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551.
Using a sample of 781 adolescents (ages 13–17, 52.8% male) from a community survey, this study examined gender differences in the co-occurrence of specific anxiety disorders with substance use in adolescents. The associations between anxiety disorders and substance use differed according to the particular anxiety disorders and forms of substance use being examined, as well as by gender. Social phobia was associated with cigarette smoking among boys only. For girls, social phobia appeared to be negatively associated with drug use. For the other anxiety disorders, the associations with substance use tended to be stronger among girls. These findings highlight the need to improve clinical recognition of the anxiety disorders and to improve treatment access for afflicted adolescents. Future studies based on longitudinal data could further elucidate the relationships among anxiety disorders, gender, and substance use.  相似文献   
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556.
For many Germans, citizenship is a problematic and emotive issue, as is demonstrated by the controversies generated around current attempts to modernise and ‘normalise’ German citizenship law. This article looks to German history to account for the failure of successive governments to effect such change. It asserts that two key historical developments have been decisive in stalling a ‘normal’ western European pattern of policy development in this field. First, the concept and law of citizenship in Germany were originally formulated in the context of nation‐state development based on cultural or ‘völkisch’ nationalism. Second, West German governments subordinated the development of citizenship policy to the aim of upholding the West German claim to be the sole legitimate representative of the Germans, thereby denying the legitimacy of the GDR. The unification of Germany in 1990 removed the specific constraints which had brought about the stalled citizenship policy. The article contrasts a Kulturnation (ethno‐cultural) stance on citizenship issues with a Verfassungsnation (civic‐territorial) understanding, and identifies contemporary partisan positions within this conceptual framework.  相似文献   
557.
Policy debate about funding criteria for drugs used to treat rare, orphan diseases is gaining prominence. This study presents evidence from a discrete choice experiment using a convenience sample of university students to investigate individual preferences regarding public funding for drugs used to treat rare diseases and common diseases. This pilot study finds that: other things equal, the respondents do not prefer to have the government spend more for drugs used to treat rare diseases; that respondents are not willing to pay more per life year gained for a rare disease than a common disease; and that respondents weigh relevant attributes of the coverage decisions (e.g. costs, disease severity and treatment effectiveness) similarly for both rare and common diseases. The results confirm the importance of severity and treatment effectiveness in preferences for public funding. Although this is the first study of its kind, the results send a cautionary message regarding the special treatment of orphan drugs in coverage decision-making.  相似文献   
558.

Purpose

Within social learning theory, nonsocial reinforcement has been hypothesized to have a link with offending. The purpose of the present study was to address two questions: (1) Does nonsocial reinforcement change or remain stable over time? And (2) does nonsocial reinforcement have a reciprocal link with offending, as Wood et al. (1997) would expect?

Methods

We used a subsample (N = 413) of the National Longitudinal Survey of Youth (NLSY) data and semi-parametric group-based modeling (SPGM).

Results and Conclusions

The SPGM suggested three distinct groups of nonsocial reinforcement (one trajectory group appeared to have a low but stable rate of nonsocial reinforcement, one trajectory appeared to be higher but stable, another trajectory higher but also stable). A cross-tabulation of the nonsocial reinforcement trajectories and offending trajectories indicated that offending increased as nonsocial reinforcement became greater. Study limitations and implications are also discussed.  相似文献   
559.
The eagerly awaited outcomes of the Legal Education and Training Review provide a richness of data on the nature and content of legal education which is invaluable for legal education researchers. However, it is argued here that in so far as the Review was concerned with context and with preparing providers of legal services for a more challenging future, it neglected or understated some key issues. The extent of change in terms of the growth in the unregulated sector and in the way services are delivered, along with significant change in the way legal education and training itself is provided were perhaps all underestimated. Importantly, it is argued that the regulatory framework of the EU and its current developments and controversies were barely touched on yet not only is that framework directly relevant but it also has much to offer in terms of experience and ideas.  相似文献   
560.
Parental attachment is a key predictor of juvenile offending. Most prior research on the topic, however, assumes that parental attachment is stable throughout youth and adolescence. On the contrary, recent research has established that parenting is a dynamic factor for many youth during adolescence. In the current study, we assess the relationship between trajectories of maternal attachment and offending during adolescence and young adulthood. Following a cohort of 859 youth from the National Longitudinal Survey of Youth data aged 10 or 11 over a period of 6 years, we find four distinctive trajectories of maternal attachment and two distinctive trajectories of offending. The results suggest that changes that occur in maternal closeness are linked to changes in offending across adolescence. However, when young adult offending is assessed when the youth are 18 or 19 years of age, we find that adolescent maternal attachment trajectories are not significant predictors of offending.  相似文献   
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