold promise as core processes that transect depressive and anxiety disorders. Whereas previous studies have been limited to the laboratory or to single diagnoses, we used experience sampling methods to assess and validate rumination and worry as transdiagnostic phenomena in the daily lives of individuals diagnosed with Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), and co-occurring MDD-GAD. Clinical and healthy control participants carried a hand-held electronic device for one week. Eight times per day they reported on their current levels of rumination and worry and their theoretically postulated features: thought unpleasantness, repetitiveness, abstractness, uncontrollability, temporal orientation, and content, and overall senses of certainty and control. Both rumination and worry emerged as transdiagnostic processes that cut across MDD, GAD, and MDD-GAD. Furthermore, most psychological theories concerning rumination and worry strongly mapped onto participants' reports, providing the first naturalistic validation of these constructs.

  1. Sleep disturbance and depressive symptoms in adolescence: the role of catastrophic worry.

    Science.gov (United States)

    Danielsson, Nanette S; Harvey, Allison G; Macdonald, Shane; Jansson-Fröjmark, Markus; Linton, Steven J

    2013-08-01

    Depression is a common and debilitating disorder in adolescence. Sleep disturbances and depression often co-occur with sleep disturbances frequently preceding depression. The current study investigated whether catastrophic worry, a potential cognitive vulnerability, mediates the relationship between adolescent sleep disturbances and depressive symptoms, as well as whether there are gender differences in this relationship. High school students, ages 16-18, n = 1,760, 49% girls, completed annual health surveys including reports of sleep disturbance, catastrophic worry, and depressive symptoms. Sleep disturbances predicted depressive symptoms 1-year later. Catastrophic worry partially mediated the relationship. Girls reported more sleep disturbances, depressive symptoms, and catastrophic worry relative to boys. The results, however, were similar regardless of gender. Sleep disturbances and catastrophic worry may provide school nurses, psychologists, teachers, and parents with non-gender specific early indicators of risk for depression. Several potentially important practical implications, including suggestions for intervention and prevention programs, are highlighted.

  2. Adaptation of the Visual Analog Sleep Scales to Portuguese Adaptación del Visual Analog Sleep Scales a la lengua portuguesa Adaptação das Visual Analog Sleep Scales para a língua portuguesa

    Directory of Open Access Journals (Sweden)

    Ellen Cristina Bergamasco

    2007-10-01

    Full Text Available This article reports the adaptation of the Visual Analog Sleep (VAS Scales developed to assess patients' perception about their sleep on the previous 24 hours. Original scales, translated to Portuguese and submitted to content validation, were tested for reliability and validity. Convenience sample was composed of 180 patients on the first postoperative day (mean age 39.3±12.3 years; 68.3% female. The Disturbance Scale was kept with 7 items (a=.80 and the Effectiveness Scale with 5 items (a=.78; both maintained the original structure. Item 13 (Wake after final arousal had to be excluded from Supplementation Scale, that kept 3 out of its 4 items (a=.72. There was negative correlation between Disturbance and Effectiveness (r=-.68 pEste articulo relata la adaptación de las Visual Analog Sleep (VAS Scales, que evalúan la percepción cuanto el sueño en el día anterior. Las escalas, traducidas para el portugués y ajustadas después de validación aparente, fueran sometidas a testes de confiabilidad y validad. La muestra de conveniencia abarcó a 180 pacientes en el primero día postoperatorio (edad media 39,3±12,3 anos; 68,3% mujeres. La escala de Disturbio se mantuvo con 7 ítems (a=0,80 y la Escala de Efectividad con 5 ítems (a=0,78. El ítem 13 (Levantarse después de el despertar final tuvo que ser excluido de la escala de Suplementación, restándole 3 de los 4 ítems (a= 0,72. Hubo correlación negativa entre el Disturbio y Efectividad (r=-0,68 pEste artigo relata a adaptação das Visual Analog Sleep (VAS Scales que avaliam a percepção da pessoa quanto ao sono do dia anterior. As escalas, traduzidas para o português (Escalas Visuais Análogas - Sono e ajustadas após validação aparente, foram submetidas a testes empíricos de confiabilidade e validade. A amostra de conveniência foi de 180 pacientes em primeiro pós-operatório (idade média de 39,3±12,3 anos; 68,3% mulheres. Como no original, a Escala de Distúrbio manteve-se com

  3. Diet quality and feelings of worry, sadness or unhappiness in Canadian children.

    Science.gov (United States)

    McMartin, Seanna E; Willows, Noreen D; Colman, Ian; Ohinmaa, Arto; Storey, Kate; Veugelers, Paul J

    2013-07-25

    To examine the association between diet quality and feelings of worry, sadness or unhappiness in Canadian children. Responses to the Harvard Food Frequency Questionnaire of 6,528 grade 5 students were used to calculate a composite score of diet quality, and its components: variety, adequacy, moderation and balance. Responses to the question on "feelings of worry, sadness or unhappiness" from the EuroQoL 5 Dimension questions for Youth (EQ-5D-Y), a validated Health Related Quality of Life questionnaire, constitute the outcome of interest. Multilevel logistic regression methods were used to examine the association between diet quality and feelings of worry, sadness or unhappiness. All analyses were adjusted for gender, household income, parental education, energy intake, weight status, physical activity level, geographic area and year of data collection. Diet quality was inversely associated with children's feelings of worried, sad or unhappy (Odds ratio (95% confidence interval): 0.90 (0.85-0.97)). Dietary variety and dietary adequacy were also statistically significantly associated with lower odds of feeling worried, sad or unhappy. When the results were stratified by gender, the effect of diet on feeling worried, sad or unhappy was more pronounced in girls than boys. These findings suggest that diet quality plays a role in feelings of worry, sadness or unhappiness and complement other studies that have suggested the link between diet and mental health. We recommend consideration of diet quality in public health strategies that aim to reduce the burden of poor mental health in children and youth.

  4. Relations among perceived parental rearing behaviors, attachment style, and worry in anxious children.

    Science.gov (United States)

    Brown, Amy M; Whiteside, Stephen P

    2008-01-01

    The present study extended the findings of Muris et al. [Muris, P., Meesters, C., Merckelbach, H., & Hulsenbeck, P. (2000). Worry in children is related to perceived parental rearing and attachment. Behavior Research and Therapy, 38, 487-497] regarding the relations between perceived parental rearing behaviors, self-reported attachment style, and worry in a community sample to a clinical sample of anxious children. Sixty-four children and adolescents, aged 7-18 years, with a primary anxiety disorder completed (a) the EMBU-C, a questionnaire measuring perceptions of parental rearing behaviors, (b) a single-item measure of attachment style, and (c) an index of worry severity. Findings revealed that child rated parental rearing behaviors, particularly parental rejection, were positively related to child worry. Self-reported attachment style was also related to worry, such that children who classified themselves as ambivalently attached reported higher levels of worry than did children who classified themselves as securely attached. Parenting style and attachment were found to make independent contributions to worry. The results are compared to those from Muris et al.'s community study, and implications for future research are discussed.

  5. Worry in children is related to perceived parental rearing and attachment.

    Science.gov (United States)

    Muris, P; Meesters, C; Merckelbach, H; Hülsenbeck, P

    2000-05-01

    In a sample of 159 primary school children, the relationship between perceived parental rearing behaviours and self-reported attachment style, on the one hand, and worry, on the other hand, was investigated. Children completed (a) the EMBU, a questionnaire measuring perceptions of parental rearing behaviours, (b) a single-item measure of attachment style, and (c) the Penn State Worry Questionnaire for Children (PSWQ-C), an index of severity of worrying. Results showed that parental rearing behaviours, in particular rejection and anxious rearing, were positively associated with worry. Thus, children who perceived their parents as more rejective and anxious reported higher levels of worry. Furthermore, self-reported attachment style appeared to be related to worry. More specifically, children who classified themselves as avoidantly or ambivalently attached displayed higher levels of worry than did children who classified themselves as securely attached. These findings are consistent with the notion that family environment factors such as parental rearing and attachment style contribute to the severity of anxiety symptoms in children.

  6. Rumination, worry, cognitive avoidance, and behavioral avoidance: examination of temporal effects.

    Science.gov (United States)

    Dickson, Kelsey S; Ciesla, Jeffrey A; Reilly, Laura C

    2012-09-01

    Recently, cross-sectional research has demonstrated that depressive rumination is significantly associated with the tendency to engage in cognitive and behavioral avoidance. This evidence suggests that rumination may be the result of attempts to avoid personally threatening thoughts, in a manner suggested by multiple contemporary theories of worry. This investigation examined the temporal relationship among daily levels of cognitive avoidance, behavioral avoidance, rumination, worry, and negative affect. Seventy-eight adolescents completed baseline questionnaires and then electronically completed daily measures of rumination, worry, behavioral avoidance, and cognitive avoidance, as well as sad and anxious affect for 7 days. Lagged-effect multilevel models indicated that increases in daily sadness were predicted by greater daily rumination and cognitive avoidance. Increases in daily anxiety were predicted by greater daily rumination, worry, and both cognitive and behavioral avoidance. Further, both daily rumination and worry were positively predicted by daily cognitive, but not behavioral, avoidance. Mediation analyses suggested that rumination mediated the effect of cognitive avoidance on both sadness and anxiety. Also, worry mediated the effect of cognitive avoidance on anxiety. Implications for models of avoidance, rumination, and worry are discussed. Copyright © 2011. Published by Elsevier Ltd.

  7. Does an information film about prenatal testing in early pregnancy affect women's anxiety and worries?

    Science.gov (United States)

    Björklund, Ulla; Marsk, Anna; Ohman, Susanne Georgsson

    2013-03-01

    To explore if an information film about prenatal examinations affects pregnant women's worry and anxiety. Randomized controlled study. The intervention was an information film about prenatal examinations. Data was collected in gestational week 26 by a questionnaire including the STAI (State-Trait Anxiety Inventory) instrument and further questions about worry. A total of 184 women in the intervention group and 206 in the control group filled in the questionnaire. There were no statistically significant differences between the groups neither in state nor trait anxiety. Regarding worry about the possibility of something being wrong with the baby and worry about giving birth, there were no statistically significant differences between the groups. The women stated that to see the film increased their worry rather than decreased it. An informational film as additional information to complement written and verbal information about prenatal testing does not appear to increase women's anxiety and worries. However, the informational film may cause worry at the time of viewing which should be taken into consideration.

  8. Annoyance and Worry in a Petrochemical Industrial Area—Prevalence, Time Trends and Risk Indicators

    Directory of Open Access Journals (Sweden)

    Lars Barregard

    2013-04-01

    Full Text Available In 1992, 1998, and 2006, questionnaires were sent to stratified samples of residents aged 18–75 years living near petrochemical industries (n = 600–800 people on each occasion and in a control area (n = 200–1,000. The aims were to estimate the long-term prevalence and change over time of annoyance caused by industrial odour, industrial noise, and worries about possible health effects, and to identify risk indicators. In 2006, 20% were annoyed by industrial odour, 27% by industrial noise (1–4% in the control area, and 40–50% were worried about health effects or industrial accidents (10–20% in the control area. Multiple logistic regression analyses revealed significantly lower prevalence of odour annoyance in 1998 and 2006 than in 1992, while industrial noise annoyance increased significantly over time. The prevalence of worry remained constant. Risk of odour annoyance increased with female sex, worry of health effects, annoyance by motor vehicle exhausts and industrial noise. Industrial noise annoyance was associated with traffic noise annoyance and worry of health effects of traffic. Health-risk worry due to industrial air pollution was associated with female sex, having children, annoyance due to dust/soot in the air, and worry of traffic air pollution.

  9. Worrying Thoughts Limit Working Memory Capacity in Math Anxiety.

    Science.gov (United States)

    Shi, Zhan; Liu, Peiru

    2016-01-01

    Sixty-one high-math-anxious persons and sixty-one low-math-anxious persons completed a modified working memory capacity task, designed to measure working memory capacity under a dysfunctional math-related context and working memory capacity under a valence-neutral context. Participants were required to perform simple tasks with emotionally benign material (i.e., lists of letters) over short intervals while simultaneously reading and making judgments about sentences describing dysfunctional math-related thoughts or sentences describing emotionally-neutral facts about the world. Working memory capacity for letters under the dysfunctional math-related context, relative to working memory capacity performance under the valence-neutral context, was poorer overall in the high-math-anxious group compared with the low-math-anxious group. The findings show a particular difficulty employing working memory in math-related contexts in high-math-anxious participants. Theories that can provide reasonable interpretations for these findings and interventions that can reduce anxiety-induced worrying intrusive thoughts or improve working memory capacity for math anxiety are discussed.

  10. Worrying Thoughts Limit Working Memory Capacity in Math Anxiety.

    Directory of Open Access Journals (Sweden)

    Zhan Shi

    Full Text Available Sixty-one high-math-anxious persons and sixty-one low-math-anxious persons completed a modified working memory capacity task, designed to measure working memory capacity under a dysfunctional math-related context and working memory capacity under a valence-neutral context. Participants were required to perform simple tasks with emotionally benign material (i.e., lists of letters over short intervals while simultaneously reading and making judgments about sentences describing dysfunctional math-related thoughts or sentences describing emotionally-neutral facts about the world. Working memory capacity for letters under the dysfunctional math-related context, relative to working memory capacity performance under the valence-neutral context, was poorer overall in the high-math-anxious group compared with the low-math-anxious group. The findings show a particular difficulty employing working memory in math-related contexts in high-math-anxious participants. Theories that can provide reasonable interpretations for these findings and interventions that can reduce anxiety-induced worrying intrusive thoughts or improve working memory capacity for math anxiety are discussed.

  11. Self-Evident Truths: Why We Can Stop Worrying and Love the Posse Comitatus Act

    Science.gov (United States)

    2008-05-09

    Pr og ra m Re se ar ch Pr oj ec t SELF-EVIDENT TRUTHS: WHY WE CAN STOP WORRYING AND LOVE THE POSSE COMITATUS ACT BY COLONEL CHRIS R. GENTRY United...TITLE AND SUBTITLE Self-Evident Truths: Why We Can Stop Worrying and Love the Posse Comitatus Act 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...Paper 3. DATES COVERED (From - To) 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Self-Evident Truths: Why We Can Stop Worrying and Love the Posse

  12. Responsividade e exigência: duas escalas para avaliar estilos parentais Respondingness and demandingness: two scales to evaluate parenting styles

    Directory of Open Access Journals (Sweden)

    Fabiana T. da Costa

    2000-01-01

    Full Text Available O objetivo deste estudo foi traduzir e adaptar duas escalas que avaliam as dimensões de responsividade e exigência parentais com adolescentes, as quais permitem a classificação de quatro estilos parentais. As escalas foram aplicadas a 378 adolescentes, tendo apresentado índices de consistência interna adequados (alpha entre 0,70 e 0,83. Análises de variância revelaram que a exigência materna percebida foi maior do que a paterna entre adolescentes de ambos os sexos, mas as garotas perceberam níveis de exigência (materna e paterna mais altos do que os garotos. A responsividade materna observada foi superior à paterna para ambos os sexos, porém as mulheres atribuíram escores de responsividade mais altos às suas mães do que os homens. Não houve diferenças entre os sexos quanto ao nível de responsividade paterna. A proporção de estilos parentais observada nesta amostra foi 13,3% (autoritário, 36,7% (autoritativo, 14,5% (indulgente e 35,5% (negligente, sugerindo que nossa cultura não é tão permissiva quanto se supõe usualmente.The aim of this study was to translate and adapt two scales of parental responsiveness and demandingness to Portuguese (Brazil. According to these scales levels, it is possible to categorize four parenting styles. The scales were administred to 378 adolescents of both sexes and showed satisfactory reliability coefficients (alpha between 0,70 and 0,83. Analysis of variance indicated that perceived mothers’ demandingness was greater than fathers’ for both sexes, but girls observed higher levels of parental demandingness than boys. Both males and females attributed higher scores of responsiveness to their mothers than to their fathers, but girls scored higher on mothers’ responsiveness than boys. No significant differences between sexes were found for fathers’ level of responsiveness. The frequency of parenting styles observed in this sample was 13,3% (authoritarian, 36,7% (authoritative, 14

  13. Adaptação transcultural do pressure ulcer scale for healing (PUSH para a língua portuguesa Adaptación transcultural del pressure ulcer scale for healing para el idioma portugués Crosscultural adaptation of the pressure ulcer scale for healing to the portuguese language

    Directory of Open Access Journals (Sweden)

    Vera Lúcia Conceição de Gouveia Santos

    2005-06-01

    Full Text Available O objetivo do estudo foi realizar a adaptação transcultural do Pressure Ulcer Scale for Healing (PUSH para a língua portuguesa, através da tradução do instrumento para a língua portuguesa, feita por especialistas bilingües e comitê de especialistas, e teste das propriedades de medida: confiabilidade interobservadores e validade convergente. Para tais análises foram utilizados o índice Kappa e os Testes de Fisher e Spearman. Após aprovação pelo Comitê de Ética da Escola de Enfermagem da Universidade de São Paulo, 34 úlceras de pressão foram examinadas. Os resultados obtidos para os índices Kappa (0,90 a 1,0 entre as observações dos enfermeiros e estomaterapeutas (padrão-ouro para todas as subescalas e escore total da escala, bem como a existência de correlação positiva e estatisticamente significativa (pLa finalidad de este estudio fue efectuar la adaptación transcultural del Pressure Ulcer for Healing Scale para el portugués, mediante la traducción del instrumento al portugués (por especialistas bilingües; y la validación de la confiabilidad inter-observadores y validad convergente. Para los análisis fueron usados el Índice Kappa y los test de Fisher y Spearman, respectivamente. Después de la aprobación del proyecto por el Comité de Ética de la Escuela de Enfermería de USP, 34 úlceras por presión fueran evaluadas. Los índices de Kappa (0.90 al 1.0 obtenidos entre las observaciones de los enfermeros y estomaterapeutas para todas las subescalas y puntuación total y la presencia de correlaciones estadísticas significativas (pThis study aimed to carry out a crosscultural adaptation of the Pressure Ulcer Scale for Healing (PUSH to the Portuguese language through the translation of the instrument into Portuguese (by bilingual specialists and a specialist committee and the validation of inter-rater reliability (comparison between nurses' and stomal therapists' observations and convergent validity (correlation

  14. Goal directed worry rules are associated with distinct patterns of amygdala functional connectivity and vagal modulation during perseverative cognition

    Directory of Open Access Journals (Sweden)

    Frances Meeten

    2016-11-01

    Full Text Available Excessive and uncontrollable worry is a defining feature of Generalized Anxiety Disorder. An important endeavor in the treatment of pathological worry is to understand why some people are unable to stop worrying once they have started. Worry perseveration is associated with a tendency to deploy goal-directed worry rules (known as ‘as many as can’ worry rules; AMA. These require attention to the goal of the worry task and continuation of worry until the aims of the ‘worry bout’ are achieved. This study examined the association between the tendency to use AMA worry rules and neural and autonomic responses to a perseverative cognition induction. To differentiate processes underlying AMA worry rule use from trait worry, we also examined the relationship between scores on the Penn State Worry Questionnaire and neural and autonomic responses following the same induction. We used resting-state functional magnetic resonance brain imaging while measuring emotional bodily arousal from heart rate variability (where decreased HRV indicates stress-related parasympathetic withdrawal in 19 patients with GAD and 21 control participants. Seed-based analyses were conducted to quantify brain changes in functional connectivity with the amygdala. The tendency to adopt an AMA worry rule was associated with validated measures of worry, anxiety, depression, and rumination. AMA worry rule endorsement predicted a stronger decrease in HRV and was positively associated with increased connectivity between right amygdala and locus coeruleus, a brainstem noradrenergic projection nucleus. Higher AMA scores were also associated with increased connectivity between amygdala and rostral superior frontal gyrus. Higher PSWQ scores amplified decreases in functional connectivity between right amygdala and subcallosal cortex, bilateral inferior frontal gyrus, middle frontal gyrus, and areas of parietal cortex. Our results identify neural mechanisms underlying the deployment of

  15. Goal Directed Worry Rules Are Associated with Distinct Patterns of Amygdala Functional Connectivity and Vagal Modulation during Perseverative Cognition.

    Science.gov (United States)

    Meeten, Frances; Davey, Graham C L; Makovac, Elena; Watson, David R; Garfinkel, Sarah N; Critchley, Hugo D; Ottaviani, Cristina

    2016-01-01

    Excessive and uncontrollable worry is a defining feature of Generalized Anxiety Disorder (GAD). An important endeavor in the treatment of pathological worry is to understand why some people are unable to stop worrying once they have started. Worry perseveration is associated with a tendency to deploy goal-directed worry rules (known as "as many as can" worry rules; AMA). These require attention to the goal of the worry task and continuation of worry until the aims of the "worry bout" are achieved. This study examined the association between the tendency to use AMA worry rules and neural and autonomic responses to a perseverative cognition induction. To differentiate processes underlying the AMA worry rule use from trait worry, we also examined the relationship between scores on the Penn State Worry Questionnaire (PSWQ) and neural and autonomic responses following the same induction. We used resting-state functional magnetic resonance brain imaging (fMRI) while measuring emotional bodily arousal from heart rate variability (where decreased HRV indicates stress-related parasympathetic withdrawal) in 19 patients with GAD and 21 control participants. Seed-based analyses were conducted to quantify brain changes in functional connectivity (FC) with the amygdala. The tendency to adopt an AMA worry rule was associated with validated measures of worry, anxiety, depression and rumination. AMA worry rule endorsement predicted a stronger decrease in HRV and was positively associated with increased connectivity between right amygdala and locus coeruleus (LC), a brainstem noradrenergic projection nucleus. Higher AMA scores were also associated with increased connectivity between amygdala and rostral superior frontal gyrus. Higher PSWQ scores amplified decreases in FC between right amygdala and subcallosal cortex, bilateral inferior frontal gyrus, middle frontal gyrus, and areas of parietal cortex. Our results identify neural mechanisms underlying the deployment of AMA worry

  16. Assessment of the Greek worry-related metacognitions: the Greek version of the Metacognitions Questionnaire (MCQ-30).

    Science.gov (United States)

    Typaldou, G M; Konstantakopoulos, G; Roxanis, I; Nidos, A; Vaidakis, N; Papadimitriou, G N; Wells, A

    2014-01-01

    significant differences between genders had been found in the original study. The assumption that the differences in score levels and the gender effect might reflect cultural differences warrants further investigation. The findings of the present study indicate that the Greek version of the MCQ-30 is a comprehensible and psychometrically adequate instrument, as well as a reliable tool in assessing a range of dimensions of worry-related metacognitions in the Greek population. The Greek version of this scale facilitates crosscultural research in metacognition and wider testing of the metacognitive approach to emotional vulnerability, psychological disturbances and mental disorders.

  17. Living With Anxiety Disorders, Worried Sick | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... of this page please turn JavaScript on. Feature: Anxiety Disorders Living With Anxiety Disorders, Worried Sick Past Issues / Summer 2015 Table ... suffered for most of his life with generalized anxiety disorder (GAD) and panic attacks, describes here how ...

  18. Neurasthenia, Generalized Anxiety Disorder, and the Medicalization of Worry in a Vietnamese Psychiatric Hospital.

    Science.gov (United States)

    Tran, Allen L

    2017-06-01

    This article examines two forms of the medicalization of worry in an outpatient psychiatric clinic in Ho Chi Minh City, Vietnam. Biomedical psychiatrists understand patients' symptoms as manifestations of the excessive worry associated with generalized anxiety disorder (GAD). Drawing on an ethnopsychology of emotion that reflects increasingly popular models of neoliberal selfhood, these psychiatrists encourage patients to frame psychic distress in terms of private feelings to address the conditions in their lives that lead to chronic anxiety. However, most patients attribute their symptoms to neurasthenia instead of GAD. Differences between doctors' and patients' explanatory models are not just rooted in their understandings of illness but also in their respective conceptualizations of worry in terms of emotion and sentiment. Patients with neurasthenia reject doctors' attempts to psychologize distress and maintain a model of worry that supports a sense of moral selfhood based on notions of obligation and sacrifice. © 2016 by the American Anthropological Association.

  19. Emotion as a boost to metacognition: how worry enhances the quality of confidence.

    Science.gov (United States)

    Massoni, Sébastien

    2014-10-01

    Emotion and cognition are known to interact during human decision processes. In this study we focus on a specific kind of cognition, namely metacognition. Our experiment induces a negative emotion, worry, during a perceptual task. In a numerosity task subjects have to make a two alternative forced choice and then reveal their confidence in this decision. We measure metacognition in terms of discrimination and calibration abilities. Our results show that metacognition, but not choice, is affected by the level of worry anticipated before the decision. Under worry individuals tend to have better metacognition in terms of the two measures. Furthermore understanding the formation of confidence is better explained with taking into account the level of worry in the model. This study shows the importance of an emotional component in the formation and the quality of the subjective probabilities. Copyright © 2014 Elsevier Inc. All rights reserved.

  20. Intolerance of uncertainty, worry, and rumination in major depressive disorder and generalized anxiety disorder.

    Science.gov (United States)

    Yook, Keunyoung; Kim, Keun-Hyang; Suh, Shin Young; Lee, Kang Soo

    2010-08-01

    Intolerance of uncertainty (IU) can be defined as a cognitive bias that affects how a person perceives, interprets, and responds to uncertain situations. Although IU has been reported mainly in literature relating to worry and anxiety symptoms, it may be also important to investigate the relationship between IU, rumination, and depression in a clinical sample. Furthermore, individuals who are intolerant of uncertainty easily experience stress and could cope with stressful situations using repetitive thought such as worry and rumination. Thus, we investigated whether different forms of repetitive thought differentially mediate the relationship between IU and psychological symptoms. Participants included 27 patients with MDD, 28 patients with GAD, and 16 patients with comorbid GAD/MDD. Even though worry, rumination, IU, anxiety, and depressive symptoms correlated substantially with each other, worry partially mediated the relationship between IU and anxiety whereas rumination completely mediated the relationship between IU and depressive symptoms. (c) 2010 Elsevier Ltd. All rights reserved.

  1. Cancer recurrence worry, risk perception, and informational-coping styles among Appalachian cancer survivors.

    Science.gov (United States)

    Kelly, Kimberly M; Shedlosky-Shoemaker, Randi; Porter, Kyle; Desimone, Philip; Andrykowski, Michael

    2011-01-01

    Despite a growing literature on the psychosocial impact of the threat of cancer recurrence, underserved populations, such as those from the Appalachian region, have been understudied. To examine worry and perceived risk in cancer survivors, Appalachian and non-Appalachian cancer patients at an ambulatory oncology clinic in a university hospital were surveyed. Appalachians had significantly higher worry than non-Appalachians. Cancer type and lower need for cognition were associated with greater worry. Those with missing perceived risk data were generally older, less educated, and lower in monitoring, blunting, and health literacy. Additional resources are needed to assist Appalachians and those with cancers with poor prognoses (e.g., liver cancer, pancreatic cancer) to cope with worry associated with developing cancer again. More attention for cancer prevention is critical to improve quality of life in underserved populations where risk of cancer is greater.

  2. Lab-scale periphyton-based system for fish culture Sistema laboratorial baseado em perifíton para piscicultura

    Directory of Open Access Journals (Sweden)

    Davi de Holanda Cavalcante

    2011-12-01

    Full Text Available The present research aimed to assess a lab-scale model to study periphyton-based systems for fish culture. Twenty-five liters plastic aquaria were stocked with three Nile tilapia, Oreochromis niloticus, juveniles (0.77±0.09g; 12 fish m-2 for 6 weeks in a 2x2 factorial design. Small plastic bottles were placed in some aquaria for periphyton development. Two feeding regimes were employed: "full-fed" (standard feeding rates were fully adopted and "half-fed" (50% of standard feeding rates. Growth performance and limnological variables were observed in each aquarium. There werefive replicates per treatment. Fish have fed actively on periphyton, especially in the half-fed aquaria. The placement of periphyton bottles had no significant effects on the water quality variables, except by the gross primary productivity which became lower. Half-fed aquaria presented lower concentrations of ammonia (0.28-0.29mg L-1, nitrite (0.33-0.37mg L-1 and phosphorus (0.42-0.43mg L-1 than full-fed aquaria (0.57-0.60mg L-1; 0.75-0.77mg L-1; 0.67-0.70mg L-1, respectively. The final body weight of fish in half-fed aquaria with periphyton bottles (6.22±0.64g was significantly higher than in aquaria without bottles (4.65±0.36g. Although the growth rate of fish was lower in the half-fed aquaria (4.27-4.72 vs. 5.29-5.61% BW day-1, survival was significantly higher when compared to the full-fed aquaria (93.3-100.0 vs. 80.0-83.4%. Only in the aquaria with periphyton the feed conversation ratio was improved by the feeding restriction regime.O presente trabalho teve como objetivo avaliar um modelo laboratorial para estudo de sistemas de cultivo de peixes baseados em perifíton. Aquários de 25L foram estocados com três juvenis de tilápia do Nilo, Oreochromis niloticus (0,77±0,09g; 12 peixes m-2 por seis semanas, em arranjo fatorial 2x2. Pequenas garrafas plásticas foram colocadas em determinados aquários para o desenvolvimento de perifíton. Dois regimes alimentares foram

  3. The impact of trait worry and emotion regulation on heart rate variability

    OpenAIRE

    Michael M. Knepp; Erin R. Krafka; Erika M. Druzina

    2015-01-01

    High anxiety and poor emotion regulation have been found to function as independent causes of stress to the autonomic nervous system. The aim of this study was to further explore how these factors may interact to control heart rate variability. Fifty college students took part in a three-part cardiac recording session followed by questionnaires on trait worry and emotion regulation. An interaction for trait worry and emotion reappraisal was found on two markers of heart rate variability. Low ...

  4. The Effectiveness of Cognitive-Behavioral Therapy (CBT in Reducing Worry, Anxiety and Panic Attacks Mitral Valve Prolapse Patients

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    AR Jamshidzehi ShahBakhsh

    2016-07-01

    Full Text Available Introduction: The mitral valve prolapse is a heart syndrome that is characterized by considerable physical and psychological consequences for affected patients. This study aimed to assess the efficacy of cognitive-behavioral therapy in reducing worrying, generalized anxiety and panic attacks in patients with mitral valve prolapse. Methods: This study is quasi-experimental research with pretest-posttest and control group. 16 patients with mitral valve prolapse divided into to two groups: experimental (n = 8 and control (n = 8 groups. CBT was used during 10 sessions twice a week with a focus on cognitive restructuring, modification of cognitive distortions and training of behavioral techniques for the experimental group. For participants health  concerns spot and doush (HCQ, Generalized anxiety disorder (GAD- 7 and Albania panic scales as pre-test, post-test. Results: Data were analyzed by covariance analysis. The results showed that worrying, anxiety, and panic attacks significantly reduced in the experimental group. Discussion: Cognitive behavioral therapy is remarkably effective for reducing fear, anxiety and panic patients with mitral valve prolapse. Therefore, it is recommended for the patients with mitral valve prolapse that cognitive behavioral therapy can be used as a complementary therapy.

  5. Momentary work worries, marital disclosure, and salivary cortisol among parents of young children.

    Science.gov (United States)

    Slatcher, Richard B; Robles, Theodore F; Repetti, Rena L; Fellows, Michelle D

    2010-11-01

    To investigate whether worries about work are linked to people's own cortisol levels and their spouses' cortisol levels in everyday life and whether marital factors may moderate these links. Although research has shown that satisfying marriages can buffer the physiological effects of everyday stress, the specific mechanisms through which marriage influences the processing and transmission of stress have not yet been identified. Thirty-seven healthy married couples completed baseline measures and then provided saliva samples and indicated their worries about work for six times a day from a Saturday morning through a Monday evening. Wives' cortisol levels were associated positively with their own work worries (p = .008) and with their husbands' work worries (p = .006). Husbands' cortisol levels were associated positively only with their own work worries (p = .015). Wives low in both marital satisfaction and disclosure showed a stronger association between work worries and cortisol compared with wives reporting either high marital satisfaction and/or high marital disclosure. These results suggest that momentary feelings of stress affect not only one's own cortisol levels but affect close others' cortisol levels as well. Furthermore, they suggest that, for women, the stress-buffering effects of a happy marriage may be partially explained by the extent to which they disclose their thoughts and feelings with their spouses.

  6. [The Role of Worry and Rumination in the Symptoms of Anxiety and Depression].

    Science.gov (United States)

    Yılmaz, Adviye Esin

    2015-01-01

    The aim of this study is to examine the unique and interactive role of worry and rumination in anxiety and depression symptoms. A total of 328 university students responded to questionnaires assessing worry (Penn State Worry Questionnaire), rumination (Ruminative Response Styles Questionnaire-Short Form), anxiety (Beck Anxiety Inventory and Trait Anxiety Inventory), and depression (Beck Depression Inventory). The results of regression analyses demonstrated that the relationship between worry and depressive symptoms is significant only if individuals engage in high levels of brooding type rumination. The main effect of worry was a significant predictor of trait anxiety, but it did not make a significant contribution to somatic anxiety. Brooding was found to be associated not only with depressive symptoms but also with both types of anxiety. Finally, the reflection type of rumination did not significantly predict depressive symptoms, somatic anxiety, or trait anxiety. Findings indicated that worry and rumination are related to both anxiety and depression. Clinical implications of these results were discussed in the light of the current literature.

  7. Assessing treatments used to reduce rumination and/or worry: a systematic review.

    Science.gov (United States)

    Querstret, Dawn; Cropley, Mark

    2013-12-01

    Perseverative cognitions such as rumination and worry are key components of mental illnesses such as depression and anxiety. Given the frequent comorbidity of conditions in which rumination and worry are present, it is possible that they are underpinned by the same cognitive process. Furthermore, rumination and worry appear to be part of a causal chain that can lead to long-term health consequences, including cardiovascular disease and other chronic conditions. It is important therefore to understand what interventions may be useful in reducing their incidence. This systematic review aimed to assess treatments used to reduce worry and/or rumination. As we were interested in understanding the current treatment landscape, we limited our search from 2002 to 2012. Nineteen studies were included in the review and were assessed for methodological quality and treatment integrity. Results suggested that mindfulness-based and cognitive behavioural interventions may be effective in the reduction of both rumination and worry; with both Internet-delivered and face-to-face delivered formats useful. More broadly, it appears that treatments in which participants are encouraged to change their thinking style, or to disengage from emotional response to rumination and/or worry (e.g., through mindful techniques), could be helpful. Implications for treatment and avenues for future research are discussed. © 2013.

  8. Worry about terror among young adults living in ongoing security uncertainty.

    Science.gov (United States)

    Peleg, Ora; Mass-Friedman, Michelle

    2013-01-01

    The aim of the current study was to investigate worry about terror as a mediating variable, with the exogenous variables being media viewing, differentiation of self, and trait anxiety, and the endogenous variables being somatic symptoms and perceptions of security-related stress. Participants were divided into two groups by age/academic level: 248 high school students and 191 university students. A pathway correlation model was used to investigate worry about terror as a mediating variable. The central finding was that worry about terror was a significant mediating variable in the relationship between the extent of media viewing following terror events and the level of perception of security-related stress. That is, young people who said they worried a lot reported a high level of stress relating to the terror events they saw covered in the media. In addition, trait anxiety was found to have an effect on stress perception only via the level of worry about terror. This means that high levels of stress are not experienced by all highly trait-anxious people, but only by those who suffer from higher levels of worry about terror.

  9. Worries and Concerns among Inflammatory Bowel Disease Patients Followed Prospectively over One Year

    Directory of Open Access Journals (Sweden)

    Lars-Petter Jelsness-Jørgensen

    2011-01-01

    Full Text Available Disease-related worries are frequently reported in inflammatory bowel disease (IBD, but longitudinal assessments of these worries are scarce. In the present study, patients completed the rating form of IBD patient concerns (RFIPC at three occasions during one year. One-way analysis of variance (ANO VA, t-tests, bivariate correlation, and linear regression analyses were used to analyse data. The validity and reliability of the Norwegian RFIPC was tested. A total of 140 patients were included (V1, ulcerative colitis (UC n = 92, Crohn's disease (CD n = 48, mean age 46.9 and 40.0-year old, respectively. The highest rated worries included having an ostomy bag, loss of bowel control, and reduced energy levels. Symptoms were positively associated with more worries. A pattern of IBD-related worries was consistent over a period of one year. Worries about undergoing surgery or having an ostomy bag seemed to persist even when symptoms improved. The Norwegian RFIPC is valid and reliable.

  10. Electrocortical consequences of image processing: The influence of working memory load and worry.

    Science.gov (United States)

    White, Evan J; Grant, DeMond M

    2017-03-30

    Research suggests that worry precludes emotional processing as well as biases attentional processes. Although there is burgeoning evidence for the relationship between executive functioning and worry, more research in this area is needed. A recent theory suggests one mechanism for the negative effects of worry on neural indicators of attention may be working memory load, however few studies have examined this directly. The goal of the current study was to document the influence of both visual and verbal working memory load and worry on attention allocation during processing of emotional images in a cued image paradigm. It was hypothesized that working memory load will decrease attention allocation during processing of emotional images. This was tested among 38 participants using a modified S1-S2 paradigm. Results indicated that both the visual and verbal working memory tasks resulted in a reduction of attention allocation to the processing of images across stimulus types compared to the baseline task, although only for individuals low in worry. These data extend the literature by documenting decreased neural responding (i.e., LPP amplitude) to imagery both the visual and verbal working memory load, particularly among individuals low in worry. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  11. Worry, generalized anxiety disorder, and emotion: evidence from the EEG gamma band.

    Science.gov (United States)

    Oathes, Desmond J; Ray, William J; Yamasaki, Alissa S; Borkovec, Thomas D; Castonguay, Louis G; Newman, Michelle G; Nitschke, Jack

    2008-10-01

    The present study examined EEG gamma (35-70 Hz) spectral power distributions during worry inductions in participants suffering from generalized anxiety disorder (GAD) and in control participants without a history of psychiatric illness. As hypothesized, the EEG gamma band was useful for differentiating worry from baseline and relaxation. During worry induction, GAD patients showed higher levels of gamma activity than control participants in posterior electrode sites that have been previously associated with negative emotion. Gamma fluctuations in these electrode sites were correlated with subjective emotional experience ratings lending additional support to interpretations of negative affect. Following 14 weeks of psychotherapy, the GAD group reported less negative affect with worry inductions and the corresponding gamma sites that previously differentiated the clinical from control groups changed for the GAD patients in the direction of control participants. These findings suggest converging evidence that patients suffering from GAD experience more negative emotion during worry and that the EEG gamma band is useful for monitoring fluctuations in pathological worry expected to follow successful treatment.

  12. Prefrontal-limbic connectivity during worry in older adults with generalized anxiety disorder.

    Science.gov (United States)

    Mohlman, Jan; Eldreth, Dana A; Price, Rebecca B; Staples, Alison M; Hanson, Catherine

    2017-04-01

    Although generalized anxiety disorder (GAD) is one of the most prevalent anxiety disorders in older adults, very little is known about the neurobiology of worry, the hallmark symptom of GAD in adults over the age of 60. This study investigated the neurobiology and neural circuitry of worry in older GAD patients and controls. Twenty older GAD patients and 16 age-matched controls (mean age = 67.88) were compared on clinical measures and neural activity during worry using functional magnetic resonance imaging. As expected, worry elicited activation in frontal regions, amygdala, and insula within the GAD group, with a similar but less prominent frontal pattern was observed in controls. Effective connectivity analyses revealed a positive directional circuit in the GAD group extending from ventromedial through dorsolateral prefrontal cortices, converging on the amygdala. A less complex circuit was observed in controls with only dorsolateral prefrontal regions converging on the amygdala; however, a separate circuit passing through the orbitofrontal cortex converged on the insula. Results elucidate a different neurobiology of pathological versus normal worry in later life. A limited resource model is implicated wherein worry in GAD competes for the same neural resources (e.g. prefrontal cortical areas) that are involved in the adaptive regulation of emotion through cognitive and behavioral strategies.

  13. Transcultural adaptation and validation of the Stanford Presenteeism Scale for the evaluation of presenteeism for Brazilian Portuguese Adaptación transcultural y validación para el portugués brasileño del Stanford Presenteeism Scale para evaluación del presentismo Adaptação transcultural e validação para o português brasileiro do Stanford Presenteeism Scale para avaliação do presenteísmo

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    Heloisa Campos Paschoalin

    2013-02-01

    Full Text Available OBJECTIVE: describe the process of transcultural adaptation and validation of the Stanford Presenteeism Scale for Brazilian Portuguese. METHODS: Methodological study of the cultural adaptation and validation of the tool which involved 153 nursing staff and included six aspects of equivalence, obtained through the following stages: translation, first version of consent, retranslation, specialist committee, pre-test, study of test-retest credibleness and dimensional validity. RESULTS: The stability of the items varied from moderate to almost perfect and the sequence constancy was almost perfect. Two factors were identified through the exploratory fact analysis: the first one included the physical aspects - completing work; and the second one the psychological aspects - avoided distraction . CONCLUSIONS: the results suggest adequacy of the tool in the Brazilian Portuguese version, indicating its use in the context of the study group and in similar groups, contributing to the study of evidences which consolidate strategies that favor the health conditions of the jobholders.OBJETIVO: describir el proceso de adaptación transcultural y validación para el portugués brasileño del Stanford Presenteeism Scale. MÉTODOS: se trata de un estudio metodológico de adaptación cultural y validación de instrumento en que participaron 153 trabajadores de enfermería, incluyendo seis aspectos de equivalencia obtenidos en las siguientes etapas: traducción, primera versión de consenso, retrotraducción, comité de especialistas, prueba piloto, estudio de confiabilidad prueba-reprueba y validez dimensional. RESULTADOS: La estabilidad de los ítems varió de moderado a casi perfecto y el de la escala fue casi perfecto. Dos factores fueron identificados por el análisis factorial exploratorio: el primero incluye los aspectos físicos - trabajo finalizado y el segundo a los aspectos psicológicos - concentración mantenida. CONCLUSIONES: los resultados sugieren

  14. Cross-cultural adaptation of the Burns Specific Pain Anxiety Scale - BSPAS to be used with Brazilian burned patients Adaptación transcultural de la "Burns Specific Pain Anxiety Scale - BSPAS" para ser aplicada en pacientes quemados brasileños Adaptação transcultural da "Burns Specific Pain Anxiety Scale - BSPAS" para ser aplicada em pacientes queimados brasileiros

    Directory of Open Access Journals (Sweden)

    María Elena Echevarría-Guanilo

    2006-08-01

    Full Text Available This study aimed at translating and adapting the Burns Specific Pain Anxiety Scale - BSPAS and the Impact of Event Scale - IES into Portuguese; making available two simple, short and easily applicable instruments and describing the study participants according to their scores on the Visual Analogue Scale and the Trait-State Anxiety Inventory. The cross-cultural adaptation process involved the following steps: translation of the scales; reaching a consensus in Portuguese; evaluation by an expert committee; back-translation; obtaining a consensus in Dutch; comparing the original versions with the consensus in Dutch; semantic analysis and pretest of the Portuguese versions. The results showed that both scales present high values of internal consistency between the scale items. Participants' average pain scores were higher after bathing and wound dressing. Participants' average anxiety scores were low or medium.Los objetivos del estudio fueron traducir y adaptar la "Burns Specific Pain Anxiety Scale - SPAS" y la "Impact Event Scale - IES" para el portugués, poner a disposición dos instrumentos simples, cortos y de fácil aplicación y describir los participantes del estudio, según los scores obtenidos por medio de la aplicación de la Escala Visual Analógica y del Inventario de Ansiedad Trazo-Estado. El proceso de adaptación de las escalas siguió las siguientes etapas: traducción de las escalas; obtención del consenso en portugués; evaluación por un comité de jueces; "back-translation"; obtención del consenso en holandés; comparación de las versiones originales y en holandés; análisis semántica y pretest de las versiones en portugués. Los resultados mostraron índices elevados de consistencia interna de los ítems de la escala. La media de los escores de dolor fueron más altos después del baño y curaciones. Los scores medios de ansiedad fueron clasificados como bajos o medios.Este estudo teve como objetivos traduzir e adaptar a

  15. Estudo multicêntrico sobre escalas para grau de comprometimento em disfagia orofaríngea neurogênica Multicenter study about severity scales of neurogenic oropharyngeal dysphagia

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    Roberta Gonçalves da Silva

    2012-06-01

    Full Text Available OBJETIVO: Analisar a concordância entre distintas escalas para grau de comprometimento em disfagia orofaríngea neurogênica. MÉTODOS: Foi realizado estudo clínico transversal. Participaram 200 indivíduos com disfagia orofaríngea neurogênica, 108 do gênero masculino e 92 do gênero feminino, com idades de 3 meses a 91 anos. Foram aplicadas quatro escalas para classificar o grau de comprometimento da disfagia orofaríngea, sendo duas escalas clínicas e duas videofluoroscópicas. Análises estatísticas foram realizadas para verificar a concordância entre as escalas clínicas e objetivas. RESULTADOS: Os resultados mostraram concordância muito boa entre as escalas clínicas estudadas (Kappa=0,92 e concordância moderada entre as escalas objetivas (Kappa=0,52. CONCLUSÃO: Embora a concordância entre as escalas clínicas tenha sido muito boa e entre as escalas objetivas tenha sido moderada, ainda é necessária ampla discussão e possível revisão dos parâmetros que definem o grau de comprometimento da disfagia orofaríngea em pacientes neurológicos.PURPOSE: To analyze the agreement among different severity scales for neurogenic oropharyngeal dysphagia. METHODS: A clinical cross-sectional study was conducted. Participants were 200 individuals (108 male, 92 female with neurogenic oropharyngeal dysphagia, aged between three months and 91 years. Four severity scales were applied to classify the oropharyngeal dysphagia: two clinical scales and two videofluoroscopic scales. Statistical analysis were conducted to verify the agreement between clinical and objective scales. RESULTS: Results showed very good agreement between the clinical scales (kappa=0.92 and moderate agreement between the objective scales (kappa=0.52. CONCLUSION: Although the agreement between the clinical scales was very good and between the objective scales was moderate, further discussion and possible revision of the parameters that define the severity of oropharyngeal

  16. Influences of Personal Standards and Perceived Parental Expectations on Worry for Asian American and White American College Students

    Science.gov (United States)

    Berenbaum, Howard; Okazaki, Sumie

    2012-01-01

    The current study examined perceptions of living up to parental expectations and personal standards as possible mediators of the relationship between ethnicity and worry in a sample of 836 Asian American and 856 White American college students. Asian Americans reported higher frequency of academic- and family-related worry, but they did not report higher levels of global tendency to worry. Perceptions of living up to parental expectations of current academic performance and personal standards for preparation for a future career partially explained ethnic differences in frequency of academic worry. Personal standards and perceptions of living up to parental expectations for respect for the family partially explained ethnic differences in frequency of family worry. The findings highlight the importance of targeting domain-specific personal standards and perceived parental expectations to reduce worry among Asian Americans. PMID:22416875

  17. Children's direct fright and worry reactions to violence in fiction and news television programs.

    Science.gov (United States)

    van der Molen, Juliette H Walma; Bushman, Brad J

    2008-09-01

    To examine whether violence in fictional and news television content frightens and worries children. Mixed factorial. Type of reaction (fright, worry) and television programming (violent news, violent fiction) were within-subjects factors, whereas age, sex, and television viewing frequency were between-subjects factors. Participants included 572 children (47% boys), aged 8 to 12 years, from 9 urban and rural primary schools in the Netherlands. The main exposure was to descriptions of 8 threats frequently depicted in fictional and news programs (eg, murder, war, house fires). Children reported whether they were frightened or worried by these threats. Violent threats increased both fright and worry. These 2 reactions could be distinguished from one another in a factor analysis. When violent content was described as news, it produced more fear reactions than when it was described as fiction. Fright and worry were greater in girls than in boys, in younger children than in older children, and in light television viewers than in heavy television viewers. Pediatricians should inform parents, educators, policy makers, and broadcasters about the potentially harmful effect of violent programming on children's emotions, especially in the case of news programming.

  18. Specificity of worry and rumination in the development of anxiety and depressive symptoms in children.

    Science.gov (United States)

    Verstraeten, Katrien; Bijttebier, Patricia; Vasey, Michael W; Raes, Filip

    2011-11-01

    OBJECTIVES AND DESIGN. Rumination (specifically Brooding) is thought to be an important vulnerability factor for depressive symptoms whereas Worry is believed to be involved in anxiety. The present study sought to clarify the extent to which these two types of perseverative cognition show symptom specificity or generality in their associations with depression and anxiety. Additionally, reactive (negative affectivity, NA; positive affectivity, PA) and self-regulatory aspects of temperament (effortful control) were considered as vulnerability factors for depression and anxiety and were also studied in relation to rumination and worry. METHODS. Self-report questionnaires tapping Rumination, Worry, temperament, depression, and anxiety were administered to a community sample of 138 children aged 9-13. RESULTS. Brooding (but not Reflection) and Worry were significantly associated with anxiety and depressive symptoms on the one hand and with the temperamental construct of NA on the other hand. However, consistent with a model predicting symptom-specific relations, only Brooding significantly mediated the association between NA and depressive symptoms, whereas only Worry was a mediator of the relation between NA and anxiety symptoms. Finally, among self-regulatory aspects of temperament, activation control and inhibitory control were uniquely associated with depressive symptoms, whereas attentional control was only associated with anxiety symptoms. CONCLUSIONS. This study supports high NA as a vulnerability factor for the development of depressed and anxious symptoms in children, but these symptoms develop through differential paths. ©2010 The British Psychological Society.

  19. Susceptibility, likelihood to be diagnosed, worry and fear for contracting Lyme disease.

    Science.gov (United States)

    Fogel, Joshua; Chawla, Gurasees S

    Risk perception and psychological concerns are relevant for understanding how people view Lyme disease. This study investigates the four separate outcomes of susceptibility, likelihood to be diagnosed, worry, and fear for contracting Lyme disease. University students (n=713) were surveyed about demographics, perceived health, Lyme disease knowledge, Lyme disease preventive behaviors, Lyme disease history, and Lyme disease miscellaneous variables. We found that women were associated with increased susceptibility and fear. Asian/Asian-American race/ethnicity was associated with increased worry and fear. Perceived good health was associated with increased likelihood to be diagnosed, worry, and fear. Correct knowledge was associated with increased susceptibility and likelihood to be diagnosed. Those who typically spend a lot of time outdoors were associated with increased susceptibility, likelihood to be diagnosed, worry, and fear. In conclusion, healthcare providers and public health campaigns should address susceptibility, likelihood to be diagnosed, worry, and fear about Lyme disease, and should particularly target women and Asians/Asian-Americans to address any possible misconceptions and/or offer effective coping strategies. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  20. Aplicabilidade da extrapolação alométrica em protocolos terapêuticos para animais selvagens Allometric scaling for therapeutic protocols in wildlife medicine

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    Gabrielle Coelho Freitas

    2013-02-01

    Full Text Available Na Medicina Veterinária, a extrapolação empírica dos protocolos indicados para animais domésticos é uma prática rotineira, podendo levar a falhas por desconsiderar as particularidades de cada espécie. Nesse sentido, torna-se vantajosa a utilização de escalas que possibilitem utilizar doses já estabelecidas em animais domésticos para que sejam utilizadas de parâmetro para os animais selvagens. Uma dessas é a escala alométrica, a qual possui a vantagem de considerar a taxa metabólica de cada espécie, possibilitando a comparação mais fidedigna entre animais de diferentes massas e grupos taxonômicos. Os cálculos alométricos podem ser empregados para definir doses e frequências de administração de medicamentos para qualquer animal, tendo-se apenas um animal-referência que já apresente definidos a dose e a frequência de administração do medicamento desejado. Escalas alométricas baseadas na taxa metabólica tornam-se uma boa opção para aplicação nesses cálculos, proporcionando maior segurança e eficiência em protocolos terapêuticos de animais com doses ainda desconhecidas.In Veterinary Medicine, the empirical extrapolation of protocols indicated for domestic animals is a common practice, which can lead to a failure by ignoring the particularities of each species. The use of scales that allows the use of known doses in domestic animals to calculate the doses for wild species becomes useful. Allometric scales considers the metabolic rate of each species, providing a better comparison between animals of different masses and taxonomic groups. Allometry can be used to define doses and intervals of drugs administration to any animal, knowing only one animal (reference that already presents the dose and frequency of the desired drug. Allometric scales based on metabolic rate becomes a good option in the use of these calculations, which may provide safety and efficiency in therapeutical procedures of animals whose doses

  1. Nuevas medidas radiográficas para la detección del incremento del atrio izquierdo en perros y nuevo método para la obtención del Vertebral Heart Scale

    OpenAIRE

    Sànchez Salguero, Xavier

    2013-01-01

    La radiología es una herramienta útil en la detección de patologías cardiacas caninas, especialmente cuando éstas afectan al lado izquierdo del corazón (atrio izquierdo). En la actualidad, el criterio radiográfico más objetivo para detectar cardiomegalia es el Vertebral Heart Scale o Vertebral Heart Size, sin embargo, éste únicamente permite concluir si existe o no cardiomegalia , sin precisar qué cámara está incrementada. La patología cardiaca más frecuente en el perro es la insuficiencia de...

  2. Tradução e adaptação cultural do Newcastle Satisfaction with Nursing Scales para a cultura brasileira

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    Gisele Hespanhol Dorigan

    2013-06-01

    Full Text Available Este estudo teve por objetivos traduzir e adaptar o Newcastle Satisfaction with Nursing Scales para a cultura brasileira, bem como verificar seu uso prático. O instrumento contém duas escalas e tem como objetivo avaliar as experiências vivenciadas pelo paciente e a satisfação com o cuidado de enfermagem. Para o procedimento metodológico de adaptação cultural foram seguidas as etapas de tradução, síntese, retro-tradução, avaliação pelo comitê de especialistas e pré-teste. O processo de tradução e adaptação cultural foi considerado apropriado. A avaliação pelo comitê de especialistas resultou em modificações gramaticais simples para a maioria dos itens e, no pré-teste, participaram 40 sujeitos. A versão brasileira do Newcastle Satisfaction with Nursing Scales demonstrou adequada validade de conteúdo e facilidade de compreensão pelos sujeitos. Contudo, este é um estudo que antecede o processo de avaliação das propriedades psicométricas do instrumento, cujos resultados serão apresentados em publicação posterior.

  3. Morse Fall Scale: tradução e adaptação transcultural para a língua portuguesa

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    Janete de Souza Urbanetto

    2013-06-01

    Full Text Available Estudo realizado com o objetivo de traduzir e adaptar a Morse Fall Scale da língua inglesa para a portuguesa. Foi realizado em sete etapas: autorização pela autora da escala; tradução para o português do Brasil; avaliação e estruturação da escala traduzida; tradução reversa para o inglês; avaliação e validação da escala pelo comitê de especialistas; avaliação da clareza dos itens e definições operacionais por 45 profissionais e avaliação da concordância entre avaliadores e confiabilidade da reprodutibilidade, quanto aos dados referentes à avaliação de 90 pacientes, por quatro avaliadores/juízes. Quanto à clareza da escala, as proporções foram consideradas muito satisfatórias, com intervalo de confiança entre 73% a 100% na opção muito claro. Quanto à concordância das respostas, os resultados apresentaram coeficientes Kappa em torno de 0,80 ou superiores. Concluiu-se que o processo de adaptação da escala foi bem sucedido, indicando que seu uso é apropriado para a população de pacientes brasileiros hospitalizados.

  4. A single method to stain Malassezia furfur and Corynebacterium minutissimum in scales Um método simples para corar Malassezia furfur e Corynebacterium minutissimum nas escamas

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    Antar Padilha-Gonçalves

    1996-08-01

    Full Text Available A single and practical method to slain Malassezia furfur and Corynebacterium minutissimum in lesions' scales is described. The scales are collected by pressing small pieces of scotch tape (about 4 cm lenght and 2 cm width onto the lesions and following withdrawl the furfuraceous scales will remain on the glue side. These pieces are then immersed for some minutes in lactophenol-cotton blue stain. Following absorption of the stain the scales are washed in current water to remove the excess of blue stain, dried with filter paper, dehydrated via passage in two bottles containing absolute alcohol and then placed in xylene in a centrifugation tube. The xylene dissolves the scotch tape glue and the scales fall free in the tube. After centrifugation and decantation the scales concentrated on the bottom of the tube are collected with a platinum-loop, placed in Canada balsam on a microscopy slide and closed with a cover slip. The preparations are then ready to be submitted to microscopic examination. Other stains may also be used instead of lactophenol-cotton blue. This method is simple, easily performed, and offers good conditions to study these fungi as well as being useful for the diagnosis of the diseases that they cause.É descrito um método simples e prático para corar Malassezia furfur e Corynebacterium minutissimum nas escamas das lesões. O material é colhido com o auxílio de fita durex que será usada na maior parte das etapas do método para ajudar a fácil execução do processo de coloração. Para colher as escamas, pequenos pedaços de fita durex com cerca de 4 cm de comprimento por 2 cm de largura são colocados e pressionados sobre as lesões, e quando retirados trazem aderidas as escamas furfuráceas na face com goma. Esses pedaços de fita durex são imersos por alguns minutos no corante lactofenol-azul cotton e logo que as escamas estiverem coradas em azul são lavadas em água corrente para remover o excesso de corante azul, secos

  5. Tradução e adaptação cultural da Breastfeeding Self-Efficacy Scale para o português Traducción y adaptación cultural de la Breastfeeding Self-Efficacy Scale para el portugués Translation and cultural adaptation of the Breastfeeding Self-Efficacy Scale to Portuguese

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    Mônica Oliveira Batista Oriá

    2010-04-01

    Full Text Available OBJETIVOS: traduzir e adaptar a Breastfeeding Self-Efficacy Scale ( BSES, para a realidade cultural do Brasil e avaliar a validade de conteúdo da versão em português, para que possa ser utilizada na população brasileira. MÉTODOS: O estudo envolveu duas fases (1. protocolo de tradução e adaptação cultural e 2. validade de conteúdo. RESULTADOS: O escore total variou de 93 a 162 pontos (M = 127,03; DP = 19,62. Quando considerado apenas as multíparas, a pontuação da escala variou de 106 a 156 (M = 131,66; DP = 15,91. A versão mostrou ser de fácil compreensão, obtendo-se adequada validação semântica e de consistência. O Índice de Validação de Conteúdo foi 0,84 e o coeficiente alfa de Cronbach = 0,90. CONCLUSÕES: Os achados sugerem que a BSES é adequada para screening da confiança materna no seu potencial para amamentar. No entanto, é necessário avaliar as propriedades psicométricas deste instrumento em amostra com diferentes níveis sociais e educacionais e em outras regiões do Brasil.OBJETIVOS: traducir y adaptar la escala Breastfeeding Self-Efficacy Scale (BSES, para la realidad cultural de Brasil y evaluar la validez de contenido de la versión en portugués para que pueda ser utilizada en la población brasileña. MÉTODOS: El estudio se realizó en dos fases (1- protocolo de traducción y adaptación cultural, y 2- Validación del contenido. RESULTADOS: El puntaje total varió de 93 a 162 puntos (P = 127,03; DE = 19,62. Cuando fueron consideradas apenas las multíparas, la puntuación de la escala varió de 106 a 156 (P = 131,66; DE = 15,91. La versión mostró ser de fácil comprensión, obteniéndose una adecuada validación semántica y de consistencia. El Índice de Validación de Contenido fue 0,84 y el coeficiente alfa de Cronbach = 0,90. CONCLUSIONES: Los hallazgos sugieren que la BSES es adecuada para detectar la confianza materna en su potencialidad para amamantar. Sin embargo, es necesario evaluar las

  6. PARENTAL PRACTICES SCALE FOR CHILDREN/ ESCALA DE PRÁCTICAS PARENTALES PARA NIÑOS/ ESCALA DE PRÁTICAS PARENTAIS PARA CRIANÇAS

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    Laura Hernández-Guzmán

    2013-06-01

    Full Text Available Confirmatory factor analysis conducted in a sample of 706 children 7 to 16 years of age, 354 girls and 352 boys, revealed a 5-factor solution (Rejection, Corporal Punishment, Support, Responsiveness, Warmth. Results supported the measurement model of the Parental Practices Scale for Children, which evaluates children's perception of parental practices associated to offspring emotional adjustment. This finding was replicated in a second study (N=233, 126 girls and 107 boys. The measure demonstrated good internal consistency, and was further supported by convergent validity with an instrument built with a similar objective. The measurement model supported by results of both studies is consistent with previous findings.

