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Developing focused wellness programs: using concept analysis to increase business value.

Concept analysis is a useful tool in providing clarity to an abstract idea as well as an objective basis for developing wellness program products, goals, and outcomes. To plan for and develop successful wellness programs, it is critical for occupational health nurses to clearly understand a program concept as applied to a particular community or population. Occupational health nurses can use the outcome measures resulting from the concept analysis process to help demonstrate the business value of their wellness programs. This concept analysis demonstrates a predominance of the performance related attributes of fitness in the scientific literature.

Concept Formation↗

[How to relate concepts and data].

The researcher have to deal with establishing the link between a theoretical world, world of the concepts and the empirical world, world of the data. Establishing a connection between concepts and data constitutes one of the most important and most difficult steps of the research process. This article explains how this consists of a translation procedure that incorporates two processes; measurement and abstraction. Measurement consists of selecting the instruments or indicators needed to translate a concept into data. Abstraction involves the translation, through coding and classification, of data into concepts. This methodological article focuses on the central questions about the design of his own process of translation by using theoretical references and relevant examples.

Abstracting and Indexing↗

[Preliminary study on self-concept psychological feature of cleft lip and palate adolescents].

OBJECTIVE: To obtain the self-concept psychological feature of cleft lip and palate (CLP) adolescents further and accurately, and offer reasons for timely and pointed psychological intervention. METHODS: Based on the procedure and criteria of development of psychological questionnaire, a psychological questionnaire for CLP adolescents was designed. 93 CLP and 88 healthy adolescents were studied by using it and their half-quantified score raging 0-9 were analyzed statistically. RESULTS: (1) There was no statistical difference between CLP and normal adolescents, scored 5.91 and 5.66 respectively, which demonstrated that the self-concept of CLP adolescents was at a normal level without obvious passive tendency. (2) There was no significant difference between genders, but boys were more extroversion while girls did better on being unyielding and releasing strain. (3) CLP adolescents had a higher ability of psychological regulation and could face failure more bravely. CLP patients were in a tendency of protective behavior inhibition, companied less, and maximized delight mood unconsciously to decrease harm from enviroment. (4) CLP adolescents had a good parentage. (5) A majority of patients had low expectation of life-quality. (6) Much of CLP patients considered that speech was more important than appearance. CONCLUSION: Self-concept of CLP adolescents have normal self-concept and do better in psychological regulation and dependence than normal ones.

Adolescent↗

Self-concept and perceptions of attractiveness and body size among Mexican-American mothers and daughters.

The socialization of physical attractiveness stereotypes and its relationship to self-concept among parent/child dyads has not been previously examined. This study examined the relationship between mothers' and daughters' judgements of body size and the impact of size on subjects' judgements of attractiveness. Mexican-American mothers and their 7-12-year-old daughters completed attractiveness ratings of five figures of girls varying in body size and indicated which of these figures were closest to the perceived and ideal sizes of the daughter. One-half of the mothers were obese and had participated in a behavioral weight loss program, while the other half served as normal weight controls. Self-concept measures were also completed by all subjects. Daughters tended to prefer a thinner figure than did mothers. The control mothers indicated almost no preference for body size, with nearly uniform rankings for obese, normal and thin figures. The daughters ranked their own ideal figures as thinner than their perceived figures, but mothers' rankings of their daughters' ideal and actual sizes were congruent. Daughter's overall self-concept was predicted by age, their own size and their mother's size. Control but not intervention mothers' self-concept was negatively correlated with their size.

Adult↗

Self-concept measures and childhood obesity: a descriptive analysis.

Little is known about the possible effects of age, race, gender, or degree of obesity on measurements of self-concept in children. Our study of 130 obese children enrolled in an outpatient obesity clinic showed that their mean overall score on the Piers-Harris (P-H) Children's Self-Concept Scale was within the norms. However, certain subgroups scored low, with nonwhite children displaying the lowest self-esteem, particularly younger girls and adolescent males. For boys, the severity of obesity was inversely associated with the overall score and the intellectual school status subscale. Girls scored lower on anxiety. Younger white males scored the lowest on popularity. Our findings thus suggest that there is heterogeneity in self-concept measures among obese children, and that the use of subscales might provide greater insight and also possibly enhance sensitivity of the P-H in the investigation of obesity and self-concept.

