Effects of Narrative and Paradigmatic Judgmental Orientations on the Use of Qualitative and Quantitative Evidence in Health-Related Inference     

Michael Robert Dennis  Austin S. Babrow 《Journal of Applied Communication Research》2005,33(4):328-347

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The metamorphosis of medical discourse and embedded cultural rationality: a content analysis of health reporting for neurasthenia and depressive disorder in China     

Yungeng Li 《亚洲交流杂志》2018,28(2):170-184

Neurasthenia (shenjing shuairuo) and depressive disorder are medical issues that have given rise to disputes in China for more than 20 years. Since the 1980s, the once ubiquitous diagnosis of neurasthenia in China was rapidly substituted by depressive disorder in the clinical context. Globally, the metamorphosis from neurasthenia to depressive disorder heralded the triumph of scientific rationality, which identifies neurasthenia as a categorical fallacy. In China, however, neurasthenia retained social and cultural significance; thus, it has become a contestable discourse in relation to depressive disorder. By examining the health reporting of both discourses over a decade, this study explicated how neurasthenia and depressive disorder were represented in a popular health newspaper in China. The content analysis showed that neurasthenia is a more culturally and everyday embedded discourse closely associated with Chinese medicine and laymen’s discourse, while depressive disorder is more associated with Western medicine and the professional discourse. The differentiation of two sets of medical discourse evinces that despite the ostensibly prevailing scientific rationality in media health reporting, cultural rationality is deeply embedded in communicating mental health issues with the lay public. It further suggests the significance of investigating the social and cultural expression of mental illnesses in China.  相似文献   

Managing a Biomedical Library’s Instruction Program: Redefining Scope     

Holly Thompson 《Medical reference services quarterly》2018,37(1):97-104

The National Institutes of Health (NIH) library instruction program provides training services to staff, clinicians, and researchers across NIH and several Department of Health and Human Services (HHS) operating divisions. The audience, training needs, and training topics are diverse and constantly changing. The NIH library has developed several new services and class topics to meet the needs of its NIH and HHS communities. Context, strategies, and future directions for the NIH library instruction program are described.  相似文献   

Forward view: advancing health library and knowledge services in England          下载免费PDF全文

Sue Lacey Bryant  Helen Bingham  Ruth Carlyle  Alison Day  Linda Ferguson  David Stewart 《Health information and libraries journal》2018,35(1):70-77

This article is the fourth in a series on New Directions. The National Health Service is under pressure, challenged to meet the needs of an ageing population, whilst striving to improve standards and ensure decision making is underpinned by evidence. Health Education England is steering a new course for NHS library and knowledge services in England to ensure access to knowledge and evidence for all decision makers. Knowledge for Healthcare calls for service transformation, role redesign, greater coordination and collaboration. To meet user expectations, health libraries must achieve sustainable, affordable access to digital content. Traditional tasks will progressively become mechanised. Alongside supporting learners, NHS librarians and knowledge specialists will take a greater role as knowledge brokers, delivering business critical services. They will support the NHS workforce to signpost patients and the public to high‐quality information. There is a need for greater efficiency and effectiveness through greater co‐operation and service mergers. Evaluation of service quality will focus more on outcomes, less on counting. These changes require an agile workforce, fit for the future. There is a bright future in which librarians’ expertise is used to mobilise evidence, manage and share knowledge, support patients, carers and families, optimise technology and social media and provide a keystone for improved patient care and safety.  相似文献   

Child sexual abuse as reported by Israeli adolescents: Social and health related correlates     

《Child abuse & neglect》2015

The objectives of the study were to assess the prevalence of child sexual abuse (CSA) in a nation-wide representative sample of 14–17 year old Israeli adolescents, and to examine the associations between CSA, socio-demographic correlates and various measures of physical and mental health. The study population consisted of 906 mother–adolescent dyads, belonging to a community based, representative sample of Israeli 14–17 year olds, interviewed in 2004–5. Response rate was 68%. Subjects provided demographic data, and information about CSA, physical symptoms, body image, well-being and use of mental health services. DAWBA was used to obtain information regarding mental disorders and suicidality. SDQ was used to obtain data on bullying. Statistical analyses were conducted using an SPSS-17 complex sample analysis module and multivariate analyses were conducted to assess the associations between CSA and risk factors and social and health related correlates. Findings show that CSA was reported by 3.3% of adolescents. Higher risk of exposure to CSA was found among girls, among adolescents living in a one-parent household and among adolescents with a chronic disability. In multivariate models adjusting for gender, learning disabilities and depression, CSA was associated with suicidal attempts, stomach ache, dizziness, sleep problems, well being at home and bullying behaviors. No association was found with suicidal ideation or other physical symptoms. Our findings confirm that the associations between CSA and different outcomes vary depending on the socio-psychological context, and underline the importance of addressing the complexity of variables associated with CSA.  相似文献   

