The Influence of General and Exercise Specific Social Support on Self‐Efficacy for Overcoming Barriers to Cardiac Rehabilitation1

Self‐efficacy (SE) for overcoming barriers to exercise is key to continued exercise behavior in cardiac rehabilitation (CR). This study examined factors influencing patients' SE for overcoming barriers to exercise in CR. It was hypothesized that stress after a cardiac event would have a negative impact on SE, but that social support would be related to less stress and more SE. Measures of SE for overcoming barriers to exercise in CR, perceived stress, general forms of social support, and sources of support for exercise were completed by 459 men and 138 women upon entry into CR. Structural equation modeling revealed that general support was related to less stress and more support for exercise, which were both related to increased SE.     

Physicians’ gender bias in the diagnostic assessment of medically unexplained symptoms and its effect on patient–physician relations

Nonspecific, functional, and somatoform (NFS) syndromes is an umbrella term for various diagnoses with medically unexplained symptoms. These syndromes are more prevalent among women than among men, and associated with negative preconceptions that can impede rehabilitation. In two studies, we quantitatively assess how patients’ gender affects the diagnostic assessment of NFS syndromes, as well as the healthcare experiences of individuals diagnosed with NFS syndromes. In the first study, our vignette‐based experiment showed that Swedish general practitioners (N = 90) were gender biased in their diagnostic assessment of NFS syndromes, such that a female patient with back pain was more likely to be assigned a NFS syndrome compared to an otherwise identical male patient. In the second study, a large community sample of Swedish individuals with medically explained (n = 432) and unexplained pain (n = 521) evaluated their treating physician's relational conduct. Even after accounting for a variety of sociodemographic variables and other pain characteristics, women with at least one NFS syndrome percieved their physician's relational conduct as significantly poorer than other women as well as men with and without NFS syndromes. When women's pain is more likely than men's to be assessed as NFS, their rehabilitation could be prolonged as pertient alternative diagnoses and treatments are omittied and their negative healthcare experiences lower their volition to partake and persevere in treatment.     

A comparison of men's and women's consciousness-raising groups

This study contrasted the nature and function of consciousness-raising (CR) groups for men and women. Questionnaires were filled out by 61 individuals representing 10 CR groups. There were no significant differences between sexes in terms of rankings for services rendered by the CR groups. This suggests that consciousness-raising groups for men and women may be more alike than different. Combining sexes, it was found that emotional support was rated significantly higher than sociopolitical change and behavior change/advice. CR participants appear to be more concerned with the fulfillment of emotional and social needs in their groups and less concerned with behavioral and political change.     

Factors Influencing Women's Participation in Consciousness-Raising Groups

The results of a nationwide survey point out both commonality and diversity in the experiences of women in consciousness-raising (CR) groups. Women commonly joined CR groups through women's organizations, and their most important reason for entering CR was to examine women's roles and experiences. Most groups encouraged self-disclosure and openness and discouraged domineering and lack of commitment. The backgrounds and personal characteristics of CR participants were diverse. Housewives, women with children, and women with higher levels of symptoms more strongly valued psychological help as a reason for joining CR; in contrast, working women and students, women without children, and women with fewer symptoms more strongly endorsed strengthening their feminism. Women's reasons for joining in turn predicted which CR experiences they valued. Nearly all women were highly satisfied with CR. Satisfaction with CR was not related to members' personal characteristics, but rather to the processes occurring in their groups.     

THE ROLE OF CARDIAC REHABILITATION IN DEALING WITH PSYCHOLOGICAL LOSS AMONG SURVIVORS OF A CARDIAC EVENT

The aim of the current study was to examine the experiences of cardiac rehabilitation (CR) patients within the framework of psychological loss. All participants in this study reported experiencing losses of some nature, some of which were tangible and others less so. However, these do not appear to be strictly independent from each other in that tangible losses, such as loss of income, were underpinned by intangible losses, such as loss of self-esteem. For CR patients, it seems that the losses reported are experienced at more than one level.The first is an externally visible and objectively quantifiable level (for example, loss of occupation) , whereas the second is a more symbolic, phenomenologically based level (for example, loss of purpose as previously defined through one's occupational role). The CR program examined in this study helped patients to effectively deal with these losses and to experience additional developmental gain.     

