Assessment of long-term psychosocial sequelae among POW survivors of the Korean Conflict

Psychological and psychiatric assessments were performed among 20 prisoner-of-war (POW) Korean-Conflict survivors. Results revealed extraordinary biological and psychological abuse with weight losses exceeding 35% of preservice weights and long-term cognitive, emotional, and behavioral sequelae. The full range of posttraumatic stress disorder symptoms was seen in 90% to 100% of the cases with high prevalence of co-morbidity, specifically mood (75%), other anxiety (45%), and alcohol abuse (20%) disorders. Documented by clinical investigators at POW release and now more than 30 years later, symptoms of apprehensiveness, confusion, detachment, and depression reflect the persistence of psychiatric morbidity over time.     

Family Conflict and Forgiveness Among Survivors of Suicide

This study explored the lived experiences of immediate family members who were left behind and their intra- and interpersonal struggles with other family members and their coping efforts to overcome these struggles. We used interpretative phenomenological analysis for data collection and analysis and conducted in-depth interviews with 11 participants in Korea. Two superordinate themes, with two ordinate themes in each, were identified: (a) family conflict after a family member’s suicide (“discordant grieving” and “suicide loss as a catalyst for family conflict”) and (b) forgiveness (“struggling to forgive other family members, the deceased, and themselves” and “the process and importance of forgiveness”). The implications of these findings are discussed.     

Psychosocial Adaptation of Childhood Cancer Survivors and their Siblings

To best use resources in helping childhood cancer survivors, ascertaining the psychosocial adaptation deficit of the survivor is necessary. Psychosocial adaptation comprises a subjective, self-reflective indicator and objective indicators in terms of education, employment, and other achievements. While deficit is possible due to the trauma caused by cancer and its treatment, research evidence for the deficit is required to ascertain its existence. This study represents such a research endeavor based on a survey of 137 childhood cancer survivors and 101 cancer-free siblings of the survivors in Hong Kong, China. Results reveal weak and inconsistent differences in psychosocial adaptation between the survivor and his or her sibling. The effects of cancer treatment and service involvement on psychosocial adaptation were generally sporadic. Age presented the most pervasive influence on psychosocial adaptation. The results imply a justification for current practices in sustaining the psychosocial adaptation of childhood cancer survivors.     

民族冲突的社会心理机制

民族冲突是影响社会和谐与稳定的重大现实问题, 其社会心理机制是尚未解决的重要科学问题。本项目拟以我国西部地区藏族为例, 纳入社会威胁情境因素, 并整合社会认同理论和社会类别的心理本质论框架下的群际冲突研究。其基本理论命题是：民族冲突形成并不是单一因素所致, 而是基于个体层面、群体层面和社会情境层面的多水平变量相互作用的结果。本项目拟通过既相对独立又彼此关联的三个实证研究, 旨在考察少数民族关于“民族”的心理本质论对民族冲突的预测和影响作用, 探索民族身份延伸和社会威胁情境在其中的影响作用, 从而揭示民族冲突形成的社会心理机制, 旨在为构建民族冲突的预警机制模型奠定基础, 为跨越民族界限、实现多民族和谐共处和完善民族政策提供科学依据。     

The Role of Optimism,Social Constraints,Coping, and Cognitive Processing in Psychosocial Adjustment Among Breast Cancer Survivors

The social-cognitive processing model suggests that a socially constrained environment may impede adjustment to a chronic illness. The present study primarily investigated the mediating psychological pathways through which social constraints on cancer-related disclosure, low optimism, disengagement-oriented coping, and brooding could be associated with low levels of psychosocial adjustment. One hundred twenty-five female breast cancer survivors participated in a cross-sectional study. Path analysis was used to examine the proposed model. Low optimism, increased social constraints, and higher levels of brooding appeared to be risk factors for poor psychosocial adjustment to breast cancer. Disengagement-oriented coping and brooding partially mediated the relationship between social constraints and adjustment. Brooding totally mediated the relationship between disengagement-oriented coping and adjustment. The current findings provide support for the value of the social-cognitive processing model among breast cancer survivors. The mapping of psychological pathways of adjustment to breast cancer may have useful clinical implications for better adjustment outcomes.     

