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- Galambos, Nancy L., et al.
(författare)
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Who gets caught at maturity gap? : a study of pseudomature, immature, and mature adolescents
- 2003
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Ingår i: International Journal of Behavioral Development. - : SAGE Publications. - 0165-0254 .- 1464-0651. ; 27:3, s. 253-263
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Tidskriftsartikel (refereegranskat)abstract
- This research examined links among adolescents’ maturity status, their biological, social, and psychological characteristics, and parents’ perceptions of their adolescents’ maturity. The participants were 430 Canadian adolescents in the sixth and ninth grades, and a subsample of their parents. Pattern-centred analyses confirmed the existence of three clusters of adolescents differing in maturity status: pseudomature (25%), immature (30%), and mature (44%). Further analyses found differences among the clusters in adolescents’ pubertal status, the social context (presence of older siblings and friends), and their desired age, involvement in pop culture, school and peer involvement, and close friendships. Analysis of mother and father reports revealed some differences in how parents of pseudomature, immature, and mature adolescents perceived their adolescents’ maturity, and in how they felt about their adolescents’ maturity. There were few grade differences in the findings. The results suggest that pseudomature adolescents, and to a smaller extent, immature adolescents, are caught in a maturity gap, which could have longer-term implications for their transition to adulthood.
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- McGuire, D. K., et al.
(författare)
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Association of diabetes mellitus and glycemic control strategies with clinical outcomes after acute coronary syndromes
- 2004
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Ingår i: Am Heart J. - 1097-6744. ; 147:2, s. 246-52
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Diabetes is associated with an increased risk for coronary artery disease (CAD) and its complications. The relative effect of glucose-lowering strategies of "insulin provision" versus "insulin sensitization" among patients with CAD remains unclear. METHODS: To evaluate the associations of diabetes and hypoglycemic strategies with clinical outcomes after acute coronary syndromes, we analyzed data from 15,800 patients enrolled in the SYMPHONY and 2nd SYMPHONY trials. RESULTS: Compared with nondiabetic patients, patients with diabetes (n = 3101; 19.6%) were older, more often female, more often had prior CAD, hypertension, and hyperlipidemia, and less often were current smokers. The diabetic cohort had higher 90-day unadjusted risk of the composite of death/myocardial infarction (MI)/severe recurrent ischemia (SRI), death/MI, and death alone, as well as a near doubling of 1-year mortality rates. At 1 year, diabetes was associated with significantly higher adjusted risks of death/MI/SRI (OR, 1.3 [95% confidence interval, 1.1, 1.5]) and death/MI (OR, 1.2 [1.0, 1.4]). Hypoglycemic therapy including only insulin and/or sulfonylurea (insulin-providing; n = 1473) was associated with higher 90-day death/MI/SRI compared with therapy that included only biguanide and/or thiazolidinedione therapy (insulin-sensitizing; n = 100) (12.0% vs 5.0%); (adjusted OR, 2.1 [1.2, 3.7]). CONCLUSIONS: Diabetic patients with acute coronary syndromes had worse clinical outcomes. Although the findings regarding the influence of glycemic-control strategies should be interpreted with caution because of the exploratory nature of the analyses and the relatively small sample size of the insulin-sensitizing group, the improved risk-adjusted outcomes associated with insulin-sensitizing therapy underscore the need to further evaluate treatment strategies for patients with diabetes and CAD.
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- Tilton-Weaver, Lauree C., 1960-, et al.
(författare)
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Adolescents' characteristics and parents' beliefs as predictors of parents' peer management behaviors
- 2003
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Ingår i: Journal of research on adolescence. - : Wiley. - 1050-8392 .- 1532-7795. ; 13:3, s. 269-300
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Tidskriftsartikel (refereegranskat)abstract
- This study examined parents’ reported use of peer management behaviors (i.e., communicating preferences, communicating disapproval, supporting friendships, and information seeking) and linked these behaviors to (a) adolescents’ self-reported psychosocial adjustment and friendships and (b) parents’ beliefs about adolescents’ peer relationships (i.e., perceived efficacy in managing adolescents’ friendships and concerns about adolescents’ friendships). The participants were 269 parents (161 mothers, 108 fathers) and their predominantly White adolescents in Grades 6 and 9 (N = 177). Results suggest that parents may be more apt to use some behaviors (e.g., communicating disapproval and information seeking) when there are indications that their adolescents are engaged in problem behaviors and have friends who are deviant. In addition, parents’ concerns about their adolescents’ friends mediate the relationship between adolescent problem behaviors and parents’ communications of disapproval. Parents’ peer management is promising as a route to understand further the nature of parent-peer linkages.
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- Tilton-Weaver, Lauree C., 1960-, et al.
(författare)
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Five images of maturity in adolescence : what does "grown up" mean?
- 2001
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Ingår i: Journal of Adolescence. - London, United Kingdom : Academic Press. - 0140-1971 .- 1095-9254. ; 24:2, s. 143-158
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Tidskriftsartikel (refereegranskat)abstract
- This study focussed on the subjective meanings of maturity in adolescence, or what it means to adolescents to be grown up. Younger (6th grade) and older (9th grade) adolescents’ descriptions (n=236) of their "grown-up" peers were examined through content analysis. This qualitative analysis revealed five images of maturity portrayed by adolescents: balanced maturity (adolescents who show psychosocial and behavioural maturity, and ability to balance work and play); an image focussed on privileges (adolescents who engage in problem behaviour and present what may be a facade of adult-like behaviour); an image focussed on responsibility (adolescents who may be psychosocially mature, but may have taken on inappropriately high levels of responsibility); an image focussed on power and status (adolescents who seem to have usurped an older status, by being bossy and controlling); and an image focussed on physical development (adolescents who show advanced levels of physical maturity). There were some gender and age differences in the frequencies of these five images. Discussion is directed at understanding the hallmarks of each image relative to scholarly notions of adult maturity.
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