Dissertations / Theses on the topic 'Physical functioning'

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1

Wasylak, Tracy J. "The impact of pain on postoperative physical functioning /." Thesis, McGill University, 1988. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61726.

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2

Ayvazoglu, Nalan R. "Physical activity determinants in youth with high functioning autism." [Bloomington, Ind.] : Indiana University, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3386663.

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Thesis (Ph.D.)--Indiana University, School of Health, Physical Education and Recreation, 2009.
Title from PDF t.p. (viewed on Jul 15, 2010). Source: Dissertation Abstracts International, Volume: 70-12, Section: A, page: 4621. Adviser: Francis Michael Kozub.
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3

Xu, Beibei Zizza Claire Ann. "Body mass index and physical functioning in older adults." Auburn, Ala, 2008. http://hdl.handle.net/10415/1571.

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4

Luctkar-Flude, Marian. "Fatigue, physical activity, physical functioning and quality of life in older adults with cancer." Thesis, University of Ottawa (Canada), 2007. http://hdl.handle.net/10393/27883.

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Cancer is predominantly a disease affecting older persons. 43% of new cancer cases in Canada occur among those who are at least 70 years old, while 25% occur in those aged 60--69 years. Cancer fatigue is the most common symptom associated with cancer and its treatment, and is often the most distressing symptom reported by cancer patients. Cancer fatigue adversely affects physical activity levels, physical function, and quality of life. Physical function is essential to older adults in maintaining independence and associated quality of life which is often more important to older adults than cancer survival. Recent research studies suggest that physical activity may reduce fatigue, and maintain or improve physical function levels and quality of life in cancer patients during and following treatment. This thesis examines cancer fatigue and its relationship to physical activity, physical function, and quality of life in older adults with cancer. The results of a systematic review and the findings of a secondary analysis research study are presented. The systematic review provided evidence that physical activity may reduce fatigue in older cancer patients during and after cancer treatment and may help to maintain or improve physical function and quality of life in this population. Results of the secondary analysis indicated that cancer fatigue is prevalent and was the most frequently reported symptom at baseline, three months and six months post consultation for cancer treatment. Cancer fatigue was associated with lower levels of physical function and quality of life. Physical activity, a modifiable factor, was found to be significantly related to cancer fatigue at three months and six months, regardless of age, and was significantly related to physical function at six months.
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5

Hall, Courtney D. "Physical Functioning, Fall Risk and Mobility in Individuals with Vision Loss." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2708.

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6

Bigras, Cristina. "Physical Activity and Cognitive Function in Focal Epilepsy." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1445342117.

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7

Burant, Christopher J. "OPTIMISM/PESSIMISM AS A MEDIATOR OF SOCIAL STRUCTURAL DISPARITIES EFFECTS ON PHYSICAL HEALTH AND PSYCHOLOGICAL WELL-BEING: A LONGITUDINAL STUDY OF HOSPITALIZED ELDERS." online version, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1150213934.

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8

Klein, Robert S. "Neuropsychological Functioning in Active Duty Soldiers with Physical and/or Psychological Trauma." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33180/.

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This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.
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9

Bourassa, Kyle J., Molly Memel, Cindy Woolverton, and David A. Sbarra. "Social participation predicts cognitive functioning in aging adults over time: comparisons with physical health, depression, and physical activity." ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2015. http://hdl.handle.net/10150/622789.

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Objectives: Several risk and protective factors are associated with changes in cognitive functioning in aging adults - including physical health, depression, physical activity, and social activities - though the findings for participation in social activities are mixed. This study investigated the longitudinal association between social participation and two domains of cognitive functioning, memory and executive function. A primary goal of our analyses was to determine whether social participation predicted cognitive functioning over-and-above physical health, depression, and physical activity in a sample with adequate power to detect unique effects. Method: The sample included aging adults (N = 19,832) who participated in a large, multi-national study and provided data across six years; split into two random subsamples. Unique associations between the predictors of interest and cognitive functioning over time and within occasion were assessed in a latent curve growth model. Results: Social participation predicted both domains of cognitive functioning at each occasion, and the relative magnitude of this effect was comparable to physical health, depression, and physical activity level. In addition, social participation at the first time point predicted change in cognitive functioning over time. The substantive results in the initial sample were replicated in the second independent subsample. Conclusion: Overall, the magnitude of the association of social participation is comparable to other well-established predictors of cognitive functioning, providing evidence that social participation plays an important role in cognitive functioning and successful aging.
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Buchanan, Natasha D. "Increasing Self, Social, and Physical Efficacy in Pre-Adolescent Girls." University of Cincinnati / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1178755228.

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11

Truba, Natalie. "Social and Educational Functioning in College Students with a Chronic Physical Health Condition." TopSCHOLAR®, 2010. http://digitalcommons.wku.edu/theses/188.