Psychosocial Adjustment of Adult Cancer Survivors: Their Needs and Counselor Interventions

The author presents an overview of the literature on the psychosocial adjustment of cancer survivors, identifying 4 areas that may pose difficulties for cancer survivors as they learn to live with a life-threatening chronic illness: coping with the late physical effects of treatment; living with the uncertainty of long-term survival; resolving problems related to intimacy, marriage, and reproduction; and combating employment discrimination. Counseling interventions are proposed for counselors working with cancer survivors on these issues.     

Psychosocial Predictors of Intent to Emigrate Among Portuguese Adolescents

Information about the intent to emigrate was collected for a sample of 960 adolescents living in the northern region of Portugal. This question was part of a detailed questionnaire designed to assess specific issues concerning social representations of migration-namely, information, attitude, and fields of representation. Using information about the sociodemographic characteristics and the components of social representation mentioned above, our aim was to identify the independent predictors underlying the adolescent's intent to emigrate. Due to the great number of factors involved in the analysis, we conducted a preliminary selection of independent predictors within each of the aforementioned components and created a global index describing their importance. The findings indicate that, among all components of a social representation, attitude and representation of detachment and adaptation are the most important predictors of intent to emigrate. The relatively poor ability of sociodemographic variables to predict a future emigration does not mean that they are not important, but rather that they are more likely to condition attitude, the strongest predictor of a future emigration in the northern region of Portugal. The implication of these findings for handling intervening migration policies is discussed.     

Psychosocial Correlates of Medical Mistrust Among African American Men

The current study proposed and tested a conceptual model of medical mistrust in a sample of African American men (N = 216) recruited primarily from barbershops in the Midwest and Southeast regions of the United States. Potential psychosocial correlates were grouped into background factors, masculine role identity/socialization factors, recent healthcare experiences, recent socioenvironmental experiences (e.g., discrimination), and healthcare system outcome expectations (e.g., perceived racism in healthcare). Direct and mediated relationships were assessed. Results from the hierarchical regression analyses suggest that perceived racism in healthcare was the most powerful correlate of medical mistrust even after controlling for other factors. Direct effects were found for age, masculine role identity, recent patient–physician interaction quality, and discrimination experiences. Also, perceived racism in healthcare mediated the relationship between discrimination experiences and medical mistrust. These findings suggest that African American men’s mistrust of healthcare organizations is related to personal characteristics, previous negative social/healthcare experiences, and expectations of disparate treatment on the basis of race. These findings also imply that aspects of masculine role identity shape the tone of patient–physician interactions in ways that impede trust building processes.     

Inconsistencies in the Reporting of Perceived Trauma Severity Among Acute Physical Injury Survivors

This study aimed to identify and predict inconsistency in perceived trauma severity reports over time among trauma survivors. Hospitalized adult survivors of a traumatic injury completed trauma exposure assessments within 40 days post-injury and 6 weeks later (n = 77). The following trauma severity characteristics were examined: (1) threat of loss of life, (2) threat of loss of a body part, (3) threat of serious injury, and (4) peritraumatic emotionality. Potential predictors of inconsistency were also examined. About half of the reports regarding perceived trauma severity characteristics were inconsistent between the baseline to 6-week assessment. The inconsistent reports were mostly small and equally likely to be either more or less severe over time. Increases in posttraumatic stress disorder (PTSD; especially avoidance) predicted increases in severity of life threat and threat of loss of a body part. Thus, acute reports of perceived trauma severity vary and are influenced by PTSD symptoms.     

Relationships Among Conflict Management Styles,Levels of Conflict,and Reactions to Work

Abstract

Relationships among (a) conflict management styles, (b) levels of conflict, (c) two general reactions to work, and (d) four types of individual outcomes experienced by employees in the United States were assessed in two studies. In Study 1, subordinates using a high-obliging style with supervisors experienced more intrapersonal conflict, supervisors using a high-integrating style with subordinates reported more intrapersonal and intragroup conflict, and low-dominating supervisors reported significantly greater intragroup conflict. In Study 2, high-integrating subordinates experienced less intrapersonal, intragroup, and intergroup conflict than low-integrating subordinates did. The results of analyses also indicated that there was a strong relationship between integrating and all six organizational outcomes. Lower job satisfaction and fewer interpersonal rewards were associated with a high-dominating style. Both integrating and compromising were positively related to interpersonal outcomes, and dominating and avoiding were negatively related to interpersonal outcomes. Finally, the more conflict individuals experienced on the job, the lower their job satisfaction and their outcomes were.     

