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Resilience and thriving in response to challenge: an opportunity for a paradigm shift in women's health. 应对挑战的复原力和蓬勃发展:妇女健康模式转变的机会。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
V E O'Leary, J R Ickovics
{"title":"Resilience and thriving in response to challenge: an opportunity for a paradigm shift in women's health.","authors":"V E O'Leary,&nbsp;J R Ickovics","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this article is to move beyond the vulnerability/deficit model of women and to focus on women's strengths and their ability to thrive in the face of adversity. Thriving is a dynamic process of adaptation, influenced by numerous individual and social factors; it emerges and changes over the life course and may be identified in behavioral, cognitive, or affective domains. The foundation of this concept comes from the literature on resilience, but it goes beyond the common view of resilience as homeostasis. It suggests, instead, a value-added construct whereby challenge provides an opportunity for change and growth. Understanding the concept and process of thriving can provide an important basis for theoretical development, empirical research, and clinical intervention. Thriving can provide a framework within which to examine the antecedents and consequences of differential reactions to health-related challenges. Knowledge of the factors that promote thriving can provide an important foundation for a paradigm shift away from a focus on illness and pathology toward one that understands, explains, and nurtures health.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 2","pages":"121-42"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20302836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sources of social support as predictors of exercise adherence in women and men ages 50 to 65 years. 社会支持来源作为50 - 65岁男女坚持锻炼的预测因素。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
R K Oka, A C King, D R Young
{"title":"Sources of social support as predictors of exercise adherence in women and men ages 50 to 65 years.","authors":"R K Oka,&nbsp;A C King,&nbsp;D R Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Examines types of social support that best predicts adherence at different time points during a 1-year endurance exercise program in 269 women and men ages 50 to 65 years. Results indicate that social support had similar effects on exercise participation for women and men, and support specific to exercise was a better predictor of exercise adherence than general social support. A preference for receiving a lesser amount of initial support from exercise staff was the strongest social support-related predictor of exercise adherence during the initial 6 months of the program. Support currently received from family and friends and exercise staff at Month 6 was found to be the strongest predictor of adherence during Months 7 to 12. Format of exercise was also a strong predictor of exercise adherence with home-based programs related to greater adherence. Additionally, divorced nonsmokers appear to be at increased risk for poor early exercise adherence and should be targeted in interventions to promote exercise participation.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 2","pages":"161-75"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perceived determinants of risk for breast cancer and the relations among objective risk, perceived risk, and screening behavior over time. 乳腺癌风险的感知决定因素以及客观风险、感知风险和筛查行为之间的关系。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
L S Aiken, A M Fenaughty, S G West, J J Johnson, T L Luckett
{"title":"Perceived determinants of risk for breast cancer and the relations among objective risk, perceived risk, and screening behavior over time.","authors":"L S Aiken,&nbsp;A M Fenaughty,&nbsp;S G West,&nbsp;J J Johnson,&nbsp;T L Luckett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interrelations among perceived risk for breast cancer, objective risk factors, and both breast self-examination (BSE) and mammography screening were examined across two waves of a longitudinal study of breast cancer screening. Participants were a community sample of 335 predominantly White middle-class women, aged 37 to 77, who had not had breast cancer. Factors believed by women to determine their self-rated risk level for breast cancer were investigated. Women held optimistic biases about their own breast cancer risk; they often erroneously attributed their relatively lower perceived risk to personal actions, including mammography screening. Compliance with mammography screening but not BSE recommendations increased over time. Perceived susceptibility to breast cancer was related to both family history and breast symptomatology; early mammography screening was positively related to perceived susceptibility later in time.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 1","pages":"27-50"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20302832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Couples and chronic obstructive airway diseases: the role of gender in coping and depression. 夫妻与慢性阻塞性气道疾病:性别在应对和抑郁中的作用。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
D G Unger, S B Jacobs
{"title":"Couples and chronic obstructive airway diseases: the role of gender in coping and depression.","authors":"D G Unger,&nbsp;S B Jacobs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social support, stress, health locus of control, active and avoidance coping, and depression were studied with 107 married couples in which one partner had a chronic obstructive airway disease (mean age = 62 years old). Differences between couples were evident when gender of the patient was assessed. Female patient couples that were older appeared more at risk than male patient couples for distress. In the analyses of spouse depression, gender moderated the relation of coping, social support, and health locus of control with depression. For patients, coping and social support were directly related to depression rather than moderated by gender. Implications for prevention and future research are discussed.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 3","pages":"237-55"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women and the 1993-1994 health reform debate: issues and questions. 妇女与1993-1994年保健改革辩论:议题和问题。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
W A Leigh
{"title":"Women and the 1993-1994 health reform debate: issues and questions.","authors":"W A Leigh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Provides a review of the major issues raised during the 1993-1994 national health reform debate, with emphasis on the implications of these issues for women's health. I begin with an overview of the current health care system and the access to care by women in it, based in part on their health characteristics. The need to reform the current system is noted, along with a discussion of the major issues and proposals debated during 1993-1994, the years of the 103d US Congress. Questions are raised that could enable women's health advocates and activist women health care consumers to assess the implications for women of various future health reform proposals.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 2","pages":"177-96"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The social construction of breast loss and reconstruction. 乳房丧失与重建的社会建构。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
A S Kasper