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The purpose of the current study is to examine the academic and social functioning of college students with a chronic physical health condition (CPHC). For the current study, chronic physical health condition will be defined as follows: “A physical [or mental] health condition that has lasted or is expected to last at least 6 months and interferes with their activities,” (Varni & Limbers, 2008, p. 107). The sample consisted of 174 participants attending Western Kentucky University. Two groups (CPHC vs. Healthy) were comprised based on the participants’ self-reported health status. Participants were solicited through Western Kentucky University’s department of Psychology Study Board as well as through the university’s Department of Disability Services. The participants completed the demographics questionnaire, Pediatric Quality of Life Inventory for Young Adults (PEDSQL), and the Costello-Comrey Depression and Anxiety Scales (CCDAS). All the measures were completed online. Three hypotheses were made. Hypothesis one stated that college students who have a chronic physical condition will have a lower level of social functioning when compared to their healthy peers. Hypothesis two stated that college students who have a chronic physical health condition will have a lower level of educational adjustment when compared to their healthy peers. Hypothesis three stated that female college students who have a chronic physical health condition will endorse higher levels of the internal symptoms associated with anxiety and depression. Results yielded support for the second hypothesis, as individuals with a CPHC did report lower levels of academic adjustment than healthy individuals. The first hypothesis was marginally supported as participants with a CPHC reported lower levels of social functioning than healthy individuals. The third hypothesis was not supported as females and males with a CPHC reported similar levels of anxiety and depression.
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Pierre, Andrena. "Prevalence of depressive symptoms and its relationship to physical functioning in pulmonary hypertension." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=116123.

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Previous studies have showed an association between emotional distress and decreased physical functioning in patients with pulmonary hypertension (PH); however, none controlled for demographic and disease characteristics. This study investigates the independent association of depressive symptoms with physical functioning after controlling for both demographic and disease characteristics. Fifty-two patients, mean age 61 (SD = 14) years, undergoing cardiac catheterization, completed self-report questionnaires of depressive symptoms and physical functioning. Results showed that depressive symptoms (beta = -.28, p < .05) accounted for a statistically significant 8% of incremental variance in physical functioning over and above the variance explained by demographic and disease characteristics. The direction of effects cannot be determined because of the cross-sectional design. As such, the association of depressive symptoms with physical functioning in PH patients indicates the need for longitudinal research regarding the possible effect of depression on disease outcomes in this population.
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13

Vahlberg, Birgit. "Physical Functioning, Body Composition and Exercise in Elderly Community-living Individuals with Stroke." Doctoral thesis, Uppsala universitet, Institutionen för neurovetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-236899.

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A comprehensive view of physical function, body composition and exercise post-stroke that is based on clinical examination is lacking. The effects of a progressive resistance and balance (PRB) exercise program have not been fully evaluated in community-living individuals after stroke. The overall aim of this thesis was to explore and describe physical function, physical activity, body composition, nutritional status and psychological factors. Another aim was to evaluate both the short-term and long-term effects of a PRB exercise program. Physical function, physical activity, body composition, nutritional status and psychological factors were assessed in community-living individuals (65-85 years) approximately 1 year after stroke. Paper I-II (n=195, n=134) had a cross-sectional design and the main outcome was mobility and physical activity. In paper III-IV, (n=67, n=43) individuals were randomly assigned to either a PRB exercise program group or a control group. The main outcomes were balance, mobility, fat-free mass (FFM) and fat-mass (FM). In paper I, mobility was reduced and physical activity level was low compared to age-matched healthy controls. Factors explaining the variance in mobility were age, physical activity, fall-related self-efficacy and EQ-5D. In paper II, >20% had a BMI ≥30 kg/m2 and had an altered body composition that was mainly characterised by a high fat-mass index (FMI). Neither fat-free nor FM were associated with mobility in this cohort. The factors associated with low mobility were low physical activity Odds ratio (OR) (CI 95%) 8.2 (2.8-24.2), risk for malnutrition, OR 5.8 (1.6-21.1), and each 10-year period, OR 2.8 (1.24-6.24). Individuals participating in the PRB exercise program (paper III, n=67) revealed significantly higher balance, walking capacity and comfortable walking speed compared to the control group at 3 months. The faster walking speed persisted at 6 and 15 months. In paper IV (n=43), at 3 months, the PRB exercise group had a significant reduction in FM percentage and a decrease in IGF-1 compared with the control group. Further, changes in FMI were associated with improved walking capacity. Many individuals perceived partly modifiable disabilities 1 year after stroke. Exercising in groups for 3 months improved physical function and decreased fat-mass percentage and IGF-1.
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14

Schumacher, Matthew Robert. "Physical Activity and Relationship Functioning: Mediation Roles of Sexual Satisfaction and Self-Esteem." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1248469/.

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Little research has examined the role of physical activity in relationship functioning. Utilizing two heterosexual subsamples of 618 females and 155 males, results indicated that physical activity was positively correlated with sexual satisfaction and self-esteem for the female subsample, but was not significant for the male subsample. For both subsamples, although physical activity was not a significant unique predictor of relationship functioning in regression analyses, sexual satisfaction and self-esteem each significantly contributed the variance relationship functioning. The findings of this study increase our knowledge of mechanisms that impact sexual satisfaction, self-esteem, and physical activity among women, which in turn can potentially guide treatment planning and interventions.
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15

Hearn, Joe W. "The relationship between physical activity and executive control functioning as modified by genotype." College Park, Md.: University of Maryland, 2007. http://hdl.handle.net/1903/7342.

