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Psychosocial functioning of young children with learning problems.

BACKGROUND: In this study, psychosocial functioning of different groups of young children with learning problems was investigated using a diverse set of psychosocial variables (including behaviour problems, academic motivation, social preference, and self-concept). METHODS: For this purpose, children with low academic achievement, with a specific learning disability based on an IQ-achievement discrepancy, and with a specific learning disability based on an achievement discrepancy, were selected out of 276 children of the first grade of regular primary schools. By means of multivariate analyses, their psychosocial functioning was compared to the functioning of children without learning problems. RESULTS: The total set of psychosocial variables was able to discriminate between children with and without learning problems, with medium effect size. Attention problems as reported by the teachers turned out to be the most important single psychosocial predictor for group discrimination. However, results varied according to the type of learning problem and the type of psychosocial problem. Children with a specific reading/spelling disability and children with low general academic achievement differed most from their peers without learning problems with regard to their psychosocial functioning. Poor cognitive self-concept was related primarily to low academic achievement, poor learning motivation might be specific for math problems, and a low social preference score seemed most characteristic of children with a specific learning disability. CONCLUSIONS: Studying several psychosocial variables simultaneously in different groups of children with learning problems leads to a further refinement of the current knowledge.

Child↗

Conceptual frameworks for clinical practice.

The patient with neurologic dysfunction is confronted with an enormous challenge. First, he/she is faced with the physiologic and psychological changes associated with the condition. Secondly, this individual may require hospitalization, which demands adaptations in his/her self-concept and family roles and responsibilities. Thirdly, treatment of the dysfunction may necessitate long-term medical management which would challenge his/her self-care abilities and the functioning of the family system. The concepts of body image, self-concept, self-care, and family systems have been synthesized into a conceptual framework relevant to patient populations experiencing neurologic/neurosurgical problems. This conceptual framework provides a structure which can be utilized to explain the reactions and behavior of patients, formulate generalizations relevant to this population, and develop and test clinical protocols. Individual nurses interacting with neurological/neurosurgical patients need to utilize this conceptual framework to develop and test clinical protocols that are pertinent to their own unique clinical situation. Communication of the results of this process will foster the expansion of the scientific knowledge base for clinical practice.

Humans↗

Self-healing: a concept analysis.

Complementary and alternative medicine (CAM) is a rapidly growing specialty within the healthcare field. One concept that appears central to the notion of CAM therapies is the concept of self-healing. Although "self-healing" is addressed within several bodies of literature, the concept is ill-defined within the context of CAM therapies, specifically energy-based healing modalities such as reiki therapy. The purpose of this paper is to investigate the concept of self-healing through a concept analysis using Walker and Avant's technique (1995). The resultant operational definition of self-healing was the result of 6 weeks of study and is not considered to be a final product, but merely a beginning step to understanding this unique phenomenon.

Adaptation, Psychological↗

Evaluation of a self-limiting concept in dentinal caries removal.

The mechanical removal of dentinal caries traditionally involves the use of tactile sensation and/or caries-indicating dyes. This study tested the hypothesis that self-limiting polymer burs are as effective as conventional carbide burs in creating substrates for dentin bonding. Carious dentin from extracted human molars was removed with carbide or polymer burs, with dental explorer hardness as the end-point for caries removal. Dentin substrates were bonded with etch-and-rinse or self-etch adhesives and prepared for microtensile bond testing and transmission electron microscopy. For each bur type, there was no difference in bond strength between adhesives. However, the polymer bur surface exhibited significantly lower bond strengths than the carbide bur, and both were lower than flat, non-carious dentin controls. TEM revealed areas of incompletely removed, denatured caries-infected dentin in the polymer bur specimens. These first-generation polymer burs might best be utilized for deep caries removal where pulpal exposure is a concern.

Analysis of Variance↗

[Personality and donor-recipient relationships of potential donors before living donor liver transplantation--diagnostics with the repertory-grid technique].

