Elevated threat novel pdf download
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Skip to main content. Search SpringerLink Search. Psychopharmacology — Google Scholar File SE b The history of benzodiazepine dependence: a review of animal studies. Erlbaum, Hillsdale, pp — Google Scholar Rodgers RJ, Lee C, Shepherd JK Effects of diazepam on behavioural and antinociceptive responses to the elevated plusmaze in male mice depend upon treatment regimen and prior maze experience.
Psychopharmacology — Google Scholar Pellow S, File SE Anxiolytic and anxiogenic drug effects in exploratory activity in an elevated plus-maze: a novel test of anxiety in the rat. Brain Res Bull in press Download references. File View author publications. View author publications. Rights and permissions Reprints and Permissions. About this article Cite this article File, S. Physical symp- S toms were measured by the number of self-reported side effects from treatment and the Charlson comorbidity Where is the science of culture in cross-cultural index.
Chinese were categorized by acculturation: low cancer survivorship? Ethnic differences in physical American Indian cancer survivors by increasing symptoms were attenuated after adjusting for communica- knowledge and informed choice through innovative, tion and SWB. Low-acculturated Chinese had poorer customized web-based technology. Since death in Asian Americans. About American Indian cancer cancer support groups in Los Angeles. This Framework of Culture dysfunction. Survivorship Navigators provide services in Health Research provides a solid basis upon which to address such inequities.
Research Implications: American Indian cancer survi- Research Implications: Health disparities have not been vors who have access to well-trained, Indigenous Native eliminated despite 40 years of research funding.
Survivorship Native Patient Navigators need health and health behavior in both research and practice to be included with research intervention protocols to help is the missing link that would provide more useful insights address cancer health disparities.
In the context of ongoing DI efforts, mental among Vietnamese-, Chinese-, and Japanese-American health professionals completed a 3-day training institute breast cancer survivors in San Francisco and Los in an empirically supported biobehavioral intervention Angeles, California and Houston, Texas.
Two of the nine chologists from medical or community centers. Post- planned workshops have been successfully conducted.
Overall, this training program Research Implications: Funding is needed for empiri- has successfully impacted cancer care nationally and cally supported training models that educate and support internationally. Research Implications: The research implications of Practice Implications: Providers need be selective in this training program are to increase the number of choosing continuing education opportunities that are biopsychosocial screening programs implemented in insti- multicomponent and teach ESTs.
Considering the importance know to what we actually do of these endorsements, an NCI RE training program was developed to teach healthcare professionals to imple- Matthew Loscalzo1, Karen Clark1, Juee Kotwal1, William ment biopsychosocial screening programs. The purpose of Redd2 1 our presentation is to introduce this unique training City of Hope, 2Mount Sinai program.
A past trainee will share her experiences of implementing the program in Brazil. The program includes eight or integrated with ongoing cancer care. At 6 months in active treatment or survivorship. Evidence-based approaches are incorpo- fessional education programs have the potential to trans- rated throughout, and research and quality improvement late evidence-based cancer care into clinical practice.
Universal interven- Research Implications: In in Hungary, Ignaz tions strengthen resources, address distress, and Semmelweis documented the disastrous effects on promote resilience: educational materials, child life pregnant women when evidence-based knowledge was interventions, social work services, Hospital School not translated into clinical practice.
In , it is still Program, support groups, and web-based resources. Dissemination of evidence- the psychosocial team; program evaluation indicates its based practice continues to be a major challenge in feasibility and value.
At all stages of care, psychosocial every country. Crossing liaison, and neuropsychological evaluation. Practice Implications: Application of this clinical care Promoting positive adjustment for sibling model can guide allocation of resources in clinical practice donors of bone marrow: a psychosocial model of in pediatric cancer centers. Team care of pediatric oncology and BMT patients is well members developed a protocol to recognize donor rights documented. No guidelines exist for ideal care provision and optimize psychosocial care of siblings before and after in pediatric oncology.