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Thesis (M.A.) -- University of Maryland, College Park, 2007.
Thesis research directed by: Dept. of Kinesiology. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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16

Parker, Kerri Beth. "Dietary Protein Intake, Body Composition and Self-Reported Physical Functioning in U.S. Adults." DigitalCommons@CalPoly, 2010. https://digitalcommons.calpoly.edu/theses/394.

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Sarcopenia is a growing health problem in this country as more Americans are living well into old age. It has been thought that a higher protein intake may be related to greater lean muscle mass as well as greater muscular strength and physical functioning. The purpose of this research was to examine protein intake and its relationship to lean body mass and physical functioning in a nationally representative sample of U.S. adults. This research used cross-sectional data from the NHANES 2003-2004 to examine the relationship between protein intake, as an average from two 24h recalls, and dual X-ray absorptiometry (DXA) lean body mass measures. Additionally, these lean body mass measures were examined as predictive of Physical Limitation Score (PLS), an index created from self-reported difficulty in performing basic activities of daily living. Protein intake was examined as total grams of intake, a percentage of total daily energy and as a percent contributed by animal foods. The lean body mass measures used in this analysis included: total lean mass, appendicular lean mass, muscle mass index [lean mass / height (m2)], appendicular lean mass [appendicular lean mass / height (m2)] and percent lean body mass. Questions used to create the self-reported index of functioning, the Physical Limitation Score (PLS), included difficulty in independently: walking ¼ mile, walking up ten stairs without resting, lifting and carrying 10lbs and standing from an armless straight chair. It was found that protein intake significantly, positively predicted lean body mass in select age-gender groups, while more often in men than in women. Total grams of protein intake positively predicted total and appendicular muscle mass index in men ages 19-50 (p-value <0.05), appendicular muscle mass index in men ages 51-70 (p-value 0.038) and percent lean mass in men 71+ years (p-value 0.026). Protein as a percent of energy was a significant, positive predictor of appendicular lean mass in men 19-50 (p-value 0.048), muscle mass index in women 19-50 (p-value 0.007), appendicular muscle mass index in women 19-50 (p-value 0.024) and percent lean mass in men 71+ years (p-value 0.019). Protein as a percent of energy was a significant negative predictor of percent lean mass in older women 71+ years (p-value 0.046). Protein as a percent contributed by animal foods was not a significant predictor of lean mass in any age-gender group. It was also found that Physical Limitation Score (PLS) was surprisingly positively predicted by total and appendicular lean and total and appendicular muscle mass index in nearly all age-gender groups (p-value <0.05) or at least moderately, positively predicted by these (p-value <0.10), meaning that having a greater amount of lean mass predicted greater physical limitation. The only exception was percent lean mass, which was a significant negative predictor of PLS in men and women 60-70 years (p-value <0.05). In this case, a higher percent lean mass was associated with less physical limitation. Additional follow-up analyses revealed that total body fat mass (kg) and percent body fat were significant positive predictors of PLS in most age-gender groups (p-value <0.05), indicating that higher amounts of body fat predicted greater self-reported limitation. Protein expressed as total grams per day or as a percent of total daily energy were generally significant or marginally significant predictors of lean mass in men of all ages but not often in women while protein as a percent contributed by animal foods was not found to be a significant predictor in any age-gender group. Total lean mass, total fat mass and total percent body fat were generally significant positive predictors of physical limitation, calling into question the functional implications of body composition in an older population. Results suggest that in older adults, excess body fat may be a stronger predictor of physical limitation than low lean muscle mass.
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Goyal, Neha Godiwala. "The Impact of Cancer-Specific Stress on Psychological, Physical, and Immunological Responses in Patients with Relapsed/Refractory Chronic Lymphocytic Leukemia." The Ohio State University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=osu1437104095.

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18

Heiwe, Susanne. "Experienced physical functioning and effects of resistance training in patients with chronic kidney disease /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-865-3/.

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19

Ferguson, Lisa Lukwinski. "The Role of Acceptance and Pain Intensity in Chronic Pain Disability and Physical Functioning." Cleveland State University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1231957301.

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20

Schmalenberger, Megan Ann. "Association of Dietary Patterns, Inflammatory Biomarkers, and Physical Functioning among Older Female Cancer Survivors." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586963179194652.

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21

Townsend, Linda Susan. "The relationships between cognitive appraisal, coping and physical functioning in a work hardening population." W&M ScholarWorks, 1994. https://scholarworks.wm.edu/etd/1539618861.