  7. Short-term effects of social exclusion at work and worries on sleep.

    Science.gov (United States)

    Pereira, Diana; Meier, Laurenz L; Elfering, Achim

    2013-08-01

    The present study investigated short-term effects of daily social exclusion at work on various indicators of sleep quality and tested the mediating role of work-related worries using a time-based diary study with ambulatory assessments of sleep quality. Ninety full-time employees participated in a 2-week data collection. Multilevel analyses revealed that daily workplace social exclusion and work-related worries were positively related to sleep fragmentation in the following night. Daily social exclusion, however, was unrelated to sleep onset latency, sleep efficiency and self-reported sleep quality. Moreover, worries did not mediate the effect of social exclusion at work on sleep fragmentation. Theoretical and practical implications of the results are discussed. Copyright © 2012 John Wiley & Sons, Ltd.

  8. The cancer worry scale: detecting fear of recurrence in breast cancer survivors.

    NARCIS (Netherlands)

    Custers, J.A.E.; Berg, S.W. van den; Laarhoven, H.W.M. van; Bleiker, E.M.; Gielissen, M.F.M.; Prins, J.B.

    2014-01-01

    BACKGROUND: In 9% to 34% of cancer patients, the fear of cancer recurrence becomes so overwhelming that it affects quality of life. Clinicians need a brief questionnaire with a cutoff point that is able to differentiate between high- and low-fearful survivors. OBJECTIVE: This study investigated if

  9. Versão resumida da "job stress scale": adaptação para o português Short version of the "job stress scale": a Portuguese-language adaptation

    Directory of Open Access Journals (Sweden)

    Márcia Guimarães de Mello Alves

    2004-04-01

    Full Text Available OBJETIVO: Descrever o processo de adaptação, para o português, da versão resumida da "job stress scale", originalmente elaborada em inglês. MÉTODOS: Foram avaliados seis aspectos de equivalência entre a escala original e a versão para o português: as equivalências conceitual, semântica, operacional, de itens, de medidas e funcional. Tomou-se por base um estudo de confiabilidade teste-reteste com 94 indivíduos selecionados. RESULTADOS: O estudo de confiabilidade teste-reteste entre 94 indivíduos permitiu estimativas de reprodutibilidade (coeficientes de correlação intraclasse para as dimensões de "demanda", "controle" e "apoio social" da escala de 0,88, 0,87 e 0,85, respectivamente. Para as mesmas dimensões, as estimativas de consistência interna (alpha de Cronbach foram, respectivamente, 0,79, 0,67 e 0,85. CONCLUSÕES: Os resultados sugerem que o processo de adaptação da escala foi bem sucedido, indicando que seu uso no contexto sociocultural da população de estudo (Estudo Pró-Saúde é apropriado.OBJECTIVE: To describe the adaptation to Portuguese of the short version of the "job stress scale", originally in English. METHODS: We evaluate six aspects of equivalence between the original scale and the Portuguese version: conceptual, semantic, operational, item, measurement, and functional equivalences. A reliability test-retest study was conducted with 94 selected subjects. RESULTS: Reproducibility (interclass correlation coefficients for the 'demand', 'control', and 'social support' dimensions of the scale was estimated at 0.88, 0.87, and 0.85, respectively. Internal consistency (Cronbach's alpha estimates for these same dimensions were 0.79, 0.67, and 0.85, respectively. CONCLUSIONS: Our results suggest that the adaptation of the scale was successful, and indicate that its use in the sociocultural context of the studied population (Pró-Saúde survey is appropriate.

  10. Tradução e adaptação semântica da Compulsive Buying Scale para o português brasileiro

    Directory of Open Access Journals (Sweden)

    Priscilla Lourenço Leite

    2011-01-01

    Full Text Available OBJETIVO: A Compulsive Buying Scale (Escala de Compras Compulsivas, instrumento breve e de fácil aplicação, apresenta como vantagem abarcar as principais dimensões do transtorno, sendo elas a compulsão pelas compras e o comportamento impulsivo. O presente estudo tem como objetivo a adaptação transcultural para o português do Brasil da Escala de Compras Compulsivas. MÉTODOS: Para a etapa de adaptação semântica, dois psicólogos bilíngues e um tradutor fluente em português e inglês traduziram a escala de seu idioma de origem, o inglês, para o português. Em um segundo momento, foi realizada a retrotradução da escala por dois tradutores e um psicólogo. Finalmente, a escala foi aplicada em 20 participantes, de modo que pudessem ser feitos ajustes semânticos no instrumento em questão. RESULTADOS: A colaboração entre profissionais especialistas em tradução bilíngue fluentes nos idiomas inglês e português brasileiro, e psicólogos clínicos capacitados à avaliação sobre o constructo a ser mensurado, possibilitou o ajuste dos termos utilizados na versão final da escala para o idioma português, assegurando adequação semântica do instrumento. Assim, todos os itens obtiveram aprovação superior a 90% em sua aplicação experimental. CONCLUSÃO: A versão da escala de compras compulsivas adaptada para o idioma português foi elaborada com êxito.

  11. [Adaptation and psychometric proprieties study for the Portuguese version of the Adolescent Coping Scale - Escala de Coping para Adolescentes].

    Science.gov (United States)

    Guerreiro, Diogo Frasquilho; Cruz, Diana; Figueira, Maria Luísa; Sampaio, Daniel

    2014-01-01

    Coping is a psychological process that prompts the individual to adapt to stressful situations. The Adolescent Coping Scale is a widely used research and clinical tool. This study aimed to develop a Portuguese version of the Adolescent Coping Scale and to analyze the strategies and coping styles of young people in our sample. An anonymous questionnaire comprising the Adolescent Coping Scale was submitted and replied by 1 713 students (56% female, from 12 to 20 years, average age 16) The validity study of the scale included: principal component and reliability analysis; confirmatory analysis using structural equation modelling Subsequently, a gender comparison of both the strategies and the coping styles was conducted through independent samples t tests. The final structure of the Adolescent Coping Scale adaptation retained 70 items assessing 16 coping strategies grouped into three major styles. The scales showed good internal consistency (Cronbach alpha values between 0.63. and 0.86, with the exception of one dimension that as shown a value of 0.55) and the confirmatory model showed a good fit (goodness of fit index values between 0.94 e 0.96). Two coping strategies were eliminated on statistical grounds (insufficient saturations of items in the corresponding dimensions). We found that the style of coping focused on problem solving is the most used by youths from our sample, in both sexes. Females had higher mean values in non-productive coping style and reference to others. This adapted version has high similarity with the original scale, with expectable minor changes, given that coping is influenced by cultural, geographical and socio-economic variables. The present study represents an important part of the validation protocol Portuguese Adolescent Coping Scale, including its linguistic adaptation and its internal consistency and factor structure studies.

  12. Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry.

    Science.gov (United States)

    Ainsworth, B; Bolderston, H; Garner, M

    2017-04-01

    Worry is a key component of anxiety and may be an effective target for therapeutic intervention. We compared two psychological processes (attention and acceptance) on the frequency of intrusive worrying thoughts in an experimental worry task. 77 participants were randomised across three groups and completed either a 10 min attention or acceptance-based psychological exercise, or progressive muscle relaxation control. We subsequently measured anxiety, and the content and frequency of intrusive thoughts before and after a 'worry induction task'. Groups did not differ in baseline worry, anxiety or thought intrusions. Both attention and acceptance-based groups experienced fewer negative thought intrusions (post-worry) compared to the relaxation control group. The acceptance exercise had the largest effect, preventing 'worry induction'. Increases in negative intrusive thoughts predicted subjective anxiety. We provide evidence that acceptance and attention psychological exercises may reduce anxiety by reducing the negative thought intrusions that characterise worry. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. Adaptation to Portuguese of the Depression, Anxiety and Stress Scales (DASS Adaptación para la lengua portuguesa de la Depression, Anxiety and Stress Scale (DASS Adaptação para a língua portuguesa da Depression, Anxiety and Stress Scale (DASS

    Directory of Open Access Journals (Sweden)

    João Luís Alves Apóstolo

    2006-12-01

    Full Text Available Objective: to adapt to Portuguese, of Portugal, the Depression, Anxiety and Stress Scales, a 21-item short scale (DASS 21, designed to measure depression, anxiety and stress. Method: After translation and back-translation with the help of experts, the DASS 21 was administered to patients in external psychiatry consults (N=101, and its internal consistency, construct validity and concurrent validity were measured. Results: The DASS 21 properties certify its quality to measure emotional states. The instrument reveals good internal consistency. Factorial analysis shows that the two-factor structure is more adequate. The first factor groups most of the items that theoretically assess anxiety and stress, and the second groups most of the items that assess depression, explaining, on the whole, 58.54% of total variance. The strong positive correlation between the DASS 21 and the Hospital Anxiety and Depression scale (HAD confirms the hypothesis regarding the criterion validity, however, revealing fragilities as to the divergence between theoretically different constructs.Objetivo: adaptar a la lengua portuguesa, de Portugal, la Depression, Anxiety and Stress Scale, versión corta de 21 ítems, (DASS-21, que permite evaluar depresión, ansiedad y estrés. Método: Después de haber sido traducida y retrovertida, con la ayuda de peritos, la DASS-21 fue administrada a enfermos en consulta externa de psiquiatría (N=101, y fue evaluada la consistencia interna, la validez de constructo y la validez concurrente. Resultados: Las propiedades de la DASS-21 atestiguan su calidad para evaluar estados emocionales. El instrumento reveló buena consistencia interna. El análisis factorial muestra que la estructura de dos factores es la más ajustada. El primer factor agrupa la mayoría de los ítems que teóricamente evalúan ansiedad y estrés, y el segundo agrupa la mayoría de los ítems que evalúan depresión, explicando en su conjunto el 58,54% de la variaci

  14. Effects of Homework Motivation and Worry Anxiety on Homework Achievement in Mathematics and English

    Science.gov (United States)

    Hong, Eunsook; Mason, Elsa; Peng, Yun; Lee, Nancy

    2015-01-01

    Direct and mediating effects of homework worry anxiety on homework effort and homework achievement and the differences in the structural relations among homework motivation constructs and homework achievement across mathematics and English homework were examined in 268 tenth graders in China. Homework motivation included task value, homework…

  15. Where on Earth am I? Don't Worry, GPS Satellites will Guide you ...

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 3; Issue 8. Where on Earth am I? Don't Worry, GPS Satellites will Guide you - Introduction and Principle of GPS. Makarand Phatak. General Article Volume 3 Issue 8 August 1998 pp 25-32 ...

  16. Where on Earth am I? Don't Worry,. GPS Satellites will Guide you

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 3; Issue 9. Where on Earth am I? Don't Worry, GPS Satellites will Guide you - Mechanisms and Uses of GPS. Makarand Phatak. General Article Volume 3 Issue 9 September 1998 pp 14-25 ...

  17. Physical activity, depressed mood and pregnancy worries in European obese pregnant women

    DEFF Research Database (Denmark)

    de Wit, Linda; Jelsma, Judith G M; van Poppel, Mireille N M

    2015-01-01

    BACKGROUND: The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. METHODS: Baseline data from the vitamin D...... with MVPA and sedentary behaviour. RESULTS: A total of 98 obese pregnant women from Austria, Belgium, Ireland, Italy, Poland, Spain and the Netherlands were included. Women had a mean age of 31.6 ± 5.8 years, a pre-pregnancy BMI of 34.1 ± 4.3 kg/m(2), and were on average 15.4 ± 2.8 weeks pregnant. WHO-5...... levels were found for women with no, some, or many pregnancy worries. Depressed mood and pregnancy-related worries were not associated with sedentary behaviour. CONCLUSIONS: These findings suggest that in pregnant women who are obese, a depressed mood, but not pregnancy-related worries, may be associated...

  18. Leaving School: A Comparison of the Worries Held by Adolescents with and without Intellectual Disabilities

    Science.gov (United States)

    Young, R.; Dagnan, D.; Jahoda, A.

    2016-01-01

    Background: Leaving school is an important time for adolescents, with increasing autonomy and developing adult identities. The present study sought to shed light on the content and emotional impact of worries amongst adolescents with and without intellectual disabilities (IDs) at this time of change. Methods: Twenty-five adolescents with mild to…

  19. Worries about Middle School Transition and Subsequent Adjustment: The Moderating Role of Classroom Goal Structure

    Science.gov (United States)

    Duchesne, Stephane; Ratelle, Catherine F.; Roy, Amelie

    2012-01-01

    This longitudinal study had three objectives: (a) to identify different profiles of second-year middle school students (Grade 8) in terms of academic, emotional, and social adjustment; (b) to test the contribution of worries at the end of Grade 6 to distinguish these profiles; and (c) to examine the moderating effect of mastery (MG) and…

  20. Cognitive-Behavioral Intervention for Worry, Uncertainty, and Insomnia for Cancer Survivors

    Science.gov (United States)

    2017-04-04

    Anxiety Disorder; Worry; Uncertainty; Sleep Disorders; Insomnia; Fatigue; Pain; Depression; Cognitive-behavioral Therapy; Psychological Intervention; Esophageal Cancer; Pancreatic Cancer; Leukemia; Lung Cancer; Multiple Myeloma; Ovarian Neoplasm; Stage III or IV Cervical or Uterine Cancer; Stage IIIB, IIIC, or IV Breast Cancer; Glioblastoma Multiforme; Relapsed Lymphoma; Stage III or IV Colorectal Cancer; Stage IIIC or IV Melanoma

  1. Patient health communication mediating effects between gastrointestinal symptoms and gastrointestinal worry in pediatric inflammatory bowel disease

    Science.gov (United States)

    To investigate the effects of patient health communication regarding their inflammatory bowel disease (IBD) to their health care providers and significant others in their daily life as a mediator in the relationship between gastrointestinal symptoms and gastrointestinal worry in pediatric patients. ...

  2. The impact of trait worry and emotion regulation on heart rate variability

    Directory of Open Access Journals (Sweden)

    Michael M. Knepp

    2015-12-01

    Full Text Available High anxiety and poor emotion regulation have been found to function as independent causes of stress to the autonomic nervous system. The aim of this study was to further explore how these factors may interact to control heart rate variability. Fifty college students took part in a three-part cardiac recording session followed by questionnaires on trait worry and emotion regulation. An interaction for trait worry and emotion reappraisal was found on two markers of heart rate variability. Low trait worriers with high emotion reappraisal had higher vagal tone than the other three groups. This finding was across all three phases with no specific reactivity or recovery difference. Emotion suppression was not found to significantly impact vagal tone. The negative impacts of trait worry and emotion regulation on heart rate variability were found in this sample of healthy college-aged individuals. Specifically, high trait worry could have a deleterious effect on parasympathetic control of the heart. Emotion regulation skills meanwhile can function as a buffer to stress and a reliance on sympathetic control.

  3. Psychophysiological correlates of chronic worry: cued versus non-cued fear reaction.

    Science.gov (United States)

    Delgado, Luis Carlos; Guerra, Pedro; Perakakis, Pandelis; Mata, José Luís; Pérez, María Nieves; Vila, Jaime

    2009-12-01

    Worry has been defined as a chain of thoughts and images that promote mental attempts to avoid anticipation of potential threats. From this perspective worry can be conceptualized as a state of anticipatory anxiety or non-cued fear reaction. The present study examines high and low chronic worriers during cued and non-cued defense reaction paradigms and during resting and self-induced worry periods. The non-cued procedure was based on the cardiac defense paradigm, whereas the cued procedure was based on the startle probe paradigm using pleasant, neutral and unpleasant pictures as cues. High worriers, compared to low worriers, showed (a) a greater cardiac defense response in the non-cued fear response paradigm, (b) no differences in eye-blink in the startle probe paradigm, (c) reduced skin conductance reactivity during the startle probe paradigm and (d) reduced Respiratory Sinus Arrhythmia, accompanied by increased respiratory rate and decreased expiratory period, during the resting period. These results support the notion of chronic worry as a state of anticipatory anxiety, accompanied by indices of reduced vagal control, that modulates non-cued defense reactions.

  4. Should we be worrying about a Brexit from the European Convention of Human Rights now, too?

    NARCIS (Netherlands)

    Zoethout, C.

    2017-01-01

    The Brexit from the EU is now a political fact with all its consequences. Far less media attention has been paid to British criticism of the European Convention of Human Rights, which may face a similar fate unless its Court is changed into an advisory institution. Should we be worrying about a

  5. Goal linking and everyday worries in clinical work stress : A daily diary study

    NARCIS (Netherlands)

    Verkuil, B.; Brosschot, J.F.; Gebhardt, W.A.; Korrelboom, C.W.

    2015-01-01

    Objectives In this study, we tested whether high levels of daily worrying are associated with linking, a tendency to overvalue the attainment of specific lower level goals for attaining higher level goals, and more specifically the attainment of experiencing happiness. Methods Thirty-two patients

  6. GSD Update: What are invasive species? ... And do we really need to worry about them?

    Science.gov (United States)

    Catherine Dold

    2011-01-01

    Invasive species are the focus of the September 2011 issue of GSDUpdate: What Are Invasive Species? And Do We Really Need to Worry About Them? An invasive species is any species - non-native or native to a region - that could cause economic or ecological harm to an area. Invasives can be weeds, shrubs and trees, insects, mollusks, vertebrates and even microorganisms...

  7. The relationship between worry, rumination, and comorbidity: evidence for repetitive negative thinking as a transdiagnostic construct.

    Science.gov (United States)

    McEvoy, Peter M; Watson, Hunna; Watkins, Edward R; Nathan, Paula

    2013-10-01

    Repetitive negative thinking (RNT) increases vulnerability to multiple anxiety and depressive disorders and, as a common risk factor, elevated RNT may account for the high levels of comorbidity observed between emotional disorders. The aims of this study were to (a) compare two common forms of RNT (worry and rumination) across individuals with non-comorbid anxiety or depressive disorders, and (b) to examine the relationship between RNT and comorbidity. A structured diagnostic interview and measures of rumination, worry, anxiety, and depression were completed by a large clinical sample with an anxiety disorder or depression (N=513) presenting at a community mental health clinic. Patients without (n=212) and with (n=301) comorbid diagnoses did not generally differ across the principal diagnosis groups (depression, generalised anxiety disorder, social anxiety disorder, panic disorder) on worry or rumination. As predicted, comorbidity was associated with a higher level of RNT. Cross-sectional design precluded causal conclusions and findings may not generalize to excluded anxiety disorders. Consistent with the transdiagnostic hypothesis, RNT was associated with a range of anxiety disorders and depression and with comorbidity for those with a principal depressive disorder, supporting recent evidence that RNT is a transdiagnostic process. The presence of RNT, specifically worry and rumination, should be assessed and treated regardless of diagnostic profile. Future research may show that both pure and comorbid depressed or anxious patients receive incremental benefit from transdiagnostic protocols developed to treat core pathological processes of RNT traditionally associated with separate disorders. © 2013 Elsevier B.V. All rights reserved.

  8. Escala de coma de Glasgow pediátrica modificada para cães Pediatric Glasgow coma scale modified for dogs

    Directory of Open Access Journals (Sweden)

    M.B. Andrade

    2010-02-01

    Full Text Available Com o objetivo de modificar a escala de coma de Glasgow pediátrica para utilização na medicina veterinária, foram utilizados 30 cães adultos com alterações neurológicas passíveis de avaliação da consciência. A escala modificada para cães foi aplicada em três momentos com intervalos de 48 horas entre eles, resultando em 90 eventos diversos. A escala foi aplicada para avaliação da abertura ocular (AO, da melhor resposta associada à vocalização (MRV e da melhor resposta motora (MRM. Com a análise fatorial para os indicadores AO, MRV e MRM, obtiveram-se valores iniciais de 2,482, 0,302 e 0,215, respectivamente. A variância foi de 82,7%, 10,1% e 7,2%, respectivamente, e cumulativa de 82,7%, 92,8% e 100%, respectivamente. A extração esperada do principal fator, AO, foi de 2,482 com variância de 82,7% e cumulativa de 82,7%. O resultado da avaliação da consciência dos cães foi normal em 10% dos animais, alteração leve em 20%, moderada em 45% e grave em 25%, com escores de Glasgow iguais a 15, entre 13 e 14, entre 9 e 12 e entre 8 e 3, respectivamente. A escala de coma de Glasgow pediátrica modificada para cães é ferramenta segura para avaliação da consciência de cães adultos.The pediatric Glasgow coma scale was modified for use in veterinary medicine. Thirty adult dogs with neurological alterations susceptible to evaluation of the conscience were studied. The modified scale for dogs was applied at three moments with intervals of 48 hours, resulting in 90 events. The scale was applied for evaluation of the ocular opening (OO, the best answer associated to vocalization (BAV, and the best motor answer (BMA. With the factorial analysis for the indicators OO, BAV, and BMA the initial values of 2.482, 0.302, and 0.215, respectively, were obtained. The variance was of 82.7%, 10.1%, and 7.2%, respectively, and cumulative of 82.7%, 92.8%, and 100%, respectively. The expected extraction of the main factor, OO, was 2.482 with

  9. Attachment Style and Rejection Sensitivity: The Mediating Effect of Self-Esteem and Worry Among Iranian College Students

    Directory of Open Access Journals (Sweden)

    Samira Khoshkam

    2012-08-01

    Full Text Available The present study evaluated the relations between anxious attachment styles and rejection sensitivity, and the potential mediating role of self-esteem and worry. A sample of 125 Iranian college students completed surveys assessing rejection sensitivity, attachment style, worry and self-esteem. Structural Equation Modeling (SEM analyses were conducted. Results show that there is a significant positive relationship between anxious attachment styles and rejection sensitivity. The study suggests that a higher score in anxious attachment styles is associated with a higher level of worry and lower level of self-esteem and it is also associated with higher level of rejection sensitivity. Furthermore, there is a positive significant relationship between worry and rejection sensitivity and there is a negative significant relationship between self-esteem and rejection sensitivity. Results indicate that self-esteem and worry mediate the relationship between anxious attachment styles and rejection sensitivity.

  10. A worrying trend in Social Anxiety: To what degree are worry and its cognitive factors associated with youth Social Anxiety Disorder?

    Science.gov (United States)

    Hearn, Cate S; Donovan, Caroline L; Spence, Susan H; March, Sonja

    2017-01-15

    Comorbidity between Social Anxiety Disorder (SAD) and Generalized Anxiety Disorder (GAD) is extremely common. This study investigated whether factors commonly associated with GAD, including worry, intolerance of uncertainty (IU), positive and negative beliefs about worry (PBW, NBW), negative problem orientation (NPO) and cognitive avoidance (CA) were associated with SAD severity, symptoms and overall functioning. Participants included 126 youth aged 8-17 years (M=11.29, SD=2.67, Males n=50) with a primary diagnosis of SAD. Participants and a parent underwent a diagnostic interview and completed questionnaires at pre- and 12-week post assessment, and 6-month follow-up. Correlations and hierarchical multiple regression analyses were conducted. Each of the cognitive variables, with the exception of PBW, was found to correlate with SAD symptoms, SAD severity and overall functioning. NPO emerged as an important predictor of SAD severity, self-reported ratings of SAD symptoms, and poorer levels of overall functioning. IU and worry also predicted self-rated SAD symptoms. Measures were chosen on the basis of their sound psychometrics however some were yet to undergo rigorous testing with youth populations. The study design is cross-sectional, which restricts firm conclusions regarding causal and temporal associations between the variables. Findings from this study have implications for the specificity of GAD and SAD in youth. Further research is required to understand whether these cognitive variables play a maintaining role in youth SAD and the extent to which they might influence treatment. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. Application of scale test modules for model the electrothermal performance in buildings for the efficient use of energy; Aplicacion de modulos de prueba a escala para modelar el funcionamiento electrotermico de edificios para el uso eficiente de la energia

    Energy Technology Data Exchange (ETDEWEB)

    Acoltzi Acoltzi, Higinio

    2000-10-01

    Due to the amount of materials and parameters that are included in the calculations of cooling spaces in buildings in real scale are very costly, the scale test modules coupled to air conditioner systems are used to obtain their electrothermal behavior. The test modules quantify the electrical energy consumption of each module considering test materials. A transitory theoretical thermal model is analyzed. It describes the thermal behavior of the scale test modules varying the materials of the roofs and glazing of windows, this results allow uns to establish a criteria of what materials can be used in buildings. Additionally a steady state theoretical electrothermal model is presented. This model calculates the electrical energy consumption to maintain the conditions of comfort at the interior of the test modules, that consider the variation of the mentioned materials. The experimentation is developed exposing the scale test modules coupled to air conditioners to the direct solar radiation, recording: the consumption of electric power of air conditioners, the solar radiation incident on test roofs and test windows, the interior temperatures of the modules, the interior and exterior temperature of the test roofs, the ambient temperature, and the speed of the wind. The results obtained comparing the electrical power consumption of the measured and the electrical power consumption calculated present a difference of 16%. The electrical energy savings observed with the theoretical electrothermal model are: 1) Changing only clear glass by sun filter glass it can be achieved savings up to 14.5% for the small beam and small vault pottery and 12.4% for the monolithic pottery; and 2) Changing only clear glass by sun reflector glass it can be obtained savings up to 28.1% for the small beam and small vault pottery and up to 16.8% for the monolithic pottery. The greater detected electrical energy saving was for substitution monolithic pottery with clear glass by the small beam

  12. The role of cues, self-efficacy, level of worry, and high-risk behaviors in college student condom use.

    Science.gov (United States)

    Mahoney, C A

    1995-01-01

    A sample of 879 undergraduate students were recruited from a public university in western New York state during the 1993-94 academic year in order to study condom use among sexually active young people 18-24 years old. A 104-item questionnaire was administered consisting of 5 instruments and single-item measures of sexual behavior and demographics. The instruments were: the Condom Use Self-Efficacy Scale (CUSES), the Perceived Barriers to Condom Use, the Perceived Susceptibility to HIV/AIDS and other STDs, the Cues to Condom Action Scale, and the Perceived Norms scale. 92% of students reported having had sexual intercourse in the past, while 86.75 reported having sexual intercourse in the previous year. About 61% reported having 1 sex partner in the previous 12 months, whereas 35.2% reported having 3 or more partners. 22.4% reported 2 or more 1-night stands. 54.5% reported worrying about HIV/AIDS occasionally, while 23.1% reported doing so frequently. 17.2% (99) of the students were classified as non-users of condoms, 50.2% (289) as sporadic users, and 32.6% (188) as consistent users. 78 (12%) could not be classified. A multiple discriminant function analysis was also conducted to distinguish among the 3 condom user groups totalling 576 cases. The variables were age, gender, frequency of drunkenness during sexual intercourse, number of sex partners, and number of 1-night stands in the past 12 months, perceived barriers, worrying about HIV/AIDS, perceived susceptibility, condom use self-efficacy, and cues to condom action. Two significant functions emerged. Function 1 clearly separated the sporadic users from the consistent users (p 0.001), while Function 2 clearly separated the sporadic users from the non-users (p 0.001). The discriminating variables correctly classified 64.58% of the respondents into the 3 condom user groups. The variables were most effective at correctly classifying non-users (68.7%), consistent users (67.8%), and sporadic users (61.2%). Sporadic

  13. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional designed study in healthy pregnant women

    National Research Council Canada - National Science Library

    Danielle Mourady; Sami Richa; Rita Karam; Tatiana Papazian; Fabienne Hajj Moussa; Nada El Osta; Assaad Kesrouani; Joseph Azouri; Hicham Jabbour; Aline Hajj; Lydia Rabbaa Khabbaz

    2017-01-01

    ...), insomnia, depression and worry are insufficiently investigated among pregnant women. The aim of this study was to evaluate QOL and PA patterns among healthy pregnant women, and to examine how QOL might correlate to PA, sleep, worry and depression...

  14. Adaptação transcultural para o português da escala Adult Self-Report Scale para avaliação do transtorno de déficit de atenção/hiperatividade (TDAH em adultos Transcultural adaptation of the Adult Self-Report Scale into portuguese for evaluation of adult attention-deficit/hyperactivity disorder (ADHD

    Directory of Open Access Journals (Sweden)

    Paulo Mattos

    2006-01-01

    Full Text Available Os critérios mais utilizados para o diagnóstico de transtorno do déficit de atenção/hiperatividade (TDAH são aqueles listados pela quarta edição do Diagnostic and Statistical Manual (DSM-IV da Associação Americana de Psiquiatria, baseados em estudos de campo com crianças e adolescentes. A Adult Self-Report Scale (ASRS, versão 1.1 foi desenvolvida para adaptar os sintomas listados no DSM-IV para o contexto da vida adulta. O presente estudo consistiu em uma adaptação transcultural do instrumento original em inglês para uma versão final para uso corrente no Brasil. Os resultados indicaram uma equivalência satisfatória entre as versões, tendo sido realizadas alterações após o debriefing, ressaltando a importância dessa etapa em estudos desta natureza.The criteria listed in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV from the American Psychiatric Association are the most used ones for the diagnosis of Attention-Deficit Hyperactivity Disorder (ADHD being based on field studies with children and adolescents. The Adult Self-Report Scale (ASRS, version 1.1 was developed to adapt those symptoms to an adult life context. The present study consisted of a transcultural adaptation of the original instrument in English into a final version to be used in Brazil. Results indicated a satisfactory equivalence between versions, with some modifications being done after debriefing, supporting the importance of this step in studies like this.

  15. The Physical Appearance Perfectionism Scale: Development and preliminary validation

    OpenAIRE

    Yang, Hongfei; Stoeber, Joachim

    2012-01-01

    Eight studies with data from 2316 students are presented describing the development and preliminary validation of the Physical Appearance Perfectionism Scale (PAPS), a brief measure with two subscales: Worry About Imperfection and Hope For Perfection. Results from exploratory and confirmatory factor analyses confirmed the measure’s two-dimensional structure. Moreover, correlation analyses provided first evidence for the two subscales’ differential validity: Worry About Imperfection showed neg...

  16. Criticality evaluation of long term for spent fuel, using Scale; Evaluacion de criticidad a largo plazo para combustible gastado, utilizando SCALE

    Energy Technology Data Exchange (ETDEWEB)

    Esquivel E, J.; Vargas E, S.; Ramirez S, J. R., E-mail: jaime.esquivel@inin.gob.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2013-10-15

    Once carried out the spent fuel discharge, of the reactor core, this continues generating decay heat and diverse fission products, reason why is important to store this fuel inside containers able to dissipate the heat generated by the isotopes decay of the fuel and to maintain the fuels arrangement in subcritical condition. This means that: is necessary to assure the sub-criticality of those fuel assemblies in the time. This work, presents a criticality evaluation of fuel assemblies type PWR in a storage generic container. For this purpose have been used two codes: GeeWiz, to carry out the geometric model of the container with the fuel assemblies, and Keno, with which, the criticality of the full container with fuel is determined until a 10{sup 6} years period. These codes are part of the package Scale. The specifications for each one of the analyzed components are based on a Benchmark document of the Nea/OECD, of where, the results that reports are compared with the obtained results by the realized analysis. (Author)

  17. The prevalence of symptoms of depression and anxiety, and the level of life stress and worry in New Zealand Māori and non-Māori women in late pregnancy.

    Science.gov (United States)

    Signal, T Leigh; Paine, Sarah-Jane; Sweeney, Bronwyn; Muller, Diane; Priston, Monique; Lee, Kathryn; Gander, Philippa; Huthwaite, Mark

    2017-02-01

    To describe the prevalence of symptoms of depression and anxiety, and the level of life stress and worry in late pregnancy for Māori and non-Māori women. In late pregnancy, women completed a questionnaire recording their prior history of mood disorders; self-reported current depressive symptoms (⩾13 on the Edinburgh Postnatal Depression Scale), current anxiety symptoms (⩾6 on the anxiety items from the Edinburgh Postnatal Depression Scale), significant life stress (⩾2 items on life stress scale) and dysfunctional worry (>12 on the Brief Measure of Worry Scale). Data were obtained from 406 Māori women (mean age = 27.6 years, standard deviation=6.3 years) and 738 non-Māori women (mean age = 31.6 years, standard deviation=5.3 years). Depressive symptoms (22% vs 15%), anxiety symptoms (25% vs 20%), significant life stress (55% vs 30%) and a period of poor mood during the current pregnancy (18% vs 14%) were more prevalent for Māori than non-Maori women. Less than 50% of women who had experienced ⩾2 weeks of poor mood during the current pregnancy had sought help. Being young was an independent risk factor for depressive symptoms, significant life stress and dysfunctional worry. A prior history of depression was also consistently associated with a greater risk of negative affect in pregnancy. Antenatal mental health requires at least as much attention and resourcing as mental health in the postpartum period. Services need to specifically target Māori women, young women and women with a prior history of depression.

  18. [What worries Hungarian men? Characteristics of masculine gender role stress].

    Science.gov (United States)

    Susánszky, Anna; Susánszky, Eva; Kopp, Mária

    2009-07-01

    The aim of this study was to establish the characteristics of stress associated with male gender role and its relationship to health and to risk behaviours among Hungarian men. The present analysis is based on data of the Hungarostudy 2006 survey. Forty-one percent of the participants were men. Eighty nine percent of the male respondents completed the Eisler-Skidmore Masculine Gender Role Stress Scale; data of 1764 persons were analyzed. Anxiety about sexual performance, breadwinner role, and appearance (i.e. tradition factor) causes a much greater burden of stress than anxiety about changing gender relationships (i.e. modernization factor). With the increase of age, stress caused by traditional role expectations significantly decreases; tensions caused by women's dominance and by situations which demand emotional response and empathy are the highest among middle aged men. Traditional gender role stress is more prevalent among pensioners than among economically active men; stress caused by the modernization of masculine gender role particularly afflicts unemployed men. Married men are to the least extent troubled by female dominance and difficulties in expressing emotions. Of the two dimensions analyzed here (tradition and modernization) only the values on the tradition factor were related to health status, psychological wellbeing, and frequency of smoking. Modernization of gender roles represents only a small--if any--stressor in the life of Hungarian men; on the other hand, unsuccessful adaptation to traditional role expectations highly increases the burden of stress and is closely related to smoking.

  19. Adaptação de escalas de silhuetas bidimensionais e tridimensionais para o deficiente visual Adaptation of two and three dimensional silhouette scales for the visually impaired

    Directory of Open Access Journals (Sweden)

    Fabiane Frota da Rocha Morgado

    2011-04-01

    Full Text Available O objetivo deste estudo foi descrever o processo de adaptação da Escala de Silhuetas Bidimensionais (ESB e de criação da Escala de Silhuetas Tridimensionais (EST. Para isso uma pesquisa de cunho qualitativo realizado em três etapas: na primeira, foi solicitada a autorização do prof. Stunkard para a utilização de seu instrumento como parâmetro para a confecção das Escalas. Na segunda, foi confeccionada a ESB e na terceira, a EST. Estas Escalas foram elaboradas considerando os critérios técnicos da Divisão de Pesquisa e Produção de Material Especializado do Instituto Benjamin Constant - RJ. Os resultados indicaram que a ESB foi confeccionada em linguagem grafo-tátil em alto relevo e é composta por nove bonecos masculinos e nove femininos, com diferentes formas corporais, texturizados com lixa de parede e linha. Os bonecos possuem 8,5 cm de altura. A EST foi composta por nove bonecos masculinos e nove femininos, com diferentes pesos e formas corporais. Os modelos foram confeccionados através de processo artesanal e constituídos de gesso pedra. Os bonecos do gênero masculino possuem altura de 15,5 cm e os do gênero feminino, 13,5 cm. Conclui-se que as informações contidas na descrição detalhada dos processos de confecção da ESB e EST podem ser um referencial para adaptações futuras e melhoradas de outras Escalas de figuras humanas, desenvolvidas a partir deste primeiro referencial.The objective of this study was to describe the process of adaptation of the Two Dimencional Silhouette Scale (2DSS and the development of a Three Dimensional Silhouette Scale (3DSS. To that end, a qualitative study was conducted in three stages: In the first one, the creator of the tool, Mr. Stunkard was contacted for permission to use his instrument as a parameter for the development of the scales. In the second and third ones, the 2DSS and the 3DSS were developed, respectively. These scales were developed considering the technical criteria

  20. Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder.

    Science.gov (United States)

    Bomyea, J; Ramsawh, H; Ball, T M; Taylor, C T; Paulus, M P; Lang, A J; Stein, M B

    2015-06-01

    Growing evidence suggests that intolerance of uncertainty (IU) is a cognitive vulnerability that is a central feature across diverse anxiety disorders, including generalized anxiety disorder (GAD). Although cognitive behavioral therapy (CBT) has been shown to reduce IU, it remains to be established whether or not reductions in IU mediate reductions in worry. This study examined the process of change in IU and worry in a sample of 28 individuals with GAD who completed CBT. Changes in IU and worry, assessed bi-weekly during treatment, were analyzed using multilevel mediation models. Results revealed that change in IU mediated change in worry (ab = -0.20; 95% CI [-.35, -.09]), but change in worry did not mediate change in IU (ab = -0.16; 95% CI [-.06, .12]). Findings indicated that reductions in IU accounted for 59% of the reductions in worry observed over the course of treatment, suggesting that changes in IU are not simply concomitants of changes in worry. Findings support the idea that IU is a critical construct underlying GAD. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Sleep Paralysis Among Egyptian College Students: Association With Anxiety Symptoms (PTSD, Trait Anxiety, Pathological Worry).

    Science.gov (United States)

    Jalal, Baland; Hinton, Devon E

    2015-11-01

    Among Egyptian college students in Cairo (n = 100), this study examined the relationship between sleep paralysis (SP) and anxiety symptoms, viz., posttraumatic stress disorder (PTSD), trait anxiety, and pathological worry. SP rates were high; 43% of participants reported at least one lifetime episode of SP, and 24% of those who reported at least one lifetime episode had experienced four or more episodes during the previous year. Fourteen percent of men had experienced SP as compared to 86% of women. As hypothesized, relative to non-SP experiencers, participants who had SP reported higher symptoms of PTSD, trait anxiety, and pathological worry. Also, as hypothesized, the experiencing of hypnogogic/hypnopompic hallucinations during SP, even after controlling for negative affect, was highly correlated with symptoms of PTSD and trait anxiety. The study also investigated possible mechanisms by examining the relationship of hallucinations to anxiety variables.

  2. Parenthood and Worrying About Climate Change: The Limitations of Previous Approaches.

    Science.gov (United States)

    Ekholm, Sara; Olofsson, Anna

    2017-02-01

    The present study considers the correlation between parenthood and worry about the consequences of climate change. Two approaches to gauging people's perceptions of the risks of climate change are compared: the classic approach, which measures risk perception, and the emotion-based approach, which measures feelings toward a risk object. The empirical material is based on a questionnaire-based survey of 3,529 people in Sweden, of whom 1,376 answered, giving a response rate of 39%. The results show that the correlation of parenthood and climate risk is significant when the emotional aspect is raised, but not when respondents were asked to do cognitive estimates of risk. Parenthood proves significant in all three questions that measure feelings, demonstrating that it is a determinant that serves to increase worry about climate change. © 2016 Society for Risk Analysis.

  3. Worry Exposure versus Applied Relaxation in the Treatment of Generalized Anxiety Disorder

    OpenAIRE

    Hoyer, Jürgen; Beesdo, Katja; Gloster, Andrew T.; Runge, Juliane; Höfler, Michael; Becker, Eni S.

    2014-01-01

    Background: Worry exposure (WE) is a core element of cognitive-behavioral treatment for generalized anxiety disorder (GAD). Its efficacy as a stand-alone treatment method (without further cognitive-behavioral therapy interventions) has never been tested.We aimed to examine whether WE alone is as efficacious as the empirically supported stand-alone treatment for GAD, applied relaxation (AR). Methods: In a randomized controlled study, 73 outpatients meeting DSM-IV criteria for GAD as primary di...

  4. Stressful life events, worry, and rumination predict depressive and anxiety symptoms in young adolescents.

    Science.gov (United States)

    Young, Cara C; Dietrich, Mary S

    2015-02-01

    Depression and anxiety are highly prevalent and frequently comorbid mental health disorders that often manifest during childhood and adolescence. The purpose of this study was to prospectively examine potential common underlying mechanisms predicting the development of depressive and anxiety symptoms to identify mutual underlying modifiable risk factors to target with mental health promotion and prevention interventions. A community-based sample of 11- to 15-year-old adolescents participated in a prospective, longitudinal pilot study with three waves of data collection over a 6-month period. At baseline, stressful life events, worry, and rumination accounted for 35% of the variance in anxiety scores (adjusted R(2) = 0.28) and 58% of the variance in depressive symptoms (adjusted R(2) = 0.53), while at Time 3 (T3; 6 months post baseline) these variables accounted for 63% of the variance in anxiety scores (adjusted R(2) = 0.59) and 45% of the variance in depressive symptoms (adjusted R(2) = 0.39). After controlling for baseline values, increases in stress, worry, and rumination were predictive of both depressive and anxiety symptoms at T3. Study findings point to the importance of prevention and early intervention programs including content addressing stress management, rumination, and worry. © 2015 Wiley Periodicals, Inc.

  5. Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil Childhood autism: translation and validation of the Childhood Autism Rating Scale for use in Brazil

    Directory of Open Access Journals (Sweden)

    Alessandra Pereira

    2008-12-01

    Full Text Available OBJETIVO: Traduzir, adaptar e validar uma versão em português (do Brasil da Childhood Autism Rating Scale (CARS. MÉTODOS: Após processo de tradução, a versão foi aplicada em 60 pacientes com diagnóstico de autismo infantil, de 3 a 17 anos de idade, selecionados consecutivamente de um ambulatório especializado a fim de analisar as propriedades psicométricas da nova versão (CARS-BR (consistência interna, validade e confiabilidade. RESULTADOS: A consistência interna foi elevada, com valor de alfa de Cronbach de 0,82; a validade convergente (comparada com a Escala de Avaliação de Traços Autístícos alcançou um coeficiente de correlação de Pearson de r = 0,89. Ao ser correlacionada à Escala de Avaliação Global de Funcionamento (para determinação da validade discriminante, a CARS-BR apresentou um coeficiente de correlação de Pearson de r = -0,75. A confiabilidade teste-reteste foi 0,90. CONCLUSÃO: A metodologia utilizada e os cuidados no processo de tradução permitem concluir que esse é um instrumento válido e confiável para avaliação da gravidade do autismo no Brasil.OBJECTIVE: To translate the Childhood Autism Rating Scale into Brazilian Portuguese and to determine the initial psychometric properties of the resulting version (CARS-BR. METHODS: The methodology used to produce an adequate version included translation, backtranslation and evaluation of semantic equivalence. In order to determine its psychometric properties (internal consistency, validity and reliability, the CARS-BR was administered to 60 consecutive patients with autism, aged between 3 and 17 years and seen at a university hospital. RESULTS: Internal consistency was high, with a Cronbach's alpha of 0.82. Convergent validity, in comparison with the Autistic Traits Assessment Scale, exhibited a Pearson's correlation coefficient of r = 0.89. When correlated with the Global Assessment of Functioning Scale in order to evaluate discriminant validity, the

  6. Integrated Water Resources Management for Sustainable Irrigation at the Basin Scale Manejo Integrado de Recursos Hídricos para Riego Sustentable a Nivel de Cuenca

    Directory of Open Access Journals (Sweden)

    Max Billib

    2009-12-01

    Full Text Available The objective of this paper is to review the state of art on integrated water resources management (IWRM approaches for sustainable irrigation at the basin scale under semi-arid and arid climatic conditions, with main emphasis on Latin America, but including case studies of other semi-arid and arid regions in the world. In Latin America the general concept of IWRM has proved to be hard to implement. Case studies recommend to develop the approach from lower to upper scale and oriented at the end-user. As IWRM is an interdisciplinary approach and used for very different objectives, the main emphasis is given to IWRM approaches for sustainable irrigation and their environmental aspects. The review shows that in Latin America the environmental impact is mostly analysed at the field level, the impact on the whole basin is less considered. Many publications present the development of models, advisory services and tools for decision support systems at a high technical level. Some papers present studies of environmental aspects of sustainable irrigation, especially for salt affected areas. Multi-criteria decision making models are developed for irrigation planning and irrigation scenarios are used to show the impact of different irrigation management decision. In general integrated approaches in Latin America are scarce.El objetivo de esta publicación es revisar el estado del arte de los diferentes enfoques que se han usado para lograr un manejo integrado de los recursos hídricos (MIRH asociados a una agricultura de riego sustentable a nivel de cuenca en condiciones áridas y semiáridas, con énfasis en Latinoamérica, pero incluyen casos de estudio de otras regiones similares del mundo. En Latinoamérica el concepto general de MIRH ha resultado difícil de implementar. De los estudios de casos, se recomienda desarrollar este enfoque desde una escala menor a una mayor orientándose al usuario final. MIRH es un enfoque interdisciplinario usado para

  7. Scale for assessing the quality of Mexican adults' mealtime habits Escala para evaluar la calidad de los hábitos al comer en adultos mexicanos

    Directory of Open Access Journals (Sweden)

    Darina Dosamantes-Carrasco

    2011-04-01

    Full Text Available OBJECTIVE: To construct a scale for assessing the quality of mealtime habits in a sample of urban Mexican adults, computing the contribution of a set of advisable and unadvisable mealtime habits. MATERIAL AND METHODS: We performed an exploratory factor analysis among 7 472 adults participating in the baseline assessment of the Health Workers Cohort Study, to assess the mealtime habits quality. Likelihood ratio test for difference of two probabilities and test for the difference of two means were used to identify differences between low and high categories of the Mealtime Habits Quality Scale (MHQS across variables of interest. RESULTS: Participants with the top quality of mealtime habits showed lower rates of overweight, obesity, abdominal obesity, and elevated body fat. They were also more adherent to a prudent dietary pattern than a western dietary pattern, and consumed more fruits and vegetables. CONCLUSIONS: Anthropometric and dietary variables differed across MHQS categories. However, further validation of the scale, and assessment of their ability to predict weight gain or related diseases are needed, using prospective and intervention studies.OBJETIVO: Construir una escala para evaluar la calidad de los hábitos al comer, calculando la contribución de un grupo de hábitos recomendables y no recomendables, en población adulta urbana de México. MATERIAL Y MÉTODOS: Realizamos un análisis exploratorio de factores en 7 472 adultos participantes en el Estudio de Cohorte de Trabajadores de la Salud para evaluar la calidad de los hábitos al comer. Para identificar diferencias entre la baja y alta calidad de los hábitos al comer a través de las variables de interés, utilizamos la prueba de razón de probabilidades a fin de evaluar la diferencia entre dos proporciones y la prueba de comparación de medias. RESULTADOS: Los participantes clasificados en la categoría de alta calidad de los hábitos al comer presentaron prevalencias m

  8. What's the Worry with Social Anxiety? Comparing Cognitive Processes in Children with Generalized Anxiety Disorder and Social Anxiety Disorder.

    Science.gov (United States)

    Hearn, Cate S; Donovan, Caroline L; Spence, Susan H; March, Sonja; Holmes, Monique C

    2016-12-05

    Social anxiety disorder (SAD) in children is often comorbid with generalized anxiety disorder (GAD). We investigated whether worry, intolerance of uncertainty, beliefs about worry, negative problem orientation and cognitive avoidance, that are typically associated with GAD, are present in children with SAD. Participants included 60 children (8-12 years), matched on age and gender. Groups included children: with primary GAD and without SAD (GAD); with primary SAD and without GAD (SAD); and without an anxiety disorder (NAD). GAD and SAD groups scored significantly higher than the NAD group on worry, intolerance of uncertainty, negative beliefs about worry and negative problem orientation, however, they did not score differently from each other. Only the GAD group scored significantly higher than the NAD group on cognitive avoidance. These findings further understanding of the structure of SAD and suggest that the high comorbidity between SAD and GAD may be due to similar underlying processes within the disorders.

  9. Postpartum worries: an exploration of Taiwanese primiparas who participate in the Chinese ritual of tso-yueh-tzu.

    Science.gov (United States)

    Liu-Chiang, C Y

    1995-01-01

    To explore worries of postpartum mothers who participate in Tso-Yueh-Tzu. Primiparas (N = 21) with a mean age of 30 years, a mean educational level of 15 years. Seventeen (81%) were working. The mean number of postpartum days was 14. Focus groups, each group session lasted approximately 2 hours and was audiotaped. Four themes regarding worries emerged: searching process to integrate the self into the rituals of Tso-Yueh-Tzu, understanding that the newborn's care influences evaluation of the self as a "good mother," decision-making process of the self to arrange the best baby care for a career women, and reconciling the need for self-fulfillment with the demand to be a "family-mother." Nurses can help a mother work through her worries. Although the women expressed their worries in different content, all focused on the need for "the integration of the self" while they went through Tso-Yueh-Tzu.

  10. "Perhaps I will die young." Fears and worries regarding disease and death among Danish adolescents and young adults with cancer

    DEFF Research Database (Denmark)

    Hølge-Hazelton, Bibi; Timm, Helle U.; Graugaard, Christian

    2016-01-01

    Purpose: A cross-sectional national study was initiated in order to evaluate healthcare services and survivorship from the perspective of Danish adolescents and young adults (AYAs) with cancer. The purpose of the paper was to examine (Q1) to what extend Danish AYAs experienced fears and worries...... about dying; (Q2) with whom, if anyone, they had shared those worries; and finally, (Q3) how fears and worries influenced their daily life. The emphasis will be on Q3. Methods: A 151-item questionnaire (including two closed- and one open-ended questions about fears of death and dying) was distributed......: The analysis resulted in three overall categories: fear of disease and death having little or no influence (n = 100), fear influencing in various ways (n = 215), and fear of disease and death having a substantial influence (n = 75). Conclusions: The majority of AYAs had experienced fears and worries about...

  11. Cancer Worry, Perceived Risk and Cancer Screening in First-Degree Relatives of Patients with Familial Gastric Cancer.

    Science.gov (United States)

    Li, Jenny; Hart, Tae L; Aronson, Melyssa; Crangle, Cassandra; Govindarajan, Anand

    2016-06-01

    Currently, there is a lack of evidence evaluating the psychological impact of cancer-related risk perception and worry in individuals at high risk for gastric cancer. We examined the relationships between perceived risk, cancer worry and screening behaviors among first-degree relatives (FDRs) of patients with familial gastric cancer. FDRs of patients diagnosed with familial gastric cancer with a non-informative genetic analysis were identified and contacted. Participants completed a telephone interview that assessed socio-demographic information, cancer risk perception, cancer worry, impact of worry on daily functioning, and screening behaviors. Twenty-five FDRs completed the telephone interview. Participants reported high levels of comparative and absolute cancer risk perception, with an average perceived lifetime risk of 54 %. On the other hand, cancer-related worry scores were low, with a significant minority (12 %) experiencing high levels of worry. Study participants exhibited high levels of confidence (median = 70 %) in the effectiveness of screening at detecting a curable cancer. Participants that had undergone screening in the past showed significantly lower levels of cancer-related worry compared to those that had never undergone screening. In conclusion, individuals at high-risk for gastric cancer perceived a very high personal risk of cancer, but reported low levels of cancer worry. This paradoxical result may be attributed to participants' high levels of confidence in the effectiveness of screening. These findings highlight the importance for clinicians to discuss realistic risk appraisals and expectations towards screening with unaffected members of families at risk for gastric cancer, in an effort to help mitigate anxiety and help with coping.

  12. Validação da escala motora funcional EK para a língua portuguesa Validation of the EK functional motor scale in the Portuguese language

    Directory of Open Access Journals (Sweden)

    José Antônio Baddini Martinez

    2006-10-01

    Full Text Available OBJETIVO: Validar uma versão traduzida para o português da escala funcional EK (Egen Klassifikation, desenvolvida na Dinamarca, visando aplicação em pacientes com distrofia muscular de Duchenne e atrofia muscular espinhal. MÉTODOS: Uma versão em inglês da escala EK foi traduzida para o português falado no Brasil. Tal escala foi aplicada a 26 pacientes do sexo masculino (idade média = 12,7 ± 4,0 anos, com diagnóstico de distrofia muscular de Duchenne. Os pacientes também responderam questões referentes a uma versão em língua portuguesa do índice de Barthel e tiveram medidas a força de preensão palmar direita e esquerda, com emprego de um dinamômetro de mão. Os escores da escala EK foram correlacionados com a idade, escores do índice de Barthel e as forças palmares. RESULTADOS: O escore total médio da escala EK foi de 8,1 ± 7,3 e do índice de Barthel de 54,0 ± 26,2. A força de preensão palmar direita foi de 12,7 ± 17,2% e a esquerda de 14,6 ± 19,8% do previsto. Os escores da escala EK correlacionaram-se de maneira altamente significante com a idade (r= 0,596, p= 0,0013, força de preensão palmar direita (r= -0,556, p= 0,0032 e esquerda (r= -0,623, p=0,0007, e com o índice de Barthel (r= -0,928, p OBJECTIVE: To validate a Portuguese version of the EK scale (Egen Klassifikation, that was developed in Denmark for patients with Duchenne muscular dystrophy, and spinal muscular atrophy. METHODS: An English version of the EK scale was translated into the Portuguese language as spoken in Brazil. This scale was applied to 26 male patients (mean age = 12.7 ± 4.0 years with Duchenne muscular dystrophy. Patients also answered questions of a Portuguese version of the Barthel index questionnaire, and had their right and left hand grip forces measured with a dynamometer. RESULTS: The mean total EK scale score was 8.1 ± 7.3 and the Barthel index 54.0 ± 26.2. The mean hand grip force was 12.7 ± 17.2 % predicted for the right

  13. In para totale...una cosa da panico...sulla lingua dei giovani in Italia (In para totale...una cosa da panico...The Language of Young People in Italy).

    Science.gov (United States)

    Marcato, Carla

    1997-01-01

    Describes and analyzes the language of young people in Italy today. Particular focus is on the expressions using "para" (e.g., "in para totale" = to be very bored or worried) and the phrase "una cosa da panico" (something terrible or its opposite something wonderful). (CFM)

  14. Fears, worries, and scary dreams in 4- to 12-year-old children: their content, developmental pattern, and origins.

    Science.gov (United States)

    Muris, P; Merckelbach, H; Gadet, B; Moulaert, V

    2000-03-01

    Investigated anxiety symptoms in normal school children 4 to 12 years of age (N = 190). The percentages of children reporting fears, worries, and scary dreams were 75.8, 67.4, and 80.5%, respectively, indicating that these anxiety symptoms are quite common among children. Inspection of the developmental pattern of these phenomena revealed that fears and scary dreams were common among 4- to 6-year-olds, became even more prominent in 7- to 9-year-olds, and then decreased in frequency in 10- to 12-year-olds. The developmental course of worry deviated from this pattern. This phenomenon was clearly more prevalent in older children (i.e., 7- to 12-year-olds) than in younger children. Furthermore, although the frequency of certain types of fears, worries, and dreams were found to change across age groups (e.g., the prevalence of fears and scary dreams pertaining to imaginary creatures decreased with age, whereas worry about test performance increased with age), the top intense fears, worries, and scary dreams remained relatively unchanged across age levels. An examination of the origins of these common anxiety phenomena showed that for fears and scary dreams, information was the most commonly reported pathway, whereas for worry, conditioning experiences were more prominent.

  15. The interplay of trait worry and trait anxiety in determining episodic retrieval: The role of cognitive control.

    Science.gov (United States)

    Pajkossy, Péter; Keresztes, Attila; Racsmány, Mihály

    2017-11-01

    Worrying is a key concept in describing the complex relationship between anxiety and cognitive control. On the one hand, cognitive control processes might underlie the specific tendency to engage in worrying (i.e., trait worry), conceptualized as a future-oriented mental problem-solving activity. On the other hand, the general tendency to experience the signs and symptoms of anxiety (i.e., trait anxiety) is suggested to impair cognitive control because worrisome thoughts interfere with task-relevant processing. Based on these opposing tendencies, we predicted that the effect of the two related constructs, trait anxiety and trait worry, might cancel out one another. In statistics, such instances have been termed suppressor situations. In four experiments, we found evidence for such a suppressor situation: When their shared variance was controlled, trait worry was positively whereas trait anxiety was negatively related to performance in a memory task requiring strategic, effortful retrieval. We also showed that these opposing effects are related to temporal context reinstatement. Our results suggest that trait worry and trait anxiety possess unique sources of variance, which differently relate to performance in memory tasks requiring cognitive control.

  16. Posttraumatic stress and worry as mediators and moderators between political stressors and emotional and behavioral disorders in Palestinian children.

    Science.gov (United States)

    Khamis, Vivian

    2012-01-01

    This study was designed to assess whether the symptoms of posttraumatic stress mediate or moderate the relationship between political stressors and emotional and behavioral disorders in Palestinian children. It was hypothesized that (a) posttraumatic stress and worry mediate the effect of political stressors on behavioral and emotional disorders and (b) the relationship between political stressors and behavioral and emotional disorders should be attenuated for children with low levels of worry and posttraumatic stress and strengthened for children with high levels of worry and posttraumatic stress. The total sample was 1267 school age children of both sexes with a mean age of 11.97 years. Interviews were conducted with children at school. As hypothesized, the results indicated that posttraumatic stress and worry mediated and moderated the relationship between political stressors and emotional and behavioral disorders in children. Cognitive-behavioral therapy may be used to reduce the incidence of posttraumatic stress and decrease self-reported worry, somatic symptoms, general anxiety, and depression among children exposed to political trauma. Cognitive-behavioral treatment that exclusively targets excessive worry can lead to clinical change in the other interacting subsystems at the cognitive, physiological, affective and behavioral levels.

