Changes in self-regulatory cognitions as predictors of changes in smoking and nutrition behaviour

Most longitudinal, correlational studies on health-behaviour change examine effects of Time1 social-cognitive predictors on subsequent behaviour. In contrast, our research focusses on associations between changes in predictors with change in behaviour. The Health Action Process Approach (HAPA) distinguishes between motivational predictors for intention formation and volitional predictors for behavioural change and served as theoretical basis. Two online-studies were launched targeting different behaviours (low-fat diet, smoking), different samples (Study 1: N = 469; Study 2: N = 441) and different time spans (Study 1: 3 months, Study 2: 4 weeks). Data were analysed by means of structural equation modelling with latent difference scores. Both studies resulted in almost parallel prediction patterns. Change in risk awareness and change in outcome expectancies did not result in change in intentions, whereas change in self-efficacy was of crucial importance. Change in behaviour was associated with change in action planning and action control over and above the effects of intentions. In one study, increases in self-efficacy yielded increases in behaviour change. Results demonstrate that change in action planning and especially action control was of great importance for behaviour change across two different behaviours. Analysing change in social-cognitive predictors allows drawing precise conclusions for interventions.     

Current and past depression as predictors of family functioning: a comparison of men and women in a community sample.

The association between family functioning and parental depression has primarily been studied in samples of women. In particular, very little research exists that examines how parent gender and past diagnoses of depression are related to family functioning. The family relationships of 469 couples from a community sample were examined using self- and partner report measures of the marital relationship and youth report and interviewer-rated measures of the parent-youth relationship. Both currently and formerly depressed men and women were shown to have poorer family functioning than nondepressed and never depressed individuals, respectively. Interactions of gender and depression status indicated that depression and poorer marital functioning were more strongly related for women than for men, but there were few gender differences in the parent-youth relationship. The results highlight the need for further research on men's family functioning and suggest that targeting current depressive symptoms in treatment may not be sufficient to resolve marital and parent-youth difficulties that endure after depressive episodes remit.     

The causal structure of situations: The generation of plausible causal attributions as a function of type of event situation

The causal structures for each of four types of situations—interpersonal failure, noninterpersonal failure, interpersonal success, and noninterpersonal success—were explored and compared. A first group of subjects generated plausible causes for five specific situations in each of the four general types of situations. A second group of subjects provided similarity data on these causes, which were used in a cluster analysis of the causes. A third group of subjects rated the generated causes on each of six dimensions reported in the attribution literature: changeability, locus, stability, intentionality, globality, and controllability. Analyses of the clusters of causes and the ratings revealed (a) different types of causes were generated for different types of situations, (b) different types of situations led people to generate causes that differ in dimensional location, (c) the various causal dimensions were highly intercorrelated. These findings were applied to A. W. Kruglanski's (Psychological Review, 1980, 87) model of attribution processes. In addition, implications for the study of interpersonal situations and for the cognition-motivation debate over “self-serving” bias in attribution were discussed. Finally, several methodological issues were examined.     

Family and psychosocial predictors of obsessive compulsive disorder in a community sample of young adolescents

A two-stage epidemiologic study conducted between 1986 and 1988 in the southeastern United States investigated family and psychosocial predictors of obsessive compulsive disorder (OCD) and subclinical OCD in young adolescents. In the first stage, a life-event schedule and a family adaptability and cohesion scale were administered to a community sample of 3,283 adolescents. In stage two, the Schedule for Affective Disorders and Schizophrenia in School Age Children and the Children's Global Assessment Scale were administered to 488 mother-child pairs. In multivariable models family cohesion was the only significant correlate of OCD (odds ratio=0.95, 95% confidence interval 0.91–0.98). Gender, race, age, socioeconomic status, guardian status, adaptability, undesirable life events and desirable life events were not found to be significant predictors of OCD in models adjusting for cohesion. Note of the above variables were significantly associated with subclinical OCD. However, separate analyses of the 41 individual life events indicated seven specific events were significantly associated with OCD or subclinical OCD. These findings are at odds with the theory that overinvolvement of family members is a risk factor for OCD, though an association with overly rigid family structure cannot be eliminated based on these data. Further exploration of family characteristics is warranted.     

Event-specific attributions and daily life events as predictors of depression symptom change

A prospective study was conducted to investigate whether event-specific attributions, either alone or in interaction with daily life events predict depression symptom change, and whether this is affected by systematic variation in intertest intervals. Baseline measures of attributional style, event-specific attributions, life events, and depression were administered to 96 adults enrolled in a cigarette-smoking cessation program who were readministered the event-specific attributions, life events, and depression measures 2, 4, 6, and 8 weeks later. Results indicated that (a) the interaction between event-specific attributions and life events was a better predictor of depression symptom change than were event-specific attributions alone; (b) event-specific attributions and life events demonstrated a tendency to predict depression symptom change over 2 and 4 weeks but not over 6 and 8 weeks; (c) the stability and globality of event-specific attributions was associated with the number of reported life events; and (d) baseline attributional style predicted event-specific attributions 2, 4, 6, and 8 weeks later.     

