Middle school students’ perceptions of quality of life

Data are reported on 2278 public middle school students in South Carolina, U.S.A. Levels and demographic effects on their satisfaction with their overall lives as well as five specific domains (family, friends, self, school, and living environment) were assessed. Similar to findings with adults and high school students, most middle schoolers reported positive levels of global and domain-specific life satisfaction. Although statistically significant in some cases, the practical significance of the demographic variables was limited. Many middle schoolers reported particular dissatisfaction with their school experiences.     

The role of spousal relationships in fibromyalgia patients’ quality of life

Fibromyalgia (FM) is a chronic pain syndrome that includes debilitating symptoms such as widespread pain and tenderness, fatigue, and poor physical functioning. Research has shown FM patients’ choice of coping style and relationship quality with their spouse can impact their mental quality of life (QoL), but no known study has examined the protective nature of relationship quality and coping behaviors on both patient physical and mental QoL in the context of chronic pain. We examined 204 patients with FM on the (a) roles of coping styles and relationship quality on patient quality of life, and (b) moderating effect of relationship quality on the association between negative coping style and patient QoL. A series of multiple regressions found patients’ coping styles were not significantly associated with physical QoL, but were significantly associated with mental QoL. Patients’ relationship quality with their spouse was significantly associated with mental QoL, but not physical QoL and no significant interactions with negative coping style were found. Our results emphasize the importance of coping styles and relationship quality between patients and their spouses in the context of chronic pain. Clinicians can incorporate the patient’s relationship as part of a more holistic approach to care and improving outcomes.     

Swedish adolescents’ experiences of cybervictimization and body-related concerns

The aim of this study was to examine the relationships between cybervictimization and three body-related concerns: body-esteem, self-objectification, and internalization of body ideals. The aim was also to examine these relationships not only to cybervictimization in general but also to appearance-related cybervictimization more specifically. The sample comprised 482 adolescents (233 girls and 247 boys aged 13–15; two participants did not answer the question about gender) from four Swedish schools. The results showed that victims of appearance-related cyberbullying suffered from more body-related concerns: they had a poorer view of their general appearance and of their weight. They also reported more body shame, thin-ideal internalization, and appearance-related pressure from the media. This study shows that cyberbullying that focuses on the victim's appearance is associated with several body-related concerns that have not previously been studied. A novel finding was also that body-related concerns were not related to cyberbullying in general, as has been implied in earlier research, but specifically related to cyberbullying directed at the victim's appearance. The findings suggest that there is a need to include attention to the specific relationships between appearance-related cyberbullying and body-related concerns in future prevention and intervention work.     

Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

Students’ motivational responses toward school physical education and their relationship to general self-esteem and health-related quality of life

ObjectivesIn addition to encouraging a physically active lifestyle, the aims of school physical education (PE) also encompass the promotion and development of self-esteem and perceptions of health. Using self-determination theory [SDT; Deci, E.L., & Ryan, R.M. (1991). A motivational approach to self: Integration in personality. In: R.A. Dienstbier (Ed.), Nebraska symposium on motivation: Perspectives on motivation (Vol. 38, pp. 237–288). Lincoln, NE: University of Nebraska] as a conceptual framework, we examined three competing models specifying relations among motivational processes toward PE, students’ general self-esteem, and health-related quality of life (HRQoL).DesignA field correlational prospective design.MethodThree hundred British secondary school students (M age=13.51 years; SD=.76) responded to a multi-section inventory assessing their motivational processes toward school PE. One week later, data pertaining to general self-esteem and HRQoL were obtained.ResultsFollowing minor modifications, structural equation analysis showed the three competing models to provide excellent fit to the study data. All models showed (i) perceptions of autonomy support provided by the PE teacher to positively predict autonomy, competence, and relatedness, (ii) competence and autonomy to positively predict autonomous motivation toward PE, and (iii) direct paths from competence to general self-esteem and from relatedness to HRQoL. Model 1 showed autonomous motivation to positively predict general self-esteem, which in turn positively predicted HRQoL. Model 2 supported a positive path from autonomous motivation to HRQoL, with HRQoL positively predicting general self-esteem. Model 3 supported general self-esteem and HRQoL to be distinct, yet related, dependent variables that were positively predicted by autonomous motivation toward PE.ConclusionThese findings call for future work to examine the causal associations among motivational processes, self-esteem, and HRQoL. The theoretical contributions of SDT to such work are discussed.     

Your goals or mine? Women’s personal and vicarious eating regulation goals and their partners’ perceptions of support,well-being,and relationship quality

This research examined the types of eating regulation goals that women have for themselves as well as for their romantic partner, and how these relate to their interpersonal style toward their partner, and to their partner’s psychological and relational well-being. Participants were 131 heterosexual couples. Results show that the eating regulation goals that women have for their partner (health or appearance oriented) reflect the type of goals that they personally pursue. Furthermore, women who have health-focused eating goals for their partner are perceived as more autonomy-supportive, which is associated with the partner’s report of higher relationship quality. Conversely, women who have appearance-focused eating goals for their partner are more likely to be perceived as controlling, which negatively predicts the partner’s psychological and relational well-being. These results attest to the importance of considering women’s personal eating regulation goals for a better understanding of the type of goals they have for their partners and how these relate to their partners’ well-being and relationship quality.     

