Stroke patients' well-being as a function of caregiving spouses' helpful and unhelpful actions

This study examined the perceptions that 55 older married stroke patients had about themselves and about the motivations of their caregiving spouses when they judged their spouses' actions to be helpful and when they judged them to be unhelpful. It also examined how these perceptions were related to patients' well-being (depression, positive affect, marital satisfaction). Patients had more negative perceptions of themselves and of their spouses when they judged the actions to be unhelpful than when they judged them to be helpful. The hypothesis that perceptions about unhelpful actions would be more strongly related to patients' well-being than would perceptions about helpful actions was only partially supported. Perceptions about unhelpful actions were related to patients' depression, but perceptions about helpful actions were related to positive affect. Both kinds of perceptions were related to marital satisfaction. Findings begin to explicate the complex relationship between perceived helpfulness of actions and well-being.     

How Disadvantaged Group Members Cope With Discrimination When They Perceive That Social Support Is Available1

This experiment examined how disadvantaged group members cope with discrimination when they perceive that social support is available. Women reacted to a failing test grade after ambiguous information about the probability for discrimination. With no social support, women minimized discrimination and attributed their failure to the quality of their answers. Participants were less inclined to minimize discrimination when social support was available. When they perceived that either emotional or informational support was available, women were equally likely to blame their failure on discrimination as on the quality of their answers. The results revealed less minimization of personal discrimination when both emotional and informational support were available, in which case participants blamed their failure more on discrimination and less on themselves.     

Social support for women with chronic pelvic pain: what is helpful from whom?

Eight women with Chronic Pelvic Pain (CPP) were asked, by means of semi-structured interview, what had been helpful and unhelpful in terms of social support from their partners, families, friends, acquaintances, doctors, nurses and other women with CPP. Firstly, thematic analysis employing a pre-defined social support category system revealed that particular forms of tangible support were preferred from specific support providers but emotional and informational support was appreciated from the whole support network. Secondly, interpretative phenomenological analysis revealed three major additional themes: ‘Pain and Suffering’ described the trauma suffered by these patients and the anger and anxiety surrounding their experience; ‘Ideal Social Support’ revealed a picture of desired support consisting of enduring emotional and practical support which did not undermine individual autonomy; ‘Shortfalls in Social Support’ had subsidiary themes entitled ‘Lack of empathy’ and ‘Lack of engagement’. These themes were described and discussed in relation to each other, extant research and their clinical implications.     

Rated helpfulness and partner-reported smoking cessation support across the pregnancy-postpartum continuum.

Support interventions have not changed smoking cessation rates significantly. The pregnancy-postpartum continuum presents a unique opportunity to examine patterns of support. Expectant couples (N = 477) were surveyed twice during pregnancy and 3 times postpartum. Partners reported positive and negative smoking-specific support; women reported the helpfulness of partner support. Linear trends suggest that women viewed support as more helpful during pregnancy than during postpartum. Partners' provision of positive support across the continuum depended on their smoking; provision of negative support depended on women's smoking. Partners who smoked provided lower levels of both positive and negative support, especially postpartum. Women who smoked throughout the pregnancy perceived their partner's negative support as helpful. Implications are that partners who smoke may need help staying engaged in the support process. Partners may provide negative support in response to women's smoking cues. Women who are struggling with cessation may not view negative support as negative.     

Victims' perceptions of social support: what is helpful from whom?

Although research has demonstrated that social interactions influence psychological well-being, little is known about what specific actions victims of stressful life events experience as helpful or unhelpful. Wortman and Dunkel-Schetter (1979) previously suggested that victims frequently experience rejection, withdrawal, and communication problems with those close to them. To address these issues, 55 cancer patients were interviewed concerning the specific actions they found to be helpful or unhelpful from several potential support providers: spouse, other family members, friends, acquaintances, others with cancer, physicians, and nurses. The data indicated that the Wortman and Dunkel-Schetter victimization model applied better to interactions with friends and acquaintances than to interactions with close family members. In addition, support was found to be partially dependent on the source: Particular actions were perceived to be helpful from some but not other network members. Implications for theory and research on social support are discussed.     