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This study explored the interactions of cognitive appraisal of pain, cognitive appraisal of function, pain coping strategies and physical functioning in a work hardening population. Using a retrospective design, the medical records of 85 subjects were reviewed for their responses on the following instruments: a 10 cm. Visual Analogue Scale (to measure appraisal of pain), the Spinal Function Sort (to measure appraisal of function); the Coping Strategies Questionnaire (to measure pain coping strategies); a series of objective measures of physical function; and several demographic questions. Pearson product moment correlation and simple regression were used to analyze data. Correlational analyses suggested that a moderate to strong, statistically significant relationship existed between the Spinal Function Sort and most of the objective measures of physical function. The statistically significant, negative relationship between the Coping Strategies Questionnaire's subscale catastrophization was anticipated and supported prior research with this tool. The statistically significant relationships between subjects' appraisals of pain and their functional status were weaker than anticipated and may be attributed to validity problems with the Visual Analogue Scale. Duration since injury as a factor in the maintenance of physical dysfunction was not supported by statistical analyses. The expected positive relationship between the Coping Strategies Questionnaire's coping subscales was not supported by analysis and was consistent with some of the prior research conducted with this instrument. Results from the current study give support to Lazarus' theory of cognitive appraisal as a factor in illness and function.
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22

Kipling, Tara. "An investigation of the effects of anger and chronic pain on psychosocial and physical functioning." Thesis, University of East Anglia, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268488.

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23

Rudberg, Andrea, and Linnéa Granström. "Associations between gestational age, physical activity and cognitive functioning among children in early school age." Thesis, Umeå universitet, Institutionen för psykologi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-121874.

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The aim of this study was to examine differences and associations concerning physical activity and cognitive functioning among children born preterm in comparison to those born full term. The sample consisted of 130 children at early school age (mean = 7.8 years), born at a gestational age (GA) of 23 - 42 weeks, and categorized into three groups; children born full term (GA 39 - 42), moderately preterm (GA 34 – 36) and very preterm (GA 23 - 33). Physical activities were perceived from parents’ ratings by use of the Child behaviour checklist (CBCL), and cognitive functioning by WISC-IV. Results showed that children born moderately preterm performed comparable to children born full term, both regarding physical activity ratings and cognitive performance. Children born very preterm were found to have significantly poorer full scale IQ, lower physical performance, fewer sport activities, and were less lateralized, in comparison to both children born full term and those born moderately preterm. Conclusion: a very preterm birth seems to generate long-term effects on physical activities, sport performance and cognitive functioning. Thus, more focus should be paid to children born at a very low GA to identify early deviations and to provide interventions to improve cognitive functioning and enhance physical performance; also in contexts other than sport activities.
Syftet med denna studie var att undersöka skillnader och samband mellan fysisk aktivitet och kognitivt fungerande inom gruppen för tidigt födda barn och i jämförelse med fullgångna barn. Urvalet bestod av 130 barn i tidig skolålder (medel = 7.8 år), födda i gestationsålder (GA) mellan 23 – 42 veckor kategoriserade i tre grupper; fullgångna barn (GA 39 – 42), moderat förtidigt födda (GA 34 – 36) och mycket förtidigt födda (GA 23 – 33). Fysisk aktivitet undersöktes utifrån föräldrars skattning genom användande av Child behaviour checklist (CBCL) och kognitivt fungerande utifrån WISC-IV. Resultaten visade att de moderat för tidigt födda barnen presterade jämförbart med de fullgångna barnen både vad beträffar fysisk aktivitet och kognitivt fungerande. De mycket för tidigt födda barnen visade sig ha signifikant sämre fullskale-IQ, lägre sportsliga prestationer, färre antal sporter och var mindre lateraliserade, jämfört med både de fullgångna barnen och de moderat förtidigt födda. Slutsats: en mycket förtidig födsel tycks generera långvariga effekter på fysiska aktiviteter, sportsliga prestationer och kognitivt fungerande. Således bör större fokus läggas på barn födda med en mycket låg GA för att identifiera tidiga avvikelser och tillhandahålla interventioner för att förbättra kognitivt fungerande och stimulera/förhöja fysiska prestationer; även i andra kontexter än sportsliga aktiviteter.
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24

Fenollar, Joaquin. "An Examination of the Relationship between Family Leisure that Includes Physical Activity and Family Functioning." Diss., CLICK HERE for online access, 2007. http://contentdm.lib.byu.edu/ETD/image/etd1788.pdf.

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25

Cullen, Christine. "The effects of aerobic fitness and athletic participation on executive control functioning and motor response selection." Diss., Connect to the thesis, 2006. http://hdl.handle.net/10066/748.

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26

Lowry, Timothy. "Health related quality of life in chronic fatigue syndrome : predictors of physical functioning and psychological distress /." [St. Lucia, Qld], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18193.pdf.

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27

Jim, Heather Sevey Lawrence. "Meaning in life mediates the relationships between physical and social functioning and distress in cancer survivors." Connect to resource, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1103682347.

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Thesis (Ph.D.)--Ohio State University, 2005.
Title from first page of PDF file. Document formatted into pages; contains vii, 50 p.; also includes graphics. Includes bibliographical references (p. 29-36). Available online via OhioLINK's ETD Center
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Jiannine, Lia. "Sex-Positive Curricula: An Investigation of the Relationship Between Physical Fitness, Self-Concept and Sexual Functioning." FIU Digital Commons, 2015. http://digitalcommons.fiu.edu/etd/2249.

