Psychological Variables Associated with Pain Perceptions Among Individuals with Chronic Spinal Cord Injury Pain

Structural equation modeling was used to examine the relationships between selected psychological variables and pain perceptions in 103 individuals experiencing chronic pain following traumatic spinal cord injury (SCI). Previous studies have suggested strong relationships between psychological variables and chronic SCI pain, but further delineation of such relationships is needed in order ultimately to develop more effective pain management strategies for individuals afflicted with such pain. Anger was found to be significantly related to perceptions of pain (p < .05), but neither guilt nor anger suppression was significantly associated with perceived pain. Internal health locus of control was associated with decreased pain perceptions (p < .05), but there was no significant relationship between internal health locus of control and anger. Punishing responses from significant others to pain complaints were related to feelings of guilt (p < .05) and perceived pain (p < .05), but this relationship was not mediated by guilt.     

Social Problem-Solving Abilities and Health Behaviors Among Persons with Recent-Onset Spinal Cord Injury

Although many persons with spinal cord injuries (SCI) are at risk for preventable complications, very little research has examined the health behaviors of these individuals. In this study, we examined self-reported health behaviors of persons with recent-onset SCI. We also studied the association between health behaviors and social problem-solving abilities. The results indicated that positive problem-solving characteristics were associated with more adaptive wellness and accident prevention behaviors. A negative orientation toward problem solving and avoidant and impulsive/careless styles was associated with increased traffic and substance risk taking. Implications are discussed in terms of health education, research, and prevention programs.     

Neuroticism,Side Effects,and Health Perceptions Among HIV-Infected Individuals on Antiretroviral Medications

Side effects from antiretroviral therapy (ART) for HIV disease can deter treatment, impact quality of life, and impede medication adherence. Individual differences in neuroticism may account for variations in the experience of side effects and perceptions of health status. Cross-sectional assessments were conducted with 258 participant’s with confirmed HIV infection and current ART regimen. Structural equation modeling (SEM) was used to evaluate a model of self-reported ART side effect frequency and severity and perceived health status, as related to neuroticism. Symptoms of neuroticism were associated with greater reports of ART side effects and poorer perceived health but unrelated to reported CD4 count and viral load, thus supporting the structural model. Individual differences in symptoms of neuroticism can explain variations in side effect reporting and consequential impairments in perceived health in the context of HIV treatment. Identification and intervention with individuals high in symptoms of neuroticism may be warranted to alleviate side effect-related concerns and maximize treatment benefit.     

Coping in Caregivers of Youth with Spinal Cord Injury

This study examined coping among caregivers of youth with spinal cord injuries (SCI). Using a cross-sectional survey study design, 164 caregivers completed a demographics questionnaire and the Brief COPE. Their children, youth with SCI ages 7–18, completed the Kidcope. T-tests were conducted to examine differences in caregiver coping by demographic and injury-related factors. Further, logistic regression models were evaluated to examine predictive relationships between caregiver coping and youth coping. Several demographic and injury-related factors were related to caregiver coping, including caregiver gender, race, and education, as well as youth gender, age at injury, and time since injury. In the logistic regressions, two caregiver coping strategies were related to youth coping: caregiver self-blame coping was related to youth self-criticism, and caregiver behavioral disengagement coping (giving up attempts to cope) was related to youth blaming others coping. The findings suggest that caregiver coping may play a role in the coping of their children, and should be considered when addressing coping among youth with SCI.     

Relationships Between Locus of Control, Coping Strategies and Emotional Well-Being in Persons with Spinal Cord Lesion

Relations between locus of control, coping strategies and emotional well-being in persons with traumatically acquired spinal cord lesion (SCL) were examined. The sample included 132 community-residing adults. Structural equation modelling, including confirmatory factor analysis, was used. A model was hypothesized based on the transactional theory of stress and coping where coping strategies mediated the relation between locus of control and emotional well-being. The model showed acceptable fit to the data and was compared with five alternative models. The alternative models fitted the data less well or were difficult to interpret. In the preferred model, persons indicating internal control reported more coping strategies (Acceptance, Fighting spirit) related to increased well-being, whereas persons indicating external control reported a coping strategy (Social reliance) related to poorer well-being. The findings support the stress and coping framework in medical rehabilitation and illustrate why some persons need coping effectiveness training to enhance emotional adjustment.     