Adaptation, Psychological↗

Changes in self-concept during pulmonary rehabilitation, Part 2.

This two-part study describes changes in self-concept during pulmonary rehabilitation. A 20-item semantic meaning differential scale was administered to 37 patients with severe chronic obstructive pulmonary disease who were participating in a multidisciplinary pulmonary rehabilitation program. Patients were asked to evaluate their past, present, and future self-concepts on program admission, on program discharge, and 2 to 6 months after home discharge. In this part of the study item-level quantitative data as well as qualitative data from the counseling session at program discharge are reported. The quantitative data documented detailed changes in self-concept at various stages of pulmonary rehabilitation. Counseling session results indicated that patient involvement in item-level analysis greatly facilitates psychosocial intervention. Findings from this study establish clinical indications for use of the Self-concept Evaluation tool in adult patients with chronic obstructive pulmonary disease. Use of this tool is recommended early in the rehabilitation process.

Aged↗

The effects of a school development program on self-concept.

School improvement programs are often assessed in terms of their effect on school climate and education outcomes. The School Development Program (SDP) of the Yale Child Study Center has been shown to have a positive influence on those two factors. We also recognize the importance of positively influencing students' affective, intra-personal, and motivational states, such as their self-evaluations. The present study examined the effects of the SDP on multiple dimensions of students' self-concepts. The Piers Harris Self-Concept Scale was administered to 174 fourth and sixth graders, half of whom attended SDP schools and half control schools. Significant positive changes in self-concept were observed among the SDP students but not among the control students. Program students also showed significantly higher self-concepts on post-test measures when compared to normative samples.

Black or African American↗

Family management style: concept analysis and development.

Consistent with nursing's ongoing emphasis on theory development is the recognition of concept analysis's contribution to the advancement of theory. Following Sartori's framework for concept analysis, the authors analyzed the concept family management styles (FMS) as it relates to families in which there is a chronically ill or disabled child. The analysis includes both a review of existing conceptualizations of FMS and a model for reconceptualizing the concept. The systematic conceptualization of family response to chronic illness provides an essential foundation for developing effective, sensitive interventions that promote the growth of individual family members and the family unit as a whole.

Adaptation, Psychological↗

[Methods of defense against anxiety and self concept of patients with leukemia].

Comparison of the level of anxiety with advice in threatening situations was studied in the leukaemia patients. The tests involved 60 patients (32 man, 28 woman), mean age 42 years. Anxiety level was established with the aid of a 10-grade scale of self-score of anxiety--Self Cognition by Cattell--and self-concept by ACL Gough's (Adjective Check List). Analysis of the results have shown, that the highest level of anxiety leads to disintegration self-concept, while repression technique of anxiety reduction leads to compensation self-concept. Both play a role in adaptation process. Psychotherapy of such patients aim at decreasing the level of anxiety and neutralization to negative changes in self-concept of the patients.

Adaptation, Psychological↗

[Freud's narcissism concept].

The conception of narcissism according to Freud involves a number of different issues and hypotheses. Historically, the numerous contradictions and obscurities in the various psychoanalytical theories of narcissism were clear from the beginning. In this study it was attempted to define four central concepts and critically revise their clinical and theoretical relevance. Following a historical survey on the development of the term by Freud, the problems of defining narcissism by means of the theory of drive and libido are described. The corresponding hypothesis concerning developmental psychology will then be examined with regard to the results of recent infant research. Then the first (and for Freud most important) narcissism concept is represented, narcissism as a mode of object relation and a type of object choice. In conclusion, the new theories, which emphasize narcissism in terms of sense of one's self and self-esteem will be dealt with. Thus this study contributes to the differentiation of the various concepts in the clinical theory of narcissism, especially concerning the unravelling of the object relation- and self-theories from energetic-economical models and developmental speculation of primary narcissism.

Freudian Theory↗

Self-concept of early primary school age children with visible or invisible defects.