Is the good life characterized by self-control? Perceived regulatory success and judgments of life quality

To what extent do people view self-control as central to achieving a healthy, high-quality life? While scientific evidence strongly supports the notion that self-control is associated with successful adaptation and optimal functioning, we examine whether individuals connect this trait with positive outcomes. In Study 1, participants rated the likelihood that an individual with high self-control (or self-esteem) would experience good health and a high-quality life. Studies 2–3 experimentally portrayed a target person as high or low in self-control (and self-esteem) before participants rated the target on an array of positive outcomes. Across studies, self-control was perceived as less strongly connected with a high-quality life than self-esteem. Mediation analyses suggest that people link self-esteem (but not self-control) with healthy behaviors that, in turn, lead to superior perceived physical and psychological health. While self-esteem is strongly associated with lay concepts of the good life, the importance of self-control may be comparatively under-recognized.     

Measuring the quality of life: Why,how and what?

In this paper three questions concerning quality of life in medicine and health care are analysed and discussed: the motives for measuring the quality of life, the methods used in assessing it, and the definition of the concept. The purposes of the study are to find an ethically acceptable motive for measuring the quality of life; to identify the methodological advantages and disadvantages of the most prevalent current methods of measurement; and to present an approach towards measuring and defining the quality of life which evades the difficulties encountered and discussed. The analysis comprises measurements both in the clinical situation concerning individual patients and in research concerning whole populations. Three motives are found for evaluating the quality of human life: allocation of scarce medical resources, facilitating clinical decision making, and assisting patients towards autonomous decision making. It is argued that the third alternative is the only one which does not evoke ethical problems. As for the methods of evaluation, several prevalent alternatives are presented, ranging from scales of physical performance to more subtle psychological questionnaires. Clinical questionnaires are found to fail to provide a scientific foundation for universally measuring the quality of life. Finally, the question of definition is tackled. The classical distinction between need-based and want-based theories of human happiness is presented and discussed. The view is introduced and defended that neither of these approaches can be universally preferred to the other. The difficulty with the need approach is that it denies the subjective aspects of human life; whereas the problem of the want approach is that it tends to ignore some of the objective realities of the human existence. In conclusion, it is argued that the choice of methods as well as definitions should be left to the competent patients themselves — who are entitled, if they so wish, to surrender the judgement to the medical personnel. Technical factors as well as the requirements of respect for autonomy and informed consent support this conclusion.     

Association between quality of life of adolescents with type 1 diabetes and parents’ illness perception as evaluated by adolescents

Children and adolescents account for half of all cases of type 1 diabetes, which is one of the most common pediatric chronic diseases. The disease’s effects and the treatment/disease-management protocols patients must follow can lead to a marked deterioration in quality of life, especially for adolescents. Patients’ illness perceptions have been shown to impact their quality of life, but do other people’s illness perceptions also have an effect? The present study addressed this question by investigating possible links between the quality of life of adolescent patients with type 1 diabetes and illness perceptions, measured in terms of the adolescents’ self-perceptions, parents’ self-perceptions, and the adolescents’ evaluations of their parents’ perceptions. We asked 41 adolescents (M = 13.9 years; SD = 1.9) who had been undergoing treatment for type 1 diabetes for at least a year (M = 6.6 years; SD = 3.7) to complete the Diabetes Quality of Life for Youth Questionnaire-Short Form (DQOLY-SF) and the Illness Perception Questionnaire-Revised (IPQ-R). They completed the IPQ-R twice, once to state their own opinions (self-report) and once to give their evaluations of their parents’ perceptions. At the same time, but in a different room, their parents (N = 47) completed the IPQ-R (self-report). Quality of life was predicted by gender (p < .05) and by the parents’ emotional representations (p < .01) and perceptions of consequences (p < .01) as evaluated by the adolescents. This new approach provides new insights into the impact of parents’ perceptions on the quality of life of adolescents with type 1 diabetes.     

Cancer Survivors’ Spiritual Well-Being and Use of Complementary Methods: A Report from the American Cancer Society’s Studies of Cancer Survivors

We examined associations between spiritual well-being and CAM use among 4,139 cancer survivors. We also explored the classification of religious/spiritual practices (R/S) as CAMs and alternative subscale structures of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being (FACIT-Sp). We evaluated three aspects of spirituality, Faith, Peace, and Meaning, and use of 19 CAMs in 5 domains. Mind–body methods were subdivided into R/S and non-R/S. All FACIT-Sp factors were associated with CAM use, but in different directions: Meaning and Faith were positively associated; Peace was negatively associated. Peace was negatively associated with R/S CAMs, but not non-R/S CAMs. The prevalence of CAM use dropped from 79.3 to 64.8% when R/S items were excluded. These findings confirm an association between spiritual well-being and CAM use, including some non-R/S CAMs, and provide evidence of the benefits of using the three-factor FACIT-Sp solution and treating R/S CAMs as a separate category.     