  17. “Her Life Rests on Your Shoulders”: Doing Worry as Emotion Work in the Care of Children With Diabetes

    Directory of Open Access Journals (Sweden)

    Lisa Watt

    2017-12-01

    Full Text Available Research on parents’ caregiving experiences in the context of diabetes management have consistently shown that parents experience high levels of pediatric parenting stress, anxiety, depression, and general worry. However, how parents understand their worry is largely unexplored and little attention is paid to the work parents are already actively doing to manage their worry. Adopting Arlie Hochschild’s concept of “emotion work” and Dorothy Smith’s concept of “work,” this article examines how parents engage in the emotion work of doing worry. Drawing on the analysis of transcribed data from interviews with seven parents caring for children with diabetes, I show how parents expressed worry as an emotion they experience as well as an embodied way of knowing the presence of potential threats to their child’s health. Thus, doing worry is an essential aspect of work done by parents to ensure the safety and well-being of their children with diabetes.

  18. Adaptación transcultural de la escala para medir autoeficacia en el uso del condón masculino Cross cultural adaptation of condom uses self-efficacy scale

    Directory of Open Access Journals (Sweden)

    Abdul Hernández Cortina

    2011-09-01

    Full Text Available Objetivo principal: adaptar culturalmente la escala para medir autoeficacia en el uso del condón masculino, determinando su fiabilidad y validez para la investigación en el contexto cubano. Metodología: diseño transversal con metodología exploratoria en una muestra de 38 estudiantes de enfermería entre 17 y 42 años de edad. Resultados: el Alpha Cronbach para la escala total fue de 0,78 y el Índice de Correlación Interclase fue de 0,73. Conclusiones: la escala es confiable y válida para medir el uso del condón masculino en el contexto cubano.Objective: The purpose of this manuscript is to evaluate a Spanish version of the Condom Uses Self Efficacy Scale, and to determine its reliability and validity for use in cross-cultural research among Cuban populations. Methods: A cross- sectional design an exploratory survey methodology was used in 38 nursing students between 17 and 41 years old. Results: The Alpha Coefficient for the total scale was 0,78. The interclass correlation coefficient to measure scale's stability over time was 0,73 (test-retest two weeks. Conclusions: Findings support that Condom Use Self Efficacy Scale is a reliable and valid scale in measuring condom self-efficacy among Cuban persons.

  19. The Bristol Stool Form Scale: its translation to Portuguese, cultural adaptation and validation Traducción, adaptación cultural y validación de la "Bristol Stool Form Scale" Tradução, adaptação cultural e validação da Bristol Stool Form Scale para a população brasileira

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    Anna Paula Martinez

    2012-06-01

    Full Text Available The Bristol Stool Form Scale is used for describing feces. The objective of this research was its translation, cultural adaptation and validation for Brazil. The methodology was translation, back-translation and discussion. Validation involved 85 nurses, 80 doctors, and 80 patients, who correlated images of seven types of feces with the descriptions. Results: there was a difference in sex distribution, with males predominating among the doctors and females among nurses and patients. In relation to concordance between definitions and pictures, the highest percentage was in type 5 in all three groups and the lowest was in types 6 and 7 for the doctors, in type 3 for the nurses, and type 6 for the patients. The general Kappa index was 0.826. Conclusion: the scale demonstrated high reliability for all the groups studied.La "Bristol Stool Form Scale" es usada para describir las heces. Objetivo: traducción, adaptación cultural y la validación para ser utilizada en Brasil. Metodología: Fue realizada la traducción, la traducción inversa y la discusión final. Para validar, se incluyeron 85 enfermeros y 80 médicos y pacientes que correlacionaron diseños de siete tipos de heces con descripciones. Resultados - Hubo diferencia en cuanto a la distribución del sexo con predominio masculino entre los médicos y femenino para los enfermeros y pacientes. Con respecto a la concordancia entre los conceptos y las imágenes, la mayor concordancia fue del tipo 5 en cuanto que el de menor correspondencia para los médicos fueron los tipos 6 y 7, para los enfermeros el 3 y el 6 para los pacientes. El índice de Kappa general fue de 0,826. Conclusión: Los valores obtenidos demuestran la alta confiabilidad de este cuestionario con respecto a los grupos estudiados.A Escala de Bristol para Consistência de Fezes é usada na descrição de fezes. O objetivo deste estudo foi realizar a tradução, adaptação cultural e validação para o Brasil, dessa escala. Como

  20. Questionário específico para sintomas do joelho "Lysholm Knee Scoring Scale": tradução e validação para a língua portuguesa Specific questionnaire for knee symptoms - the "Lysholm Knee Scoring Scale": translation and validation into Portuguese

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    Maria Stella Peccin

    2006-01-01

    Full Text Available As doenças do joelho apresentam conseqüências variadas para a função e a qualidade de vida do indivíduo. Para traduzir, validar e verificar as propriedades de medida do questionário específico para sintomas do joelho "Lysholm Knee Scoring Scale" para a língua portuguesa, selecionamos, por conveniência, 50 pacientes (29 homens e 21 mulheres, média de idade 38,7 anos com lesão de joelho (lesão meniscal, lesão do ligamento cruzado anterior, condromalácia ou artrose. A reprodutibilidade e a concordância ordinal inter e intra-entrevistador foram excelentes (alfa = 0,9. A concordância nominal inter-entrevistadores foi boa (Kappa = 0,7 e intra-entrevistador, excelente (Kappa = 0,8. No processo de validação, correlacionamos o questionário Lysholm com a escala numérica da dor (r=-0,6; p=0,001 e com o índice de Lequesne (r= -0,8; p=0,001. As correlações entre o Lysholm e a avaliação global da saúde pelo paciente e pelo terapeuta apresentaram-se fracas e não significantes. As correlações entre o questionário Lysholm e o SF-36 foram significantes nos aspectos físicos (r = 0,4; p = 0,04, de dor (r = 0,5; p = 0,001 e de capacidade funcional (r = 0,7; p = 0,0001. Concluímos que a tradução e adaptação cultural do "Lysholm knee scoring scale" para o nosso idioma apresentou reprodutibilidade e validade em pacientes com lesão meniscal, lesão do ligamento cruzado anterior, condromalácia ou artrose do joelho.Knee diseases present variable consequences for an individual’s function and quality of life. For the purposes of translating, validating and checking the measurement properties of the specific questionnaire for knee symptoms - the "Lysholm Knee Scoring Scale" - into Portuguese, we selected, for convenience, 50 patients (29 males and 21 females, mean age = 38.7 years with knee injuries (meniscal injury, anterior cruciate ligament injury, chondromalacia or arthrosis. Reproducibility and ordinal consistency inter- and

  1. Escalas para avaliação da sobrecarga de cuidadores de pacientes com Acidente Vascular Encefálico Escalas para evaluación de la sobrecarga de cuidadores de pacientes con Accidente Vascular Encefálico Scales for evaluation of the overload of caregivers of patients with Stroke

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    Ana Railka de Souza Oliveira

    2012-10-01

    Full Text Available O objetivo do estudo foi avaliar as escalas disponíveis na literatura para medir a sobrecarga de cuidadores de pacientes acometidos por acidente vascular encefálico. Realizou-se uma revisão bibliográfica nas três bases de dados: LILACS, CINAHL e SCOPUS. Selecionaram-se 23 trabalhos e identificaram-se 24 diferentes escalas. Destas, as mais citadas foram o Caregiver Strain Index, a Caregiver Burden Scale, a Caregiver Reaction Assessment, o Sense of Competence Questionnaire, a Relatives Stress Scale e a Zarit Burden Interview. O uso de escalas para mensurar a sobrecarga é uma ferramenta importante para avaliar o contexto no qual está inserido o cuidador, entretanto é mais fidedigno quando associado a outros instrumentos de mensuração. Portanto, é fundamental pesquisas de validação de escalas para essa população.El objetivo de esto estudio fue evaluar las escalas disponibles en literatura para evaluar la sobrecarga de cuidadores de pacientes acometidos por accidente vascular encefálico. Una revisión bibliográfica fue desarrollada en tres bases de datos: LILAS, CINAHL y SCOPUS. En 23 trabajos seleccionados, 24 diferentes escalas fueron identificadas, siendo las principales: el Caregiver Strain Index, la Caregiver Burden Scale, el Caregiver Reaction Assessment, el Sense of Competence Questionnaire, la Relatives Stress Scale y la Zarit Burden Interview. El uso de escalas para mensurar sobrecarga es una herramienta importante en el contexto donde se inserta el cuidador. Es más confiable utilizar más que uno instrumento de mensuración. Por esto, la validación de escalas es importante para esta población.The objective of the study was to evaluate the available productions in literature about scales to measure the overload of caregivers of patients with stroke. It was carried out a bibliographical revision in three databases: LILACS, CINAHL and SCOPUS. In 23 works, 24 different scales were identified, and the most cited were: the

  2. Cross-cultural adaptation, validation and reliability of the Body Area Scale for Brazilian adolescents Adaptação transcultural, validação e confiabilidade da Body Area Scale para adolescentes brasileiros

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    Maria Aparecida Conti

    2009-10-01

    Full Text Available The aim of this study was to translate, validate and verify the reliability of the Body Area Scale (BAS. Participants were 386 teenagers, enrolled in a private school. Translation into Portuguese was conducted. The instrument was evaluated for internal consistency and construct validation analysis. Reproducibility was evaluated using the Wilcoxon test and the coefficient of interclass correlation. The BAS demonstrated good values for internal consistency (0.90 and 0.88 and was able to discriminate boys and girls according to nutritional state (p = 0.020 and p = 0.026, respectively. BAS scores correlated with adolescents' BMI (r = 0.14, p = 0.055; r = 0.23, p = 0.001 and WC (r =0.13, p = 0.083; r = 0.22, 0.002. Reliability was confirmed by the coefficient of inter-class correlation (0.35, p O objetivo do estudo foi traduzir, validar e confirmar a confiabilidade da Escala de Áreas Corporais (EAC. Participaram 386 jovens de uma escola particular de ensino. Avaliou-se a consistência interna e a validade de constructo. Para confiabilidade, utilizou-se o teste de Wilcoxon e o coeficiente de correlação intraclasse. A EAC apresentou bons valores na consistência interna (0,90 e 0,88 e foi capaz de discriminar meninos e meninas, segundo o estado nutricional (p = 0,020 e p = 0,026, respectivamente. Correlacionou-se com o índice de massa corporal (r = 0,14, p = 0,055; r = 0,23, p = 0,001 e a circunferência da cintura (r = 0,13, p = 0,083; r = 0,22, p = 0,002. No reteste confirmou-se sua confiabilidade por meio da correlação intraclasse (0,35, p < 0,001; 0,60, p < 0,001, respectivamente para meninos e meninas. Verificou-se boa compreensão e tempo de conclusão. A EAC encontra-se traduzida, apresentando boa validade para aplicação na população adolescente.

  3. High-Frequency Heart Rate Variability Reactivity and Trait Worry Interact to Predict the Development of Sleep Disturbances in Response to a Naturalistic Stressor.

    Science.gov (United States)

    MacNeil, Sasha; Deschênes, Sonya S; Caldwell, Warren; Brouillard, Melanie; Dang-Vu, Thien-Thanh; Gouin, Jean-Philippe

    2017-12-01

    High-frequency heart rate variability (HF-HRV) reactivity was proposed as a vulnerability factor for stress-induced sleep disturbances. Its effect may be amplified among individuals with high trait worry or sleep reactivity. This study evaluated whether HF-HRV reactivity to a worry induction, sleep reactivity, and trait worry predict increases in sleep disturbances in response to academic stress, a naturalistic stressor. A longitudinal study following 102 undergraduate students during an academic semester with well-defined periods of lower and higher academic stress was conducted. HF-HRV reactivity to a worry induction, trait worry using the Penn State Worry Questionnaire, and sleep reactivity using the Ford Insomnia Stress Reactivity Test were measured during the low stress period. Sleep disturbances using the Pittsburgh Sleep Quality Index were assessed twice during the lower stress period and three times during the higher stress period. Greater reductions in HF-HRV in response to the worry induction predicted increases in sleep disturbances from the lower to the higher academic stress period. Trait worry moderated this association: individuals with both higher trait worry and greater HF-HRV reactivity to worry had larger increases in stress-related sleep disturbances over time, compared to participants with lower trait worry and HF-HRV reactivity. A similar, but marginally significant effect was found for sleep reactivity. This study supports the role of HF-HRV reactivity as a vulnerability factor for stress-induced sleep disturbances. The combination of high trait worry and high HF-HRV reactivity to worry might identify a subgroup of individuals most vulnerable to stress-related sleep disturbances.

  4. Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese Adaptación transcultural y validación de la European Heart Failure Self-care Behavior Scale para el Portugués de Brasil Adaptação transcultural e validação da European Heart Failure Self-care Behavior Scale para o português do Brasil

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    Maria Karolina Feijó

    2012-10-01

    Full Text Available OBJECTIVE: To adapt and validate a Brazilian Portuguese version of the European Heart Failure Self-Care Behavior Scale. METHODS: The cross-cultural adaptation (translation, synthesis, back-translation, expert committee review, and pretesting and validation (assessment of face validity, content validity, and internal consistency reliability were carried out in accordance with the literature. The European Heart Failure Self-Care Behavior Scale assesses key components of self-care: recognition of the signs and symptoms of decompensated heart failure (HF and decision-making when these signs and symptoms arise. It comprises 12 items (range 12-60, where lower scores indicate better self-care. RESULTS: The sample comprised 124 HF patients with a mean age of 62.3 ± 12 years. The Cronbach's Alpha internal consistency was 0.70 and the intraclass correlation coefficient for reproducibility was 0.87. CONCLUSION: Face and content validity, internal consistency and reproducibility have lended validity and reliability for the use of the instrument in Brazil.OBJETIVO: Adaptar y validar European Heart Failure Self-Care Behavior Scale para uso en lengua portuguesa de Brasil. MÉTODOS: El proceso de adaptación cultural (traducción, síntesis, retro traducción, revisión por comité de expertos y pré test, validación (validez de facie, de contenido y confiabilidad fue realizado según la literatura. La European Heart Failure Self-Care Behavior Scale evalúa los componentes-clave para el auto cuidado: reconocimiento de señales y síntomas de descompensación de insuficiencia cardiaca (IC y la decisión cuando ocurren dichos síntomas. Se compone de 12 cuestiones (que van desde 12-60, en donde las puntuaciones bajas indican peor autocuidado. RESULTADOS: Fueron inclusos 124 pacientes con IC, con edad entre 62,3 ±12 años. La consistencia interna de las cuestiones presentó un Alfa de Cronbach de 0,70 y la reproducibilidad evaluada por el coeficiente de

  5. Fraud worries insurance companies but should concern physicians too, industry says

    Science.gov (United States)

    Baer, N

    1997-01-01

    The amount of insurance fraud is increasing in Canada. This should worry physicians, because all personal-injury claims must be substantiated by a medical certificate. The vast majority of physicians are honest and ethical, fraud investigators say, but some are being duped as patients scheme to cheat the insurance industry. In one sensational auto-insurance-fraud case, some Ontario physicians are being investigated about possible involvement in a self-referral scheme. Nicole Baer looks at insurance fraud and the challenges it poses for doctors. PMID:9012734

  6. Should we be worrying about a Brexit from the European Convention of Human Rights now, too?

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    Carla Zoethout

    2017-12-01

    Full Text Available The Brexit from the EU is now a political fact with all its consequences. Far less media attention has been paid to British criticism of the European Convention of Human Rights, which may face a similar fate unless its Court is changed into an advisory institution. Should we be worrying about a Brexit from the Convention too? This paper analyses the British debate on European human rights in light of developments within the European Court’s caselaw. In the author’s view, the British government is somewhat overstating the problems.

  7. Nurses' worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review.

    Science.gov (United States)

    Douw, Gooske; Schoonhoven, Lisette; Holwerda, Tineke; Huisman-de Waal, Getty; van Zanten, Arthur R H; van Achterberg, Theo; van der Hoeven, Johannes G

    2015-05-20

    Nurses often recognize deterioration in patients through intuition rather than through routine measurement of vital signs. Adding the 'worry or concern' sign to the Rapid Response System provides opportunities for nurses to act upon their intuitive feelings. Identifying what triggers nurses to be worried or concerned might help to put intuition into words, and potentially empower nurses to act upon their intuitive feelings and obtain medical assistance in an early stage of deterioration. The aim of this systematic review is to identify the signs and symptoms that trigger nurses' worry or concern about a patient's condition. We searched the databases PubMed, CINAHL, Psychinfo and Cochrane Library (Clinical Trials) using synonyms related to the three concepts: 'nurses', 'worry/concern' and 'deterioration'. We included studies concerning adult patients on general wards in acute care hospitals. The search was performed from the start of the databases until 14 February 2014. The search resulted in 4,006 records, and 18 studies (five quantitative, nine qualitative and four mixed-methods designs) were included in the review. A total of 37 signs and symptoms reflecting the nature of the criterion worry or concern emerged from the data and were summarized in 10 general indicators. The results showed that worry or concern can be present with or without change in vital signs. The signs and symptoms we found in the literature reflect the nature of nurses' worry or concern, and nurses may incorporate these signs in their assessment of the patient and their decision to call for assistance. The fact that it is present before changes in vital signs suggests potential for improving care in an early stage of deterioration.

  8. Probabilistic approach to the estimation of the Nash model scale parameter; Un enfoque probabilistica para la estimacion del parametro de escala del modelo de Nash

    Energy Technology Data Exchange (ETDEWEB)

    Lopez, Patricia M. [Instituo Nacional del Agua y del ambiente (Argentina); Seoane, Rafael S. [Consejo Nacional de Investigaciones Cientificas y Tecnicas (Argentina)

    1999-08-01

    An indirect estimation method of the scale parameter in the Nash model considering basin climatic and geomorphologic characteristics is proposed. The proposal links the results of the dependence of instantaneous unit hydrograph model parameters with Horton's laws and basic expressions of the geomorphoclitina with different characteristics and the comparison between their simulated hydrographs with indirect estimation and with moment method estimation are presented. [Spanish] En este trabajo se propone una metodologia de estimacion indirecta del parametro de escala de modelo de Nash, que permite considerar las caracteristicas geomorfologicas y climaticas de la cuenca. El metodo de estimacion propuesto utiliza la tecnica de la funcion de densidad de probabilidad derivada para integrar resultados que muestran la dependencia de los parametros del modelo del hidrograma unitario instantaneo, con las leyes de Horton y con expresiones basicas de la teoria del geomorfoclimatico. La metodologia es aplicada a dos cuencas de la Republica Argentina con caracteristicas climaticas diferentes y sus resultados son comparados con los caudales estimados con el metodo directo de los momentos.

  9. Adaptação transcultural para o Brasil da Exercise Benefits/Barriers Scale (EBBS para aplicação em idosos: uma avaliação semântica Cross-cultural adaptation of the Exercise Benefits/Barriers Scale (EBBS for application in elderly Brazilians: preliminary version

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    Janaina Fonseca Victor

    2008-12-01

    Full Text Available Este artigo descreve a adaptação transcultural da Exercise Benefits/Barriers Scale (EBBS para o idioma português para aplicação em idosos. A EBBS foi originalmente desenvolvida nos Estados Unidos com o objetivo de identificar a percepção quanto às barreiras e benefícios da prática de exercícios e, assim, conhecer os fatores que interferem nesta prática. O processo de adaptação transcultural envolveu as seguintes fases: tradução inicial; síntese da tradução; tradução de volta à língua de origem (back-translation; revisão por um comitê de juízes para avaliar a equivalência semântica, idiomática, experimental e conceitual; e pré-teste da versão final com trinta idosos. A partir da adaptação transcultural da EBBS foi possível propor uma versão preliminar em português. No entanto, para se aceitar com garantia que a equivalência transcultural entre o original e a versão traduzida tenha sido inteiramente conseguida, faz-se necessária a comparação entre as propriedades psicométricas da versão em português e do instrumento original, uma tarefa primordial que já está sendo realizada e oportunamente será apresentada.This article describes the cross-cultural adaptation of the Exercise Benefits/Barriers Scale (EBBS to the Portuguese language and its application in elderly Brazilians. The EBBS was originally developed in the United States to identify perceptions concerning the barriers to (and benefits of physical exercise, and thus to determine factors affecting this practice. Cross-cultural adaptation involved the following phases: initial translation, summary of the translation, retranslation into the original language (back-translation, review by an expert panel to evaluate semantic, idiomatic, experimental, and conceptual equivalence, and pre-test of the final version with 30 elderly subjects. The EBBS cross-cultural adaptation allowed proposing a preliminary Portuguese-language version. However, to ensure

  10. La preocupación como estrategia de afrontamiento en pacientes con trastornos de ansiedad generalizada Worry as coping strategy in patients with generalized anxiety disorder

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    Giselle Vetere

    2011-12-01

    Full Text Available El siguiente trabajo se enmarca dentro de un proyecto UBACyT sobre conductas de afrontamiento en trastornos de ansiedad. En el presente artículo se muestran los resultados de una revisión bibliográica sobre la utilización de la preocupación como estrategia de afrontamiento en pacientes con trastorno de ansiedad generalizada. El método utilizado consistió en una búsqueda de los trabajos disponibles en las bases de datos PubMed, Scielo, Lilacs y Ebsco utilizando como palabras clave afrontamiento, ansiedad generalizada y preocupación. En primer lugar se describen brevemente las características del cuadro y se define el concepto de afrontamiento y sus diversos tipos. Seguidamente, en base a los resultados obtenidos en la búsqueda se analiza el concepto de preocupación así como las consecuencias de su uso como estrategia de afrontamiento en pacientes con trastorno de ansiedad generalizada. Finalmente se discuten las implicancias de los resultados para el tratamiento del cuadro.The following work is part of a research project about coping behaviors in anxiety disorders. In this paper we show the results of a literature review focused on the use of worry as a coping strategy in patients with generalized anxiety disorder. The method used consisted of a bibliographic search of the available studies in the PubMed, Scielo, Lilacs and Ebsco databases using the terms coping strategies, generalized anxiety and concern as keywords. First, we briely describe the characteristics of the disorder and deine the concept of coping and its diverse forms. Then, following the results found in the search we explore the concept of worry and the consequences of its use as a coping strategy in patients with generalized anxiety disorder. Finally, we discuss the implications of the results for the treatment of the disorder.

  11. The effects of reducing worry in patients with persecutory delusions: study protocol for a randomized controlled trial

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    Freeman Daniel

    2012-11-01

    Full Text Available Abstract Background Our approach to advancing the treatment of psychosis is to focus on key single symptoms and develop interventions that target the mechanisms that maintain them. In our theoretical research we have found worry to be an important factor in the development and maintenance of persecutory delusions. Worry brings implausible ideas to mind, keeps them there, and makes the experience distressing. Therefore the aim of the trial is to test the clinical efficacy of a cognitive-behavioral intervention for worry for patients with persecutory delusions and determine how the worry treatment might reduce delusions. Methods/Design An explanatory randomized controlled trial - called the Worry Intervention Trial (WIT - with 150 patients with persecutory delusions will be carried out. Patients will be randomized to the worry intervention in addition to standard care or to standard care. Randomization will be carried out independently, assessments carried out single-blind, and therapy competence and adherence monitored. The study population will be individuals with persecutory delusions and worry in the context of a schizophrenia spectrum diagnosis. They will not have responded adequately to previous treatment. The intervention is a six-session cognitive-behavioral treatment provided over eight weeks. The control condition will be treatment as usual, which is typically antipsychotic medication and regular appointments. The principal hypotheses are that a worry intervention will reduce levels of worry and that it will also reduce the persecutory delusions. Assessments will be carried out at 0 weeks (baseline, 8 weeks (post treatment and 24 weeks (follow-up. The statistical analysis strategy will follow the intention-to-treat principle and involve the use of linear mixed models to evaluate and estimate the relevant between- and within-subjects effects (allowing for the possibility of missing data. Both traditional regression and newer instrumental

  12. The relationship between worry tendency and sleep quality in Chinese adolescents and young adults: the mediating role of state-trait anxiety.

    Science.gov (United States)

    Yan, Youwei; Lin, Rongmao; Tang, Xiangdong; He, Fei; Cai, Weiling; Su, Yankui

    2014-06-01

    To investigate the relationship between worry tendency and sleep quality and the mediating effect of state-trait anxiety, 1072 adolescents and young adults from Jiangxi and Fujian Provinces in China were administered questionnaires pertaining to worry tendency, sleep quality, and state-trait anxiety. The results showed significant grade differences for worry tendency, sleep quality, and state-trait anxiety. Worry tendency was negatively associated with sleep quality, which was mediated by state anxiety and trait anxiety. There is a need for interventions that aim to reduce the level of worry tendency to ensure good sleep quality and the progression from worry tendency to anxiety and to poor sleep quality. © The Author(s) 2013.

  13. The relationship between low levels of mindfulness skills and pathological worry: the mediating role of psychological inflexibility

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    Francisco J. Ruiz

    2014-10-01

    Full Text Available Mindfulness-based interventions have recently been proposed for the treatment of generalized anxiety disorder (GAD. However, the specific nature of the relationship between mindfulness skills and pathological worry is still not very well known. This study analyzes the mediating role of psychological inflexibility-a central construct in the acceptance and commitment therapy (ACT model of psychopathology-in the effect of mindfulness skills on pathological worry. A total of 132 nonclinical participants completed questionnaires assessing the constructs of interest: the Penn State Worry Questionnaire (PSWQ, the Acceptance and Action Questionnaire - II (AAQ-II, and the Kentucky Inventory of Mindfulness Skills (KIMS. Because the Spanish translation of the KIMS used lacked of a formal validation, its psychometric properties and factor structure were previously evaluated. This process led to a reduced version of the KIMS that showed good internal consistency and factor structure. Mediation analyses revealed that psychological inflexibility fully mediated the effects of mindfulness skills as a set on pathological worry. Regarding specific mindfulness skills, psychological inflexibility was shown to be a mediator and suppressor, respectively, of the relationship between acceptance without judgment and act with awareness on worry. Results are discussed emphasizing the need of using mindfulness exercises to promote psychological flexibility.

  14. iRest yoga-nidra on the college campus: changes in stress, depression, worry, and mindfulness.

    Science.gov (United States)

    Eastman-Mueller, Heather; Wilson, Terry; Jung, Ae-Kyung; Kimura, Andrea; Tarrant, Jeff

    2013-01-01

    There is evidence that yoga practice is associated with decreased stress, worry, and depression, and with improved mindfulness-based skills. These findings had not been previously replicated for a sample of college students. This study evaluated whether iRest yoga-nidra practice was associated with reduced perceived stress, worry, and depression, and increased mindfulness in a sample of college student s. Sixty-six students age 18-56 completed an 8-week iRest yoga-nidra intervention that was offered for 8 semesters. Assessment occurred 1 week prior to intervention onset and during the class period following the intervention. Qualitative data were collected at Weeks 4 and 8. Statistically significant pre- to posttest improvements in perceived stress, worry, and depression were found. Pre-existing depression accounted for most of the change in worry and perceived stress scores. Pre- to post test improvements in mindfulness-based skills were also detected. iRest yoga-nidra practice may reduce symptoms of perceived stress, worry, and depression and increase mindfulness-based skills.

  15. Worry about not having a caregiver and depressive symptoms among widowed older adults in China: the role of family support.

    Science.gov (United States)

    Xu, Ling; Li, Yawen; Min, Joohong; Chi, Iris

    2017-08-01

    Using the stress-coping framework, this study examined whether worry about not having a caregiver in old age was associated with depressive symptoms among widowed Chinese older adults, including the moderating effects of self-perceived family support. Using a sample of 5331 widowed adults aged 60 years old or older from the 2006 National Sample Survey of the Aged Population in Urban/Rural China, we regressed measures of depressive symptoms on worry about not having a caregiver. We also tested moderation effects of family support. Individuals who were worried about not having a caregiver reported significantly higher levels of depressive symptoms. Feeling that their children are filial, having instrumental support from children, and having only daughters moderated the effects of worry about not having a caregiver on depressive symptoms. Our findings indicate the detrimental effects of worry about not having a caregiver on the psychological well-being of widowed older adults. This study also highlights some forms of family support that may help reduce such negative effects of widowhood.

  16. Consumers' willingness to use a medication management service: the effect of medication-related worry and the social influence of the general practitioner.

    Science.gov (United States)

    Carter, Stephen R; Moles, Rebekah J; White, Lesley; Chen, Timothy F

    2013-01-01

    Some consumers at risk of experiencing medication-related problems have chosen not to use pharmacist-provided medication management services. Previous research has shown that consumers' willingness to use the Australian Home Medicines Review (HMR) service depends on the extent to which they believe that they will receive medication information to assist them with self-management. The aim of this study was to develop and test a model of willingness to use HMR among consumers who were eligible to receive the service but have not yet experienced it. Specifically, this study aimed to determine the effects of consumers' medication-related worry and the social influence of the consumer's general practitioner (GP) over willingness. A cross-sectional postal survey was conducted among 1600 members of Council on the Ageing (NSW, Australia). Respondents were included in the study if they had not experienced an HMR and were taking more than 5 medicines daily or more than 12 doses daily. Measurement scales were developed or were based on previous research. Confirmatory factor analysis was used to test the reliability and validity of the multi-item scales. Multiple regression analysis and structural equation modeling (SEM) were used to test the model. Surveys received from 390 respondents (24.3%) were analyzed. Respondents held overall low-to-neutral positive outcome expectancy (POE). The SEM analysis revealed that worry had a direct effect on POE (β=0.35, Psocial influence over willingness to use this medication management service. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Teachers' use of fear appeals in the mathematics classroom: worrying or motivating students?

    Science.gov (United States)

    Putwain, David W; Symes, Wendy

    2011-09-01

    AIM. This study examined whether teachers' use of fear appeals in the classroom, attempts to motivate students to perform well in high-stakes examinations by highlighting the educational, and/or occupational consequences of failure did indeed motivate students or whether it contributed to an increase in worry, anxiety, and fear of failure. SAMPLE. A total of 132 secondary school students. METHOD. Self-report data were collected for teachers' use of fear appeals, test anxiety, and achievement goals in the context of Mathematics at the end of Years 10 and 11, the final 2 years of compulsory schooling. RESULTS. The frequency with which teachers were reported to make fear appeals was unrelated to future test anxiety and achievement goals. When fear appeals were perceived to be threatening, however, they were related to an increase in the worry and tension components of test anxiety and increases in performance-avoidance and mastery-approach goals. CONCLUSION. Fear appeals appear to have competing positive and negative outcomes, resulting in both anxiety and a fear of failure, and a mastery-approach goal. ©2010 The British Psychological Society.

  18. Anxiety disorders and onset of cardiovascular disease: the differential impact of panic, phobias and worry.

    Science.gov (United States)

    Batelaan, Neeltje M; ten Have, Margreet; van Balkom, Anton J L M; Tuithof, Marlous; de Graaf, Ron

    2014-03-01

    Anxiety has been linked to onset of cardiovascular disease. This study examines the differential impact of types of anxiety (panic, phobia and worry) on 3-year onset of non-fatal cardiovascular disease (CVD). By investigating anxiety disorders as opposed to anxiety symptoms and by using a reliable diagnostic instrument to assess anxiety, limitations of previous studies are considered. 5149 persons at risk for CVD were interviewed using the Composite International Diagnostic Interview. The panic-type included panic disorder and panic attacks; the phobic-type included agoraphobia and social phobia, and the worry-type included generalized anxiety disorder. CVD was self-reported and required treatment or monitoring by a doctor. Analyses were adjusted for sociodemographics, behavioral variables, and comorbid somatic and psychiatric disorders. During follow-up, 62 persons (1.2%) developed CVD. Baseline generalized anxiety disorder was strongly associated with onset of CVD (adjusted OR: 3.39). Further research should replicate findings and focus on biological underpinnings of this association. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Transport priorities, risk perception and worry associated with mode use and preferences among Norwegian commuters.

    Science.gov (United States)

    Nordfjærn, Trond; Simşekoğlu, Özlem; Lind, Hans Brende; Jørgensen, Stig Halvard; Rundmo, Torbjørn

    2014-11-01

    There is currently scant research on the role of transport priorities, risk perception and worry for travel mode use and preferences. The present study aims to examine these factors in relation to mode use and preferences among Norwegian commuters. A web-based survey was conducted in a randomly obtained representative sample of daily commuters in the extended greater Oslo area (n=690). The results showed that those who prioritized efficiency and flexibility tended to commute by car, while those who prioritized safety and comfort used public (e.g. metro, tram, and train) or active (e.g. walking and cycling) transport. In a free choice scenario, the respondents who prioritized flexibility reported a preference for using a car, whereas those who prioritized safety and comfort preferred public and active transport for their commuter travels. Risk perception of high impact events, such as terrorism and major accidents, as well as risk perception related to personal impact risks (theft, violence etc.) were related to car use on commuter travels. Transport-related worry exerted weak influences on mode use and preferences. Increased speed on rail transport and more frequent departures may be effective in reducing car use on commuter travels. Risk communication should focus on highlighting the low risk of experiencing security and safety issues in the public transport sector, and this message should be complemented by efforts to reduce the probability of negative events affecting public transport. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. On worries, concerns and dangers among spanish population: a qualitative analysis

    Energy Technology Data Exchange (ETDEWEB)

    Martinez, R.; Cebrian, A.L.; Menard, M. [Complutense University, Madrid (Spain); Sola, R.; Prades, A. [Centro de Investigaciones Energeticas, Medioambientales y Technologicas, Madrid (Spain)

    1998-07-01

    This paper presents qualitative findings on the principal worries, concerns and dangers surrounding risk perception extracted from the Cross-cultural Survey carried out within RISKPERCOM' research project (Risk Perception and Communication). A questionnaire was mailed to arandom sample of the Spanish population allowing a study of amplification/attenuation with regard to the tenth anniversary as well as investigating management and communication issues related to radiological matters. The questionnaires were mailed to the adult population from 18 to 75 years of age, where 48.9% males and 51.1 % females. The number of questionnaires obtained for each wave were 490. The response rate was around 69%. At this paper we present the principal concerns, worries and dangers perceived by the Spanish population as identified through three open questions. The items were grouped in different categories; national political situation, economical concern, personal/social concerns, environmental concerns, global concerns... These categories are associated through correspondence analysis to socio-demographical variables as sex, age, education, political orientation an environmental attitude. (authors)

  1. Escala optométrica para pré-escolares: método para determinação de figuras regionais Escala optométrica para niños pre escolares: método para la determinación de figuras regionales Optometric scale for pre -schools: method for determination of regional figures

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    Rosane Arruda Dantas

    2008-09-01

    Full Text Available As crianças muitas vezes apresentam dificuldade na identificação dos optótipos da escala de figuras. Com o objetivo de identificar figuras conhecidas das crianças e construir optótipos adequados a uma realidade local, elaborou-se um estudo quantitativo experimental, com uma amostra aleatória de 384 crianças de seis escolas. Percebeu-se, com a confecção de desenhos pelas crianças, o quanto as figuras estavam atreladas ao seu cotidiano. Como desenhos mais significativos mencionam-se: sol, boneco, casa, nuvem, árvore, carro, bola, estrela e coração. As figuras de maior freqüência foram sintetizadas na tentativa de aproximá-las de optótipos, sendo validadas com base em intervalo de confiança de 95% para o número de acertos: carro (100%, casa (98%, coração (98%, estrela (95%, bola (89%, flor (85%, sol (83% e boneco (78%. Conclui-se que estas figuras têm aderência à cultura local.Los niños muchas veces presentan dificultad en la identificación de los optotipos de escala de figuras. Con el objetivo de identificar figuras conocidas de los niños y construir optotipos adecuados a una realidad local, se elaboró un estudio cuantitativo experimental con una muestra aleatoria de 384 niños de seis escuelas. Se percibió, con la confección de dibujos realizados por los niños, cómo las figuras estaban relacionadas a sus cotidianos. Como ejemplo de dibujos más significativos pueden citarse: el sol, muñeco, casa, nube, árbol, carro, pelota, estrella y corazón. Las figuras de mayor frecuencia fueron sintetizadas con la intención de aproximar-las de optotipos, siendo validadas con base en el intervalo de confianza del 95% para el número de aciertos: carro (100%, casa (98%, corazón (98% estrella (95%, pelota (89%, flor (85%, sol (83% y muñeco (78%. Se concluye que estas figuras tienen adherencia a la cultura local.Children often show difficulties to identify optotypes in the picture scale. An experimental quantitative study

  2. Escala Razões para Fumar da Universidade de São Paulo: um novo instrumento para avaliar a motivação para fumar University of São Paulo Reasons for Smoking Scale: a new tool for the evaluation of smoking motivation

    Directory of Open Access Journals (Sweden)

    Elisa Sebba Tosta de Souza

    2010-12-01

    Full Text Available OBJETIVO: Desenvolver uma nova escala voltada para a avaliação da motivação para fumar, incorporando questões do 68-item Wisconsin Inventory of Smoking Dependence Motives (WISDM-68, Inventário Wisconsin dos Motivos de Dependência ao Fumo, de 68 itens na Modified Reasons for Smoking Scale (MRSS. Escala Razões para Fumar Modificada. MÉTODOS: Nove questões do WISDM-68 relativas à associação estreita, exposição a gatilhos/processos associativos e controle de peso foram incorporadas às 21 questões da MRSS. Um total de 311 fumantes (214 homens; idade média = 37,6 ± 10,8 anos; média de cigarros consumidos ao dia = 15,0 ± 9,2 responderam a nova escala, o Fagerström Test for Nicotine Dependence (FTND, Teste de Fagerström para Dependência de Nicotina e outras questões. Empregamos a análise fatorial exploratória para determinar a estrutura fatorial da escala. A influência de algumas características clínicas nos escores da solução fatorial final foi também avaliada. RESULTADOS: A análise fatorial revelou uma solução com 21 questões agrupadas em nove fatores: dependência, prazer de fumar, redução da tensão, estimulação, automatismo, manuseio, tabagismo social, controle de peso e associação estreita. Para a escala como um todo, o coeficiente alfa de Cronbach foi de 0,83. As mulheres exibiram maiores escores para dependência, redução da tensão, manuseio, controle de peso e associação estreita do que os homens. Os escores do FTND correlacionaram-se positivamente com dependência, redução da tensão, estimulação, automatismo, tabagismo social e associação estreita. O número de cigarros fumados ao dia se associou com dependência, redução da tensão, estimulação, automatismo, associação estreita e manuseio. Os níveis de CO exalado mostraram associações positivas com dependência, automatismo e associação estreita. CONCLUSÕES: A nova escala fornece um quadro aceitável dos fatores motivacionais

  3. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System.

    Science.gov (United States)

    Douw, Gooske; Huisman-de Waal, Getty; van Zanten, Arthur R H; van der Hoeven, Johannes G; Schoonhoven, Lisette

    2017-09-01

    To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning Score levels not reaching this point. Dutch-early-nurse-worry-indicator-score comprises nine indicators underlying nurses' 'worry' about a patient's condition. All indicators independently show significant association with unplanned intensive care/high dependency unit admission or unexpected mortality. Prediction of this outcome improved by adding the dutch-early-nurse-worry-indicator-score indicators to an Early Warning Score based on vital signs. An observational cohort study was conducted on three surgical wards in a tertiary university-affiliated teaching hospital. Included were surgical, native-speaking, adult patients. Nurses scored presence of 'worry' and/or dutch-early-nurse-worry-indicator-score indicators every shift or when worried. Vital signs were measured according to the prevailing protocol. Unplanned intensive care/high dependency unit admission or unexpected mortality was the composite endpoint. Percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators were calculated at various Early Warning Score levels in control and event groups. Entering all dutch-early-nurse-worry-indicator-score indicators in a multiple logistic regression analysis, we calculated a weighted score and calculated sensitivity, specificity, positive predicted value and negative predicted value for each possible total score. In 3522 patients, 102 (2·9%) had an unplanned intensive care/high dependency unit admissions (n = 97) or unexpected mortality (n = 5). Patients with such events and only slightly changed vital signs had significantly higher percentages of 'worry' and dutch-early-nurse-worry-indicator-score indicators expressed than patients in the control group. Increasing number

  4. Adaptação tanscultural de escala de auto-estima para adolescentes Cross-cultural adaptation of self-esteem scale for adolescents

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    Joviana Q. Avanci

    2007-01-01

    Full Text Available O artigo propõe a padronização da escala de auto-estima de Rosenberg (1956/1989 para adolescentes residentes de um bairro urbano do Rio de Janeiro (São Gonçalo, através do estudo de adaptação transcultural (Herdman, Fox-Rushby & Badia, 1998. A amostra foi composta por 266 adolescentes escolares das 7ª/8ª séries do Ensino Fundamental e 1º/2º anos do Ensino Médio da rede pública e particular do referido município. As seguintes equivalências foram avaliadas: conceitual e de itens, semântica (significado referencial e geral, de mensuração (confiabilidade teste-reteste, consistência interna, análise fatorial e validade de construto, operacional e funcional. Foram encontrados bons resultados para equivalência semântica, o alfa de Cronbach foi de 0.68, Kappa predominantemente moderado e regular, e a análise fatorial proposta é de duas estruturas fatoriais (baixa e alta auto-estima. Na validade de construto, a escala correlacionou-se significativa e positivamente com apoio social, e inversamente com vitimização de violência psicológica, violência ocorrida entre pais e entre os irmãos. Os resultados indicam a aplicabilidade da escala na população de referência, sugerindo a necessidade do desenvolvimento de outros trabalhos em amostras distintas.The article proposes a cross-cultural adaptation (Herdman, Fox-Rushby & Badia, 1998 of "Rosenberg Self-Esteem Scale" for adolescents who live in an urban neighborhood of Rio de Janeiro (São Gonçalo. The sample was composed of 266 adolescents, students of the 7th/ 8th grade of Elementary School and of the 1st/2nd grade of High School, of public and private schools of São Gonçalo/RJ. The following equivalences were evaluated: conceptual and itens equivalences, semantic equivalence (referential and general meaning, measurement equivalence (test-retest reliability, internal consistency, factorial analysis and construct validity and operational and functional equivalences. Good

  5. Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?

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    Paula Braveman

    Full Text Available The causes of the large and persistent Black-White disparity in preterm birth (PTB are unknown. It is biologically plausible that chronic stress across a woman's life course could be a contributor. Prior research suggests that chronic worry about experiencing racial discrimination could affect PTB through neuroendocrine, vascular, or immune mechanisms involved in both responses to stress and the initiation of labor. This study aimed to examine the role of chronic worry about racial discrimination in Black-White disparities in PTB.The data source was cross-sectional California statewide-representative surveys of 2,201 Black and 8,122 White, non-Latino, U.S.-born postpartum women with singleton live births during 2011-2014. Chronic worry about racial discrimination (chronic worry was defined as responses of "very often" or "somewhat often" (vs. "not very often" or "never" to the question: "Overall during your life until now, how often have you worried that you might be treated or viewed unfairly because of your race or ethnic group?" Prevalence ratios (PRs with 95% Confidence Intervals (CI were calculated from sequential logistic regression models, before and after adjustment for multiple social/demographic, behavioral, and medical factors, to estimate the magnitude of: (a PTB risks associated with chronic worry among Black women and among White women; and (b Black-White disparities in PTB, before and after adjustment for chronic worry.Among Black and White women respectively, 36.9 (95% CI 32.9-40.9 % and 5.5 (95% CI 4.5-6.5 % reported chronic worry about racial discrimination; rates were highest among Black women of higher income and education levels. Chronic worry was significantly associated with PTB among Black women before (PR 1.73, 95% CI 1.12-2.67 and after (PR 2.00, 95% CI 1.33-3.01 adjustment for covariates. The unadjusted Black-White disparity in PTB (PR 1.59, 95%CI 1.21-2.09 appeared attenuated and became non-significant after

  6. Worry about racial discrimination: A missing piece of the puzzle of Black-White disparities in preterm birth?

    Science.gov (United States)

    Braveman, Paula; Heck, Katherine; Egerter, Susan; Dominguez, Tyan Parker; Rinki, Christine; Marchi, Kristen S; Curtis, Michael

    2017-01-01

    The causes of the large and persistent Black-White disparity in preterm birth (PTB) are unknown. It is biologically plausible that chronic stress across a woman's life course could be a contributor. Prior research suggests that chronic worry about experiencing racial discrimination could affect PTB through neuroendocrine, vascular, or immune mechanisms involved in both responses to stress and the initiation of labor. This study aimed to examine the role of chronic worry about racial discrimination in Black-White disparities in PTB. The data source was cross-sectional California statewide-representative surveys of 2,201 Black and 8,122 White, non-Latino, U.S.-born postpartum women with singleton live births during 2011-2014. Chronic worry about racial discrimination (chronic worry) was defined as responses of "very often" or "somewhat often" (vs. "not very often" or "never") to the question: "Overall during your life until now, how often have you worried that you might be treated or viewed unfairly because of your race or ethnic group?" Prevalence ratios (PRs) with 95% Confidence Intervals (CI) were calculated from sequential logistic regression models, before and after adjustment for multiple social/demographic, behavioral, and medical factors, to estimate the magnitude of: (a) PTB risks associated with chronic worry among Black women and among White women; and (b) Black-White disparities in PTB, before and after adjustment for chronic worry. Among Black and White women respectively, 36.9 (95% CI 32.9-40.9) % and 5.5 (95% CI 4.5-6.5) % reported chronic worry about racial discrimination; rates were highest among Black women of higher income and education levels. Chronic worry was significantly associated with PTB among Black women before (PR 1.73, 95% CI 1.12-2.67) and after (PR 2.00, 95% CI 1.33-3.01) adjustment for covariates. The unadjusted Black-White disparity in PTB (PR 1.59, 95%CI 1.21-2.09) appeared attenuated and became non-significant after adjustment for

  7. Tradução para o português da escala M-CHAT para rastreamento precoce de autismo Translation into Portuguese of the M-CHAT Scale for early screening of autism

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    Mirella Fiuza Losapio

    2008-12-01

    Full Text Available INTRODUÇÃO: A escala Modified Checklist for Autism in Toddlers (M-CHAT é um instrumento de rastreamento precoce de autismo, que visa identificar indícios desse transtorno em crianças entre 18 e 24 meses. Deve ser aplicada nos pais ou cuidadores da criança. É auto-aplicável e simples, e apresenta alta sensibilidade e especificidade. Foi desenvolvida no idioma inglês e ainda não está disponível uma versão em português. Na literatura não existe consenso quanto à técnica de tradução, sendo a adaptação transcultural uma das formas possíveis. O objetivo do presente estudo foi realizar a tradução do inglês para o português do Brasil da escala M-CHAT para rastreio precoce do autismo, respeitando a equivalência transcultural. MÉTODO: Foi obtida permissão da autora da escala, realizada tradução, seguida de sua respectiva back-translation, avaliação da equivalência referencial, primeiro pré-teste em amostra da população-alvo, avaliação da equivalência geral, avaliação de especialistas em autismo infantil, elaboração da versão preliminar, segundo pré-teste em pais de crianças de ambulatório de pediatria do SUS e elaboração da versão final. RESULTADOS: A avaliação da equivalência referencial demonstrou que 78% das questões eram semelhantes, 13% aproximadas e 9% diferentes. Das 20 pessoas interrogadas no primeiro pré-teste 9 entenderam 100% das questões. O segundo pré-teste demonstrou boa aceitação e entendimento pela população-alvo, com 70% dessa sem nenhuma queixa. Após as avaliações pormenorizadas foi elaborada a versão final. CONCLUSÃO: O estudo torna disponível a versão em português da escala M-CHAT, considerada adequada por especialistas e compreensível pela população.INTRODUCTION: The Modified Checklist for Autism in Toddlers (M-CHAT is a screening instrument for autism that can be applied to parents of children aged 18-24 months. It is self-applicable, simple, and has high

  8. Projects of scale-making: new perspectives for the anthropology of tourism Projectos de configuração de escala: novas perspectivas para a antropologia do turismo

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    Patrick Neveling

    2009-11-01

    Full Text Available Scale has recently entered social anthropology as both a unit of analysis and a heuristic tool. This paper highlights the applicability to the anthropology of tourism of what has been identified as “projects of scale-making” by Tsing (2000 and respective “modes of incorporation” by Glick Schiller, Caglar and Guldbrandsen (2006. Because tourism is one of the central industries shaping present-day understandings of what is global and what is local, scale as a theoretical and methodological tool is ideally suited to study this field. Central concerns of anthropological research on tourism, such as the industry’s political economy, its influence on the perception of landscapes and culture as well as the problematic notion of authenticity, are reconsidered. We argue that central shortcomings of the globalisation debate, such as a teleologically-minded futurism, euphemistic notions of economic circulation and conflations of mundane and scientific debates, shape both the tourism industry and too many anthropological studies on tourism. In light of the contributions collected in this dossier this paper instead develops an analytical framework that highlights the hidden relations of production in tourism economies and the impacts of projects of scale-making on the construction of landscapes and culture.A escala foi recentemente incorporada na antropologia social como unidade de análise e ferramenta heurística. Este artigo centra-se naquilo que Tsing (2000 definiu como “projectos de configuração de escala” e nos respectivos “modos de incorporação” tal como explorados por Glick Schiller, Caglar e Guldbrandsen (2006, destacando a sua aplicabilidade à antropologia do turismo. Na medida em que o turismo é uma das indústrias centrais para a configuração das ideias actuais acerca do que é global e do que é local, a escala, enquanto instrumento teórico e metodológico, adequa-se de forma ideal ao estudo deste campo. Aspectos

  9. Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction.

    Science.gov (United States)

    Lenze, Eric J; Hickman, Steven; Hershey, Tamara; Wendleton, Leah; Ly, Khanh; Dixon, David; Doré, Peter; Wetherell, Julie Loebach

    2014-10-01

    Mindfulness-based stress reduction (MBSR) has the potential to reduce worry and improve cognitive functioning. In this treatment development project, we examined MBSR in older adults with worry symptoms and co-occurring cognitive dysfunction. We examined (i) acceptability of MBSR, (ii) whether MBSR needs to be lengthened providing more repetition, (iii) MBSR's benefits for worry reduction and cognitive improvements, and (iv) continued use of MBSR techniques during follow-up. Two sites (St. Louis and San Diego) enrolled individuals aged 65 years or older with significant anxiety-related distress plus subjective cognitive dysfunction, into traditional 8-session MBSR groups and 12-session groups that had the same content but more repetition of topics and techniques. We examined measures of mindfulness, worry, and a neuropsychological battery focused on memory and executive function before and after the MBSR program, and we followed up participants for 6 months after the completion of MBSR regarding their continued use of its techniques. Participants (N = 34) showed improvements in worry severity, increases in mindfulness, and improvements in memory as measured by paragraph learning and recall after a delay, all with a large effect size. Most participants continued to use MBSR techniques for 6 months post-instruction and found them helpful in stressful situations. There was no evidence that the extended 12-week MBSR produced superior cognitive or clinical outcomes, greater satisfaction, or greater continuation of MBSR techniques than 8-week MBSR. These preliminary findings are promising for the further testing and use of MBSR in older adults suffering from clinical worry symptoms and co-occurring cognitive dysfunction. These are common problems in a broad range of older adults, many of whom have anxiety and mood disorders; therefore, stress reduction intervention for them may have great public health value. Copyright © 2014 John Wiley & Sons, Ltd.

  10. Escala Razões para Fumar Modificada: tradução e adaptação cultural para o português para uso no Brasil e avaliação da confiabilidade teste-reteste Modified Reasons for Smoking Scale: translation to Portuguese, cross-cultural adaptation for use in Brazil and evaluation of test-retest reliability

    Directory of Open Access Journals (Sweden)

    Elisa Sebba Tosta de Souza

    2009-07-01

    Full Text Available OBJETIVO: Traduzir, fazer a adaptação cultural e testar a confiabilidade teste-reteste de uma versão em língua portuguesa da Escala Razões Para Fumar Modificada (ERPFM para uso no Brasil. MÉTODOS: Uma versão em língua inglesa da ERPFM foi traduzida por médicos brasileiros com profundo conhecimento sobre a língua inglesa. Uma versão de consenso foi obtida por grupo multidisciplinar composto por dois pneumologistas, um psiquiatra e um psicólogo. Essa versão foi traduzida de volta ao inglês por um tradutor americano. A avaliação da adaptação cultural da versão final foi efetuada em uma amostra de 20 fumantes saudáveis. A avaliação da confiabilidade teste-reteste foi feita pela aplicação da versão traduzida da escala em 54 fumantes saudáveis em duas ocasiões separadas por 15 dias. RESULTADOS: Essa versão traduzida da ERPFM exibiu excelente identidade cultural, sendo bem compreendida por 95% dos fumantes. Os graus de concordância das respostas em duas ocasiões distintas foram quase perfeito para duas questões, substancial para dez questões, moderado para oito questões e discreto para uma questão. Os valores dos coeficientes de correlação intraclasse dos fatores motivacionais em duas ocasiões, empregando-se modelos teóricos previamente publicados, foram superiores a 0,7 em seis dos sete domínios. CONCLUSÕES: A presente versão da ERPFM exibe identidade cultural e confiabilidade teste-reteste satisfatórias, podendo ser de utilidade no tratamento e na avaliação de tabagistas em nosso meio.OBJECTIVE: To translate the Modified Reasons for Smoking Scale (MRSS to Portuguese, to submit it to cross-cultural adaptation for use in Brazil and to evaluate the test-retest reliability of the translated version. METHODS: An English-language version of the MRSS was translated to Portuguese by Brazilian doctors who have thorough knowledge of the English language. A consensus version was produced by a multidisciplinary group

  11. Propiedades psicométricas y dimensionalidad de la versión española para niños y adolescentes del Father Involvement Scale (FIS

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    María J. González-Calderón

    2014-12-01

    Full Text Available El presente estudio tiene como objetivo evaluar las propiedades psicométricas y dimensionalidad de la versión española para niños y adolescentes del Father Involvement Scale (FIS en el marco de la IPARTheory. Para ello, se utilizó una muestra de 514 participantes (46.9 % varones de edades comprendidas entre 9 y 16 años. Además del cuestionario sobre la implicación paterna, los sujetos informaron de su ajuste emocional, el grado interpersonal de poder y prestigio parental y el grado de aceptación y rechazo parental percibidos. Se obtuvieron dos factores de primer orden (implicación expresiva e implicación instrumental y otro global (implicación paterna. La validez de contenido y criterio, así como la fiabilidad resultan apropiadas para los tres factores. No seencontraron diferencias por sexo.

  12. Supplication and appeasement in conflict and negotiation: The interpersonal effects of disappointment, worry, guilt, and regret.

    Science.gov (United States)

    Van Kleef, Gerben A; De Dreu, Carsten K W; Manstead, Antony S R

    2006-07-01

    This study examined the social effects of emotions related to supplication and appeasement in conflict and negotiation. In a computer-simulated negotiation, participants in Experiment 1 were confronted with a disappointed or worried opponent (supplication), with a guilty or regretful opponent (appeasement), or with a nonemotional opponent (control). Compared with controls, participants conceded more when the other experienced supplication emotions and conceded less when the other experienced appeasement emotions (especially guilt). Experiment 2 replicated the effects of disappointment and guilt and showed that they are moderated by the perceiver's dispositional trust: Negotiators high in trust conceded more to a disappointed counterpart than to a happy one, but those with low trust were unaffected. In Experiment 3, trust was manipulated through information about the other's personality (cooperative vs. competitive), and a similar moderation was obtained. Copyright 2006 APA, all rights reserved.

  13. Heart attack risk perception biases among hypertension patients: the role of educational level and worry.

    Science.gov (United States)

    Peterson, Laurel M; Helweg-Larsen, Marie; Volpp, Kevin G; Kimmel, Stephen E

    2012-01-01

    Risk biases such as comparative optimism (thinking one is better off than similar others) and risk inaccuracy (misestimating one's risk compared to one's calculated risk) for health outcomes are common. Little research has investigated racial or socioeconomic differences in these risk biases. Results from a survey of individuals with poorly controlled hypertension (N=813) indicated that participants showed (1) comparative optimism for heart attack risk by underestimating their heart attack risk compared to similar others, and (2) risk inaccuracy by overestimating their heart attack risk compared to their calculated heart attack risk. More highly educated participants were more comparatively optimistic because they rated their personal risk as lower; education was not related to risk inaccuracy. Neither race nor the federal poverty level was related to risk biases. Worry partially mediated the relationship between education and personal risk. Results are discussed as they relate to the existing literature on risk perception.

  14. Cluster randomised controlled trial of the e-couch Anxiety and Worry program in schools.

    Science.gov (United States)

    Calear, Alison L; Batterham, Philip J; Poyser, Carmel T; Mackinnon, Andrew J; Griffiths, Kathleen M; Christensen, Helen

    2016-05-15

    Anxiety is a common mental health problem in youth. The current study aimed to test the effectiveness of an online self-directed anxiety prevention program in a school-based sample and to compare two methods of implementing an anxiety program in schools. A three-arm cluster stratified randomised controlled trial was conducted with 30 Australian schools. Each school was randomly assigned to receive: (1) externally-supported intervention, (2) teacher-supported intervention, or (3) wait-list control. All consenting students (N=1767) were invited to complete pre-intervention, post-intervention, 6- and 12-month follow-up questionnaires measuring generalised anxiety, social anxiety, anxiety sensitivity, depressive symptoms and mental wellbeing. Intervention participants completed the e-couch Anxiety and Worry program over 6 weeks. At post-intervention, 6- and 12-month follow-up no significant differences were observed between the intervention and control conditions for generalised anxiety (Cohen's d=-0.14 to 0.15), social anxiety (d=0.04-0.23), anxiety sensitivity (d=-0.07 to 0.07), depressive symptoms (d=-0.05 to 0.04) or mental wellbeing (d=-0.06 to -0.30). The current study only included self-report measures that may have been influenced by situational factors or biases. The e-couch Anxiety and Worry program did not have a significant positive effect on participant mental health or wellbeing. The addition of a mental health education officer to support classroom teachers in the delivery of the program also had no effect on intervention outcomes. Future prevention research should look to develop briefer and more interactive interventions that are more engaging for youth. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Normative Values for the Beck Anxiety Inventory, Fear Questionnaire, Penn State Worry Questionnaire, and Social Phobia and Anxiety Inventory.

    Science.gov (United States)

    Gillis, Martha M.; And Others

    1995-01-01

    Adult community norms were derived from 261 adults who completed the Social Phobia and Anxiety Inventory and 267 adults who completed the Beck Anxiety Inventory, the Fear Questionnaire, and the Penn State Worry Questionnaire. Percentile scores are provided for all measures, and their usefulness in assessing therapy outcomes is discussed. (SLD)

  16. Physical activity, depressed mood and pregnancy worries in European obese pregnant women: results from the DALI study

    NARCIS (Netherlands)

    de Wit, L.; Jelsma, J.G.M.; van Poppel, M.N.M.; Bogaerts, A.; Simmons, D.; Desoye, G.; Corcoy, R.; Kautzky-Willer, A.; Harreiter, J.; van Assche, A.; Devlieger, R.; Timmerman, D.; Hill, D.; Damm, P.; Mathiesen, E.R.; Wender-Ozegowska, E.; Zawiejska, A.; Rebollo, P.; Lapolla, A.; Dalfra, M.G.; Del Prato, S.; Bertolotto, A.; Dunne, F.; Jensen, D.M.; Andersen, L.; Snoek, F.J.

