438 research outputs found

    Validation of the Parent Health Locus of Control Scales in an Italian sample

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    <p>Abstract</p> <p>Aim</p> <p>This study examined the psychometric properties and the replicability of De Vellis's (1993) Parent Health Locus of Control (PHLOC) scales in an Italian sample.</p> <p>Method</p> <p>The Italian version of PHLOC was administered to 470 mothers of birth to 3-year-old children.</p> <p>Results</p> <p>Varimax rotated confirmatory factor analysis identified the six original subscales, namely Child, Divine, Fate, Media, Parental, and Professional influences over child health. Internal consistency of the subscales was good (α > .70), and test-retest correlations were adequate (<it>r </it>> .80). More highly educated mothers rated media influence as most important. No differences were found considering children's age, gender, and birth order.</p> <p>Conclusion</p> <p>The results offer good evidence of the cross-cultural validity of the PHLOC scales, an instrument that can be useful in interventions with families by the health care practitioners to prevent neglectful childrearing practices.</p

    Patients' awareness of the potential benefit of smoking cessation. A study evaluating self-reported and clinical data from patients referred to an oral medicine unit

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    The present study analyzed history of smoking and willingness to quit smoking in patients referred for diagnosis and treatment of different oral mucosal lesions. Prior to the initial clinical examination, patients filled in a standardized questionnaire regarding their current and former smoking habits and willingness to quit. Definitive diagnoses were classified into three groups (benign/reactive lesions, premalignant lesions and conditions, and malignant diseases) and correlated with the self-reported data in the questionnaires. Of the 980 patients included, 514 (52%) described themselves as never smokers, 202 (21%) as former smokers, and 264 (27%) as current smokers. In the group of current smokers, 23% thought their premalignant lesions/conditions were related to their smoking habit, but only 15% of the patients with malignant mucosal diseases saw that correlation. Only 14% of the smokers wanted to commence smoking cessation within the next 30days. Patients with malignant diseases (31%) showed greater willingness to quit than patients diagnosed with benign/reactive lesions (11%). Future clinical studies should attempt (1) to enhance patients' awareness of the negative impact of smoking on the oral mucosa and (2) to increase willingness to quit in smokers referred to a dental/oral medicine settin

    Long-term stability of language performance in very preterm, moderate-late preterm, and term children

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    Objective To investigate whether children born very preterm, moderate-late preterm, and term differ in their average level and individual-difference stability in language performance over time. Study design Language was assessed at 5 and 20 months and 4, 6, and 8 years of age in 204 very preterm (<32 weeks' gestation), 276 moderate-late preterm (32-36 weeks' gestation), and 268 term (37-41 weeks' gestation) children from the Bavarian Longitudinal Study. Results Very preterm children consistently performed worse than term-born children, and moderate-late preterm children scored in between. Language performance was stable from 5 months through 8 years in all gestation groups combined, and stability increased between each succeeding wave. Stability was stronger between 5 months and 4 years in very preterm than moderate-late preterm and term groups, but this differential stability attenuated when covariates (child nonverbal intelligence and family socioeconomic status) were controlled. Conclusions Preterm children, even moderate-late preterm, are at risk for poorer language performance than term-born children. Because individual differences in language performance are increasingly stable from 20 months to 8 years in all gestation groups, pediatricians who attend to preterm children and observe language delays should refer them to language intervention at the earliest age seen

    Diffuse swelling of the buccal mucosa and palate as first and only manifestation of an extranodal non-Hodgkin ‘double-hit' lymphoma: report of a case

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    Background: Most of the lymphomas arising in the oral cavity are of B-cell origin. Among these, diffuse large B-cell lymphomas are the most common. Diffuse large B-cell lymphomas may exhibit more than one chromosomal rearrangement and are then referred to as ‘double-hit' or ‘triple-hit' lymphomas. Case report: We present a case of an intraoral ‘double-hit' lymphoma in a 76-year-old male who had been referred by an oral surgeon in private practice. Intraoral examination exhibited a firm, exophytic lesion in the region of the right hard palate and buccal mucosa with extension to the soft palate. Radiographic examination exhibited a massive thickening of the right sinus membrane, and arrosion of the lateral and basal cortical sinus walls in the right maxilla. After diagnosis of the lesion, the patient was treated with six cycles of chemotherapy. Discussion: Lymphomas arising within the oral cavity account for less than 5% of all oral malignancies and typically affect the palatine tonsils and the palate. ‘Double-hit' lymphomas are associated with older age, usually present with an advanced stage of disease, and show an aggressive clinical behaviour. They normally have a poor prognosis, even when treated with intensive chemotherapy regimens. Nevertheless, in the case presented, the patient was free of symptoms 1year after initial diagnosi

