Disease controllability moderates the effect of coping efficacy on positive affect

Objective: This study aims to test experimentally whether coping strategies (approach- vs. avoidance-oriented coping) have differential effects under conditions of high or low stressor controllability.

Design: Undergraduates (62 women, 30 men) participated in a 2 × 2 experimental study where they were introduced to a fictitious disease (tisomerase enzyme deficiency) said to be either controllable or uncontrollable and an approach- or avoidance-oriented coping behaviour induction.

Main Outcome Measures: Changes in positive and negative affect.

Results: A significant disease control x coping interaction on positive affect (f² = .07, p = .011) revealed that approach-coping condition participants had higher positive affect than avoidance-coping condition participants when disease control was high (d = .94, p = .003), but not when it was low (d = .11, p = .93). The experimental conditions did not significantly influence negative affect.

Conclusion: Results demonstrate that disease control moderates the salubrious effects of approach-oriented coping on positive affect. For controllable, but not uncontrollable, health stressors, promoting problem-focused approach-oriented coping strategies may be recommended.     

Illness Perceptions,Coping, Benefit Finding,and Adjustment in Individuals with Hepatitis C

Objective

To investigate the ability of illness perceptions, adaptive, and maladaptive coping strategies, and benefit finding to predict physical and psychosocial adjustment among individuals diagnosed with the hepatitis C virus (HCV), within an expanded self‐regulatory model of illness (SRM).

Method

A total of 126 participants with HCV completed an online questionnaire assessing illness perceptions, coping, benefit finding, and four adjustment outcomes, depression, physical functioning, life satisfaction and positive affect.

Results

Illness perceptions made significant contributions to the variance in adjustment outcomes across the four psychosocial and physical adjustment areas. At an individual level, personal control, identification with HCV symptoms, perceptions related to illness duration, illness coherence, and emotional responses to HCV made significant contributions to the prediction of adjustment. Similarly, the combined contributions of adaptive and maladaptive coping strategies explained significant variance across the four adjustment areas. Greater adoption of maladaptive coping strategies predicted poorer physical health, higher reported depression, greater life satisfaction, and positive affect outcomes, while increased engagement with adoptive coping strategies predicted higher positive affect. Increased benefit finding predicted greater positive affect, life satisfaction, and higher depression.

Conclusion

Results demonstrate the ability of the SRM features of illness perceptions and coping, and benefit finding to predict physical and psychosocial adjustment outcomes within the context of HCV.     

Impulse control disorders in Parkinson’s disease: Predominant role of psychological determinants

Objectives: Impulse Control Disorders (ICDs) in Parkinson’s disease (PD) have previously almost exclusively been considered to result from anti-parkinsonian medication. However, this biomedical perspective has failed to achieve a full understanding of the phenomenon and it is argued that a failure to consider psychological factors is a critical omission.

Design: The present study examined the predictive relationship between ICDs in PD and a range of psychological measures, whilst controlling for a number of biomedical determinants.

Main outcome measures: One hundred participants with idiopathic PD completed questionnaires that assessed demographic and clinical characteristics, psychological measures and the presence of ICDs (QUIP-RS).

Results: Increased use of a ‘negative’ coping strategy, stronger illness identity, more emotional illness representations and stress were found to be significant predictors of ICDs, and different psychological predictors were associated with different ICDs. Medication was not found to predict ICDs in the presence of psychological factors, either when total treatment levels were considered or when agonist dose was considered alone.

Conclusions: This study provides the first quantitative evidence of a predominant predictive relationship between psychological factors and ICDs in PD. The results suggest that psychological interventions may have useful therapeutic role to play for ICDs in PD.     

集体心理干预对癌症患者应对方式影响的研究

为了探索集体心理干预对癌症患者应对方式的影响,本研究在90名癌症患者中随机选取46人进行干预研究。为考察干预效果,在干预后分别以医学应对方式问卷各维度因子的前测得分为协变量,以医学应对方式问卷各维度因子的后测得分为因变量,进行2(分组:实验组、对照组)×2(性别:男、女)×3(年龄:低龄组、中龄组、高龄组)的三因素协方差分析。结果表明,经过集体心理干预的实验组在应对方式各分量表上的得分要显著高于对照组,集体心理干预在性别和年龄上不存在显著差异。研究结果表明集体心理干预能够有效地改善癌症患者的应对方式。     

反馈干预的内部机制研究

基于龙君伟的反馈干预作用的内部机制模型,本实验研究发现反馈效价、反馈提供方式及其交互作用对自我效能感、应对策略、内部目标三种内部调节变量具有主效应;三种内部调节变量之问存在显著的正相关,并对绩效具有显著积极效应。在实际的应用中,反馈干预如能使个体采取趋向型的应对策略、增强自我效能感、提高内部目标设置水平,就能有效地提高个体的绩效水平。     

粗暴养育和青少年生命意义寻求的关系：一个有调节的中介模型

为探讨粗暴养育对青少年生命意义寻求影响的内在机制,采用问卷法调查了武汉市某中学399名高中生。结果表明：（1）控制感在粗暴养育对生命意义寻求的影响中起“遮掩效应”;（2）积极应对削弱了粗暴养育和控制感对生命意义寻求的正向预测作用,而消极应对加强了粗暴养育对生命意义寻求的正向预测作用,却削弱了粗暴养育对控制感的消极影响。研究揭示了控制感和应对方式在粗暴养育与青少年生命意义寻求关系间的作用机制。     

待岗人员的应付方式、控制感特点及其关系研究

对待岗人员的应付方式和控制感进行调查发现：（1）待岗人员对待压力的应付方式依次为退避、合理化、求助、自责、发泄。女性更多地采用这五种应付方式,年龄偏大组更倾向于选择合理化和退避,30岁是应付方式发展的转折时期;（2）待岗人员的控制感由高至低依次为环境变化、人际关系、情绪情感和生活方面的控制感。女性更能控制情绪情感;（3）在待岗人员应付待岗后各种压力的情境下,可将退避归为积极的应付方式,将自责、求助、发泄归为消极的应付方式。     

心理干预对急性冠脉综合征伴抑郁患者应对方式的影响

为了解心理干预对急性冠脉综合征（ACS）伴抑郁患者应对方式的影响,对42名ACS伴抑郁患者随机分为干预组和对照组,在入组时、入组3月后和6月后分别进行HAD（d）、MCMQ测评。结果显示入组3月后和6月后,干预组HAD（d）总分、回避因子分、屈服因子分较对照组降低,面对因子分较对照组升高,与入组时相比干预组HAD（d）...     

