A survey of smoking status and cancer risk perceptions among participants attending a hospital-based head and neck screening program

Abstract

Screening for head and neck cancer is underutilized. Given that lack of knowledge of the risk factors may partially account for screening underutilization. we surveyed subjective risk and knowledge of risk factors for head and neck cancer among 124 individuals who attended a free. hospital-based head and neck cancer screening. Few participants were current smokers. Most attendees perceived their risk as similar to others of their age and sex. Personal health habits comprised almost all of the risk-decreasing factors, yet less than half of the risk-increasing factors. generated. Personal habits were less frequently endorsed than factors such as pollution and heredity. Those who mentioned a risk behavior, or a family cancer history, reported higher subjective risk. Those who mentioned a personal health habit reported lower subjective risk. Results highlight needed efforts to increase screening among high-risk individuals through targeted education messages.     

Books Received From August 1, 2010 to July 31, 2011

Word learning is a lifelong activity constrained by cognitive biases that people possess at particular points in development. Age of acquisition (AoA) is a psycholinguistic variable that may prove useful toward gauging the relative weighting of different phonological, semantic, and morphological factors at different phases of language acquisition and development. Our aim here was to evaluate AoA as a statistical tool for taking “snapshots” of cognitive development. We examined a large corpus of English nouns (n = 1,381) with AoA as the outcome variable in three separate multivariate regressions, encompassing different age ranges (early–middle–late). Predictors included perceptual (e.g., imagery), phonological (e.g., phonological neighborhood density), and lexical (e.g., word length) factors. Different combinations of predictors accounted for significant proportions of the variance for different AoA ranges (i.e., early–middle–late). For example, imageability and frequency are stronger predictors of early relative to late word learning. These corpus analyses support a hybrid model of word learning in which multiple perceptual and linguistic factors are differentially weighted over time. This statistical approach may provide independent corroboration of and motivation for experimental studies in language learning and cognitive development.     

Balance and dyslexia: An investigation of adults’ abilities

Balance ability in dyslexia is an issue of considerable theoretical and applied significance, but the literature currently lacks consensus. This study applied objective measures to established balance tasks. 17 dyslexic adults and 20 controls matched for age and IQ undertook the heel-to-toe balance test for 1 minute. Further “dual task” tests were also undertaken in which the subject had to balance while undertaking secondary cognitive tasks (counting, slow choice reaction, fast choice reaction). Two factor analyses of variance revealed significant between-group balance differences in the dual task conditions. 24–82% of the dyslexic group showed balance impairment, depending on the criterion chosen. At the group level, the results are directly consistent with the Nicolson and Fawcett (1990) automatisation deficit hypothesis, but the considerable within-group heterogeneity deserves further investigation.     

Patient Adherence With Medical Treatment Regimens: An Interactive Approach

Inadequate patient adherence to treatment regimens is a ubiquitous problem in health care and carries a profound personal, societal, and economic cost. This article illustrates a general theoretical framework we believe to be useful for the interpretation, conception, and design of adherence research. The core tenet of this framework is that factors that influence adherence can be better understood by considering the interactive effects of patients' characteristics, type of adherence intervention, and characteristics of the illness and medical treatment context. This framework represents an extension and application of previous theory and research from personality, social, and clinical psychology concerning the value of an interactionalist perspective. We illustrate the framework using some of our past work involving treatment adherence among patients with chronic renal failure.     

Does service failure influence customer loyalty?

There is a general consensus that customer loyalty to service providers is not solely dependent upon their level of satisfaction or dissatisfaction. However, the identified antecedents of loyalty remain, at best, highly speculative. The aim of this extensive literature review is to give some understanding of the nature of customer loyalty and the antecedent effects of service dissatisfaction. The research reviewed suggests that customer loyalty is an attitudinal state, reflecting value, trust and commitment within supplier–customer relationships. Satisfaction is one of several antecedents of loyalty. A key influence on loyalty is the offer of unique value‐delivering advantages not provided by competitors. Thus firms need to develop positive value‐based exit barriers to achieve loyalty. When service failures occur, the recovery process is likely to have a greater impact on loyalty than the original service failure. The key to successful recoveries was found to be the customer's perception of ‘fairness’. Recovery programmes must get it right first time. Customers who remain dissatisfied after a complaint has been handled are more dissatisfied than if no recovery attempt had been made. Dissatisfaction and customer satiation are major causes of a customer's exit. The solution to customer satiation is dynamic value creation. Collection and monitoring of customer data is needed for success and two‐way communication is vital. Copyright © 2002 Henry Stewart Publications.     

IN DEFENSE OF THE BODY: THE EFFECT OF MORTALITY SALIENCE ON FEMALE BODY OBJECTIFICATION

Previous research has illustrated the negative psychological consequences of female body objectification. The present study explores how female body objectification may serve as a defense against unconscious existential fears. Drawing from terror management theory, an experiment was designed to test the potential functionality of female body objectification. Men and women were primed to think about either their own mortality or an aversive control topic, and levels of body objectification were then assessed for both self- and other (women)-objectification. Findings supported the hypothesis that priming mortality would increase both self- and other-objectification among women, and self-objectification among those who derive self-esteem from their body. Implications for this research are discussed.     

Social-cognitive processes as moderators of a couple-focused group intervention for women with early stage breast cancer.

OBJECTIVE: The purpose was to examine whether social-cognitive variables would moderate the efficacy of a couple-focused group intervention (CG) for women diagnosed with early stage breast cancer. DESIGN: Participants (N = 238) were randomly assigned to 6 sessions of a couple-focused group versus usual care. Intent to treat growth curve modeling analyses indicated that emotional expression and emotional processing moderated CG effects on depression. MAIN OUTCOME MEASURES: The primary outcome measures for this study were psychological distress and psychological well-being. RESULTS: Treatment attrition analyses separating out participants assigned to but not attending CG indicated that emotional expression, emotional processing, and protective buffering moderated the effects of CG among those who attended CG with the most consistent effects noted for emotional processing on indicators of distress and well-being. CONCLUSION: The CG intervention may be more effective for patients who begin the group experience using emotional approach coping strategies to deal with cancer.     

Acceptance and Commitment Therapy and Implementation Intentions Increase Exercise Enjoyment and Long-Term Exercise Behavior Among Low-Active Women

The current study evaluated the long-term effectiveness of acceptance and commitment therapy (ACT) for promoting exercise behavior in comparison with planning in the form of implementation intentions (forming situational cues and action plans as to when, where, and how to incorporate exercise). We expected both interventions to increase exercise behavior (assessed using the Godin Leisure-Time Exercise Questionnaire; Godin and Shephard 1985) from baseline to 6-months post-intervention, but expected only ACT to also increase exercise enjoyment (assessed using the Physical Activity Enjoyment Scale; Kendzierski and DeCarlo 1991). A total of 32 women, randomized to receive a single session of either ACT training or instructions to form implementation intentions for exercise activities, took part in this study. The participants were contacted by email 6-months following the intervention to determine the amount of self-reported exercise. As expected, exercise amount increased in both groups. Contrary to our expectations, both groups also increased in exercise enjoyment. This study provides initial evidence that exercising can be increased through an ACT intervention. ACT and implementation intentions may both be effective and brief interventions for promoting exercise behavior and exercise-related enjoyment in low-active women. Future research needs to establish the psychosocial and personality factors that lead to the effectiveness of ACT and implementation intentions.