Perceived benefits of marathon running in males and females

The differences in both perceived benefits and attitudes toward running between male and female runners, and between runners who classified themselves as competitive runners (CR) or recreational runners (RR), was the focus of this study. Four-hundred and two runners completed the Ten-Minute Survey for Runners within two weeks of completing a marathon. RR, more so than CR, perceived greater benefits from running. However, CR expressed a more positive attitude toward running and its role in their lives than did RR. Men perceived running to be more beneficial to them than women. However, women, more so than men, felt running had a positive effect on self-image and their lives were richer because of running. Future research concerns on the effects of competition on the lives of women are explored.     

Gender Differences in Self-Serving Attributions About Sexual Experiences1

Two studies investigated sex differences in attributions about sexual experiences. Subjects were asked to provide causal explanations for satisfying and unsatisfying past experiences. Men were expected to display a greater self-serving bias than women. This hypothesis was supported for unsatisfying but not for satisfying experiences. In both experiments, males were found to blame their partners more for unsatisfying experiences than females. Males used self-serving attributions, assigning more responsibility to the partner than to themselves (Experiment I), whereas women displayed self-derogatory attributions, attributing negative outcomes more to themselves than to their partners (Experiment II). Furthermore, self-derogatory attribution patterns were correlated with unsatisfactory sexual histories in women but not in men. Implications for the treatment of sexual dysfunctions via reattribution training are discussed.     

Correlates of premarital relationships among unmarried youth in Pune district, Maharashtra, India

CONTEXT: Although premarital partnerships-whether or not they involve sex-are widely discouraged in India, some youth do form such partnerships. It is important to know more about the nature of and the factors associated with these relationships. METHODS: Data are drawn from a community-based study of 15-24-year-olds in urban slum and rural settings in Pune District, Maharashtra. Multivariate analyses were conducted to identify associations between youths' individual, peer and family factors and their experience of romantic relationships and physical intimacy, including intercourse. RESULTS: Among young men, 17-24% had had a romantic relationship, 20-26% had engaged in some form of physical intimacy and 16-18% had had sex; the proportions among young women were 5-8%, 4-6% and 1-2%, respectively. Exposure to alcohol, drugs or pornographic films and having more frequent interaction with peers were positively associated with romantic and sexual relationships for both young women and young men. Educational attainment was negatively associated with both types of relationships for young women, but only with sexual relationships for young men. Closeness to parents was negatively associated with relationships only for young women. Young women whose father beat their mother were more likely than other young women to form romantic partnerships, and those beaten by their family had an elevated risk of entering romantic and sexual partnerships. Youth who reported strict parental supervision were no less likely than others to enter relationships. CONCLUSIONS: Program interventions should ensure that youth are fully informed and equipped to make safe choices and negotiate wanted outcomes, while positively influencing their peer networks; encourage closer interaction between parents and children; and be tailored to the different circumstances and experiences of young women and men.     

MATHEMATICS AND SELF-ESTEEM: IMPLICATIONS FOR WOMEN'S CAREER CHOICE

The relationship of math participation and success to self-esteem and career goals is examined in a sample of 64 women and 52 men college students at the end of their sophomore year. No gender differences were found in math anxiety or perceptions of the usefulness of mathematics, but women were less likely to select a math-related career goal. Among the men students, math participation and self-assessments of math ability were positively related to more general self-estimates of competence; among women, these variables were not related significantly. Women's choices for math-related careers were more closely associated with scholastic ability and math background than were men's career choices. These results are discussed in the context of societal pressures and supports for men and women in regard to math participation.     

Stress,self-esteem,and mental health: How does gender make a difference?