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Despite the well-recognized benefits of exercise, Americans are gaining weight in astounding proportions and levels of physical activity are on the decline. The purpose of this study was to investigate a relationship between physical fitness, self-concept and sexual health. There is a dearth of knowledge on this relationship specifically in the context of sex-negative curricula, which is the dominate discourse in the United States. One hundred and thirty-three participants between the ages of 18 - 50 volunteered for fitness testing and data collection. Physical fitness was assessed through body fat, resting metabolic rate, cardiovascular endurance, muscular strength, muscular endurance and flexibility. Self-reported exercise was measured using the International Physical Activity Questionnaire. Self-concept was measured by the Six Factor Self-Concept Scale, which presented a total self-concept score and as six individual concepts of self (likability, morality, task accomplishment, giftedness, power and vulnerability). Additionally, sexual function was measured by Derogatis Interview for Sexual Functioning and presented as both an aggregate score and five separate constructs of sexual functioning (fantasy/cognition, arousal, orgasm, behavior/experience, and drive/desire). Questions pertaining to sexual partners, sex education, and demographic information were also included. The results of the General Linear Model indicated significant relationships between physical fitness, self-concept and total sexual functioning. The sexual behavior/experience of men was predicted by body fat percentage and flexibility. In women, behavior/experience was predicted by body fat percentage and arousal was predicted by cardiovascular endurance. Total self-concept was related to muscular endurance. When men were isolated in the analysis, likability was positively related to sexual behavior/experience, and task accomplishment was inversely related to sexual behavior/experience. In women, giftedness was related to cognition/fantasy, arousal, orgasm and total sexual functioning. No relationships were found between physical fitness and the number of sexual partners in men; however, both muscular strength and the power self-concept were significantly related to number of sexual partners in women. As a result of these findings, women may be inclined to exercise to improve arousal and sexual functioning. Furthermore, educators should note the findings of a positive relationship between physical and psychological health and sexual well-being because they provide support for the development and adoption of sex-positive curricula that incorporate potential benefits of sexual activity.
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29

Broome, Helen. "The association between cognition, social functioning, physical impairment, and relationship factors in individuals with multiple sclerosis." Thesis, University of Hull, 2012. http://hydra.hull.ac.uk/resources/hull:6341.

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This portfolio thesis consists of three parts: a systematic literature review, an empirical report and appendices including a reflective statement. Part one is a systematic literature review examining the different factors within a couples' relationship which may impact on the psychological and physical functioning of the individual diagnosed with multiple sclerosis (MS). A systematic search of five databases identified 11 papers meeting the inclusion and exclusion criteria. The findings are reported as well as a discussion of the clinical implications, quality assessments and limitations of the papers reviewed. Additional factors, other than aspects of the patient's relationships, may also impact on the patient‟s well-being. In line with the biopsychosocial model, biological changes caused by the MS, such as cognitive deficits, may also influence the patient's well-being, specifically their ability to function socially. Part two is an empirical paper, which investigates the impact of cognitive deficits on the individual with MS. More specifically the impact of memory and information processing deficits on social functioning are explored, when controlling for mood and physical disability. The study also investigated the relationship between memory and IPS using the BMIPB. Participants completed a number of questionnaires assessing their social functioning and completed the BMIPB. The results from these assessments are discussed alongside the clinical implications for the findings and areas for future research. Part three comprises the appendices, which provide further information regarding the systematic literature review, empirical paper and also includes a reflective statement.
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30

Dodd, Julia. "“Infertility finds all the weak spots”: Effects of Infertility on Women’s Mental, Physical, and Relational Functioning." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7345.

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31

Jim, Heather S. "Meaning in life mediates the relationships between physical and social functioning and distress in cancer survivors." The Ohio State University, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=osu1103682347.

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32

Farag, Noha Hassan. "Effect of physical activity on hypothalamic-pituitary-adrenal axis functioning in a multiracial sample of adolescents." Oklahoma City : [s.n.], 2009.

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33

Schoch, Holly Lynn. "Aerobic fitness and cognitive functioning in older adults a heart rate variability examination /." Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1798480981&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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34

Inayat, Qulsoom Jahn. "Psychological factors affecting outcome in conjugal bereavement : an investigation of changes in physical, psychological, and immune functioning." Thesis, King's College London (University of London), 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313806.

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35

Kim, Jinhyun. "The Impact of Cumulative Socioeconomic Inequalities on Physical functioning, Self-Rated Health, and Depression among Older Adults." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1269354586.

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36

Schroeder, Valarie M. "Giddy-up your cognitive processes: The influence of horseback riding as a physical activity on executive functioning." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1435075636.

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37

Dorman, Jamie. "The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608.

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38

Shields, Morgan Christina. "Physical Activity Predicts Emotion-Context-Sensitivity." Kent State University Honors College / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1399133615.

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39

Meilleur, Sarazin Michèle. "Vulnerability and Agency: Reframing Disability through the Capabilities Approach. A Case Study of Women with Physical Disabilities in Lusaka, Zambia." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23534.