This presentation will describe donation. METHODS: of transplant, attitudes toward donation, and general Newly diagnosed patients are assigned a social worker psychosocial functioning.
Follow-up evaluations are who screens the patient and family using the Psychosocial conducted 1- and 3-month post-transplant to monitor Assessment Tool 2. A child ongoing adjustment and provide support and brief life specialist meets newly diagnosed patients to prepare intervention as needed. If transplant outcome is poor, them for the medical setting, procedures, provide age- additional support and services are provided.
The Data on anxiety and health-related functioning are pediatric psychologist serves as a consultant inpatient collected at assessment points using evidence-based mea- and outpatient. Automatic consults are sent to the psychol- sures [e. The psychologist also Satisfaction levels and feedback from patients and receives consults from providers based on their perception caregivers are gathered and used to improve the process of patient needs.
Examination and comparison of provider transplant centers. Per- Research Implications: Satisfaction levels and feedback centage of time spent in clinical and administrative activities from patients and caregivers may provide support for will be reported for the multidisciplinary team members. In addition, prospective, longitudinal practice setting will be helpful to inform new research. They often experience pain, nausea, NCH long hospitalizations, and non-adherence, and suffer the impact of previous illnesses, making them prime candidates Tammi Young-Saleme, Jennifer Hansen, Stacy Flowers for psychological intervention.
The success needs. We attend family centered bedside rounds and of psychosocial services at NCH is due to its comprehen- provide targeted intervention at least weekly. Data regarding sive, coordinated, and integrated psychosocial services our consult service are gathered for QI purposes. Psychologists need to be able to meet the assessment protocol and treatment intervention for needs of a diverse range of developmental needs. Additional patient will be discussed. S Research Implications: Program data will be discussed.
Mindy Greenstein Acknowledgement of Funding: None. This talk focuses on the similarities and differ- treatment outcomes. METHODS: This talk is a theoret- brief in-person counseling, quitline telephone counsel- ical discussion of clinical observations of cancer patients ing, and 6 weeks of nicotine replacement.
Sec- most meaningful in life; Reinforcing character strengths ondary outcomes included perceived stress item and virtues that are most adaptive. Intervention differences in uncommon their experience is compared to others their these outcomes were assessed using mixed effects re- age, while those coping with aging alone are aware that peated measures models, controlling for baseline their experiences are common among others their age; values.
Participants and use what they have learned to help them cope with nega- study staff reported high levels of satisfaction with tive aspects of aging. Younger cancer patients, by contrast, the intervention. At 24 weeks, self-reported 7-day point will have had fewer experiences of dealing with life crises. At 24 weeks, perceived stress help people learn to copy with the other.
Research Implications: Low-moderate intensity smoking cessation interventions appear feasible to deliver in com- Acknowledgement of Funding: None. Psychosocial concerns intervention for cancer survivors may be common among smoking survivors and should be monitored during treatment.
However, patient cancer patients Simmons et al. We barriers e. This multi- currently conducting a randomized trial to compare the modal intervention includes a series of booklets and a differential effectiveness of delivering an Intensive Treat- DVD entitled Surviving SmokeFree. Patient testimonials, provider inter- and New York; to date, we have recruited 73 patients.
RESULTS: We will describe our recommended tobacco Baseline data from an ongoing randomized clinical trial counselor training that is specialized for cancer patients. We will describe our system of nonsmoking-related cancer patients. Finally, we will give an in-depth overview Smoking-relapse prevention interventions that are self- of the content of our intervention treatment, including administered can extend the reach of interventions in counseling topics e. Our lection and adherence.
We will detail intervention, measurement, and cancer patients is paramount. No assess- University of Denver ment data or diagnosis is relevant for this case. The education role also encompassed professional erature on supervision in oncology and health set- development as she was navigating her preferences for tings as well as the results from our survey. METHODS: A brief online, descriptive survey of Though counseling is not directly provided in su- APOS members was conducted to determine the type, pervision, emotional support is particularly important amount, and content of training that current supervi- for psychosocial oncology trainees.