{"title":"The social construction of breast loss and reconstruction.","authors":"A S Kasper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reconstructing the breasts of women with breast cancer is standard medical care. An exploratory, qualitative study of women with breast cancer demonstrates that breast reconstruction is not essential to the resolution of a breast cancer crisis. This article reveals that today's culture creates a social context in which breast loss appears to have dire consequences for women and then provides the medical care to redress the loss it has helped create. Interviews were held with 29 women to explore the psychosocial consequences of breast cancer on their health and lives. This study demonstrates that breast reconstruction fails to meet the expectations of these women with breast cancer because the women identify disjunctures between social expectation and their own interests in health and well-being.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 3","pages":"197-219"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychosocial predictors of postpartum depressed mood in socioeconomically disadvantaged women. 社会经济弱势妇女产后抑郁情绪的社会心理预测因素。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
E Neter, N L Collins, M Lobel, C Dunkel-Schetter
{"title":"Psychosocial predictors of postpartum depressed mood in socioeconomically disadvantaged women.","authors":"E Neter,&nbsp;N L Collins,&nbsp;M Lobel,&nbsp;C Dunkel-Schetter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effects of stress, social support, and labor and delivery experiences on postpartum depressed mood were examined in an ethnically diverse sample of low-income women (N = 108). Women were interviewed on multiple occasions throughout pregnancy and then once approximately 2 months postpartum. Information on labor and delivery outcomes was abstracted from medical charts. Results indicated that women who were more satisfied with the prenatal social support they received were less likely to experience postpartum depressed mood, after controlling for prenatal depressive symptomatology. In addition, women who experienced more distressing life events during pregnancy and who reported higher levels of prenatal anxiety were also more likely to feel depressed, after controlling for all other factors in the model. Finally, women who were more satisfied with their labor and delivery experience tended to be less depressed in the early months following childbirth. Together, these variables accounted for 45% of the variance in postpartum depressed mood.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 1","pages":"51-75"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20302833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reactions to impaired fertility: the vicissitudes of primary and secondary control appraisals. 对生育力受损的反应:初级和次级控制评价的变迁。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
M A McLaney, H Tennen, G Affleck, T Fitzgerald
{"title":"Reactions to impaired fertility: the vicissitudes of primary and secondary control appraisals.","authors":"M A McLaney,&nbsp;H Tennen,&nbsp;G Affleck,&nbsp;T Fitzgerald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent formulations about how perceived control influences adaptation to chronic medical conditions suggest that although a sense of personal (primary) control may decline over time, there are ample opportunities for individuals to make other adaptation-enhancing \"secondary control\" appraisals such as construing benefits or finding meaning in their threatening circumstance. We describe a longitudinal study of men and women with impaired fertility that evaluates a dynamic relation between primary and secondary control--one in which anticipated benefits increase over time as failed efforts to achieve a desired pregnancy lead to declines in primary control. Forty-six men and women with impaired fertility rated their sense of personal control over fertility outcomes, the extent to which they anticipated benefits in this situation and their outcome expectancy on two occasions separated by 14 months. As predicted, perceived control diminished over time. Changes in anticipated benefits were unrelated to changes in personal control. Anticipating benefits, however, was inversely related to changes in outcome expectancy, such that a more pessimistic expectancy over time was associated with an increase in anticipated benefits. This relation was independent of perceived control and was not mood dependent. We discuss these findings in terms of current theories of control, the need for further longitudinal investigations to evaluate the temporal relations between primary and secondary control appraisals, and implications for infertility research.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 2","pages":"143-59"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20302837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conception, commitment, and health behavior practices in medically high-risk pregnant women. 医学高危孕妇的受孕、承诺和健康行为实践。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
R S DeLuca, M Lobel
{"title":"Conception, commitment, and health behavior practices in medically high-risk pregnant women.","authors":"R S DeLuca,&nbsp;M Lobel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Based on cognitive dissonance and related theories of commitment, this study tested hypotheses that planning pregnancy and number of months spent trying to conceive would be associated with better prenatal health behaviors and that commitment to pregnancy and motherhood would mediate these associations. Participants (N = 96) were pregnant women at high medical risk for an adverse birth outcome. As predicted, planning pregnancy predicted better prenatal health care practices, and this effect was mediated by commitment level. Among women who planned their pregnancy, longer time to conceive predicted higher commitment but did not influence prenatal health behaviors directly. Women who had given birth previously practiced fewer prenatal health behaviors. Commitment, however, remained the strongest predictor of prenatal health care practices. Results are consistent with theories of commitment and with prominent approaches to the study of health behavior.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 3","pages":"257-71"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening mammography: factors associated with adherence to recommended age/frequency guidelines. 乳房x光筛查:与年龄/频率指南依从性相关的因素。
Women's health (Hillsdale, N.J.) Pub Date : 1995-01-01
J L Hitchcock, M J Steckevicz, W D Thompson
{"title":"Screening mammography: factors associated with adherence to recommended age/frequency guidelines.","authors":"J L Hitchcock,&nbsp;M J Steckevicz,&nbsp;W D Thompson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Examines associations of selected demographic, insurance, health care, health history, and health practice variables with frequency of screening mammograms received during the past 5 years. Telephone interviews were conducted with 350 women aged 40 through 69, never diagnosed with breast cancer, and identified through random digit dialing in Connecticut. Of 10 variables showing bivariate associations with receiving mammograms as frequently as recommended by National Cancer Institute guidelines, younger age, having a first-degree relative with breast cancer, and having annual clinical breast examinations were statistically significant independent predictors in logistic regression analyses of regular utilization of mammography during the past 5 years. In additional logistic analyses, having regular clinical breast exams maintained a strong effect on the odds both of having any mammograms and, among respondents reporting any mammograms, of having the recommended number during the past 5 years. Frequency of breast self-examination was unrelated to frequency of mammograms.</p>","PeriodicalId":79542,"journal":{"name":"Women's health (Hillsdale, N.J.)","volume":"1 3","pages":"221-35"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20303379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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