Does a self management intervention lower distress in woman diagnosed with breast cancer?1

Psychological distress is particularly common with any cancer diagnosis. This paper examined the psychological distress in a cohort of women newly diagnosed with breast cancer and postulates on the underlying theory. A longitudinal study of a cohort of women (n = 147) diagnosed with breast cancer (within the past 1 year), was conducted at University Malaya Medical Centre, Kuala Lumpur. Data were collected at baseline and at post 4‐week intervention. Analysis of variance was conducted to examine for any significant differences in the change‐scores between the experimental group (n = 69) and the control group (n = 78). Using the change scores, analyses of variance showed significant differences between groups for stress, F(1, 140) = 13.68, p < .0001, anxiety F(1, 140) = 8.44, p < .004, and depression, F(1, 140) = 11.57, p < .0001. Levels of stress, anxiety and depression generally decreased significantly in the experimental groups, p < .05, but either maintained or increased in the control group. This study indicates that the level of psychological distress of women with breast cancer can be ameliorated with a 4‐week self‐management intervention. Lower stress levels were also found in women who reported engagement in higher physical activity than women with low physical activity.     

Help‐Seeking Behaviors of African Americans After a Loss

We investigated attitudes toward seeking professional psychological help, ethnic identity, and complicated grief symptoms among 86 African Americans after they experienced the death of a loved one. There were no significant correlations among ethnic identity, help‐seeking attitude, and complicated grief symptoms. Multiple regression analyses indicated that gender and education level predicted help‐seeking attitude, F(2, 84) = 4.64, p < .05, and that gender, education level, and religious affiliation predicted complicated grief symptoms, F(3, 79) = 3.73, p < .05. We explore the results, implications, and areas for future research. Investigamos las actitudes hacia la búsqueda de ayuda psicológica profesional, la identidad étnica y los síntomas de duelo complicado en 86 personas afroamericanas tras experimentar la muerte de un ser querido. No se hallaron correlaciones significativas entre la identidad étnica, la actitud de búsqueda de ayuda y los síntomas de duelo complicado. Los análisis de regresión múltiple indicaron que el sexo y el nivel de educación pronosticaron la actitud de búsqueda de ayuda, F(2, 84) = 4.64, p < .05, y que el sexo, el nivel de educación y la afiliación religiosa pronosticaron los síntomas de duelo complicado, F(3, 79) = 3.73, p < .05. Exploramos los resultados, implicaciones y áreas para investigaciones futuras.     

The Influence of Sex,Gender, Self-Discrepancies,and Self-Awareness on Anger and Verbal Aggressiveness Among U.S. College Students

Abstract

Among a sample of 445 U.S. college students, the authors examined the extent to which individual differences (e.g., sex, gender, self-discrepancies, self-awareness) explained anger tendencies and verbal aggressiveness. Regression analyses showed that (a) the tendency to repress anger (anger-in) was explained by masculinity, desire to be masculine, and public self-awareness, R ² = .19, F(11, 433) = 8.44, p < .001; (b) the tendency to express anger (anger-out) was explained by sex, masculinity, and public self-awareness, R ² = .17, F(11, 433) = 7.38, p < .001; and (c) willingness to be verbally aggressive was explained by sex, femininity, and private self-awareness, R ² = .32, F(11, 433) = 16.94, p < .001. In addition, different types of individual difference variables accounted for anger tendencies and verbal aggressiveness across sex and gender categories, suggesting that anger and verbal aggressiveness may be driven by different psychological processes across types of participants.     

A National Survey on Multicultural Competence for Professional Counselors: A Replication Study

The purpose of this investigation was to replicate findings from Holcomb‐McCoy and Myers's ( 1999 ) study, which assessed the multicultural competence of professional counselors. Factor analysis was conducted to determine the components of multicultural competence (N = 171). Differences existed between multicultural competence and race/ethnicity, F(2, 168) = 4.86, p = .009, Wilks's Λ = .95, partial η² = .06, and education level, F(2, 167) = 8.95, p < .001, Wilks's Λ = .82, partial η² = .10.     

