Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides
Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome mea...
Gespeichert in:
Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2006-06, Vol.63 (6), p.428-434 |
---|---|
1. Verfasser: | |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 434 |
---|---|
container_issue | 6 |
container_start_page | 428 |
container_title | Occupational and environmental medicine (London, England) |
container_volume | 63 |
creator | Eriksen, W |
description | Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides. |
doi_str_mv | 10.1136/oem.2005.019729 |
format | Article |
fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2078116</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>27732753</jstor_id><sourcerecordid>27732753</sourcerecordid><originalsourceid>FETCH-LOGICAL-b606t-3fee6c56a1024edeaf687197c727d8ee71f768637d9adb7b673772320c1b0ec83</originalsourceid><addsrcrecordid>eNqFkstu1DAUhiMEoqWwZgWKhGCBlKmPPfFJWCChEVeV-3VnOc5J62kSD3ZS0R2vwevxJDjKaApsurKt__Pvc87vJLkNbAEg5KGjbsEZyxcMSuTllWQflsgyLLm8Gvcih4whwF5yI4Q1YyBQ8OvJHsg8B5RiP_n21fnTtNFmcD6kOqQbT7WdT65JN-SDDQP1Q2QGezzSo1RHxoUNmcGeURqGsT6f0H70gcLvn79SbWsKN5NrjW4D3dquB8nnZ08_rV5kR2-fv1w9OcoqyeSQiYZImlxqYHxJNelGFhh7McixLogQGpSFFFiXuq6wkigQueDMQMXIFOIgeTz7bsaqo9rEUr1u1cbbTvtz5bRV_yq9PVHH7kxxhgWAjAYPtgbefR8pDKqzwVDb6p7cGBQvyqVknF8KQplzFgcbwXv_gWs3-j5OQUF8kyMsxVT44UyZOM3gqdnVDExN4aoYrprCVXO48cbdv1u94LdpRuD-FtDB6Lbxujc2XHCIWAgxGd2ZuXWIQe90jvF3YD75ZLM-Rf9jp2t_qqb55-rNl5V6h69fyQ_svfoY-YczX3XrS7v4A3NN1Iw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781271438</pqid></control><display><type>article</type><title>Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>JSTOR Archive Collection A-Z Listing</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Eriksen, W</creator><creatorcontrib>Eriksen, W</creatorcontrib><description>Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oem.2005.019729</identifier><identifier>PMID: 16551763</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Chronic Disease ; Fairness ; Fatigue ; Fatigue - etiology ; Female ; Fundamental and applied biological sciences. Psychology ; Health problems ; Humans ; Job Satisfaction ; Leisure time ; Logistic regression ; Male ; Medical conditions ; Middle Aged ; Nurses ; Nurses' Aides - statistics & numerical data ; nurses’ aides ; Nursing ; Occupational Diseases - etiology ; Occupational psychology ; Original ; Positive feedback ; Prospective Studies ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Psychometrics ; Questionnaires ; Regression Analysis ; Risk reduction ; Shift work ; Social support ; Social workers ; Work condition. Job performance. Stress ; Working conditions ; Working hours ; Workplace</subject><ispartof>Occupational and environmental medicine (London, England), 2006-06, Vol.63 (6), p.428-434</ispartof><rights>Occupational and Environmental Medicine</rights><rights>Copyright 2006 BMJ Publishing Group</rights><rights>2006 INIST-CNRS</rights><rights>Copyright: 2006 (c) Occupational and Environmental Medicine</rights><rights>Copyright © 2006 BMJ Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b606t-3fee6c56a1024edeaf687197c727d8ee71f768637d9adb7b673772320c1b0ec83</citedby><cites>FETCH-LOGICAL-b606t-3fee6c56a1024edeaf687197c727d8ee71f768637d9adb7b673772320c1b0ec83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://oem.bmj.com/content/63/6/428.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://oem.bmj.com/content/63/6/428.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,727,780,784,803,885,3196,23571,27924,27925,53791,53793,58017,58250,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17778339$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16551763$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eriksen, W</creatorcontrib><title>Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Fairness</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health problems</subject><subject>Humans</subject><subject>Job Satisfaction</subject><subject>Leisure time</subject><subject>Logistic regression</subject><subject>Male</subject><subject>Medical conditions</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nurses' Aides - statistics & numerical data</subject><subject>nurses’ aides</subject><subject>Nursing</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational psychology</subject><subject>Original</subject><subject>Positive feedback</subject><subject>Prospective Studies</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Psychometrics</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>Risk reduction</subject><subject>Shift work</subject><subject>Social support</subject><subject>Social workers</subject><subject>Work condition. Job performance. Stress</subject><subject>Working conditions</subject><subject>Working hours</subject><subject>Workplace</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkstu1DAUhiMEoqWwZgWKhGCBlKmPPfFJWCChEVeV-3VnOc5J62kSD3ZS0R2vwevxJDjKaApsurKt__Pvc87vJLkNbAEg5KGjbsEZyxcMSuTllWQflsgyLLm8Gvcih4whwF5yI4Q1YyBQ8OvJHsg8B5RiP_n21fnTtNFmcD6kOqQbT7WdT65JN-SDDQP1Q2QGezzSo1RHxoUNmcGeURqGsT6f0H70gcLvn79SbWsKN5NrjW4D3dquB8nnZ08_rV5kR2-fv1w9OcoqyeSQiYZImlxqYHxJNelGFhh7McixLogQGpSFFFiXuq6wkigQueDMQMXIFOIgeTz7bsaqo9rEUr1u1cbbTvtz5bRV_yq9PVHH7kxxhgWAjAYPtgbefR8pDKqzwVDb6p7cGBQvyqVknF8KQplzFgcbwXv_gWs3-j5OQUF8kyMsxVT44UyZOM3gqdnVDExN4aoYrprCVXO48cbdv1u94LdpRuD-FtDB6Lbxujc2XHCIWAgxGd2ZuXWIQe90jvF3YD75ZLM-Rf9jp2t_qqb55-rNl5V6h69fyQ_svfoY-YczX3XrS7v4A3NN1Iw</recordid><startdate>20060601</startdate><enddate>20060601</enddate><creator>Eriksen, W</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7T2</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope><scope>5PM</scope></search><sort><creationdate>20060601</creationdate><title>Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides</title><author>Eriksen, W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b606t-3fee6c56a1024edeaf687197c727d8ee71f768637d9adb7b673772320c1b0ec83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Fairness</topic><topic>Fatigue</topic><topic>Fatigue - etiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Health problems</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Leisure time</topic><topic>Logistic regression</topic><topic>Male</topic><topic>Medical conditions</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Nurses' Aides - statistics & numerical data</topic><topic>nurses’ aides</topic><topic>Nursing</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational psychology</topic><topic>Original</topic><topic>Positive feedback</topic><topic>Prospective Studies</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Psychometrics</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>Risk reduction</topic><topic>Shift work</topic><topic>Social support</topic><topic>Social workers</topic><topic>Work condition. Job performance. Stress</topic><topic>Working conditions</topic><topic>Working hours</topic><topic>Workplace</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eriksen, W</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eriksen, W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2006-06-01</date><risdate>2006</risdate><volume>63</volume><issue>6</issue><spage>428</spage><epage>434</epage><pages>428-434</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>Objectives: To identify work factors that predict persistent fatigue in nurses’ aides. Methods: The sample comprised 5547 Norwegian nurses’ aides, not on leave when they completed a mailed questionnaire in 1999. Of these, 4645 (83.7%) completed a second questionnaire 15 months later. The outcome measure was the occurrence of persistent fatigue, defined as having felt “usually fatigued” or “always fatigued” in daytime during the previous 14 days. Results: In respondents without persistent fatigue at baseline, medium and high work demands, heavy smoking, being single, and having long term health problems were associated with increased risk of persistent fatigue at follow up. Medium and high rewards for well done work, medium levels of leadership fairness, and regular physical exercise were associated with reduced risk of persistent fatigue at follow up. In respondents with persistent fatigue at baseline, medium and high levels of positive challenges at work, high support from immediate superior, medium feedback about quality of one’s work, and changes of work or work tasks that resulted in less heavy work or lower work pace were associated with increased odds of recovery (no persistent fatigue at follow up). Working in a nursing home and being intensely bothered by long term health problems were associated with reduced odds of recovery. Conclusions: High demands and lack of rewards at work may cause persistent fatigue in nurses’ aides. Reduction of demands, adequate feedback, and mental stimulation in the form of support and positive challenges may facilitate recovery in those who have persistent fatigue. Leaders in the health services may be in a position to regulate factors that influence the level of fatigue in nurses’ aides.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>16551763</pmid><doi>10.1136/oem.2005.019729</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1351-0711 |
ispartof | Occupational and environmental medicine (London, England), 2006-06, Vol.63 (6), p.428-434 |
issn | 1351-0711 1470-7926 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2078116 |
source | MEDLINE; BMJ Journals - NESLi2; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central |
subjects | Adult Aged Biological and medical sciences Chronic Disease Fairness Fatigue Fatigue - etiology Female Fundamental and applied biological sciences. Psychology Health problems Humans Job Satisfaction Leisure time Logistic regression Male Medical conditions Middle Aged Nurses Nurses' Aides - statistics & numerical data nurses’ aides Nursing Occupational Diseases - etiology Occupational psychology Original Positive feedback Prospective Studies Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychometrics Questionnaires Regression Analysis Risk reduction Shift work Social support Social workers Work condition. Job performance. Stress Working conditions Working hours Workplace |
title | Work factors as predictors of persistent fatigue: a prospective study of nurses’ aides |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T18%3A15%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Work%20factors%20as%20predictors%20of%20persistent%20fatigue:%20a%20prospective%20study%20of%20nurses%E2%80%99%20aides&rft.jtitle=Occupational%20and%20environmental%20medicine%20(London,%20England)&rft.au=Eriksen,%20W&rft.date=2006-06-01&rft.volume=63&rft.issue=6&rft.spage=428&rft.epage=434&rft.pages=428-434&rft.issn=1351-0711&rft.eissn=1470-7926&rft_id=info:doi/10.1136/oem.2005.019729&rft_dat=%3Cjstor_pubme%3E27732753%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1781271438&rft_id=info:pmid/16551763&rft_jstor_id=27732753&rfr_iscdi=true |