Personality factors and cervical premalignancy

The purpose of the study was to attempt a discrimination between stages of cervical premalignancy in terms of the four Eysenckian dimensions. It consisted of a quasi-prospective design applied to the presumed continuum of cervical premalignancy. The Ss were 88 women addressed by a physician or self-addressed for Pap smear examinations. Prior to the Pap smear they completed a demographic questionnaire and the Eysenck Personality Questionnaire providing scores of extraversion (E), neuroticism (N), psychoticism (P) and lie (L). By the Pap smear results there were four groups of women: healthy, suffering from vaginal or cervical inflammations, suffering from human papillomaviruses (HPV), and suffering from dysplasias or cervical intraepithelial neoplasms (CIN). ANOVA and discriminant analyses showed that the Eysenckian dimensions discriminated correctly with above chance significance between the groups, mainly between the healthy and inflammatory, on the one hand, and the HPV and CIN, on the other hand (on the basis of N and E scores), and less well between the healthy and inflammatory (on the basis of L scores), and least between the HPV and CIN (on the basis of P scores). As expected, in the healthy and inflammatory groups as compared with the HPV and CIN groups, N and P scores were higher whereas E and L scores were lower. The results indicate the correspondence between physiological and psychological characteristics and suggest especially the alternating relation between neuroticism and physical pathology.     

Psychophysiological correlates of organizational change and threat of unemployment among police inspectors

The study examined psychosocial work-conditions and physiological reactions among thirty-six police inspectors (median age 45 years, 81% males) who participated in a reorganization. At this time, subjects were threatened by unemployment and had to reapply for their positions in a new police district. Data were collected during the reorganization and at three years follow-up, by means of questionnaires (Stress Profile) and blood samples. The blood samples were used to determine serum levels of gammaglutamyltransferase (GGT), glucose, lipids, prolactin, testosterone and cortisol. The results show a positive association betweenworry about employment and symptoms ofburnout during the reorganization. Mean scores for the Stress Profile sub-scalesworry about employment (p<.01) andwork-load (p<.05) decreased between measurements but an impairment inrelationships with management was noticed (p<.05). No significant changes were observed in terms of self-rated health complaints. Significant decreases in total cholesterol (p<.0001), LDL-cholesterol (p<.0001), LDL/HDL-ratio (p<.01), prolactin (p<.0001), as well as increases in testosterone (p<.01) and cortisol (p<.001) were observed for the whole sample. Glucose decreased with marginal significance (<.07). Controlling for age and gender, multivariate regression analyses showed that subjects who reported deteriorations insatisfaction with work manifested the most modest decreases in prolactin (p<.05). Also, the decrease in glucose was larger for subjects who experienced impairments in,satisfaction with work (p<.05), information (p<.05), task-oriented leadership, (p<.05), andrespect and dignity (p<.05). Subjects who perceived deteriorations in theethical and moral standards of the organization increased their cortisol level to a lower degree than their counterparts (p<.05). Favorable changes in employment status and psychosocial work environment seem to be related to improved physiological functioning.     

The Children’s Attention-Deficit Hyperactivity Disorder Telemental Health Treatment Study: Caregiver Outcomes