Posttraumatic Stress and Depression Reactions Among Survivors of the Istanbul November 2003 Terrorist Attacks

This study investigated posttraumatic stress and depression reactions among survivors of the Istanbul November 2003 terrorist bombings that destroyed synagogues, an HSBC bank, and the British General Consulate. One hundred and forty-nine survivors completed a questionnaire measuring exposure, current posttraumatic stress, and depression responses 6 months after the blasts. This study showed that the prevalence rate of posttraumatic stress disorder (PTSD) among survivors was 35.6%?and the rate of depression was 23.5%. PTSD was strongly predicted by perceived life threat, whereas depression was strongly predicted by death of a close friend. Overall, female survivors were found to be more vulnerable to developing posttraumatic stress as well as depression after the terrorist bombings.     

Interpersonal Style and Hypothetical Treatment Choice Among Survivors of Intimate Partner Violence

Individual differences between women victimized by intimate partner violence (IPV) may account for whether they choose to seek treatment and what kind of treatment they might prefer. Recent research has highlighted the importance of interpersonal warmth and dominance on women’s response to IPV, although this has not yet been extended to area of treatment choice in the aftermath of IPV victimization. In this study, we examined the association between interpersonal warmth and dominance on four choices of hypothetical treatment (individual therapy only, medication only, combined therapy and medication, and no treatment) in a sample of young adult women victimized by IPV (N = 117). Results indicated that the majority of women would choose therapy (with or without medication) and that interpersonal warmth was negatively associated, and dominance positively associated, with a preference for medication only. These findings extend previous research on both treatment choice and interpersonal style within the context of IPV.     

Structural Determinants of Boredom Among the Clients of Psychosocial and Vocational Rehabilitation Centers

In psychosocial rehabilitation programs, clients are encouraged to counter boredom by occupying their time in more structured, meaningful, and enjoyable ways. Several means by which the structure of service organizations reduces feelings of boredom were explored. Hypotheses were tested using data from a sample of clients of Flemish rehabilitation centers for people with chronic mental health problems. Results show that in larger, more heterogeneous centers, boredom is reduced by offering clients a wider range of more routinized activities; in small homogeneous centers, the same effect is obtained by enhancing the intrinsic value of the tasks and by providing more opportunities for task communication. Rehabilitation centers seem to adapt their rehabilitation technology according to their organizational structure.     

Psychosocial Concomitants of Loneliness Among Students of Cape Verde and Portugal

This research is an examination of the relationship between loneliness and a number of psychosocial variables (e.g., affective state, cultural issues, gender, age) among adolescents and young adults from Cape Verde and Portugal. Two studies are presented. The participants in the first study were 285 adolescents from Cape Verde and 202 from Portugal, and in the second study there were 134 college students from Cape Verde and 112 from Portugal. The following instruments were administered to all the participants in both studies: The Revised UCLA Loneliness Scale (D. Russell, L. Peplau, & C. Cutrona, 1980), the Neuroticism Scale (J. Barros, 1999), the Optimism Scale (J. Barros, 1998), the Social Anxiety subscale (A. Fenigstein, M. Scheier, & A. Buss, 1975), and the Satisfaction With Life Scale (E. Diener, R. Emmons, R. Larsen, & S. Griffin, 1985). No ethnic or gender differences were found for loneliness between the two groups. For both groups, the most prominent predictors of loneliness were neuroticism and dissatisfaction with life. However, as expected, the adolescent group recorded higher scores for loneliness than did the college students.     

Psychosocial Correlates and Outcomes of Yoga or Walking Among Older Adults

Few researchers have compared psychological correlates and outcomes of yoga with more traditional forms of exercise. The authors' primary aim was to compare changes in the psychosocial outcomes of mood and state anxiety produced by an acute bout of yoga or walking among older adults. The secondary aim was to compare selected psychosocial correlates of activity. Participants were 51 adults who were 50 years of age or older who walked for exercise or participated in a yoga class. Results revealed that yoga participants had significantly greater levels of depression and perceived barriers to exercise, and lower quality of life than did walkers. With control for these differences, yoga practitioners had improved levels of fatigue pre- to postsession, compared with walkers. With control for differences in demographic variables, these changes were no longer significant. It is possible that yoga practitioners seek out mindful-based exercise to cope with greater levels of depression and lower levels of quality of life.