Exposure to familial alcoholism has been associated with many behavioral and emotional difficulties among offspring. However, few studies have examined environmental risks that often coexist with familial alcoholism, and which may influence the development of offspring psychosocial problems. This study examined potential additive and interactive effects of childhood exposure to family violence and childhood exposure to familial alcoholism on adolescent functioning. Three domains of adolescent functioning were examined in a high-risk community sample of 109 families: lifetime levels of substance use, conduct disorder behaviors, and self-esteem. Results indicated that both childhood exposure to familial alcoholism and childhood exposure to family violence were associated with psychosocial functioning of offspring during adolescence, although the relations differ according to domain of functioning and gender.
Throughout the often complex and challenging process of musculoskeletal rehabilitation, the words that we use can have a significant impact on the clinical outcome. Words contain both the ability to heal and harm. Gaining an improved understanding of the frequently hidden influence that language can have on musculoskeletal rehabilitation is of paramount importance. This Viewpoint article highlights the powerful consequences of the words that we use in clinical practice and discusses the practical considerations for adapting the current language of musculoskeletal rehabilitation. J Orthop Sports Phys Ther 2018;48(7):519-522. doi:10.2519/jospt.2018.0610.
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