In this case, a pa- sors of trainees in oncology settings have received. A discussion of the varying theories of su- quently, his disease progressed quickly, and he was pervision endorsed including developmental, psycho- told he had less than a week to live.
Practice Implications: We will share sample training Research Implications: Ideas for future research on frameworks including how to design an effective supervision in psychosocial oncology will be suggested shadowing orientation, how to develop a Cancer boot and discussed as they relate to this case. The purpose of this study is to assess experience the perceived importance of psycho-oncology clinical guide- lines for cancer patients and health professionals in China. RESULTS: Issues that are unique to supervision in top-ranked items were not ranked in the top 10 by health pro- psycho-oncology include i a need for familiarity with fessionals.
Some issues tients; and v attention to common countertransference perceived both essential by patients and health professions reactions to patients. Practice Implications: The clinical guideline has very Results of an online pilot study on this topic will be used important meaning on psycho-oncological practice in to outline the form that supervision currently takes and to China, which should be a milestone on the development formulate future research topics.
The guideline should make Practice Implications: Clinicians who currently super- it realistic to integrate the psycho-oncological care into vise professionals providing therapy to cancer patients routine cancer care in China. Recruitment Program GDJ Importantly, there has been a shift in the of Queensland, 5Queensland University of Technology, 6 last decade to conceptualize clinical supervision as a profes- Australian Prostate Cancer Research, 7McGill University, 8 sional competency for therapists in the United States.
Therefore, the therapist-administered psychosocial interventions. We focus of this presentation will be how these seven domains have undertaken a multi-site RCT of a six-module Internet translate into practice for clinical supervisors working in can- Cognitive Behaviour Therapy-based support program cer care. Clinical examples will be provided to illustrate receive either the Finding My Way intervention or an the concepts presented.
Measures include uptake, reasons for provide clinical supervisors who practice in psycho-oncology decline, and indices of adherence and post-treatment with an introduction to the meta-theoretical approach of satisfaction. Most common reasons American Psychological Association. Challenges of Guidelines for Clinical Supervision in Health Service multi-site recruitment include IT challenges and represen- Psychology needs evaluation. Additionally, as there is no tation across sex and cancer types.
These preliminary results indicate that the intervention in combi- Acknowledgement of Funding: This work was funded nation with access to a moderated forum provides an by NHMRC Project Grant Further engaging to men with prostate cancer and that includes a clinical translation work of this intervention will allow large component focussed on the impact of prostate cancer us to evaluate the clinical applicability of such an treatment on sexual outcomes including sexual satisfac- intervention.
Group 1: online intervention; Group 2: online intervention plus access to the moderated forum; S Group 3: moderated forum only. Tailored psychosocial analyses indicated that this improvement was associated support for partners of men with prostate cancer is limited.
METHODS: made possible by funding received from beyondblue with Firstly, a series of focus group discussions were conducted funding support from Movember. This included discussion about their support needs S and access to appropriate support services.
The online psychological intervention was then developed and pilot Improving reach and uptake of psychosexual tested. The developed intervention was based on cognitive support: introducing Rekindle, a web-based behavioural therapy and delivered online over six modules psychosexual resource for all cancer survivors over a period of 6 weeks. The experience of depression and their partners and anxiety of participants utilising the developed online intervention was assessed utilizing the GAD-7 and the Catalina Lawsin1, Phyllis Butow2, Annie Miller3, judy kay1, PHQ Ten partners of men with pros- partners.
This project aims to develop and test the intervention. Changes in address sexual concerns for cancer survivors and their anxiety, depression and marital satisfaction did not partners and demonstrate its acceptability. Participant qualitative feedback following: i empirical evidence gathered from a litera- indicated that the developed intervention was acceptable, ture review; ii qualitative interviews with cancer and delivery of this intervention using the online environ- survivors and partners; iii an online survey of psycho- ment was feasible.