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This study explores the concepts of vulnerability, agency, and actors with relation to the capability development and deprivation of women with physical disabilities in Lusaka, Zambia. Based in the human development paradigm and Sen and Nussbaum’s Capabilities Approach, it seeks to critically explore what impact being born, raised, and living as a woman with a physical disability in a developing country has on the development of capabilities. It also seeks to identify and analyze the involved processes, actors, and environmental factors. A main finding is that capability deprivation for women with physical disabilities is not simply caused by disability, or by gender, but by a multitude of factors. These include: the environment, social contexts, and relative poverty in which the women live; the particular cultural repertoires that surround them; and the actors with whom they interact. However, disability can, and often does, exacerbate the complex life situations in which the women find themselves.
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40

Evans, Subhadra. "The interface of maternal and child psychological and physical health: What maternal chronic pain means for children's functioning." Thesis, University of Canterbury. Psychology, 2004. http://hdl.handle.net/10092/4513.

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A series of questions regarding the impact of maternal chronic pain on children were addressed in this dissertation. Firstly, the physical and psychosocial functioning of 39 mothers suffering from chronic pain was compared to 35 control healthy mothers in order to determine the extent to which mothers with chronic pain may be compromised and their children may be at risk. It was found that mothers with chronic pain had decreased physical, mental and social functioning, as well as reduced parenting efficacy. Secondly, the children of these mothers were compared on a range of physical and psychosocial health outcome measures. The 55 children in the maternal chronic pain group experienced maladjustment, as reported by children, mothers and fathers. This included reduced physical and mental health compared to the 48 control children, as well as reduced attachment security and social skills. Thirdly, although a number of maternal psychosocial variables, such as maternal mental health were correlated with child functioning, only one variable – parenting - consistently emerged as a significant predictor of child problems. In particular, the warmth of the mother-child relationship, and the mother's use of over-reactive discipline strategies were significant mediators. The findings reflect that maternal chronic pain is a source of risk for many children. Consistent with much of the maternal chronic stressor literature, the mechanism of transmission from physical compromise in the mother to maladjustment in the child appears to largely involve dysfunctional parenting practices. The findings are discussed in terms of the cost of maternal chronic pain to children and society. In particular, intervention needs to be targeted at suffering mothers and their children. This will reduce the deleterious consequences for children and the potential demands of a new generation of sufferers on the public health system.
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41

Eckert, Katharina G., and Martin A. Lange. "Comparison of physical activity questionnaires for the elderly with the International Classification of Functioning, Disability and Health (ICF)." Universitätsbibliothek Leipzig, 2015. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-169453.

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Background: Physical activity questionnaires (PAQ) have been extensively used to determine physical activity (PA) levels. Most PAQ are derived from an energy expenditure-based perspective and assess activities with a certain intensity level. Activities with a moderate or vigorous intensity level are predominantly used to determine a person’s PA level in terms of quantity. Studies show that the time spent engaging in moderate and vigorous intensity PA does not appropriately reflect the actual PA behavior of older people because they perform more functional, everyday activities. Those functional activities are more likely to be considered low-intense and represent an important qualitative health-promoting activity. For the elderly, functional, light intensity activities are of special interest but are assessed differently in terms of quantity and quality. The aim was to analyze the content of PAQ for the elderly.
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42

Zashikhina, Anna. "Juvenile chronic physical illness in Northern Russia : Studies on mental health, health-related quality of life, and family functioning." Doctoral thesis, Umeå universitet, Barn- och ungdomspsykiatri, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-86462.

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Background Chronic physical illness (CPI) is a prolonged, rarely cured condition, which often causes impairment of activities of a child’s or adolescent’s daily living. This thesis encompasses three cohorts of patients with CPI – diagnosed with diabetes, asthma or epilepsy. Psychological disturbances and difficulties experienced by young patients with CPI are common, and changes in the family environment are inevitable. Hence, from a health care perspective, three cohorts of CPI can give a frame of reference to guide our understanding on the psychological health of adolescents with CPI, and the disease impact on their life; to determine target groups for psychological interventions, and to identify important directions for health care development. Objectives The overall aim of the study was to assess the psychological well-being of adolescents with CPI in Northern Russia, as well as to identify factors of potential risk or protective significance for adolescents’ well-being. Methods The questionnaires covering different aspects of psychological well-being as behavior-emotional problems, depressive symptoms, self-esteem, and health-related quality of life (HRQoL) as well as family functioning were answered by the adolescents with CPI and their mothers, including the Child Behavior Check-List (CBCL) and Youth Self-Report (YSR); Beck Depression Inventory (BDI); The Rosenberg Self-Esteem Scale; I think I am; Quality of Life in Epilepsy Inventory for Adolescents (QOLIE-AD-48); Diabetes Quality of Life Questionnaire for Youths (DQOLY); Pediatric Asthma Quality of Life Questionnaire (PAQLQ); Self-report Family Inventory (SFI); and Socio-Economic Status (SES) questions. Disease related clinical information was withdrawn from the pediatric outpatient clinic. The sample consisted of 148 adolescents with CPI identified from Arkhangelsk pediatric outpatient clinic records and their mothers. Comparative data were obtained from a group of 301 schoolchildren and their mothers. Results Results in Paper I showed certain differences in mental health of adolescents with CPI compared to healthy counterparts indorsed by mother’s reports alone, while self-reports by adolescents with CPI didn’t show any discrepancy in the level of behavior/emotional problems and depression compared to healthy peers. Most pronounced symptoms were found in adolescents with asthma and epilepsy associated with disease severity and gender. In the results of Paper II there were no significant differences found in self/mother reported family functioning of the total group with CPI versus controls. The perception of family functioning differed between the CPI groups and was associated to certain disease-related and non-disease factors. Paper III showed that adolescents with diabetes and asthma maintain positive self-esteem similar to or even higher than that of their healthy counterparts. Adolescents with epilepsy reported lower self-esteem compared to other CPI groups or controls. A diversity of factors contributed to self-esteem variation within the CPI groups. Paper IV provides evidence that adolescents with CPI maintained relatively moderate to high levels of HRQoL. The domains affecting HRQoL were related to both disease-specific (severity) and non-disease factors (gender and SES). Conclusions In the scope of the present thesis we assessed and described psychological well-being and family functioning of adolescents with chronic illnesses. Our results demonstrate generally low levels of behavior-emotional problems, depressive symptoms, and relatively high self-esteem, positive health-related quality of life, and successful family functioning in adolescent with CPI in Northern Russia. However, we conclude that there is a risk of mental health problems, particularly of internalizing nature, in adolescents with asthma and epilepsy. The significant risk factors associated with psychological well-being mediated by family functioning in CPI groups were single-parent household, child age, disease severity, child gender, family SES, and changes in the family life. High family competence and successful family functioning are indisputable protective factors for psychological well-being in adolescents with CPI.
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43