Counsellors’ and psychologists’ experience of working with male survivors of sexual trauma: a pilot study

A qualitative study was undertaken to enhance awareness of the therapeutic needs of the male survivor of sexual trauma through exploration of counsellors’ and psychologists’ experience of working with this client group. The participants were 32 counsellors and psychologists who work for an NHS Trust department. Interpretative Phenomenological Analysis was used to analyse the data which was gathered by means of a postal questionnaire. Six categories emerged from the analysis that highlighted prevalent experience. These were: (a) that the therapist's gender was important, (b) professional concerns, (c) the importance of the relationship, (d) transference/counter transference, (e) that male and female abusive experiences are the same and (f) attention to client's presenting problems. The main conclusions derived from these results and implications for practice are considered.     

Wisdom at the end of life: Hospice patients’ reflections on the meaning of life and death

The processes of aging and confronting mortality are often accompanied by unique psychological challenges. From the perspective of positive psychology, such challenges can yield opportunities for growth, including increased wisdom. This qualitative study explored 15 terminally ill hospice patients’ perspectives on wisdom, the dying process, and the meaning of life using consensual qualitative research methods. Most participants cited humility as a key component of wisdom, emphasizing that “Wisdom is when we realize ‘I don’t really know much’.” Other components of wisdom included self-knowledge, rationality, experiential learning, listening to and learning from others, and sharing knowledge with others. Participants also suggested that the process of facing illness and death presents opportunities for positive growth, including changing priorities and learning to appreciate life more fully in the present moment. In considering the sources of meaning in their lives, participants emphasized relational connections, personal growth, spirituality, vocational fulfilment, and living a full life. Participants also shared their reflections on important past experiences and regrets. Lastly, participants offered advice to others based on their experiences facing illness and mortality. Implications for psychological care of the dying and future research are discussed.     

Life partners’ perceptions of the emotional,speech disruptive,and attitudinal correlates of stuttering

PurposeThe purpose of the current investigation was to explore the extent to which the life partners (LPs) of people who stutter (PWS) perceive their loved ones’ speech-situation specific emotional reaction, expectancy of speech disruption, and speech-related communication attitude.MethodsThree subtests of the Behavior Assessment Battery (BAB): the Speech Situation Checklist - Emotional Reaction (SSC-ER), the Speech Situation Checklist - Speech Disruption (SSC-SD) and the Communication Attitude Test for Adults Who Stutter (BigCAT) were administered to 33 PWS and modified versions were administered to their LPs via Qualtrics Survey Software. Effect of relationship duration on subtest scores was considered. Perceived stuttering severity by the participant and their LP was also queried as part of a demographic questionnaire.ResultsPWS and their LPs rated BigCAT items in a similar way, while they rated certain SSC-ER and SSC-SD items differently. Importantly, between-group agreement was not affected by relationship duration. Among the PWS and LP, perceived stuttering severity influenced all BAB subtest scores.ConclusionLPs of PWS appear to be in tune with the cognitive aspects of their partner’s experience of stuttering. This has important clinical implications as it relates to active involvement of the family in speech intervention targeting fluency.     

Teachers’ perceptions of middle schoolers’ social concerns: strategies and barriers to supporting students’ social success

Social Psychology of Education - Teachers are often at the forefront of efforts to help students struggling socially at school and their support may be particularly critical during the early...     

Accountability and cooperation in social dilemmas: The influence of others’ reputational concerns

The present study examined the assumption that non-anonymous choices in social dilemmas (i.e., choices for which one is accountable) may influence cooperation, but only to the extent that decision-makers believe that the others will evaluate non-cooperation negatively. Based on a recent review by Kerr (1999), it was expected that under conditions of accountability, decision-makers would cooperate more when they believed that the others within the group were also concerned about their social reputation and therefore were aware of the social norm of cooperation within social dilemmas. As a consequence, it could be expected that non-cooperation by oneself would be evaluated negatively by those others since they seemed to be aware of what ought to be done in a social dilemma (i.e., the norm of cooperation). Results confirmed these predictions and, in addition, also showed that greater willingness to cooperate was associated with stronger feelings of collective concern. The findings are discussed in terms of recent literature on anonymity effects in social dilemmas. This research was part of the second author's master thesis at Maastricht University. The first author was supported by a fellowship of the Netherlands Organization for Scientific Research (NWO, no. 016.005.019).