This study compares self-concept scores on the Primary Self-Concept Inventory (PSCI) of 58 7-year-old children. The experimental groups included the three following subgroups: those with visible defects (cleft lip), mixed visible and invisible defects (cleft lip and palate), and invisible defects (cleft palate). The control consisted of first grade students with no physical defects. Significant differences between the subjects with clefts and controls were found. Children with cleft lip and palate (visible and invisible defects) demonstrated the lowest self-concept scores. These test results suggest that early primary school age children experience significant stigma. Therefore, early evaluation of psychosocial stress factors for children with clefts is suggested. School personnel can contribute to addressing self-concept concerns of children with defects. Suggestions for further research are presented.

Body Image↗

Theoretical and methodological considerations of self-concept measurement.

Partially replicating a study by Savin-Williams and Jaquish (1981), assessment of self-concept was explored by investigating the relationships of "presented" and "experienced" selves among seven adolescent girls participating in a team sport at a high school in Southern California. Behavior observations and self- and peer ratings were used to assess three dimensions of self (self-confidence, popularity, and athletic skill) and examine relationships between these multimethods of self-concept measurement. In general, significant correlations between behavior observations and peer ratings were found, but not between behavior observations and self-ratings, or peer and self-ratings. A behavioral approach to measuring self-concept across situations appeared to be more indicative of the multidimensionality of the self than sole reliance on self-report. The authors concluded that self-concept measurement requires increased sensitivity to definition of, saliency of, and vacillation within a domain, the reference group used for social comparison, and the impact of previous experience on current views of self.

Achievement↗

An investigation of verbal interaction, knowledge of sexual behavior and self-concept in adolescent mothers.

Variables commonly considered to be major factors in contributing to the incidence of adolescent pregnancy may be only part of the total pattern. This study sought to examine the adolescent mothers' communication with significant others and their knowledge about sex, pregnancy, and birth control methods. Self-concepts of the adolescent mothers were compared with those of the published norms of the Tennessee Self-Concept Scale. The study included 23 adolescent mothers between the ages of 13 and 19 who were gravida 1 as indicated by their medical records. They were given a questionnaire constructed from previous research. They also completed a communication scale and the Tennessee Self-Concept Scale. The findings of the present study indicated that most adolescent mothers considered their communication with their parent mothers to be one of mutual understanding. However, it appears that most adolescent mothers obtain much of their information about sex, pregnancy, and birth control methods from significant others. The self-concepts of these adolescent mothers were lower in comparison to the norm. The results indicate a need for further research in the area of adolescent sexual development, sex education in the school, and increased involvement of parents in the communication of sexual mores.

Adolescent↗

Gender identity and its implications for the concepts of masculinity and femininity.

In this chapter, I have suggested that although the terms masculine and feminine and masculinity and femininity have rarely been defined, they appear to have two types of meaning both for psychologists and for the community at large. First, masculine and feminine have an empirical meaning, being used as labels to identify specific objects, events, or qualities that in a given culture are perceived as more closely associated with males or with females. Second, these adjectives and, even more exclusively the nouns masculinity and femininity, are used as theoretical constructs that refer to a fundamental property or aspect of the individual's self-concept that is not directly observable. Masculinity and femininity in this second sense are conceived as bipolar opposites, almost all men having a firm sense of their psychological masculinity and almost all women having a similar sense of their femininity. The implicit assumptions on which conventional theories of masculinity-femininity are predicated imply that all gender-related phenomena contribute to a bipolar femininity-masculinity factor so that assessment of an individual's masculine and feminine qualities (in the empirical sense of these terms) can be used to infer his or her position on the hypothetical masculinity-femininity continuum. Constructs such as sex-role identification and sex-role orientation are based on the same assumptions. More recently it as been proposed that masculine and feminine qualities and their accompanying self-images of masculinity and femininity constitute instead two separate, statistically independent dimensions. However, most investigators nominally advancing this two-factor model and tying the measurement of masculinity and femininity to instruments containing separate scales of masculine and feminine attributes have in fact employed unidimensional bipolar models, based on such concepts as sex-role identification, sex typing, or gender schema. The empirical data, however, support neither the one-factor nor the two-factor model of gender-differentiating phenomena, suggesting instead that they are multidimensional. To the extent that the concepts of masculinity-femininity (and other similar unidimensional constructs) or of masculinity and femininity are intended to represent the structure of gender-relevant characteristics, these constructs lack validity. I proposed, however, that masculinity and femininity, as they refer to an individual's self-concept, be retained and reconceptualized as gender identity: a basic phenomenological sense of one's maleness or femaleness that parallels awareness and acceptance of one's biological sex and is established early in life.(ABSTRACT TRUNCATED AT 400 WORDS)

Assertiveness↗

Children's developing conceptions of the mind and brain.