    2015-01-01

    Background: The purpose of this study was to examine the association between mental health status (i.e. depressed mood and pregnancy-related worries) and objectively measured physical activity levels in obese pregnant women from seven European countries. Methods: Baseline data from the vitamin D and

  17. Do You Know How I Feel? Parents Underestimate Worry and Overestimate Optimism Compared to Child Self-Report

    Science.gov (United States)

    Lagattuta, Kristin Hansen; Sayfan, Liat; Bamford, Christi

    2012-01-01

    Three studies assessed parent-child agreement in perceptions of children's everyday emotions in typically developing 4- to 11-year-old children. Study 1 (N = 228) and Study 2 (N = 195) focused on children's worry and anxiety. Study 3 (N = 90) examined children's optimism. Despite child and parent reporters providing internally consistent…

  18. Core Self-Evaluations, Worry, Life Satisfaction, and Psychological Well-Being: An Investigation in the Asian Context

    Science.gov (United States)

    Rathi, Neerpal; Lee, Kidong

    2018-01-01

    The concept of core self-evaluations has been extensively investigated in Western and European countries, nonetheless its implications in Asian countries remains relatively unexplored. To void this gap, the current study investigated the association of core self-evaluations with worry, life satisfaction, and psychological well-being among South…

  19. Are You Sure There Isn't a Monster in the Closet? Regulation of Children's Worrying in Uncertain Contexts

    Science.gov (United States)

    Evans, Ian M.; Galyer, Karma

    2009-01-01

    Intolerance of uncertainty and maladaptive information seeking are linked in many models of worry and clinical anxiety. This study aimed to examine children's use of information to regulate negative arousal associated with uncertainty in an exciting or threatening pretend play context. Children were presented with a positively or negatively…

  20. What keeps low-SES children from sleeping well: the role of presleep worries and sleep environment.

    Science.gov (United States)

    Bagley, Erika J; Kelly, Ryan J; Buckhalt, Joseph A; El-Sheikh, Mona

    2015-04-01

    Children in families of low socioeconomic status (SES) have been found to have poor sleep, yet the reasons for this finding are unclear. Two possible mediators, presleep worries and home environment conditions, were investigated as indirect pathways between SES and children's sleep. The participants consisted of 271 children (M (age) = 11.33 years; standard deviation (SD) = 7.74 months) from families varying in SES as indexed by the income-to-needs ratio. Sleep was assessed with actigraphy (sleep minutes, night waking duration, and variability in sleep schedule) and child self-reported sleep/wake problems (e.g., oversleeping and trouble falling asleep) and sleepiness (e.g., sleeping in class and falling asleep while doing homework). Presleep worries and home environment conditions were assessed with questionnaires. Lower SES was associated with more subjective sleep/wake problems and daytime sleepiness, and increased exposure to disruptive sleep conditions and greater presleep worries were mediators of these associations. In addition, environmental conditions served as an intervening variable linking SES to variability in an actigraphy-derived sleep schedule, and, similarly, presleep worry was an intervening variable linking SES to actigraphy-based night waking duration. Across sleep parameters, the model explained 5-29% of variance. Sleep environment and psychological factors are associated with socioeconomic disparities, which affect children's sleep. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Physician trust moderates the relationship between intolerance of uncertainty and cancer worry interference among women with Lynch syndrome.

    Science.gov (United States)

    Torbit, Lindsey A; Albiani, Jenna J; Aronson, Melyssa; Holter, Spring; Semotiuk, Kara; Cohen, Zane; Hart, Tae L

    2016-06-01

    This study investigated the extent to which intolerance of uncertainty was associated with cancer worry interference, anxiety and depression among women with Lynch syndrome (LS), and whether having greater trust in one's physician moderated those relationships. Women with confirmed LS (N = 128) were recruited from a high-risk of cancer registry and completed a one-time self-report questionnaire. Women who reported greater intolerance of uncertainty and more trust in their physician reported less cancer worry interference compared to women who had greater intolerance of uncertainty and less trust in their physician, who reported the highest worry interference, b = -1.39, t(99) = -2.27, p = .03. No moderation effect of trust in physician was found for anxiety or depression. Trust in one's physician buffered the impact of high intolerance of uncertainty on cancer worry interference, underscoring the need for supportive provider-patient relationships, particularly for LS patients.

  2. Predictors of HIV, HIV Risk Perception, and HIV Worry Among Adolescent Girls and Young Women in Lilongwe, Malawi.

    Science.gov (United States)

    Price, Joan T; Rosenberg, Nora E; Vansia, Dhrutika; Phanga, Twambilile; Bhushan, Nivedita L; Maseko, Bertha; Brar, Savvy K; Hosseinipour, Mina C; Tang, Jennifer H; Bekker, Linda-Gail; Pettifor, Audrey

    2018-01-01

    Adolescent girls and young women (AGYW) in sub-Saharan Africa have high HIV prevalence and incidence. We sought to understand which HIV risk factors individually and in combination contribute to risk, and whether these factors are associated with HIV worry and risk perception. This study is ongoing at 4 public health centers in Lilongwe, Malawi (2016-2017). AGYW of 15-24 years old were recruited to participate in a study assessing 4 models of service delivery. At each health center, participants completed a baseline survey assessing socioeconomic, behavioral, biomedical, and partnership characteristics; self-reported HIV status; and, if HIV-uninfected, HIV risk perception (high versus low or none) and HIV worry (any versus none). We analyzed associations between baseline characteristics and HIV prevalence, risk perception, and worry. Among 1000 AGYW, median age was 19 years (IQR: 17-21). Thirty-three participants reported being HIV-infected. Fifteen characteristics were associated with HIV infection. Having more risk factors was associated with higher HIV prevalence (≤4 factors, 0.5%; 5-8 factors, 6%; >8 factors, 21%). Having more risk factors was also associated with higher risk perception (P risk factors, 52% did not consider themselves to be at high risk and 21% did not report any HIV worry. Most AGYW perceive little risk of HIV acquisition, even those at highest risk. As a critical gap in the HIV prevention cascade, accurate risk perception is needed to tailor effective and sustained combination prevention strategies for this vulnerable population.

  3. Anxiety and Depression in Academic Performance: An Exploration of the Mediating Factors of Worry and Working Memory

    Science.gov (United States)

    Owens, Matthew; Stevenson, Jim; Hadwin, Julie A.; Norgate, Roger

    2012-01-01

    Anxiety and depression are linked to lower academic performance. It is proposed that academic performance is reduced in young people with high levels of anxiety or depression as a function of increased test-specific worry that impinges on working memory central executive processes. Participants were typically developing children (12 to…

  4. Test and Study Worry and Emotionality in the Prediction of College Students' Reasons for Drinking: An Exploratory Investigation

    Science.gov (United States)

    Kieffer, Kevin M.; Cronin, Christopher; Gawet, Debra L.

    2006-01-01

    Educational environments can place an exorbitant strain on the psychological well-being of students, and oftentimes students resort to substance use as a means to escape the stress of performance expectations. This study explored the influence of test and study worry and emotionality on students' reported reasons for consuming alcohol. The Reasons…

  5. A Social Relations Analysis of Liking for and by Peers: Associations with Gender, Depression, Peer Perception, and Worry

    Science.gov (United States)

    Zimmer-Gembeck, Melanie J.; Waters, Allison M.; Kindermann, Thomas

    2010-01-01

    We used social relations modeling (SRM; mixed modeling and SOREMO) to examine liking among peers ("affective preferences") in relation to gender and socioemotional problems. Participants (N = 278, age 10 to 13) rated how much they liked each other and reported depressive symptoms, negative beliefs, and social worries. Boys and girls were equally…

  6. A scale to evaluate customer attitudes towards food risks in restaurants / Uma escala para avaliar as atitudes do cliente com relação aos riscos de alimentos em restaurantes

    Directory of Open Access Journals (Sweden)

    Gabriela Milhassi Vedovato

    2014-11-01

    Full Text Available Qualitative methods for exploratory social research allow a deep understanding of individuals’ knowledge, perceptions, values, and preferences. In this study, we aimed to develop a scale to measure customer attitudes toward food risks. In-depth interviews were conducted with customers from two different restaurants located in Sao Paulo, Brazil, to raise social representation constructs by means of the collective subject discourse technique to compose the scale items. A 5-point Likert scale was used to assess the degree of the respondent’s agreement/disagreement with each item (n = 24. The instrument developed was tested (n = 61 to evaluate validity and reliability; it yielded satisfactory internal consistency (α = 0.78, 17 items. The study offers a theoretical and methodological insight into scale development, and identifies customers’ social representations in buffet-style restaurants related to hygiene, risk management, food-hazards, responsibility, and trust in food systems. The proposed methodology is suitable to apply to further marketing research and effective risk management and communication regarding foodservices issues. -------------------- ---------------------------------------------------------------------------------------- Métodos qualitativos em pesquisa social permitem uma compreensão mais aprofundada dos conhecimentos, percepções, valores, preferências dos indivíduos. Este estudo teve como objetivo o desenvolvimento de uma escala para avaliar as atitudes dos clientes em relação à segurança de alimentos. Entrevistas em profundidade foram realizadas com clientes de dois restaurantes em São Paulo, Brasil, para levantar construtos de representação social por meio da técnica do Discurso do Sujeito Coletivo para compor os itens da escala. Uma escala de Likert 5-pontos foi utilizada para avaliar o grau de concordância/discordância dos respondentes com cada item (n = 24. O instrumento desenvolvido foi testado (n

  7. Elaboração e confiabilidade da escala funcional do subir e do descer escada para Distrofia Muscular de Duchenne Elaboration and reliability of functional evaluation on going up and downstairs scale for Duchenne Muscular Dystrophy

    Directory of Open Access Journals (Sweden)

    Lilian A. Y. Fernandes

    2010-12-01

    Full Text Available CONTEXTUALIZAÇÃO: Os instrumentos de avaliação funcional utilizados para pacientes com distrofia muscular de Duchenne (DMD, citados na literatura, são limitados e escassos, dificultando a tomada de decisão clínica fisioterapêutica. OBJETIVOS: Descrever o processo de criação de uma escala de avaliação funcional do subir e do descer escadas, específica para crianças com diagnóstico de DMD, e examinar sua confiabilidade inter e intraexaminadores. MÉTODOS: A construção da escala seguiu cinco etapas, a saber, elaboração de um roteiro para observação dirigida com base na literatura; observação do subir e do descer em 120 registros filmados de 30 crianças com DMD (5 a 11 anos; elaboração da escala, considerando o grau crescente de dificuldade de execução dos movimentos; criação do manual de preenchimento e submissão da escala e do manual a 10 examinadores, seguida de reajustes para criação da versão final. A confiabilidade foi testada pelo pesquisador (repetibilidade e dois examinadores independentes (reprodutibilidade. Utilizou-se o Índice de Correlação Intra-Classe (ICC e a Correlação de Kappa Ponderado. RESULTADOS: A escala elaborada abrange cinco fases para o subir e quatro fases para o descer escadas. Encontrou-se excelente confiabilidade intra/interexaminadores, com valores da Correlação de Kappa Ponderado > 0,78 em todas as fases e ICCs > 0,89, com pBACKGROUND: Instruments of functional evaluation for patients with Duchenne Muscular Dystrophy (DMD, available from the literature, are limited and scarce, making clinical decision on Physiotherapy difficulty. OBJECTIVES: To describe the process of creating a functional assessment scale in patients with DMD while going up and down the stairs, as well as to analyse the intra and inter-rater reliability of this scale. METHODS: The scale development consisted of five stages: 1 to elaborate a script for directed observation based upon literature, 2 to describe a

  8. TRADUCCIÓN Y ADAPTACIÓN DE LA ESCALA SQLS PARA MEDIR CALIDAD DE VIDA EN PACIENTES CON ESQUIZOFRENIA EN COLOMBIA Translation and adaptation of the scale SQLS to measure quality of life in patients with schizophrenia in Colombia

    Directory of Open Access Journals (Sweden)

    José Manuel Calvo

    2012-04-01

    Full Text Available Antecedentes. La traducción y adaptación cultural de instrumentos de medición es un proceso que se aplica en las fases iniciales dentro de las etapas de validación. La escala SQLS (Schizophrenia quality of life scale es un instrumento para medir la calidad de vida en pacientes con esquizofrenia que no ha sido validado en Colombia. Objetivos. Traducir y adaptar transculturalmente al Castellano en Colombia la escala SQLS. Material y métodos. Para estos procesos se utilizaron las recomendaciones de ISPOR y del grupo de calidad de vida de EORTC. Resultados. Dos ítems de la escala fueron modificados: en uno de ellos (pregunta seis se cambió la presentación original de una frase negativa a una positiva. En otro (pregunta 25 se modificó el término de la traducción literal y se introdujo otro con equivalencia transcultural. La escala puede responderse en un tiempo aproximado de 10 minutos. Conclusión. Se dispone de un insumo para generar una versión validada de la escala para poder ser usada en pacientes colombianos.Background. Translation and cultural adaptation of measurement instruments in health is a first step in validating a scale. The SQLS (Schizophrenia quality of life scale is an instrument that has not been validated for use with patients in Colombia. Objective. Translation and cultural adaptation to Spanish in Colombia of the SQLS. Materials and methods. The process has followed the steps recommended by ISPOR and the quality of life group of the EORTC (Spanish translation using a forward and backward approach, a pilot group of patients for cultural adaptation. Results. Two items were modified: The original presentation of item 6 was changed using a positive phrase instead of a negative one. The literal translation of item 25 was modified to one having cultural equivalence. The scale can be responded in about 10 minutes. Conclusion. As a result of this work, a preliminary version of this scale is available to generate a validated

  9. Equivalência transcultural de três escalas utilizadas para estimar a aptidão cardiorrespiratória: estudo em idosos Cross-cultural equivalence of three scales used to estimate cardiorespiratory fitness in the elderly

    Directory of Open Access Journals (Sweden)

    Geraldo de Albuquerque Maranhão Neto

    2008-11-01

    Full Text Available O objetivo deste estudo foi realizar a equivalência transcultural de escalas empregadas para a avaliação do nível de atividade física e que são utilizadas como estimativas da aptidão cardiorrespiratória, para posterior utilização em indivíduos idosos. Três escalas foram determinadas após revisão sistemática: Veterans Physical Activity Questionnaire (VSAQ, Rating of Perceived Capacity (RPC e Physical Activity Rating (PA-R. Para a análise da equivalência, utilizou-se o modelo proposto por Herdman et al. Como parte do processo, a confiabilidade teste-reteste foi avaliada em uma amostra composta por 12 idosos com idade de 74,5 ± 3,5 anos, pelo cálculo dos coeficientes de concordância de Lin (CCL e de correlação intraclasse (CCI. Detectou-se uma boa reprodutibilidade das escalas com exceção do RPC. Apesar de a quantidade de indivíduos não permitir conclusões mais aprofundadas, os resultados podem indicar necessidade de mudanças na estrutura de algumas escalas originais. Por fim, acredita-se que os resultados obtidos no presente estudo sugerem a adequação das versões das escalas para a língua portuguesa, havendo, todavia, a necessidade de um estudo de validade de critério das escalas.This study aimed at establishing the cross-cultural equivalence of scales used to evaluate physical activity level and measure cardiorespiratory fitness, for further application in elderly subjects. Three scales were identified after systematic review: Veterans Physical Activity Questionnaire (VSAQ, Rating of Perceived Capacity (RPC, and Physical Activity Rating (PA-R. The model proposed by Herdman et al. was applied to analyze equivalence. Test-retest reliability was calculated in a sample of 12 elderly subjects (74.5 ± 3.5 years using Lin's concordance coefficient and intraclass correlation coefficient. Good reproducibility was detected in all scales except RPC. Due to the small sample size, hardly any conclusions can de drawn, but the

  10. Association of cancer worry and perceived risk with doctor avoidance: an analysis of information avoidance in a nationally representative US sample.

    Science.gov (United States)

    Persoskie, Alexander; Ferrer, Rebecca A; Klein, William M P

    2014-10-01

    Fear of receiving bad news about one's health can lead people to avoid seeking out health information that, ironically, may be crucial for health maintenance. Using a nationally representative US sample, the present study examined whether perceived likelihood of developing cancer and worry about cancer were associated with reports of avoiding visits to one's doctor, in respondents under and over age 50. Cancer worry, but not perceived risk of cancer, predicted doctor avoidance in respondents aged 50 and older, whereas the opposite pattern held for respondents under age 50. Moreover, in respondents aged 50 and older, cancer worry and perceived cancer risk interacted such that cancer worry was linked to doctor avoidance only when respondents also perceived a high likelihood of cancer. The latter result is consistent with the notion that worry may motivate information seeking when people expect information to dispel worry and information avoidance when the information is seen as highly likely to confirm one's fears. Findings suggest a need for communication strategies that can influence worry and perceived risk differentially. Research should also assess the effectiveness of other behavioral strategies (e.g., automatic scheduling of appointments) as a means for reducing doctor avoidance.

  11. Worry-inducing stimuli in an aversive Go/NoGo task enhance reactive control in individuals with lower trait-anxiety.

    Science.gov (United States)

    Leue, Anja; Rodilla, Carmen Cano; Beauducel, André

    2017-04-01

    This study relates predictions on reactive and proactive cognitive control to findings on anxious apprehension/worry and ERN/Ne. We investigated whether worry-inducing stimuli in an aversive performance setting lead to a more pronounced increase of the ERN/Ne in individuals with lower anxious apprehension/worry. We also explored the N2 amplitude in the context of worry-inducing stimuli. Fifty-eight participants performed an extended Go/NoGo task. A neutral or fearful face was presented at the beginning of each trial, with the fearful face as a worry-inducing, distracting stimulus. In an aversive feedback condition, aversive feedback was provided for false or too slow responses. We found a more pronounced decrease of the ERN/Ne after worry-inducing stimuli compared to neutral stimuli in participants with lower anxious apprehension/worry. Moreover, less pronounced N2 amplitudes were associated with shorter reaction times in the aversive feedback condition. Implications for future research on error monitoring and trait-anxiety are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. Participatory monitoring of water levels with worrying citizens in a recreational area in the Netherlands

    Science.gov (United States)

    Ottow, Bouke; Ellen, Gerald Jan

    2013-04-01

    In the recreational area of Loosdrecht, the water board decided to apply flexible water level management: letting the water level be determined by rainfall and evatranspiration between predefined limits. This caused the citizens to worry for the wooden foundations of their houses and possible limitations of the possibilities for water recreation. This eventually lead to lawsuits by private citizens, interest groups and the municipality against the water manager. In this tense situation we started with participatory monitoring: placing water level instruments at the properties of those citizens that wanted to participate in the measuring. 15 citizens participated, including the ones that filed the lawsuits. At all of these sites the water level was gauged automatically. 8 of the citizens also measured the water level by hand with devices supplied to them by the water manager. During 1 year, all the measurements were collected and processed and discussed with the citizens in 2 meetings. At the end of this year, the the citizens expressed the growth of their understanding of the hydrological situation, the understanding of the different points of view and their trust in eachother.

  13. "I Cannot Be Worried": Living with Chagas Disease in Tropical Bolivia.

    Directory of Open Access Journals (Sweden)

    Colin J Forsyth

    2017-01-01

    Full Text Available Chagas disease (CD profoundly affects the social and emotional dimensions of patients' lives, and disproportionately impacts poor, marginalized populations in Latin America. Biomedical treatment for CD fails to reach up to 99% of the people affected, and in any case seldom addresses the emotional health or socioeconomic conditions of patients. This study examines patient strategies for coping with CD in the department of Santa Cruz, Bolivia.In this ethnographic study, semistructured interviews took place from March-June 2013 with 63 patients who had previously tested positive for CD. During the fieldwork period, participant observation was conducted and patient family members, providers, community members, and public health officials were consulted.Patients often experienced emotional distress when diagnosed with CD, yet were generally unable to find biomedical treatment. Respondents stressed the need to avoid powerful emotions which would worsen the impact of CD symptoms. To manage CD, patients embraced a calm state of mind, described in Spanish as tranquilidad, which partially empowered them to return to a normal existence.In the perceived absence of biomedical treatment options, patients seek their own means of coping with CD diagnosis. Rather than fatalism or resignation, patients' emphasis on maintaining calm and not worrying about CD represents a pragmatic strategy for restoring a sense of normalcy and control to their lives. Programs focused on treatment of CD should remain mindful of the emotional and social impact of the disease on patients.

  14. Ten years after "Worrying trends in econophysics": developments and current challenges

    Science.gov (United States)

    Ormerod, Paul

    2016-12-01

    Econophysics has made a number of important additions to scientific knowledge. Yet it continues to lack influence with both economists and policy makers. Ten years ago, I and three other economists sympathetic to econophysics wrote a paper on worrying trends within the discipline. For example, its lack of awareness of the economics literature, and shortfalls in the use of statistical analysis. These continue to be obstacles to wider acceptance by economists. Like all agents, policy makers respond to incentives, and economists understand this very well. Much of the econophysics community appears to think that simply doing good science is sufficient to have the work recognised, rather than relating to the motivations and incentives of policy makers. Nevertheless, econophysics now has three major opportunities to advance knowledge in areas where policy makers perceive weaknesses in what they are presented with by economists. All can benefit from the analysis of Big Data. The first is a core model of agent behaviour which is more relevant to cyber society than the rational agent model of economics. Second, extending our understanding of the business cycle, primarily by incorporating the importance of networks into models. Third, devising proper measures of output in cyber society.

  15. "I Cannot Be Worried": Living with Chagas Disease in Tropical Bolivia.

    Science.gov (United States)

    Forsyth, Colin J

    2017-01-01

    Chagas disease (CD) profoundly affects the social and emotional dimensions of patients' lives, and disproportionately impacts poor, marginalized populations in Latin America. Biomedical treatment for CD fails to reach up to 99% of the people affected, and in any case seldom addresses the emotional health or socioeconomic conditions of patients. This study examines patient strategies for coping with CD in the department of Santa Cruz, Bolivia. In this ethnographic study, semistructured interviews took place from March-June 2013 with 63 patients who had previously tested positive for CD. During the fieldwork period, participant observation was conducted and patient family members, providers, community members, and public health officials were consulted. Patients often experienced emotional distress when diagnosed with CD, yet were generally unable to find biomedical treatment. Respondents stressed the need to avoid powerful emotions which would worsen the impact of CD symptoms. To manage CD, patients embraced a calm state of mind, described in Spanish as tranquilidad, which partially empowered them to return to a normal existence. In the perceived absence of biomedical treatment options, patients seek their own means of coping with CD diagnosis. Rather than fatalism or resignation, patients' emphasis on maintaining calm and not worrying about CD represents a pragmatic strategy for restoring a sense of normalcy and control to their lives. Programs focused on treatment of CD should remain mindful of the emotional and social impact of the disease on patients.

  16. Construcción de una Escala Para Medir Creencias Legitimadoras de Violencia en la Población Infantil Elaboration of a Children's Scale That Measures Beliefs Which Legitimize Violence

    Directory of Open Access Journals (Sweden)

    Susan Galdames

    2007-05-01

    Full Text Available Este artículo presenta la construcción y validación preliminar de una escala diseñada para niños y niñas, cuyo objetivo es medir creencias que legitiman la violencia en las relaciones interpersonales. El proceso incluyó su aplicación a 608 niños de 12 colegios de Coquimbo y a 20 niños víctimas de violencia. El instrumento muestra adecuados niveles de confiabilidad y evidencia un constructo multidimensional, compuesto por distintas formas de legitimación de la violencia. Los resultados permiten vincular estas creencias a contextos relaciónales violentos y sugieren su asociación con las variables: cultura escolar y socialización de género. El instrumento se plantea como una herramienta para el estudio de los mecanismos que obstaculizan la erradicación de la violencia en nuestras comunidades.This article presents the development of a scale, designed for children, which measures beliefs that legitimate interpersonal violence. The scale shows adequate reliability and shows evidence of a multidimensional construct, constituted by different ways to legitimize violence. Results suggest an association of this beliefs system with violent relational contexts, school culture and gender socialization. The scale is proposed as a tool for investigation of underlying mechanisms that perpetuate violence in our communities.

  17. Tradução e validação para a língua portuguesa da escala de neofobia em relação à tecnologia de alimentos: food technology neophobia scale

    Directory of Open Access Journals (Sweden)

    Márcia Cristina Teixeira Ribeiro Vidigal

    2014-01-01

    Full Text Available As indústrias de alimentos vêm inovando e desenvolvendo novos produtos e processamentos, e os consumidores estão mais conscientes e preocupados em relação às novas tecnologias alimentares, o que pode influenciar a aceitação dos alimentos. Nesse contexto, objetivou-se disponibilizar para a língua portuguesa o questionário originalmente desenvolvido em inglês que avalia a neofobia em relação à tecnologia de alimentos, denominado Food Technology Neophobia Scale (FNTS. O instrumento original composto por treze afirmações foi inicialmente traduzido para o português por três indivíduos bilíngues, de forma independente; na sequência, as versões em português foram traduzidas novamente para o inglês por outros três indivíduos bilíngues, também de forma independente. Procedeu-se então à análise das versões e ajustes para se obter uma única versão em português com equivalência conceitual e linguística, a qual recebeu o nome de Escala de Neofobia em relação à Tecnologia de Alimentos. As versões original e traduzida foram aplicadas a 30 indivíduos bilíngues para avaliação da confiabilidade e reprodutibilidade do questionário. Os resultados obtidos demonstraram que a tradução do instrumento foi adequada e confiável, podendo, portanto, ser empregada em estudos com consumidores brasileiros.

  18. The association of ownership type with job insecurity and worry about job stability: the moderating effects of fair management, positive leadership, and employment type.

    Science.gov (United States)

    Heponiemi, Tarja; Elovainio, Marko; Kouvonen, Anne; Noro, Anja; Finne-Soveri, Harriet; Sinervo, Timo

    2012-01-01

    This study examined whether the ownership type is associated with job insecurity and worry about job stability and whether the type of employment contract, positive leadership, and fair management moderated these associations. Survey data from 1249 Finnish female elderly care staff aged 18 to 69 years were used. Job insecurity and worry about job stability were highest in not-for-profit sheltered homes. However, positive leadership and fair management were able to mitigate this insecurity and worry. Job insecurity was highest among fixed-term employees in public sheltered homes or not-for-profit nursing homes. Thus, promoting good leadership and fair management would be of importance.

  19. Escala de avaliação da motivação para aprender de alunos do ensino fundamental (EMA Scale for evaluation of motivation to learn for elementary school students (SML

    Directory of Open Access Journals (Sweden)

    Edna Rosa Correia Neves

    2007-01-01

    Full Text Available Este estudo descreve os passos relativos à construção de uma escala para avaliar a motivação para aprender de alunos brasileiros do ensino fundamental e apresenta a análise preliminar de suas propriedades psicométricas. Participaram das duas etapas, 771 estudantes de 2ª a 8ª séries do ensino fundamental de escolas públicas de Campinas, SP. O alpha de Cronbach foi de 0,80, indicando uma boa consistência interna do instrumento. Pela análise fatorial exploratória, obteve-se uma escala de dois fatores: motivação intrínseca (MI e motivação extrínseca (ME que explicaram, respectivamente, 17,68% e 12,71% da variância total. Discute-se a necessidade de se aprofundar estudos sobre a viabilidade de utilização da escala para diagnóstico, intervenção e prevenção de problemas motivacionais no contexto escolar.This study describes the steps of constructing a motivation to learn scale for elementary school students and presents a preliminary analysis of its psychometric properties. It was carried out in two stages, employing 771 students from 2nd to 8th grade of elementary school level of public schools of Campinas, SP. The alpha of Cronbach was 0,80 indicating a good internal consistency of the scale. The exploratory factorial analysis identified two factors: intrinsic motivation (IM and extrinsic motivation (EM explaining respectively 17,68% and 12,71% of the total variance. Data is discussed in terms of the need of deepening our knowledge regarding the viability of using the scale for diagnosis, intervention and prevention of motivational problems in the school context.

  20. Satisfacción vital en dominios específicos: adaptación de una escala para su evaluación / Life satisfaction in specific domains: adaptation of a scale for its evaluation

    Directory of Open Access Journals (Sweden)

    Vanina Schmidt

    2015-12-01

    Full Text Available RESUMEN El objetivo de este trabajo es presentar la adaptación de la Escala de Satisfacción Vital en Dominios Específicos para su uso en adultos de Buenos Aires. En una primera etapa, se trabajó en la equivalencia lingüística y conceptual. En la segunda etapa, se aplicó la versión local de la escala a una muestra de 187 adultos (mujeres = 56.10 % con una edad media de 31.20 (DE = 10.70. Se estudió la capacidad de discriminación de los ítems, la confiabilidad, validez de constructo y de contenido. Los resultados mostraron que la escala posee adecuada validez de contenido para ser aplicada en adultos de nuestro medio y presenta claras evidencias de validez de constructo y adecuada precisión para casi todas las subescalas. Se discuten los resultados considerando la importancia de generar nuevos desarrollos conceptuales e instrumentales relativos a los conceptos de la Psicología Positiva. ABSTRACT The aim of this paper is to present the adaptation of the Life Satisfaction Scale in Specific Domains to be used in adults from Buenos Aires. In a first stage, work was done in the linguistic and conceptual equivalence. In the second stage, the local version of the scale was applied to a sample by 187 adults (women = 56.10 % with an average age of 31.20 (SD = 10.70. We studied the ability of discrimination of items, the reliability, construct validity and content. The results showed that the scale has adequate content validity to be applied in adults of our environment, and presents clear evidence of construct validity and adequate precision for almost all the subscales. The results are discussed in view of the importance of generating new conceptual and instrumental developments relating to the concepts of positive psychology.

  1. Relationship Between Self-Efficacy and Symptoms of Anxiety, Depression, Worry and Social Avoidance in a Normal Sample of Students

    OpenAIRE

    Tahmassian, Karineh; Jalali Moghadam, Niloufar

    2011-01-01

    Objective: Self-efficacy beliefs determine how people feel, think, motivate themselves and behave. Regarding to similar findings it is supposed that concept of self efficacy has a general role on mental health. The present study focused on examining the relationships between self-efficacy and symptoms of depression, anxiety, worry and social avoidance in a large sample of normal students (n=549). Methods: The sample included of 266 female and 283 male high school students from schools of dist...

  2. Prevalence of irritable bowel syndrome among university students: the roles of worry, neuroticism, anxiety sensitivity and visceral anxiety.

    Science.gov (United States)

    Hazlett-Stevens, Holly; Craske, Michelle G; Mayer, Emeran A; Chang, Lin; Naliboff, Bruce D

    2003-12-01

    Relationships between presence of irritable bowel syndrome (IBS) and generalized anxiety disorder (GAD), chronic worry, neuroticism, anxiety sensitivity and anxiety about visceral sensations were examined among university students. College student participants were administered self-report diagnostic measures of IBS and GAD, the Penn State Worry Questionnaire (PSWQ), the Neuroticism subscale of the Eysenck Personality Questionnaire, the Anxiety Sensitivity Index (ASI) and five additional items designed to measure visceral anxiety. The prevalence of IBS and its associated characteristics among students were similar to previous community survey studies, with the exception of lower symptom severity in the university sample. IBS was associated with a higher frequency of GAD and greater worry, neuroticism, anxiety sensitivity and visceral anxiety. Logistic regression analyses further showed that the measure of anxiety specific to visceral sensations was the strongest predictor of IBS diagnostic status. While various aspects of anxiety appear related to IBS, specific anxiety about visceral sensations appears to be the most significant factor. Implications of the associations between anxiety-related variables, particularly anxiety about visceral sensations, are discussed.

  3. Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V.

    Science.gov (United States)

    Andrews, Gavin; Hobbs, Megan J; Borkovec, Thomas D; Beesdo, Katja; Craske, Michelle G; Heimberg, Richard G; Rapee, Ronald M; Ruscio, Ayelet Meron; Stanley, Melinda A

    2010-02-01

    Generalized anxiety disorder (GAD) has undergone a series of substantial classificatory changes since its first inclusion in DSM-III. The majority of these revisions have been in response to its poor inter-rater reliability and concerns that it may lack diagnostic validity. This article provides options for the revision of the DSM-IV GAD criteria for DSM-V. First, searches were conducted to identify the evidence that previous DSM Work Groups relied upon when revising the DSM-III-R GAD and the overanxious disorder classifications. Second, the literature pertaining to the DSM-IV criteria for GAD was examined. The review presents a number of options to be considered for DSM-V. One option is for GAD to be re-labeled in DSM-V as generalized worry disorder. This would reflect its hallmark feature. Proposed revisions would result in a disorder that is characterized by excessive anxiety and worry generalized to a number of events or activities for 3 months or more. Worry acts as a cognitive coping strategy that manifests in avoidant behaviors. The reliability and validity of the proposed changes could be investigated in DSM-V validity tests and field trials.

  4. Psychometric properties of the Japanese version of the Concerns About Recurrence Scale (CARS-J).

    Science.gov (United States)

    Momino, Kanae; Akechi, Tatuo; Yamashita, Toshinari; Fujita, Takashi; Hayahi, Hironori; Tsunoda, Nobuyuki; Miyashita, Mitsunori; Iwata, Hiroji

    2014-05-01

    Although the fear of recurrence is a major concern among breast cancer survivors after their surgery, there are no instruments to evaluate their distress in Japan. This study examines the psychometric properties of the Japanese version of the concerns about recurrence scale, which was originally developed in the USA. The forward and backward translation method was used to develop Concerns About Recurrence Scale. Randomly selected ambulatory female patients with breast cancer participated in this study. They were asked to complete Japanese version of the concerns about recurrence scale and Hospital Anxiety and Depression Scale. The validity and reliability of Japanese version of the concerns about recurrence scale were evaluated statistically. Data were obtained from 375 patients. A novel four-factor solution was found (Health and Death Worries, Womanhood Worries, Self-valued Worries and Role Worries) that accounted for 59.2% of the total variance. Correlation coefficients between the Japanese version of the concerns about recurrence scale subscale scores and the anxiety score measured by Hospital anxiety and depression scale ranged from 0.39 to 0.60. Cronbach's alpha coefficients, which are measures of the internal consistency of the subscales, ranged from 0.86 to 0.94. The results suggest that Japanese version of the concerns about recurrence scale is a reliable and valid clinical research tool to evaluate the fear of recurrence among patients with breast cancer in Japan, although there may be cross-cultural differences regarding factor structures between Western and Japanese breast cancer patients.

  5. Escala de Pensamentos Automáticos para Crianças e Adolescentes (EAP: adaptação e propriedades psicométricas Escala de Pensamientos Automáticos para niños y adolescentes (EPA: adaptación y propiedades psicométricas Children's Automatic Thoughts Scale (Cats: adaptation and psychometric properties

    Directory of Open Access Journals (Sweden)

    Maycoln Teodoro

    2013-04-01

    Full Text Available O objetivo deste estudo foi adaptar e investigar algumas propriedades psicométricas da Escala de Pensamentos Automáticos para Crianças e Adolescentes (EPA (Children's Automatic Thoughts Scale, CATS. Foram avaliadas 326 crianças e adolescentes, sendo 135 meninos (41,40% e 189 meninas (58,00% com idade variando entre nove e 16 anos (Média=12,34, DP=1,48 anos. Os participantes responderam à EPA e ao Inventário de Depressão Infantil. Os resultados indicaram uma estrutura fatorial com quatro fatores para a EPA semelhantes à escala original, bem como consistência interna satisfatória para todos os agrupamentos. Foram encontradas correlações significativas entre a intensidade dos pensamentos automáticos disfuncionais e os sintomas de depressão, sendo que o fator fracasso pessoal mostrou-se um preditor significativo da intensidade da depressão. Os resultados iniciais sugerem ser a EPA um instrumento promissor a ser adotado no Brasil para a avaliação dos pensamentos automáticos de crianças e adolescentes.El objetivo de este estudio fue adaptar e investigar algunas propiedades psicométricas de la Escala de Pensamientos Automáticos para Niños y Adolescentes (EPA (Children's Automatic Thoughts Scale, CATS. Fueron evaluados 326 niños y adolescentes, siendo 135 niños (41,40% y 189 niñas (58,00% con edad variando entre nueve y 16 años (Promedio=12,34, DP=1,48 años. Los participantes respondieron a la EPA y al Inventario de Depresión Infantil. Los resultados indicaron una estructura con cuatro factores para la EPA semejantes a la escala original, bien como consistencia interna satisfactoria para todos los agrupamientos. Fueron encontradas correlaciones significativas entre la intensidad de los pensamientos automáticos disfuncionales y los síntomas de depresión. Los resultados iniciales sugieren que la EPA es un instrumento prometedor a ser adoptado en Brasil para la evaluación de los pensamientos automáticos de niños y

  6. Versão brasileira da Escala de Estresse Percebido: tradução e validação para idosos Brazilian version of the Perceived Stress Scale: translation and validation for the elderly

    Directory of Open Access Journals (Sweden)

    Caroline Di Bernardi Luft

    2007-08-01

    Full Text Available OBJETIVO: Traduzir a Escala de Estresse Percebido para a língua portuguesa do Brasil e verificar sua validade para mensurar o estresse percebido de idosos brasileiros. MÉTODOS: A escala foi traduzida e testada em sua versão completa, com 14 questões e na reduzida, com dez questões. A tradução obedeceu às etapas de tradução, tradução reversa e revisão por um comitê. A escala traduzida foi aplicada, por meio de entrevista, a 76 idosos com idade média de 70,04 anos (DP=6,34; mín: 60; máx: 84. A consistência interna foi verificada por meio do coeficiente alfa de Cronbach e a validade de construto, por análise fatorial exploratória com rotação ortogonal pelo método varimax. As médias das versões completa e reduzida foram analisadas comparando o estresse percebido em função da auto-avaliação da saúde, nível econômico percebido, estado civil, condições de residência, entre outras. RESULTADOS: Quanto à confiabilidade, a versão completa apresentou consistência interna semelhante (r=0,82 à reduzida (r=0,83. A análise fatorial revelou a existência de dois fatores para a completa e um para a reduzida. A questão 12 apresentou as menores cargas fatoriais. Ao analisar a possibilidade de a escala diferenciar o estresse percebido em função das variáveis, verificou-se que a versão completa obteve maiores diferenças no estresse do que a reduzida. CONCLUSÕES: A Escala de Estresse Percebido mostrou-se clara e confiável para mensurar o estresse percebido de idosos brasileiros, apresentando qualidades psicométricas adequadas.OBJECTIVE: To translate the Perceived Stress Scale into Brazilian Portuguese, and to assess its validity for measuring perceived stress of Brazilian elderly. METHODS: The scale was translated and tested in its full version including 14 questions and in a shortened version including ten questions. The whole translation process consisted of translation, back-translation and committee review. The

  7. "Worried about relapse": Family members' experiences and perspectives of relapse in first-episode psychosis.

    Science.gov (United States)

    Lal, Shalini; Malla, Ashok; Marandola, Gina; Thériault, Joanie; Tibbo, Phil; Manchanda, Rahul; Williams, Richard; Joober, Ridha; Banks, Nicola

    2017-05-19

    The purpose of this study was to gain an in-depth understanding on the subject of relapse from the perspectives of family members of young people receiving services for a first-episode psychosis (FEP). A qualitative descriptive approach, using focus group methods, was used to elicit experiences, understandings, and knowledge of relapse in FEP. Family members were recruited from 4 specialized early intervention programmes for psychosis in Canada. A total of 24 (6 male, 18 female) family members participated in the study. Thematic analysis was used to examine the data. The core underlying theme in all focus groups was worrying about relapse, which was often accompanied by significant levels of fear and anxiety, and was influenced by: (1) impact of an episode of psychosis; (2) limited confidence in recognizing and coping with relapse; (3) unmet needs for coping skills and emotional support and (4) unmet needs regarding frequency and continuity of communication with clinicians. Family members' unmet needs for relapse-focused education, support and communication with service providers and peers, can have a negative impact on relapse prevention. Addressing family members' education and support needs in a tailored manner (including preferences for types of peer support) can contribute positively to their confidence and ability to recognize and respond to relapse. This can help reduce fear and anxieties about relapse, and positively influence the ability to function as caregivers. Future research should focus on best approaches for providing education, sustained contact with the clinical team and family peer support. © 2017 John Wiley & Sons Australia, Ltd.

  8. Eastern region represents a worrying cluster of active hepatitis C in Algeria in 2012.

    Science.gov (United States)

    Bensalem, Aïcha; Selmani, Karima; Hihi, Narjes; Bencherifa, Nesrine; Mostefaoui, Fatma; Kerioui, Cherif; Pineau, Pascal; Debzi, Nabil; Berkane, Saadi

    2016-08-01

    Algeria is the largest country of Africa, peopled with populations living a range of traditional/rural and modern/urban lifestyles. The variations of prevalence of chronic active hepatitis care poorly known on the Algerian territory. We conducted a retrospective survey on all patients (n = 998) referred to our institution in 2012 and confirmed by us for an active hepatitis C. Half of the hepatitis C virus (HCV) isolates were genotyped. Forty Algerian regions out of the 48 were represented in our study. Three geographical clusters (Aïn-Temouchent/SidiBelAbbes, Algiers, and a large Eastern region) with an excess of active hepatitis C were observed. Patients coming from the Eastern cluster (Batna, Khenchela, Oum el Bouaghi, and Tebessa) were strongly over-represented (49% of cases, OR = 14.5, P < 0.0001). The hallmarks of Eastern region were an excess of women (65% vs. 46% in the remaining population, P < 0.0001) and the almost exclusive presence of HCV genotype 1 (93% vs. 63%, P = 0.0001). The core of the epidemics was apparently located in Khenchela (odds ratio = 24.6, P < 0.0001). This situation is plausibly connected with nosocomial transmission or traditional practices as scarification (Hijama), piercing or tattooing, very lively in this region. Distinct hepatitis C epidemics are currently affecting Algerian population. The most worrying situation is observed in rural regions located east of Algeria. J. Med. Virol. 88:1394-1403, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  9. Having mentors and campus social networks moderates the impact of worries and video gaming on depressive symptoms: a moderated mediation analysis

    National Research Council Canada - National Science Library

    Lee, Jong-Sun; Jeong, Bumseok

    2014-01-01

    .... The aim of the present study was to investigate a resilience model in the relationship between worry, daily internet video game playing, daily sleep duration, mentors, social networks and depression...

  10. Atitude Faking e as escalas de verificação da versão aAdaptada do MCMI-III para o Brasil =Faking responses and modifying scales of Brazilian portuguese version of MCMI-III

    Directory of Open Access Journals (Sweden)

    Alencar, João Carlos Nascimento de et al.

    2012-01-01

    Full Text Available Os inventários objetivos de autorrelato têm sido amplamente utilizados nas últimas décadas. Padrões de resposta enviesados dão espaço à simulação, se constituindo como um importante problema desses instrumentos. O MCMI-III é um instrumento para avaliação da personalidade amplamente utilizado no mundo, em diversos contextos onde a simulação pode estar presente. Assim, o presente trabalho objetiva investigar as escalas Desejabilidade Social e Valorização negativa do instrumento, colaborando para a adaptação do MCMI-III para o Brasil. Os participantes (n = 2570 são originários de todo o país, com faixa etária e de escolaridade diversas. Após resposta ao instrumento, foram categorizados de acordo com sua pontuação nas escalas supracitadas nos grupos Baixo, Médio e Alto para comparação estatística através de Analise Univariada. Foram encontradas diferenças entre os grupos, com maiores médias clínicas para os grupos de maior Valorização Negativa e menor Desejabilidade Social, indicando indícios de validade de constructo das escalas estudadas. Self-report inventories have been widely used since last decades. Malingering by response bias are an important matter about such psychological tests. The MCMI-III is a personality assessment inventory that has been widely used in the world, including when malingering is highly suspected. So, this article aims to investigate Desirability and Debasement Scales of MCMI-III, thus contributing to the test adaptation for Brazil. Study sample (n = 2570 comes from the whole country, and has a large spectrum of age and education. After administration of the test, participants were categorized according to scores obtained in Low, Medium and High groups, to comparison by One-way ANOVA. Statistical differences has been found among groups, and highest clinical scores found was that from high Debasement and low Desirability groups, signing to construct validity of scales.

  11. Avaliação institucional no ensino superior: construção de escalas para discentes e docentes Institutional evaluation in higher education: construction of the scales for the university students and professors

    Directory of Open Access Journals (Sweden)

    Marcos Antonio Batista

    2013-03-01

    Full Text Available O objetivo deste estudo é descrever o processo de construção de um instrumento de avaliação para mensurar a autopercepção de discentes, docentes e funcionários acerca dos vários aspectos da rotina acadêmica de uma Instituição de Ensino Superior. Na etapa inicial, elaborou-se um instrumento-piloto, sob a forma de escala Likert de cinco pontos, com base nas dimensões indicadas pelo Sistema Nacional de Avaliação da Educação Superior. Estudos psicométricos de análise fatorial e precisão evidenciaram diferenças nos pontos de vista de discentes, docentes e funcionários. Agrupados em três bancos de dados, os protocolos passaram por novas análises que resultaram em duas escalas consistentes para docentes e discentes, como se percebe pela boa configuração e interpretação dos fatores. A impossibilidade de se finalizar uma escala para os funcionários demonstrou a existência de falha na construção dos itens para esse segmento e sugeriu novos procedimentos.This study aims to describe the construction process of an evaluation instrument to measure the self-perception of students, professors and employees, under several aspects of the academic routine of a university. The starting-point was a pilot instrument, with a five-point Likert scale, based on the suitable dimensions for the National System of Evaluation of the Higher Education. Psychometric studies of factor analysis and precision instrument pointed to differences concerning the students', the professors' and the employees' points of view. The data was then divided into three databanks and went through new analysis, which resulted in two consistent scales for professors and students, as the coherence and consistency of the study and the proper interpretation of the factors show. The impossibility of creating an employees' scale showed a failure in the construction of the items and required new procedures.

  12. Development of a electrothermal model to scale to determine the energy behavior in buildings with air conditioning; Desarrollo de un modelo electrotermico a escala para determinar el comportamiento energetico en edificaciones con aire acondicionado

    Energy Technology Data Exchange (ETDEWEB)

    Acoltzi, Higinio [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    2001-07-01

    This work presents the development of an electrothermal model and its experimental verification to determine the energetic behavior of test modules at scale of buildings. The model determines the history of the consumption of electrical energy to maintain the comfort conditions in the interior of the modules, with respect to the variation of the materials of the ceilings and windows; all this with the intention of establishing criteria for the application of these materials in the construction industry. The electrical energy consumption for the modules with ceilings of monolithic slab, joist and small vault and windows with reflectasol, filtrasol and clear glasses is presented. Finally, the preliminary results of the application of the proposed model for a building of normal scale are presented. The field measurements and the developed theoretical electrothermal model, present average differences of 16%. The electrical energy savings observed with the application of the theoretical electrothermal model are: 1) if clear glass is changed for filtrasol, energy savings of up to 14,5% are obtained for the slab of joist and small vault and of 12.4% for the monolithic slab; or 2) if clear glass is changed for reflectasol energy savings can be obtained of up to 28.1% for the case of joist and small vault slab and 16.8% for the monolithic slab. The best option is to replace the monolithic slab and clear glass for the joist and small vault slab and reflectasol glass to obtain up to a 37% of savings. The adjustment of experimental device with the 3 connected modules to the air conditioning, and one graphical comparison between the consumption of theoretical and experimental accumulated energy of the module with joist and small vault for the reflectasol, filtrasol and clear glasses are presented. A summary of the total consumption of electrical energy is given. [Spanish] En este trabajo se presenta el desarrollo de un modelo electrotermico y su verificacion experimental para

  13. What's in a name? Intolerance of uncertainty, other uncertainty-relevant constructs, and their differential relations to worry and generalized anxiety disorder.

    Science.gov (United States)

    Koerner, Naomi; Mejia, Teresa; Kusec, Andrea

    2017-03-01

    A number of studies have examined the association of intolerance of uncertainty (IU) to trait worry and generalized anxiety disorder (GAD). However, few studies have examined the extent of overlap between IU and other psychological constructs that bear conceptual resemblance to IU, despite the fact that IU-type constructs have been discussed and examined extensively within psychology and other disciplines. The present study investigated (1) the associations of IU, trait worry, and GAD status to a negative risk orientation, trait curiosity, indecisiveness, perceived constraints, self-oriented and socially prescribed perfectionism, intolerance of ambiguity, the need for predictability, and the need for order and structure and (2) whether IU is a unique correlate of trait worry and of the presence versus absence of Probable GAD, when overlap with other uncertainty-relevant constructs is accounted for. N = 255 adults completed self-report measures of the aforementioned constructs. Each of the constructs was significantly associated with IU. Only IU, and a subset of the other uncertainty-relevant constructs were correlated with trait worry or distinguished the Probable GAD group from the Non-GAD group. IU was the strongest unique correlate of trait worry and of the presence versus absence of Probable GAD. Indecisiveness, self-oriented perfectionism and the need for predictability were also unique correlates of trait worry or GAD status. Implications of the findings are discussed, in particular as they pertain to the definition, conceptualization, and cognitive-behavioral treatment of IU in GAD.

  14. Worry Is Good for Breast Cancer Screening: A Study of Female Relatives from the Ontario Site of the Breast Cancer Family Registry

    Directory of Open Access Journals (Sweden)

    Li Rita Zhang

    2012-01-01

    Full Text Available Background. Few prospective studies have examined associations between breast cancer worry and screening behaviours in women with elevated breast cancer risks based on family history. Methods. This study included 901 high familial risk women, aged 23–71 years, from the Ontario site of the Breast Cancer Family Registry. Self-reported breast screening behaviours at year-one followup were compared between women at low (N=305, medium (N=433, and high (N=163 levels of baseline breast cancer worry using logistic regression. Nonlinear relationships were assessed using likelihood ratio tests. Results. A significant non-linear inverted “U” relationship was observed between breast cancer worry and mammography screening (P=0.034 for all women, where women at either low or high worry levels were less likely than those at medium to have a screening mammogram. A similar significant non-linear inverted “U” relationship was also found among all women and women at low familial risk for worry and screening clinical breast examinations (CBEs. Conclusions. Medium levels of cancer worries predicted higher rates of screening mammography and CBE among high-risk women.

  15. Validação da escala de motivação no esporte (SMS no futebol para a língua portuguesa brasileira Validation of sport motivation scale (SMS in soccer for the Brazilian Portuguese language

    Directory of Open Access Journals (Sweden)

    Varley Teoldo da Costa

    2011-09-01

    Full Text Available O objetivo deste estudo foi submeter o questionário Sport Motivation Scale (SMS ao processo de validação transcultural da Escala de Motivação no Esporte para a língua portuguesa brasileira (EME-BR, verificando sua validade e aplicabilidade na população de jovens atletas brasileiros de futebol de alto nível. Participaram deste estudo 370 atletas. Utilizou-se o Instrumento denominado Escala de Motivação no Esporte - versão brasileira (EME-BR, no qual é composto por 28 itens, dividido em sete dimensões. Para a tradução e adaptação do instrumento, foram adotados os procedimentos sugeridos na literatura. Os resultados da análise fatorial confirmatória, demonstraram que com exceção do teste S-Bx² que foi significante (p 0,70, entretanto, as demais dimensões, aproximam-se do índice desejável. Contudo, os resultados obtidos no presente estudo dão algum suporte para a validade da EME-BR com jogadores brasileiros jovens de futebol de alto nível.The purpose of this study was to submit the Sport Motivation Scale (SMS questionnaire for the transculture validation of the Sport Motivation Scale for the Brazilian Portuguese language and analysis the validity and applicability in the High level Brazilian younger football players. 370 athletes participated of this study. Was used the Sport Motivation Scale for the Brazilian Portuguese language questionnaire consisting for the 28 questions, in 7 dimensions. For the translation and adaptation of the instrument was used the conduct suggest in literature. The results of confirmatory factor analysis showed that with the exception of S-Bx² that test was significant (p 0.70, however, the other dimensions, closer to the desirable rate. However, the results showed in this study lend some support to the validity of the EME-BR with young Brazilian players to senior football.

  16. Validación Preliminar de la Escala de Conductas de Autocuidado para Psicólogos Clínicos Preliminary Validation of the Self-Care Behaviors Scale for Clinical Psychologists

    Directory of Open Access Journals (Sweden)

    Cristóbal Guerra

    2008-11-01

    Full Text Available Se describe el proceso de construcción y validación preliminar de la Escala de Conductas de Autocuidado para Psicólogos Clmicos (EAP. Su propósito es medir la frecuencia de emisión de conductas de autocuidado en psicólogos dedicados a la atención de pacientes. La muestra intencionada estuvo conformada por 132 psicólogos clmicos, quienes respondieron la EAP, una escala de estrés traumático secundario y una de depresión. Los resultados indican que, en la muestra, la EAP posee adecuados niveles de consistencia interna y validez de constructo. La escala mostró también validez convergente al correlacionar inversamente con los niveles de estrés traumático secundario y de depresión en los psicólogos. Los ítems de la EAP adoptaron una estructura unifactorial coherente con la teoría que sustenta la escala.The process of the construction and preliminary validation of the Self-Care Behaviors Scale for Clinical Psychologists (EAP is described. The purpose of the scale is to measure the frequency of self-care behaviors in psychologists dedicated to treating patients. The sample consisted of 132 clinical psychologists, who answered the EAP, a secondary traumatic stress scale, and a depression scale. The results indicate that the EAP possesses adequate internal consistency and construct validity. The scale convergent validity was supported by its inverse correlation with levels of secondary traumatic stress and depression in psychologists. The EAP items adopted a unifactorial configuration coherent with the theory on which the scale is based.

  17. Using the braden and glasgow scales to predict pressure ulcer risk in patients hospitalized at intensive care units Uso de la escala de braden y de glasgow para identificar el riesgo de úlceras de presión en pacientes internados en un centro de terapia intensiva Uso da escala de braden e de glasgow para identificação do risco para úlceras de pressão em pacientes internados em centro de terapia intensiva

    Directory of Open Access Journals (Sweden)

    Luciana Magnani Fernandes

    2008-12-01

    Full Text Available Pressure ulcers remain a major health issue for critical patients. The purpose of this descriptive and exploratory study was to analyze the risk factors for the development of pressure ulcers in patients hospitalized at an intensive care unit of a university hospital. Patients were assessed through the Braden scale to determine the risk for the development of pressure ulcers and to identify individual risks, and the Glasgow scale was used to assess their consciousness. It was found that the risks associated with pressure ulcer development were: low scores on the Braden Scale on the first hospitalization day and low scores on the Glasgow scale. The results showed that these tools can help nurses to identify patients at risk, with a view to nursing care planning.Las ulceras de presión todavía representan un gran problema de salud en pacientes críticos. Este estudio, descriptivo y exploratorio, tuvo como objetivo evaluar los factores de riesgo para el desarrollo de la úlcera de presión presentes en pacientes internados en un centro de terapia intensiva de un hospital universitario. Los pacientes fueron evaluados utilizando la escala de Braden para determinar el riesgo de desarrollo de úlceras de presión e identificación de factores de riesgo individuales y con la escala de Glasgow para evaluar el nivel de conciencia. Se encontró que los factores de riesgo asociados al desarrollo de úlcera de presión fueron: las bajas puntuaciones de la Escala de Braden en el primer día de internación y las bajas puntuaciones de la escala de Glasgow. Los resultados confirmaron que estos instrumentos pueden ayudar al enfermero a identificar pacientes en riesgo y a planificar la asistencia.Úlceras de pressão ainda representam grande problema de saúde em pacientes críticos. Este estudo, descritivo e exploratório, objetivou avaliar os fatores de risco para o desenvolvimento de úlcera de pressão presentes em pacientes internados em um centro de

  18. Elaboração e validação da Escala de Depressão para Idosos Elaboration and validation of the Depression Scale for the Elderly

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    Adriana Giavoni

    2008-05-01

    Full Text Available O objetivo deste estudo foi desenvolver e validar a Escala de Depressão para Idosos (EDI. Foi elaborado um modelo teórico explicativo da depressão, composto por três categorias: cognitiva, afetiva e somático-motora. Os itens elaborados foram submetidos à análise semântica e de juizes. O instrumento piloto foi aplicado a 340 sujeitos, sendo 88% do sexo feminino, com ensino fundamental completo (67,9% e idade média de 63,74 (DP = 6,87 anos. A amostra respondeu também ao Inventário de Depressão de Beck (BDI. Para a validação da escala, foram realizadas análises fatoriais e análise da consistência interna dos itens (alfa de Cronbach. Regressões múltiplas avaliaram o poder de predição dos fatores da EDI sobre o escore final do BDI. A validação da escala demonstrou que a EDI é composta por dois fatores: cognitivo-afetivo e somático-motor, que explicam 53% do BDI (validade convergente. Pode-se afirmar, portanto, que a EDI é formada por fatores que avaliam diferentes aspectos do constructo depressão (validade fatorial, os quais apresentam índices de consistência interna dentro dos padrões psicométricos.The objective of this study was to develop and validate the Depression Scale for the Elderly. An explanatory theoretical model was developed for depression, consisting of three categories: cognitive, affective, and somato-motor. The items elaborated thusly were submitted to semantic analysis and judges. The pilot instrument was applied to 340 subjects, 88% of whom were females, mostly with complete primary education (67.9%, and a mean age of 63.74 (SD = 6.87 years. The sample also responded to the Beck Depression Index (BDI. Validation of the scale was based on factor analyses (Principal Axis Factoring and analysis of the items' internal consistency (Cronbach's alpha. Multiple regressions evaluated the predictive power of the factors in the depression scale for the elderly on the final BDI score. Scale validation

  19. Escala diagramática para avaliação da severidade da mancha-de-micosferela em morangueiro Diagramatic scale to evaluate the mycosphaerella blight severity in strawberry

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    Sergio Miguel Mazaro

    2006-04-01

    Full Text Available Uma escala diagramática com cinco níveis: 0,11; 0,51; 2,4; 10,2 e 34,9% foi desenvolvida e validada para quantificar a severidade da mancha-de-micosferela do morangueiro, causado por Mycosphaerella fragariae (Tul. Lin. A escala considerou os limites de severidade mínima e máxima da doença observados no campo e os níveis intermediários seguiram incrementos logarítmicos, obedecendo-se à "Lei do estímulo de Weber-Fechner". Inicialmente, a estimativa da severidade foi feita sem auxílio da escala em 30 folíolos com diferentes níveis de severidade, por sete indivíduos, sem experiência na avaliação da mancha-de-micosferela do morangueiro . Em seguida, os mesmos avaliadores utilizaram a escala diagramática proposta. As avaliações com a escala diagramática foram mais precisas e acuradas nas estimativas de todos os avaliadores, não ocorrendo erro sistemático na superestimativa ou subestimativa da doença entre estes. A escala diagramática proposta foi considerada adequada para estimar a severidade de mancha-de-micosferela em morangueiro.A diagramatic scale with five levels of disease severity: 0.11; 0.51; 2.4; 10.2 and 34.9% was developed and validated to assess mycosphaerella blight in strawberry, caused by Mycosphaerella fragariae. The scale was developed considering the maximum and minimum limits of disease severity observed in the field and the intermediate values followed logarithmic increments according to the "Stimulus Law by Weber-Fechner". Initially the estimates of severity were performed without the use of the scale in 30 leaves with different levels of severity. Validation was carried out by seven appraisers, without previous pratice in assessing mycosphaerella blight in strawberry. Then, the appraisers estimated the severity of the same leaves previously assessed using the proposed diagrammatic scale. Assessments with the diagrammatic scale were of great precision for all raters and did not constitute systematic

  20. Internal consistency of a Brazilian version of the unified Huntington's disease rating scale Consistência interna da versão brasileira da escala unificada para avaliação da doença da Huntington

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    Vitor Tumas

    2004-12-01

    Full Text Available We evaluated the reliability of a translated Brazilian version of the Unified Huntington's Disease Rating Scale (UHDRS to establish the reproducibility of the scale in a population that differs substantially from that on which the scale was originally validated. After a training period with the video and guidelines requested from the Huntington Study Group, we applied the UHDRS, except for the cognitive tests, to a group of 21 Brazilian patients with a molecular diagnosis of Huntington's disease (HD. We found a high degree of internal consistency of the motor section of the UHDRS (Cronbach's alpha= 0.841. There was a negative correlation between the total motor score and the functional assessment, the independence scale and the functional capacity. There was a positive correlation between these 3 scales of functional evaluation and a negative correlation between the age of onset of the disease and the number of CAG repeats. The behavioral scale and disease duration were not correlated with any factor. The clinical characteristics of this sample of patients as described by the UHDRS were roughly similar to those reported in the original validation studies and the correlations described were similar to those reported previously. We conclude that the Brazilian version of the UHDRS is reliable and valid to study patients with HD in the Brazilian setting, that this sample of Brazilian patients had clinical characteristics similar to those observed in other world regions, as expected, and that the clinical training method used for the application of the UHDRS was effective to insure a high degree of clinical reproducibility.Nosso estudo avaliou a confiabilidade da versão brasileira da escala unificada para avaliação da doença de Huntington (UHDRS com o objetivo de estabelecer a reprodutibilidade dessa escala em uma população que difere significativamente daquela em que foi originalmente validada. Após um período de treinamento com um v

  1. Preparation for colonoscopy: types of scales and cleaning products Preparación para colonoscopia: tipos de productos y escalas de limpieza

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    Vicente Lorenzo-Zúñiga

    2012-08-01

    Full Text Available Adequate bowel preparation is essential before a colonoscopy, allowing us to make a proper examination of the entire mucosa. The ideal method of colon cleansing should be fast, safe, and get a proper cleaning with minimal discomfort for the patient. Today we have a wide variety of colon cleansing products, information sometimes becomes confused. A good colon preparation depends partly on correct choice of the same, but also upon dietary restriction. Knowledge of all these products, with their advantages and limitations, we can make a better selection for each patient, and although the efficacy is comparable, is the experience of the browser, patient preferences, and the degree of compliance with the instructions preparation, which greatly influence the results.Una adecuada preparación del colon es fundamental antes de realizar una colonoscopia, ya que nos permite realizar una correcta exploración de toda la mucosa. El método ideal de limpieza del colon debe ser rápido, seguro y conseguir una limpieza apropiada con las mínimas molestias para el paciente. En la actualidad disponemos de una amplia variedad de productos de limpieza de colon, información que en ocasiones llega a ser confusa. Una buena preparación del colon depende por una parte de una correcta elección del mismo, pero también de una restricción dietética previa. El conocimiento de todos estos productos, con sus ventajas y limitaciones, nos permite hacer una mejor selección para cada paciente; y aunque la eficacia sea comparable, es la experiencia del explorador, las preferencias del paciente y el grado de cumplimiento de las instrucciones de preparación, las que influyen notablemente en los resultados.