The Effects of a Mental Health Video on the Social Skills Knowledge and Attitudes of Mexican Immigrants1

The purpose of this study was to evaluate the effects of a Spanish mental health video, “Cuida Su Salud Mental”, on the relationship attitudes and social skills knowledge of a Mexican immigrant sample. Subjects consisted of 72 Spanish speaking English as a second language (ESL) students recruited from the Paramount Adult School, in the county of Los Angeles. The Solomon (1949) Four Group Design was used. Half of the subjects were pretested on knowledge and attitudes about effective communication skills and relationships, respectively. All subjects view either the mental health video or a control video, and then were posttested on knowledge and attitudes. Results indicated that the mental healthy video (MHV) group exhibited more knowledge, F(1, 62) = 10.61, p= 0.002, and less risky attitudes, F(1, 62) = 4.29, p= 0.043, than the control video group. The MHV group also showed an increase in knowledge from the pretest to the posttest, F(1, 35) = 7.36, p= 0.01. Finally, both video groups reported a decrease in risky attitudes from pretest to posttest, F(1, 34) = 18.21, p= 0.001. These results support the use of “Cuida Su Salud Mental” as a productive and cost-effective mental health intervention that can be used to reach a large segment of the Spanish speaking community.     

Lexical and Nonlexical Spelling Deficits in Dementia of the Alzheimer Type

Written spelling was assessed in 16 subjects with dementia of the Alzheimer type (DAT) using an information processing approach. The results were compared to the performance in a group of healthy elderly subjects. The Alzheimer subjects scored significantly lower in word spelling and nonword spelling ability than the controls (F(1, 7) = 187,p< .0001), and both the lexical and the nonlexical spelling strategies were affected. The results did not support the hypothesis that nonlexical ability is preserved in DAT. In the DAT group, spelling correlated significantly (p< 0.01) with the severity of dementia, but spelling performance was not associated with the age of onset of dementia or family history of dementia.     

An Experimental Study Using the Ophthalm-O-Graph and Metron-O-Scope in the Diagnosis and Treatment of Reading Defects

Changes in self-esteem and belief in internal versus external control of reinforcement (skill versus chance) were investigated among 24 black male and female youngsters, aged 12 through 19, from diverse backgrounds and geographical locations. Age, socioeconomic status, geographical location, and achievement in flight training were varied. Results showed significant gains in self-esteem by Ss under 16 years of age (p < .05) and Ss from middle income families (p < .005). There was no significant change in belief in internal versus external control among any of the subgroups.     

Using a multi‐feature paradigm to measure mismatch responses to minimal sound contrasts in children with cochlear implants and hearing aids

Our aim was to explore whether a multi‐feature paradigm (Optimum‐1) for eliciting mismatch negativity (MMN) would objectively capture difficulties in perceiving small sound contrasts in children with hearing impairment (HI) listening through their hearing aids (HAs) and/or cochlear implants (CIs). Children aged 5–7 years with HAs, CIs and children with normal hearing (NH) were tested in a free‐field setting using a multi‐feature paradigm with deviations in pitch, intensity, gap, duration, and location. There were significant mismatch responses across all subjects that were positive (p‐MMR) for the gap and pitch deviants (F(1,43) = 5.17, p = 0.028 and F(1,43) = 6.56, p = 0.014, respectively) and negative (MMN) for the duration deviant (F(1,43) = 4.74, p = 0.035). Only the intensity deviant showed a significant group interaction with MMN in the HA group and p‐MMR in the CI group (F(2,43) = 3.40, p = 0.043). The p‐MMR correlated negatively with age, with the strongest correlation in the NH subjects. In the CI group, the late discriminative negativity (LDN) was replaced by a late positivity with a significant group interaction for the location deviant. Children with severe HI can be assessed through their hearing device with a fast multi‐feature paradigm. For further studies a multi‐feature paradigm including more complex speech sounds may better capture variation in auditory processing in these children.     