BACKGROUND: Living-donor liver transplantation (LDLT) is developing into an established therapy for terminal liver diseases in adults. Potential donors are faced with the risk of postoperative complications and are subject to a high level of psychological pressure and ambivalent feelings. Our assumption is that ambivalent feelings before donation are crucially influenced by the personality and the quality of the donor-recipient relationship. In highly motivated donors we expected a positive description of the recipient and a similarity in the characterisation of the donor and recipient. METHODS: 58 potential living donors were evaluated between March 2000 and June 2001. On the basis of the clinical interview 10 were rated as unsuited for donation. Among those potential donors assessed as unsuited, we found a high level of ambivalent feelings. For 50 potential donors we gained a set of completed psychometric diagnostic questionnaires. A Repertory-grid investigation was conducted with a total of 28 potential donors. Seven of them were not recommended as living donors. The relationship between donors and recipients was analysed concerning constructs that were most important to the characterisation of the donor or recipient. By means of inter-element distances self-concept of donors and donor-recipient relation were analysed. RESULTS: Ambivalent candidates who were not recommended as living donors tended to describe the recipient negatively (selfish, carping, and unable to take criticism) and did not show a similarity in the characterisations of self and ideal-self. Whereas the highly motivated candidates were marked by a closeness of self and ideal-self concepts. Both groups saw the recipient as indifferent. CONCLUSION: Closeness between self and ideal-self-indicating satisfaction with the decision to donate seems to be one suitable criterion to distinguish between highly motivated potential donors on the one hand and ambivalent candidates on the other hand. Another criterion appears to be a description of the recipient that indicates either a functioning or ill-functioning communication between donor and recipient with respect to the donation.

Adult↗

Self-hypnosis in chronic pain. A multiple baseline study of five highly hypnotisable subjects.

The efficacy of self-hypnosis in the treatment of chronic pain was evaluated using a multiple baseline design for five patients referred to the Auckland Hospital Pain Clinic. Subjects were selected for high hypnotisability using the Stanford Hypnotic Clinical Scale. Daily records of pain intensity, sleep quality, medication requirements, and self-hypnosis practice were completed. At four research interviews the Health Locus of Control survey, the McGill Pain Questionnaire, and the Illness Self Concept Repertory Grid (ISCRG) were administered. Subjects also reported on daily activities and quality of life. Postal follow-up assessment occurred after 2 years. Two subjects reported overall improvement, two demonstrated little change in condition, although self-hypnosis was effective on some occasions, and one subject experienced deterioration in her condition. The patients showed an increase in personal locus of control and a shift of self-concept away from physical illness on the ISCRG. The results suggest that self-hypnosis can be a highly effective technique for some patients with chronic pain but not for all. Selection criteria and clinical factors other than hypnotisability need to be considered in further research, since even highly hypnotisable subjects may derive limited benefit from self-hypnosis.

Adult↗

[Self-help groups--the idea of self-help and the concept of discussion self-help groups].

In recent years self-help-groups have grown in importance. The reason is an increasing gap between the needs of the population and the services, the medical system can supply. The patients themselves have started to take over the initiative to deal with the psychosocial aspects in connection with their illness. They no longer want to be passive objects but rather subjects, who take responsibility for their own well-being. After the creation of AA many other self-help-groups have been set up, which concern themselves with very diverse illnesses and emotional and social problems. In the above paper the group setting variables and the concept of the therapeutic work of self-help-groups are being presented. Also the model of "Gesamttreffen" is introduced, where several members of different self-help-groups join monthly to share view-points and experience. These "Gesamttreffen" can be accompanied by a professional from the medical or psychological field, whose help is offered if so needed.

Group Processes↗

Mitigating engulfment: recovering from a first episode of psychosis.