Social support as a buffer in the stress-burnout relationship

Since the burnout syndrome has a negative impact both on the individual affected and the institution in which he/she is employed, it is important to identify the factors which may alleviate the level of burnout. Social support is said to be one of such factors. Our study was undertaken to investigate the influence of social support in the workplace and general social support on relationships between global stress and stress related to role conflict, ambiguity, and overload and burnout components (emotional exhaustion, depersonalization, and personal accomplishment). The subjects were 1,023 hospital nurses. The results indicate that burnout level correlates highly with organizational and global stress. The role of social support in determining the level of particular burnout components varied according to the type and scope of support. No reliable correlation was found between emotional exhaustion and social support of any type. The level of depersonalization was related only to general support whereas a personal accomplishment factor was related to both types of support. The study did not reveal a buffering effect of both types of social support on the relationships between stress and components of burnout.     

Trust maintenance as a function of construal level and attributions: The case of apologies

When do recipients of an apology (“trustors”) base their decision to trust a perpetrator (a “trustee”) on the attributional information embedded in an apology? Attributions provide a detailed account of the trustee's causal involvement in committing a transgression. We therefore argue that trustors in a low construal level mindset use this information in their trusting decision. However, trustors in a high construal level mindset likely consider all apologies as simple statements of regret, regardless of the attributional information they contain. We find support for this argument in four laboratory experiments. This research nuances the idea that to restore trust by means of an apology, the trustee must only use an effective attribution for a negative outcome. We also present a more realistic understanding of the process leading from apologies to trust than has been offered in previous work by simultaneously considering the role of the trustor and that of the trustee in the trust restoration process.     

Self-efficacy and social support as predictors of smoking after a quit attempt

Abstract

The current study examined self-efficacy and social support as predictors of maintenance after an attempt to stop smoking. As in previous studies, self-efficacy at the end of treatment was a significant predictor of reported smoking during the follow-up period. At 3 months after treatment the prediction from self-efficacy was weaker than a prediction from the level of post-treatment smoking. However at 10 months self-efficacy was the strongest predictive variable assessed in the study. In contrast, social support for the quit attempt was not a significant predictor of maintenance at any stage. The results provided qualified support for the contention that self-efficacy can often be a more powerful predictor than previous performance attainments, especially under conditions of greater situational change.     

Psychological processes and family variables as prosocial behavior predictors in a sample of Spanish adolescents

A review of personal and family variables that regulate prosocial behavior is based on a sample of 1,433 Spanish adolescents (ages 9 to 13; 743 boys and 690 girls) who were assessed on the Prosocial Reasoning Objective Measure, the Physical and Verbal Aggression Scale, the Emotional Instability Scale, the State-Trait Anger Inventory, the Child's Report of Parental Behavior Inventory, the Prosocial Behavior Scale, and the Index of Empathy for Children and Adolescents. Discriminant analyses showed that empathy, self-control in anger-provoking situations, and affection in family relationships are the best predictors of prosocial behavior.     

Expressed emotion and causal attributions in relatives of post-traumatic stress disorder patients

This study investigates the relationship between expressed emotion (EE) and causal attributions in relatives of post-traumatic stress disorder (PTSD) patients, and examines the contributions of EE and attributions to patient outcomes. Thirty-eight relatives of patients with PTSD participating in a treatment trial were assessed on EE, causal attributions for patient problems and nature of attributions. Patients' PTSD symptoms at 6 and 12 months were assessed. Criticism and hostility in relatives were associated with attributing problems to factors controllable by patients. Relatives with marked emotional over-involvement (EOI) had an attributional profile similar to low EE relatives. Deficits in normal behaviour ("negative symptoms") were perceived as more controllable, internal and stable than were more obvious signs of an illness or mental health problem such as hypervigilance and intrusive thoughts and nightmares ("positive symptoms"). Irritability or anger was perceived as more controllable and personal than any other problem. Hostility was associated with less psychological understanding. EE (hostility) but not attributions was found to predict clinical outcome. The results are consistent with previous studies of relatives of schizophrenia patients. The study suggests a need for interventions, which focus on helping relatives to reappraise the impact of PTSD.     

The role of cognitive, emotional and personality factors in the experience of fatigue in a university and community sample

The aim of this study was to investigate the contribution of cognitive, emotional and personality factors to the experience of fatigue severity in healthy adult individuals. Specifically, the study examined whether fatigue catastrophising and emotional distress mediated the relationships between neuroticism, general irrational and rational thoughts to fatigue severity. One hundred and eighty nine university students and community volunteers completed self-report questionnaires assessing fatigue catastrophising and symptom severity, neuroticism, general rational and irrational thoughts and emotional distress. A series of correlational and path analyses were conducted to test the study hypotheses. Neuroticism and more general negative, irrational cognitions were associated with elevated fatigue catastrophising and fatigue severity, whereas more adaptive, rational cognitions were related to lower fatigue catastrophising and fatigue severity. Both elevated fatigue catastrophising and emotional distress uniquely and simultaneously mediated the relationships between irrational and rational cognitions and neuroticism to fatigue severity. These findings demonstrate that cognitions play a role in fatigue severity. The results have implications in the assessment and treatment of fatigue disturbances in the general community.     