处于不支持行为压力下的下岗人员的心理中介研究

本研究以 3 2 4名下岗人员为被试 ,考察不支持行为、应付方式、控制感与心理健康之间的关系。结果表明 ,情感不支持 ( β =0 .46)可以直接影响心理健康 ,同时情感不支持 ( β=0 .2 6)又通过自责 ( β =0 .3 1 )和发泄 ( β =0 .1 4 )两种应付方式和人际关系控制感 ( β=-0 .1 0 )而间接影响心理健康 ,下岗人员的应付方式和控制感在不支持行为和心理健康之间起重要中介作用。     

Diabetes distress,illness perceptions and glycaemic control in adults with type 2 diabetes

The emotional distress associated with adjusting to and living with diabetes has been termed diabetes distress. Diabetes distress is associated with glycaemic control but interventions to reduce diabetes distress have failed to consistently improve diabetes control. Various illness perceptions have previously been linked with both diabetes distress and glycaemic control but interrelationships between these features have not been previously investigated. We hypothesised that illness perceptions mediate the relationship between diabetes distress and glycaemia. Participants with type 2 diabetes attending diabetes outpatient clinics (n = 84) provided demographic and clinical information and completed the Diabetes Distress Scale-17 and the Brief Illness Perceptions Questionnaire. Using regression analysis we demonstrated that the illness perceptions of personal control, regimen-related distress, socioeconomic status and insulin use were significant contributors in the final model predicting HbA_1c. Higher levels of personal control were associated with better glycaemic control. Conversely, regimen-related distress was associated with hyperglycaemia. Mediation analyses showed that the relationship between regimen-related distress and HbA_1c was mediated by personal control. Our work suggests that psychological interventions designed to reduce diabetes distress may be more efficacious in improving glycaemic control if they address an individual’s perception of personal control.     

Utilizing Religious Schemas to Cope with Mental Illness

Recent Gallup Polls suggest that 96% of Americans polled believe in God or a universal supreme being (Gallup, 1995). In addition, large percentages of Americans polled report that they pray or believe in miracles. It appears then that religious belief might be a useful coping strategy for those experiencing significant distress or illness. Although much of the research regarding religious coping and illness has focused on physical illness, it seems likely that religious coping would also be useful to those who are experiencing a mental illness. Existing data regarding the use of religious coping and mental illness is discussed, and Daniel McIntosh's theory of religion as a cognitive schema is applied to those suffering severe mental illness.     

应对风格问卷的初步编制

本研究提出一种关于应对风格的理论构想。根据此构想编制的应对风格问卷可将个体分为灵活应对、问题应对、情绪应对和异常应对四种应对风格。初步研究表明,此问卷具有较好的信度和效度。用此问卷对1115名被试进行了初步调查,发现灵活应对风格160人,问题应对风格420人,情绪应对风格394人,异常应对风格的141人。此量表的建立为我们今后进行压力与应对的研究提供了一个有效工具。     

Impact of genetic testing on causal models of heart disease and arthritis: An analogue study

Abstract

An analogue study investigated the impact of genetic testing on perceptions of disease. Using a 2 × 2 design, participants (n = 212) imagined receiving the information that they were at increased risk for either heart disease or arthritis. The type of risk information was either genetic or unspecified. Presentation of genetic risk information resulted in the condition being perceived as less preventable. Causal models of disease where investigated using principal components analysis. When hem disease was the stimulus condition, attributions to genes and chance were positively associated following unspecified risk information, and negatively associated following genetic risk information. When arthritis was the stimulus condition, presentation of genetic risk information was associated with attributions to genes becoming separated from the other attributions. One explanation for this is that providing genetic risk information may decrease perceptions of a sense of randomness or uncertainty in disease causation. The extent to which these effects occur in clinical populations. and their behavioural consequences. needs to be established.     

Illness perceptions or recurrence risk perceptions: What comes first? A longitudinal cross-lagged examination among cardiac patients

Objectives: Previous research suggested that illness perceptions provide the basis for illness risk perceptions through an inductive reasoning process. This study aimed to assess the direction of relationships between illness and recurrence risk perceptions over time, among cardiac patients.

Design: A longitudinal study was conducted among 138 patients undergoing coronary angioplasty. Self-report questionnaires measured perceived recurrence risk and illness perceptions one day and one month after catheterisation.

Results: Cross-lagged Panel Model Analyses revealed that higher perceptions of timeline, consequences and emotional representations of illness at hospitalisation were associated with higher recurrence risk perceptions one month later. Perceived personal control was the only illness perception with bi-directional associations: higher perceived personal control at hospitalisation was associated with higher recurrence risk perceptions one month later; and higher recurrence risk perceptions at hospitalisation was associated with lower personal control one month later.

Conclusions: The findings suggest that the associations between recurrence risk and illness perceptions can only partly be explained by inductive reasoning. Halo effects and defensive processes are suggested as complementary explanations for the observed associations between risk and illness perceptions.