The relationship of perceived self-efficacy to quality of life in chronic obstructive pulmonary disease.

From a biomedical perspective, variations in the quality of life of chronic obstructive pulmonary disease (COPD) patients may be attributed to changes in pulmonary function; thus, an increase in lung function should be correlated with an increased score on a health-related quality-of-life measure. However, inconsistent results regarding correlations between various measures of pulmonary function and quality of life have been reported in the literature. The authors evaluated a social cognitive model of quality of life among persons with COPD by analyzing relationships among biomedical measures, self-efficacy measures, and quality-of-life measures in a recursive path model. Path analysis results indicated that the association of pulmonary function and symptoms with quality of life was mediated by perceived self-efficacy for functional activities.     

Using the past to predict the future

This research addressed three issues. First, we examined whether retrospective confidence judgments (RCJs) and judgments of learning (JOLs) assess memory differently. Second, we examined the relative accuracy of JOLs and RCJs at predicting future recall performance. Third, we examined whether making JOLs improves subsequent recall better than making RCJs or making no metacognitive judgment. Results suggest that RCJs and JOLs are both based on retrievability, but that participants use their memory differently when making JOLs. RCJs were more accurate than JOLs at predicting future recall for some subsets of items, but the reverse was true for other subsets of items. Finally, eventual recall performance was facilitated when participants made JOLs but not when they made RCJs, suggesting that the JOL task helps to improve people's learning of the items.     

Effects of Neuro-Linguistic Psychotherapy on psychological difficulties and perceived quality of life

Aims: The purpose of this study was to examine the effects of Neuro-Linguistic Psychotherapy on psychological difficulties and perceived quality of life of clients who came for psychotherapy during free practice. Method: A total of 106 psychotherapy clients were randomly assigned to a therapy group or a control group. The outcome was assessed by the Structured Clinical Interview for DSM-IV Personality Disorders (SCID II) with respect to clinical symptoms and by the Croatian Scale of Quality of Life (KVZ) with respect to Quality of Life. The therapy group received the measures at pre-, post- and five-months follow-up occasions, whereas the control group received them initially and after a period of three months. Results: In the therapy group, as compared to the control group, there was a significant decrease of clinical symptoms and increase in the quality of life. With respect to clinical symptoms, effect sizes were 0.65 at post-measurement and 1.09 at follow-up, indicating a substantial reduction of symptom strain, which is comparable to the well established effects of Cognitive Behavior Therapy. We also found a significant increase in perceived quality of life after therapy, as compared to the wait-list control group, with effect sizes between 0.51 and 0.73. Therapeutic improvements were still present five months after the end of therapy, showing further development in the same direction. Conclusions: Neuro-linguistic psychotherapy is an efficient intervention, which is on a par with other, well-established psychotherapeutic techniques.     

Relation of perceived emotional intelligence and health-related quality of life of middle-aged women

This study examined the relationship between perceived emotional intelligence and health-related quality of life in middle-aged women. 99 middle-aged Spanish women, who studied in two adult schools, volunteered to participate. 49 were premenopausal and 45 were postmenopausal. These women completed the Trait Meta-Mood Scale and Health Survey SF-36. Scores were analyzed according to social, physical, and mental health, menopausal status, and scores on perceived emotional intelligence. Then, the data regarding the mental and physical health of the premenopausal and postmenopausal women were compared after controlling for age. No associations between menopausal status and health-related quality of life were found. Perceived skill at mood repair was significantly associated with scores on health-related quality of life in these middle-aged women. These findings provide empirical evidence that aspects of perceived emotional intelligence may account for the health-related quality of life in midlife including social, physical, and psychological symptoms.     

The quality of caregiving in child care: relations to teacher complexity of thinking and perceived supportiveness of the work environment

This study examined the relationship between the complexity of thinking about children by child care teachers and observed teachers' caregiving for infants and toddlers. It was hypothesized that the perceived supportiveness of the work environment would affect this relationship. Fifty‐six child care teachers completed a survey assessing complexity of thinking about children's behaviour as well as a measure of the perceived opportunities for professional development. Teachers' quality of caregiving was assessed using the Caregiver Interaction Scale. Planned contrasts revealed that when professional development opportunities were perceived unfavourably, teachers who were complex in thinking about children's behaviour provided significantly more sensitive care than did teachers who were less complex in their thinking. Findings indicate that the complexity of teachers' thinking about children may be very important in understanding teacher's sensitivity when the quality of the work environment is poor. High‐quality work environments may buffer teachers with less complexity of thinking from being less sensitive with children. Efforts to improve quality of care could focus on individual teachers to improve their complexity of thinking as well as on the work environment to make it more supportive of teachers' professional development. Copyright © 2008 John Wiley & Sons, Ltd.     