The Children’s Attention-deficit Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) tested the hypotheses that children and caregivers who received guideline-based treatment delivered through a hybrid telehealth service delivery model would experience greater improvements in outcomes than children and caregivers receiving treatment via a comparison delivery model. Here, we present caregiver outcomes. 88 primary care providers (PCPs) in seven geographically underserved communities referred 223 children (ages 5.5 ? 12.9 years) to the randomized controlled trial. Over 22 weeks, children randomized to the CATTS service delivery model received six sessions of telepsychiatry and six sessions of caregiver behavior management training provided in person by community therapists who were trained and supervised remotely. Children randomized to the comparison Augmented Primary Care (APC) service model received management in primary care augmented by a single telepsychiatry consultation. Caregiver outcomes included changes in distress, as measured by the Patient Health Questionnaire (PHQ-9), Parenting Stress Index (PSI), Caregiver Strain Questionnaire (CSQ) and Family Empowerment Scale (FES). Caregivers completed five assessments. Multilevel mixed effects regression modeling tested for differences between the two service delivery models in caregiver outcomes from baseline to 25 weeks. Compared to caregivers of children in the APC model, caregivers of children in the CATTS service model showed statistically significantly greater improvements on the PHQ-9 (β?=?-1.41, 95 % CI?=?[?2.74, ?0.08], p?<?.05), PSI (β?=??4.59, 95 % CI?=?[?7.87, ? 1.31], p?<?.001), CSQ (β?=??5.41, 95 % CI?=?[? 8.58, ?2.24], p?<?.001) and FES (β?=?6.69, 95 % CI?=?[2.32, 11.06], p?<?.01). Improvement in child ADHD symptoms mediated improved caregiver scores on the PSI and CSQ. Improvement in child ODD behaviors mediated caregiver CSQ scores. The CATTS trial supports the effectiveness of a hybrid telehealth service delivery model for reducing distress in caregivers of children with ADHD and suggests a mechanism through which the service model affected caregiver distress.     

知识迁移对无意识思维效应的作用

为弥补Bos等人(2008)忽视内部因素对无意识思维作用的研究缺陷,本研究从知识迁移视角提出无意识思维受内部知识与外部任务目标双重导向的观点。结果发现：(1)无意识思维知识的迁移促进了无意识思维效应;(2)在无意识思维知识与任务目标双导向下,无意识思维效应更强。基于上述研究,我们更一般地认为,无意识思维效应是内部因素(如,知识、兴趣、动机等)与外部因素(如,任务目标)共同作用的结果。     

The distribution of repressive coping styles among non-metastatic and metastatic breast cancer patients as compared to non-cancer patients

Abstract

Recent investigations have shown increased disease progression among breast cancer patients with a “repressive” coping style characterized as: passive, conforming, inclined to deny physical symptoms and emotionally unexpressive. The Millon Behavioral Health Inventory (MBHI) scales which delineate three discrete repressive coping styles include the: Introversive, Cooperative and Respectful. Forty-four women recently diagnosed (within four weeks) with non-metastatic (N=32) or metastatic (N=12) breast carcinoma, responded to the MBHI upon admission for treatment of their disease at a cancer treatment unit. All subjects received mastectomy as well as chemotherapy, radiation and/or endocrine therapy. These 44 Cancer patients were compared to 34 control subjects, comprising women who were seen at a colposcopy clinic for follow-up of a suspicious pap smear which was ultimately shown to be benign or consisted of mild dysplasia. Non-metastatic, metastatic and control subjects were compared with respect to coping style and psychological distress. The breast cancer patients were more likely to employ a repressive coping style as compared to non-cancer patients who utilized a “sensitizing” coping strategy predominantly. Cancer patients with the most severe prognosis (metastasis) were the only group within the study to attain a clinically significant mean base rate score on the respectful scale. Results suggest that the incidence of repressive coping styles may be disproportionately high among breast cancer patients.     

The Influence of Clinical Variables on the Psychological Adaptation of Adolescents after Solid Organ Transplantation

This study assessed the influence of clinical and socio-demographic variables on the psychological adaptation of transplanted adolescents. Twenty-six transplanted adolescents and 25 healthy adolescents, aged 13–17, and their parents participated in the study. The following domains were measured: social competence, emotional/behavioral problems, self-concept, self-esteem and subjective well-being. The findings revealed that transplanted boys presented significantly less social competence (U = 26,000, p < .05) and more externalizing problems (U = 25,000, p < .05), social problems (U = 25,000, p < .05) and attention problems (U = 17,500, p < .01) than healthy boys. In contrast, transplanted girls displayed significantly more internalizing problems (U = 47,000, p < .05) and lower physical self-concept (U = 49,500, p < .05) than healthy girls. Hierarchical regression analysis showed clinical variables, especially waiting-list time, significantly predicted attention problems (β = .364, p < .05) and negative affect (β = .632, p < .05) in transplanted adolescents. Also, male (β = −0.554, p < .01) and younger (β = −0.444, p < .01) transplanted adolescents were at risk for attention problems. Our data suggest the importance of the waiting-list time for transplanted adolescents. Efforts to reduce the pretransplant phase would help adolescents achieve better psychological adaptation at long-term posttransplant.     