RESULTS: Interviews with 32 survivors 18 prostate cancer could provide a way in which support male and 8 partners 4 female highlighted the impor- can be delivered to the majority of these partners despite tance of communication and the need for self-guided geographic location.
Using a mixed-methods approach, this feasibility phenomena. Usability resources are limited. As such, the provision of support testing served to enhance the functionality and acceptabil- using the online environment could provide a unique ity of the Rekindle user experience. Six men with supportive care service to patients and their partners to varying usage levels of e-TC were interviewed. The 25 e-TC users were mostly young and their partners. Discussion regarding thought e-TC was too long.
Interview feedback was also lessons learned in designing and implementing Rekindle mostly positive, but greater tailoring and interactivity will be discussed. It consists of skills-based dependence, social involvement, identity formation, sex modules targeting stress management, goal setting, and sexuality, academics, and employment. Pilot testing Research studies suggest that supportive care resources in multiple populations has demonstrated that the inter- promote coping capabilities e.
It may be emotional well-being. Some link coping capability to administered by graduate-level nonclinical professionals, quality of life QOL. Clinical care programs that enhance suggesting it has potential for inexpensive dissemination. Training in these areas will enable the ability of healthcare Acknowledgement of Funding: CureSearch for providers to offer age-appropriate care.
Given this, The Adolescent and Young Adults AYAs with cancer have disproportionately poor Adult Oncology Psychosocial Care Manual was devel- health and psychosocial outcomes, perhaps because they oped as an important national guideline for Australian have yet to develop the personal resources needed to cope health professionals supporting young people with cancer. AYA psychosocial care pathway. This presentation will also discuss work that is Education was also an independent factor for BIS.
Using multivariate analysis, clinical utility information for screening distress among inferior maxillectomy and segmental mandibulectomy AYA cancer patients, and it will generate greater under- were the independent poor prognosticators of body im- standing of the prevalence and predictors of distress age outcome in OCC patients. The cancer patients treated with radiotherapy. Besides, the current validation project will also generate greater surgical procedures of inferior maxillectomy and segmen- understanding of the prevalence and predictors of distress tal mandibulectomy are the independently poor prognosti- amongst this population, providing important information cators of body image outcome in the patients who for the development of interventions.
Besides, the patients Body image in irradiated head and neck cancer treated with facial bone destructive surgery have even patients: the impact of surgical procedures worse body image outcome.
In all patients, the clinical and socio- of Singapore, 3National University Health System demographic variables were cancer type, age, gender, partnership, education, and employment.
This prospec- image of women with breast cancer tive study thus sought to explore the dynamics between trajectories of body image distress BID and Helena Lewis-Smith1, Diana Harcourt2, Phillippa Diedrichs1, hope and optimism across time.
Much research in Nichola Rumsey1, Rod Bond3 1 psycho-oncology has focused on the psychopathology University of the West of England, 2University of the of body image distress in cancer patients without West of England, Bristol, 3University of Sussex referencing their effects across the cancer journey or the protective effects of psychological resources.
METHODS: cancer patients with a history of breast cancer, in order to inform the receiving outpatient treatment at a cancer center in future development of effective body image interventions Singapore completed self-reported measures of BID for this population. Trajectories of internalisation of appearance ideals and appearance intra-individual change improved, stable, and declined comparisons. Rank- comparison, and body image. Media had direct and indirect optimism, suggesting that patients experiencing effects on body image, through internalisation and improvements in BID reported higher levels of comparisons, as did family but through internalisation hope than those who had stable or deteriorating only.
Replication of these psychosocial variables over time. Existing programmes Singapore Seed Grant. Additionally, it is unknown changes that negatively affect psychosocial well-being.
Therefore, we struggling with body image changes, a better understand- designed and conducted a survey on prostate cancer ing of body image adjustment in this patient population is treatment and research decision-making. Regarding Revised. A linear mixed modeling approach was used to treatment decision-making, respondents ranked survival compare body image satisfaction scores over time and to as most important. Black men were more likely to say no to participation changes in the acute stage of recovery; interventions in an RCT.
