121 research outputs found

    Intrusive and Deliberate Rumination Predict Posttraumatic Growth in Members Enrolled in a Cardiovascular Rehabilitation Program

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    Posttraumatic growth (PTG) can be defined as the experience of positive change, or psychological growth, that occurs as a result of a highly challenging life event or crisis (Tedeschi & Calhoun, 2004). Given that over one-third of the American population lives with some form of cardiovascular disease (American Heart Association, 2011), promoting posttraumatic growth in this population may promote more successful adaptation and coping and may serve to reduce morbidity and mortality (Affleck, 1987). Thus, the present study investigated the predictors of posttraumatic growth in a cardiac rehabilitation setting at rehabilitation entrance (PTG1) and exit (PTG2) and examined change in PTG scores over time. Although PTG scores were not significantly different at rehabilitation completion, results of the present study revealed that PTG1 was primarily predicted by deliberate rumination scores and a poorer physical quality of life at rehabilitation entrance and PTG2 was primarily predicted by deliberate rumination scores and greater physical impairment rehabilitation completion. Longitudinally, PTG2 was primarily predicted by intrusive rumination scores and a poorer quality of life at rehabilitation entrance. This study contributes to a deeper understanding of the clinical and behavioral characteristics that are likely to correspond to PTG in cardiac patients

    Intersectional Identities and Microaggressions: The Experience of Transgender Females

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    Historically, attention given to privileged LGBT minorities such as white LGBT individuals, renders those who experience multiple minority identities as unacknowledged. There is a scarcity of research exploring the intersectional experiences of transgender individuals and how these experiences impact their mental health and well-being. For that reason, the intent of this study was to learn more about transgender females who hold additional minority statuses, their transition experiences, their circumstances, and the nature of their social environment. Specifically, I investigated trans female experiences of transitioning with a specific focus on the intersection of gender identity, race, socioeconomic status (SES), and age. For this study, the research was conducted using a narrative tradition and an intersectionality theory paradigm. Data were collected through observations, archival data, and eight semi-structured individual interviews. Purposeful stratified sampling was used for the recruitment of self-identified transgender female participants from a local LGBT community center. It is my hope that through this research, counselors can begin to gain a rich understanding of the ways that issues of oppression can be more effectively addressed in the transgender community

    A study of user effort as measured using query construction and interface selection

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    This pilot study was designed to examine user beliefs and behaviors on the selection and use of search features and search interfaces. The study consisted of five weeks of user logs taken from an Ultraseek server and surveys administered immediately before and after this time period. The survey results indicated a strong correlation between a user's level of effort and their perceived benefit of that effort. Results from the log files were inconclusive but suggested a reluctance to use the advanced search interface. Reported feature use increased by more than 35% over the five weeks. This raises the question of how the behavior of an Internet user changes over time. Further study into the increased use of features and the best interface to provide them is recommended

    Promoting the Wellness of Physician-Residents: Counselor-Delivered Coaching

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    Current studies on coaching have largely been process- and outcomes-oriented while lacking a firm theoretical foundation on which to base skills and techniques. Coaching has been utilized in many settings in order to address employee work attitude and well-being. This article explores the effects of counselor-delivered coaching on the wellness of physician-residents. Counselors are trained in many of the skills that organically apply to coaching, and medical education programs can benefit from counselor-facilitated coaching as part of their graduate medical education program. Counselor-delivered coaching also can help residents reduce common stresses, mitigate negative patient outcomes, and avoid burnout. This increase in physician wellness is likely to result in decreased medical errors. For these reasons, the authors explore the use of basic counseling techniques in the context of coaching sessions involving medical school educators and residents, thereby bridging the gap between coaching and counseling. Counselor-delivered coaching may be a valuable resource for reducing physician burnout. Therefore, medical schools and medical practices should consider developing and including counselor-delivered coaching to improve physicians’ quality of life and thus, in turn, patient results. Findings from this study support future data-driven studies of counselor-delivered coaching, training opportunities for counselor education programs, and an evolution of coaching techniques
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