Information technology and quality of work life: Comparing users with non-users

This paper is concerned with the potential future effects of information technology on office-type work and job attitudes. An argument from labour process theory has suggested that such technology will simplify and deskill jobs, thereby reducing the quality of work life. This proposition was explored within several government agencies. Over one hundred users' and nonusers' attitudes concerning information technology's future effects upon their jobs and quality of work life were assessed and compared. Data indicates that respondents did not anticipate uniform deskilling effects in the future. Differences between computer users and nonusers were limited, although significant differences between the two groups did exist for communication, job complexity and accountability/feedback scales. Effects of socio-demographic variables upon attitudes were also assessed and the results suggest that salary, age and education may be responsible for attitude differences that occur within each group. Implications for practitioners and researchers are outlined.The authors would like to thank Nancy Carter, Aaron Cohen, Cathy Kirchmeyer and Richard Long for their insightful comments made on an earlier draft of this paper as well as Brenda McPhail's and Hj Shawyer's editorial assistance. Usual disclaimers apply. Financial support for this research project was provided by the Social Sciences Research Council of Canada, Contract No. 494-86-0003 and by a grant from the Alberta Manpower Program, Contract No. 083080 and the Faculty of Management, The University of Lethbridge. The views expressed in this paper are the author's own and are not necessarily shared by these organizations.At the time this research was conducted the second author was an undergraduate student at the University of Lethbridge.     

Job stress and task interest: Two factors in work life quality

A study of how stressful job events and task interest are associated with quality of work life was conducted through interviews and questionnaire assessment of 56 members of the nursing staff at a psychiatric hospital. Factor analyses of work life satisfactions revealed two separable factors, one that accounted for satisfaction with the work itself and another that identified level of satisfaction with the work context. As predicted by a two-factor model, the number of stressful work events correlated with dissatisfactions with the work context but not with satisfaction with the work itself. Level of task interest was associated with higher ratings of satisfaction with the work itself and was uncorrelated with level of work context satisfaction. Turnover was predicted by both the number of stressors on the job and a lack of interest in tasks. An interaction was found between these two variables predicting turnover; employees tended to stay at work even if the job was stressful when the tasks were interesting.     

Cultural variation in the use of current life satisfaction to predict the future

Three studies examined cultural and situational influences on the tendency for people to use their current life satisfaction to predict future life events. On the basis of the self-enhancement literature, it was predicted that either writing about a positive personal experience or reading about another's negative experience would lead European Americans to focus their attention on internal attributes and thus would lead them to use their current life satisfaction in predicting the future. Conversely, on the basis of the self-criticism literature, it was predicted that these same conditions would lead Asian Americans to focus their attention on external factors and, therefore, would decrease their likelihood of using their current life satisfaction to predict the future. Studies 1 and 2 supported these hypotheses. Study 3 showed that these patterns could be obtained by subliminally priming concepts associated with individualism and collectivism.     

Contextual utility affects the perceived quality of explanations

Are explanations of different kinds (formal, mechanistic, teleological) judged differently depending on their contextual utility, defined as the extent to which they support the kinds of inferences required for a given task? We report three studies demonstrating that the perceived “goodness” of an explanation depends on the evaluator’s current task: Explanations receive a relative boost when they support task-relevant inferences, even when all three explanation types are warranted. For example, mechanistic explanations receive higher ratings when participants anticipate making further inferences on the basis of proximate causes than when they anticipate making further inferences on the basis of category membership or functions. These findings shed light on the functions of explanation and support pragmatic and pluralist approaches to explanation.     