Questionnaire responses of 804 women and 127 men were compared to assess sex differences in college students' stress levels and reactions to stress, and the extent to which their self-esteem, interpersonal self-confidence, and self-concepts are associated with their experiences with stress. The men and women reported similar stress levels in most areas of life, but the women reported greater stress regarding family relationships and concern about their mental health. The women reported that when they are under stress, they experience more symptoms of depression and anxiety, and are more likely to express their anger and feelings, whereas the men reported that they become more active in response to stress. For both men and women, levels of stress and reactions to stress were associated with self-esteem, interpersonal self-confidence, and self-concepts. The results indicate that sex differences in dysfunctional reactions to stress can be explained by sex differences in self-concept more persuasively than can differences in areas of stress.The author wishes to thank the presidents of the seven colleges for their support and encouragement; the Seven College Study Advisory Board, campus coordinators, and staff for their contributions; and the students for their interest and participation. The author also expresses her appreciation for the support of the Henry A. Murray Research Center of Radcliffe College. This research was supported in part by a grant from the Josiah Macy, Jr. Foundation.     

Sexual experiences associated with participation in drinking games

The results of previous research suggest that participation in drinking games may be associated with sexual aggression, but the specific sexual behaviors involved have not been identified. In the present study, the authors attempted to identify specific sexual experiences associated with drinking games. Both men and women reported being taken advantage of sexually during or after play, including someone having sex with them when they were too drunk to give consent. Few women admitted to being perpetrators, but many men reported multiple instances of perpetration. Greater alcohol consumption predicted more sexual experiences in women. In men, sexual motives for playing drinking games were the best predictor of sexual behavior. Alcohol and sexual-assault prevention programs may need to consider the role of drinking games in sexual victimization.     

Same Game, Different Rules? Gender Differences in Political Participation

We investigate gender gaps in political participation with 2004 ISSP data for 18 advanced Western democracies (N: 20,359) using linear and logistic regression models. Controlling for socio-economic characteristics and political attitudes reveals that women are more likely than men to have voted and engaged in ‘private’ activism, while men are more likely to have engaged in direct contact, collective types of actions and be (more active) members of political parties. Our analysis indicates that demographic and attitudinal characteristics influence participation differently among men and among women, as well as across types of participation. These results highlight the need to move toward a view of women engaging in differing types of participation and based on different characteristics.     

Gender differences in standards for romantic relationships

Why is it that women often report more problems in their romantic relationships than do men? One explanation apparent in the literature is that women may view different standards as important for relationships than do their male counterparts and, as a consequence, women may be less likely to have their standards met. A second explanation is that while women and men may not differ in terms of the importance they associate with various standards, the experiences they have in their romantic relationships may lead women Lo believe their standards are not fulfilled as often as do men. The current study offers a preliminary test of these two rival explanations and found greater support for the latter. Analyses of two composite measures and more detailed factor-based measures generally indicated that the standards held by women and men involved in heterosexual romantic relationships were rated similar in importance. Women, however, tended to note that their standards were met less fully than did men. Further, compared to men, women reported a greater discrepancy between the importance they associated with various standards and the extent to which the standards were fulfilled in the context of their relationship. The ability of two different theoretical models to predict and explain these findings is discussed, as re the implications of the results for future research.     

Professional service involvement of leadership faculty: An assessment of gender,role, and satisfaction

This study explored gender differences among educational administration faculty and their participation in and satisfaction with professional association activities. The study population would be characterized as overwhelmingly male and white, but with women and minority candidates beginning to enter the faculty ranks. Women faculty reported involvement in more professional service activities and a slightly higher satisfaction with their involvement than their male colleagues. However, women participated in different types of and more professional association activities than men.     