Further, patients are hesitant to enroll in an RCT comparing proton efforts should be made to identify patients with high appear- RT and conventional RT. Dosimetric images and descrip- ance investment and refer them to appropriate psychosocial tions of each RT only increased the no responses.
Addi- other psychosocial outcomes. The aid for women considering breast mediating effect of attitudinal change regarding the relative reconstruction following mastectomy importance of physical appearance-related values when considering breast reconstruction highlights the key role of Kerry Sherman1, Laura Shaw1, Caleb Winch1, Diana Harcourt2, these views when making these surgical decisions.
We developed a web-based interactive decision The easy-to-use self-guided format of the intervention will aid, BRECONDA, to assist women with this decision allow surgeons to refer their patients to this resource as an making. Age and psycho- logical distress at study entry were assessed as modera- B-3 tors, and values about minimizing additional surgical intervention and physical appearance-related concerns Use of perceptual mapping and vector modeling were assessed as mediators of BRECONDA.
Between-group differences on the trial; mean age 60 years. Perceptual maps show clear outcomes distress and empowerment were analyzed conceptual differences about the worth and barriers to 1 week, 3 and 6 months after the visit. Study participants reported message strategies for those who have not participated higher information needs, higher distress and lower should focus on understanding of the clinical trial process empowerment scores compared to non-participants.
Patients who had participated outcomes. Patients reported rier to those who had not participated. Perceptual mapping and vector modeling methods can Satisfaction with and usage of the online application was elucidate message strategies to encourage clinical trial low. Most frequently reported barriers were technical participation and clearly show how to effectively address issues with the tablet, heterogeneity of medical treatments barriers to clinical trial participation.
Usage data Practice Implications: Spending time discussing the of the online application will be discussed. A selection bias of informed decision about participation, rather than inter- patients can be prevented by using a preference trial ventions focusing on mistrust. Only patients without strong preferences are by an internal NODAL grant to encourage collaboration randomly assigned. Jo Hanson, Betty Ferrell, Marcia Grant The present study describes prevalence and predictors of City of Hope psychological and quality-of-life outcomes from 2 to 4 years post-treatment to month follow-up.
Increased anxiety was about FCG-focused educational programs offered to HCPs predicted by increased general strain and threat, and lower in their institution. Better physical-QOL was predicted by being youn- social, spiritual, and physical well-being across the cancer ger in age, married for less time, having less trajectory.
Better increase in HCP educational offerings. As a result variance explained. In future planning, consideration to the role is- tribute to distress. More research needs to examine coping and QOL from a couple i. This study examined the interde- and survival among cancer patients and of general pendent relationship between coping and QOL in prostate stress and endocrine dysfunction among healthy aging cancer patients and their partners, and the extent to populations.
Perceived stress from cancer Perceived affected only patient QOL. Inves- Practice Implications: The needs of both patients and tigation of additional sociocultural and interpersonal their partners need to be addressed in practice settings. Future scores. Alpha levels and effect sizes are reported. When evaluating interactions between group pathways. Both groups reported improved context on their own physical health outcomes. Writing of this abstract was supported treatments for this population.
Both groups underwent eight 2-h weekly stable condition while on treatment or in follow-up, and group sessions. EG received manualized social skills attending school regularly participated. Each PBTP and training sessions through games and crafts, while CG one caregiver completed questionnaires assessing social received games and crafts only.
A randomiza- factor. Bonferroni-corrected alphas and effect sizes are tion table assigned participants to either neurofeedback reported. Parent-reported training.
Linear mixed that WBR is associated with more adverse effects on models analysis was used to test differences between QOL than focal or no radiation. PBTP who received neurofeedback and sham-feedback training over time. If PBTP are not able to speak up for were included in the effect analysis.
Scores efforts need to be made to help them and their caregivers of both groups improved over time, but neurofeedback to re-integrate in their community successfully. Vannatta5 1 have been reported. Parents completed smoking policies, reasons to smoke, resources used to quit the Early Adolescent Temperament Questionnaire—Revised and feedback to improve intervention.