Stress,social support,and problem-solving appraisal/skills: Prediction of suicide severity within a college sample

This study assessed whether stress, social support, and interpersonal problem-solving appraisal/skills were predictive of level of suicidality within a chronic suicidal college sample. Stepwise regression analyses were used to assess whether stress, social support, and problem-solving were independently predictive of severity of suicide ideation. In addition, hierarchical regression analyses were used to test the mediational nature of social support and problem-solving in the stress-suicidality relationship. Problem-solving confidence was found to be a significant predictor of severity of suicide ideation. In addition, both perceived problem-solving skills and social support mediated the relationship between stress and level of suicide ideation. However, only one of the two perceived problem-solving skills interactions was in the expected direction. This study provided support for the importance of problem-solving confidence and the interaction of stress and social support in the prediction of suicide severity. Unlike previous studies, this study did not find problem-solving skills/deficits to mediate the stress-suicidality relationship.This research was supported by NIMH Grant 1-18MH48133.     

Specific fears as predictors of generalized anxiety in children

The study investigated the relationship between fear and anxiety in childhood. One hundred fifty-one children aged 6 to 11 years (mean=8.7 years) completed the Fear Survey Schedule for Children-Revised (FSSC-R) and the Revised Children's Manifest Anxiety Scale (RCMAS). Correlational analyses demonstrated that the FSSC-R and each of the fear factors were significantly correlated with each other and with the RCMAS score. A stepwise regression procedure was used to determine if the FSSC-R or any of its five factors was significantly related to scores on the RCMAS. Results indicated that Factor 1 (Failure and Criticism) accounted for 31% of the variance (p < .0001)and Factor 2 (Fear of the Unknown) accounted for an additional 1% of the variance (p < .03)in the RCMAS scores. The relationship between these results and those from a similar study with adults (Goetsch, Tishelman, & Adams, 1987), as well as how the results add to an understanding of childhood anxiety, is discussed.This study was supported by BRSG Grant S07RR0714917 from the Biomedical Research Support Grant Program, Division of Research Resources, National Institute of Health, to the Research Foundation of the State University of New York at Binghamton.     

Exposure to community violence and social support as predictors of anxiety and social and emotional behavior among African American children

We examined the effects of exposure to violence and social support on self-reported state and trait anxiety and parental rated problem behaviors among school-aged African-American children in low and high violence areas. Ninety-seven (97) fourth through sixth graders and their parents were interviewed about exposure to community violence, social support, and state and trait anxiety. Results indicate that trait anxiety was correlated positively with exposure to violence and negatively with social support. State anxiety was correlated negatively with family social support. Problem behaviors were correlated negatively with family support and income. Hierarchial multiple regression analyses indicated that children's reports of their exposure to community violence continued to explain significant variability in trait anxiety, and problem behavior after controlling for both income and social support measures. Social support from peers, family and teachers played differential roles in predicting problem behaviors among children from high and lower violence areas. These findings suggest that in planning intervention programs for children exposed to violence, greater attention to empowering parents to support their children, to fostering peer group support, and to bolstering teacher support may be useful, but attention to the underlying socio-political causes of violence exposure is essential.     

Personality predictors of smoking behavior in a sample of physicians

Abstract

The smoking status of 239 physicians was obtained from a mail survey in 1981. MMPI data, which had been obtained from these men 25 years earlier, was used to prospectively predict smoking status at follow-up. Those who never smoked had scores indicative of social conventionality (low scores on L, Pd, and Schubert scales; high scores on Ego-control). A similar pattern was found among smokers who quit after a relatively short smoking history. Compared to ex-smokers, those who continued to smoke at the time of follow-up were characterized by high scores on the Pd and Ma scales. These results were discussed in terms of a multi-stage conceptualization of the smoking cessation process.     

Expectations of efficacy,social influence and age as predictors of helmet-use in a sample of Spanish adolescents

Despite the proven effectiveness of helmets in avoiding or reducing the severity of brain injuries and the law requiring their compulsory use, both by drivers and passengers of motorcycles, approximately 20% of Spanish adolescent motorcycle users do not wear them. This study analysed the pattern of motorcycle and helmet-use in a sample of Spanish adolescents (age range 14–17; n = 874) and the relationship this safety measure has with belief in its effectiveness and its use by friends and relatives. Overall more males than females ride motorcycles and this difference increased with age. Motorcycle drivers and passengers who always wear helmets consider them to be more effective than those who do not use a helmet all of the time. The best predictors of helmet-use among motorcycle drivers were their beliefs regarding the helmet-use of their friends and relatives. In the case of passengers, knowing that their friends always wear them and age were the best predictors of helmet-use. Programmes and campaigns promoting helmet-use must take into account the modelling effect of close referents or other role models in order to increase their effectiveness.