Self-Efficacy and Sexual Purity among SDA Emerging Adults: A Bivariate Analysis*

Abstract

The purpose of this study was to examine the ability of SDA emerging adults (N?=?558) to remain sexually abstinent prior to marriage in spite of pressures to engage in such act. The researchers explored whether gender and racial differences exist among this group. The results showed a significant difference between SDA emerging males and females regarding their levels of self-efficacy (t _(df=372)?=?2.207; p?<?.05), and a significant difference among SDA emerging Caucasians, African Americans and other races as it relates to their levels of self-efficacy (F _{(df 2, 555)}?=?6.602, p?<?.05). The researchers recommend that religious institutions focus on the factors that influence the levels of self-efficacy, rather than simply emphasizing a sexually-abstinent lifestyle.     

Effects of Auditory Feedback on Movement Time in a Fitts Task

The purpose of the present experiment was to investigate the role of auditory feedback and its impact on movement time in a standard Fitts task. Feedback was given at the moment of target acquisition. A 2-way analysis of variance found significant differences between feedback groups at all three indexes of difficulty (F(2, 40) = 156.02, p < .001). Results from a mixed-model multivariate analysis of variance for kinematic factors show significant differences in peak velocity and the location of peak velocity when comparing feedback groups. In general, the addition of auditory feedback decreased the task ID by .5.     

Linguistic Analysis of Written Narratives of Caregivers of Children and Adolescents with Chronic Illness: Cognitive and Emotional Processes and Physical and Psychological Health Outcomes

Used linguistic analysis of written narratives of caregivers of hospitalized youth with chronic illness to identify emotional and cognitive processes related to physical and psychological health outcomes following writing. Measures were administered at baseline and 4 months. Experimental group (n = 29) wrote about traumas whereas the control group (n = 24) wrote about summer activities for 20 min on three different days. Compared groups on negative emotion- and cognition-related word use. Tested change in negative emotion- and cognition-related word use as predictors of outcomes in experimental group. Consistent with hypotheses, experimental group used more negative emotion words [F(1, 53) = 77.55, p < .001] and cognition-related words than control group [F(1, 53) = 19.09, p < .001] and an increase in cognition words predicted Physical Health Summary Score on SF-36 (standardized = .37, p < .05). A decrease in negative emotion words was related to Physical Health Summary Score on SF-36 only when entered into regression with change in cognition words (standardized = –.31, p < .05). A decrease in negative emotion together with an increase in cognitive processing facilitated by written emotional disclosure has beneficial effects on physical health-related quality of life.     

Active or Inert? An Experimental Comparison of Creative Ideation across Incubation Periods

The primary objective of this study was to contribute to the growing research discipline investigating the effects of physical exercise on divergent thinking creativity performance. Thirty‐two students participated in this two‐visit, within‐subject intervention. Individuals consented to participate in two randomized, and counterbalanced, experimental conditions, consisting of 15 min of active treadmill walking and an inert, seated control incubation period. Creativity was assessed at baseline and post‐exercise (and control) via the Instances Creativity Task (ICT). Creativity scores for changes in fluency (F(1, 31) = 2.90, p = .10) were not statistically significant across the experimental conditions. Originality scores were higher at baseline and follow‐up when compared to the exercise condition (F(1, 31) = 6.82, p = .01). However, there was no statistically significant condition × time interaction effect (F(1, 31) = 1.78, p = .19). Further analyses demonstrated that there was no statistically significant difference between the experimental conditions on recall score (F(1, 31) = 1.04, p = .32). All models indicated statistically significant main effects for time: fluency (F(1, 31) = 131.17, p < .001); originality (F(1, 31) = 36.54, p < .001); and recall (F(1, 31) = 51.75, p < .001). These findings suggest that both active and inert creative incubation periods may similarly enhance subsequent divergent thinking performance.     

Racial exclusion causes acute cortisol release among emerging-adult African Americans: The role of reduced perceived control

ABSTRACT

Racial discrimination contributes to stress-related health disparities among African Americans, but less is known about the acute effects of racial exclusion on the hypo-pituitary-adrenocortical response and psychological mediators. Participants were 276 Black/African American emerging-adults (54% female; M _age = 21.74, SD = 2.21) who were randomly assigned to be excluded or included by White peers via the game Cyberball. Racial exclusion (vs. inclusion) predicted: greater negative affect (F(1, 276) = 104.885, p < .0001), lower perceived control (F(1, 276) = 205.523, p < .0001), and greater cortisol release (F(1, 274) = 4.575, p = .033). Racial exclusion’s impact on cortisol release was mediated by lower perceived control (95% CI: .027, .112), but not negative affect (?.041, .013). These findings suggest that racial exclusion contributes to acute cortisol release, and that reduced perceived control is a consequence of racial discrimination that has important implications for the health of those who experience discrimination.     