Illness representations and emotion in people with abnormal screening results

The present study examined the relationship of cognitive and emotional representations of illness specified by self-regulation theory on emotional responses of patients with abnormal screening results. Participants were 660 women who received an abnormal cervical smear and 701 men and women who received an abnormal colorectal cancer screening result. Participants completed postal questionnaires containing measures of illness representations and specific emotions. Factor analyses of cause components produced three factors for each sample, corresponding to psychological stress, biological, and behavioural causes. Regression analyses showed that, after controlling for demographic variables, perceived consequences, illness identity, and causal attributions to psychological stress explained significant variance in emotion. Emotional representations also accounted for unique variance in emotional responses. Results indicate congruence in the relationships between illness representations of an emotionally salient event and emotion in patients from the two cancer screening programmes and support the internal validity of self-regulation theory.     

任务与字频对汉字阅读中情绪价效应的影响

两个实验均以汉字为材料,采用2×3被试内设计,分别使用语义范畴判断和语音判断任务考察了汉字频率对阅读中情绪价效应的影响。结果发现：在语义任务中,情绪价与字频之间交互作用不显著,低频消极字和积极字的反应时均快于中性字,高频消极字的反应时也快于中性字,但高频积极字与中性字之间无差异。在语音任务中,情绪价与字频之间交互作用显著,低频消极字和积极字的反应时均快于中性字,而高频字的语音通达则不受情绪价的影响。汉字阅读中的情绪价效应不是自动化的过程,会受到字频与任务形式的影响。     

A Statistical Investigation of the Relationship Between Personal Attachment Style and Satisfaction with Evangelical Church Membership

The purpose of this study was to examine if parishioners' relational attachment style influences their satisfaction with evangelical church membership. A sample of parishioners aged 18 and over completed the Relationship Questionnaire and the Congregation Satisfaction Questionnaire (CSQ), along with an accompanying demographic profile. The research design employed a one-way analysis of variance to determine if securely attached persons reported greater satisfaction with their evangelical church participation than those who reported preoccupied, dismissing, or fearful attachment. This study furthered existing research, suggesting that attachment style influences how people measure congregational satisfaction. In this study, securely attached individuals reported greater satisfaction, as measured by the CSQ, with their evangelical church membership than those who were not securely attached.     

军校医学生心理应激影响因素的通径分析

目的探讨军校医学生心理应激的影响因素及其相互作用方式。方法选用军校医学生日常困扰评定量表、应付方式问卷、特质焦虑问卷、自尊量表和流调中心用抑郁量表对935名军校医学生进行测试，采用SPSS10．0对数据进行统计分析。结果日常困扰主要通过间接作用影响军校医学生的心理应激；自尊和特质焦虑对心理应激具有直接作用和间接作用。应付方式是日常困扰、个性特点影响心理应激的中间环节。结论维护军校医学生的身心健康，可以把优化其个性结构，加强应对训练作为一个切入点。     

Different Associations of Health Related Quality of Life with Pain,Psychological Distress and Coping Strategies in Patients with Irritable Bowel Syndrome and Inflammatory Bowel Disorder