Using person matching to predict career specialty choice

Person matching promotes career exploration and choice by linking persons to persons in occupations based on inventory profile score similarity. We examined the efficacy of the procedure for career specialty choice. Medical students (N = 196 women, 224 men) responded to the Sixteen Personality Factor Questionnaire (16PF) in their first year of training. After graduating and selecting a medical residency, members of a reference subgroup (n = 62) of the total sample were matched with members of a criterion subgroup (n = 358) based on 16PF score equivalencies determined by the D² statistic. Person matching predicted medical specialty choice 43-60% of the time. Using broader specialty group categories and adding criterion persons increased the number of specialty matches. Additional refinement and analysis should enhance the efficacy of this idiographic approach as an alternative to nomothetic P-E matching for career exploration. Future research should examine person matching in terms of consequential validity.     

Career Adapt-Abilities Scale-Italian Form: Psychometric properties and relationships to breadth of interests,quality of life,and perceived barriers

The Career Adapt-Abilities Scale (CAAS)-Italian Form consists of four 6-item scales, which measure concern, control, curiosity, and confidence as psychosocial resources for managing occupational transitions, developmental tasks, and work traumas. The 24-item CAAS-Italian Form is identical to the International Form 2.0. The factor structure was similar to the one computed for combined data from 13 countries. Internal consistency estimate for the four subscale and total scores was good. Concurrent validity evidence was collected on perceived internal and external barriers, breadth of interests, and quality of life. Correlations resulted as predicted and showed adaptability related negatively to perceived barriers and positively to breadth of interests and quality of life. As expected, analyses of variance showed that adolescents with higher adaptability perceive fewer barriers, express a broader range of interests, and report a higher quality of life.     

Traumatic stress, perceived global stress, and life events: prospectively predicting quality of life in breast cancer patients.

The authors investigated the relationship between stress at initial cancer diagnosis and treatment and subsequent quality of life (QoL). Women (n = 112) randomized to the assessment-only arm of a clinical trial were initially assessed after breast cancer diagnosis and surgery and then reassessed at 4 months (during adjuvant treatment) and 12 months (postadjuvant treatment). There were 3 types of stress measured: number of stressful life events (K. A. Matthews et al., 1997), cancer-related traumatic stress symptoms (M. J. Horowitz, N. Wilner, & W. Alvarez, 1979), and perceived global stress (S. Cohen, T. Kamarck, & R. Mermelstein, 1983). Using hierarchical multiple regressions, the authors found that stress predicted both psychological and physical QoL (J. E. Ware, K. K. Snow, & M. Kosinski, 2000) at the follow-ups (all ps < .03). These findings substantiate the relationship between initial stress and later QoL and underscore the need for timely psychological intervention.     

Examining the specific dimensions of distress tolerance that prospectively predict perceived stress

We examined five dimensions of distress tolerance (i.e. uncertainty, ambiguity, frustration, negative emotion, physical discomfort) as prospective predictors of perceived stress. Undergraduate students (N = 135) completed self-report questionnaires over the course of two assessment sessions (T1 and T2). Results of a linear regression in which the five dimensions of distress tolerance and covariates (i.e. T1 perceived stress, duration between T1 and T2) served as predictor variables and T2 perceived stress served as the outcome variable showed that intolerance of uncertainty was the only dimension of distress tolerance to predict T2 perceived stress. To better understand this prospective association, we conducted a post hoc analysis simultaneously regressing two subdimensions of intolerance of uncertainty on T2 perceived stress. The subdimension representing beliefs that “uncertainty has negative behavioral and self-referent implications” significantly predicted T2 perceived stress, while the subdimension indicating that “uncertainty is unfair and spoils everything” did not. Results support a growing body of research suggesting intolerance of uncertainty as a risk factor for a wide variety of maladaptive psychological outcomes. Clinical implications will be discussed.     

Influence of perceived social support and functioning on the quality of life of patients with schizophrenia and their caregivers

Perception of social support and functioning of patients with schizophrenia and their primary caregivers and its relationship to quality of life are described. Forty-five patients and their 45 relatives, treated at the Mental Health Services in Arica, Chile, participated. Both patients and caregivers in the study have a poor perception of social support with regard to extra-family people, as well as a low social integration. However, patients showed adequate capacity to function within their immediate family. Unlike what was found in developed countries, these patients showed moderate levels of quality of life, with a strong relationship with perceptions of the social support they receive from family and significant others and the ability to establish and maintain social contacts. Quality of life of primary caregivers is linked to patients' ability to establish and maintain social contacts within the family group, as in other social instances, such as keeping a job. The results of the study suggest the need to consider the design and application of programs of support for these patients and their caregivers, with the central aim of the social functioning of the above-mentioned patients and their familiar and community integration.     