Hellmann, Andreas [Verfasser], and Ulrike [Akademischer Betreuer] Bingel. "The effect of Open-Label-Placebo on physical functioning in chronic low back pain / Andreas Hellmann ; Betreuer: Ulrike Bingel." Duisburg, 2021. http://d-nb.info/1229350071/34.

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44

Hu, Y. "The role of alcohol consumption on physical functioning in middle-aged and older adults in Central and Eastern Europe." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1463940/.

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Background: Among middle-aged and older adults, light-to-moderate drinkers appear to have better physical functioning than non- and heavy drinkers. The cross-sectional association may be confounded by former drinking. Longitudinal evidence on alcohol consumption and future changes in physical functioning is sparse. Objective: To investigate the role of alcohol consumption and physical functioning in Central and Eastern Europe (CEE), a region characterised by relatively poor health status and high alcohol consumption. Study design: Cross-sectional and longitudinal analyses of a study of 28,783 men and women aged 45–69 years randomly selected from population registers in Novosibirsk (Russia), Krakow (Poland) and seven towns of Czech Republic, with approximately 10 years of follow-up. Methods: At baseline, alcohol consumption in the past 12 months was measured by a graduated frequency questionnaire, and problem drinking was assessed by the CAGE questionnaire. In the Russian cohort, past drinking behaviour was also assessed. Physical functioning at baseline and at three subsequent occasions was measured by the PF-10 subscale of the Short-Form-36 (SF-36) instrument. Results: In cross-sectional analyses of the baseline data, the odds of physical limitations (PF-10 score<75% of maximum) were highest among non-drinkers, decreased with increasing drinking frequency, drinking volume and average drinking quantity, and were not associated with problem drinking. In the Russian cohort with data on past drinking, increased odds of physical limitations were found in subjects who stopped or reduced drinking for health reasons. In longitudinal analyses, using 10-year follow-up data, alcohol consumption and problem drinking at baseline was not consistently associated with the rate of decline in physical functioning. Conclusions: The excess risk of physical limitations in non-drinkers at baseline was partly explained by ‘sick quitters’, and the apparently protective effect of heavier drinking was partly due to less healthy former heavy drinkers moving to lower drinking categories. The lack of longitudinal association between alcohol consumption indices and the rate of decline in physical functioning may be due to methodological limitations; however, the possibility cannot be excluded that my findings reflect a genuine absence of an effect.
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45

Gokal, Kajal. "Effects of physical activity on cognitive and psychosocial functioning in breast cancer patients undergoing chemotherapy : a randomised controlled trial." Thesis, Loughborough University, 2015. https://dspace.lboro.ac.uk/2134/18017.