  2. Medida da função motora: versão da escala para o português e estudo de confiabilidade Motor function measure scale: portuguese version and reliability analysis

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    C Iwabe

    2008-10-01

    Full Text Available CONTEXTUALIZAÇÃO: Instrumentos de avaliação funcional de pacientes com doenças neuromusculares são escassos. A escala Medida da Função Motora (MFM está disponível no original francês e nas versões inglesa e espanhola. OBJETIVOS: Realizar a versão da escala para o português e identificar a confiabilidade de sua aplicação intra e interexaminador. MATERIAIS E MÉTODOS: Duas traduções da MFM de 2004 foram realizadas em separado, por neurologistas proficientes na língua francesa, resultando em texto consensual, após avaliação dos autores. A escala em português foi aplicada em 58 pacientes de seis a 61 anos, com diagnósticos clínico-laboratoriais de variados tipos de distrofias musculares e miopatias congênitas, documentados em vídeo. O primeiro autor realizou o teste e reteste e outros três fisioterapeutas analisaram os mesmos vídeos para confiabilidade interexaminador. Para análises estatísticas foram utilizados os coeficientes de Kendall, Kappa e Pearson. RESULTADOS: Apresenta-se a escala em seus 32 itens e três dimensões. Os coeficientes de concordância de Kendall para a análise interexaminador e os coeficientes Kappa e de Pearson para o teste e reteste foram estatisticamente significativos (p-valorBACKGROUND: Functional evaluation instruments for patients with neuromuscular disorders are rare. The Motor Function Measure (MFM scale is available in the original French and in English and Spanish translations. OBJECTIVE: To make a Portuguese translation of the MFM and to identify its intra and inter-examiner reliability. METHODS: Two translations of the 2004 MFM were produced separately by neurologists who were proficient in French. This procedure resulted in a consensual text after evaluation by the authors. The MFM in Portuguese was applied to 58 patients aged six to 61 years, with clinical and laboratory diagnoses of various types of muscular dystrophy and congenital myopathy that were documented on video. The

  3. Comparison of results for burning with BWR reactors CASMO and SCALE 6.2 (TRITON / NEWT); Comparacion de los resultados de quemado para reactores BWR con CASMO y SCALE 6.2 (TRITON/NEWT)

    Energy Technology Data Exchange (ETDEWEB)

    Mesado, C.; Miro, R.; Barrachina, T.; Verdu, G.

    2014-07-01

    In this paper we compare the results from two codes burned, CASMO and SCALE 6.2 (TRITON). To do this, is simulated all segments corresponding to a boiling water reactor (BWR) using both codes. In addition, to account for different working points, simulations changing the instantaneous variables, these are repeated: void fractions (6 points), fuel temperature (6 points) and control rods (two points), with a total of 72 possible combinations of different instantaneous variables for each segment. After all simulations are completed for each segment, we can reorder the obtained cross sections, as SCALE CASMO both, to create a library of compositions nemtab format. This format is accepted by the neutronic code of nodal diffusion, PARCS v2.7. Finally compares the results obtained with PARCS and with the SIMULATE3 -SIMTAB methodology to level of full reactor. Also, we have made use of the KENO-VI and MCDANCOFF modules belonging to SCALE. The first is a Monte Carlo transport code with which you can validate the value of the multiplier, the second has been used to obtain values of Dancoff factor and increase the accuracy of model SCALE. (Author)

  4. Desarrollo y Propuesta de una Escala para Medir la Imagen de los Destinos Turísticos (IMATURDesenvolvimento e Proposta de uma Escala para Medida da Imagem dos Destinos Turísticos (IMATURDevelopment and Proposal of a Scale for Measuring the Image of Touristic Destinations (IMATUR

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    MORAGA, Eduardo Torres

    2012-12-01

    ção afetiva e pelos benefícios funcionais, simbólicos e hedonistas. Este estudo fornece às diversas partes interessadas no destino turístico a informação relevante sobre os fatores que compõem a imagem e são a base para uma melhor percepção do destino.ABSTRACTImage plays an important role in the process of choosing a touristic destination. In view of its importance, the purpose of this study is to propose a valid, reliable and dimensional scale of measurement that allows measuring touristic destinations images. To achieve this objective, a methodology was developed in different stages, which includes building a scale with a range of content validity and analyzing their psychometric properties by means of different statistical methods, parametric and nonparametric. To develop this analysis, 750 people were surveyed in samples, in proportion to the touristic destinations visited in Chile. The results showed a scale to measure the image of a touristic destination, made up of cognitive perception, affective evaluation, and by functional, symbolic and hedonistic benefits. This study provides to different groups of interest relevant information regarding the factors that make up the image, and are the basis to achieve a better perception of the touristic destination.

  5. Validación de una escala de autoeficacia para la prevención del SIDA en adolescentes Validation of a self-efficacy scale for AIDS prevention among adolescents

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    Fuensanta López-Rosales

    2001-10-01

    Full Text Available Objetivo. Estudiar la consistencia interna, validez y estructura factorial de la escala Self-Efficacy for AIDS (SEA-27 desarrollada en población estadounidense y adaptada a población mexicana. Material y métodos. Es un estudio correlacional, con un diseño no experimental de tipo transversal. Se hizo con una muestra aleatoria simple de 964 adolescentes tomados de 58 centros de salud públicos de Monterrey, México, en febrero de 1998. Ninguno iba a consultar por motivos relacionados con el SIDA. Se emplea la Escala de Autoeficacia de 27 elementos para Prevenir el SIDA (SEA-27 de López Rosales y colaboradores, junto con preguntas cerradas tipo Likert, dicotómicas y un cuestionario integrado por dos preguntas abiertas sobre aspectos relevantes de la conducta sexual para validar la escala. Para el estudio de SEA 27 se emplearon las pruebas U de Mann Whitney, Kolmogorov-Smirnov, alpha de Cronbach, análisis factorial de componentes principales y correlación bi-serial puntual. La validez de la escala se estudia por la correlación de Pearson con las variables numéricas, con la t de Student para muestras independientes dicotómicas y ANOVA con las politómicas. Resultados. La escala se ajustó a una distribución normal (Zk-s(Normal=1.369; p=0.047, con una media de 95.14 y una desviación estándar de 25.80. Su fiabilidad, por la alpha de Cronbach, resultó de 0.89. SEA-27 muestra una estructura tetradimensional ortogonal que explica 58.47% de la varianza. Se confirmaron en buen grado las hipótesis de validez correlacional y discriminatoria. Conclusiones. La SEA-27 es una escala fiable y válida. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.htmlObjectives. The objectives are obtain the internal consistency, validity and factorial structure of the Self-Efficacy for AIDS scale, wich was developed in American population by Kasen, Vaughan and Walter (1992 and adapted in mexican samples for L

  6. Coping with melanoma-related worry: a qualitative study of the experiences and support needs of patients with malignant melanoma.

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    Bird, Joanne; Coleman, Patricia; Danson, Sarah

    2015-04-01

    To explore the patients' experience of having malignant melanoma, their related support needs and the processes that lead to these needs being met. The number of patients attending surveillance clinics after a diagnosis of malignant melanoma is increasing. In the UK specialist nurses provide support to patients, but little evidence exists about the nature of patients' support needs or their experience of having melanoma. Melanoma has often been researched within general cancer studies, yet the support needs of melanoma patients may be different from those of patients with other skin cancers or tumour types. A Grounded Theory Approach was used to guide sampling, data collection and analysis. In-depth interviews were conducted with eleven patients who where purposively sampled. Transcripts were read several times, coded and categorised using the constant comparative method. Emergent categories were discussed with participants. Three emergent categories related to a core category of melanoma-related worry which formed a substantive theory about the strategies patients use to control this. Participants reported needing to have their concerns believed by others prior to and after diagnosis. They discussed discerning whom to share their concerns with depending upon who they felt would not perceive assisting them as being burdensome. They also sought ways to reassure themselves. Patients need to have their fear and worries acknowledged by others. This includes nurses, healthcare professionals and family members. Patients will also use self-examination and the absence of symptoms to reassure themselves. Nurses play key roles throughout the patient's care; therefore they need to be sensitive to the fact that patients may consider them a primary source of support. When teaching self-examination it is important that nurses discuss that this may ease worry and aid coping. © 2015 John Wiley & Sons Ltd.

  7. Propuesta de una escala para medir la calidad del servicio de los centros de atención secundaria de salud Proposal of a scale to measure the quality of service in secondary healthcare centers

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    Eduardo Torres Moraga

    2008-08-01

    Full Text Available El Ministerio de Salud en Chile se ha planteado como uno de sus principales objetivos, proveer servicios acorde a las expectativas de la población. Para lograrlo, se requiere necesariamente, conocer cuál es la calidad del servicio ofrecida por los centros de salud. En Chile, los centros de atención secundaria, no han desarrollado escalas de calidad del servicio que tengan un buen grado de validez, fiabilidad y dimensionalidad. Este artículo, propone una escala que cumpla estas condiciones, para medir de manera óptima la calidad del servicio que los Centros de Atención Secundaria ofrecen a sus pacientes. Para lograr este objetivo, se aplicó una encuesta estructurada y posteriormente se realizó un exhaustivo análisis psicométrico de los datos, a través de una serie de análisis exploratorios y confirmatorios que incluyó ecuaciones estructurales. Este estudio permitió construir y proponer una escala fiable, válida y con buen grado de dimensionalidad, compuesta por cinco subescalas claramente relacionadas e integradas en un único constructo. Estas son: confiabilidad, empatía, capacidad de respuesta, accesibilidad y tangibles.Chile's Ministry of Health has made it one of its main objectives to provide services that meet the expectations of the population. To achieve this, it is necessary to know what the quality of service offered by healthcare centers is like. In Chile, secondary healthcare centers have not developed quality of service scales that have a good level of validity, dependability, and dimensionality. This article proposes a scale that fulfills these conditions so as to measure in an optimal way the quality of service that secondary healthcare centers offer their patients. To achieve this objective, a structured survey was applied, followed by an exhaustive psychometric analysis of the facts through exploratory and confirmatory analysis that included structural equations. This study allowed for the construction and

  8. Desenvolvimento de uma escala para medir o potencial empreendedor utilizando a Teoria da Resposta ao Item (TRI Development of a scale to measure the entrepreneurial potential using the Item Response Theory (IRT

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    Luciano Ricardo Rath Alves

    2011-01-01

    Full Text Available Diversas variáveis estão relacionadas ao desenvolvimento da atividade empreendedora, verifica-se, entre elas, a importância do agente empreendedor. Dos estudos que contribuem para o seu entendimento, este segue a linha que defende que o empreendedor tem características e traços de personalidade singulares em relação à população, os quais são propícios ao sucesso do empreendedorismo. O objetivo deste trabalho é desenvolver uma escala para medir o potencial empreendedor utilizando a Teoria da Resposta ao Item. Foi utilizado o modelo logístico de dois parâmetros da TRI. As estimativas dos parâmetros foram obtidas a partir da amostra com 764 pessoas que responderam a um instrumento composto por 103 itens. A curva de informação e do erro padrão do teste e a interpretação qualitativa de níveis da escala permitiram determinar o intervalo mais apropriado para utilização do instrumento. Os resultados mostraram que a escala é mais adequada para avaliar indivíduos com baixo até moderadamente alto potencial empreendedor. Por isso, sugere-se que novos itens sejam incorporados ao instrumento para mensurar e interpretar níveis ainda mais elevados. A Teoria da Resposta ao Item permite que novos itens sejam calibrados a fim de mensurar os empreendedores com alto potencial empreendedor, aproveitando os dados já obtidos.Several variables are related to the development of entrepreneurial activities. An important one among them is the entrepreneurial agent. This study is one of many that contribute to the understanding of the entrepreneurial agent. In its line of thought, it upholds the idea that the entrepreneur has characteristics and personality traits that stand out from the general population and that are favorable to the success of the entrepreneurship. This study aims at developing a measurement scale for entrepreneurial potential using the Item Response Theory. The items were generated by Santos (2008 based on a theoretical model

  9. Cross-cultural adaptation of self-esteem scale for adolescents / Adaptação transcultural de escala de auto-estima para adolescentes

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    Joviana Q. Avanci

    2007-01-01

    Full Text Available The article proposes a cross-cultural adaptation (Herdman, Fox-Rushby & Badia, 1998 of "Rosenberg Self-Esteem Scale" for adolescents who live in an urban neighborhood of Rio de Janeiro (São Gonçalo. The sample was composed of 266 adolescents, students of the 7th/ 8th grade of Elementary School and of the 1st/2nd grade of High School, of public and private schools of São Gonçalo/RJ. The following equivalences were evaluated: conceptual and itens equivalences, semantic equivalence (referential and general meaning, measurement equivalence (test-retest reliability, internal consistency, factorial analysis and construct validity and operational and functional equivalences. Good results were obtained for semantics equivalence, alpha of Cronbach was of 0.68, the Kappa was moderate and regular, and the factorial analysis proposed two structures of factors (low and high self-esteem. Construct validity showed significant positive correlation with social support and negative correlation with psychological abuse, violence between parents and brothers. The results indicate the applicability of the scale in a reference population, suggesting the necessity to develop others studies in distinct samples.

  10. Um novo escore para dependência a nicotina e uma nova escala de conforto do paciente durante o tratamento do tabagismo A new nicotine dependence score and a new scale assessing patient comfort during smoking cessation treatment

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    Jaqueline Scholz Issa

    2012-12-01

    Full Text Available O tabagismo é considerado a maior causa evitável de morbidade e mortalidade. O manuseio farmacológico da síndrome de abstinência de nicotina possibilita melhores taxas de cessação. Desenvolvemos um sistema de coleta de dados em nosso programa de assistência ao fumante, que inclui dois instrumentos novos: um escore para dependência de nicotina em fumantes de Smoking is considered the leading preventable cause of morbidity and mortality. The pharmacological management of nicotine withdrawal syndrome enables better cessation rates. In our smoking cessation program, we have developed a data collection system, which includes two new instruments: a score that assesses nicotine dependence in smokers of < 10 cigarettes/day; and a patient comfort scale to be used during smoking cessation treatment. Here, we describe the two instruments, both of which are still undergoing validation.

  11. Satisfaction spinning practitioners: Development of a scale for measuring La satisfacción en los practicantes de spinning: Elaboración de una escala para su medición

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    G. Cuadrado

    2010-09-01

    Full Text Available

     

    The aim of this investigation was to elaborate a scale for measuring of satisfaction about users of a service sport called “spinning”. In the study of main parameters it was employed a sample with 125 subjects who practices sport in seven different gyms from Asturias, Cantabria and Castilla y León (regional communities. As results, was obtained allowable coefficients of fiablility and validity. Statistics results will conclude in a 28 item’s scale organized in 5 subscales: satisfaction with instructor; bicycles; room; organization and others. Also correlations between different components of the scale were analysed in order to determinate what aspects was relation with general satisfaction of the users and them it would be provided an utile information for sports centre’s manager and staff of “spinning”. Finally, differences between subgroups in to the sample are studied.
    KEY WORDS: satisfaction, scale, marketing, sport, spinnig, quality.

     

    La presente investigación se llevó a cabo con la finalidad de elaborar una escala para la medición de la satisfacción de los usuarios del servicio deportivo denominado spinning. Para el estudio de los principales parámetros del test se utilizó una muestra de 125 sujetos de siete centros deportivos pertenecientes a las Comunidades Autónomas de Asturias, Cantabria y Castilla- León. Los resultados obtenidos muestran coeficientes de fiabilidad aceptables y una adecuada validez. Tras los análisis estadísticos realizados resulta una escala de 28 ítems que se estructura, a su vez, en 5 subescalas: satisfacción con el monitor, con las bicicletas, con la sala, con la organización y con otros aspectos. También se analizaron las correlaciones entre los distintos componentes de la escala con el fin de determinar qué aspectos están m

  12. Obesity among Scottish 15 year olds 1987–2006: prevalence and associations with socio-economic status, well-being and worries about weight

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    West Patrick

    2008-12-01

    Full Text Available Abstract Background Increases in the prevalence of child and adolescent obesity have accelerated since the mid 1980s. Socio-economic status (SES-adiposity relationships appear less clear in adolescence than childhood, and evidence on whether increasing obesity is itself patterned according to SES is inconsistent. Increasing prevalence may have increased the tolerance, and reduced recognition of, or concern about, obesity. The aim of this study is to report the prevalence of obesity and its association with SES, well-being and worries about weight among 15-year olds in 1987, 1999 and 2006. Methods Height and weight data obtained from 15-year olds in 1987 (N = 503, 1999 (N = 2,145 and 2006 (N = 3,019, allowed categorisation of obesity (UK90 criteria. SES was represented by parental occupational class and area deprivation; psychological wellbeing by the 12-item General Health Questionnaire (GHQ-12 and self-esteem; weight worries by 'a lot' of worry about weight. Results Obesity prevalence was 6.7%, 10.6% and 15.9% (males, and 5.4%, 11.5% and 14.9% (females in 1987, 1999 and 2006. Among obese males, BMIs increased over time. There was little evidence of differentials in obesity in respect of either SES measure, and none for increased disparities over time. There was no association between obesity and GHQ-12 'caseness' or (except females in 2006 self-esteem. Weight worries were more prevalent among the obese and increased over time overall, but the obesity-weight worry relationship did not change. At each date, large proportions of the obese did not worry 'a lot' about weight, while among the non-obese, up to 18.8% males and 40.1% females (in 2006 did worry. Conclusion Between 1987 and 2006, prevalence of obesity among Scottish 15 year olds increased around 2.5 times. However, this increasing prevalence did not impact on the obesity-weight-worry relationship. While many obese adolescents appear unconcerned about their weight, a significant minority

  13. Tradução e adaptação transcultural para o português brasileiro da Scale for Quality of Sexual Function (QSF Translation and cross-cultural adaptation into Brazilian Portuguese of the Scale for Quality of Sexual Function (QSF

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    Valeska Martinho Pereira

    2011-01-01

    Full Text Available INTRODUÇÃO: Apesar do papel fundamental da função sexual na qualidade de vida da população, há uma escassez na literatura brasileira de instrumentos específicos para sua avaliação e que possam ser utilizados tanto para homens quanto para mulheres. A adaptação da Scale for Quality of Sexual Function (QSF, uma escala unissex, é um passo importante na obtenção de instrumentos que permitam a comparação de resultados entre diferentes populações. OBJETIVO: Descrever o processo de tradução e adaptação semântica da QSF para o português brasileiro. MÉTODOS: A adaptação do instrumento envolveu cinco fases: 1 duas traduções independentes, 2 uma versão de consenso realizada por tradutores e especialistas, 3 avaliação da versão gerada por mais um especialista que não participou das etapas anteriores, 4 retrotradução com avaliação do autor da escala original e, por fim, 5 aplicação da versão obtida em um grupo experimental. RESULTADOS: São descritas todas as etapas de adaptação do instrumento. A participação de especialistas tanto da área de saúde mental quanto de sexualidade humana, desde a primeira fase do processo, contribuiu para discussões amplas, que permitiram a melhor adequação dos itens, tanto conceitual quanto culturalmente. Participaram da aplicação experimental sujeitos de diferentes níveis de escolaridade de ambos os sexos, não sendo detectadas dificuldades na compreensão dos itens. CONCLUSÃO: Por meio dos procedimentos adotados, foi possível elaborar uma versão da QSF em português brasileiro.INTRODUCTION: Despite the important role played by sexual function in quality of life, there is a scarcity of instruments in the Brazilian literature specifically designed to assess this aspect, and especially of instruments that can be used with both men and women. The adaptation of the Scale for Quality of Sexual Function (QSF, a unisex scale, is an important step in the production of instruments

  14. Advanced batteries management for large-scale implementation of PV in rural areas; Gestor de bateria avanzado para la electrificacion rural fotovoltaica a gran escala

    Energy Technology Data Exchange (ETDEWEB)

    Vallve, X.; Merten, J.; Grau, J.; Potteau, E.; Van der Borg, N. J. C. M.; Oostrum, H.

    2004-07-01

    The market for PV-SHS is coming up with new requirements as a result of concession schemes of many SHS from 50 to 300 Wp. Life cycle cost, and not only investment costs, have to be minimized. For the battery management strategy (BMS) in particular, there is evidence that state of the art controllers are not sufficiently protecting the battery. In the R+D project ,ABLE, the functions of the controller have been reviewed to develop the new PV controller concept. The improvements deal with all main functions of a controller; The load management is introduced to improve the average SOC; the charge strategy is improved by adaptative voltage settings; and a built-in monitoring system provides data on proof of service. It is expected that the concept proposed could be a major improvement for large-scale implementation of PV-SHS within the framework of large programs by development and multilateral agencies. (Author)

  15. Rumination and worrying as possible mediators in the relation between neuroticism and symptoms of depression and anxiety in clinically depressed individuals.

    Science.gov (United States)

    Roelofs, Jeffrey; Huibers, Marcus; Peeters, Frenk; Arntz, Arnoud; van Os, Jim

    2008-12-01

    Rumination and worrying are considered possible mediating variables that may explain the relation between neuroticism and symptoms of depression and anxiety. The current study sought to examine the mediational effects of rumination and worry in the relationships between neuroticism and symptoms of depression and anxiety in a sample of clinically depressed individuals (N=198). All patients completed a battery of questionnaires including measures of neuroticism, rumination, worrying, depression, and anxiety. Results showed that in subsequent analyses, rumination and worrying both mediated the relation between neuroticism and depression and anxiety. When rumination and worrying were simultaneously entered in the mediation analysis, only rumination was found to mediate the relation between neuroticism and symptoms of anxiety and depression. Two components of rumination (i.e., brooding and reflection) were also analyzed in the mediational analysis. Both reflection and brooding were significant mediators with respect to depressive symptoms, whereas brooding was the only significant mediator in relation to anxiety symptoms. The results are discussed in the light of current theories, previous research, and recent treatment developments. Clinical implications and suggestions for future research are provided.

  16. Environmental transmission of generalized anxiety disorder from parents to children: worries, experiential avoidance, and intolerance of uncertainty

    Science.gov (United States)

    Aktar, Evin; Nikolić, Milica; Bögels, Susan M.

    2017-01-01

    Generalized anxiety disorder (GAD) runs in families. Building on recent theoretical approaches, this review focuses on potential environmental pathways for parent-to-child transmission of GAD. First, we address child acquisition of a generalized pattern of fearful/anxious and avoidant responding to potential threat from parents via verbal information and via modeling. Next, we address how parenting behaviors may contribute to maintenance of fearful/anxious and avoidant reactions in children. Finally, we consider intergenerational transmission of worries as a way of coping with experiential avoidance of strong negative emotions and with intolerance of uncertainty. We conclude that parents with GAD may bias their children's processing of potential threats in the environment by conveying the message that the world is not safe, that uncertainty is intolerable, that strong emotions should be avoided, and that worry helps to cope with uncertainty, thereby transmitting cognitive styles that characterize GAD. Our review highlights the need for research on specific pathways for parent-to-child transmission of GAD. PMID:28867938

  17. Análise exploratória das escalas de silhuetas bidimensionais e tridimensionais adaptadas para a pessoa com cegueira Exploratory analysis of two dimensional and three dimensional silhouette scales for persons with blindness

    Directory of Open Access Journals (Sweden)

    Fabiane Frota da Rocha Morgado

    2010-04-01

    Full Text Available Realizar uma análise exploratória da Escala de Silhuetas Bidimensionais (ESB e da Escala de Silhuetas Tridimensionais (EST, verificando qual destas Escalas é a mais apropriada e representativa à pessoa com cegueira congênita. Trata-se de uma pesquisa qualitativa e exploratória. A amostra foi composta por 20 sujeitos adultos com cegueira congênita. Foram entrevistados 10 homens e 10 mulheres, com idades entre 21 e 50 anos, do Instituto Benjamin Constant, no Rio de Janeiro e da Associação dos Cegos de Juiz de Fora, MG. Os Instrumentos para coleta de dados foram: ESB, EST e roteiro de entrevista semiestruturada. A estratégia adotada para tratar os dados foi a Análise de Conteúdo de Bardin. Foram formadas três grandes categorias: 1 Principais vias de informações sobre o corpo, subdividida em: tato; informações sobre peso e altura; informações das pessoas do convívio; informações culturais; tamanho das roupas e atividade física como referência. 2 Escala de Silhuetas Bidimensionais, subdividida em: não reconhecimento da ESB; dificuldades; utilidades. 3 Escala de Silhuetas Tridimensionais, subdividida em: Reconhecimento da Escala; Relação consigo ou com o outro; Facilidades e preferências da EST. Foi constatado que 90% dos participantes não reconheceram a ESB, enquanto que todos os participantes reconheceram a EST. A EST é a Escala mais apropriada e representativa para a pessoa com cegueira congênita. Sugere-se a realização de estudos futuros que visem avaliar as qualidades psicométricas da EST.The aim of the study was to conduct an exploratory analysis of the two dimensional and three dimensional Silhouette Scales (2SS and 3SS so as to determine which one is most suitable and meaningful for persons that are congenitally blind. This is a qualitative and exploratory study. The sample was composed of 20 adult congenitally blind subjects. Ten men and 10 women aged between 21 and 50 years of age from the Benjamin Constant

  18. A SMALL SCALE INVESTIGATION INTO MEXICAN UNIVERSITY STUDENTS’ LANGUAGE LEARNING MOTIVATION (UNA INVESTIGACIÓN DE PEQUEÑA ESCALA ACERCA DE LA MOTIVACIÓN DE LOS ESTUDIANTES UNIVERSITARIOS MEXICANOS PARA APRENDER UNA SEGUNDA LENGUA

    Directory of Open Access Journals (Sweden)

    Roux Rodríguez Ruth

    2010-04-01

    Full Text Available Resumen:El propósito de este trabajo de investigación de pequeña escala es ampliar el debate actual en el tema de la motivación para aprender una segunda lengua. En particular analiza las conexiones existentes entre el contexto de aprendizaje en el que están inmersos los estudiantes de inglés como segunda lengua y las influencias socio-culturales en que este opera. El estudio se llevó a cabo en un centro de lenguas que forma parte de una universidad estatal localizada en el Noreste de México. Los participantes son seis estudiantes de un curso de inglés como lengua extranjera de nivel intermedio. También se encuentran realizando estudios de licenciatura en áreas tales como psicología, ingeniería, sistemas computacionales, negocios y educación con especialización en enseñanza de inglés. Con base en el análisis de los datos recopilados mediante un grupo focal de discusión, se sostiene que la motivación para aprender una segunda lengua no emerge únicamente del contexto de aprendizaje ó del contexto sociocultural, si no más bien de una combinación de ambos factores. Se encontró también que las concepciones dominantes respecto al “éxito” profesional y académico en México confluyen con el contexto de aprendizaje para determinar el nivel de motivación para aprender una segunda lengua.Abstract:This small-scale research paper aims to shed additional light on L2 learning motivation. In particular, it looks into the connections between the EFL students’ learning context and the socio-cultural influences within which it operates. The study was conducted in a language center which is part of a state university located in the Northeast part of Mexico. The participants are six students of an intermediate level EFL course. They are also engaged in undergraduate programs majoring in areas such as psychology, engineering, computer science, business, and education with specialty in ELT. Drawing on qualitative data derived from a

  19. Adaptação transcultural: tradução e validação de conteúdo para o idioma português do modelo da Tripartite Influence Scale de insatisfação corporal Cross-cultural adaptation: translation and Portuguese language content validation of the Tripartite Influence Scale for body dissatisfaction

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    Maria Aparecida Conti

    2010-03-01

    Full Text Available O objetivo do estudo foi traduzir e adaptar o instrumento Tripartite Influence Scale para o idioma português e avaliar sua validade de conteúdo e consistência interna. Envolveu seis etapas: (1 tradução; (2 re-tradução; (3 revisão técnica e avaliação semântica; (4 validação de conteúdo por profissionais da área - juízes; (5 avaliação do instrumento por uma amostra da população alvo, por meio da avaliação do grau de compreensão e (6 análise da consistência interna pelo coeficiente alfa de Cronbach. As 43 questões foram traduzidas e adaptadas para o idioma português. A versão final constou de 39 itens apresentando validação de conteúdo para os três construtos (mídia, família e amigos, clareza e fácil compreensão e boa concordância - valores do coeficiente de Cronbach superiores 0,80. O instrumento encontra-se traduzido e adaptado para o idioma português demonstrando bons resultados no processo de validação de conteúdo, compreensão verbal e consistência interna. São necessárias análises de validade externa, equivalência de mensuração e reprodutibilidade.The aim of this study was to translate and adapt the Tripartite Influence Scale to the Portuguese language and evaluate its content validity and internal consistency. Six steps included: (1 translation; (2 back-translation; (3 technique revision and semantic evaluation; (4 conduct validation by professional experts (judges; (5 assessment of comprehensibility by the target population, using a verbal rating scale; and (6 evaluation of the internal consistency using Cronbach's alpha coefficient. The 43 questions were translated and adapted to the Portuguese language. The final version consisted of 39 items, with content validity for three constructs (media, family, and friends, clarity and easy understanding, and good internal agreement (Cronbach's alpha coefficients > 0.80. The instrument was successfully translated and adapted to Portuguese and showed

  20. Escala de Depressão Pós-natal de Edimburgo para triagem no sistema público de saúde Escala de Depresión Post-natal de Edimburgo para tamizage en el sistema público de salud Edinburgh Postnatal Depression Scale for screening in the public health system

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    Patrícia Figueira

    2009-08-01

    ón-oro para diagnóstico de depresión. Fueron calculadas sensibilidad y especificidad de la escala y se utilizó la curva ROC para encontrar el mejor punto de corte. Fue utilizada la prueba t de Stuident para comparación de las variables numéricas y el chi-cuadrado para las variables categóricas. La confiabilidad fue confirmada por el cociente de consistencia interna a de Cronbach. RESULTADOS: Fueron diagnosticadas 66 mujeres con el cuadro depresivo post-parto (26,9% de las muestras. No hubo diferencia entre las mujeres con y sin depresión post-parto con relación a la edad, escolaridad, número de partos anteriores y estado civil. Utilizándose el punto de corte de 10, la sensibilidad de la escala fue 86,4, la especificidad 91,1 y el valor predictivo positivo 0,78. CONCLUSIONES: Las propiedades psicométricas de la Escala la caracterizan como un buen instrumento de tamizage de la depresión post-parto y su uso diseminado en el Sistema Único de Salud podría repercutir positivamente con el aumento significativo en la tasa de reconocimiento, diagnóstico y tratamiento de la depresión post-parto.OBJECTIVE: To evaluate the utilization of the Edinburgh Postnatal Depression Scale as a screening tool in the public health system. METHODS: The Scale was administered between the 40th and 90th day after delivery to 245 mothers whose delivery occurred at a private maternity hospital located in the municipality of Belo Horizonte, Southeastern Brazil, from 2005 to 2006. All participants were submitted to a structured psychiatric interview (Mini-Plus 5.0, used as gold standard for postpartum depression diagnosis. The scale's sensitivity and specificity were calculated, and the receiver operating characteristic (ROC curve was used to find the best cut-off point. Student's t test was employed to compare numeric variables and chi-square was used for the categorical variables. Reliability was calculated by Cronbach's coefficient á of internal consistency. RESULTS: Postpartum depression

  1. Mini-mac - escala de ajustamento mental para o câncer: estrutura fatorial Mini-mac - the mental adjustment to cancer scale: factorial structure

    Directory of Open Access Journals (Sweden)

    Rita de Cássia Gandini

    2008-03-01

    psicométrica del instrumento. Las diferencias entre las estructuras factoriales del instrumento original y de este estudio pueden ser atribuidas a las diferencias cultural y educacional entre las muestras.The factorial validation of the Mini MAC - The Mental Adjustment to Cancer Scale, that measures mental adjustment to cancer, is investigated. After semantic validation, the scale was applied to a sample of 283 patients, average age 54 years old, suffering from cancer of different types and in various stages of the disease, and attended to at a university hospital. The factorability of the sample was appropriate (The Kaiser-Meyer-Olkin was 0.88; data were submitted to principal components analysis, oblique rotation, due to interdependence of factors. Seven factors attained eigenvalue greater than 1.0. Two factors showed good reliability ("Anxious Preoccupation" with Cronbach's Alpha = 0.87 and "Helpless/Hopeless" with Cronbach's Alpha = 0.74, with 13 items with loadings 0.40 or more, which explained 30% of total variance. Results suggested good psychometric quality. Difference between the factor structure of the original scale and that in current study explains the cultural and educational differences among samples.

  2. Main features and possibilities of the new scale module for calculation of sensitivity and uncertainty by sampling: SAMPLER; Principlaes caracteristicas y posibilidades del nuevo modulo de SCALE 6.2 para calculo de sensibilidad e incertidumbre por muestreo: SAMPLER

    Energy Technology Data Exchange (ETDEWEB)

    Mesado, C.; Miro, R.; Barrachina, T.; Verdu, G.

    2014-07-01

    Due to the importance of calculating sensitivity and uncertainty in the calculation of field engineering, and especially in the nuclear world, it has been decided to present the main features of the new module present in the new version of SCALE 6.2 (currently beta 3 version) called SAMPLER. This module allows the calculation of uncertainty in a wide range of effective sections, neutron parameters, composition and physical parameters. However, the calculation of sensitivity is not present in the beta 3 release. Even so, this module can be helpful for participants of the proposed Benchmark by Expert Group on Uncertainty Analysis in Modelling (UAM-LWR), as well as to analysts in general. (Author)

  3. El estrés docente: elaboración de la escala ed-6 para su evaluación. [ Educational stress: elaboration of ed-6 scale for its assesment

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    Santiago Morán-Suárez

    2005-02-01

    Full Text Available The educational stress is an investigation topic that monopolizes or great number of studies. In the work that here is presented, the psychometrics properties of the scale ED-6 are analyzed. This scale was elaborated ad hoc to measure the stress or educational discomfort of face to their use in a wider frame of investigations on this phenomenon. As he/she will be able to be proven, the results show a reliability and acceptable validity, being conformed for 77 ítems and 6 dimensions: Anxiety, Depression, Pressures, Beliefs, Amotivation and Bad confrontation. It is expected that its use in future investigations is of great profit. El estrés docente es un tema de investigación que acapara un gran número de estudios. En el trabajo que aquí se presenta, se analizan las propiedades psicométricas de la escala ED-6,elaborada ad hoc para medir el estrés o malestar docente de cara a su utilización en un marco más amplio de investigaciones sobre este fenómeno. Como se podrá comprobar, los resultados muestran una fiabilidad y validez aceptable, quedando conformada por 77 ítems y 6 dimensiones: Ansiedad, Depresión, Presiones, Creencias, Desmotivación y Mal afrontamiento. Se espera que su uso en futuras investigaciones resulte de gran provecho

  4. Escala diagramática para avaliação de mofo cinzento (Amphobotrys ricini da mamoneira (Ricinus communis L. Diagramatic scale to assess gray mold (Amphobotyrs ricini in castor bean (Ricinus communis L.

    Directory of Open Access Journals (Sweden)

    Haroldo Antunes Chagas

    2010-06-01

    Full Text Available O objetivo do trabalho foi a elaboração de uma escala diagramática para avaliação de mofo cinzento causado por Amphobotrys ricini (Buchw. em mamoneira (Ricinus communis L.. Utilizaram 59 cachos, que foram desinfestados em solução de hipoclorito de sódio a 2% por 30 segundos e em água destilada e esterilizada. Depois foram acondicionados em bandejas com espuma umedecida, onde receberam discos de micélio de 5mm do patógeno, permanecendo em câmara climática a 25ºC e UR de 80%. Observou-se a evolução da doença e foram obtidos fotos dos cachos doentes diariamente. Para a determinação da porcentagem de severidade dos cachos, os frutos infectados e sadios foram contados, estimando-se dessa forma a porcentagem da área lesionada e elaborando uma escala diagramática com seis níveis de severidade. A adoção da escala proposta, melhorou a acurácia (R²=0,94, com valores de "a" não significativamente diferentes de zero (0 e os valores de "b" não diferentes de um (1.The aim of the present study was to develop a diagrammatic scale to assess gray mold caused by Amphobotrys ricini in castor bean (Ricinus communis L.. The experiment included 59 clusters, which were disinfected in solution of sodium hypochlorite to 2% for 30 seconds and distilled water and sterilized. Then, they were packed in moistened foam trays which received 5mm mycelial discs, and were kept in a climatic chamber at 25º C and 80%. RH. The disease evolution was observed daily pictures of the clusters diseased. To determine the severity percentage of the bunches, infected and healthy fruits were counted, estimating thus the percentage of the injured area, and developing a diagrammatic scale with six severity levels. The adoption of the proposed scale, improved the accuracy (R² = 0,94 "a" values were not significantly different from zero (0 and "b" values were not significantly different from one (1.

  5. Funcionamento diferencial dos itens na Escala de Motivos para Evasão do Ensino Superior (M-ES = Differential item functioning in the Higher Education Dropout Reasons Scale (M-ES = Funcionamiento diferencial del ítem en la Escala de Razones para Deserción de la Educación Superior (m-es

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    Ambiel, Rodolfo Augusto Matteo

    2016-01-01

    Full Text Available O estudo visou verificar a adequação da Escala de Motivos para Evasão do Ensino Superior via rating scale model e investigar a presença de funcionamento diferencial dos itens (DIF de acordo com o tipo das instituições dos participantes da pesquisa, pública ou particular. Participaram da pesquisa 327 estudantes universitários, de universidades públicas e particulares, de todos os estados brasileiros, incluindo o Distrito Federal. As idades variaram entre 17 e 58 anos, sendo 80,1% do sexo feminino. O instrumento utilizado foi a Escala de Motivos para Evasão do Ensino Superior (M-ES. Os resultados apontaram que em relação à adequação do instrumento as análises foram satisfatórias e que houve a presença de funcionamento diferencial em alguns itens, sendo que a maior parte dos itens com presença de DIF tiveram como grupo privilegiado os alunos de instituição pública. Os resultados são discutidos de acordo com a literatura e novos estudos são sugeridos

  6. DESENVOLVIMENTO DE UMA ESCALA EM SILICONA PARA TONS DE PELE HUMANA DEVELOPMENT OF A SILICONE SCALE FOR SHADES OF HUMAN SKIN

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    Ana Christina Claro NEVES

    1998-01-01

    Full Text Available O autor desenvolveu em silicona uma escala de tonalidades de pele humana. Foram confeccionados vinte e sete corpos-de-prova em silicona acética (Silastic 732 RTV, pigmentados com óxidos de ferro e dióxido de titânio. A quantidade de silicona acética manteve-se constante (dois gramas em todos os corpos-de-prova, e os pigmentos foram misturados a ela em várias proporções até a obtenção de vinte e sete diferentes tonalidades. Através da comparação da cor dos corpos-de-prova com a cor da pele de quarenta e um indivíduos, foram selecionados os cinco corpos-de-prova com as tonalidades que mais se igualavam à cor da pele dos pacientes, compondo, assim, um guia de tonalidades. Com a metodologia empregada, foi possível desenvolver uma escala de tonalidades de pele que poderá facilitar a definição do tom da pele do paciente quando da confecção de próteses faciais em silicona, permitindo economia de tempo e de material no momento da seleção da cor.The author developed a scale in silicone of shades of human skin. Twenty-seven samples were produced in acetic silicone (Silastic 732 RTV, pigmented with iron oxides and titanium dioxide. The amount of acetic silicone was kept constant (two grams in all of the samples, and the pigments were mixed to it in varying proportions, until twenty-seven different shades were obtained. By comparing the color of the samples with the skin color of forty-one individuals, five samples were selected of the shades that best matched a patient's color of skin to form a shade guide. With the methodology employed, it was possible to develop a shade guide that will facilitate a definition of a patient's skin color in producing facial prostheses in silicone, to afford economy in time and in material at time for selecting the color.

  7. Validez y confiabilidad de las escalas de comunicación y coordinación para medir rol interdependiente en enfermería Validity and reliability of the communication and coordination scales to measure the inter-dependent nursing role Validez e confiabilidade das escalas de comunicação e coordenação para mensurar o papel interdependente da enfermagem

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    ARANGO BAYER GLORÍA LUCÍA

    2010-04-01

    Full Text Available Objetivo del estudio: evaluar la validez y reproducibilidad de las escalas de Comunicación y Coordinación del instrumento ICU enfermera-médico diseñado por Shortell y colaboradores. Métodos: se realizó un estudio metodológico de validación de escalas mediante pruebas de validez facial y validez de contenido con panel de expertas. La muestra para la validez de constructo y consistencia interna fue de 295 enfermeras asistenciales y de 111 para la reproducibilidad prueba-reprueba. Resultados: el índice de aceptabilidad alcanzó el 100%; se obtuvo un índice de 0,82 para la escala de Comunicación en pertinencia y relevancia y para la escala de Coordinación 0,84 en la pertinencia y 0,88 en la relevancia. Se hallaron tres factores para ambas escalas. Se obtuvo un alfa de Cronbach de 0,92 para la Comunicación y 0,82 para la Coordinación; el coeficiente de correlación intraclase fue de 0,79 para Comunicación y de 0,63 para Coordinación. Discusión: el índice de validez facial fue similar a otros estudios y el de contenidos fue alto. Los factores hallados se mencionan en la literatura relacionada con aspectos de comunicación y coordinación. Los valores de alfa de Cronbach fueron superiores a los encontrados por otros investigadores, los Coeficientes de Correlacion Intraclase fueron excelentes y buenos. Conclusiones: los resultados muestran que el instrumento es válido, confiable y reproducible en el contexto colombiano, a partir de lo cual se recomienda su utilización para el estudio de la coordinación y comunicación como indicadores del rol interdependiente de enfermería.Objective of the study: To evaluate the validity and reproducibility of the Communication and Coordination scales of the nurse-doctor ICU instrument designed by Shortell et al. Methods: a scale validation methodological study was conducted through facial validity tests and content validity tests with an experts’ panel. The sample for constituting

  8. Validez y confiabilidad de las escalas de comunicación y coordinación para medir rol interdependiente en enfermería Validez e confiabilidade das escalas de comunicação e coordenação para mensurar o papel interdependente da enfermagem Validity and reliability of the communication and coordination scales to measure the inter-dependent nursing role

    Directory of Open Access Journals (Sweden)

    DORA INÉS PARRA

    2010-06-01

    de constructo e consistência interna foi de 295 enfermeiras assistênciais e de 11 para a replicabilidade prova-reprova. Resultados: o índice de aceptabilidade atingiu 100%; obteve-se um índice de 0,82 para a escala de Comunicação em pertinência e relevância e para a escala de Coordenação 0,84 na pertinência e 0,88 na relevância. Verificaram-se três fatores para ambas as escalas. Obteve-se um alfa de Cronbach de 0,92 para a Comunicação e 0,82 para a Coordenação; o coeficiente de correlação intraclasse foi de 0,79 para Comunicação e de 0,63 para Coordenação. Discussão: o índice de validez facial foi semelhante ao conseguido em outros estudos, enquanto o índice de contéudos foi alto. Os fatores verificados se mencionam na literatura relacionada com aspetos de comunicação e coordenação. Os valores de alfa de Cronbach foram superiores aos verificados por outros pesquisadores, os Coeficientes de Correlação Intraclasse foram excelentes e bons. Conclusões: os resultados evidenciam que o instrumento é válido, confíavel e replicável no contexto colombiano, assim sendo, recomenda-se sua utilização para o estudo da coordenação e comunicação como indicadores do papel interdependente da enfermagem.Objective of the study: To evaluate the validity and reproducibility of the Communication and Coordination scales of the nurse-doctor ICU instrument designed by Shortell et al. Methods: a scale validation methodological study was conducted through facial validity tests and content validity tests with an experts' panel. The sample for constituting validity and internal consistency was of 295 in-class nurses and of 111 nurses for test-retest reproducibility. Results: The acceptance index reached 100%; an index of 0,82 was obtained in appropriateness and relevancy for the communication scale and 0,84 in appropriateness and 0,88 in relevancy for the coordination scale. Three factors were found for both scales. A Cronbach´s alpha of 0,92 was

  9. Tradução, adaptação transcultural para o português (Brasil e validação de conteúdo da Body Checking Cognitions Scale (BCCS

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    Adriana Trejger Kachani

    2011-01-01

    Full Text Available CONTEXTO: A Body Checking Cognitions Scale (BCCS avalia cognições relacionadas à checagem do peso, comportamento comum e de importância clínica em pacientes com transtornos alimentares (TA. OBJETIVO: Tradução, adaptação transcultural da BCCS para o idioma português, validação de conteúdo e análise da consistência interna. MÉTODOS: Envolveu cinco etapas: (1 tradução; (2 retrotradução; (3 revisão técnica e avaliação das equivalências semântica e conceitual (4 validação de conteúdo por profissionais da área - juízes; (5 avaliação do instrumento por uma amostra de estudantes do sexo feminino. RESULTADOS: O instrumento foi traduzido e adaptado para o idioma português. Foram realizadas algumas adaptações de palavras, expressões e conjugação verbal. Demonstrou ser de fácil compreensão (valores médios superiores a 4,22 - valor máximo 5,0 e excelente concordância (alfa de Cronbach: 0,80 a 0,95. Os construtos verificação objetiva, segurança sobre o corpo, consequências de não checar e controle da dieta e do peso foram identificados pelos especialistas, e o nível de concordância correspondeu a 48,6%. CONCLUSÃO: A escala encontra-se traduzida e adaptada para o idioma português, demonstrando resultados satisfatórios no processo de tradução, adaptação transcultural e análise de consistência interna. São necessárias ainda análises de validade externa, equivalência de mensuração e reprodutibilidade.

  10. Mycobacterium tuberculosis Outbreak Strain of Danish Origin Spreading at Worrying Rates among Greenland-Born Persons in Denmark and Greenland

    DEFF Research Database (Denmark)

    Lillebaek, T; Andersen, A B; Rasmussen, E M

    2013-01-01

    Transmission of Mycobacterium tuberculosis continues at high rates among Greenland-born persons in Greenland and Denmark, with 203 and 450 notified cases per 10(5) population, respectively, in the year 2010. Here, we document that the predominant M. tuberculosis outbreak strain C2/1112-15 of Danish...... origin has been transmitted to Greenland-born persons in Denmark and subsequently to Greenland, where it is spreading at worrying rates and adding to the already heavy tuberculosis burden in this population group. It is now clear that the C2/1112-15 strain is able to gain new territories using a new...... population group as the "vehicle." Thus, it might have the ability to spread even further, considering the potential clinical consequences of strain diversity such as that seen in the widely spread Beijing genotype. The introduction of the predominant M. tuberculosis outbreak strain C2...

  11. Expectations, Worries and Wishes: The Challenges of Returning to Home after Initial Hospital Rehabilitation for Traumatic Spinal Cord Injury

    DEFF Research Database (Denmark)

    Noe, Bodil Bjørnshave; Bjerrum, Merete; Angel, Sanne

    2014-01-01

    Literature highlights the barriers and problems that individuals who sustain traumatic spinal cord injury (TSCI) meet when they attempt to resume everyday life after hospital rehabilitation. However, what do patients think about before returning home, and what should professionals encourage...... patients to address while the patient is hospitalized in order to balance the patient’s expectations and to reveal what is of importance to the patient. This qualitative study explores the expectations, wishes and worries patients have before they return home after hospital rehabilitation due to TSCI....... Eight Danish residents aged 25-75 years, admitted for initial rehabilitation at the Spinal Cord Injury Center of Western Denmark, participated in an individual interview before returning home. The transcribed interviews were analyzed according to inductive content analysis. Transversal analyses revealed...

  12. Escala Motora Infantil de Alberta: validação para uma população gaúcha Escala motora infantil de Alberta: validación para una población de Rio Grande do Sul (Brasil Infant Motor Scale of Alberta: validation for a population of Southern Brazil

    Directory of Open Access Journals (Sweden)

    Nadia Cristina Valentini

    2011-06-01

    Full Text Available OBJETIVO: Traduzir, adaptar e verificar a validade de critérios motor e de constructo (consistência interna, validade dis-criminante, correlação com outros testes e validade preditiva da versão em Português da Alberta Motor Infant Scale. MÉTODOS: Estudo de validação transcultural. Participaram 21 profissionais e 561 crianças do Rio Grande do Sul, com idades de zero a 18 meses (291 meninos. Foram utilizados os instrumentos: Alberta Infant Motor Scale, Escala do Desen-volvimento do Comportamento da Criança e um questionário para controle de variáveis. O estudo compreendeu as fases de tradução e adaptação da escala; análise da validade de conteúdo; treinamento de profissionais; coleta de dados no ambiente familiar e em creches; análise da objetividade e fidedignidade, e validade de critério e construto. RESULTADOS: A versão portuguesa da Alberta Infant Motor Scale continha critérios motores claros e pertinentes; apresentou ótima confiabilidade (escore total, p=0,88; prono, p=0,86; supino, p=0,89; sentado, p=0,80 e em pé, p=0,85 e poder discriminativo (desenvolvimento típico versus atípico; escore, pOBJETIVO: Traducir, adaptar y verificar la validez y clareza de criterios motor y constructo (consistencia interna, vali-dez discriminante, correlación con otras pruebas y validez predictiva de la versión en Portugués de la Alberta Motor Infant Scale. MÉTODOS: Estudio de validación transcultural, descriptivo y transversal. Participaron 21 profesionales y 561 niños de Rio Grande do Sul, con edades entre 0 y 18 meses (291 niños y 270 niñas. Se utilizaron los instrumentos: Alberta Infant Motor Scale (AIMS, Escala del Desarrollo del Comportamiento del Niño (EDCC y un cuestionario para control de variables. El estudio comprendió las etapas de traducción y adaptación de la escala; análisis de la validez de contenido; entrenamiento de profesionales; recolección de datos en el ambiente familiar y en guarderías; an

  13. Tradução, adaptação cultural e reprodutibilidade da Wisconsin Smoking Withdrawal Scale para o português do Brasil Translation, cross-cultural adaptation, and reproducibility of the Brazilian portuguese-language version of the Wisconsin Smoking Withdrawal Scale

    Directory of Open Access Journals (Sweden)

    Boanerges Lopes de Oliveira Junior

    2012-12-01

    Full Text Available OBJETIVO: Adaptar culturalmente e avaliar a reprodutibilidade da Wisconsin Smoking Withdrawal Scale (WSWS para o português do Brasil. MÉTODOS: Foi realizada a tradução da versão original em língua inglesa para o português. A versão traduzida foi aplicada em 8 voluntários fumantes para a adaptação cultural. Após ajustes, a versão da WSWS foi submetida à tradução retrógrada do português para o inglês. A versão em português do Brasil foi considerada adequada. Para a avaliação da reprodutibilidade, a escala foi aplicada em 75 fumantes em dois momentos, com intervalo de 30 minutos (reprodutibilidade interobservador e, num terceiro momento, após 15 dias (reprodutibilidade intraobservador. Utilizou-se o coeficiente de correlação intraclasse (CCI para testar a concordância entre as respostas. O nível de significância adotado foi p OBJECTIVE: To cross-culturally adapt the Wisconsin Smoking Withdrawal Scale (WSWS for use in Brazil and evaluate the reproducibility of the new (Brazilian Portuguese-language version. METHODS: The original English version of the WSWS was translated into Brazilian Portuguese. For cross-cultural adaptation, the Brazilian Portuguese-language version of the WSWS was administered to eight volunteers, all of whom were smokers. After adjustments had been made, the WSWS version was back-translated into English. The Brazilian Portuguese-language version was thereby found to be accurate. The final Brazilian Portuguese-language version of the WSWS was applied to 75 smokers at three distinct times. For the assessment of interobserver reproducibility, it was applied twice within a 30-min interval by two different interviewers. For the assessment of intraobserver reproducibility, it was applied again 15 days later by one of the interviewers. Intraclass correlation coefficients (ICCs were used in order to test the concordance of the answers. The significance level was set at p < 0.05. RESULTS: Of the 75

  14. Tradução e adaptação cultural do Modified-University of California at Los Angeles Shoulder Rating Scale para a língua portuguesa Translation and cultural adaptation of the Modified-University of California at Los Angeles Shoulder Rating Scale to portuguese language

    Directory of Open Access Journals (Sweden)

    Elaine Cristina Oku

    2006-08-01

    Full Text Available OBJETIVOS: os objetivos deste estudo foram traduzir a versão original da avaliação funcional de ombro Modified-University of California at Los Angeles Shoulder Rating Scale da língua inglesa para a portuguesa e adaptar culturalmente à população brasileira. MÉTODOS: a escala foi traduzida e adaptada culturalmente para a população brasileira de acordo com a metodologia internacionalmente aceita descrita por Guillemin et al(28. A versão traduzida e revisada pelo comitê foi aplicada em dois grupos (indivíduos leigos com idade entre 45 e 75 anos e profissionais da saúde para avaliação do nível de compreensão das alternativas. Encontrando 15% ou mais de alternativas "não-compreendidas", os termos foram substituídos por palavras equivalentes de modo que não fossem alterados conceito, estrutura e propriedade de base do instrumento, e reaplicadas até que valores menores que 15% fossem alcançados. RESULTADOS: foram necessárias três aplicações. Cada grupo continha 20 indivíduos selecionados consecutivamente, totalizando 120 pessoas. Para obtenção da versão final, foram modificadas cinco alternativas do domínio dor e quatro alternativas do domínio função. Além dessas alterações, foram identificados problemas, por ambos os grupos, quanto à estrutura da escala, sugerindo a continuação do estudo de sua validade e possíveis modificações desta.OBJECTIVES: the aims of this study were to translate into Brazilian-Portuguese the Modified - University of California at Los Angeles Shoulder Rating Scale and to cross-culturally adapt it to the Brazilian environment. METHODS: the scale was translated to Portuguese and back translated into English according to internationally recommended process described by Guillemin et al(28. The translated and revised version was administered to two groups (patients between 45 and 75 years old and health professionals to evaluate the comprehension level of the items. If 15% or more of health

  15. Ethnicity, Effort, Self-Efficacy, Worry, and Statistics Achievement in Malaysia: A Construct Validation of the State-Trait Motivation Model

    Science.gov (United States)

    Awang-Hashim, Rosa; O'Neil, Harold F., Jr.; Hocevar, Dennis

    2002-01-01

    The relations between motivational constructs, effort, self-efficacy and worry, and statistics achievement were investigated in a sample of 360 undergraduates in Malaysia. Both trait (cross-situational) and state (task-specific) measures of each construct were used to test a mediational trait (r) state (r) performance (TSP) model. As hypothesized,…

  16. Providing Preoperative Information for Children Undergoing Surgery: A Randomized Study Testing Different Types of Educational Material to Reduce Children's Preoperative Worries

    Science.gov (United States)

    Fernandes, S. C.; Arriaga, P.; Esteves, F.

    2014-01-01

    This study developed three types of educational preoperative materials and examined their efficacy in preparing children for surgery by analysing children's preoperative worries and parental anxiety. The sample was recruited from three hospitals in Lisbon and consisted of 125 children, aged 8-12 years, scheduled to undergo outpatient surgery. The…

  17. Impact of direct-to-consumer predictive genomic testing on risk perception and worry among patients receiving routine care in a preventive health clinic.

    Science.gov (United States)

    James, Katherine M; Cowl, Clayton T; Tilburt, Jon C; Sinicrope, Pamela S; Robinson, Marguerite E; Frimannsdottir, Katrin R; Tiedje, Kristina; Koenig, Barbara A

    2011-10-01

    To assess the impact of direct-to-consumer (DTC) predictive genomic risk information on perceived risk and worry in the context of routine clinical care. Patients attending a preventive medicine clinic between June 1 and December 18, 2009, were randomly assigned to receive either genomic risk information from a DTC product plus usual care (n=74) or usual care alone (n=76). At intervals of 1 week and 1 year after their clinic visit, participants completed surveys containing validated measures of risk perception and levels of worry associated with the 12 conditions assessed by the DTC product. Of 345 patients approached, 150 (43%) agreed to participate, 64 (19%) refused, and 131 (38%) did not respond. Compared with those receiving usual care, participants who received genomic risk information initially rated their risk as higher for 4 conditions (abdominal aneurysm [P=.001], Graves disease [P=.04], obesity [P=.01], and osteoarthritis [P=.04]) and lower for one (prostate cancer [P=.02]). Although differences were not significant, they also reported higher levels of worry for 7 conditions and lower levels for 5 others. At 1 year, there were no significant differences between groups. Predictive genomic risk information modestly influences risk perception and worry. The extent and direction of this influence may depend on the condition being tested and its baseline prominence in preventive health care and may attenuate with time.