The primary aim of this study was to measure psychological distress, pain severity, health related quality of life (QOL) and pain coping strategies in patients with irritable bowel syndrome (IBS) and ulcerative colitis (UC). A second aim was to determine the influence of somatic and psychological variables on health related QOL. Eighty-eight IBS and 66 UC patients completed the Irritable Bowel Syndrome Quality of Life Questionnaire (IBSQOL), Pain Severity Scale of West Haven Yale Multidimensional Pain Inventory (WHYMPY), Symptom Checklist-90-R (SCL-90-R) and Coping Strategies Questionnaire (CSQ). T-tests and GLM Analysis of Covariance were used for statistical analysis. IBS patients had significantly higher levels of psychological distress, pain severity and maladaptive pain coping strategies (catastrophization), and lower QOL than UC patients. Variance of QOL in IBS was explained for the most part by catastrophization (15%), then by psychological distress (8%), and for the less part by pain severity (5%). In UC, pain severity explained 21%, psychological distress 8%, and catastrophization 3% of the variance of QOL. These results suggest there are differences between IBS and UC patients in the role of physical and psychological factors in QOL and emphasize the importance of cognitive processes in IBS.     

Noncognitive Predictors of Counseling Center Use by International Students

International students (N= 230) completed the Noncognitive Questionnaire (NCQ) prior to matriculation as freshmen. Results indicated that noncognitive variables, shown previously to be predictive of academic success for international students, also were predictive of their utilization of counseling center services over a 4-year period. The three noncognitive variables that significantly (p<.05) predicted counseling center use were understanding and ability to deal with racism, preference for long-term goals over short-term, immediate needs, and non-traditional ways of acquiring knowledge. Implications for designing outreach and counseling services for international students are discussed.     

Professional Ethics of Psychologists and Physicians: Mortality,Confidentiality, and Sexuality in Israel

Clinical psychologists' and nonpsychiatric physicians' attitudes and behaviors in sexual and confidentiality boundary violations were examined. The 171 participants' responses were analyzed by profession, sex, and status (student, resident, professional) on semantic differential, boundary violation vignettes, and a version of Pope, Tabachnick, and Keith-Spiegel's (1987) ethical scale. Psychologists rated sexual boundary violation as more unethical than did physicians (p<.001). Rationale (p<.01) and timing (p<.001) influenced ratings. Psychologists reported fewer sexualized behaviors than physicians (p<05). Professional experience (p<.01) and sex (p<.05) were associated with confidence-violating behavior. Overall, 78% of the sample reported attitudes or behaviors associated with boundary violations. The behavior violations were correlated (r=.49). Actual violators rated vignette violators more leniently than did nonviolators (p<.01).     

Comparing two attributional models of job performance in retail sales: A field study

Research investigating attributional style and job performance among sales staff has been limited by its focus on specific sales roles: notably selling insurance by telephone. Important questions therefore remain regarding the mechanism by which attributions influence job performance in sales roles more generally. This paper describes a field study comparing two attributional models of job performance: (1) a learned helplessness (LH) model, and (2) an achievement motivation (AM) model. Managers' performance ratings were collected for 452 retail sales assistants who completed a job‐specific attribution questionnaire and a work‐satisfaction questionnaire. Results indicate that sales assistants who made more internalcontrollable attributions for positive outcomes received higher performance ratings (r =.20, p<.01) and were more satisfied in their work (r =.12, p< .05). The findings provide support for an AM model of job performance among retail sales assistants. They suggest that more successful sales assistants proactively manage their environment in order to create opportunities for successful interactions with customers.     

Adult Intimate Relationships and Psychological Adjustment

This study explored relations among perceived acceptance and behavioral control by intimate partners, remembrances of parents’ acceptance and behavioral control in childhood, and adults’ psychological adjustment. The study was conducted on 98 American adults (50 men and 48 women) between ages 18 and 50 (mean 26 years). Measures used were the Adult version of the Parental Acceptance-Rejection/Control Questionnaire for Mothers and Fathers(Adult PARQ/Control: Mother and Father); Intimate Partner Acceptance-Rejection/Control Questionnaire (IPAR/CQ); and, the Adult version of the Personality Assessment Questionnaire (Adult PAQ). Results showed significant positive correlations between psychological adjustment and perceived partner acceptance and parental acceptance for both women and men. Results also showed significant negative correlations between psychological adjustment and perceived partner control and parental control for both women and men. Regression analyses, however, revealed a significant independent effect of only paternal acceptance (but not of maternal and partner acceptance) on the psychological adjustment of men. Regression analyses also revealed significant independent effects of both paternal and maternal acceptance (but not partner acceptance) on the psychological adjustment of women.     