Risk-Reduction Surgery Decisions in High-Risk Women Seen for Genetic Counseling

Women at greatest risk for hereditary breast and ovarian cancer may consider prophylactic removal of breasts or ovaries as a risk-reduction measure. This report describes uptake of risk-reduction mastectomy (RRM), risk-reduction oophorectomy (RRO), and related factors in 62 high-risk women who received genetic counseling. Seven (11%) participants underwent RRM and 13 (21%) underwent RRO. Of these women, 37% did not have BRCA testing, suggesting other factors influence decisions to undergo surgery. Women who had indicated (pre-genetic counseling) their intent not to have surgery chose not to have surgery. Information received during genetic counseling that women perceived as being most important for influencing risk-reduction surgery decisions was BRCA test result (positive or negative), followed by discussion of family cancer history. Reasons for indecision about risk-reduction surgery included genetic testing results, concerns about surgery, timing in life, and early menopause. The findings enhance our understanding of information that is helpful to women considering this surgery.     

Sexual dysfunction in women sexually abused as children

Women who were sexually victimized as children report problems in relating to both men and women. Studies have found that victims are less satisfied with their current sexual relationships and with the quality of their relationships with men in general. Fear of sex, arousal dysfunction and desire dysfunction were the most common sexual disturbances found in incest victims.The purpose of this paper was to examine the differences in sexual functioning in abused women who perceived themselves to be adjusted to the trauma of their sexual abuse and those who did not.A sample of 57 nonclinical adult women who had been sexually abused as children was studied. Data were analyzed by means of cross-tabulation, chi square statistics, analysis of variance, and multiple regression.Orgasm was experienced by 63% of the women. There was a significant interaction among ability to be an orgasmic, sexual esteem and adjustment to abuse. Over 56% of the women experienced physical discomfort during intercourse and 36% indicated that they needed sex therapy. The implications of these and other findings are discussed.     

The effects of perceived social support on quality of life in patients awaiting coronary artery bypass grafting and their partners: testing dyadic dynamics using the Actor-Partner Interdependence Model

Patients awaiting coronary artery bypass grafting (CABG) need support from their partners or family caregivers to manage their self care successfully and to maximise quality of life. Partners need social support to help overcome the stressful tasks of an unexpected caregiving role. It is not known whether the individual's perceived social support contributes to their own, as well as their partner's quality of life. The aims of this study were to assess differences in social support and quality of life in patients and partners awaiting CABG, and to examine whether patients' and partners' perceived social support predicted their own, as well as their partner's quality of life before CABG. This cross-sectional study recruited 84 dyads (patients 84% males, aged 64.5 years and partners 94% females, aged 61.05 years). Perceived social support was assessed using the Medical Outcomes Study Social Support survey, with sub-scales for informational/emotional support, affectionate support, tangible support and positive social interaction. Quality of life was assessed using the Short-Form 12 Health Survey. Dyadic data were analysed using the Actor-Partner Interdependence Model, with distinguishable dyad regression. Results revealed the patients' informational/emotional support exhibited an actor effect on their own mental health (? = 0.19, p = 0.001); indicating those with low informational/emotional support had poorer mental health. There was a partner effect of the patients' informational/emotional support on their partner's mental health (? = 0.14, p = 0.024), indicating the patients' informational/emotional support was associated with the partner's mental health. None of the other types of social support exhibited an actor effect or a partner effect on the patient's or the partner's mental or physical health. More research into the relationship between social support and mental health is needed to help inform the design of interventions that target the dyad.     

“Celebrities to lean on!” Perceived celebrity support across two cultures—Iran and the United States

Though many people loathe celebrities and their lifestyles, celebrities can also be perceived as being available to provide community support. The purpose of this study was to establish the psychometric properties of the Perceived Celebrity Support Inventory. The scale was developed to capture three aspects of perceived celebrity support to the community: instrumental (i.e., providing tangible and concrete assistance), informational (i.e., advice, explanation, and information), and emotional (i.e., empathizing, encouraging, listening, and comforting) support. Factor and item analyses have revealed robust psychometric properties in samples drawn from the United States (US) and Iran. The US sample perceived higher community support from celebrities than the Iranian sample. In the Iranian sample, perceived celebrity support for the community was associated with more positive attitudes and less hatred of celebrity culture. In the US, perceived celebrity support was associated with negative attitudes and elevated hatred towards celebrities. The findings advance the literature by providing an instrument with which to measure positive aspects of celebrity influence across cultures.     