Using the Bender-Gestalt test to predict graphomotor dimensions of the Draw-A-Person test

The investigators examined four correlated aspects of the Bender-Gestalt and the Draw-A-Person tests. Subjects were 41 boys and 14 girls classified as seriously emotionally disturbed or seriously behavior disordered by their school system in southwest Georgia. Each subject's Bender-Gestalt and human figure drawings were placed on a digitizing pad and encoded to provide information relative to the width, height, average point of location on the fourth quadrant abscissa and ordinate of each drawing. The widths of Bender Figures 2 and 8 correlated significantly with the widths of human drawings; the heights of Figures A, 5, and 7 were significantly correlated with the heights of the human drawings. Bender Figure 1 was significantly correlated with average points of location on the abscissa of human figure drawings (distance from the left margin of the page), but correlations between the average points of location from the top of the page were nonsignificant. Comparison of these results with data from other samples might refine diagnosis.     

The role of objective versus perceived life threat in the psychological adjustment to cancer

Several studies in the oncology literature have used disease stage as a measure of life threat. According to the transactional model of stress (Lazarus and Folkman, ), however, the individual's perception of a threatening situation is more strongly related to distress than the objective event itself. Thus, the present study examined whether cancer patients’ perceived life threat (PLT) is more strongly associated with psychological adjustment than a more objective index of disease prognosis (i.e., cancer stage). In addition, based on cognitive processing theories, this study examined whether intrusive thoughts and avoidance, cognitive characteristics of posttraumatic stress disorder (PTSD), mediate the relationship between PLT and distress. Patients diagnosed with various types of cancer (N = 97) completed questionnaires assessing PLT, cancer-related intrusive thoughts and avoidance, distress, and quality of life. Consistent with theoretical predictions, regression analyses showed that PLT, but not disease stage, was significantly related to psychological distress and quality of life. In addition, intrusive thoughts and avoidance mediated the relationship between PLT and distress. Taken together, these findings suggest that cancer patients’ PLT is more strongly related to distress than is cancer stage and that this association is partly due to cognitive symptoms that are part of PTSD symptomatology. Thus, patients who appraise their illness as life threatening may benefit from cognitive interventions aimed at reducing distress associated with intrusive thoughts.     

Impact of spousal work restrictions on expatriates' work life and overall life satisfaction

Our understanding of the challenges and the broader role of spouses of expatriates is extremely limited. This study examined the impact of spousal work restrictions on expatriates' work life and overall life satisfaction using qualitative and quantitative analyses based on data from a sample of 409 Indian Information Technology professionals working in USA. Furthermore, hypothesised conditional process model (tested with PROCESS analysis tool) was supported, showing that spousal work restrictions created complications in personal lives of expatriates, which interfered with work lives resulting in lower overall life satisfaction. We identified six core classes of challenges faced by spouses of expatriates: wasted skills, financial issues, boredom, social isolation, quality time and domestic tension. Our mixed method approach also helps to provide a more comprehensive picture of these complications. This study may help organisational leaders and policy makers to more fully consider the implications of visa-related policy changes on expatriate families.     

BIS and BAS interact with perceived parental affectionless control to predict personality disorder symptomatology

The objective of this study was to examine if and how two basic dimensions of temperament-behavioral inhibition system (BIS) and behavioral approach system (BAS) sensitivity-might interact with exposure to perceived parental affectionless control (AFC) to predict personality disorder (PD) symptomatology. Measures of BIS, BAS, AFC, and PD symptomatology were administered to a large nonclinical sample (n = 318). As predicted, exposure to AFC was positively associated with PD symptoms in general, BIS was positively associated with Cluster A and C symptoms, and BAS was positively associated with Cluster B symptoms. BIS and BAS were also found to interact with each other to predict Cluster B symptomatology. In addition, BIS, BAS, and maternal AFC interacted to predict Cluster A symptomatology. In the latter case, it was found that individuals who reported high BIS, high BAS, and high maternal AFC reported the highest overall level of Cluster A symptoms.