Is the conflict model of decision making applicable to the decision to be screened for cervical cancer? A field study

The present study examined aspects of the conflict model of decision making (Janis and Mann, 1977) in the context of attending for a screening test for cervical cancer. In addition, the ability of decision coping styles as measured by Mann's (1982) Decision Making Questionnaire II (DMQ II) to predict screening status was examined. Three hundred and two women answered a questionnaire operationalizing the constructs in the conflict model about their beliefs and knowledge of cervical cancer and the Pap smear test. Four screening categories were identified: never screened, not screened in the last two years (overdue), screened in last two years and initiated the test, and screened in last two years and recruited to have the test. Differences in the decision processes of these groups were examined. Women who were overdue for their Pap test showed greater decisional conflict and were more likely to adopt a defensive avoidance coping pattern than those who had been screened in the last two years. Regression analyses exploring predictors of decisional stress and defensive avoidance for each group, except the never screen, showed that the model's suggested pathways were evidenced among the Overdue Group. Results failed to find any association between coping styles as measured by the DMQ II and screening status. Implications of these findings are discussed.     

A preliminary study of hormone replacement therapy and psychological mood states in perimenopausal women

Hormone replacement therapy (HRT) for perimenopausal women has been suggested to minimize the physical symptoms of menopause and improve mood and psychological functioning; however, the therapy remains controversial. In this study the effects of such therapy (comprising tablets, patches, and implants) on mood states was investigated within a sample of 70 perimenopausal women who were attending a family planning clinic within the Brisbane metropolitan area. On a battery of standardized questionnaires, including the General Health Questionnaire, the Profile of Mood States, the Eysenck Personality Questionnaire, and the Menstrual Distress Questionnaire, those 35 women who were using hormone replacement therapy prescribed by the clinic physician reported significantly lower scores on anxiety, insomnia, and somatic symptoms than did a comparable group of 35 untreated perimenopausal women. These findings provide some tentative support for the beneficial effects of the therapy on physical symptoms and psychological mood states related to the onset of menopause. Given increased life expectancy, there is a growing need for research into issues of aging.     

A Longitudinal Analysis of Family Empowerment and Client Outcomes

We examined the relationship between family empowerment, parent satisfaction, and mental health outcome across time. Based on the Vanderbilt Family Empowerment Project Model, increased empowerment should lead to positive changes in client outcomes. Data consisted of the Family Empowerment Scale (FES), which was used to assess the caregiver's perception of empowerment, Child and Adolescent Functional Assessment Scale (CAFAS), which measures the degree of disruption in the youth's current functioning, Client Satisfaction Questionnaire (CSQ), and demographic information gathered from families receiving services from a county mental health service system at intake and discharge. The results showed that the CAFAS and CSQ were related to empowerment at intake and discharge. Results also indicated significant increases in the knowledge subscale of the FES and the CAFAS and moderate increases in the advocacy subscale of the FES and the CSQ. We discuss the implications of these findings for systems of care, such as stronger parent-professional relationships.     

Threats to the Operational Use of Situational Judgment Tests in the College Admission Process

This study examined the coachability of two situational judgment tests, the College Student Questionnaire (CSQ) and the Situational Judgment Inventory (SJI), developed for consideration as selection instruments in the college admission process. Strategies for raising scores on each test were generated, and undergraduates were trained in the use of the strategies using a video‐based training program. Results indicated that the CSQ was susceptible to coaching. In addition, the scoring format of the CSQ was found to be easily exploited, such that trainees could increase their scores by greater than 1 SD simply by avoiding extreme responses on that test. The results as a whole sounded a note of caution for the potential use of the CSQ in the college admission process.