  18. Capturing early signs of deterioration: the dutch-early-nurse-worry-indicator-score and its value in the Rapid Response System

    NARCIS (Netherlands)

    Douw, G.; Huisman-de Waal, G.J.; Zanten, A.R. van; Hoeven, J.G. van der; Schoonhoven, L.

    2017-01-01

    AIMS AND OBJECTIVES: To determine the predictive value of individual and combined dutch-early-nurse-worry-indicator-score indicators at various Early Warning Score levels, differentiating between Early Warning Scores reaching the trigger threshold to call a rapid response team and Early Warning

  19. A little uncertainty goes a long way: state and trait differences in uncertainty interact to increase information seeking but also increase worry.

    Science.gov (United States)

    Rosen, Natalie O; Knäuper, Bärbel

    2009-04-01

    This study examines the effect of an interaction between intolerance of uncertainty (IU) and situational uncertainty (SU) on worry due to uncertainty and on information seeking. Health providers may benefit from knowing when communicating uncertain information is beneficial. The study was a 2 (IU condition: high vs. low) x 2 (SU condition: high vs. low) experimental design resulting in four conditions to which university students (N = 153) were randomly assigned. IU was manipulated through a linguistic manipulation of responses to an IU questionnaire coupled with written false feedback. SU was manipulated by modifying the information participants read about a fictitious infection. Individuals in the high IU and high SU condition sought the most information and worried most due to uncertainty compared to people in the low IU and low SU condition, who sought the least information and worried least. Findings suggest that high IU may increase positive health behaviors such as screening intentions when individuals are faced with an uncertain health threat, but that it also increases worries due to that uncertainty. Providing opportunities for discussing one's emotional response to uncertainty and providing instrumental support for managing uncertainty (e.g., booking the follow-up appointment) is essential when communicating uncertain information.

  20. The Effect of Cancer Information Seeking on Perceptions of Cancer Risks, Fatalism, and Worry among a U.S. National Sample

    Science.gov (United States)

    Amuta, Ann Oyare; Chen, Xuewei; Mkuu, Rahma

    2017-01-01

    Background: Information seeking is crucial in the health behavior context. Cancer information seeking may play a key role in individuals' perceptions and subsequent health behaviors. Purpose: The purpose of this study is to investigate the influence of cancer information seeking on perceptions of cancer worry, fatalism and risk. Methods: Data from…

  1. Toward defining a cutoff score for elevated fear of hypoglycemia on the hypoglycemia fear survey worry subscale in patients with type 2 diabetes

    DEFF Research Database (Denmark)

    Hajós, Tibor R S; Polonsky, William H; Pouwer, Frans

    2014-01-01

    OBJECTIVE To determine a cutoff score for clinically meaningful fear of hypoglycemia (FoH) on the Hypoglycemia Fear Survey Worry subscale (HFS-W). RESEARCH DESIGN AND METHODS Data on the HFS-W, history of hypoglycemia, emotional well-being (World Health Organization-5 well-being index...

  2. Depression, anxiety, and history of substance abuse among Norwegian inmates in preventive detention: Reasons to worry?

    Directory of Open Access Journals (Sweden)

    Værøy Henning

    2011-03-01

    Full Text Available Abstract Background Inmates on preventive detention are a small and select group sentenced to an indefinite term of imprisonment. Mood disorders and substance abuse are risk factors for inmate violence and recidivism, so the prevalence of depression, anxiety, and substance abuse was examined in this cohort using psychometric tests. Methods Completion of self-report questionnaires was followed by face-to-face clinical interviews with 26 of the 56 male inmates on preventive detention in Norway's Ila Prison. Substance abuse histories and information about the type of psychiatric treatment received were compiled. To assess anxiety and depression, the Hospital Anxiety and Depression Scale (HADS, the Clinical Anxiety Scale (CAS, and the Montgomery Asberg Depression Rating Scale (MADRS were used. Results Scores on the MADRS revealed that 46.1% of inmates had symptoms of mild depression. The HADS depression subscale showed that 19.2% scored above the cut-off for depression (κ = 0.57. The CAS anxiety score was above the cut-off for 30.7% of the subjects, while 34.6% also scored above the cut-off on the HADS anxiety subscale (κ = 0.61. Almost 70% of all these inmates, and more than 80% of those convicted of sex crimes, had a history of alcohol and/or drug abuse. Conclusions Mild anxiety and depression was found frequently among inmates on preventive detention. Likewise, the majority of the inmates had a history of alcohol and drug abuse. Mood disorders and substance abuse may enhance recidivism, so rehabilitation programs should be tailored to address these problems.

  3. Young and worried: Age and fear of recurrence in breast cancer survivors.

    Science.gov (United States)

    Lebel, Sophie; Beattie, Sara; Arès, Isabelle; Bielajew, Catherine

    2013-06-01

    Fear of cancer recurrence (FCR) is a frequently cited and unmet need of cancer survivors. While the relation between age and FCR is well documented, the mechanisms that may explain this phenomenon remain to be investigated. This study examined four possible mechanisms of the relation between age and FCR: motherhood, severity of the cancer (defined as cancer stage and chemotherapy), anxiety, and illness intrusiveness. 3,239 women with breast cancer (mean time since diagnosis: 6.6 years) completed the Concerns About Recurrence Scale (CARS), the State Trait Anxiety Inventory (STAI), and the Illness Intrusiveness Ratings Scale (IIRS) within a larger web-based study. Women were divided into four groups based on their current age: 65. Multivariate analyses were performed with age category and motherhood as the independent variables and the CARS subscales as the dependent variables, controlling for age of children and relevant covariates. Severity of the cancer, anxiety, and illness intrusiveness were simultaneously tested as mediators of the relation between age and FCR. Results indicated that age category was related to FCR, F = 10.37, p cancer was not. Younger age was associated with more FCR among breast cancer patients, regardless of motherhood status. Our findings suggest new, potentially valuable ways of managing FCR by helping affected people to reduce anxiety and illness intrusiveness. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  4. Caregiving-specific worry, affiliate stigma, and perceived social support on psychological distress of caregivers of children with physical disability in Hong Kong.

    Science.gov (United States)

    Ma, Gloria Y K; Mak, Winnie W S

    2016-01-01

    The present study tested a model on the relationship between functional status of children with physical disability, caregiving-specific worry, affiliate stigma, and psychological distress among their caregivers. One hundred thirty-one caregivers of children with physical disability in Hong Kong completed a self-report questionnaire. Structural equation modeling showed that the final model had good fit to the data: χ2 = 102.05, (df = 83, p = .08), comparative fit index = .98, nonnormed fit index = .98, standardized root mean square residual = .08, root mean square error of approximation = .04. Caregivers whose children had a lower functional status reported more caregiving-specific worry. Affiliate stigma had significant and positive indirect effect on psychological distress through increasing worry. Results also supported the direct and indirect effects of perceived social support in ameliorating worry, affiliate stigma, and psychological distress. Findings suggested that health care and social service providers should consider the functional impairment of each child when designing stress reduction interventions for their caregivers. Findings implicate the importance of establishing barrier-free environment and public facilities in the society. Caregivers are encouraged to distinguish those worries that are actionable and convert them into problem solving plans and to actively engage in peer support and social activities to reduce their affiliate stigma. To truly promote inclusion and well-being of individuals with disability and their caregivers, the scope and targets of social services and stigma reduction programs by the government should include not only the persons with disabilities, but also their caregivers and family members who play essential roles in the rehabilitation journey. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  5. Stigma, career worry, and mental illness symptomatology: Factors influencing treatment-seeking for Operation Enduring Freedom and Operation Iraqi Freedom soldiers and veterans.

    Science.gov (United States)

    Brown, Nicholas B; Bruce, Steven E

    2016-05-01

    Mental health related stigma, as well as mental illness symptomatology, have been shown to negatively impact treatment-seeking within military populations. However, few studies have delineated the 2 forms of stigma (self-stigma and public stigma), and none have differentiated between stigma and career-related consequences (career worry). The aim of this study was to increase our understanding of low treatment-seeking rates among soldiers and veterans by expanding upon previous measurements of the stigma construct and examining factors influencing willingness to seek treatment. The sample consisted of 276 Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers and veterans. Individual levels of self-stigma, public stigma, and career worry were measured, as were levels of willingness to seek treatment. Symptoms of PTSD, depression, and substance abuse were also evaluated to account for the influence of mental illness on treatment-seeking. A confirmatory factor analysis indicated that a 3-factor model including self-stigma, public stigma, and career worry fit the data significantly better than a 1- or 2- factor model. A multiple regression analysis also revealed that these 3 factors, combined with mental illness symptomatology, significantly predicted individual levels of willingness to seek treatment. Career worry was the strongest predictor, particularly for individuals with no treatment history. This study confirmed that career worry is a factor independent of self-stigma and public stigma. Findings indicate that a fear of negatively affecting one's career is the most influential factor in determining willingness to seek mental health treatment for the military population. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  6. Having mentors and campus social networks moderates the impact of worries and video gaming on depressive symptoms: a moderated mediation analysis.

    Science.gov (United States)

    Lee, Jong-Sun; Jeong, Bumseok

    2014-05-05

    Easy access to the internet has spawned a wealth of research to investigate the effects of its use on depression. However, one limitation of many previous studies is that they disregard the interactive mechanisms of risk and protective factors. The aim of the present study was to investigate a resilience model in the relationship between worry, daily internet video game playing, daily sleep duration, mentors, social networks and depression, using a moderated mediation analysis. 6068 Korean undergraduate and graduate students participated in this study. The participants completed a web-based mental health screening questionnaire including the Beck Depression Inventory (BDI) and information about number of worries, number of mentors, number of campus social networks, daily sleep duration, daily amount of internet video game playing and daily amount of internet searching on computer or smartphone. A moderated mediation analysis was carried out using the PROCESS macro which allowed the inclusion of mediators and moderator in the same model. The results showed that the daily amount of internet video game playing and daily sleep duration partially mediated the association between the number of worries and the severity of depression. In addition, the mediating effect of the daily amount of internet video game playing was moderated by both the number of mentors and the number of campus social networks. The current findings indicate that the negative impact of worry on depression through internet video game playing can be buffered when students seek to have a number of mentors and campus social networks. Interventions should therefore target individuals who have higher number of worries but seek only a few mentors or campus social networks. Social support via campus mentorship and social networks ameliorate the severity of depression in university students.

  7. Validação de escala optométrica regionalizada para pré-escolares: contribuição da enfermagem Validación de una escala optométrica regionalizada para preescolares: contribución de la enfermaría Validation of a regionalized optometric scale for preschool children: nursing contribution

    Directory of Open Access Journals (Sweden)

    Rosane Arruda Dantas

    2009-06-01

    Full Text Available Desenvolveu-se escala de figuras regionalizadas (RAD. Objetivou-se validar a escala, avaliar a correlação entre os coeficientes da acuidade visual, verificar a associação entre os testes e verificar a concordância das medidas. Este é um estudo de validação de tecnologia, experimental, aleatório, triplo-cego, com 246 escolares. Enquanto a sensibilidade foi 88,6 RAD1 e 85,7 RAD2 para o olho direito (OD e 78,6 e 92,9 para o esquerdo (OE, a especificidade do OD foi 95,3 RAD 1 e 98,1 RAD2 e do OE 97,7 e 98,6, respectivamente. Quanto ao valor preditivo positivo, RAD1 foi 75,6 OD e 81,5 OE e RAD2 88,2 OD e 89,7 OE. Já o valor preditivo negativo em RAD1 foi de 98,0 OD e 97,3 OE e em RAD2 97,6 OD e 99,1 OE. Para correlação e associação no OD e OE, o valor considerado de p = 0,0001. O Alfa de Crombach foi 0,929. Houve significância entre o critério padrão e a escala.Se desarrolló una escala de figuras regionalizadas (RAD. Los objetivos fueron: validar la escala; evaluar la correlación entre los coeficientes de la acuidad visual; verificar la asociación entre las pruebas; y, verificar la concordancia de las medidas. Se trata de un estudio de validación de tecnología, experimental, aleatorio, triple ciego, con 246 escolares. En lo que se refiere a la sensibilidad fue 88,6 RAD1 y 85,7 RAD2 para el ojo derecho (OD, 78,6 y 92,9 para el izquierdo (OE, la especificidad del OD fue 95,3 RAD 1 y 98,1 RAD2 y del OE 97,7 y 98,6. En lo que se refiere al valor predictivo positivo, RAD1 fue 75,6 OD y 81,5 OE y RAD2 88,2 OD y 89,7 OE. Ya el valor predictivo negativo en RAD1 fue de 98,0 OD y 97,3 OE y en RAD 2 97,6 OD y 99,1 OE. Para correlación y asociación en el OD y OE, p = 0,0001. El Alfa de Cronbach fue de 0,929. Hubo significancia entre el criterio estándar y la escala.A regionalized figure scale (RAD was developed. The objective was to validate the scale, evaluate the correlation between the visual acuity coefficients, verify the

  8. Diseño y validación de la escala CapPsi para medir capital psicológico (Design and Validation of the Cappsi Scale to Measure Psychological Capital

    Directory of Open Access Journals (Sweden)

    Alicia Omar

    2014-12-01

    Full Text Available RESUMEN: El objetivo del presente estudio fue el desarrollo y validación de una escala para medir capital psicológico en adultos. Los ítems iniciales se elaboraron sobre la base de la revisión bibliográfica, entrevistas con empleados y consultas con especialistas. Inicialmente se efectuó una prueba piloto que permitió realizar ajustes conceptuales y semánticos de los ítems. La escala fue administrada a 382 empleados, conjuntamente con las medidas de desempeño laboral, comportamientos organizacionales contraproducentes y satisfacción general. Asimismo, se estudió la validez factorial exploratoria y confirmatoria; además de la confiabilidad como consistencia interna a través del coeficiente alpha de Cronbach. Los resultados mostraron la existencia de cuatro factores con satisfactorios niveles de validez y confiabilidad, los que fueron rotulados como: Esperanza (α = .87, Optimismo (α = .91, Resiliencia (α = .84 y Autoeficacia (α = .79. La escala cumple con los criterios psicométricos exigidos y puede ser empleada como herramienta de diagnóstico y gestión organizacional. ABSTRACT: The objective of this study was the development and validation of a scale to measure psychological capital in adults.The initial items were developed on the basis of the bibliographical review, interviews with employees and consultations with specialists. Initially a pilot test was carried out which allowed conceptual and semantic adjustments of the items. The scale was administered to 382 employees, together with the measures of job performance, organizational self-defeating behaviors and overall satisfaction. Also, it is studied the exploratory and confirmatory factorial validity; in addition to the re liability and internal consistency through Cronbach’s alpha coefficient. The results showed the existence of four factors with satisfactory levels of validity and reliability, which were labeled as: Hope (α = .87, Optimism (α = .91, Resilience (

  9. Construcción de una escala para medir el perfil motivacional de las matronas hacia los programas de educación maternal Scale building to measure midwives motivational profile towards maternal education programmes

    Directory of Open Access Journals (Sweden)

    Matilde Fernández y Fernández-Arroyo

    2009-06-01

    Full Text Available Justificación: Describir el perfil motivacional permite investigar el clima de la organización y la calidad de vida profesional percibida. Objetivo: elaborar un instrumento para medir el perfil motivacional de las matronas hacia los programas de educación maternal. Metodología: se estudió una muestra no probabilística de 93 matronas, lo que corresponde al 54,6% de las matronas de atención primaria de Madrid. La escala se compuso de nueve ítems de motivación. Resultados: La escala presentó una fiabilidad de Alfa de Cronbach =0,78, lo que indica una consistencia interna considerable. Del análisis factorial se obtuvo una estructura bifactorial. La consistencia interna de ambas dimensiones es igualmente alta. Esta agrupación resultó coherente con la planteada en la fase de operativización del constructo teórico. Conclusión: La escala diferencia a las matronas en cuanto a sus niveles de motivación hacia los programas de Educación Maternal, por lo que es una herramienta que facilita investigaciones futuras.Rationale: Midwives motivational profile description allows researching organization climate and quality of life perceived. Objectives: Developing an instrument to measure midwives motivational profile towards Maternal Education Programmes. Methodology: A non-probability sample of 93 midwives, which corresponds to 54.6% of midwives primary care in Madrid, has been studied. The scale is composed of nine items of motivation. Results: The scale presented a reliability of Cronbach Alpha = 0.78, indicating a substantial internal consistency. From factorial analysis was obtained a bifactorial structurere. Internal consistency of both dimensions was equally high. This grouping was consistent with the raised stage in the calculation of the theoretical construct. Conclusion: The scale differentiates midwives on their levels of motivation towards Maternal Education Programmes, so it is a tool that facilitates future research.

  10. Ca Isotopes in Shallow Water Marine Carbonates - How I Learned to Stop Worrying and Embrace Diagenesis

    Science.gov (United States)

    Higgins, J. A.; Blättler, C. L.; Swart, P. K.; Santiago Ramos, D. P.; Akhtar, A.

    2016-12-01

    The geochemistry of shallow water carbonate sediments has been used to reconstruct the temperature and isotopic composition of seawater as well as the global carbon and oxygen cycles over >3 billion years of Earth history. An underlying and heavily debated assumption in most studies utilizing the chemistry of carbonate minerals is that the chemical composition of the sample accurately preserves a record of the fluid from which it precipitated. Diagenetic or post-depositional alteration of the geochemistry by either meteoric or marine fluids is a widespread phenomenon in modern and recent shallow and deep-sea carbonate sediments. Diagenetic alteration is observed at all scales, from micron, to thin section, to stratigraphic units, making it difficult to quantify its effects on the geochemistry of carbonate sediments in the geologic record. Here we explore the possibility of using the Ca isotopic composition of sedimentary carbonates as a diageneitc tool using a large data set of Neogene carbonate sediments and associated pore fluids from the Bahamas. We find that the δ44/40Ca values of bulk carbonate sediments at these sites exhibits systematic stratigraphic variability that is related to both mineralogy and diagenesis (marine and meteoric). The observed variability in bulk sediment Ca isotopes requires large-scale fluid-dominated early marine diagenesis in significant water depths (up to 650 mbsl) and suggests that fluid-dominated early marine diagenesis plays a fundamental role in determining the geochemistry (δ13C, δ18O, and trace elements) of shallow water carbonate sediments in the geologic record.

  11. Validation of a self-concept scale for Lynch syndrome in different nationalities.

    Science.gov (United States)

    Petersen, Helle Vendel; Domanska, Katarina; Bendahl, Pär-Ola; Wong, Jiahui; Carlsson, Christina; Bernstein, Inge; Esplen, Mary Jane; Nilbert, Mef

    2011-06-01

    Learning about hereditary cancer may influence an individual's self-concept, which otherwise represents a complex but stable cognitive structure. Recently, a 20-statement self-concept scale, with subscales related to stigma-vulnerability and bowel symptom-related anxiety, was developed for Lynch syndrome. We compared the performance of this scale in 591 mutation carriers from Denmark, Sweden and Canada. Principal component analysis identified two sets of linked statements-the first related to feeling different, isolated and labeled, and the second to concern and worry about bowel changes. The scale performed consistently in the three countries. Minor differences were identified, with guilt about passing on a defective gene and feelings of losing one's privacy being more pronounced among Canadians, whereas Danes more often expressed worries about cancer. Validation of the Lynch syndrome self-concept scale supports its basic structure, identifies dependence between the statements in the subscales and demonstrates its applicability in different Western populations.

  12. Tradução e adaptação cultural da Barratt Impulsiveness Scale (BIS-11 para aplicação em adultos brasileiros Translation and cultural adaptation of Barratt Impulsiveness Scale (BIS-11 for administration in Brazilian adults

    Directory of Open Access Journals (Sweden)

    Leandro Fernandes Malloy-Diniz

    2010-01-01

    Full Text Available OBJETIVOS: Os objetivos deste estudo foram traduzir, adaptar culturalmente e verificar a equivalência literal, semântica e idiomática da Barratt Impulsiveness Scale (BIS-11, que avalia a presença de manifestações da impulsividade tendo como base o modelo teórico proposto por Ernst Barratt. MÉTODOS: Inicialmente, a versão original em inglês da BIS-11 foi traduzida para o português por seis pesquisadores bilíngues. Em seguida, foi realizada uma tradução reversa para o inglês por uma tradutora de origem norte-americana. As versões original, traduzida e retraduzida foram avaliadas por um comitê de juízes especialistas, os quais emitiram pareceres com as observações pertinentes, o que culminou em uma versão final traduzida da BIS-11. As versões original e traduzida foram aplicadas em duas amostras da população geral com proficiência na língua inglesa, a fim de investigar a equivalência literal, semântica e idiomática da versão traduzida por meio de análises de correlação. CONCLUSÃO: Os resultados das análises quantitativas indicaram que a versão final do instrumento é satisfatória.OBJECTIVES: The objective of this study was to translate, make transcultural adaptation and assess the semantic, idiomatic and literal equivalence of the Barratt Impulsiveness Scale (BIS-11. METHODS:This scale assesses the presence of impulsive manifestations from the theoretical model proposed by Ernst Barratt. Firstly, the BIS-11 original version in English was translated to Portuguese by six bilingual researches. After this, was made the back-translation to English by a translator that was born in United States. Then, the three versions (original, translated and back-translated were assessed by a specialists committee which made and analyze and comments about the process and then we reach the final translated version of BIS-11. The original and translated version of BIS-11 was applied in two samples from general population with

  13. Tradução da escala de desejo de aceitação social de Marlowe & Crowne para a língua portuguesa Translation into Portuguese of the Marlowe-Crowne social desirability scale

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    Fernanda Baeza Scagliusi

    2004-01-01

    Full Text Available O desejo de aceitação social (social desirability pode enviesar os parâmetros medidos por auto-relato. Os objetivos do trabalho foram: a traduzir para a língua portuguesa a Marlowe-Crowne Social Desirability Scale, que quantifica o desejo de aceitação social e; b analisar sua precisão. A versão da escala foi obtida por meio de tradução e retrotradução. Foi feito o teste-reteste, no qual o instrumento foi aplicado duas vezes, com intervalo de um mês, em estudantes de Nutrição (n = 57. O teste pareado de Wilcoxon verificou se havia diferença entre as duas aplicações. O coeficiente de correlação de Spearman entre as duas aplicações foi calculado. Foi obtida pontuação de 13, 6 ± 4,4 (mediana 13 na primeira aplicação e de 13,4 ± 5,3 (mediana 13 na segunda aplicação. Não houve diferença significativa entre as médias das duas aplicações (z = 1,66; p = 0,10 e a correlação entre elas foi de 0,82 (p = 0,0000001. A pontuação foi semelhante à de estudantes de países desenvolvidos, sugerindo que a tradução não alterou o sentido original da escala. A precisão foi alta e compatível com a obtida na versão original. Estes resultados indicam que a versão final da escala é adequada e precisa.Social desirability can bias the parameters measured by self-report. The aims of this study were: a to translate into Portuguese the Marlowe-Crowne Social Desirability Scale, which quantifies social desirability and; b to evaluate its precision. The version was obtained through a process of translation and back translation. A test-retest was conducted, in which the scale was administered twice, with one-month interval, to Dietetics students (n = 57. A Wilcoxon matched pairs test verified if there was difference between the two applications. The Spearman correlation coefficient between the applications was calculated. The scores obtained were 13.6 ± 4.4 (median 13 in the first application, and 13.4 ± 5.3 (median 13 in the

  14. Escala de diferencial semântico para avaliação da percepção de pacientes hospitalizados frente ao banho Escala de diferencial semántico para la evaluación de la percepción de pacientes hospitalizados frente al baño Semantic differential scale for assessing perceptions of hospitalized patients about bathing

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    Juliana de Lima Lopes

    2011-01-01

    Full Text Available OBJETIVO: Construir e validar uma escala de diferencial semântico que avalie a percepção dos pacientes em relação ao banho. MÉTODOS: A primeira etapa, constou da construção da escala, conforme os patamares teóricos específicos e a segunda etapa, foi composta por procedimentos de validação fatorial e o cálculo dos coeficientes de confiabilidade da medida. Participaram do estudo de validação 130 pacientes internados em Unidade de Terapia Intensiva. RESULTADOS: A medida de diferencial semântico resultante apresentou como produto uma escala bidimensional com coeficientes de confiabilidade alfa Cronbach superiores a 0,90. CONCLUSÃO: A escala pode ser considerada um instrumento válido e confiável para avaliação da percepção dos pacientes frente aos banhos de chuveiro e no leito.OBJETIVO: Construir y validar una escala de diferencial semántico que evalúe la percepción de los pacientes en relación al baño. MÉTODOS: La primera etapa, constó de la construcción de la escala, conforme los niveles teóricos específicos y la segunda etapa, estuvo compuesta por procedimientos de validación factorial y el cálculo de los coeficientes de confiabilidad de la medida. En el estudio de validación participaron 130 pacientes internados en una Unidad de Cuidados Intensivos. RESULTADOS: La medida del diferencial semántico resultante presentó como producto una escala bidimensional con coeficientes de confiabilidad alfa Cronbach superiores a 0,90. CONCLUSIÓN: La escala puede ser considerada un instrumento válido y confiable para la evaluación de la percepción de los pacientes frente a los baños de ducha y en la cama.OBJECTIVE: To construct and validate a semantic differential scale to assess patients' perceptions in regarding bathing. METHODS: The first stage consisted of constructing a scale, conforming to specific theoretical parameters, and the second stage consisted of factorial validation procedures and calculation of the

  15. Parent-Child Agreement Using the Spence Children's Anxiety Scale and a Thermometer in Children with Autism Spectrum Disorder

    Science.gov (United States)

    May, T.; Cornish, K.; Rinehart, N. J.

    2015-01-01

    Children with Autism Spectrum Disorder (ASD) experience high anxiety which often prompts clinical referral and requires intervention. This study aimed to compare parent and child reports on the Spence Children's Anxiety Scale (SCAS) and a child-reported “worry thermometer” in 88 children aged 8–13 years, 44 with ASD and 44 age, gender, and perceptual IQ matched typically developing children. There were no gender differences in child report on the SCAS and worry thermometers. Results indicated generally good correlations between parent and child self-reported SCAS symptoms for typically developing children but poor agreement in parent-child ASD dyads. The worry thermometer child-report did not reflect child or parent reports on the SCAS. Findings suggest 8–13-year-old children with ASD may have difficulties accurately reporting their anxiety levels. The clinical implications were discussed. PMID:25922765

  16. The PedsQL™ Present Functioning Visual Analogue Scales: preliminary reliability and validity

    OpenAIRE

    Varni James W; Burwinkle Tasha M; Eisen Sarajane; Sherman Sandra A

    2006-01-01

    Abstract Background The PedsQL™ Present Functioning Visual Analogue Scales (PedsQL™ VAS) were designed as an ecological momentary assessment (EMA) instrument to rapidly measure present or at-the-moment functioning in children and adolescents. The PedsQL™ VAS assess child self-report and parent-proxy report of anxiety, sadness, anger, worry, fatigue, and pain utilizing six developmentally appropriate visual analogue scales based on the well-established Varni/Thompson Pediatric Pain Questionnai...

  17. What worries parents of a child with Autism? Evidence from a biomarker for chronic stress.

    Science.gov (United States)

    Bitsika, Vicki; Sharpley, Christopher F; Andronicos, Nicholas M; Agnew, Linda L

    2017-03-01

    Previous studies have reported correlations between various aspects of the behaviour and symptomatology of children with Autism Spectrum Disorder (ASD) and their parents' self-reports of stress via standardised scales. To extend that literature, a physiological index of parental chronic stress was used instead of their self-reports-dysregulation of the Diurnal Rhythm (DR) of the Hypothalamic-Pituitary-Adrenal (HPA) axis. A sample of 149 parents of a child with ASD provided salivary cortisol at the predicted time of daily maximum cortisol concentration and at a time of daily lower concentration. Adherence to the predicted DR was assessed via a dichotomous (present/not-present) as well as a continuous measure, and MANOVA and linear regression were used to detect significant associations between ASD-related variables in their children and parents' DR. Identified only a single significant correlate of DR dysregulation in both statistical procedures-Self-Injurious Behaviour (SIB) exhibited by their child and observed by the parents. These findings extend previous data using self-report indices of parental stress and should be included in parent-support settings to alert parents to the long-term health effects of the stress they experience in regard to their child's SIB. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. A descriptive analysis of perceptions of HIV risk and worry about acquiring HIV among FEM-PrEP participants who seroconverted in Bondo, Kenya, and Pretoria, South Africa

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    Amy L Corneli

    2014-09-01

    Full Text Available Introduction: Risk perception is a core construct in many behaviour change theories in public health. Individuals who believe they are at risk of acquiring an illness may be more likely to engage in behaviours to reduce that risk; those who do not feel at risk may be unlikely to engage in risk reduction behaviours. Among participants who seroconverted in two FEM-PrEP sites – Bondo, Kenya, and Pretoria, South Africa – we explored perceived HIV risk and worry about acquiring HIV prior to HIV infection. Methods: FEM-PrEP was a phase III clinical trial of once-daily, oral emtricitabine and tenofovir disoproxil fumarate for HIV prevention among women in sub-Saharan Africa. We asked all participants about their perceived HIV risk in the next four weeks, prior to HIV testing, during a quantitative face-to-face interview at enrolment and at quarterly follow-up visits. Among participants who seroconverted, we calculated the frequencies of their responses from the visit conducted closest to, but before, HIV acquisition. Also among women who seroconverted, we conducted qualitative, semi-structured interviews (SSIs at weeks 1, 4 and 8 after participants’ HIV diagnosis visit to retrospectively explore feelings of HIV worry. Applied thematic analysis was used to analyse the SSI data. Results: Among participants who seroconverted in Bondo and Pretoria, 52% reported in the quantitative interview that they had no chance of acquiring HIV in the next four weeks. We identified four processes of risk rationalization from the SSI narratives. In “protective behaviour,” participants described at least one risk reduction behaviour they used to reduce their HIV risk; these actions made them feel not vulnerable to HIV, and therefore they did not worry about acquiring the virus. In “protective reasoning,” participants considered their HIV risk but rationalized, based on certain events or beliefs, that they were not vulnerable and therefore did not worry about

  19. Desenvolvimento da versão em português da Escala Administrada pelo Clínico para Avaliação de Mania (EACA-M: "Escala de Mania de Altman" Desarrollo de la versión para Portugués de la Escala Administrativa por el Clínico para Avaluación de Manía (EACA - M: "Escala de Manía de Altman" Development of the Portuguese-language versión of the Clinician-Administered Rating Scale for Mania (CARS-M: "Altman Scale for Mania"

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    Flávio Shansis

    2003-12-01

    Full Text Available OBJETIVOS: No presente artigo é apresentado o desenvolvimento da versão em português da "Clinician-Administered Rating Scale for Mania" (CARS-M de Altman e colaboradores intitulada: Escala Administrada pelo Clínico para Avaliação de Mania (EACA-M ou "Escala de Mania de Altman". Os objetivos desse artigo são: (1 descrever a metodologia de elaboração da versão em português da CARS-M, (2 transmitir as impressões dos profissionais que a utilizaram e (3 disponibilizar a escala na íntegra em língua portuguesa. MÉTODOS: Os métodos utilizados foram: a painel bilíngüe de tradução e discussão de todos os itens; b retrotradução por pessoa habilitada; c envio ao próprio autor da escala da nova versão em inglês originada a partir da sua tradução para o português; d discussão com o autor dos pontos pendentes, bem como nova discussão entre os participantes do grupo de pesquisadores brasileiros até se chegar a um consenso. CONCLUSÕES: A impressão dos autores é a de que a EACA-M permite não apenas a fácil pontuação de todos os escores, mas também cobre o largo espectro de apresentação de uma síndrome maníaca. Com este artigo, a comunidade científica de Língua Portuguesa passa a dispor de um importante instrumento para avaliação do estado maníaco.OBJETIVOS: En el siguiente artículo se presenta el desarrollo de la versión en portugués de la "Clinician-Administered Rating Scale for Mania" (CARS-M de Altman y sus colaboradores titulada: "Escala Administrada por el Clínico para la Evaluación de Manía" (EACA-M, o "Escala de Altman". Los objetivos de este artículo son: 1 describir la metodología de elaboración de la versión en portugués de la CARS-M. 2 transmitir las impresiones de los profesionales que la utilizaron. 3 disponibilizar la escala en su íntegra, en lengua portuguesa. MÉTODOS: los métodos utilizados son: a panel bilingüe de traducción y discusión de todos los ítems; b retro traducción por

  20. A multi-method proposal to study the Public Space in the Scale of Neighborhood from a Transactional Approach Una propuesta Multimétodo para un Abordaje Transaccional del Espacio Público en la Escala de Barrio

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    Hector Rodrigo Berroeta Torres

    2012-03-01

    Full Text Available The transactional perspective is very attractive to analyze and act on public space on the scale of the neighborhood, however, language and methodological differences between the various disciplines involved make it quite complex. In this article we present a multi-method qualitative strategy of analysis that integrates graphical work spatialisation results, as an attempt to bring together the graphic and textual languages that dominate single-discipline approaches of public space.
    Various techniques were triangulated and underwent the same analytical process (Grounded Theory, which supported by the processing software Atlas / ti and made it possible to link aspects Arcgis graphics (maps and images with comments from researchers and biographical accounts of the participants, associating in this manner, specific physical spaces with the development and construction of spatial meanings and uses.La perspectiva transaccional resulta muy atractiva para analizar y actuar sobre el espacio público en la escala de barrio, sin embargo, las diferencias metodológicas y de lenguaje entre las distintas disciplinas implicadas lo hacen bastante complejo. En este artículo queremos presentar una estrategia cualitativa de análisis multimetodo, que integra un trabajo de espacialización gráfica de resultados, como una tentativa de acercar los lenguajes gráficos y textuales que dominan los abordajes unidisciplinares del espacio público.
    Se triangularon diversas técnicas y se sometieron a un mismo proceso analítico (Grounded Theory, lo que apoyado por los programas de procesamiento Atlas/ti y Arcgis hicieron posible ligar aspectos gráficos (mapas e imágenes con observaciones de los investigadores y narraciones biográficas de los participantes, asociando de esta manera, espacios físicos concretos con la evolución y construcción de significados y usos espaciales.

  1. Selective estrogen receptor modulators (SERM: A new choice for postmenopausal women and physicians who worry on cancer

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    Ali Baziad

    2001-09-01

    Full Text Available The postmenopausal state is characterized by the cessation of menstruation, loss of ovarian function, and a dramatic decrease in the level of circulating estrogen. This state of estrogen deficiency contributes to the acceleration of several age-related health problems in women, including cardiovascular disease, osteoporosis, and dementia. Estrogen replacement is clearly effective in the short-term and long-term treatment and prevention of postmenopausal symptoms. However, until now, the amount of HRT user is still very low. Fear of breast cancer and endometrial cancer are the most common concern in using hormone replacement therapy (HRT, although the relationship between long-term HRT and breast cancer remains controversial. For physicians or patients, who worry on cancer, the ideal drug is now available i.e. the selective estrogen receptor modulators (SERM, with the generic name raloxifine. (Med J Indones 2001; 10: 187-90Keywords: HRT, raloxifine, osteoporosis, CVD, tamoxifen

  2. Tradução e validação para o Brasil da escala de imagem corporal para adolescentes: offer self-image questionnaire (OSIQ Translation and validation for Brazil of the body image scale for adolescents: Offer Self-Image Questionnaire (OSIQ

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    Maria Aparecida Conti

    2011-09-01

    Full Text Available OBJETIVO: Apreciar a equivalência semântica e de mensuração da subescala de imagem corporal do Offer Self Image Questionnaire (OSIQ. MÉTODOS: Participaram 386 adolescentes, na faixa etária de 10 a 18 anos, de ambos os sexos, de uma escola particular de ensino fundamental e médio. Realizou-se tradução, retrotradução, revisão técnica e avaliação do instrumento. Avaliou-se a consistência interna, a validade discriminante e concorrente e a confiabilidade. RESULTADOS: O instrumento apresentou, para a consistência interna, valores que variaram de 0,43 a 0,51 e foi capaz de discriminar os grupos estudados - população total, meninos, meninas, e meninos em fase inicial de adolescência, segundo o estado nutricional (pOBJECTIVE: To evaluate the semantic and measure equivalence of the body image sub-scale of the Offer Self Image Questionnaire (OSIQ. METHODS: Participants were 386 teenagers, 10 to 18 years old, both sexes, enrolled in a private school (junior and high school age. Translation, back-translation, technique revision and evaluation were conducted. The Portuguese instrument was evaluated for internal consistency, discriminate and concurrent validity. RESULTS: Internal consistency showed values from 0.43 to 0.54 and was able to discriminate all groups studied - the whole population, boys and girls, and boys in early adolescence, by nutritional status (p<0.001; p<0.009; p=0.030; p=0.043, respectively. Concurrent analyses showed significant correlation with anthropometric measures only for girls (r=-0.16 and p=0.021; r=-0.19 and p=0.007, early adolescence (r=-0.23 and p=0.008; r=-0.26 and p=0.003 and intermediate adolescence (r=-0.29 and p=0.010 and the retest confirmed reliability by the coefficient of interclass correlation. Although the instrument has proven its ability to discriminate between the groups studied by nutritional state, other results were less satisfactory. More studies are necessary for full transcultural

  3. Diseño de una escala de valoración de álbumes ilustrados para educación infantil: una experiencia para la formación de futuros maestros como mediadores / Designing a picture-book rating scale for preschool education: an experience training future teachers as mediators

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    Ana Martín-Macho Harrison

    2018-01-01

    Full Text Available Resumen: Partiendo de la importancia del mediador en la educación literaria, se presenta una experiencia realizada con 46 estudiantes del Grado de Maestro en Educación Infantil de dos universidades (Castilla-La Mancha y Oviedo. Se pretendió desarrollar su capacidad para valorar lecturas literarias para el aula de infantil, así como detectar carencias formativas. Utilizando una metodología de investigación-acción, se diseñó un plan de acción que se evaluó teniendo en cuenta: un cuestionario inicial, la observación participante, las tareas realizadas y unos cuestionarios finales de estudiantes y docentes. Siguiendo un enfoque de clase invertida, los participantes se documentaron y elaboraron colaborativamente una escala de valoración de álbumes que aplicaron posteriormente en una selección de obras. Los resultados indican que se ejercitó el pensamiento crítico de los estudiantes y se mejoró su formación como mediadores, aunque persisten algunas ideas erróneas sobre literatura infantil que confirman la necesidad de profundizar en este tipo de experiencias. mediator in literary education, this paper presents an experience carried out with 46 students of the Degree in Preschool Education at two Spanish universities (Castilla-La Mancha and Oviedo. The aim was to develop their ability to value literary reads for the preschool classroom, as well as to detect their training needs. By using an action research method, an action plan was designed and subsequently assessed taking into account: an initial questionnaire, participant observation, tasks carried out and both students’ and lecturers’ final questionnaires. Following a flipped classroom approach, participants read and collaboratively elaborated a rating scale for picture books which they then applied to a selection of works. Results indicate that students’ critical thinking was exercised and that their training as mediators improved. Nevertheless, some erroneous ideas

  4. Validação da escala de ritmo circadiano - ciclo vigília/sono para adolescentes Validación de la escala de ritmo circadiano - ciclo vigilia / sueño para adolescentes Validity of a circadian rhythm scale - sleep/wake cycle for adolescents

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    Márcia Finimundi

    2012-09-01

    ste preguntaba, referente al día anterior, el horario en que durmió y, referente al mismo día, el momento en que despertó. Para evaluación de las evidencias de validez de criterio, fueron realizados análisis de comparación de promedios con análisis de variancia one-way y prueba post-hoc de la diferencia mínima significativa. RESULTADOS: Las propiedades psicométricas de la escala se mostraron satisfactorias. El análisis de consistencia interna por el alpha de Cronbach fue de 0,791. CONCLUSIONES: Los resultados indicaron buena confiabilidad y validez en las preferencias de asignación del ciclo vigilia y sueño. Los índices fueron significativos y dirigidos a los horarios esperados, evidenciando la validez de la escala.OBJECTIVE: To validate the Portuguese version of the Puberty and Phase Preference Scale, designed by Carskadon, Vieira and Acebo in 1993, which investigates the waking and sleeping time of adolescents and their feelings related to these habits, in order to classify them as morning or evening people. METHODS: The study included 144 elementary school students, 86 boys and 58 girls, aged 13.2±1.6 years-old. The construct was validated by a predictive criterion. The scale of the circadian rhythm was applied to the students in the classroom. One month later, for seven consecutive days, the students were asked to answer another questionnaire regarding the time they slept the day before and when they woke up on the next day. To evaluate the evidence of criterion validity, one-way variance analysis followed by the least significant difference post-hoc test were applied. RESULTS: The psychometric properties of the scale were satisfactory. The analysis of internal consistency by Cronbach's Alpha was 0.791. CONCLUSIONS: The results indicated good consistency and validity of the allocation preferences in the sleep/wake cycle. All indexes were significant and directed to the time expected, pointing out the scale validity.

  5. [Accidents at work and occupational diseases trend in agriculture insurance management. The contribution of INAIL data's for the knowledge of a worrying phenomenon].

    Science.gov (United States)

    Calandriello, Luigi; Goggiamani, Angela; Ienzi, Emanuela; Naldini, Silvia; Orsini, Dario

    2013-01-01

    The author's describe accidents at work and occupational diseases outcome's measure in Agricolture insurance management acquired through statistical approach based on data processing provided by INAIL Bank data. Accident's incidence in Agricolture is compared to main insurance managements, using frequency index of accidents appearance selected on line of work and type of consequence. Concerning occupational diseases the authors describes the complaints and compensation with the comparison referring the analysis to statistical general data. The data define a worrying phenomenon.

  6. Worry vs. knowledge about treatment-associated hypoglycaemia and weight gain in type 2 diabetic patients on metformin and/or sulphonylurea

    DEFF Research Database (Denmark)

    Lund, Asger; Knop, Filip K

    2012-01-01

    Hypoglycaemia and body weight gain are side effects of certain glucose-lowering drugs, e.g. sulphonylurea (SU) compounds. Type 2 diabetes mellitus (T2DM) is often treated with multiple oral antidiabetic drugs complicating patient insight into drug safety and side effects. We aimed to elucidate th...... the extent of patient worry about hypoglycaemia and body weight gain contra their knowledge about these two phenomena being actual side effects of SU....

  7. The Relationship Between Symptoms of Eating Disorders and Worry About Body Image, Attachment Styles, and Cognitive Emotion Regulation Strategies Among Students of Ahvaz Jundishapur University of Medical Sciences

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    Davodi

    2016-02-01

    Full Text Available Background There are different assumptions about the factors responsible for the genesis and maintenance of eating disorders. Each of the two main types of eating disorders results from a complex interaction of emotional and psychological factors. Objectives The purpose of the current research was to study the relationship between symptoms of eating disorders and worry about body image, attachment styles, and cognitive emotion regulation strategies, among a sample of students at Ahvaz Jundishapur University. Materials and Methods The study sample consisted of students of Ahvaz Jundishapur University of Medical Sciences, 2011 - 2012. The research participants were selected with use of multistage random sample from various colleges. Our research tools were the eating attitudes questionnaire (EAT-26, the Worry about body image questionnaire, the attachment styles questionnaire, and a questionnaire on cognitive emotion regulation strategies. Pearson correlation and stepwise regression methods, with inter and stepwise methods, were used during data analysis. Results The results of this research indicated that worry about body image, an avoidant attachment style, negative cognitive emotion regulation strategies, and secure attachment style in regression equation remained significant (P < 0.0001. Results also showed that worry about body image, an anxious attachment style, an avoidant attachment style, and negative cognitive emotion regulation strategies were significant in the regression equation, predicting 19% of the variance in the eating disorder symptoms. Conclusions Concerns about body image, an avoidant attachment style, and cognitive strategies to regulate negative emotions were the strongest predictors for eating disorder symptoms. Based on current research findings, an avoidance attachment style, concerns about body image, and negative emotion regulation cognitive strategies increase eating disorder symptoms in students. Because attachment

  8. Desarrollo y validación preliminar de escalas para la evaluación de la competencia motriz acuática en escolares de 4 a 11 años. Development and preliminary validation of an aquatic competence scale for children 4 to 11 years old.

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    Moreno Murcia, Juan Antonio

    2005-10-01

    Full Text Available ResumenEl objeto de este trabajo es la creación y validación de unas escalas para medir la competencia motriz acuática de los 4 a los 11 años. Para ello se utiliza una muestra de 645 niños con edades comprendidas entre los 4 y los 11 años. Se aplicó un análisis factorial exploratorio, quedando constituida por cuatro escalas, compuestas a su vez por dos factores cada una de ellas, una referida a la familiarización con el medio acuático, y otro factor referido a las acciones donde es necesario producir una inmersión. El número de ítems que componen las escalas son de 16 ítems para las edades de 4-5 y 6-7 años, 14 ítems para las edades de 8-9 años y 10 ítems para las edades de 10-11 años. Estos instrumentos mostraron poseer unas propiedades psicométricas adecuadas tanto para la escalas totales (coeficiente alpha = .92, .95, .95 y .87, respectivamente como para las dos subescalas: familiarización (coeficiente alpha=.96, .96, .96 y .88, respectivamente e inmersión (coeficiente alpha=.85, .88, .87 y .83, respectivamente. Las Escalas de Competencia Motriz Acuática (ECMA podrían ser consideradas como unos instrumentos de interés para la investigación y la aplicación práctica de los educadores acuáticos, al objeto de conocer la competencia motriz acuática de sus alumnos.AbstractThe main objective of this study has been the development and preliminary validation of several scales for the assessment of aquatic competence in children ages 4 to 11 years. Six hundred and forty-five children participated and were observed in different situations in the swimming pool. Analysis of this observation permitted to establish four scales composed by two main dimensions each one. One dimension about familiarity with the aquatics medium, and the other activities where the immersion is a key element. The number of items of each scale is of sixteen for the 4 to 5 yr. and 6 to 7 yr. scales; fourteen items in the 8-9 yr. scale and ten items for

  9. On the origin of worries about modern health hazards: Experimental evidence for a conjoint influence of media reports and personality traits.

    Science.gov (United States)

    Witthöft, Michael; Freitag, Ina; Nußbaum, Christiane; Bräscher, Anne-Kathrin; Jasper, Fabian; Bailer, Josef; Rubin, G James

    2017-07-31

    Worries about health threatening effects of potential health hazards of modern life (e.g. electric devices and pollution) represent a growing phenomenon in Western countries. Yet, little is known about the causes of this growing special case of affective risk perceptions termed Modern Health Worries (MHW). The purpose of this study is to examine a possible role of biased media reports in the formation of MHW. In two experiments, we investigated whether typical television reports affect MHW. In Study 1, 130 participants were randomly assigned to a film on idiopathic environmental intolerance (IEI) or a control film about cystic fibrosis. In Study 2, 82 participants were randomly assigned to either a film on the dangers of electromagnetic fields or a control condition. Increases in MHW after sensational media reports. In Study 1, only participants high on the personality trait of absorption revealed increased MHW after watching the IEI film. In Study 2, specifically worries about radiation were found to be elevated after watching the film on the dangers of electromagnetic fields compared to the control film. The results of both studies reveal a significant and specific influence of sensational short mass media reports on MHW. The influence of potential moderators such as absorption remains to be clarified.

  10. Effectiveness of Parental Skills Training on Worry, Anxiety and Self-Efficacy Beliefs of Single-Child and Multi-Child Parents

    Directory of Open Access Journals (Sweden)

    A Hajigholami Yazdi

    2013-06-01

    Full Text Available Introduction: Each family utilizes specific methods for personal and social education of their children. These methods that are called “Parenting style” are affected by various factors such as biological, cultural, social, political, and economic factors. The present study intends to investigate the effectiveness of parental skills training on worry, anxiety and self-efficacy beliefs of single-child and multi-child parents. Methods: In this experimental study, two private girls' school located in the city of Karaj, were randomly selected as the control and experimental groups. Parents of experimental group’s students (54 couples with a voluntary assignment participated in 8 training sessions. Data were obtained by General Self-efficacy Beliefs Questionnaire, Beck Anxiety Inventory (BAI, Penn State Worry Questionnaire (PSWQ which were then analyzed by t-test and ANOVA. Results: Results showed that there was not any significant difference in the pretest between single-child and multi-child parents. Regarding control and experimental groups, a significant difference has been detected between the pretest and posttest between two groups. Multifactor ANOVA test results also showed that the effect of parental skills training is significant on fear, anxiety and self-efficacy. But the number of children does not have any significant effect on the fear, anxiety and self-efficacy. Conclusion: Findings emphasize the necessity and importance of parental skills training to facilitate children nurture, decrease stress and worry resulting from parenting responsibility.

  11. Escala de estrategias docentes para aprendizajes significativos: diseño y evaluación de sus propiedades psicométricas / Teaching strategies scale for meaningful learnings: design and evaluation of its psychometric properties

    Directory of Open Access Journals (Sweden)

    Luz Marina Méndez Hinojosa

    2011-12-01

    Full Text Available ResumenEl presente artículo con enfoque cuantitativo tuvo como objetivo diseñar un conjunto de subescalas con evidencias de validez y confiabilidad, que midan la frecuencia de uso de estrategias docentes en el aula, siendo los objetivos específicos: 1 diseñar un conjunto de subescalas con ítems tipo Likert donde cada una evalúe la frecuencia de uso de una estrategia docente en el aula, 2 analizar la estructura factorial de cada subescala y 3 determinar la confiabilidad inter-ítem de cada subescala. Se creó la Escala de Estrategias Docentes para Aprendizajes Significativos (EEDAS compuesta por 12 subescalas: Actividad Generadora de Información Previa, Actividad Focal Introductoria, Positivo-Negativo-Interesante, Discusión Guiada, Objetivos e Intenciones, Diagrama de Llaves, Mapas Conceptuales, Respuesta Anterior-Pregunta-Respuesta Posterior, Lo Que Sé-Lo Que Quiero Saber-Lo Que Aprendí, Cuadro Sinóptico, Analogías, y Resumen, las que se sometieron a juicio de experto para evaluar su validez de contenido, dando como resultado la eliminación de un ítem. Con el objetivo de determinar su estructura factorial y analizar la confiabilidad inter-ítem se realizó un muestreo incidental en 7 facultades de la Universidad Autónoma de Nuevo León, México, y se aplicó el instrumento a 205 docentes. Producto de los análisis se eliminaron 3 ítems; el análisis factorial exploratorio evidencia la estructura unifactorial de cada subescala y la adecuada saturación de los ítems; y los valores del Alpha de Cronbach, reflejan una adecuada confiabilidad.AbstractThis article with quantitative approach aimed to design a set of subscales with evidence of validity and reliability, to measure the frequency of use of teaching strategies in the classroom, with specific objectives: 1 design a set of subscales with Likert-type items each of which assesses the frequency of use of a teaching strategy in the classroom, 2 examine the factor structure of each

  12. Adaptação transcultural do instrumento Parent-Child Conflict Tactics Scales (CTSPC utilizado para identificar a violência contra a criança Portuguese-language cross-cultural adaptation of the Parent-Child Conflict Tactics Scales (CTSPC, an instrument used to identify parental violence against children

    Directory of Open Access Journals (Sweden)

    Michael Eduardo Reichenheim

    2003-12-01

    Full Text Available Este artigo enfoca a primeira fase da avaliação da equivalência transcultural entre o instrumento Parent-Child Conflict Tactics Scales, concebido em inglês e usado para identificar violência contra a criança, e uma versão em português a ser proposta para uso no Brasil. Subsidiada por uma ampla revisão bibliográfica, a avaliação da equivalência conceitual e de itens envolveu discussões com grupo de especialistas sobre a existência e pertinência em nosso meio dos conceitos teóricos subjacentes e dos itens componentes do instrumento original. A avaliação da equivalência semântica constou das seguintes etapas: duas traduções e respectivas retraduções; uma avaliação da equivalência de significado referencial (literal e geral (sentido entre as retraduções e o original; novos encontros com especialistas para a definição de uma versão-síntese e um pré-teste realizado em 774 mulheres. Constatou-se boa equivalência conceitual de itens e semântica entre a versão final em português e o original, bem como uma excelente aceitabilidade do instrumento adaptado. Apesar de encorajadores, os resultados obtidos merecem ser revistos após avaliações psicométricas futuras (equivalência de mensuração e através de crítica contínua por parte dos profissionais interessados.This article concerns the first phase of the assessment of the cross-cultural equivalence between the Parent-Child Conflict Tactics Scales (CTSPC designed in English and used to identify child abuse and neglect, and a Portuguese-language version to be used in Brazil. Evaluating conceptual and item equivalences involved expert groups. Assisted by a broad literature review, discussions focused on the existence and pertinence of the underlying theoretical concepts and the corresponding component items in the Brazilian context. The appraisal of semantic equivalence involved the following steps: two translations and respective back-translations; an evaluation

  13. Construcción de una escala para medir el perfil motivacional de las matronas hacia los programas de educación maternal Scale building to measure midwives motivational profile towards maternal education programmes

    National Research Council Canada - National Science Library

    Matilde Fernández y Fernández-Arroyo

    2009-01-01

    ... organización y la calidad de vida profesional percibida. Objetivo: elaborar un instrumento para medir el perfil motivacional de las matronas hacia los programas de educación maternal. Metodología: se estudió...

  14. "I can't stop worrying about everything"—experiences of rural Bangladeshi women during the first postpartum months.

    Science.gov (United States)

    Edhborg, Maigun; Nasreen, Hashima E; Kabir, Zarina Nahar

    2015-01-01

    Over recent years, researchers have found evidence which indicates that the prevalence of postpartum depressive symptoms crosses cultural boundaries and is reported to be at least as high in non-Western countries as in Western countries. However, qualitative studies about new mothers' experiences from non-Western countries, such as Bangladesh, are rare, particularly in rural areas. This study aims to describe the experiences and concerns of rural Bangladeshi mothers with postpartum depressive symptoms. Open narrative interviews were conducted with 21 mothers with depressive symptoms 2-3 months postpartum, consecutively selected from a longitudinal study about prevalence and risk factors of perinatal depressive symptoms. Inductive content analysis was used to analyse data and three themes emerged: family dynamics, living at the limits of survival, and role of the cultural context after childbirth. These themes were based on six categories and 15 subcategories. The findings show that troublesome family relationships, including intimate partner violence and violence in the family, influenced the mothers' mental well-being. They and their families lived at the limit of survival and the mothers expressed fear and worries about their insecure situation regarding economic difficulties and health problems. They felt sorry for being unable to give their infants a good start in life and sad because they could not always follow the traditional norms related to childbirth. Thus, it is important to focus on the depressive symptoms among new mothers and offer counselling to those showing depressive symptoms, as the cultural traditions do not always alleviate these symptoms in the changing Bangladeshi society today.

  15. Estrutura fatorial e propriedades psicométricas da Escala de stress infantil adaptada para uma amostra de crianças cegas = Factor structure and psychometric properties of the Infatile Stress Scale adapted to a blind child sample

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    Filgueiras, Alberto

    2013-01-01

    Full Text Available Métodos e instrumentos específicos para a avaliação psicológica em crianças cegas são escassos. Contudo, é possível a adaptação de medidas psicológicas de indivíduos videntes para o contexto da cegueira. Com o objetivo de estudar um método confiável na mensuração do estresse nessa população, analisamos as propriedades psicométricas e a estrutura fatorial da Escala de Stress Infantil (ESI. O instrumento foi aplicado em 92 crianças cegas congênitas alunas do ensino fundamental do Instituto Benjamin Constant do Rio de Janeiro. A análise fatorial exploratória revelou quatro fatores, conforme esperado, mostrando boa consistência interna das quatro diferentes dimensões da escala. A análise fatorial confirmatória detectou o modelo com um fator como o melhor, como já apontado pela literatura, o que demonstra que as quatro dimensões convergem para um constructo único: estresse. A confiabilidade da escala mostrou-se satisfatória apresentando alfa de Cronbach de 0,91. Esse estudo dá subsídios para a confiabilidade e para a estrutura unifatorial da ESI para medir o estresse em crianças cegas

  16. Validity of the brief Zung's scale for screening major depressive episode among the general population from Bucaramanga, Colombia Validez de la escala breve de Zung para tamizaje del episodio depresivo mayor en la población general de Bucaramanga, Colombia

    Directory of Open Access Journals (Sweden)

    Luis Alfonso Díaz

    2011-05-01

    Full Text Available Introduction. Brief scales for identiying depressive disorder are as useful as long scales for screening. However, a validated scale with these characteristics is not avalaible in Colombia.
    Objective. To design a brief Zung's self-rating depression scale in order to screen major depressive episodes among adults dwelling in the general community.
    Materials and methods. After filling-out the 20-item Zung's self-rating depression scale, the ten items with the higher correlation with total score were selected. Construct and criterion validity were computed for these ten items.
    Results. The ten chosen items showed an internal consistency of 0,803, one factor that accounted for 36,6% of the variance; sensitivity was 95,5%; specificity, 70,3%; Cohen's kappa, 0,415; and area under receptor-operator curve, 0,898.
    Conclusions. The brief Zung's self-rating depression scale exhibits psychometric properties similar to the long version. This brief scale can be used as a screening device in the general population.

    Introducción. Las escalas breves para identificar trastornos depresivos conservan la utilidad de las escalas extensas como instrumentos para tamizaje. Sin embargo, no se cuenta con una escala de estas características validada en población general colombiana.
    Objetivo. Diseñar una escala abreviada de la escala de Zung para depresión para tamizaje de episodio depresivo mayor en adultos residentes en la comunidad general.
    Materiales y métodos. A partir de la aplicación de la escala de Zung de veinte items se tomaron los diez items que mostraron la mayor correlación con la puntuación total. A estos items escogidos se les determinó la validez de constructo y la validez de criterio.
    Resultados. Los diez items escogidos mostraron una consistencia interna de 0,803, un único factor principal que explicaba el 36,6% de la varianza y sensibilidad de 95,5%, especificidad de 70,3%, kappa media de Cohen de 0

  17. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto Scales to evaluate mortality of patients with trauma and adult respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    PATRICIA HERNÁNDEZ-GUTIÉRREZ

    1997-05-01

    Full Text Available Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va del 1 de enero de 1990 al 31 de diciembre de 1993. Se tomaron en cuenta los siguientes parámetros: sexo; edad; mecanismo productor de la lesión; enfermedades asociadas (choque, politransfusiones, fractura de huesos largos, contusión pulmonar y sepsis; criterios diagnósticos del síndrome; fallas sistémicas; falla orgánica múltiple; índice de severidad de las lesiones; sistema de calificación para la evaluación de la salud crónica y la fisiología aguda, versión II; lapso del diagnóstico; duración de la intubación, y tiempo de estancia en la unidad de cuidados intensivos. Resultados. Fallecieron 26 pacientes (32.5%, dos mujeres y 24 varones. Los mecanismos productores de lesión fueron: atropellamiento (31.3%, accidente automovilístico (27.5%, herida por proyectil de arma de fuego (15%, herida por instrumento punzocortante (13.7%, policontusión (7.5% y caídas (5%. En todos los parámetros y escalas se encontró una relación altamente significativa con la mortalidad, excepto en la contusión pulmonar y en la falla gastrointestinal, en las que dicha relación fue dudosa; la duración de la intubación y el tiempo de estancia en la unidad de cuidados intensivos fueron parámetros en los que no se encontró ninguna relación con la mortalidad. Conclusiones. Los pacientes con trauma y que desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto tuvieron una elevada posibilidad de fallecer si, además, presentaron datos cl

  18. Should We Start Worrying?

    DEFF Research Database (Denmark)

    Figueiredo, Hugo; Biscaia, Ricardo; Rocha, Vera

    2017-01-01

    Recent decades have seen a massive expansion in higher education (HE), fuelled by high expectations about its private benefits. This has raised concerns about the impact on the employability of recent graduates and the potential mismatches between their skills and the competences required by the ...