脊髓损伤者生育困难与服务需求调查

对63名18岁以上未婚或已婚未生育子女的脊髓损伤者进行问卷调查,并对其中17人进行了深入访谈,了解其生育愿望、影响因素与生育服务现状,探讨解决脊髓损伤者生育困难的方法和措施.调查发现,脊髓损伤者生育愿望普遍而迫切,受到经济水平、教育背景、生活环境、其他脊髓损伤者生育经历等多方面因素影响;同时发现社会对此问题关注不够、认识不足、服务缺失.建议从改善环境、提高认识、普及知识、专业培训、建立制度等方面对脊髓损伤者提供专业化服务,解决生育困难,保障生育权力.     

Negative Affect and Health: The Importance of Being Earnest

Research on emotion and health has tended to focus on the negative consequences of “negative” emotions. An emerging literature has begun to explore the positive aspects of negative affect, suggesting that emotion be treated in a more differentiated way by recognising the components and intensity that can promote or harm health. For example, short bursts of emotion-associated sympathetic activation can stimulate parts of the immune system, whereas more chronic activation can cause “wear and tear” on the cardiovascular system. Anxiety and guilt have been associated with preventive health behaviours and care-seeking, whereas distress and depression increase symptom sensitivity, accuracy of illness perception, and can facilitate care-seeking and receipt of support. However, intense and chronic negative affects may lead individuals to engage in risky health behaviours, such as substance abuse, overeating, and high risk sex, as a coping mechanism to regulate negative emotion. They may also undermine social support systems, leading to a self-perpetuating cycle of conflict and isolation. Future research must address the parameters defining “healthy” and “unhealthy” negative emotion.     

The Spinal Cord Injured Revisited: The Relationship Between Self-Blame, Other-Blame and Coping

Self-blame has been viewed as functional for victims' adjustment to negative life events. This perspective has been primarily based on the findings of Bulman and Wortman's 1977 study of the spinal cord injured. The present study replicates and extends the Bulman and Wortman study, using similar measures on a comparable sample and comparable life event. Patients did not differentiate among the concepts of responsibility, fault, and blame for the cause of the accident. Patients were behavioral rather than characterological self-blaming and alcohol use prior to the accident was the best predictor of self-blame. Attributions of responsibility for the cause of the event versus responsibility for rehabilitation (sequelae of the event) did not distinguish effective from ineffective copers. Bulman and Wortman's (1977) single-item measure of coping correlated with this study's multidimensional assessment of coping. There was no relationship between patients' attributions of self-blame and nurse's ratings of patients' coping but other-blame was associated with poorer coping.     

The Dimensionality of Coping Among Chinese Health Care Workers

Abstract

The transactional model defines coping as a process that changes on the basis of the context of an environmental encounter. An instrument used to investigate coping in diverse person-environment interactions is the Ways of Coping Questionnaire (WOC; S. Folkman & R. S. Lazarus, 1988). Although evidence exists to support the basic underlying structure of the WOC in Western societies, no research has been conducted on the instrument's dimensionality in non-Western societies. The authors identified 14 factors for the WOC administered to a sample of health care workers in Beijing, China. The 14 factors identified in the present study were similar to the 8 factors identified in the original validation study (S. Folkman, R. S. Lazarus, C. Dunkel-Schetter, A. DeLongis, & R. J. Gruen, 1986), but they were more content specific.     