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Background: The most commonly reported side effects experienced by breast cancer patients receiving chemotherapy are fatigue, anxiety and depression. Alongside psychosocial difficulties, evidence suggests chemotherapy treatment for breast cancer is associated with perceived cognitive impairment and that which is objectively detected in domains of memory, attention, concentration and executive function. As these concerns are becoming more prominent, research has shifted towards managing these side effects and helping to improve overall quality of life and well-being of breast cancer patients and survivors. To our knowledge, intervention studies have not yet considered physical activity as a potential for maintaining cognitive difficulties in breast cancer patients undergoing chemotherapy. Physical activity interventions are reported to be effective in alleviating emotional distress and fatigue in those with breast cancer. It has also been reported to improve cognitive functioning in the elderly, in those suffering with dementia and in children. It is proposed that physical activity could also help to manage cognitive impairment in female breast cancer patients and improve levels of psychosocial functioning. The aim of this PhD research was to implement a home-based, self-managed, physical activity intervention to alleviate cognitive and psychosocial difficulties experienced by female breast cancer patients undergoing chemotherapy. The intervention was designed using goal setting techniques enabling patients to self-manage their walking schedules and minimise input from NHS staff. Method: The randomised controlled trial compared a home-based, self-managed walking intervention to usual care alone among breast cancer patients receiving chemotherapy. Fifty participants were randomised to either the intervention group (n=25), receiving 12 weeks of moderate intensity walking, or the control group (n=25) mid-way through chemotherapy. Participants in the intervention group were provided with a pedometer and were asked to set goals and keep weekly diaries outlining the duration, intensity and exertion of their walking. Levels of psychosocial and cognitive functioning were assessed pre and post intervention in both groups. Primary outcome measures for this intervention were changes in cognitive functioning. Four domains of cognitive functioning were assessed using neuropsychological tests and subjective functioning was measured using The Cognitive Failures Questionnaire. Secondary outcome measures were on psychosocial functioning. Results: The self-managed intervention had positive effects on fatigue, self-esteem, mood, levels of physical activity and stage of motivational readiness but not anxiety and depression. Positive benefits of walking were also detected in perceived cognitive function but not in sustained attention, executive function, memory and visual spatial skills when assessed objectively. Qualitative data indicated that the self-managed intervention was feasible, adhered to and received positively during active chemotherapy. Conclusion: The home-based self-managed intervention was beneficial for improving psychosocial well-being and maintaining perceived cognitive functioning among breast cancer patients treated with chemotherapy.
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46

De, Swardt Junita. "Leisure functioning of learners with learning and physical disabilities a case study at an ELSEN school in the Tshwane area /." Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-08202008-155351.

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47

Homewood, Helen. "An investigation of the relationship between levels of uncertainty, illness representations, coping strategies, psychological and physical functioning in chronic illness." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368283.

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Objectives: Theoretical models have helped conceptualise how individuals appraise and make sense of chronic illness and its psychological impact. Little attention has been given to the impact of uncertainty on this process. The objective was to investigate the relationship between levels of uncertainty, illness representations, coping, psychological and physical functioning in two chronic illnesses. The Self-Regulatory Model (SRM, Leventhal, Meyer & Nerenz, 1980) was used as a theoretical framework. Design: A cross-sectional design was used. It was hypothesised that a clear medical diagnosis would reduce levels of uncertainty and increase illness representations regarding control of symptoms. It was also hypothesised that high levels of uncertainty would independently predict increased psychological distress. Method: Patients suffering from chronic spinal pain and rheumatoid arthritis were recruited from local clinical departments. The levels of uncertainty, illness representations, coping strategies, mood and physical functioning of 85 participants were assessed using standardised questionnaires. Results: Chronic pain patients were found to have greater levels of uncertainty and psychological distress than rheumatoid arthritis patients. Rheumatoid arthritis patients had stronger beliefs about control of their condition. Uncertainty was not found to be a significant independent predictor of anxiety or depression. However, there appeared to be a degree of overlap between the variables of uncertainty and control beliefs. Conclusions: The findings highlight a complex relationship between the aspects of the SRM and uncertainty, with many components impacting on each other. Although levels of uncertainty were not found to be predictive of psychological distress, it is an area that warrants further investigation in order to understand how patients manage uncertainty. Within a clinical setting, issues of uncertainty should be addressed at all levels of care, maximising the patient's control beliefs, reducing the impact of uncertainty on their cognitive, emotional and physical functioning.
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48

Akhavan, Jaleh. "The effect of a dyadic intervention on self-efficacy, physical functioning and anxiety in older adults post joint replacement surgery." Diss., Restricted to subscribing institutions, 2008. http://proquest.umi.com/pqdweb?did=1761867951&sid=7&Fmt=2&clientId=48051&RQT=309&VName=PQD.

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49

Hunt, Sara M. "Patterns of Psychosocial Functioning and Mental Health Service Utilization in Children and Adolescents with Chronic Health Conditions or Physical Disabilities." DigitalCommons@USU, 2009. https://digitalcommons.usu.edu/etd/360.

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This study was designed to further understand the psychosocial functioning of youth with chronic health conditions or physical disabilities, their need for and use of mental health services, and possible barriers to receiving needed services. Previous research has suggested these youth experience poorer psychosocial functioning compared to peers without special health care needs, and they also underutilize needed mental health services. A mixed-methods design was implemented consisting of a quantitative parent survey and a qualitative semistructured interview with young adults with special health care needs. Children demonstrating poorer psychosocial adjustment in this study experienced more problems related to social functioning than psychopathology (e.g., depression, anxiety). Over half of the youth had accessed mental health services with the majority utilizing community-based outpatient services. Identified barriers to accessing needed mental health services included difficulty finding professionals with experience in working with youth with special health care needs and lack of financial coverage.
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50

Shaffer, Emily J. "An investigation of a dual-factor model of mental health and related physical health outcomes among early adolescents." [Tampa, Fla] : University of South Florida, 2006. http://purl.fcla.edu/usf/dc/et/SFE0001757.

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