  19. Why Worry about Bullying?

    Science.gov (United States)

    Pepler, Debra J; German, Jennifer; Craig, Wendy; Yamada, Samantha

    2011-01-01

    In this article, the authors review research to identify bullying as a critical public health issue for Canada. Drawing from recent World Health Organization surveys, they examine the prevalence of Canadian children and youth involved in bullying others or being victimized. There is a strong association between involvement in bullying and health problems for children who bully, those who are victimized and those involved in both bullying and being victimized. Health problems can manifest as physical complaints (e.g., headaches), mental health concerns (e.g., depression, anxiety) and psychosocial problems (e.g., substance use, crime). In Canada, there has recently been a disturbing incidence of Canadian children who have committed suicide as a result of prolonged victimization by peers. Healthcare professionals play a major role in protecting and promoting the health and well-being of Canadian children and youth. Given the significant mental and physical health problems associated with involvement in bullying, it is important that clinicians, especially primary care healthcare professionals, be able to identify signs and symptoms of such involvement. Healthcare professionals can play an essential role supporting children and their parents and advocating for the safety and protection for those at risk. By understanding bullying as a destructive relationship problem that significantly impacts physical and mental health, healthcare professionals can play a major role in promoting healthy relationships and healthy development for all Canadian children and youth. This review provides an overview of the nature of bullying and the physical and psychological health problems associated with involvement in bullying. The review is followed by a discussion of the implications for health professionals and a protocol for assessing the potential link between bullying and a child's physical and psychological symptoms.

  20. Feeling Anxious or Worried

    Science.gov (United States)

    ... Illness & disability Drugs, alcohol & smoking Your feelings Relationships Bullying Safety Your future Environmental health Skip section navigation ( ... is so bad that you are thinking about suicide, get help right away. Contact the Lifeline hotline ...

  1. Utilização da Escala de Coma de Glasgow e Escala de Coma de Jouvet para avaliação do nível de consciência Utilization of the Glasgow Coma Scale and Jouvet Coma Scale to evaluate the level of consciousness

    Directory of Open Access Journals (Sweden)

    Elaine Cristina S. Muniz

    1997-08-01

    Full Text Available A Escala de Coma de Glasgow (ECGl e a Escala de Coma de Jouvet (ECJ, são duas escalas usadas na avaliação da consciência em nosso meio. A análise e o uso dessas duas escalas têm indicado que elas se complementam, sendo a ECGl mais sensível à mudanças nos rebaixamentos mais intensos da consciência e a ECJ nos estados mais próximos do normal. O presente estudo teve como objetivo comparar os resultados obtidos na avaliação do nível de consciência no uso dessas duas escalas. A comparação foi realizada num estudo prospectivo com 48 pacientes maiores de 18 anos internados em três unidades gerais de terapia intensiva de diferentes hospitais privados do Município de São Paulo. As avaliações foram realizadas pelos pesquisadores diariamente, sendo as duas escalas aplicadas seqüencialmente uma à outra no tempo de aproximadamente 5 minutos. Cada uma das escalas foi aplicada em 106 avaliações realizadas e os resultados mostraram uma diferença estatisticamente significativa entre a ECGl e a ECJ na indicação de alteração de nível de consciência. Em 37,74% das avaliações realizadas com a ECJ houve indicação de alteração do nível de consciência, enquanto que na ECGl a alteração era apontada em apenas 23,58% das avaliações. Outra observação importante no uso de ambas escalas, foi que em indivíduos com escores na ECGl entre 9 e 11, a indicação de alteração de nível de consciência foi mais acentuada pela ECGl e naquelas com escores na ECGl entre 12 e 15 a ECJ indicou mais acentuada alteração de nível de consciência. No uso da ECGl houve aplicação do não testável (NT em 20% das avaliações realizadas, não ocorrendo inviabilidade de aplicação de indicadores na ECJ. Entretanto, acredita-se que condições específicas do grupo estudado favoreceram esse resultado, assim como, características específicas de grupos de pacientes podem favorecer o uso de diferentes escalas para avaliação de nível de

  2. Theoretical analysis of items from an American scale for assessment of inclusive kindergartens in Brazil Análise teórica de itens de uma escala americana para avaliação do atendimento em creches inclusivas brasileiras

    Directory of Open Access Journals (Sweden)

    Lisandrea Rodrigues Menegasso Gennaro

    2012-11-01

    Full Text Available With the proposal of an inclusive early childhood education, it is necessary mechanisms to evaluate the quality of the education for infants and toddlers with special needs. The Infant/Toddler Environment Rating Scale Revised was developed to evaluate the quality of collective environments of child education under different aspects as surrounding physicist, interaction, activity and provisions to the children with special needs. Studies are investigating the viability of the scale for Brazilian context. In the direction of these studies, the research had as objective verify the understanding and the relevancy of the content of itens of the Infant/Toddler Environment Rating Scale - Revised Edition that deal with people with disabilities. It had been identified and translated 12 itens of the scale by a bilingual specialist. Then, it had been submitted to the content analysis for seven female specialists in child and special education, so that they evaluated the relevancy of itens, and to the semantic analysis for seven pupils of the course of psychology so that they evaluated the clearly and the understanding of itens, in both the cases registering in protocols. The data had been transcribed and analyzed in a qualitative way. The results had indicated that itens are pertinents and points ways to increase the accuracy with respect to future studies. Concludes that itens of the scale analyzed can contribute for the promotion and evaluation of the quality in early childhood centers but it is still necessary to work towards improve the accuracy of the content of itens. Normal 0 21 false false false PT-BR X-NONE X-NONE MicrosoftInternetExplorer4 http://dx.doi.org/10.5902/1984686X3155Com a proposta de uma educação infantil inclusiva, são necessários mecanismos para avaliar a qualidade da educação infantil para crianças com necessidades educacionais especiais. A escala Infant/Toddler EnvironmentRating Scale Revised avalia a qualidade de ambientes

  3. Parent-Child Agreement Using the Spence Children’s Anxiety Scale and a Thermometer in Children with Autism Spectrum Disorder

    Directory of Open Access Journals (Sweden)

    T. May

    2015-01-01

    Full Text Available Children with Autism Spectrum Disorder (ASD experience high anxiety which often prompts clinical referral and requires intervention. This study aimed to compare parent and child reports on the Spence Children’s Anxiety Scale (SCAS and a child-reported “worry thermometer” in 88 children aged 8–13 years, 44 with ASD and 44 age, gender, and perceptual IQ matched typically developing children. There were no gender differences in child report on the SCAS and worry thermometers. Results indicated generally good correlations between parent and child self-reported SCAS symptoms for typically developing children but poor agreement in parent-child ASD dyads. The worry thermometer child-report did not reflect child or parent reports on the SCAS. Findings suggest 8–13-year-old children with ASD may have difficulties accurately reporting their anxiety levels. The clinical implications were discussed.

  4. Children's separation anxiety scale (CSAS: psychometric properties.

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    Xavier Méndez

    Full Text Available This study describes the psychometric properties of the Children's Separation Anxiety Scale (CSAS, which assesses separation anxiety symptoms in childhood. Participants in Study 1 were 1,908 schoolchildren aged between 8 and 11. Exploratory factor analysis identified four factors: worry about separation, distress from separation, opposition to separation, and calm at separation, which explained 46.91% of the variance. In Study 2, 6,016 children aged 8-11 participated. The factor model in Study 1 was validated by confirmatory factor analysis. The internal consistency (α = 0.82 and temporal stability (r = 0.83 of the instrument were good. The convergent and discriminant validity were evaluated by means of correlations with other measures of separation anxiety, childhood anxiety, depression and anger. Sensitivity of the scale was 85% and its specificity, 95%. The results support the reliability and validity of the CSAS.

  5. Adaptação e validação da Escala Filadélfia de Mindfulness para adultos brasileiros Adaptación y validez de la Escala Filadélfia de Mindfulness para adultos brasileños Adaptation and validation of the Philadelphia Mindfulness Scale among Brazilian adults

    Directory of Open Access Journals (Sweden)

    Amanda da Costa da Silveira

    2012-08-01

    Full Text Available A literatura psicológica tem referido especial interesse ao processo psicológico de monitoramento contínuo da experiência individual, ou mindfulness. Neste estudo, buscou-se adaptar e apresentar evidências de validade convergente e divergente para uma escala de autorrelato que visa a mensurar mindfulness, a Escala Filadélfia de Mindfulness (EFM. Participaram da pesquisa 703 adultos brasileiros, que responderam EFM e outras três medidas relacionadas a conceitos como autoconsciência e insight. A análise fatorial indicou a presença de duas dimensões da EFM, relativas a dois componentes de mindfulness: Aceitação e Awareness. Essas dimensões apresentaram índices de consistência interna de 0,859 e 0,816, respectivamente. Os resultados também indicaram convergência entre o fator Awareness e os dados de autoconsciência enquanto autofoco, e divergência entre Aceitação e facetas mal-adaptativas da autoconsciência (ansiedade social e ruminação. Em consonância com a literatura que refere haver uma faceta de mindfulness voltada à meditação, Aceitação apresentou também correlação positiva com Insight.La literatura psicológica ha tenido especial interés en el proceso psicológico de monitoreo continuo de la experiencia individual, o mindfulness. En este estudio, se buscó adaptar y presentar evidencias de validez convergente y divergente para una escala de autorrelato que tiene por objeto mensurar mindfulness, la Escala Filadelfia de Mindfulness (EFM. Participaron de la investigación 703 adultos brasileños, que respondieron la EFM y otras tres medidas relacionadas a conceptos como autoconsciencia e insight. El análisis factorial indicó la presencia de dos dimensiones de la EFM, relativos a dos componentes de mindfulness: Aceptación y Awareness. Esas dimensiones presentaron índices de consistencia interna de 0,859 y 0,816, respectivamente. Los resultados también indicaron convergencia entre el factor Awareness y los

  6. Adaptação cultural e validação para a língua portuguesa da Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU Adaptación cultural y validación al idioma português del Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU Cultural adaptation and validation for the portuguese language of the Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU

    Directory of Open Access Journals (Sweden)

    Sandra Regina de Souza

    2012-01-01

    Full Text Available OBJETIVO: Traduzir, realizar a adaptação cultural e validar a escala Parental Stress Scale:Neonatal Intensive Care Unit (PSS:NICU para a língua portuguesa. MÉTODOS: Utilizou-se o método descritivo de validação de instrumentos de medida, baseado nas etapas propostas por Guillemin et al. A análise da confiabilidade foi realizada por meio dos testes e retestes e da consistência interna. Na validação clínica, participaram 163 pais de recém-nascidos internados em Unidade de Terapia Intensiva Neonatal (UTIN. RESULTADOS: Os coeficientes de correlação intraclasse ficaram em torno de 0,70 mostrando boa estabilidade entre as duas avaliações. A análise fatorial pelo método de componentes principais utilizou os mesmos critérios da escala original, com rotação Varimax, com grau de variância adequado de 57,9%. Os maiores níveis de estresse dos pais foram obtidos na subescala "alteração do papel de pais". CONCLUSÃO: A PSS:NICU na versão em português é uma ferramenta válida e confiável para avaliação do estresse de pais com filho internado na UTIN.OBJETIVO: Traducir, realizar la adaptación cultural y validar la escala Parental Stress Scale:Neonatal Intensive Care Unit (PSS:NICU al idioma portugués. MÉTODOS: Se utilizó el método descriptivo de validación de instrumentos de medida, basado en las etapas propuestas por Guillemin et al. El análisis de la confiabilidad fue realizado por medio de los tests y retests y de la consistencia interna. En la validación clínica, participaron 163 padres de recién nacidos internados en una Unidad de Cuidados Intensivos Neonatal (UCIN. RESULTADOS: Los coeficientes de correlación intraclase quedaron alrededor de 0,70 mostrando buena estabilidad entre las dos evaluaciones El análisis factorial por el método de componentes principales utilizó los mismos criterios de la escala original, con rotación Varimax, con grado de varianza adecuado de 57,9%. Los mayores niveles de estrés de

  7. Validación de la escala ESTE para medir la soledad de la población adulta Validação da escala ESTE para medir a solidão da população adulta ESTE scale validation to measure loneliness in adult population

    Directory of Open Access Journals (Sweden)

    Jairo León Cardona Jiménez

    2010-11-01

    explicou (10.9%. A confiança da escala Alfa de Cronbach de 0.9, sendo em cada um dos fatores superior a 0.7. A reprodutibilidade teste-reteste medido pelo coeficiente de correlação de Spearman foi 0.88. Conclusão. A validação da escala ESTE indica que se pode utilizar como instrumento de medição da solidão para a população adulta colombiana.Objective. To validate the loneliness measurement scale ESTE in adult population who assist to third age groups in Bello (Colombia. Methodology. Cross sectional descriptive study. Internal consistency, reproducibility and behavior were assessed using demographic variables. The sample consisted of 180 adults aged 55 or over belonging to 15 senior groups selected randomly from the 100 registered in Bello at the time of the study execution. Results. The factorial analysis of the scales’ four main components explained 55.9% of the variance. Factors that explain greater variance are: adaptation crisis (17.2%, marriage loneliness (14.0%, and social loneliness (13.9%. Family loneliness was the factor that less explained (10.9%. Cronbach Alfa scale reliability of 0.9, being in each of the factors above 0.7. The test-retest reproducibility measured by the Sperman correlation coefficient was 0.88. Conclusion. ESTE scale validation indicates that it can be used as an adult loneliness measurement instrument in Colombia’s adult population.

  8. Tradução e adaptação transcultural da Multiple Sclerosis Walking Scale - 12 (MSWS-12 para a língua portuguesa do Brasil Translation and cross-cultural adaptation of the Multiple Sclerosis Walking Scale (MSWS-12 into Brazilian Portuguese

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    Leandro Alberto Calazans Nogueira

    2012-05-01

    Full Text Available O baixo desempenho da caminhada é preditivo de doença cardíaca, de osteoporose e aumenta o risco de morte em idosos. A marcha associada à visão foram as funções corporais mais valiosas na percepção de pacientes com Esclerose Múltipla. O objetivo deste estudo foi realizar a tradução e a adaptação transcultural da Multiple Sclerosis Walking Scale - 12 (MSWS-12 para a língua portuguesa no Brasil. Um estudo de adaptação transcultural foi conduzido em dez etapas. Participaram do estudo quatro tradutores, dois retrotradutores, 12 especialistas, 12 pacientes, 12 indivíduos saudáveis e uma profissional especializada em língua portuguesa. Apenas a questão referente a fazer coisas em pé apresentou dificuldade no processo de tradução. O tempo máximo de preenchimento foi de menos de três minutos (171 segundos. A análise da consistência interna revelou um elevado valor de confiabilidade (alfa de Cronbach = 0,94. As etapas de validação de conteúdo e consistência interna foram finalizadas de maneira satisfatória.Poor walking performance is predictive of heart disease and osteoporosis and increases the risk of death in the elderly. Gait and vision have been identified as the most valuable physical functions according to multiple sclerosis patients' perceptions. The objective of this study was to perform a translation and cross-cultural adaptation of the Multiple Sclerosis Walking Scale (MSWS-12 into Brazilian Portuguese. A study of cross-cultural adaptation was conducted in ten steps. Participation in the study included four translators, two back-translators, twelve medical experts, twelve patients, twelve healthy subjects, and a Portuguese language expert. Only the question "Did standing make it more difficult to do things?" posed difficulty in the translation process. Maximum time for completion was less than three minutes (171 seconds. Internal consistency analyses showed high reliability (Cronbach's alpha = 0.94. The content

  9. Segurança alimentar, riscos, escalas de produção - Desafios para a regulação sanitária | Food security, risks, scales of production – challenges to sanitary regulation

    Directory of Open Access Journals (Sweden)

    Rosângela Pezza Cintrão

    2017-08-01

    Full Text Available Neste artigo temos como objetivo contextualizar as dificuldades para a legalização sanitária das produções de alimentos artesanais e da agricultura familiar, que tornam-se objeto de intervenção tanto da Política Nacional de Segurança Alimentar e Nutricional quanto da RDC no 49/2013, da Anvisa. Tomamos como método a revisão de documentos produzidos de agências estatais e organizações sociais, assim como bibliografias teóricas relacionadas à temática. Buscamos relacionar as dificuldades existentes com as transformações nos sistemas alimentares e com o aumento nas preocupações com os riscos sanitários a nível mundial, apontando a complexa interrelação entre cultura, riscos, tecnociência e modelos de desenvolvimento, assim como a presença de fortes interesses econômicos, que desafiam a promoção da saúde pública e da segurança alimentar (food security. Concluímos refletindo sobre a necessidade de uma análise mais integrada e contextualizada dos riscos no caso da produção, processamento, distribuição e consumo de alimentos em pequena escala, que favoreça modelos de produção e padrões de consumo de alimentos ao mesmo tempo mais justos e democráticos, ambientalmente sustentáveis e que tenham a valorização da vida e da saúde como eixos principais. ===================================== The aim of this article is to contextualize the difficulties concerning the sanitary legalization of artisanal and family farming products, that have become subject to both the National Policy for Food and Nutrition Safety and the RDC 49/2013 from Anvisa. Our method was to analyse documents from state agencies and social organizations as well as theoretical bibliography on the subject. We relate these difficulties with transformations in food systems and the international concerns about sanitary risks, pointing to complex relations between culture, risks, techno-science and development models, as well as to the strong economic

  10. Construcción de una Escala Para Medir Creencias Legitimadoras de Violencia en la Población Infantil Elaboration of a Children's Scale That Measures Beliefs Which Legitimize Violence

    National Research Council Canada - National Science Library

    Susan Galdames; Ana María Arón

    2007-01-01

    Este artículo presenta la construcción y validación preliminar de una escala diseñada para niños y niñas, cuyo objetivo es medir creencias que legitiman la violencia en las relaciones interpersonales...

  11. Mental health worries, communication, and needs in the year of the U.S. terrorist attack: national KySS survey findings.

    Science.gov (United States)

    Melnyk, Bernadette Mazurek; Feinstein, Nancy Fischbeck; Tuttle, Jane; Moldenhauer, Zendi; Herendeen, Pamela; Veenema, Tener Goodwin; Brown, Holly; Gullo, Sharon; McMurtrie, Madelyn; Small, Leigh

    2002-01-01

    To reduce the escalating rate of mental health/psychosocial morbidities in children and adolescents, NAPNAP initiated a new national campaign entitled Keep your children/yourself Safe and Secure (KySS). The objective of the first phase of this campaign was to conduct a national survey to assess the mental health knowledge, attitudes, worries, communication, and needs for intervention of children/teens, parents, and pediatric health care providers. This first report from the KySS survey describes the child/teen and parental findings. A cross-section of 621 children/teens and 603 of their parents from 24 states completed the KySS survey during visits to their primary health care providers. The five greatest worries of both children/teens and their parents included knowing how to cope with stressful things in their lives, anxiety, depression, parent-child relationships, and problems with self-esteem. The majority of children/teens and their parents reported that they do not talk to their primary care providers about these issues. Participants expressed a multitude of needs and suggestions regarding how to better recognize, prevent, and deal with mental health problems. Opportunities must be created for children/teens and their parents to communicate their mental health worries and needs to each other and to their pediatric primary care providers to facilitate earlier diagnosis and treatment of mental health problems. Interventions are urgently needed to assist children and teens in coping with the multitude of stressors related to growing up in today's society.

  12. Psychometric properties of the Portuguese version of the Conflict Tactics Scales: Parent-child Version (CTSPC used to identify child abuse Propriedades psicométricas da versão em português do instrumento Conflict Tactics Scales: Parent-child Version (CTSPC utilizado para identificar violência contra a criança

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    Michael Eduardo Reichenheim

    2006-03-01

    Full Text Available This article follows another, which presented the first phase of the cross-cultural adaptation process examining the psychometric properties of the Conflict Tactics Scales, Parent-child Version (CTSPC, Portuguese version. Fieldwork took place in three public maternity wards in Rio de Janeiro, Brazil, from March to September 2000. Interviews relate to siblings of randomly selected live births. Respondents were mothers. Information on partners was obtained by proxy. Almost all intra-observer reliability kappa estimates were above 0.75. Depending on the scale and type of perpetrator, internal consistency (a estimates ranged from 0.49 to 0.68. Using the same sample, the iterated principal factor analysis identified four dimensions. Although most items performed well, some failed to adequately load in their expected factors. Construct validity involved exploring the relationship between several other theoretical dimensions and a variable encompassing the cumulative pattern of violence severity. All the hypotheses tested were corroborated. The current evaluation indicates that the CTSPC can be recommended for use in Portuguese-speaking contexts. Still, it also identified some important points needing further investigation and discussion.Este artigo segue outro que apresentava a primeira fase do processo de adaptação transcultural, examinando as propriedades psicométricas da versão em português do instrumento Conflict Tactics Scales: Parent-child Version (CTSPC. O trabalho de campo ocorreu de março a setembro de 2000 em três maternidades públicas de grande porte do Rio de Janeiro, Brasil. Irmãos de recém-nascidos foram amostrados aleatoriamente. Entrevistas foram realizadas com mães. Informações sobre parceiros foram obtidas por proxi. A maioria das estimativas de confiabilidade intra-observador (kappa se mostrou acima de 0,75. Consistência interna (a variou de 0,49-0,68, dependendo da escala e tipo de perpetrador. Usando a mesma amostra

  13. Adaptação transcultural da versão em português da Conflict Tactics Scales Form R (CTS-1, usada para aferir violência no casal: equivalências semântica e de mensuração Cross-cultural adaptation of the Portuguese version of the Conflict Tactics Scales Form R (CTS-1 used to assess marital violence: semantic and measurement equivalence

    Directory of Open Access Journals (Sweden)

    Maria Helena Hasselmann

    2003-08-01

    Full Text Available Este artigo focaliza a adaptação transcultural da versão em português do instrumento Conflict Tactics Scales (CTS-1. A equivalência semântica foi avaliada no que diz respeito ao significado referencial dos termos/palavras e a acepção geral de cada item. A equivalência de mensuração entre a versão em português e o instrumento original foi apreciada por meio das propriedades psicométricas, tais como, sua confiabilidade teste-reteste, sua validade de constructo, sua consistência interna e sua estrutura de fatores. Para os diferentes relacionamentos, as concordâncias das mensurações sobre agressão física oscilaram entre moderada e substancial. Os a de Cronbach apresentaram-se elevados para as escalas de agressão física e verbal, e baixos para escala de argumentação. Da mesma forma que no instrumento original, a análise de fatores da versão da CTS-1 identificou três dimensões que representam as escalas de argumentação, de agressão verbal, de agressão física e mais uma subescala de agressão física grave. Ainda que algumas discrepâncias tenham sido notadas, como um todo os resultados sugerem uma adequação do processo de adaptação transcultural da versão da CTS-1 para a língua portuguesa, endossando seu uso na população brasileira.This paper focuses on the cross-cultural adaptation of the Portuguese version of the Conflict Tactics Scales (CTS-1. Semantic equivalence was evaluated with regard to the referential meaning of words and the general connotative meaning of each item. Measurement equivalence between the Portuguese version and the original instrument was assessed by means of the version's psychometric properties, namely, intra-observer reliability, construct validity, internal consistency, and factor structure. For the different relationships, measurement agreement for physical aggression was moderate to substantial. Cronbach's a's were high for the physical and verbal aggression scales and low for the

  14. Cosmological immortality: how to eliminate aging on a universal scale.

    Science.gov (United States)

    Vidal, Clement

    2014-01-01

    The death of our universe is as certain as our individual death. Some cosmologists have elaborated models which would make the cosmos immortal. In this paper, I examine them as cosmological extrapolations of immortality narratives that civilizations have developed to face death anxiety. I first show why cosmological death should be a worry, then I briefly examine scenarios involving the notion of soul or resurrection on a cosmological scale. I discuss in how far an intelligent civilization could stay alive by engaging in stellar, galactic and universal rejuvenation. Finally, I argue that leaving a cosmological legacy via universe making is an inspiring and promising narrative to achieve cosmological immortality.

  15. Are Worry and Rumination Specific Pathways Linking Neuroticism and Symptoms of Anxiety and Depression in Patients with Generalized Anxiety Disorder, Major Depressive Disorder and Mixed Anxiety-Depressive Disorder?

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    Hipólito Merino

    Full Text Available This study examines the relationships between neuroticism (higher-order vulnerability factor, the cognitive styles of worry, brooding and reflection (second-order vulnerability factors and symptoms of anxiety and depression in three groups of patients: patients with Generalized Anxiety Disorder (GAD, with Major Depressive Disorder (MDD and with Mixed Anxiety-Depressive Disorder (MADD. One hundred and thirty four patients completed a battery of questionnaires including measures of neuroticism, worry, rumination (brooding and reflection, anxiety and depression. Multiple mediation analyses indicate that worry may act as a mediating mechanism linking neuroticism and anxiety symptoms in the three diagnostic groups, whereas brooding-rumination may play a mediating role between neuroticism and depressive symptoms in patients with MDD and MADD and, with less certainty, in patients with GAD. Overall, our findings suggest that neuroticism may increase the risk of anxious and depressive symptoms via specific links involving either worry or brooding, respectively, and that both worry and brooding may operate in the three groups examined, irrespectively of whether anxiety or depression are the main emotions or whether they coexist without any clear predominance; consequently, we hypothesize the existence of "specific transdiagnostic" mechanisms.

  16. Are Worry and Rumination Specific Pathways Linking Neuroticism and Symptoms of Anxiety and Depression in Patients with Generalized Anxiety Disorder, Major Depressive Disorder and Mixed Anxiety-Depressive Disorder?

    Science.gov (United States)

    Merino, Hipólito; Senra, Carmen; Ferreiro, Fátima

    2016-01-01

    This study examines the relationships between neuroticism (higher-order vulnerability factor), the cognitive styles of worry, brooding and reflection (second-order vulnerability factors) and symptoms of anxiety and depression in three groups of patients: patients with Generalized Anxiety Disorder (GAD), with Major Depressive Disorder (MDD) and with Mixed Anxiety-Depressive Disorder (MADD). One hundred and thirty four patients completed a battery of questionnaires including measures of neuroticism, worry, rumination (brooding and reflection), anxiety and depression. Multiple mediation analyses indicate that worry may act as a mediating mechanism linking neuroticism and anxiety symptoms in the three diagnostic groups, whereas brooding-rumination may play a mediating role between neuroticism and depressive symptoms in patients with MDD and MADD and, with less certainty, in patients with GAD. Overall, our findings suggest that neuroticism may increase the risk of anxious and depressive symptoms via specific links involving either worry or brooding, respectively, and that both worry and brooding may operate in the three groups examined, irrespectively of whether anxiety or depression are the main emotions or whether they coexist without any clear predominance; consequently, we hypothesize the existence of "specific transdiagnostic" mechanisms.

  17. Living in the context of poverty and trajectories of breast cancer worry, knowledge, and perceived risk after a breast cancer risk education session.

    Science.gov (United States)

    Bartle-Haring, Suzanne

    2010-01-01

    The purpose of this paper was to demonstrate how living in neighborhoods with high levels of poverty (while controlling for personal income) impacts personal characteristics, which in turn impacts retention of breast cancer risk knowledge and changes in worry and perceived risk. The data from this project come from a larger, National Cancer Institute-funded study that included a pretest, a breast cancer risk education session, a posttest, the option of an individualized risk assessment via the Gail Model and three follow-up phone calls over the next 9 months. The percent of individuals living below poverty in the community in which the participant resided was predictive of the personal characteristics assessed, and these characteristics were predictive of changes in breast cancer worry and knowledge across time. Differentiation of self and monitoring, two of the individual characteristics that seem to allow people to process and use information to make "rational" decisions about health care, seem to be impacted by the necessity for adaptation to a culture of poverty. Thus, as a health care community, we need to tailor our messages and our recommendations with an understanding of the complex intersection of poverty and health care decision making. Copyright © 2010 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  18. [Formula: see text]The effect of stereotype threat on older people's clinical cognitive outcomes: investigating the moderating role of dementia worry.

    Science.gov (United States)

    Fresson, Megan; Dardenne, Benoit; Geurten, Marie; Meulemans, Thierry

    2017-11-01

    Numerous studies have shown that stereotype threat (ST) reduces older people's cognitive performance, but few have studied its impact on clinical cognitive outcomes. Our study was designed to further examine the impact of ST on the clinical assessment of older subjects' cognitive functioning, as well as the moderating role of fear of Alzheimer's Disease (AD) (or 'dementia worry'). Seventy-two neurologically normal (MMSE > 26) participants aged between 59 and 70 completed a set of neuropsychological tasks in either an ST or a positive condition (condition in which negative stereotypes were invalidated). Regression-based path analyses showed that only participants who expressed moderate or high fear of AD underperformed on executive tasks in the ST condition compared to their counterparts in the positive condition. Moreover, in the ST condition, participants' performance on executive tasks was more impaired (relative to normative data) than in the positive condition. However, ST had no effect on memory and attention performance. Our results showed that ST can cause older people to perform at pathological levels on executive tasks. Results highlight the need for clinicians to be cautious when conducting neuropsychological assessments of older people who express high levels of dementia worry.

  19. The role of anxiety sensitivity and mindful attention in anxiety and worry about bodily sensations among adults living with HIV/AIDS.

    Science.gov (United States)

    Gonzalez, Adam; Zvolensky, Michael J; Grover, Kristin W; Parent, Justin

    2012-12-01

    The current study examined cognitive factors that may be relevant to understanding anxiety and worry about bodily sensations among an HIV/AIDS population. Specifically, this investigation tested the main and interactive effects of anxiety sensitivity and mindful attention on anxious arousal, bodily vigilance, interoceptive fear, and HIV symptom distress among 164 adults with HIV/AIDS. Results indicated that anxiety sensitivity was positively related to anxious arousal, bodily vigilance, and interoceptive fear, but not HIV symptom distress. Mindful attention was negatively related to anxious arousal, interoceptive fear, and HIV symptom distress, but not bodily vigilance. These main effects for anxiety sensitivity and mindful attention were evident after controlling for disease stage, years with HIV, and demographic variables. There were no interactive effects between anxiety sensitivity and mindful attention. Results are discussed in terms of the clinical implications for identifying and treating anxiety and worry about bodily sensations among adults with HIV/AIDS. Limitations of this study include the use of cross-sectional data and self-report assessments. Copyright © 2012. Published by Elsevier Ltd.

  20. Effects of optimism, social support, fighting spirit, cancer worry and internal health locus of control on positive affect in cancer survivors: a path analysis.

    Science.gov (United States)

    Hodges, Kayleigh; Winstanley, Sue

    2012-12-01

    The psychological impact of a cancer diagnosis can extend through treatment, well into cancer survivorship and can be influenced by a range of psychosocial resources. At different stages in this trajectory, optimism is known to affect well-being directly. This study focusing upon the potential to flourish after cancer, investigates the relationship between optimism and positive affect during cancer survivorship together with four possible mediators: social support, fighting spirit, internal health locus of control and cancer worry, all of which have been shown to be important predictors of well-being in cancer patients. Participants (n = 102) from online cancer forums completed standardized questionnaires, and path analysis confirmed that optimism had a direct effect on positive affect in cancer survivors. Social support and fighting spirit were also shown to be significant mediators of this relationship, accounting collectively for 50% of the variance in positive affect. Whilst cancer worry and internal health locus of control could be predicted from levels of optimism, they did not mediate the optimism-positive affect relationship. Efforts to promote optimism and thus encourage fighting spirit at diagnosis through treatment may be worthwhile interventions, as would ensuring appropriate social support through the trajectory. Copyright © 2012 John Wiley & Sons, Ltd.

  1. Recursos para un aprendizaje significativo

    Directory of Open Access Journals (Sweden)

    Juan LARA GUERRERO

    2009-11-01

    Full Text Available RESUMEN: Partimos del supuesto de que una de las cuestiones que más preocupa al profesorado en su práctica educativa radica en que el aprendizaje de sus alumnos sea significativo. Somos conscientes de que, para conseguir este tipo de aprendizaje, es necesario introducir una serie de cambios en la dinámica de la clase. Comenzamos diferenciando el aprendizaje maquinal del significativo. Continuamos aclarando una confusión muy extendida entre muchos educadores, que creen que el aprendizaje por recepción es repetitivo y que el efectuado por descubrimiento es forzosamente significativo. Posteriormente, planteamos una serie de interrogantes para aclarar algunas cuestiones que le pueden ser útiles a los educadores en su práctica cotidiana. Terminamos presentando la estrategia de organización, que cuenta con dos instrumentos, a nuestro juicio muy eficaces, para ayudar a los estudiantes, a aprender de manera significativa: los mapas conceptuales y la técnica heurística V.ABSTRACT: We start from the assumption that one of the questions that most worry the teaching staff in its educational practice consists in that its pupils' learning is significant. We are aware that, to obtain this kind of learning, it is necessary to introduce a series of changes in the classroom dynamics. We begin by making a distinction between mechanical and significant learning. We continué making clear a very extended confusión amongst many teachers, who believe that learning by reception is repetitive and that the one done by serendipity is necessarily significant. Afterwards, we créate a series of questions to clarify with some answers that can be useful to teachers in their everyday practice. We finish showing the organization strategy, which has two instruments, that in our opinión are very effective, to help students learning in a significant way: conceptual maps and the V heuristic technique.RÉSUMÉ: Nous partons de la supposition de qu'une des questions que

  2. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale La validación clínica del Instrumento de Evaluación de la Prontitud de los Prematuros para Iniciación de la Alimentación por Vía Oral Validação clínica do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral

    Directory of Open Access Journals (Sweden)

    Cristina Ide Fujinaga

    2013-02-01

    Full Text Available INTRODUCTION: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants´ feeding from gastric to oral, and encourage breast feeding practice in neonatal units. Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants. METHODS: Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves. RESULTS: The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68% for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%, it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness. CONCLUSION: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.INTRODUCCIÓN: Profesionales de la salud tienen grandes dificultades para establecer el momento adecuado y seguro para iniciar la lactancia en prematuros. Hay una necesidad de se desarrollar un instrumento para ayudar a estos profesionales en la transición de la alimentación gástrica para oral en prematuros mediante el fomento de la lactancia en las unidades neonatales. Objetivo: Evaluar la precisión de el Instrumento de Evaluación de la Prontitud de los Prematuros para Iniciación de la Alimentación por Vía Oral. MÉTODO: Participaron 60

  3. A SMALL SCALE INVESTIGATION INTO MEXICAN UNIVERSITY STUDENTS’ LANGUAGE LEARNING MOTIVATION (UNA INVESTIGACIÓN DE PEQUEÑA ESCALA ACERCA DE LA MOTIVACIÓN DE LOS ESTUDIANTES UNIVERSITARIOS MEXICANOS PARA APRENDER UNA SEGUNDA LENGUA)

    OpenAIRE

    Roux Rodríguez Ruth; Trejo Guzmán Nelly Paulina; Mora Vázquez Alberto

    2010-01-01

    Resumen:El propósito de este trabajo de investigación de pequeña escala es ampliar el debate actual en el tema de la motivación para aprender una segunda lengua. En particular analiza las conexiones existentes entre el contexto de aprendizaje en el que están inmersos los estudiantes de inglés como segunda lengua y las influencias socio-culturales en que este opera. El estudio se llevó a cabo en un centro de lenguas que forma parte de una universidad estatal localizada en el Noreste de México....

  4. Validación Preliminar de la Escala de Conductas de Autocuidado para Psicólogos Clínicos Preliminary Validation of the Self-Care Behaviors Scale for Clinical Psychologists

    OpenAIRE

    Cristóbal Guerra; Karla Rodríguez; Grace Morales; Rafaella Betta

    2008-01-01

    Se describe el proceso de construcción y validación preliminar de la Escala de Conductas de Autocuidado para Psicólogos Clmicos (EAP). Su propósito es medir la frecuencia de emisión de conductas de autocuidado en psicólogos dedicados a la atención de pacientes. La muestra intencionada estuvo conformada por 132 psicólogos clmicos, quienes respondieron la EAP, una escala de estrés traumático secundario y una de depresión. Los resultados indican que, en la muestra, la EAP posee adecuados niveles...

  5. Escalas para evaluar la mortalidad de pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto Scales to evaluate mortality of patients with trauma and adult respiratory distress syndrome

    OpenAIRE

    PATRICIA HERNÁNDEZ-GUTIÉRREZ; ALEJANDRO GRIFÉ-COROMINA; VÍCTOR A. DE LA GARZA-ESTRADA

    1997-01-01

    Objetivo. Comparar las distintas escalas y calificaciones que se usan para evaluar la mortalidad de los pacientes con trauma y síndrome de insuficiencia respiratoria progresiva del adulto. Material y métodos. Se revisaron los expedientes de 80 pacientes, 70 varones y 10 mujeres, atendidos en el Hospital Guillermo Barroso C., de la Cruz Roja Mexicana de la Ciudad de México, que sufrieron trauma y desarrollaron síndrome de insuficiencia respiratoria progresiva del adulto, en el periodo que va d...

  6. Escala para auto-avaliação ao falar em público (SSPS: adaptação transcultural e consistência interna da versão brasileira Self statements during public speaking scale (SSPS: cross-cultural adaptation for Brazilian Portuguese and internal consistency

    Directory of Open Access Journals (Sweden)

    Flávia de Lima Osório

    2008-01-01

    Full Text Available CONTEXTO: O medo de falar em público é um dos medos mais prevalentes na população geral, sendo importante a avaliação dos aspectos cognitivos associados a ele. OBJETIVO: Realizar a adaptação transcultural para o português do Brasil do Self Statements during Public Speaking Scale (SSPS, um instrumento para auto-avaliação ante a situação de falar em público. MÉTODOS: O processo de tradução e adaptação envolveu quatro profissionais bilíngües, apreciação e aprovação da tradução reversa pelos autores da escala original, estudo piloto com 30 universitários brasileiros e apreciação por juízes que atestaram a validade de face da versão para o português, a qual se denominou Escala para Auto-avaliação ao Falar em Público. Como parte do estudo psicométrico da SSPS, realizaram-se a análise dos itens e a avaliação da consistência interna em uma amostra de 2.314 estudantes universitários. RESULTADOS: Evidenciou-se que os itens da subescala de auto-avaliação positiva foram os mais pontuados. A correlação dos itens com o escore total foi bastante adequada, variando entre 0,44 e 0,71, bem como a consistência interna que variou entre 0,78 e 0,90. CONCLUSÕES: A SSPS na versão para o português do Brasil mostrou-se adequada quanto às propriedades psicométricas estudadas. Consideram-se oportunos e necessários estudos que avaliem os demais indicadores de validade e fidedignidade da SSPS, com amostras clínicas e não-clínicas.BACKGROUND: The fear of public speaking is on of the most prevalent fears in the general population, and it is important to assess its underlying cognitive aspects. OBJECTIVE: To perform the cross-cultural adaptation for Brazilian Portuguese of the Self Statements during Public Speaking Scale (SSPS, a self-assessment instrument designed for the public speaking situation. METHODS: The process of translation and adaptation involved four bilingual professionals, the appreciation and approval of

  7. Da escala ao território: para uma reflexão crítica do policentrismo From scale to territory: toward a critical theory of polycentrism

    Directory of Open Access Journals (Sweden)

    Renato Miguel do Carmo

    2008-10-01

    Full Text Available Este artigo pretende realizar uma análise reflexiva sobre o conceito de policentrismo, cujos pressupostos orientam grande parte das actuais políticas de ordenamento do território, no sentido de compreender se este representa a resposta mais viável para a resolução dos desequilíbrios regionais do território nacional, nomeadamente os que afectam as zonas que se encontram na encruzilhada da urbanização e da marginalização. Para o efeito, iremos utilizar como contexto de análise os estudos que temos vindo a realizar sobre a região do Alentejo.This article seeks to develop an analytical theory of the concept of polycentrism, the assumptions of which provide the foundations for most of the current land planning policy framework, with a view to analyzing whether polycentrism is the best solution to the regional imbalances in the national territory, in particular those affecting areas that are caught between urbanization and marginalization. Studies we have been carrying out on the Alentejo region will be used for this purpose.

  8. Validation of a scale to assess factors related to therapeutic adherence in cancer patients [Validación de una escala para evaluar factores vinculados a la adherencia terapéutica en pacientes oncológicos

    Directory of Open Access Journals (Sweden)

    Alfonso Urzúa M.

    2012-06-01

    Full Text Available The aim of this study was to build and evaluate the psychometric proper- ties of a scale to assess factors related to adherence in patients with can- cer. In a sample of 120 patients from the Oncology Service from Hospital Clínico Regional de Antofagasta, we applied the questionnaire developed and previously validated in a pilot sample in similar patients. The internal consistency and factor structure of the questionnaire, and the relationship between the dimensions was assessed. According to the results, the scale has an alpha greater than 0.9, both overall and in various dimensions, and a factor structure consistent with the theoretical factors chosen. The research concluded that the scale is constructed can become a useful prognostic tool for use in cancer patients.

  9. Small-scale electricity generating facilities from natural gas : a measure to mitigate the greenhouse effect; Microgeneracion de energia con gas natural: una medida efectiva para mitigar el cambio climatico

    Energy Technology Data Exchange (ETDEWEB)

    Gutierrez, A. M.

    2002-07-01

    The forthcoming liberalization of the gas and electricity markets in Europe, in conjunction with the increase of the global energy consumption in the near future are enabling the development of natural gas alternatives to traditional large-scale centralized power plants. They emerged from research suggesting that the use of small-scale electricity generating facilities dispersed throughout the electrical network, provides the electricity system with measurable technical, economic and environmental benefits. In this sense, the distributed generation powered by cogeneration systems offers the biggest measure to mitigate the greenhouse effect due to the carbon dioxide. (Author)

  10. Concepts of scale and scaling

    Science.gov (United States)

    Jianguo Wu; Harbin Li

    2006-01-01

    The relationship between pattern and process is of great interest in all natural and social sciences, and scale is an integral part of this relationship. It is now well documented that biophysical and socioeconomic patterns and processes operate on a wide range of spatial and temporal scales. In particular, the scale multiplicity and scale dependence of pattern,...

  11. Entrevista motivacional e escalas de motivação para tratamento em dependência de drogas Motivational interview and scales used to assess the degree of motivation for treatment in drug abuse patients

    Directory of Open Access Journals (Sweden)

    Marcelle M. Lobo Dinis Castro

    2005-12-01

    Full Text Available OBJETIVO: Identificar e rever os instrumentos que explorem a motivação como fator capaz de predizer o resultado de tratamento da dependência de substâncias psicoativas e que vêm sendo utilizados na última década. MÉTODO: Revisão bibliográfica abrangente de literatura científica indexada sobre escalas que aferem o grau motivação. RESULTADO: Identificaram-se quatro instrumentos e suas propriedades psicométricas, os dois primeiros com versões validadas em português: Rhode Island Change Assessment Questionnaire (URICA, Stages of Change Readiness and Treatment Eargness Scale (SOCRATES, Treatment Motivation Questionnaire (TMQ, Readiness to Change Questionnaire (RCQ. CONCLUSÃO: A teoria motivacional vem sendo regularmente estudada na última década, permitindo avaliação pragmática de seus parâmetros por meio de escalas com validade e confiabilidades que variam de boa a excelente.OBJECTIVE: To identify and review tools used in specialized services to explore aspectos of motivation as a predictive factor of treatment outcome in drug-abusing patients. METHOD: Comprehensive literature review of scales used to assess the degree of motivation. RESULT: Four scales to evaluate stages of behavioural change related to motivation were identified and described, together with their associated psychometric properties - Rhode Island Change Assessment Questionnaire (URICA, Stages of Change Readiness and Treatment Eargness Scale (SOCRATES, Treatment Motivation Questionnaire (TMQ, Readiness to Change Questionnaire (RCQ; The first two have Portuguese validated versions. CONCLUSION: Motivacional theory has been regularly studied in the last decade, allowing the definition of pragmatic evaluation parameters in scales with validity and reliabilities that vary from good to excellent.

  12. Comparação de escalas de avaliação de risco para úlcera por pressão em pacientes em estado crítico Comparación de escalas de evaluación de riesgo para úlcera por presión en pacientes en estado crítico Comparison of risk assessment scales for pressure ulcers in critically ill patients

    Directory of Open Access Journals (Sweden)

    Thiago Moura de Araújo

    2011-01-01

    Full Text Available OBJETIVO: Comparar as escalas de risco para úlcera por pressão de Norton, Braden e Waterlow entre pacientes em estado crítico. MÉTODOS: Estudo exploratório e longitudial abrangendo 42 pacientesque foram avaliados, por 15 dias ou pelo menos 10 dias consecutivos, em três Unidades de Terapia Intensiva de Fortaleza-Brasil, no período de março a julho de 2009. Cada paciente foi avaliado, simultaneamente, por três enfermeiros, sendo cada um responsável pela aplicação de apenas uma das escalas. RESULTADOS: Houve uma incidência de 59,5% de lesões e um aumento na pontuação das escalas de Norton (p=0,028 e Braden (p=0,004, entre os 1º-15º dias, e de Waterlow (p=0,005 entre os 1º-10º. Quando comparadas a Norton e Braden, os escores de Waterlow aumentaram constantemente (pOBJETIVO: Comparar las escalas de riesgo para úlcera por presión de Norton, Braden y Waterlow entre pacientes en estado crítico. MÉTODOS: Estudio exploratorio y longitudinal que abarcó a 42 pacientes que fueron evaluados, por 15 días o por lo menos 10 días consecutivos, en tres Unidades de Cuidados Intensivos de Fortaleza-Brasil, en el período de marzo a julio del 2009. Cada paciente fue evaluado, simultáneamente, por tres enfermeros, siendo cada uno responsable por la aplicación de apenas una de las escalas. RESULTADOS: Hubo una incidencia del 59,5% de lesiones y un aumento en la puntuación de las escalas de Norton (p=0,028 y Braden (p=0,004, entre los 1º-15º días, y de Waterlow (p=0,005 entre los 1º-10º. Cuando fueron comparadas la Norton y Braden, los scores de Waterlow aumentaron constantemente (pOBJECTIVE: To compare the Norton, Braden and Waterlow scales of risk for pressure ulcer in critically ill patients. METHODS: An exploratory and longitudinal study covering 42 patients who were evaluated for 15 days or at least 10 consecutive days, in three intensive care units within Fortaleza, Brazil, from March to July 2009. Each patient was evaluated

  13. Translation, adaptation and reliability study of the Scale to Assess Unawareness of Mental Disorder - SUMD Tradução, adaptação e estudo de confiabilidade da Escala para Avaliar a Ausência da Noção do Transtorno Mental - SUMD

    Directory of Open Access Journals (Sweden)

    Nina Fiss

    2005-06-01

    Full Text Available INTRODUCTION: Previous studies have suggested that lack of insight into mental disorder can be an important predicting factor involving the course of psychotic disorders mainly regarding compliance with treatment. The Scale to Assess Unawareness of Mental Disorder-SUMD is a semi-structured open interview that evaluates global insight, insight into illness and insight into symptoms. The SUMD has shown good reliability and validity and has demonstrated certain advantages over previous measures of insight, suggesting the usefulness of a multidimensional view of this complex concept. OBJECTIVE: The aim of this study is to translate, adapt and test the reliability of the SUMD in schizophrenic patients. METHODS: This study involved 35 schizophrenic patients according to the DSM-IV criteria, who where under treatment in the Schizophrenia Program of the Federal University of São Paulo. Two independent examiners conducted the reliability study simultaneously. RESULTS: The results demonstrated that the SUMD achieved a good intraclass reliability coefficients between investigators - ICC ranged from 0.55 to 0.97 - for the general items to assess awareness of mental disorder and 0.56 to 0.98 - for the symptoms items. DISCUSSION: These coefficients were similar to those found by the researchers who developed this scale. The SUMD scale has proven to be easily applied and may be deemed an useful instrument with good psychometrics capacities in researches involving schizophrenic subjects.INTRODUÇÃO: Estudos sugerem que a falta de insight para a doença mental pode ser um fator preditivo de mau prognóstico no curso dos transtornos psicóticos, principalmente em relação à adesão ao tratamento. A Escala para Avaliar a Ausência de Noção do Transtorno Mental - SUMD é uma entrevista aberta semi-estruturada que avalia o insight global do paciente, para a doença e para seus sintomas. A SUMD tem demonstrado boa confiabilidade e validade devido a sua caracter

  14. Escalas para medida de comportamento preventivo em meninas adolescentes frente às DST/HIV: revisão integrativa Escalas de medida de la conducta preventiva en niñas adolescentes frente al ETS/VIH: revisión integradora Scales to preventive measure of behavior in adolescent girls to front STD/HIV: integrative review

    Directory of Open Access Journals (Sweden)

    Fabiane do Amaral Gubert

    2010-12-01

    Full Text Available Desde o surgimento da epidemia da aids no cenário epidemiológico mundial, a prevenção da transmissão do HIV entre mulheres e adolescentes tem sido um dos maiores desafios no controle da doença. Por meio da revisão integrativa, este estudo tem por objetivo descrever os estudos que utilizaram escalas validadas a fim de acessar comportamentos de adolescentes do sexo feminino frente à prevenção das doenças sexualmente transmissíveis. Para seleção dos artigos utilizou-se duas bases de dados: PubMed, arquivo digital produzido pela National Library of Medicine, e Cumulative Index to Nursing and Allied Health Literature (CINAHL; a amostra constitui-se de sete artigos. As escalas apontam que o profissional de saúde deve reconhecer as interações entre os pares, parceiros sexuais e pais para avaliar a vulnerabilidade das adolescentes e incentiva o uso de ferramentas confiáveis para a prática de enfermagem no contexto da prevenção a estes agravos.Desde los albores de la epidemia de SIDA en el escenario internacional epidemiológica, prevención de la transmisión del VIH entre las mujeres y adolescentes ha sido uno de los mayores retos en el control de la enfermedad. A través de revisión integradora, este estudio tiene como objetivo describir los estudios que utilizan escalas validadas para el acceso de los comportamientos adolescentes de sexo femenino frente a la prevención de las enfermedades de transmisión sexual, enfermedades de transmisión sexual. Para la selección de los artículos usados dos bases de datos: PubMed, arquivo digital produzido em la National Library of Medicine e Cumulative Index to Nursing and Allied Health Literature (CINAHL; la muestra está formada por siete artículos. Las escalas indican que los profesionales de la salud deben reconocer las interacciones entre los compañeros, socios y padres para evaluar la vulnerabilidad de los adolescentes y fomentar el uso de herramientas fiables para la práctica de

  15. The Money Buffer Effect in China: A Higher Income Cannot Make You Much Happier but might Allow You to Worry Less

    Directory of Open Access Journals (Sweden)

    Bin eLi

    2016-02-01

    Full Text Available This study examined the possibility that there is a curvilinear relationship between income and subjective well-being in China. This study also investigated whether this curvilinear relationship is moderated by social class and mediated by respondents’ material affluence. The study was conducted in China, and the sample consisted of 900 blue-collar workers and 546 white-collar workers. The results for emotional well-being showed that income significantly predicted negative affect but not positive affect. This finding indicates that in China, high incomes may not make people happier but might allow them to worry less, which we call the money buffer effect. The results also showed that material affluence mediates the interaction effect between income and social class on subjective well-being. The implications of these results for future research and practice are discussed.

  16. Contribution to Validation of the Student–Teacher Relationship Scale (STRS Italian Version in the Italian Educational Setting Contribución para la validación de la Escala de relaciones entre estudiantes-profesores (STRS versión italiana en el entorno educativo italiano.

    Directory of Open Access Journals (Sweden)

    Michela Fraire

    2009-11-01

    Full Text Available The quality of the relationship teacher-pupil represents a relatively new field of research, both nationally and internationally. Our principal objective is the development and the evaluation of the Student-Teacher Relationship Scale (Pianta, 1996, which aims to assess the quality of the teacher-pupil relationship from the point of view of the latter; our own goal is consequently to recognize the applicability of the STRS to an Italian context, especially by analysing in depth the psychometric characteristics of the Scale. Thanks to the use of the STRS, it is possible to identify precise relational patterns between teacher and pupil, therefore the questionnaire is of decisive importance both for teachers and for whoever else is involved in the field of primary education. Key words: Teacher-pupil relationship, STRS, educational contexts, test.

    La calidad de la relación maestro-alumno es un tema de investigación relativamente reciente, tanto en el contexto nacional, como en el ámbito internacional. Nuestro objetivo es desarrollar y validar el cuestionario Student-Teacher Relationship Scale, instrumento que se propone valorar la calidad de la relación maestro-alumno desde el punto de vista del maestro. La finalidad es, por lo tanto, descubrir la aplicabilidad del instrumento al contexto italiano, analizando las cualidades psicométricas de la escala. Gracias al uso del STRS, es posible localizar estilos relacionales específicos entre el maestro y el alumno. El cuestionario se presenta como un instrumento útil para los maestros y para los que trabajan en el campo educativo.

    Palabras clave: Relación maestro-alumno, STRS, contextos escolares, test.

  17. Reduced Worries of Hypoglycaemia, High Satisfaction, and Increased Perceived Ease of Use after Experiencing Four Nights of MD-Logic Artificial Pancreas at Home (DREAM4

    Directory of Open Access Journals (Sweden)

    Claudia Ziegler

    2015-01-01

    Full Text Available Aims. This study assesses the impact of using an AP-system at home on fear of hypoglycaemia. In addition, satisfaction and acceptance of the new technology are evaluated. Methods. In a multicentre, multinational study of 75 patients using the MD-Logic AP during four consecutive nights in home setting 59 of them (aged 10–54 years, 54% male, HbA1c 7.89 ± 0.69% [62.72 ± 7.51 mmol/mol], diabetes duration 11.6 ± 8.4 yrs answered standardized questionnaires (HFS, adapted TAM, and AP satisfaction before and after using the AP. Results. After experiencing the AP in home setting worries of hypoglycaemia were significantly reduced (before 1.04 ± 0.53 versus after 0.90 ± 0.63; P=0.017. Perceived ease of use as a measure of acceptance with the AP significantly increased after personal experience (before 4.64 ± 0.94 versus after 5.06 ± 1.09; P=0.002. The overall satisfaction mean score after using the AP was 3.02 ± 0.54 (range 0–4, demonstrating a high level of satisfaction with this technology. Conclusions. The four-night home-based experience of using MD Logic AP was associated with reduced worries of hypoglycaemia, high level of satisfaction, and increased perceived ease of use of the new technology in children, adolescents, and adults.

  18. "I should be doing more for my parent:" Chinese adult children's worry about performance in providing care for their oldest-old parents.

    Science.gov (United States)

    Liu, Jinyu; Bern-Klug, Mercedes

    2016-02-01

    In China, as is the case in most of the world, family is the largest source of support for frail older adults. Confucian filial piety expectations hold children-in particular sons-responsible for the care of aging parents in China. During the course of caregiving, in addition to positive feelings, the caregiver may feel overwhelmed, entrapped, and worried about their performance, which can have negative health consequences. The purpose of this exploratory study is to examine one dimension of caregiver burden "worry about performance" (WaP) and investigate whether variables inspired by Pearlin's Stress Process Model help to explain the variation of WaP, so that at-risk caregivers can be identified and supported. Multiple regression was used to analyze CLHLS data from 895 Chinese adult children providing care for their oldest old parent in eight coastal provinces in China. WaP was measured by two items from the Zarit Burden Inventory. Independent variables representing concepts from Pearlin's Stress Process Model and control variables were included in the models. Compared to a model of control variables only, using independent variables inspired by Pearlin's Stress Process Model increased the ability to explain the variation in WaP by three fold to 14%. The following variables increased WaP: parent's IADL level, the amount of time spent caregiving, being a daughter, reporting an emotionally close relationship with the parent, sharing a residence with the parent. Despite not being able to fully operationalize Pearlin's Model with this dataset, analyzing variables that represent concepts from the model was useful in increasing the ability to explain the variation in WaP. Results suggest that caregiver support directed at daughters may be particularly beneficial.

  19. A RCT Comparing Daily Mindfulness Meditations, Biofeedback Exercises, and Daily Physical Exercise on Attention Control, Executive Functioning, Mindful Awareness, Self-Compassion, and Worrying in Stressed Young Adults.

    Science.gov (United States)

    de Bruin, Esther I; van der Zwan, J Esi; Bögels, Susan M

    2016-01-01

    Our Western society is characterized by multitasking, competition, and constant time pressure. Negative effects of stress for the individual (anxiety, depression, somatic complaints) and for organizations and society (costs due to work absence) are very high. Thus, time-efficient self-help interventions to address these issues are necessary. This study assessed the effects of daily mindfulness meditations (MM) versus daily heart rate variability biofeedback (HRV-BF) and daily physical exercise (PE) on attention control, executive functioning, mindful awareness, self-compassion, and worrying. Young adults (n = 75, age range 18 to 40) with elevated stress levels were randomized to MM, HRV-BF, or PE, and measurements were taken at pre-test, post-test, and follow-up. Interventions in all three groups were self-guided and lasted for 5 weeks. Generalized estimating equation analyses showed that overall, all three interventions were effective and did not differ from each other. However, practice time differed between groups, with participants in the PE group practicing much more than participants in the other two groups. Therefore, additional analyses were carried out in two subsamples. The optimal dose sample included only those participants who practiced for at least 70 % of the total prescribed time. In the equal dose sample, home practice intensity was equal for all three groups. Again, the effects of the three interventions did not differ. In conclusion, MM, HRV-BF, and PE are all effective self-help methods to improve attention control, executive functioning, mindful awareness, self-compassion, and worrying, and mindfulness meditation was not found to be more effective than HRV-biofeedback or physical exercise for these cognitive processes.