Crisis Support and Coping as Mediators of Well-Being in Persons with Spinal Cord Lesion

This study aims to investigate whether crisis support and coping mediate symptoms of posttraumatic stress disorder (PTSD) in individuals with spinal cord lesions (SCL). PTSD, crisis support, and coping were assessed an average of 83 days after the injury (T1), at discharge from the rehabilitation center (T2), and an average of 121 days following discharge (T3). Sixty-nine newly injured paraplegics and tetraplegics completed the questionnaire at T1, 40 (58%) at T2, and 38 (55%) at T3. Individuals with PTSD experienced significantly lower levels of social support, and used more emotional coping than did those without PTSD. On the basis of logistic regression analyses, emotional coping and the interaction between negative response and emotional coping predicted PTSD. Emotional coping is a strong predictor of PTSD in persons with new SCL.     

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.     

Wellness and Religious Coping Among Thai Individuals Living with Chronic Kidney Disease in Southern California

This qualitative research is based on eight Thai participants living with chronic kidney disease living in Southern California. Four emerging themes are (a) wellness, (b) self-care, (c) impact of illness on life, and (d) religious coping. Family relations, social support, and religious coping affected self-care and how they managed their everyday activities. Knowledge about the disease and its mechanism were crucial to the decision-making process in relation to self-care. Good self-care and appropriate self-management led to wellness and improved quality of life. Religion provided a belief system focusing on the place of acceptance that was essential for coping with emotional stressors.     

The Effect of Attentional Control and Heart-Period Variability on Negative Affect and Trait Anxiety

In this study, the author examines the effect of attentional control and heart-period variability on measures of negative affect and trait anxiety in undergraduate students. Baseline heart rate was recorded from 119 participants within a laboratory setting. Spectral analysis was used on the heart-rate data to isolate the parasympathetic contribution to the cardiac pattern. Participants completed measures of negative affect, attentional control, and trait anxiety following the recording of heart rate. Regression analysis indicated that high negative affect, low attentional control, and reduced parasympathetic tone were significant predictors of high trait anxiety. Subsequent regression analysis pointed toward the interaction of attentional control and parasympathetic tone in influencing self-rated measures of negative affect. Results highlight the importance of attentional control and parasympathetic tone as regulatory mechanisms related to self-rated estimates of negative affect and trait anxiety.     

Religious Orientation and Ethnic Identity as Predictors of Religious Coping Among Bereaved Individuals

Religious orientation and ethnic identity inform the religious coping process, but research on this topic is scarce. The authors collected data on these constructs from a sample (N = 319) of bereaved adults. A canonical correlation analysis showed that individuals who engage in traditional spiritual practices and strive to achieve ordinary and transcendental spiritual goals are more likely to engage in positive religious coping (Wilks's Λ = .36, R_c² = .62, p < .001). Also, a multiple regression analysis revealed that individuals with higher levels of ethnic identity development are more likely to engage in positive religious coping (β = .12, t < .05). Finally, a discriminant analysis indicated that ethnic identity and a conservative religious orientation discriminated between Whites and ethnic minority individuals, Wilks's Λ = .71, χ²(4, N = 204) = 70.10, p < .001, R_c² = .26. The authors encourage counselors to strengthen their multicultural and spiritual competencies to provide effective services to a culturally and religiously diverse clientele.     

Relationships Among Religiousness,Spirituality, and Health for Individuals with Stroke

The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. A cross-sectional analysis of 63 individuals evaluated in outpatient settings, including 32 individuals with stroke and 31 healthy controls was conducted through administration of the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). For individuals with stroke, the SF-36 General Mental Health scale was significantly correlated with only the BMMRS Religious and Spiritual Coping scale (r = .43; p < .05). No other BMMRS factors were significantly correlated with SF-36 mental or physical health scales. Non-significant trends indicated spiritual factors were primarily related to mental versus physical health. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.     