The Role of Long-Term Memory in Digit–Symbol Test Performance in Young and Older Adults

ABSTRACT

The psychological functions assessed by substitution tests, and the age-related performance decline, are not well understood. Here several aspects of long-term memory were manipulated across younger and older adults. A 45-page Digit–Symbol test was employed. Each page contained a 9-item digit symbol code-table and 9 response items. There were 9 study conditions with each condition deployed across 5 pages, or trials, of the test. The conditions were formed by crossing two within-subjects factors, each with 3 levels. The first factor, Digit Order, pertained to having the code table digits in numerical order vs. a pseudo-random order fixed across trials vs. a pseudo-random order that varied across trials. The second factor, Symbol Pairing, pertained to having a fixed digit–symbol pairing across trials vs. having a varying digit–symbol pairing across trials vs. having a novel set of 9 symbols introduced on each of the 5 trials. Including the additional factor, Age, resulted in a 2 × 3 × 3 mixed randomised block design. The older group was slowed, F(1, 22) = 17.267, p < .001, and overall-performance was poorer when the digits were arranged non-numerically, F(1,44) = 55.403, p < .001. An Age by Symbol–Order interaction indicated that use of novel symbols disadvantaged only the older participants, F(1, 44) = 6.577, p = .014. While there was no evidence that incidental paired-associate learning or spatial memory affect digit–symbol performance, symbol familiarity may be important to digit symbol test completion in older adults. The benefit of ordinally arranged digits in the coding table highlights a fundamental process difference between Digit–Symbol and Symbol–Digit test formats.     

Body Image Preference in the United States and Rural Thailand: An Exploratory Study

The authors conducted a field study to examine the female body image preferences of young women and young men in a rural northern province of Thailand and in central California. The Thai participants did not have stronger body image preferences than did the U.S. participants overall. However, the young women preferred a significantly more slender body image than did the young men, F(1, 80) = 14.98, p < .001, and the Respondent Gender x Nationality interaction was also significant, F(1, 80) = 4.42, p = .039. Thai men, as expected, exhibited preferences for figures that were heavier than those preferred by their U.S. counterparts. Thai women, in contrast, exhibited preferences for figures that were thinner than those preferred by their U.S. counterparts or their male countrymen. These results are explained in terms of traditional Thai and U.S. values and in terms of Western cultural influences in modern Thailand.     

Predicting Occupational Status for Non-College-Bound Males

In a follow-up of selected 1957 Wisconsin male high school graduates (N = 2,230), a prediction of occupational status was attempted. Of the 17 independent variables used, 3 emerged as highly significant and valid: post-high school education (p < .001), community of residence (p < .001), and high school grade-point average (p < .01). Two multiple coefficients were obtained (R = .32, F = 42.43, p < .001, and R = .26, F = 24.97, p < .001). Results suggest that family background factors and aspiration levels are not as important in predicting occupational status as are further education and training, high school achievement, and community of orientation in a highly industrialized urban technocracy.     

Aggressive interactions among female,semi-captive pampas deer (Ozotoceros bezoarticus) increase within the hierarchy and after short-term removal of the male

Two trials were carried out to determine: (a) if there is a positive relation between the frequency of aggressive interactions among female pampas deer and their position within the hierarchy (HI), (b) if short-term removal of the male triggers an increase in the frequency of aggression, and (c) if the magnitude of this increase is related to the individual rank position of the female. Each of 19 breeding groups comprised one adult male and from four to six adult females. The HI was determined for each female and all aggressive interactions were recorded. These were recorded while the male was present (i.e., all of Trial 1 and the “with male” period in Trial 2) and after removal of the male (i.e., the “without male” period in Trial 2). The individual percentage change in the frequency of aggressive interactions after male removal was calculated. In Trial 1 the HI, the frequency of different types of aggressive interaction and the total of aggressive interactions were positively related (all: p < .001; General Linear Mixed Model [GLMM]). In Trial 2, the frequency of total aggressive interactions increased after male removal (F(1, 27) = 3.5; p < .001; GLMM). The individual percentage changes in aggressive interaction between periods were positively related to HI (F(6, 24) = 2.56; p = .05; GLMM). For female pampas deer maintained in breeding groups, we conclude that the frequency of aggressive interactions increases within the hierarchy. Aggression also increases after the short-term removal of the male, mainly among females of higher social status.     