Previous investigators have examined children's knowledge about particular cognitive performances such as metamemory, or particular mental acts, such as dreams. The present research adds a new dimension by considering children's concepts of the mind as a whole. The development of concepts of both the mind and brain is examined in subjects from preschool age through adulthood. Evidence is presented to show that by ages 4 and 5 years children commonly regard the brain as an internal mindlike entity associated with a class of distinctly mental acts. This runs counter to previous characterizations of young children as failing to distinguish mental from overt behavioral acts. Young children begin with undifferentiated conceptions of the mind and brain. Both entities are regarded as necessary for mental, but not sensory-motor actions. In subsequent developments, the concepts of the mind and brain are differentiated along 2 lines. Ontologically, the mind is distinguished by its immateriality; functionally, the brain is distinguished by its involvement in bodily actions. The development of knowledge about the brain is discussed with respect to acquiring "popular" and "technical" definitions. The results are regarded as contributing toward understanding how children come to organize information about the mental world as a whole.

Adult↗

[The self concept and personality structure of alcohol intoxicated drivers: how do they see themselves, and how are they judged by others?].

Assessing the problem of "alcohol in road traffic" it becomes apparent that most offenders have high BACs (in excess of 1.6 per mille) and that they are repeating offenders. It can therefore be assumed that those people are drink-drivers, which means that, when assessing the offence, the offender's personality as a whole has to be taken into consideration. The DUI offenders themselves usually justify the offence by balming it on the circumstances of a given situation. On the basis of this discrepancy, the published study deals with the question of whether there are any differences between the way DUI offenders judge their personality and self concept and the way other people do. This also leads to the questions of whether the number of offences play a role or not. The self image of 60 male DUI offenders was rated by means of the Giessen test and the Frankfurt self concept scales "problem solving", "confidence in behaviour and decision making", as well as "judgement by others". For the outside judgement, 60 male volunteers were asked to judge DUI convicted drivers. It showed that the DUI convicted drivers assessed their personality to be no different than that of the average person. Their self concept was characterised by positive attributes. However, the outside judgement showed them to be less socially responsive, lacking self control, as well as rather dominant, depressive, reserved and rather inhibited in heterosexual relationships. The self judgement changes with an increasing number of offences, as does the outside judgement to an even greater extend. The latter turns into a more negative judgement. Regarding the self concepts, only the outside judgement proved to be more negative. The number of convictions didn't influence the DUI offenders' self estimation.

Adult↗

Theory-based correlations and their role in children's concepts.

Recent accounts of conceptual development have emphasized the important role intuitive theories play in concept formation; however, it is still not clear exactly how these theories exert their influence. We present evidence that elementary school age children use theories to link together specific features associated with individual concepts. The results of our first experiment indicate that theory-based correlations play a prominent role in typicality judgments and in decisions about category membership. In a second experiment, we demonstrate that children's theories play an important role in determining which attributes will be considered most central to the concept. The results of these studies suggest that feature correlations can serve to link children's concepts with their intuitive theories of the world.

Child↗

[Self concept: toward a cognitive approach to identity disorders].

The development of the concept of self is one of the prominent facts of 20th-century psychology; its conceptualizations are diverse. Within the field of cognitive psychology, concurrent with growing interest in comprehensive theories of personality has been the recent emergence of the self-concept. The self-concept is viewed as the cognitive structure comprised of mental representations of oneself, and responsible for their integration and processing; it appears as the cornerstone of personality. The cognitive modelling of the self-concept currently opens new directions in the approach to identity processes and their psychopathologic disturbances.

Cognitive Behavioral Therapy↗