    Theory of Mind and diverse intelligences in 4-year-olds: Modelling associations of false beliefs with children’s numerate-spatial, verbal, and social intelligence

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    Theory of Mind (ToM) and the structure of intelligence were investigated in 115 4-year-olds. Specifically, we asked whether children’s intelligence involves both general and specific aspects and whether standard ToM measures of false belief can serve as indicators of social intelligence. Psychometric intelligence and children’s domain-specific understanding of number concepts and of mental states (false belief) were measured in the laboratory; communication and social skills were assessed through mothers’ report. A confirmatory factor analysis revealed poor fit for a one-factor model, but good fit for a model with three correlated factors, suggesting that children’s intelligence involves both general and specific aspects. Numerate-spatial and verbal intelligence were correlated (.70), and social intelligence correlated to a stronger degree with verbal (.66) than with numerate-spatial intelligence (.37). Laboratory assessment of false belief and mothers’ reports about children’s social skills loaded on a single factor, pointing to real-world consequences of ToM abilities

    The Influences of Drug Abuse on Mother-Infant Interaction Through the Lens of the Biopsychosocial Model of Health and Illness: A Review

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    Women who abuse illicit drugs often engage in atypical parenting behaviors that interfere with the natural development of mother-infant interaction and attachment. Maternal caregiving deficits leave pronounced adverse consequences in the wake of drug abuse relapse, which often occurs and in early infancy. These are times when the child requires optimal parental care. The contemporary literature documents long-term implications of illicit drug-abuse in parenting on infants. However, factors that drive and sustain the influence of drug abuse on parent-infant outcomes remain elusive. This review adopts a biopsychosocial approach to synthesizing the existing state of knowledge on this issue. Mother-infant interaction is a dynamic socio-relational process that occurs at multiple levels of organization. As such, a biopsychosocial perspective enables us to uncover: (i) roles of specific physiological mechanisms and biological characteristics of atypical parenting in mothers who abuse drugs, (ii) the influence of drugs on maternal psychological state (i.e., beliefs regarding parenting practices, emotional regulation), and (iii) social relationships (i.e., relationships with spouse and other drug abusers) and contextual cues (i.e., triggers) that moderate non-optimal maternal caregiving. A comprehensive review of these key domains provides a nuanced understanding of how these several sources interdependently shape atypical parent-infant interaction amongst drug abusing mothers. Systematic elucidation of major factors underlying drug-abused maternal behaviors facilitates the development of targeted and more effective interventions

    Parenting attributions and attitudes in cross-cultural perspective

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    SYNOPSIS Objective. This article used the Parenting Across Cultures Project to evaluate similarities and differences in mean levels and relative agreement between mothers&apos; and fathers&apos; attributions and attitudes in parenting in 9 countries. Design. Mothers and fathers reported their perceptions of causes of successes and failures in caregiving and their progressive versus authoritarian childrearing attitudes. Gender and cultural similarities and differences in parents&apos; attributions and attitudes in 9 countries were analyzed: China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States. Results. Although mothers and fathers did not differ in any attribution, mothers reported more progressive parenting attitudes and modernity of childrearing attitudes than did fathers, and fathers reported more authoritarian attitudes than did mothers. Country differences also emerged in all attributions and attitudes that were examined. Mothers&apos; and fathers&apos; attributions and their attitudes were moderately correlated, but parenting attitudes were more highly correlated in parents than were attributions. Conclusions. We draw connections among the findings across the 9 countries and outline implications for understanding similarities and differences in mothers&apos; and fathers&apos; parenting attributions and attitudes

    Assessing categorization performance at the individual level: A comparison of Monte Carlo Simulation and Probability Estimate Model procedures

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    a b s t r a c t Two analytical procedures for identifying young children as categorizers, the Monte Carlo Simulation and the Probability Estimate Model, were compared. Using a sequential touching method, children aged 12, 18, 24, and 30 months were given seven object sets representing different levels of categorical classification. From their touching performance, the probability that children were categorizing was then determined independently using Monte Carlo Simulation and the Probability Estimate Model. The two analytical procedures resulted in different percentages of children being classified as categorizers. Results using the Monte Carlo Simulation were more consistent with group-level analyses than results using the Probability Estimate Model. These findings recommend using the Monte Carlo Simulation for determining individual categorizer classification
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