Life Matters: Exploring the Influence of Games and Mental Skills on Relatedness and Social Anxiety Levels in Disengaged Adolescent Students

LifeMatters is a 10-session life skills program implemented with youth that uses mental skills training and games to meet the three basic psychological needs of relatedness, autonomy, and competence. Forty disengaged students (20 experimental, 20 control) 16–17?years of age from a YMCA vocational school completed self-report measures before and after the intervention period. The school focuses on services for adolescents who find it difficult to gain an education through mainstream education due to behavioral and developmental issues. Mixed between-within subjects analyses of variance showed that there was a significant decrease in social anxiety, Wilks’s λ?=?.84, F(1, 26)?=?5.07, p?=?.03, partial?η²?= .16, and a significant increase in relatedness Wilks’s λ = .87, F(1, 26) = 4.2, p = .05, partial η² = .14, over time for the experimental group compared to the control group. Analyses of covariance showed no significant difference between the two groups in change on social anxiety levels, F(1, 25)?=?1.34, p?=?.26, partial η²?=?.05, when controlling for relatedness, and no significant difference between the two groups in change in relatedness levels, F(1, 25) = 1.34, p = .26, partial η² = .05, when controlling for social anxiety. This study provides insight into the potential effectiveness of using games and mental skills training to increase relatedness and decrease levels of social anxiety in disengaged students.

Lay Summary: LifeMatters is a life skills program combining mental skills training and physically active games. Disengaged students who took part in the program reported lower levels of social anxiety and higher levels of relatedness compared to students who did not take part.     

The Secret of My Success

In an information state where various agents have both factual knowledge and knowledge about each other, announcements can be made that change the state of information. Such informative announcements can have the curious property that they become false because they are announced. The most typical example of that is ‘fact p is true and you don’t know that’, after which you know that p, which entails the negation of the announcement formula. The announcement of such a formula in a given information state is called an unsuccessful update. A successful formula is a formula that always becomes common knowledge after being announced. Analysis of information systems and ‘philosophical puzzles’ reveals a growing number of dynamic phenomena that can be described or explained by unsuccessful updates. This increases our understanding of such philosophical problems. We also investigate the syntactic characterization of the successful formulas. An erratum to this article is available at .     

A randomised controlled trial of the effects of implementation intentions on women's walking behaviour

The combination of low physical activity rates and increased cardiovascular deaths indicate the overwhelming need for behaviour change interventions that can effectively promote physical activity among sedentary women. This 11-week randomised controlled trial examined the effects of an implementation intentions intervention on sedentary women's walking behaviour. Seventy-five women (M age = 48.17) were randomly assigned to either a control group where they were required to self-monitor their daily pedometer-determined step count or to an experimental group where they were asked to form specific walking plans (i.e. implementation intentions) every 6 weeks and to self-monitor their daily pedometer-determined step count. Measures of exercise intentions, perceived behavioural control, scheduling and barrier self-efficacy were administered at baseline, week 6 and week 11. Analyses indicated higher step counts over the first 6 weeks for women in the experimental condition (p < 0.02). Furthermore, higher self-efficacy to schedule (p < 0.01) and overcome walking barriers (p < 0.03), as well as higher perceptions of behavioural control (p < 0.02) were found at week 11 for women in the experimental versus control condition. However, none of the control beliefs were found to mediate the effects of the intervention on the women's walking behaviour. Furthermore, the intervention did not have any effect on the strength of the goal intention–behaviour relationship. The findings suggest implementation intentions are an effective strategy for initiating leisure-time walking within sedentary women.