In Pursuit of the MD: The Impact of Role Models, Identity Compatibility, and Belonging Among Undergraduate Women

Women continue to face gender-related challenges in the medical field in places around the world where it has traditionally been male-dominated, including in the U.S. In an online experimental study with women attending a mid-sized public university in the Northeastern U.S. (N?=?55) who were interested in pursuing a pre-medical track (being pre-med) as undergraduates, we explored the mechanisms involved in undergraduate women’s pursuit of a career as a physician, focusing on three factors: exposure to successful female physician role models, perceived identity compatibility between being a woman and being pre-med, and sense of belonging in pre-med. Participants were randomly assigned to an experimental condition in which they were exposed to information about successful female physicians, or to a control condition in which no information about female physicians was provided. First, as hypothesized, participants exposed to successful female physicians reported higher perceived identity compatibility, sense of belonging, and interest in a medical career compared to those in the control condition. Second, also as hypothesized, perceived identity compatibility mediated the effect of role models on sense of belonging, and sense of belonging mediated the relationship between perceived identity compatibility and interest in a medical career. This study highlights three key factors in women’s pursuit of a career as a physician and the process through which these factors may operate. Findings support the use of role models to set a positive psychosocial process in motion that can support women’s persistence in medicine.     

Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk

The purpose of this study was to evaluate the utility of a breast cancer risk assessment (BCRA) at the time of screening mammogram. Women whose BCRA indicated a high risk for cancer received a letter with instructions for breast health care and genetic counseling if appropriate. After 6 months this group received surveys to evaluate their risk perception and their recall of, and compliance with, recommendations. We also explored the impact of other variables such as a recommendation for genetic counseling and physician communication with the women. After the BCRA, the majority of high risk women reported no change in their perceived risk of cancer. A woman’s perceived risk of cancer after a BCRA was significantly associated with her recall of recommendations for breast health care, but not with compliance. A recommendation for genetic counseling was not significantly related to women’s perceived risk of cancer after the BCRA. Ten percent of women who should have obtained genetic counseling actually completed an appointment. Women who discussed their BCRA results with their physicians were more compliant with a six month breast exam with a doctor (53% vs 17%, p = 0.018). Overall, women felt that the BCRA was helpful and did not cause undue stress or anxiety. Although the cohort’s compliance with recommendations was suboptimal, physicians’ interactions with their patients may have a positive influence on their compliance.     

Online information-sharing: A qualitative analysis of community,trust and social influence amongst commuter cyclists in the UK

Research into the use and behavioural effects of travel information has concentrated on top-down information from transport providers, but little is known about the role of informal information, shared through word-of-mouth, in everyday travel behaviour. Social interactions about travel may exert not only an informational influence, whereby beliefs are updated based on the experience of other individuals, but also a more subtle normative influence: conveying information about norms of behaviour within a particular social milieu. This research aimed to explore, using a qualitative approach, the social processes which occurred when a group of 23 commuter cyclists interacted with one another through a specially designed, map-based website over six weeks, sharing their routes and other cycling-related information. Methods comprised observation of website interactions, participant questionnaires and semi-structured interviews; the analysis drew on the theory of normative and informational social influence, and self-categorisation theory. It was found that the process of sharing information could perform not only a functional role in diffusing instrumental travel information, but also a social one whereby perceived in-group membership and high levels of trust reinforced positive views of cycling as a commuter mode. Both roles were found to offer particular encouragement to those who were new to cycling or new to a particular workplace. This suggests that ‘user-generated’ information may hold potential as one of the tools for promoting sustainable travel within a group setting such as the workplace.     

Perceived social support, self-efficacy, and adjustment to abortion

Prior to their having a 1st trimester abortion, women's perceptions of social support from their partner, family, and friends and self-efficacy for coping were assessed. Depression, mood, physical complaints, and anticipation of negative consequences were measured after the 30-min recovery period. As predicted, perceived social support enhanced adjustment indirectly through its effects on self-efficacy. Women who perceived high support from their family, friends, and partners had higher self-efficacy for coping. Higher self-efficacy, in turn, predicted better adjustment on the psychological measures but not on the physical complaint measure. No direct path between social support and adjustment was observed. In addition, women who told close others of their abortion but perceived them as less than completely supportive had poorer postabortion psychological adjustment than either women who did not tell or women who told and perceived complete support.     

Receipt of a False Positive Test Result During Routine Screening for Ovarian Cancer: A Teachable Moment?

The term "teachable moment" (TM) has been used to describe a life transition or event which motivates an individual to change a behavior or presents an opportunity to intervene to prompt behavior change. We examined whether receipt of a false positive ovarian cancer (OC) screening result may represent a TM. 403 women participating in an OC screening program completed questionnaires assessing demographic, clinical, behavioral, and psychosocial information. The TM was operationalized as expressed interest in receiving health-related information. We hypothesized that among women receiving a false positive screening test result, those women who had experienced greater personal perceived risk for OC as well as distress would be more interested in receiving health-related information than women receiving a normal result. Analyses revealed that women receiving a false positive screening result were less interested in receiving health-related information than women receiving a normal screening result. For women receiving a false positive result, expressed interest in receipt of health-related information was only modestly related to distress and related even less to perceptions of OC risk. Our data do not support viewing a false positive OC screening result as a TM. Potential explanations for the current findings as well as recommendations for future research investigating the TM are discussed.     

