Objectives: The primary goals of the current study were to examine (a) the factor structure and reliability of the Children's Dysfunctional Attitudes Scale (CDAS) in a sample of children and early adolescents and (b) the reliability of the factor structure in two additional independent samples at different developmental stages.
Design: In Phase 1, we conducted a factor analysis using maximum likelihood factor extraction and promax rotation to explore the underlying structure of the 40-item CDAS. In Phase 2, we conducted a confirmatory factor analysis on the factors obtained in Phase 1.
Methods: In Phase 1, 140 children (ages 6-14) of affectively ill parents completed the CDAS and measures assessing depressive symptoms, coping strategies, and cognitive-interpersonal vulnerability factors. In Phase 2, 130 third grade children and 184 seventh grade schoolchildren completed similar measures.
Results: In Phase 1, a two-factor solution was obtained: (1) Self-critical Perfectionism (SCP) and (2) Personal Standards Perfectionism (PSP). In Phase 2, a two-factor solution provided a significantly better fit than a one-factor solution in both grades. The two factors obtained exhibited high internal consistency in both our high-risk and community samples. Additionally, in both samples, SCP was more strongly associated with depressive symptoms, maladaptive coping strategies, and impaired interpersonal relationships than was PSP.
Conclusion: The results of the current study suggest that dysfunctional attitudes cluster into SCP and PSP in children as well as early adolescents. Further, SCP may have a more deleterious impact on children's psychosocial functioning as compared to PSP.
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http://dx.doi.org/10.1348/014466508X398952 | DOI Listing |
Physiother Theory Pract
January 2025
Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Background: The increase in survival rates among women treated for cervical cancer (CC) requires greater attention to the side effects of treatment. Although a high prevalence of pelvic floor disorders (PFD) in this population is documented, there is a lack of consensus regarding physical therapy approaches.
Methods: Cross-sectional observational study with 56 physiotherapists who answered a questionnaire.
Chron Respir Dis
January 2025
Respiratory Research@Alfred, School of Translational Medicine, Monash University, Melbourne Australia.
Objectives: To assess the safety, reliability and acceptability of the modified incremental step test (MIST) supervised remotely via videoconferencing in adults with chronic respiratory disease.
Methods: Adults with chronic respiratory disease undertaking pulmonary rehabilitation were invited to undertake the MIST under two testing conditions: in-person supervision and remote supervision via video-conferencing. Test order was randomised.
BMJ Open
January 2025
Department of Health Sciences, Brunel University of London, Uxbridge, UK
Objective: To investigate the safety, feasibility and acceptability of the Neurofenix platform for upper-limb rehabilitation in acute and subacute stroke.
Design: A feasibility randomised controlled trial with a parallel process evaluation.
Setting: Acute Stroke Unit and participants' homes (London, UK).
PLoS One
January 2025
Department of Operating Room, Baoding First Central Hospital, Baoding, China.
The purpose of this study is to investigate the influence of kinesiophobia following Total Knee Arthroplasty (TKA) on the rehabilitation outcomes of patients during hospitalization, includes examining the trends in resting pain levels at various time points post-surgery, the trends in active flexion of the knee at various time points post-surgery, and the effects of kinesiophobia on the timing of first postoperative ambulation, the duration of postoperative hospital stay, and the results of the two-minute walk test on the day of discharge. Postoperative kinesiophobia in patients was identified using the Tampa Scale for Kinesiophobia (TSK), with 33 patients scoring >37 points and 35 patients scoring ≤37 points. Resting Pain levels were assessed using the Numerical Rating Scale (NRS) at various time points, including upon return to the ward (T1), the first (T2), second (T3), third (T4), fifth(T5) postoperative days, and the day of discharge (T6).
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Department of Medicine, University of California, San Francisco.
Importance: Multiple organ dysfunction (MOD) is a leading cause of in-hospital child mortality. For survivors, posthospitalization health care resource use and costs are unknown.
Objective: To evaluate longitudinal health care resource use and costs after hospitalization with MOD in infants (aged <1 year) and children (aged 1-18 years).
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