1. Schizophrenia, and the challenge of coping with the ongoing stigma of mental illness, profoundly affects an individual's self-concept. 2. Individuals in the early phases of schizophrenia are at risk of becoming engulfed by their illness, such that all aspects of self become defined by the illness. 3. A group intervention enabled individuals to construct a positive self-concept through interacting with others, exploring the meaning of illness, developing an acceptable understanding of the illness, and developing diverse coping strategies.

Adaptation, Psychological↗

Additional validity evidence for the Harder Personal Feelings Questionnaire-2 (PFQ2): a measure of shame and guilt proneness.

The present study sought to provide additional evidence for the construct validity of the Harder (Harder & Zalma, 1990) Personal Feelings Questionnaire-2 (PFQ2), a recently revised measure of shame and guilt proneness. Seventy university students, 35 male and 35 female, completed the PFQ2 and scales that assess self-derogation, instability of self-concept, shyness, social anxiety, public self-consciousness, private self-consciousness, and locus of control. The correlation results were generally consistent with validity predictions. As in previous studies, however, the discriminant validity of the shame and guilt scales was supported, but not strongly.

Adolescent↗

Reconceptualization of body image and drive for thinness.

OBJECTIVE: This study examined the nature of body image and drive for thinness as multidimensional constructs. Subjects included 111 early adolescent (ages 11-13) girls in Grades 7 and 8 from a private school in Melbourne. METHOD: The participants completed a suite of perceptual, affective/attitudinal, and behavioral measures that included assessment of body mass index, self-concept, body parts, silhouette discrepancy, self-worth, multidimensional body image, body image dissatisfaction, social physique anxiety, eating attitudes and behaviors, and physical activity. RESULTS: The sample reported moderate levels of body image dissatisfaction and a significant association of body image dissatisfaction with drive for thinness. Findings verified the important contribution of the affective/attitudinal components of body image. DISCUSSION: A multidimensional scale devised to test the value of a combined index of self-perceived size, shape, weight, tone, and appearance proved the most effective predictor among the alternative affective/attitudinal scales of body image dissatisfaction. Drive for thinness, as central to this study, was found to be related to, yet distinct from, body image on the basis of behavioral elements such as dieting and activity levels. These findings have ramifications for the design of future research in the body image, drive for thinness, and disordered eating domains. 2000 by John Wiley & Sons, Inc.

Adolescent↗

Priming a new identity: self-monitoring moderates the effects of nonself primes on self-judgments and behavior.

When a construct is primed, people often act in construct-consistent ways. Several accounts for this effect have been offered, including ideomotor theory and a social functional perspective. The authors tested an additional perspective, the Active-Self account, whereby primes can temporarily alter self-perceptions. In Study 1, non-African American participants reported feeling more aggressive on an implicit measure following an African American prime. In Study 2, participants reported feeling luckier on an implicit measure following a number 7 (vs. 13) prime. In both studies, these effects were obtained only for low self-monitors, who are more likely to change self-conceptions in response to diagnostic self-information and to use their internal states in guiding behavior. Study 3 showed that low self-monitors also show larger behavioral effects of primes.

Association↗

Self-image and depressive symptoms among adolescents in a non-clinical sample.

The connection between self-image and depressive symptoms in non-clinical adolescent populations has not been well documented in large samples of teenagers. Our purpose was to investigate the correlation between self-image and depressive symptoms. To assess the adolescent's self-concept, we used the Offer Self-Image Questionnaire (OSIQ), and to study their depressive symptoms, we chose the Children's Depression Inventory (CDI). The sample consisted of 1054 eighth-grade students (465 boys, 589 girls) from normal comprehensive schools in one town with 200 000 inhabitants. The mean age of both gender groups was 14.5 years and they came from all social classes. The results showed a highly significant correlation between OSIQ scale scores and CDI scores. The more problems the adolescents had with their self-image, the greater the number of depressive symptoms. The correlation between the CDI total score and OSIQ scales scores was higher for girls than for boys except for the Superior Adjustment scale. The difference between sexes in the strengths of the correlations was highly significant (P<0.0001) except in the Sexuality scale. Since both the tests have shown to have predictive value for later psychiatric symptoms, further investigation of high-scoring CDI adolescents', and especially girls', self-image problems is important.