Data were analyzed using multiple regression advocate for tobacco cessation to reduce HIV symptoms, and post-hoc bootstrapping. Furthermore, hygiene, money saved and a sense of accomplishment. Most effortful control partially accounts for the relationship between participants indicated they had not heard of the tobacco ces- executive functioning and emotional outcomes in PBTS.
Future research should investigate the directionality Feedback from FQHC clients was critical to the evaluation. Clinicians might choose to homeless and African American populations—currently explore neurocognitive remediation in order to optimize sparse in the literature. This evaluation provides rich data emotional outcomes for PBTS. This study helps identify the many breast cancer risk struggle with uncertainty about their communication strategies practitioners must collectively future well-being.
For women with daughters, the engage in to attend to a diverse array of issues facing distressing nature of this uncertainty is extended to how women. This study also enhances selors GCs and practitioners. In not. They are also tackling layers of uncertainty for more doing so, we were able to see how issues of uncertainty than just the individual receiving counseling i.
Our aim was or be managed throughout the consultation. These narratives also transcripts from 16 videotaped genetic counseling illustrate how practitioners use different communication sessions. The sample included 16 women, 3 genetic strategies in response to the issue of uncertainty at hand counselors, and 5 physicians. Fourteen were pre-testing e. Using a prospective, longitu- dinal design, and theoretical model to examine whether Acknowledgement of Funding: Funding for this study individuals pass through the sequence of stages as pro- was provided by Oki-Data America.
E-3 Practice Implications: Prevention offers the most logical and cost-effective long-term strategy for cancer control. Acceptance patterns and decision making for Receipt of the HPV vaccine is an important cancer preven- human papillomavirus vaccination among tion priority. Future health campaigns should address the Canadian parents: stages of change model question of how to push parents along the decision- making continuum towards HPV vaccine uptake.
The acceptance. We cannot guarantee that every book is in the library! A reality so abhorrent and unexpected is actually happening on a Global Scale? But who will provide our redemption when the enemy is two steps ahead of those bright minds? Two steps ahead of the Counter Terrorism professionals? Written in a riveting narrative style, Elevated Threat propels you into a new reality; a reality that hits you head-on with a new level of terrorism.
Are you prepared? Are you ready? Are you really? New lyric poetry by Rachel Galvin explores an ethical response to American comfort and its ties to war and exploitation. The poems in this collection reflect on news reporting, natural disasters, journalist safety, and the act of observing war from a distance as a civilian.
The book is also a tribute to the print form of the newspaper. Perhaps each of these adroit lyrics by the poet, critic, translator, and activist Rachel Galvin is a riddle for which the answer is the entire world in all its sad, brutal, and delightful contradiction. For surely every brief lyric in this book feels simultaneously triaged amidst a world of active damage and precisely poised, resourceful, nimble as a needle, quick as a stitch.
For surely every brief lyric in this book has the dazzle and dismay of a candle, just as it goes out. High Challenge, Low Threat is Mary Myatt's smart and thoughtful exploration of all the things that wise leaders do.
Informed through thousands of conversations over a year period in education, Mary shows the lessons that school management teams can learn from leaders in a wide range of other sectors and points to the conditions which these leaders create to allow colleagues to engage with difficult issues enthusiastically and wholeheartedly. This book makes the case that any leadership role is concerned primarily with the relationships between individuals. It is the quality of these, whatever the size of the organisation, which make the difference between organisations which thrive, and those which stagnate.
This is not to argue for soft, easy and comfortable options. Instead it considers how top leaders manage to walk the line between the impossible and the possible, between the undoable and the doable, and to create conditions for productive work which transcend the difficulties which come towards us every day.
Instead of dodging them, they embrace them. And by navigating high challenge, low threat, they show how others how to do the same. The system, which federal departments and agencies are required to implement and use, provides recommended protective measures for federal departments and agencies to prevent, prepare for, mitigate against, and respond to terrorist attacks.
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