  20. A device for taking samples of scale from bore pipes used for collecting groundwater; Dispositivo para la toma de muestras de incrustaciones en tuberias de sondeos en la captacion de aguas subterraneas

    Energy Technology Data Exchange (ETDEWEB)

    Martinez Rubio, J.; Ruano Magan, P. [Tecnologias y Servicios Agrarios, S. A. (Spain); Gonzalez Yelamos, J. [Universidad Autonoma de Madrid (Spain); Rebollo Ferreiro, L. F. [Universidad de Alcala (Spain)

    2000-07-01

    A study was made of the problem of corrosion/scale in water collection bore pipes, beginning with a review of the existing literature. This led to the conclusion that thorough knowledge of such phenomena requires taking samples from the walls of the pipes and filters to determine the physiocochemical and biological details. A new instrument, based on a previous appliance, has been developed for this purpose. It has a pair of arms and is capable of going down inside the well or bore hole, generally with a video camera attached. It has a cup on the end of each arm that can scrape the wall, catch the sample and protect it with a lid. A prototype has proved to be efficient at obtaining representative samples that can be analysed to determine the corrosion/scale processes. (Author) 9 refs.

  1. Validação do Modified Pulmonary Functional Status and Dyspnea Questionnaire e da escala do Medical Research Council para o uso em pacientes com doença pulmonar obstrutiva crônica no Brasil Validation of the Modified Pulmonary Functional Status and Dyspnea Questionnaire and the Medical Research Council scale for use in Brazilian patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Demetria Kovelis

    2008-12-01

    Full Text Available OBJETIVO: Verificar a validade e a reprodutibilidade do uso de dois instrumentos subjetivos para avaliar a limitação nas atividades da vida diária (AVD em pacientes com doença pulmonar obstrutiva crônica (DPOC no Brasil: o Pulmonary Functional Status and Dyspnea Questionnaire - Modified version (PFSDQ-M e a escala do Medical Research Council (MRC. MÉTODOS: Trinta pacientes com DPOC (17 homens; idade, 67 ± 10 anos; volume expiratório forçado no primeiro segundo, 42% ± 13% do predito responderam por duas vezes às versões em português dos dois instrumentos com intervalo de uma semana. O PFSDQ-M contém três componentes: influência da dispnéia nas AVD, influência da fadiga nas AVD, e mudança nas AVD em comparação ao período anterior à doença. A escala do MRC é simples, com apenas cinco itens, dentre os quais o paciente escolhe qual o seu nível de limitação nas AVD devido à dispnéia. O tradicional questionário Saint George's Respiratory Questionnaire (SGRQ, já validado para o uso no Brasil, foi utilizado como critério de validação. RESULTADOS: A confiabilidade em reteste do PFSDQ-M utilizando o coeficiente de correlação intraclasse foi de 0,93, 0,92 e 0,90 para os componentes dispnéia, fadiga e mudança, respectivamente, enquanto que esta foi de 0,83 para a escala do MRC. A análise dos gráficos de Bland e Altman mostrou boa concordância entre a aplicação e a reaplicação do PFSDQ-M. Os componentes do PFSDQ-M e a escala do MRC se correlacionaram significativamente com os domínios e o escore total do SGRQ (0,49 OBJECTIVE: To determine the validity and reproducibility of two subjective instruments to assess limitations in activities of daily living (ADLs in patients with chronic obstructive pulmonary disease (COPD in Brazil: the Pulmonary Functional Status and Dyspnea Questionnaire - Modified version (PFSDQ-M and the Medical Research Council (MRC scale. METHODS: Thirty patients with COPD (age, 67 ± 10 years

  2. Comparison of Gridded and Measured Rainfall Data for Basin-scale Hydrological Studies Comparación de Datos de Precipitación Grillados y Medidos para Estudios Hidrológicos a Escala de Cuenca

    Directory of Open Access Journals (Sweden)

    Enrique Muñoz

    2011-09-01

    Full Text Available Global gridded climatological (GGC datasets, including precipitation and temperature, are becoming more and more precise, accessible, and common, but the utility of these datasets and their limits for hydrological research are still not well determined. In this paper, we compare the performance of two hydrological models that are identical in structure but built with two different inputs: rainfall from rain gauge stations and from a GGC dataset. The objective is to evaluate the utility of gridded datasets in water resource availability studies mainly for hydroelectric and agricultural purposes. The Andean basin of the Laja River, located in south-central Chile, was chosen for this study. It was based on an 18-yr simulation, and it was concluded that i with gridded climatological datasets in a monthly water balance model, it is possible to reproduce the behavior of an Andean basin with good goodness-of-fit, but with worse results than when using inputs from rain gauges; ii the amount of rainfall in gridded datasets in the Andean area of the Laja basin is underestimated and damped, an effect which is transferred to the simulated flows; and iii regarding the main activities in the Laja basin, global gridded datasets are useful for hydrological studies with agricultural purposes prior to a treatment that considers the orographic effect. On the other hand, these datasets are useless for hydroelectric purposes due to the large underestimation of peak flows obtained during the rainy season.Datos grillados a escala mundial como precipitación y temperatura están siendo cada vez más precisos, accesibles y comunes, pero la utilidad de estos datos y sus limitaciones para estudios hidrológicos, todavía no están bien definidas. En este trabajo se compara el comportamiento de dos modelos hidrológicos, idénticos en estructura, pero construidos con dos entradas diferentes: la precipitación proveniente de estaciones pluviométricas y la precipitaci

  3. Safety system for the production of carbon nanoparticles on a laboratory scale Sistema de seguridad para elaborar nanopartículas de carbono a escala de laboratorio Sistema de segurança para elaborar nanopartículas de carbono à escala laboratorial

    Directory of Open Access Journals (Sweden)

    Jorge Castillo Álvarez

    2012-08-01

    Full Text Available Carbon nanoparticles (CNPs are among the most extensively used nanoparticles, because of their unique and superior properties. However, many of the properties that make CNPs so useful can also make them toxic to cells and organisms and, therefore, they should be treated with caution. The Center for Technological Applications and Nuclear Development (CEADEN is currently carrying out a research program that includes synthesis of CNPs using submerged arc discharge in water. This article describes the nanosafety system implemented in the laboratories of CEDAEN to promote the best practices with CNPs. This system has been based on a prior safety analysis. The ‘What if’ method was used in combination with decision tree analysis to classify laboratories according to relative danger levels, so-called biological safety levels. The significantly important dangers were identified. Risk assessment of these dangers was undertaken using a Probability/Consequence matrix that reflected the risk associated with each of the events analyzed, which were then classified into three categories of high, medium and low risk. Finally, the protective, technical and organizational measures defined from the risk analysis were implemented in the form of safety procedures.Las nanopartículas de carbono (NPC han sido de las más utilizadas, debido a sus propiedades. Muchas de estas propiedades que hacen tan útil a las NPC también pueden hacerlas tóxicas para las células y el organismo y por lo tanto deben ser manipuladas con precaución. El Centro de Aplicaciones Tecnológicas y Desarrollo Nuclear (CEADEN está desarrollando un programa de investigación que incluye la síntesis NPC usando el método de descarga de arco sumergida en agua. En este trabajo se describe el sistema de nanoseguridad implementado en los laboratorios del CEADEN para el desarrollo de las mejores prácticas con NPC. Dicho sistema se construyó sobre la base de un análisis de seguridad. Se us

  4. Herramienta para hacer cuestionarios para Moodle

    OpenAIRE

    Muñoz Garcia, jesus

    2010-01-01

    Herramienta de creación de cuestionarios remotos de cuestiones SQL para Moodle. Permite también, el Aprendizaje colaborativo, para que los estudiantes puedan hacer cuestionarios de forma conjunta y desarrollar habilidades de trabajo en equipo. / Tool for Moodle to create remote quiz with SQL question. It also allows collaborative learning, so students can do together remote quiz and develop teamwork and social skills.

  5. Validation of the Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40 scale in the portuguese language Validação da escala ALSAQ-40 em pacientes com esclerose lateral amiotrófica para a língua portuguesa

    Directory of Open Access Journals (Sweden)

    Karina Pavan

    2010-02-01

    Full Text Available The amyotrophic lateral sclerosis (ALS is a degenerative neurological disorder that has a great impact in the quality of life of the patients. This study had the objective of validating the ALS Assessment Questionnaire in the Portuguese Language (ALSAQ-40/BR. The version of ALSAQ-40/BR, was adapted into the Portuguese language after the evaluation and re-evaluation of 20 patients with a defined ALS diagnosis. The demonstration of its reproducibility and reliability makes this instrument an additional and useful parameter which can be used in the evaluation of ALS for research or assistance.Esclerose lateral amiotrófica, doença neurológica degenerativa, apresenta grande impacto na qualidade de vida dos pacientes. Este estudo teve como objetivo realizar a adaptação transcultural e validação da escala Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40 nestes pacientes. Foi aplicada em 20 pacientes com reteste após 30 dias. A tradução para o português e sua adequação às condições socioeconômicas e culturais da nossa população, bem como a demonstração de sua reprodutibilidade e validade, tornam este instrumento um parâmetro adicional útil que pode ser utilizado na avaliação da ELA seja em nível de pesquisa ou assistencial.

  6. Adaptação transcultural para o português brasileiro da escala effort-reward imbalance: um estudo com trabalhadores de banco Transcultural adaptation into Brazilian Portuguese of the effort-reward imbalance scale: a study with bank workers

    Directory of Open Access Journals (Sweden)

    Luiz Sérgio Silva

    2010-01-01

    Full Text Available OBJETIVO: Descrever a adaptação transcultural da escala effort-reward imbalance para o português brasileiro e analisar a validade e a confiabilidade da adaptação. MÉTODO: Foi utilizado o método da tradução/retrotradução. A consistência interna, a confiabilidade teste-reteste e a estrutura fatorial da escala adaptada foram testadas em uma amostra de 100 trabalhadores de um banco estatal brasileiro, de ambos os sexos, com diferentes idades e níveis educacionais. RESULTADOS: A versão adaptada foi denominada escala de desequilíbrio esforço-recompensa. Dos 100 trabalhadores, 62% eram do sexo masculino. A idade variou entre 23 e 65 anos (média de 39 anos; a escolaridade, entre 3 e 27 anos (média de 15 anos; e o tempo de trabalho na empresa, entre 1 e 31 anos (média de 11 anos. O alfa de Cronbach para as três dimensões da escala - esforço, recompensa e comprometimento excessivo - foi de 0,70, 0,95 e 0,86, respectivamente. Os coeficientes de correlação intraclasse para as mesmas dimensões foram 0,82, 0,96 e 0,91. A análise fatorial manteve todos os itens iniciais da escala e foi consistente com os componentes de construto do modelo teórico. CONCLUSÃO: Os resultados indicam que a adaptação transcultural para português brasileiro da escala de desequilíbrio esforço-recompensa foi bem-sucedida e é adequada para avaliar esse desequilíbrio em ambientes de trabalho.OBJECTIVE: To describe the transcultural adaptation of the effort-reward imbalance scale into Brazilian Portuguese and to examine the resulting construct's validity and reliability. METHOD: Forward and backward translation was used. Internal consistency, test-retest reliability, and factor structure were tested in a sample of 100 individuals of both sexes working at a large government-owned Brazilian bank. The sample included different age groups and schooling levels. RESULTS: The adapted version was named escala de desequilíbrio esforço-recompensa. Cronbach

  7. A study to solve the variability of wind generation through integration of large-scale hydraulic generation; Um estudo para resolver a variabilidade da geracao eolica atraves da integracao em larga escala com geracao hidraulica

    Energy Technology Data Exchange (ETDEWEB)

    Emmerik, Emanuel Leonardus van; Steinberger, Johann Michael; Aredes, Mauricio [Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEE/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Eletrica

    2010-07-01

    The optimal deployment of wind generation with the hydro generation is being investigated as a viable option to assist in resolving the constraints coming ahead as a consequence of the tendency of recovery in the Brazilian Amazon basin for expansion of generating facilities. It is in the validity of this research that this work is focused. The value is shown of feasibility studies of using water power generation to offset the variability of wind generation when it is deployed on a large scale. Preliminary results are presented for the variability of wind generation at various cycles, the variability of the availability of hydropower. (author)

  8. Validade e confiabilidade intra e interexaminadores da Escala Observacional de Marcha para crianças com paralisia cerebral espástica Validity and intra- and inter-rater reliability of the Observational Gait Scale for children with spastic cerebral palsy

    Directory of Open Access Journals (Sweden)

    PA Araújo

    2009-06-01

    Full Text Available CONTEXTUALIZAÇÃO: A avaliação observacional da marcha é uma abordagem clínica importante para a avaliação das desordens da marcha. Sistemas de análise quantitativa da marcha oferecem informações acuradas, entretanto o alto custo desses instrumentos tornam a análise observacional mais acessível para a prática clínica. OBJETIVOS: Desenvolver uma escala observacional de marcha (EOM para caracterizar a marcha de crianças com paralisia cerebral espástica (PCE e testar sua confiabilidade e validade de critério, comparando-a com o sistema computadorizado de análise de movimento, padrão ouro para avaliação cinemática da marcha. MÉTODOS: Vinte e três vídeos de crianças com PCE (9,54±2,22 anos foram avaliados por meio da EOM por quatro fisioterapeutas em duas sessões. Dados cinemáticos do complexo tornozelo/pé, joelho, quadril e pelve foram obtidos usando o sistema de análise de movimento Qualisys Pro-reflex. Para estabelecer a validade de critério e a confiabilidade intra e interexaminadores, os resultados obtidos da EOM foram comparados com os dados do sistema de análise de movimento, entre as duas sessões e entre examinadores. Teste Kappa ponderado foi aplicado para analisar a concordância entre as avaliações. RESULTADOS: A EOM apresentou validade muito boa para joelho (r=0,64, pBACKGROUND: Observational gait assessment is an important clinical approach to the evaluation of gait disorders. Quantitative gait analysis systems provide accurate information, but the high cost of these instruments makes observational analysis more affordable to clinical practice. OBJECTIVES: To develop an observational gait scale (OGS for characterizing the gait of children with spastic cerebral palsy (SCP and to evaluate its validity and reliability criteria in comparison with a computerized motion analysis system representing the gold standard for kinematic gait assessment. METHODS: Twenty-three videos of children with SCP (9.54 ± 2

  9. Theoretical model to determine the energy behavior of test modules at scale of constructions for the efficient use of energy; Modelo teorico para determinar el comportamiento energetico de modulos de prueba a escala de edificaciones para el uso eficiente de la energia

    Energy Technology Data Exchange (ETDEWEB)

    Acoltzi, Higinio; Alvarez, Gabriela [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2001-07-01

    In this work a theoretical model of the energy behavior of test modules and its experimental verification is presented. The model determines the history of electrical energy consumption to maintain the comfort conditions in the interior of the modules, with respect to the variation of the materials of ceilings and windows with the purpose of establishing criteria of application of these materials in the construction industry. The measured results of the consumption of the accumulated energy are presented. [Spanish] En este trabajo se presenta un modelo teorico del comportamiento energetico de modulos de prueba y su verificacion experimental. El modelo determina la historia del consumo de energia electrica para mantener las condiciones de confort al interior de los modulos, respecto a la variacion de los materiales de los techos y ventanas, con el objeto de establecer criterios de aplicacion de dichos materiales en la industria de la edificacion. Se presentan los resultados medidos del consumo de energia acumulada.

  10. Escala de avaliação de traços autísticos (ATA: validade e confiabilidade de uma escala para a detecção de condutas artísticas Validity and reliability of a scale for the assessment of austistic behaviour

    Directory of Open Access Journals (Sweden)

    FRANCISCO B. ASSUMPÇÃO JR.

    1999-03-01

    Full Text Available O objetivo deste estudo foi, a partir da análise de uma população de 31 pacientes portadores de deficiência mental e de 30 pacientes diagnosticados como portadores de autismo, conforme os critérios diagnósticos do DSM-IV, traduzir, adaptar e validar a escala de traços autísticos, construída em Barcelona por Ballabriga e colaboradores. O ponto de corte encontrado foi 15 (p= 0,05; o coeficiente de variação (confiabilidade, 0,27; a validade externa mostrou baixa concordância (kappa= 0,04 e a validade interna foi 100%, mostrando que, em todos os pacientes avaliados, os diagnósticos clínicos concordaram com os realizados através da escala. O índice de correlação foi 0,42, mostrando-se específico para os quadros autísticos. Apresentou ainda, capacidade de discriminação e consistência interna, com alfa de Cronbach 0,71 . Consideramos, assim, que a escala mostra-se confiável para a sua utilização em nosso meio.This study aimed to translate, to adapt and to validate the scale of autistic traits (ATA developed by Ballabriga et al. in Barcelona, by the analysis of 31 patients with mental deficiency and 30 patients with autism, according to the DSM-IV criteria. The "cut off point" found was 15 (p= 0.05; the reliability coefficient was 0.27; the construct validity showed low agreement (kappa=0.04 and the internal validity was 100%, with all evaluated patients having their clinical diagnosis confirmed through the scale application. The correlation index was 0.42, showing that it is specific for autism. The scale presents discrimination capacity and internal consistency, and the Cronbach's alpha was 0.71. We consider that achieved results show that the scale is reliable to be used in our population.

  11. Vivenciando um mundo de procedimentos e preocupações: experiência da criança com Port-a-Cath Vivenciando un mundo de procedimientos y preocupaciones: experiencia del niño con Port-a-Cath A world of procedures and worries: experience of children with a Port-a-Cath

    Directory of Open Access Journals (Sweden)

    Circéa Amalia Ribeiro

    2009-01-01

    ventajas de la utilización del Port-a-Cath, pero que su utilización es fuente de ansiedad, limitaciones y preocupaciones, especialmente las relacionadas al riesgo de infección, y que se sentieron felices, confortadas y fortalecidas con el hecho de jugar. CONSIDERACIONES FINALES: Los enfermeros necesitan estar preparados para asistir a esos niños integralmente y para utilizar sistemáticamente el Juego Terapéutico como instrumento de comunicación e intervención de enfermería.OBJECTIVES: To understand the experience of children with cancer who have a port-a-cath using a session of therapeutic instructional play to decrease children worries and anxieties. METHODS: Descriptive qualitative study with 6 children and 1 teenager. Data were collected through a session of therapeutic play and analyzed through content analysis. RESULTS: Invasive procedures generated children's anxiety, worry, fear, and pain. The children recognized the need of medical procedures, medications, physical examinations, and laboratory tests. In addition, they also recognized the advantage of the use of the port-a-cath; however, its use was a source of anxiety and worries, especially in regard to infections. The use of therapeutic play made them happier, comfortable, and feeling stronger. FINAL CONSIDERATIONS: Nurses need to be prepared to fully care for children with cancer who have a port-a-cath and to systematically use therapeutic play as a useful strategy for nursing communication and intervention.

  12. Prospective conceptual qualification of hybrid centrifugation/distillatory for {sup 6}LI nuclear fusion technology scaled supply demands; Calificacion conceptual prospectiva de centrifugador/destilador hibrido para produccion de {sup 6}Li a demanda de la tecnologia Nuclear Fusion

    Energy Technology Data Exchange (ETDEWEB)

    Sedano, L.; Herranz, J. L.; Casado, J. L.; Castro, P.; Xiberta, J.

    2013-07-01

    The change in the demand for exploitation of lithium as a resource appears during the last decade, related to the development of the ion-Li batteries market and with the requirements of Nuclear Fusion fuels (deuterium and lithium) as coming energy option. A prospective analysis of synergistic demands of both markets, in its technical and in its economic aspects appears of prospective interest. The civil market {sup 6}Li/{sup 7}Li enrichment demand is analyzed. Specific technological developments permitting on-line production according to demand is discussed. A [centrifugation /thermal diffusion / combined distillation] technique is selected and qualified as technologically viable option for scaled production of litiated-forms. A conceptual design of a production plant is finally proposed according to the new technical capability.

  13. The future-oriented repetitive thought (FoRT) scale: A measure of repetitive thinking about the future.

    Science.gov (United States)

    Miranda, Regina; Wheeler, Alyssa; Polanco-Roman, Lillian; Marroquín, Brett

    2017-01-01

    Repetitive thinking about the future has been suggested as one way in which individuals may become hopeless about the future. We report on a new scale assessing future-oriented repetitive thinking, termed the Future-Oriented Repetitive Thought (FoRT) Scale. In Study 1, an exploratory factor analysis was conducted with data from 1071 individuals who completed the scale. Study 2 describes a confirmatory factor analysis with a revised version of the scale on a sample of 612 individuals, a subsample of whom (N=99) also completed measures of repetitive thought (rumination, worry), hopelessness-related cognitions, and symptoms of depression and generalized anxiety disorder in order to examine evidence for the measure's convergent, discriminant, and concurrent validity. Study 3 examined the scale's concurrent validity in distinguishing between individuals with and without a history of suicidal ideation and attempts. A three-factor solution emerged in Study 1, and this solution was confirmed in Study 2. In addition, the FoRT scale demonstrated moderate associations with other measures of repetitive thought (rumination, worry), with hopelessness-related cognitions, and with symptoms of depression and generalized anxiety. Finally, the FoRT scale distinguished between individuals with and without a history of suicidal ideation and attempts. Cross-sectional data limit conclusions that can be drawn about directionality. These findings suggest that the newly developed FoRT scale is a reliable and valid measure of future-oriented repetitive thought. Copyright © 2016 Elsevier B.V. All rights reserved.

  14. Problematic for the implementation of large-scale photovoltaic systems in Mexico, according to the enterprise perspective; Problematica para la implementacion masiva de sistemas fotovoltaicos en Mexico desde la perspectiva de las empresas

    Energy Technology Data Exchange (ETDEWEB)

    Barquet Abad, Jose Luis [Asociacion Mexicana de Provedores de Energias Renovables A.C, San Luis Potosi, S.L.P (Mexico)

    2007-06-15

    This presentation gives the reasons why Mexico should implement photovoltaic systems. Then, there are described the weak points existing in the political sphere and in the Mexican culture by means of a comparison between this country and those countries that already use such systems. In the first part, there are given the reasons why neither investors nor Small and Medium-sized enterprises (SMEs) have yet presented any profitable photovoltaic system projects. Next, there are described the actions that have already been done in different foreign countries in order to foster the use of photovoltaic systems, in some cases, there are mentioned the positive results obtained, among there can be found: the incentive for development of renewable energy sources law and other special issues in the Dominican Republic, the Feed-In Tariff program of the European Union and of the Ontario, Canada; supports given by the State of California, US. Finally, there are described the reasons why Mexico would be one of the major leaders regarding to the production of renewable energy. [Spanish] Esta presentacion nos explican las razones por las que Mexico debe de implementar sistemas fotovoltaicos; ademas, describe los puntos endebles en la politica y en la cultura mexicana, haciendo una comparativa de resultados con los paises que ya estan utilizando estos sistemas. En la primera parte, se encontraran las razones por las que, hasta el momento, no hay proyectos rentables de sistemas fotovoltaicos por parte de inversionistas o de Pymes. Enseguida, se describen las acciones que han realizado diversos paises extranjeros para fomentar el uso de sistemas fotovoltaicos, mencionando en algunos casos los resultados positivos que se han obtenido, entre los que se encuentran: la Ley de incentivo a las energias renovables y regimenes especiales de la Republica Dominicana, Programa de tarifas Feed-in de la Union Europea y de Ontario, Canada; apoyos dados por parte del Estado de California, EU

  15. Equipamiento para exhibiciones itinerantes

    OpenAIRE

    Montemurro, Florencia

    2012-01-01

    El trabajo consiste en el diseño de un equipamiento para muestras itinerantes para el Museo de Ciencias Naturales de la ciudad de La Plata. Para su desarrollo se tomó como concepto la desestructuración de la imagen del Museo. El objetivo era generar una imagen más actual y renovada de este establecimiento como estrategia para atraer diferentes tipos de visitantes. (Párrafo extraído del texto a modo de resumen) Facultad de Bellas Artes

  16. Maslowian Scale.

    Science.gov (United States)

    Falk, C.; And Others

    The development of the Maslowian Scale, a method of revealing a picture of one's needs and concerns based on Abraham Maslow's levels of self-actualization, is described. This paper also explains how the scale is supported by the theories of L. Kohlberg, C. Rogers, and T. Rusk. After a literature search, a list of statements was generated…

  17. Repito para recordar : Recuerdo para religar

    OpenAIRE

    Juárez, Horacio Eduardo

    2015-01-01

    Tanto la repitencia y el abandono escolar continúan generando importantes desafíos para el sistema educativo, a pesar de los grandes esfuerzos realizados en los últimos años en la Argentina para mejorar la inclusión y la calidad educativa. El presente proyecto de investigación de tipo cualitativo, se propone explorar a través de conceptos psicológicos como la transferencia, la influencia del profesor de educación física en el rendimiento académico del alumno de escuela secundaria. El vínculo ...

  18. Supportive care needs and distress in patients with non-melanoma skin cancer: Nothing to worry about?

    Science.gov (United States)

    Körner, Annett; Garland, Rosalind; Czajkowska, Zofia; Coroiu, Adina; Khanna, Manish

    2016-02-01

    There is a paucity of psychosocial research on non-melanoma skin cancer (NMSC) despite the fact that these malignancies mainly develop on the head and neck, frequently recur, and are associated with an increased risk for other cancers. The current study aims to respond to this gap in the scholarship by determining the prevalence of supportive care needs and examining the relationship between patients' needs and distress. A cross-sectional research protocol included a consecutive sample of 60 patients with squamous and/or basal cell carcinomas who completed a survey comprised of the Skin Cancer Index (SCI), the Hospital Anxiety and Depression Scale (HADS), the Supportive Care Needs (SCNS) Survey, an inquiry about informational needs regarding skin cancer prevention, and a socio-demographic questionnaire. More than half of the patients indicated unmet needs, most frequently endorsing moderate and high needs for help with: the prevention of future skin cancers, the health system and informational matters. Psychological needs were strongly associated with skin cancer-specific and general distress. Higher levels of anxious and depressive symptoms were related to greater patient needs across all domains. Despite NMSC not being life threatening in most cases, there is a significant proportion of patients, who have unmet supportive care needs and experience heightened distress levels. This study raises awareness for health care professionals to be vigilant about the supportive care needs and the psychological health of patients with non-melanoma skin cancer. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Desenvolvimento e validação da versão em português da Escala de Barreiras para Reabilitação Cardíaca Development and validation of the Brazilian Portuguese version of the Cardiac Rehabilitation Barriers Scale

    Directory of Open Access Journals (Sweden)

    Gabriela Lima de Melo Ghisi

    2012-04-01

    Full Text Available FUNDAMENTO: As doenças cardiovasculares possuem alta incidência e prevalência no Brasil, porém a participação na Reabilitação Cardíaca (RC é limitada e pouco investigada no país. A Escala de Barreiras para Reabilitação Cardíaca (CRBS foi desenvolvida para avaliar as barreiras à participação e aderência à RC. OBJETIVO: Traduzir, adaptar culturalmente e validar psicometricamente a CRBS para a língua portuguesa do Brasil. MÉTODOS: Duas traduções iniciais independentes foram realizadas. Após a tradução reversa, ambas versões foram revisadas por um comitê. A versão gerada foi testada em 173 pacientes com doença arterial coronariana (48 mulheres, idade média = 63 anos. Desses, 139 (80,3% participantes de RC. A consistência interna foi avaliada pelo alfa de Cronbach, a confiabilidade teste-reteste pelo coeficiente de correlação intraclasse (ICC e a validade de construto por análise fatorial. Testes-T foram utilizados para avaliar a validade de critério entre participantes e não participantes de RC. Os resultados da aplicação em função das características dos pacientes (gênero, idade, estado de saúde e grau de escolaridade foram avaliados. RESULTADOS: A versão em português da CRBS apresentou alfa de Cronbach de 0,88, ICC de 0,68 e revelou cinco fatores, cuja maioria apresentou-se internamente consistente e todos definidos pelos itens. O escore médio para pacientes em RC foi 1,29 (desvio padrão = 0,27 e para pacientes do ambulatório 2,36 (desvio padrão = 0,50 (p BACKGROUND: Cardiovascular diseases show high incidence and prevalence in Brazil; however, participation in Cardiac Rehabilitation (CR is limited and has been poorly investigated in the country. The Cardiac Rehabilitation Barriers Scale (CRBS was developed to assess the barriers to participation and adherence to CR. OBJECTIVE: To translate, cross-culturally adapt and psychometrically validate CRBS to Brazilian Portuguese. METHODS: Two independent

  20. Helicity scalings

    Energy Technology Data Exchange (ETDEWEB)

    Plunian, F [ISTerre, CNRS, Universite Joseph Fourier, Grenoble (France); Lessinnes, T; Carati, D [Physique Statistique et Plasmas, Universite Libre de Bruxelles (Belgium); Stepanov, R, E-mail: Franck.Plunian@ujf-grenoble.fr [Institute of Continuous Media Mechanics of the Russian Academy of Science, Perm (Russian Federation)

    2011-12-22

    Using a helical shell model of turbulence, Chen et al. (2003) showed that both helicity and energy dissipate at the Kolmogorov scale, independently from any helicity input. This is in contradiction with a previous paper by Ditlevsen and Giuliani (2001) in which, using a GOY shell model of turbulence, they found that helicity dissipates at a scale larger than the Kolmogorov scale, and does depend on the helicity input. In a recent paper by Lessinnes et al. (2011), we showed that this discrepancy is due to the fact that in the GOY shell model only one helical mode (+ or -) is present at each scale instead of both modes in the helical shell model. Then, using the GOY model, the near cancellation of the helicity flux between the + and - modes cannot occur at small scales, as it should be in true turbulence. We review the main results with a focus on the numerical procedure needed to obtain accurate statistics.

  1. Quality of life scale in parkinson's disease PDQ-39 - (Brazilian Portuguese version to assess patients with and without levodopa motor fluctuation Escala para qualidade de vida na doença de Parkinson - PDQ 39 (versão do Português falado no Brasil como instrumento para avaliação de pacientes com e sem flutuação motora decorrente da levodopa

    Directory of Open Access Journals (Sweden)

    Renata Guzzo Souza

    2007-09-01

    Full Text Available Quality of life (QoL is an important treatment outcome indicator in Parkinson's disease (PD. The aim of this study is to assess the usefulness of the Parkinson's disease questionnaire - PDQ-39 (Brazilian Portuguese Version in measuring QoL of PD patients with or without motor fluctuations. Fifty-six PD patients with mean disease duration of 7.4 years were assessed and 41 of them (73.3% had motor fluctuations. The PDQ-39 has eight dimensions ranging from 0 to 100; being the higher the score, the worse the QoL. Comparing groups with and without motor fluctuations showed that the dimensions mobility, activities of daily living (ADL, communication and bodily discomfort scored higher in the fluctuating group. There was a tendency to see that the higher the Hoehn and Yahr (HY scale stages, the higher the PDQ-39 scores. Patients suffering from the disease for more than five years had worse PDQ-39 scores only in the items ADL and communication, when compared with those with the disease for A qualidade de vida (QdV é um item importante para se mensurar o sucesso do tratamento na doença de Parkinson (DP. O objetivo deste estudo foi o de avaliar a utilidade do questionário sobre a doença de Parkinson - PDQ-39 (versão em língua portuguesa falada no Brasil para mensurar a QdV dos pacientes parkinsonianos com e sem flutuação motora. Nós avaliamos 56 pacientes com DP com tempo médio da doença de 7,4 anos, e destes 41 (73,3% apresentavam flutuação motora. A PDQ-39 tem oito domínios que variam de 0 a 100 e quanto maior o escore pior a QdV. A comparação dos grupos de pacientes com e sem flutuação motora mostrou que os domínios: mobilidade, atividades de vida diária, comunicação e desconforto corporal tinham escores maiores nos flutuadores. Quanto maiores os estágios de Hoehn e Yahr (HY da doença, maiores os escores da PDQ-39. Pacientes com mais de 5 anos de evolução da doença mostraram escores piores da PDQ39 apenas nos itens atividades

  2. Escala de violencia e índice de severidad: una propuesta metodológica para medir la violencia de pareja en mujeres mexicanas Violence scale and severity index: a methodological proposal for measuring violence by the partner in Mexican women

    Directory of Open Access Journals (Sweden)

    Rosario Valdez-Santiago

    2006-01-01

    correspondientes a violencia económica, quedando un total de 19 reactivos a los que se les aplicaron los pesos obtenidos en el jueceo. El puntaje mínimo fue 0 y el máximo fue de 354. A través de la clasificación propuesta, se calcularon las siguientes prevalencias: 21% sufrió, en los últimos 12 meses, algún tipo de violencia por parte de su pareja actual. La violencia por tipos se distribuyó de la siguiente manera: psicológica 18.5%; física 10.1%; física severa 6.7%; y sexual 7%. CONCLUSIÓN: La escala de violencia desarrollada demostró ser un instrumento útil y confiable para medir la violencia masculina ejercida en las relaciones de pareja. Así entonces, se sugiere ampliar su uso en otras mediciones nacionales y locales para permitir la comparación posterior de los resultados.OBJECTIVE: To construct and validate a scale to assess violence by the male partner against women. An index of severity of the emotional and physical damage was also designed to assess the intensity of the violent actions against women. MATERIAL AND METHODS: The sample consisted of a total of 26 042 women who participated as respondents in the National Survey on Violence against Women (ENVIM per its abbreviation in Spanish conducted in Mexico during 2003. Respondents were all users of health services provided by the Mexican government. The questionnaire was organized into 17 sections, one of which was a 27-item scale to assess partner violence. The purpose of this scale was to measure the type (physical, emotional, sexual and financial and degree of violence based on severity. A severity index was constructed based on two procedures: 1 the validity, reliability, and factor analyses of the scale and 2 the assessment of severity by expert judges who assigned a value to each item of the scale. RESULTS: The validity and reliability results indicated this scale has adequate internal validity (Cronbach's Alpha=0.99. The factor analysis with Varimax rotation yielded a four-factor solution. The

  3. Model for definition of a semi industrial experimental facility for low-and intermediate-level radioactive wastes for Instituto de Pesquisas Energeticas Nucleares/IPEN or institutions with similar scale needs; Modelo para definicion de una planta experimental semi-industrial para tratamiento de residuos radioactivos de media y baja actividad apropiada a IPEN o instituciones con similar escala de necesidades

    Energy Technology Data Exchange (ETDEWEB)

    Miranda, Luis E.T. [Instituto de Pesquisas Energeticas e Nucleares (IPEN), Sao Paulo, SP (Brazil)

    1997-12-01

    A model for the design, and the definition of scale, of a facility for the treatment of low and intermediate-level radioactive wastes is presented. The facility is designed to manage wastes generated in research and production of radioisotopes and labeled compounds, and wastes coming from users of radioisotopes, including: compatible solid wastes, spent sealed sources, radioactive lightning rods, organic and inorganic liquids, and wet bulk solids. The input is one hundred cubic meters per year of untreated wastes and the output is two hundred drums of treated waste in a form suitable for transportation and disposal. (author). 2 refs., 2 figs., 2 tabs.

  4. Contenção farmacológica do gato-do-mato-pequeno, Leopardus tigrinus, para colheita de sêmen, pela associação de tiletamina zolazepam e xilazina Chemical restraint of tigrinas, Leopardus tigrinus, for semen collection with allometrically scaled doses of tiletamine, zolazepam, and xylazine

    Directory of Open Access Journals (Sweden)

    Julio C. Juvenal

    2008-11-01

    Full Text Available Foram avaliados os efeitos anestésicos da associação de cloridrato de tiletamina, cloridrato de zolazepam e cloridrato de xilazina para contenção farmacológica de gatos-do-mato-pequenos, Leopardus tigrinus Schreber, 1775 (Felidae, submetidos à colheita de sêmen por eletroejaculação. Formularam-se três diferentes protocolos, sendo as doses calculadas individualmente, por meio de extrapolação alométrica interespecífica, com base nas indicações posológicas usuais para o cão doméstico com massa de 10,0 kg. No Protocolo 1 (n=10 a base para o cálculo alométrico foi 5,0mg/kg para tiletamina + zolazepam e 0,5mg/kg para xilazina; no Protocolo 2 (n=12, foi 5,0mg/kg para tiletamina + zolazepam e 0,75mg/kg para xilazina; e no Protocolo 3 (n=11, foi 5,0mg/ kg para tiletamina + zolazepam e 1,0mg/kg para xilazina. Os animais foram anestesiados em três ocasiões, com intervalo mínimo de 30 dias. Após a administração dos fármacos, monitorizaram-se durante 120 minutos freqüência cardíaca, freqüência respiratória, temperatura retal, miorrelaxamento e nocicepção. Também foram avaliados período de latência, período anestésico hábil e contaminação do ejaculado por urina. De um total de 32 colheitas, houve contaminação por urina em 10 colheitas (31,2% e em 18 alíquotas (0,07%, as quais foram desprezadas, não inviabilizando a análise e o processamento do sêmen. Observou-se pequeno aumento da temperatura retal durante a eletroejaculação, justificado pela contração muscular, ocorrendo redução da temperatura após o procedimento. As freqüências cardíaca e respiratória oscilaram durante o experimento, porém se mantiveram dentro dos padrões fisiológicos para a espécie. Nos três protocolos analisados não houve diferença significativa de sensibilidade de membros torácicos entre momentos antes e durante a eletroejaculação (pe"0,10, caracterizando assim a eficácia dos protocolos em propiciar analgesia e

  5. Funciones parentales: Indagación sobre las actitudes hacia el juego infantil y la puesta de límites en un grupo de padres. Elaboración de una escala para evaluarlas Parental functions: Inquiry on attitudes towards children's game and putting limits on group of parents. Development of a scale to evaluate them

    Directory of Open Access Journals (Sweden)

    Graciela Paolicchi

    2011-12-01

    Full Text Available Con la investigación UBACyT (2010-2012 "Juego, apego y poblaciones vulnerables. El juego como facilitador del desarrollo infantil y su relación con las modalidades de apego en poblaciones vulnerables", se comenzó a construir una escala para evaluar las actitudes de los padres hacia el juego infantil y otros tópicos como la puesta de límites y la calidad vincular con sus hijos. Solidariamente a esta tarea, se implementan Talleres a padres -en el marco del Programa de Extensión Universi- taria "Juegotecas Barriales"- en que se que actualizan, entre otros temas, el lugar y el valor del juego en la infancia. Con el fin de diagnosticar la percepción parental sobre el juego infantil y la puesta de límites, al inicio de cada taller se administró una escala tipo Likert. En el presente escrito se presenta esta metodología de carácter cuantitativo, así como se sintetizan algunos de los resultados derivados del uso de este instrumento en un grupo de 104 padres de la Ciudad de Buenos Aires, que corresponde a la primera etapa de la construcción de la escala y otro grupo de 367 padres de la ciudad de Salta, sobre la que se aplicó la escala para continuar con el proceso de construcción y ajuste de los items.With the research UBACyT (2010-2012 "Game, attachment and vulnerable populations. The game as a facilitator of child development and its relation with patterns of affection in vulnerable populations" began to build upa a scale to assess attitudes of parentes towards children´s play and other topics such as setting limits and quality links with their children. The project is consistent with the University Extension Program "Neighborhood playground" in which workshops are deployed to parents whom updates, among other topics, the place and value of playing in childhood. In order to diagnose the parental perception of children's game and a limits setting, at the beginning of each workshop were given a Likert's scale. This paper presents the

  6. Escala de Percepción de Promoción del Bienestar para Entrenadores (EPPBE: Análisis inicial de sus propiedades psicométricas y validez. (Perception of Well-being Promotion for Coaches’ Scale (EPPBE: Initial analysis of psychometrics properties and validity.

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    José Francisco Guzmán

    2011-10-01

    Full Text Available ResumenEste estudio analizó las propiedades psicométricas de la Escala de Percepción de Promoción del Bienestar para Entrenadores (EPPBE, compuesta por 6 dimensiones: Autocontrol, castigo, apoyo social, apoyo a la autonomía, apoyo a la competencia y apoyo a la afiliación. Se administró la escala a 506 entrenadores y se realizó un análisis factorial confirmatorio. La validez nomológica se analizó a través de las relaciones de las variables con la satisfacción de necesidades básicas y la motivación autodeterminada. El modelo mostró un ajuste adecuado a los datos. El castigo percibido no correlacionó con el resto de variables de la escala, que sí mostraron correlaciones positivas entre ellas, hasta el punto de que el apoyo a la competencia y autonomía fueron escasamente diferenciadas, mostrando una correlación muy alta. Se verificaron relaciones positivas de todas las variables, excepto el castigo, con la satisfacción de necesidades y la motivación autodeterminada, siendo negativa solo en el caso del castigo. El castigo solo se relacionó negativamente con la motivación autodeterminada. Estas relaciones apoyaron los postulados de la Teoría de la Autodeterminación y los estudios realizados en atletas. Como conclusión, la escala EPPBE mostró propiedades psicométricas y validez adecuadas para utilizarla como instrumento de medida.AbstractThis study analysed the psychometric properties of the Perception of Well-being Promotion for Coaches’ Scale (EPPBE, which was composed by 6 dimensions: Self-control, punishment, social support, autonomy support, competence support, and relatedness support. The scale was administered to a sample of 506 coaches and a Confirmatory Factorial Analysis was performed. Nomologic validity was analysed by the relationships with psychological need satisfaction and self-determined motivation. The model showed an adequate adjustment to the data. Punishment did not correlate with the other variables

  7. Topical, Non-Medicated LOYON® in Facilitating the Removal of Scaling in Infants and Children with Cradle Cap: a Proof-of-Concept Pilot Study

    OpenAIRE

    Hengge, Ulrich R.

    2014-01-01

    Introduction Cradle cap is a very common condition in infants that presents as greasy, scaly patches on the scalp within the first weeks of life. Although usually disappearing by itself, the condition worries parents because of its appearance. When removing the scales, it is crucial to prevent spot bleedings to avoid infections. The investigational medical device LOYON® (Cetiol® CC, dimethicone) solution (G. Pohl-Boskamp GmbH & Co. KG, Hohenlockstedt, Germany) has the potential to meet these ...

  8. The role of instrumental emotion regulation in the emotions-creativity link: how worries render individuals with high neuroticism more creative.

    Science.gov (United States)

    Leung, Angela K-Y; Liou, Shyhnan; Qiu, Lin; Kwan, Letty Y-Y; Chiu, Chi-Yue; Yong, Jose C

    2014-10-01

    Based on the instrumental account of emotion regulation (Tamir, 2005), the current research seeks to offer a novel perspective to the emotions-creativity debate by investigating the instrumental value of trait-consistent emotions in creativity. We hypothesize that emotions such as worry (vs. happy) are trait-consistent experiences for individuals higher on trait neuroticism and experiencing these emotions can facilitate performance in a creativity task. In 3 studies, we found support for our hypothesis. First, individuals higher in neuroticism had a greater preference for recalling worrisome (vs. happy) events in anticipation of performing a creativity task (Study 1). Moreover, when induced to recall a worrisome (vs. happy) event, individuals higher in neuroticism came up with more creative design (Study 2) and more flexible uses of a brick (Study 3) when the task was a cognitively demanding one. Further, Study 3 offers preliminary support that increased intrinsic task enjoyment and motivation mediates the relationship between trait-consistent emotion regulation and creative performance. These findings offer a new perspective to the controversy concerning the emotions-creativity relationship and further demonstrate the role of instrumental emotion regulation in the domain of creative performance. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  9. Risk, worry and cosmesis in decision-making for contralateral risk-reducing mastectomy: analysis of 60 consecutive cases in a specialist breast unit.

    Science.gov (United States)

    Beesley, H; Holcombe, C; Brown, S L; Salmon, P

    2013-04-01

    Although controversial, use of contralateral risk-reducing mastectomy (CRRM) is increasing. It is not clear whether reduction of objective breast cancer risk or other factors determine decisions for CRRM. We aimed to identify factors that influence these decisions by scrutinising how decisions were made in one centre. We reviewed a consecutive series of 60 patients considered for CRRM in one centre. Data sources, analysed using qualitative methods, were records of routine psychological assessment, surgeon letters, case-notes and interviews with four surgeons. Perceptions of objective risk did not generally drive patients' requests or surgeons' decisions. Instead, CRRM appeared to be mainly performed for psychological reasons: to reduce patients' cancer worry and to achieve cosmetic benefits. Routine use of the term 'risk-reducing' surgery masks a clinical decision which usually reflects influences other than risk. As CRRM is often carried out for psychological reasons it follows that evidence about its psychosocial outcomes is needed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  10. Worry or craving? A selective review of evidence for food-related attention biases in obese individuals, eating-disorder patients, restrained eaters and healthy samples.

    Science.gov (United States)

    Werthmann, Jessica; Jansen, Anita; Roefs, Anne

    2015-05-01

    Living in an 'obesogenic' environment poses a serious challenge for weight maintenance. However, many people are able to maintain a healthy weight indicating that not everybody is equally susceptible to the temptations of this food environment. The way in which someone perceives and reacts to food cues, that is, cognitive processes, could underlie differences in susceptibility. An attention bias for food could be such a cognitive factor that contributes to overeating. However, an attention bias for food has also been implicated with restrained eating and eating-disorder symptomatology. The primary aim of the present review was to determine whether an attention bias for food is specifically related to obesity while also reviewing evidence for attention biases in eating-disorder patients, restrained eaters and healthy-weight individuals. Another aim was to systematically examine how selective attention for food relates (causally) to eating behaviour. Current empirical evidence on attention bias for food within obese samples, eating-disorder patients, and, even though to a lesser extent, in restrained eaters is contradictory. However, present experimental studies provide relatively consistent evidence that an attention bias for food contributes to subsequent food intake. This review highlights the need to distinguish not only between different (temporal) attention bias components, but also to take different motivations (craving v. worry) and their impact on attentional processing into account. Overall, the current state of research suggests that biased attention could be one important cognitive mechanism by which the food environment tempts us into overeating.

  11. Prevention of anxiety disorders and depression by targeting excessive worry and rumination in adolescents and young adults: A randomized controlled trial.

    Science.gov (United States)

    Topper, Maurice; Emmelkamp, Paul M G; Watkins, Ed; Ehring, Thomas

    2017-03-01

    This randomized controlled trial evaluated the efficacy of a preventive intervention for anxiety disorders and depression by targeting excessive levels of repetitive negative thinking (RNT; worry and rumination) in adolescents and young adults. Participants (N = 251, 83.7% female) showing elevated levels of RNT were randomly allocated to a 6-week cognitive-behavioral training delivered in a group, via the internet, or to a waitlist control condition. Self-report measures were collected at pre-intervention, post-intervention, 3 m and 12 m follow-up. Both versions of the preventive intervention significantly reduced RNT (d = 0.53 to 0.89), and symptom levels of anxiety and depression (d = 0.36 to 0.72). Effects were maintained until 12 m follow-up. The interventions resulted in a significantly lower 12 m prevalence rate of depression (group intervention: 15.3%, internet intervention: 14.7%) and generalized anxiety disorder (group intervention: 18.0%, internet intervention: 16.0%), compared to the waitlist (32.4% and 42.2%, respectively). Mediation analyses demonstrated that reductions in RNT mediated the effect of the interventions on the prevalence of depression and generalized anxiety disorder. Results provide evidence for the efficacy of this preventive intervention targeting RNT and support a selective prevention approach that specifically targets a known risk factor to prevent multiple disorders. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Framing scales and scaling frames

    NARCIS (Netherlands)

    Lieshout, van M.; Dewulf, A.; Aarts, M.N.C.; Termeer, C.J.A.M.

    2009-01-01

    Policy problems are not just out there. Actors highlight different aspects of a situation as problematic and situate the problem on different scales. In this study we will analyse the way actors apply scales in their talk (or texts) to frame the complex decision-making process of the establishment

  13. Una Escala de Evaluación Familiar Eco-Sistémica para Programas Sociales: Confiabilidad y Validez de la NCFAS en Población de Alto Riesgo Psicosocial An Eco-Systemic Family Assessment Scale for Social Programs: Reliability and Validity of NCFAS in a High Psychosocial Risk Population

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    Edgar Valencia

    2010-05-01

    Full Text Available Se presenta evidencia sobre la consistencia interna y validez de constructo de la versión en español de la Escala de Evaluación Familiar de Carolina del Norte (NCFAS. El estudio utilizó los registros de información de 528 participantes de 8 programas chilenos de intervención familiar para la prevención del maltrato y negligencia infantil. Los resultados indican que la escala tiene una consistencia interna apropiada, mostrando un comportamiento similar al de la versión original de la escala. El análisis factorial exploratorio replicó parcialmente las dimensiones teóricas del instrumento. Se sugiere distribuir los ítems de la dimensión Interacciones Familiares e incorporar un nuevo factor llamado Bienestar del Cuidador. Se discute la necesidad de adaptar la NCFAS al contexto latinoamericano en futuras investigaciones.Evidence about the internal consistency and construct validity of the Spanish version of the North Carolina Family Assessment Scale (NCFAS is presented. The study used records of 8 Chilean family preservation programs for prevention of child abuse and neglect (N = 528. The results indicate that the scale has appropriate internal consistency, showing a behavior similar to the one of the original version of the scale. The exploratory factor analysis partially supports the theoretical domains of the assessment tool. Distributing the items of the Family Interactions domain and including a new factor called Caregiver's Well-being is suggested. The necessity of adapting the NCFAS to a Latin-American context in future research is discussed.

  14. Don't worry, be happy: cross-sectional associations between physical activity and happiness in 15 European countries.

    Science.gov (United States)

    Richards, Justin; Jiang, Xiaoxiao; Kelly, Paul; Chau, Josephine; Bauman, Adrian; Ding, Ding

    2015-01-31

    Mental health disorders are major contributors to the global burden of disease and their inverse relationship with physical activity is widely accepted. However, research on the association between physical activity and positive mental health outcomes is limited. Happiness is an example of a positive construct of mental health that may be promoted by physical activity and could increase resilience to emotional perturbations. The aim of this study is to use a large multi-country dataset to assess the association of happiness with physical activity volume and its specificity to intensity and/or activity domain. We analysed Eurobarometer 2002 data from 15 countries (n = 11,637). This comprised one question assessing self-reported happiness on a six point scale (dichotomised: happy/unhappy) and physical activity data collected using the IPAQ-short (i.e. walking, moderate, vigorous) and four domain specific items (i.e. domestic, leisure, transport, vocation). Logistic regression was used to examine the association between happiness and physical activity volume adjusted for sex, age, country, general health, relationship status, employment and education. Analyses of intensity and domain specificity were assessed by logistic regression adjusted for the same covariates and physical activity volume. When compared to inactive people, there was a positive dose-response association between physical activity volume and happiness (highly active: OR = 1.52 [1.28-1.80]; sufficiently active: OR = 1.29 [1.11-1.49]; insufficiently active: OR = 1.20 [1.03-1.39]). There were small positive associations with happiness for walking (OR = 1.02 [1.00-1.03]) and vigorous-intensity physical activity (OR = 1.03 [1.01-1.05). Moderate-intensity physical activity was not associated with happiness (OR = 1.01 [0.99-1.03]). The strongest domain specific associations with happiness were found for "a lot" of domestic (OR = 1.42 [1.20-1.68]) and "some" vocational (OR = 1.33 [1.08-1.64]) physical

  15. Predictive values at risk of falling in physically active and no active elderly with Berg Balance Scale Valores preditivos para o risco de queda em idosos praticantes e não praticantes de atividade física por meio do uso da Escala de Equilíbrio de Berg

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    Gilmar M. Santos

    2011-04-01

    Full Text Available BACKGROUND: The consequences of falls are a major cause of autonomy and independence loss among the elderly. In this context, the Berg Balance Scale (BBS has been widely used to detect the risk of falls in elderly. OBJECTIVE: To evaluate the predictive value of the BBS for fall risk in physically active and inactive elderly subjects. METHODS: The sample included 188 older adults with a mean age of 66 (±9 years. Of these, 91 participated in a regular physical activity program and 96 did not. We analyzed the cut-off scores of 45, 47, 49, 51 and 53 in both groups regarding the sensitivity (S, specificity (Sp, positive predictive value (PPV and negative predictive value (NPV of the test, including the positive likelihood ratio (PLR and negative likelihood ratio (RVN for diagnosing the risk of falls. RESULTS: The mean BBS score was 54.7 in physically active subjects and 50.8 in inactive subjects, which was statistically significant (ρ=0.001. The best cut-off was a score of 49 for physically inactive subjects, with a sensitivity of 91% and a specificity of 92%. On the other hand, the BBS had low sensitivity (from 0 to 15% and high specificity (between 83% and 100% for physically active subjects at the cut-off points analyzed. CONCLUSION: The scale did not achieve sufficient sensitivity to individual differences among physically active older people with higher levels of functional balance ability.CONTEXTUALIZAÇÃO: Umas das principais causas da perda da autonomia e independência do idoso são as consequências geradas pelas quedas. Nesse contexto, a Escala de Equilíbrio de Berg (EEB vem sendo amplamente utilizada para detectar o risco de queda em idosos. Objetivo: Analisar os valores preditivos para o risco de queda em idosos praticantes e não-praticantes de atividade física por meio do uso da EEB. MÉTODOS: Participaram 188 idosos, com média de idade de 66 (±9 anos. Desses, 91 participavam de projetos de atividades físicas, e 96 n

  16. Scaling down

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    Ronald L Breiger

    2015-11-01

    Full Text Available While “scaling up” is a lively topic in network science and Big Data analysis today, my purpose in this essay is to articulate an alternative problem, that of “scaling down,” which I believe will also require increased attention in coming years. “Scaling down” is the problem of how macro-level features of Big Data affect, shape, and evoke lower-level features and processes. I identify four aspects of this problem: the extent to which findings from studies of Facebook and other Big-Data platforms apply to human behavior at the scale of church suppers and department politics where we spend much of our lives; the extent to which the mathematics of scaling might be consistent with behavioral principles, moving beyond a “universal” theory of networks to the study of variation within and between networks; and how a large social field, including its history and culture, shapes the typical representations, interactions, and strategies at local levels in a text or social network.

  17. Scaling Rules!

    Science.gov (United States)

    Malkinson, Dan; Wittenberg, Lea

    2015-04-01

    Scaling is a fundamental issue in any spatially or temporally hierarchical system. Defining domains and identifying the boundaries of the hierarchical levels may be a challenging task. Hierarchical systems may be broadly classified to two categories: compartmental and continuous ones. Examples of compartmental systems include: governments, companies, computerized networks, biological taxonomy and others. In such systems the compartments, and hence the various levels and their constituents are easily delineated. In contrast, in continuous systems, such as geomorphological, ecological or climatological ones, detecting the boundaries of the various levels may be difficult. We propose that in continuous hierarchical systems a transition from one functional scale to another is associated with increased system variance. Crossing from a domain of one scale to the domain of another is associated with a transition or substitution of the dominant drivers operating in the system. Accordingly we suggest that crossing this boundary is characterized by increased variance, or a "variance leap", which stabilizes, until crossing to the next domain or hierarchy level. To assess this we compiled sediment yield data from studies conducted at various spatial scales and from different environments. The studies were partitioned to ones conducted in undisturbed environments, and those conducted in disturbed environments, specifically by wildfires. The studies were conducted in plots as small as 1 m2, and watersheds larger than 555000 ha. Regressing sediment yield against plot size, and incrementally calculating the variance in the systems, enabled us to detect domains where variance values were exceedingly high. We propose that at these domains scale-crossing occurs, and the systems transition from one hierarchical level to another. Moreover, the degree of the "variance leaps" characterizes the degree of connectivity among the scales.

  18. “I can't stop worrying about everything”—Experiences of rural Bangladeshi women during the first postpartum months

    Science.gov (United States)

    Edhborg, Maigun; Nasreen, Hashima E; Kabir, Zarina Nahar

    2015-01-01

    Over recent years, researchers have found evidence which indicates that the prevalence of postpartum depressive symptoms crosses cultural boundaries and is reported to be at least as high in non-Western countries as in Western countries. However, qualitative studies about new mothers’ experiences from non-Western countries, such as Bangladesh, are rare, particularly in rural areas. This study aims to describe the experiences and concerns of rural Bangladeshi mothers with postpartum depressive symptoms. Open narrative interviews were conducted with 21 mothers with depressive symptoms 2–3 months postpartum, consecutively selected from a longitudinal study about prevalence and risk factors of perinatal depressive symptoms. Inductive content analysis was used to analyse data and three themes emerged: family dynamics, living at the limits of survival, and role of the cultural context after childbirth. These themes were based on six categories and 15 subcategories. The findings show that troublesome family relationships, including intimate partner violence and violence in the family, influenced the mothers’ mental well-being. They and their families lived at the limit of survival and the mothers expressed fear and worries about their insecure situation regarding economic difficulties and health problems. They felt sorry for being unable to give their infants a good start in life and sad because they could not always follow the traditional norms related to childbirth. Thus, it is important to focus on the depressive symptoms among new mothers and offer counselling to those showing depressive symptoms, as the cultural traditions do not always alleviate these symptoms in the changing Bangladeshi society today. PMID:25595913

  19. “I can't stop worrying about everything”—Experiences of rural Bangladeshi women during the first postpartum months

    Directory of Open Access Journals (Sweden)

    Maigun Edhborg

    2015-01-01

    Full Text Available Over recent years, researchers have found evidence which indicates that the prevalence of postpartum depressive symptoms crosses cultural boundaries and is reported to be at least as high in non-Western countries as in Western countries. However, qualitative studies about new mothers’ experiences from non-Western countries, such as Bangladesh, are rare, particularly in rural areas. This study aims to describe the experiences and concerns of rural Bangladeshi mothers with postpartum depressive symptoms. Open narrative interviews were conducted with 21 mothers with depressive symptoms 2–3 months postpartum, consecutively selected from a longitudinal study about prevalence and risk factors of perinatal depressive symptoms. Inductive content analysis was used to analyse data and three themes emerged: family dynamics, living at the limits of survival, and role of the cultural context after childbirth. These themes were based on six categories and 15 subcategories. The findings show that troublesome family relationships, including intimate partner violence and violence in the family, influenced the mothers’ mental well-being. They and their families lived at the limit of survival and the mothers expressed fear and worries about their insecure situation regarding economic difficulties and health problems. They felt sorry for being unable to give their infants a good start in life and sad because they could not always follow the traditional norms related to childbirth. Thus, it is important to focus on the depressive symptoms among new mothers and offer counselling to those showing depressive symptoms, as the cultural traditions do not always alleviate these symptoms in the changing Bangladeshi society today.

  20. Estrategias para negociaciones exitosas.

    Directory of Open Access Journals (Sweden)

    José B. Parra V

    2010-01-01

    Full Text Available Las estrategias de negociación son herramientas para disminuir conflictos o para intercambiar bienes y servicios. Una negociación exitosa crea relaciones de solidaridad y propicia reciprocidad, cooperación y confianza para quienes tendrán relaciones permanentes de negociación con beneficios para ambas partes. Una estrategia de negociación exitosa requiere manejar el desarrollo del ambiente social del grupo de personas, con la finalidad de tener presente las fronteras que no pueden irrumpirse. Otro aspecto importante, es el lenguaje corporal utilizado por las personas y las tácticas que se practican. El manejo de esta información permite diseñar diferentes modelos de negociaciones para cada caso específico. Este documento propone la utilización de la herramienta MONACO, diseñada por los autores, que es un software útil para encontrar los mejores tácticas posibles dentro de una negociación; basándose en el lenguaje corporal que muestra el negociante oponente durante cada oferta monetaria. El uso de este software da al negociador la oportunidad de manejar las negociaciones con mayor control, el negociador que usa el software puede elegir una estrategia de acuerdo a las relaciones que espera mantener con el negociador oponente.