Adolescent↗

Group therapy for adolescent depressive disorder: a comparison of social skills and therapeutic support.

Two forms of short-term group therapy for depressed adolescents are compared. Adolescents were assigned to either a social skills training or therapeutic support group. Treatment outcome was based on self-report and semistructured clinical interviews for depression, measures of self-concept, and cognitive distortions. After treatment, adolescents in the therapeutic support groups showed significantly greater reductions in clinical depression and significant increases in self-concept compared with those in the social skills training group. These group differences were no longer evident at 9-month follow-up, as adolescents in the therapeutic support groups maintained their improvement, and adolescents in the social skills training groups caught up.

Adolescent↗

Cognitive social skills and social self-appraisal in depressed adolescents.

OBJECTIVE: This study was undertaken to determine whether the social cognitive skills and social self-appraisal of depressed adolescents differed from those of other adolescents with nonaffective psychiatric disorders or of adolescents free from disorder. METHOD: Within the age range of 15 to 19, 38 depressed adolescent outpatients (14 boys, 24 girls); 31 nondepressed adolescent outpatients (17 boys, 14 girls); and 34 normal high-school students (18 boys, 16 girls) were assessed using the following dependent measures: Interpersonal Negotiation Interview, Adolescent Social Problem Solving Measure, Adolescent Self Perception Profile, and Interpersonal Dependency Inventory. RESULTS: Depressed adolescents were found to have significantly more negative self-concepts and significantly less social self-confidence than either comparison group. They did not differ from the other adolescents in either social problem-solving ability or interpersonal understanding. CONCLUSIONS: These results indicate that depressed adolescents have unique deficits in social self-evaluation which contribute to ineffective social behavior and the maintenance of dysphoric affect. Treatment of social skill deficits should be based on a careful assessment of the patient's functioning in this area.

Adolescent↗

Parenting styles and mental health of Palestinian-Arab adolescents in Israel.

The relationship between three parenting styles (authoritarian, permissive, and authoritative) and the mental health of Arab adolescents was tested. It was hypothesized that parenting style toward boys would differ from that towards girls, psychological adjustment of girls would differ from that of boys, and that the authoritarian style applied within the authoritarian Arab society is not associated with poor psychological adjustment. The Parental Authority Questionnaire, Child Attitude Toward Parents, Lipsitt's Self-Concept Scale for Children, Rosenberg Self-Esteem Scale and the Psychological State Scale were administered to 431 Arab adolescents. Sex comparison revealed that the parenting style with regard to girls tends to be more authoritative and less authoritarian than with regard to boys. Girls scored higher than boys on identity disorder, anxiety disorder, and depression scales, whereas boys scored higher than girls on the behavior disorder scale. There was no significant relationship between the authoritarian parenting style and the mental health measures. A significant positive relationship exists between the authoritative parenting style and the mental health of children. Among boys, the permissive parenting style was associated with negative attitudes towards parents, lower self-esteem and increased identity, anxiety, phobia, depressive, and conduct disorders. It seems, therefore, that the effect of parenting style is culturally and gender dependent rather than universal.

Adaptation, Psychological↗

Female adolescent communication about sexually transmitted diseases.

Health researchers acknowledge a limited understanding of the social context of adolescents regarding their communication and decision making about sexually transmitted diseases (STDs). Using in-depth interviews, this study examines 18-year-old women regarding their self-concepts about STD communication, including their perceived and actual knowledge levels. Fifteen first-year college students from a Western university showed strong self-concepts and high perceived knowledge relative to sexual decision making and communication. The women's actual knowledge holding, however, was low. They demonstrated difficulty finding information from mediated sources with either high regard or mistrust of new information technologies for such information and limited use of interpersonal communication sources.

Adolescent↗