Patient attributions for cardiac events: predictors of physical and psychological recovery

This study examined cardiac rehabilitation (CR) patients' causal attributions for their cardiac events, and used those attributions as predictors of cross‐sectional and prospective health status. Data were collected from 163 participants at the beginning and end of their CR programs. Results showed that patients' attributions can be categorized into controllable ones that are behavioral in nature, uncontrollable ones that are biological in nature, and a separate category for stress‐related causes. Findings showed that stress attributions at the beginning of CR were associated with engaging in healthy behaviors in the last month of CR, which, in turn, were positively associated with metabolic equivalence levels at the end of CR. Results imply a motivational component to believing that cardiac events are caused by stress.     

Hopeful struggling for health: Experiences of participating in computerized cognitive training and aerobic training for persons with stress-related exhaustion disorder

It is important to understand how people with exhaustion disorder (ED) perceive interventions aiming to facilitate cognitive functioning. Therefore, the overall aim of this study was to explore experiences from persons with ED after participating in a 12-week intervention of either computerized cognitive training or aerobic training. Both interventions were performed in addition to a multimodal rehabilitation programme. Thirteen participants, 11 women and 2 men, were interviewed about pros and cons with participating in the training. The interviews were analysed with Qualitative Content Analysis. The analyses resulted in the theme hopeful struggling for health and the categories support, motivation and sensations. It was hard work recovering from ED. Support from others who are in the same situation, family members, and technology and routines for the training were strongly emphasized as beneficial for recovery. Timing, i.e., matching activities to the rehabilitation programme, getting feedback and perceiving joy in the training were important for motivation. Participants in both interventions experienced positive sensations with improved memory performance, everyday life functioning and increased faith in the prospect of recovery. However, it is important to consider various aspects of support and motivation in both computerized cognitive training and aerobic training to enable participants to pursue their participation.     

Gender differences in social support for socially anxious individuals

Given that social anxiety disorder is a common, chronic, debilitating disorder and socially anxious women appear to have different experiences related to social development and social support than men, it is essential that the gender differences in social anxiety and social support be understood. The present study examined perceived social support quantity and satisfaction in 23 women and 28 men seeking treatment for social anxiety disorder. Contrary to expectations, men and women did not differ on measures of social support. However, younger, unmarried women reported having smaller social support networks and less satisfaction with their social support networks than older, married women. Analyses of socially anxious men did not reveal such a pattern. The current study provides preliminary evidence that younger, single women have social support networks that are less satisfying than the social support networks of older, married women. Inclusion of social support modules within a cognitive behavioral treatment approach for social anxiety disorder may be warranted, particularly for young, unmarried women.     

Gender Differences in Social Support for Socially Anxious Individuals

Given that social anxiety disorder is a common, chronic, debilitating disorder and socially anxious women appear to have different experiences related to social development and social support than men, it is essential that the gender differences in social anxiety and social support be understood. The present study examined perceived social support quantity and satisfaction in 23 women and 28 men seeking treatment for social anxiety disorder. Contrary to expectations, men and women did not differ on measures of social support. However, younger, unmarried women reported having smaller social support networks and less satisfaction with their social support networks than older, married women. Analyses of socially anxious men did not reveal such a pattern. The current study provides preliminary evidence that younger, single women have social support networks that are less satisfying than the social support networks of older, married women. Inclusion of social support modules within a cognitive behavioral treatment approach for social anxiety disorder may be warranted, particularly for young, unmarried women.     

Effects of age and sex on reciprocal tapping performance

Using a reciprocal tapping task (Fitts's task), the speed and accuracy of small-amplitude motor movements of the hand were measured for 62 men and 84 women, 20 to 89 yr. of age. Men and women in their 20s and 30s performed similarly, although men in their 20s displayed a tendency to trade accuracy in favor of speed. Movement time increased noticeably for both men and women beginning with the 40s decade and continued to increase through the 80s decade. Error rates were lower for women than men and were relatively uniform for both men and women across all age decades past 30 yr. Older subjects of both sexes appeared to sacrifice speed (slowed down) to maintain accuracy on the task. The slope of the linear regression relating movement time to task difficulty was steeper for men than for women and increased more for men than women with advancing age, indicating that older men slowed down relatively more than older women on more difficult tasks.