The Impact of Positive and Negative Affect and Issue Framing on Issue Interpretation and Risk Taking

Two studies examined the influence of transient affective states and issue framing onissue interpretationandrisk takingwithin the context of strategic decision making. In Study 1, participants in whom transient positive or negative affective states were induced by reading a short story showed systematic differences in issue interpretation and risk taking in a strategic decision making context. Compared to negative mood participants, those in a positive mood were more likely to interpret the strategic issue as an opportunity and displayed lower levels of risk taking. Study 2 replicated and extended these results by crossing affective states with threat and opportunity frames. Results showed that framing an issue (as a threat or an opportunity) had a stronger impact on issue interpretation among negative affect participants than among positive affect participants. Affective states also moderated the impact of issue framing on risk taking: the effect of framing on risk-taking was stronger under negative rather than positive affect. These results are interpreted via information-processing and motivational effects of affect on a decision maker.     

Analysis of An Intervention to Reduce or Prevent Secondary Conditions for People with Spinal Cord Injuries

People with acute spinal cord injuries (SCI) are at risk for developing secondary conditions such as pressure sores, urinary tract infections, pain, weight gain and deconditioning, and depression. This study analyzed the effectiveness of an Internet assessment and feedback tool in determining secondary condition risk for this population based on individual responses to a knowledge and behavioral questionnaire. Seventy-one people with newly-diagnosed SCI who were treated at one of five Model Spinal Cord Injury Systems Centers were randomly assigned to either an experimental condition in which they received computerized feedback and one-on-one consultations based on their online questionnaire answers, or to a control condition in which they received no feedback until the study's completion. One year after the initial assessment, the online questionnaire was re-administered to all participants as a post-test. Three times between the pre- and post-test assessments researchers telephoned participants to administer phone surveys probing secondary condition development. Results indicate there were significant differences among race groups and between complete and incomplete injury status for pressure sore occurrence. This study represents a new era of interactive technology in health promotion that can serve as a basis for future research to decrease secondary condition risk for people with SCI.     

How Web Comments Affect Perceptions of Political Interviews and Journalistic Control

People are often exposed to polarized viewpoints in web comment sections. Inspired by attribution theory and framing theory, this article tests the effects of comments that frame a politician or a journalist as triggering evasiveness in a media interview. We compare attributions ascribing deceptiveness to the politician versus external attributions implicating the media situation. In the first experiment, comment sections affect perceptions of evasiveness, credibility of the politician relative to the journalist, and people’s attitudes toward the politician and journalist. A second study replicates, and voters type comments which largely reflect the comments to which they were exposed. Also, perceptions of external control by the journalist affect perceptions of the politician. The article extends attribution theory and framing theory via commonly encountered online exposure which affects people’s perceptions of politicians as deceptive relative to their journalistic arbiters.     

Effects of Environmental Odor and Coping Style on Negative Affect,Anger, Arousal,and Escape1

Trait coping, state anger, perceived arousal, blood pressure, negative affect, and escape behavior were measured in a sample of 240 undergraduate males and females exposed to 1 of 4 foul-odor conditions or to a no-odor condition. Consistent with Baron and Bell's (1976) negative-affect-escape model, it was hypothesized that people exposed to noxious odors would experience increased negative affect and heightened motivation to escape the situation. Results showed that negative affect and motivation to escape, but not anger or arousal, increased significantly as odor became more noxious. In addition, anger and motivation to escape significantly predicted negative affect. Variances in anger and perceived arousal, but not discomfort and escape, were accounted for mainly by trait coping styles and gender differences. Variances in discomfort and escape were accounted for mainly by odor alone.     

The Black-Sheep Effect: How Positive and Negative Advertisements Affect Voters' Perceptions of the Sponsor of the Advertisement1

Participants read a positive or negative (mock) political advertisement that was sponsored by either an in-group (subject and sponsor were members of the same political party) or an out-group (subject and sponsor were members of different political parties) member. The results found support for a black-sheep effect. An in-group sponsor of a positive advertisement was evaluated more positively than any out-group member, regardless of advertisement type, or an in-group member who sponsored a negative advertisement. However, an in-group sponsor of a negative advertisement was evaluated more negatively than either an in-group sponsor of a positive advertisement. or an out-group sponsor. regardless of advertisement type. The results are discussed in terms of social identity theory.