Search results for "Multilevel model"
showing 10 items of 207 documents
What Predicts Outcome, Response, and Drop-out in CBT of Depressive Adults? A Naturalistic Study
2012
Background: The efficacy of CBT for unipolar depressive disorders is well established, yet not all patients improve or tolerate treatment. Aims: To identify factors associated with symptomatic outcome, response, and drop-out in depressive patients under naturalistic CBT. Method: 193 patients with major depression or dysthymia were tested. Sociodemographic and clinical variables were entered as predictors in hierarchical regression analyses. Results: A higher degree of pretreatment depression, early improvement, and completion of therapy were identified as predictors for symptomatic change and response. Drop-out was predicted by concurrent personality disorder, less positive outcome expectan…
Magnitude of relationship between burnout and absenteeism: a preliminary study.
2008
This study examined the influence of guilt related to a negative attitude toward patients and its relation with burnout and absenteeism. The sample consisted of 717 nursing professionals. Depersonalization was evaluated by the Maslach Burnout Inventory and Guilt was evaluated by one item. To estimate Absenteeism, participants were asked about the number of workdays they had missed in the past year. Hierarchical multiple regression analyses make it possible to conclude that guilt explains work absenteeism, and the interaction between depersonalization and guilt (Incr. R2 = .008, p<.05) indicates significant differences in the number of work days missed in the last year. Conclusions are l…
Relation of the real relationship and the working alliance to the outcome of brief psychotherapy.
2011
In this study, the (a) association of the client- and therapist-rated strength of the real relationship to the outcome of brief psychotherapy, and (b) extent to which the real relationship predicted outcome above and beyond the predictive power of the working alliance were examined. A total of 50 clients at the counseling center of a university in Italy received brief therapy and completed measures before treatment, after the third session, and at the end of treatment. From the clients' perspective, both the Genuineness element of the real relationship and the Bond scale of the working alliance were found to relate significantly to treatment outcome. When we examined the real relationship a…
For patients with breast cancer, geographic and social disparities are independent determinants of access to specialized surgeons. A eleven-year popu…
2012
Abstract Background It has been shown in several studies that survival in cancer patients who were operated on by a high-volume surgeon was better. Why then do all patients not benefit from treatment by these experienced surgeons? The aim of our work was to study the hypothesis that in breast cancer, geographical isolation and the socio-economic level have an impact on the likelihood of being treated by a specialized breast-cancer surgeon. Methods All cases of primary invasive breast cancer diagnosed in the Côte d’Or from 1998 to 2008 were included. Individual clinical data and distance to the nearest reference care centre were collected. The Townsend Index of each residence area was calcul…
Does self‐compassion help to deal with dietary lapses among overweight and obese adults who pursue weight‐loss goals?
2021
Objectives Self-compassion can facilitate self-improvement motivation. We examined the effects of self-compassion in response to dietary lapses on outcomes relevant to weight-loss strivings using a longitudinal design. The indirect effects of self-compassion via guilt and shame were also explored. Design An Ecological Momentary Assessment methodology was employed with a sample of adults who were overweight or obese attempting to lose weight via dietary restriction (N = 56; Mage = 34.88; SD = 13.93; MBMI = 32.50; SD = 6.88) and who responded to brief surveys sent to their mobile phones twice daily for two weeks. Methods Dietary temptations and lapses were assessed at each diary entry, and se…
EFFECTS OF TEACHER-STUDENT RELATIONSHIPS ON PEER HARASSMENT: A MULTILEVEL STUDY
2015
Peer harassment is a major social problem affecting children and adolescents internationally. Much research has focused on student-to-student harassment from either an individual or a multilevel perspective. There is a paucity of multilevel research on students’ relationships with the classroom teacher. The purpose of this study was to use a socioecological perspective to examine the relationships between individual student-level characteristics, problematic teacher–student relationships, and student-reported peer harassment. A total of 1,864 children (50.7% female) aged 8 to 13 years (M = 9.82, SD = 1.24), nested in 27 schools (58.2% public) in Spain, participated in the study. Ninety-four…
Narraciones escritas en niños con Trastorno Específico del Lenguaje (TEL)
2012
El presente estudio examinó las narraciones escritas, así como la influencia de las variables lingüísticas sobre la competencia narrativa de los niños con Trastorno Específico del Lenguaje (TEL). Veinticinco niños con TEL y 25 niños con desarrollo normal del lenguaje, equilibrados en edad e inteligencia, realizaron una tarea de narración escrita. Los resultados indican que ambos grupos difieren en la producción de narraciones. Los niños con TEL no solo escribieron historias más cortas, sino también de menor organización y coherencia. Además cometieron significativamente más errores de ortografía natural y de sintaxis. Los análisis de regresión jerárquica mostraron que diferentes medidas lin…
Social Emotional Competence, Learning Outcomes, Emotional and Behavioral Difficulties of Preschool Children: Parent and Teacher Evaluations
2022
This paper addresses the role of social emotional competence in the emotional and behavioral problems and learning outcomes of preschool children based on their parents’ and teachers’ evaluations. In this study, we compared the perceptions of teachers and parents when evaluating the same child using the multi-informant assessment. First, the associations and differences between both the informant evaluations were investigated. Second, the correlation of the social emotional competence and emotional, and behavioral difficulties among preschool children was analyzed, separately addressing their parents’ and teachers’ evaluations. Third, the role of the preschool children’s social emotional co…
Mothers' abusive childhood predicts child abuse
1999
To examine the intergenerational transmission of abuse, the study compared 25 mothers whose child had been under the supervision of the child protection services (CPS) with 25 mothers who had had no contact with the CPS. The groups were compared with respect to their own self-reported childhood abuse, their abuse of their own child and punitiveness. The data were gathered using interviews and files. There were no significant differences between the groups in self-reported childhood physical abuse, but the CPS mothers had experienced more childhood psychological abuse, especially rejection, accusations, terrorizing and corrupting. The groups did not differ in the self-reported physical or ps…
Self-worth contingencies and obsessionality: A promising approach to vulnerability?
2012
Abstract Cognitive behavioral theories (CBT) posit deficiencies in selfhood processes as possible vulnerability factors for obsessive–compulsive disorder (OCD). This paper presents two psychometric studies on the development of the Obsessional Concerns and Self Questionnaire (OCSQ), a measure of failure to attain self-worth in personal domains relevant to obsessionality. In the first study based on 563 community Spaniards, principal factor analysis of an 80 item pool resulted in a three factor solution and a final 35 item version (OCSQ-r). In the second study self-worth and symptom measures were administered to 152 Spanish, 142 Argentinean and 112 Canadian nonclinical samples. Group compari…