Co-developmental trajectories of psychological need satisfactions at school: Relations to mental health and academic functioning in Chinese elementary school students     

《Learning and Instruction》2021

This study explored the co-developmental trajectories of autonomy, competence and relatedness need satisfactions at school and their relations to mental health and academic functioning in Chinese elementary school students. An accelerated longitudinal design was used with a sample of three cohorts (grade 3, grade 4, and grade 5) (N = 1070, 45.8% female; M_age = 9.44, SD = 0.97) on four occasions at 6-month intervals. Parallel process latent class growth models revealed five heterogeneous patterns (i.e., Congruent-moderate; Congruent-high; Congruent-low; Congruent-decreasing; Low-autonomy, High-competence and relatedness), all of which significantly associated with time-varying mental health and academic functioning indicators. The findings highlight the importance of subgroup differences and possible cultural considerations in understanding the progression of psychological need satisfactions and the need for universal screening and dynamic monitoring of students’ psychological need satisfactions at school and implementing more sophisticated interventions tailored to the unique characteristics of the relevant subgroups to promote optimal mental health and learning.  相似文献   

HAPA理论背景下大学生锻炼行为与锻炼效果的干预研究          下载免费PDF全文

王银晖 《河北体育学院学报》2016,30(4):53-60

以健康行动过程取向理论为理论背景,对644名在校大学生进行教育干预实验研究.干预措施包括课堂和课下指导、微信等即时通信工具宣传、发放健康行为宣传册等,干预时间为10周.在干预前后共进行了两次问卷调查、三次身体素质测试.结果:①根据HAPA阶段划分,大学生大部分处于健康锻炼行为无意向和意向阶段,仅有14.1％处于行动阶段;②干预对大学生锻炼行为意向水平和体育锻炼等级具有积极影响;③干预对大学生身体素质整体水平有积极影响;④锻炼自我效能作为社会认知变量在健康行为过程取向理论的各个阶段都发挥重要作用.建议通过提高个体锻炼自我效能感和制订合适的锻炼计划增加大学生中参加有规律的体育锻炼人数比例.  相似文献   

Mental health and psychosocial interventions for children and adolescents in street situations in low- and middle-income countries: A systematic review     

《Child abuse & neglect》2016

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Being bullied at school as a child,worse health as an adult? Evidence from China     

《International Journal of Educational Development》2021

This paper examines the long-run relationship between school bullying exposure and later adult health using a nationally representative household survey data from China. Our results show that victims are more likely to have low self-reported health, chronic diseases, physical functional limitations, and mental health problems even after several decades. The negative health consequences are more concentrated on the disadvantaged who come from low-income households or lack family support. The main findings are also consistent with qualitative evidence of our online survey.  相似文献   

分组分层教学对大学生体质与心理健康促进的实证研究     

钟进聪  黄元娉 《广州体育学院学报》2017,37(2):95-98

目的:通过实证研究探讨分组分层教学对大学生体质和心理健康的影响.方法:研究对象为普通大学生,随机分为实验组和对照组,开展15周的实践教学,实验前后测试心理和体质健康指标.结果:1、与对照组相比,实验组体质健康指标:(1)身高、肺活量、1000m(男)、800m(女)和50m,五个测试指标差异显著(P＜0.05);(2)立定跳远、坐位体前屈和引体向上(男),三个测试指标差异非常显著(P＜0.01);2、与对照组相比,实验组心理健康指标:(1)躯体化、焦虑症、强迫症、偏执四个指标差异显著(P＜0.05);(2)人际关系敏感、敌对和抑郁症三个指标差异非常显著(P＜0.01);3、心理健康水平与体质健康有相关性.结论:分组分层教学能有效改善大学生的体质健康和心理健康状况,提升大学生体质健康和心理健康水平,心理健康水平与体质健康有相关性.  相似文献