Exploring Perceived Social Support from Peer Facilitators in an HIV Treatment Adherence Intervention for African American Patients: A Content Analysis of Participant Perspectives

HIV treatment adherence interventions increasingly rely on peer facilitators to promote treatment adherence and improve patient retention, yet little is known about how participants perceive the role performed by peer facilitators. The present study examined participant perceptions in terms of the social support from peer facilitators in a hospital‐based intervention in Chicago. Content analysis was conducted with reference to four types of social support (instrumental, informational, emotional and affiliational) on exit interviews with 11 participants enrolled in the intervention that targeted African‐American patients living with HIV/AIDS. We examined how the type of social support perceived by participants was related to their self‐reported behaviours in three domains: adherence, sexual safety and general coping. Our analysis revealed that most participants perceived informational and emotional support from their peer facilitators, followed by instrumental support. Affiliational support was the least frequently perceived type of social support. We found that perceived informational support from peer facilitators with regard to adherence had greater impact and credibility amongst participants than the same type of support from medical providers. Informational support was cited most frequently with regard to influencing adherence and sexual safety behaviours, whereas perceived emotional support was cited primarily with helping participants cope with HIV. Copyright © 2015 John Wiley & Sons, Ltd.     

Self-reflection,mood, and helpful behavior

Two pilot studies and two experiments were conducted to test for relationships between mood states, self-reflection, and helpfulness. It was hypothesized that both negative and positive feelings would increase helpful reactions. In the case of negative moods, however, helpfulness would be inhibited if the induced affect engenders self-reflection by associating the bad mood with the person's self-image in a self-referencing process. To test these predictions, female undergraduates read mood-inducing statements that were either (a) negative in content and containing the personal pronoun “I”, (b) negative but not self-referencing, (c) emotionally positive in content, (d) emotionally neutral, or (e) no statements. Afterward, they were asked to complete a questionnaire and to volunteer to participate in a future study. Findings in the first experiment confirmed the hypothesis. Women who had read negative, self-referencing statements were the least likely to comply with a helpful request. The most helpful participants were those who had previously recited the negative, but not self-referencing, and the positive statements. Neutral and control subjects displayed intermediate amounts of compliance with the helping request. Questionnaire results showed that self-reflection was responsible for decreasing the helpfulness of women when negative mood was associated with some aspect of the self. A second experiment successfully replicated the major findings of the pilot studies and the first experiment.     

Can men and women be just friends?

We tested evolution‐based hypotheses about (1) sex differences in perceived benefits and costs of opposite‐sex friendship and (2) differences in perceived benefits of same‐sex friendships and opposite‐sex friendships. In the Preliminary Study (N= 400), an act nomination procedure was used to identify the benefits and costs of same‐sex friendships and opposite‐sex friendships. In Study 1, a total of 231 participants (100 men, 131 women) evaluated the frequency of occurrence of 100 benefits and costs in their closest same‐sex friendship or opposite‐sex friendship. In Study 2, a total of 229 participants (92 men, 137 women) evaluated how beneficial and how costly each would be if it were to occur in their closest same‐sex friendship or opposite‐sex friendship. Results supported several key hypotheses. Men perceived sex with their opposite‐sex friends as more beneficial than did women. Women reported receiving protection from their opposite‐sex friends more often than did men, and they perceived the protection as highly beneficial. Both men and women reported receiving information from opposite‐sex friends about how to attract mates, and they perceived this information as beneficial. The discussion focuses on whether these benefits reflect an evolved psychology of opposite‐sex friendship, or instead are incidental by‐products.     

Are daily fluctuations in perceived environment associated with walking?

The physical environment is thought to influence walking; however, daily variations in perceived environment have received little attention. The current study sought to examine if key within-person factors (i.e., implementation intentions, social support, affect and self-efficacy) would be associated with walking and if perceived access to supportive environments (e.g., access to nice walking paths) and perceived environmental barriers (e.g., bad weather and safety issues) were uniquely associated with walking after controlling for other constructs. Participants (N = 14, 50.0% men, 78.6% White, M age = 59.4 ± 6.4) were in the intervention arm of an 8-week controlled trial promoting walking via personal digital assistants. Participants completed electronic surveys twice a day (total entries = 804) in which they reported brisk walking levels and psychosocial and environmental factors. Multilevel modelling was used to examine within-person variations in constructs as determinants of walking. Results suggested that daily variations in implementation intentions, social support and positive affect were positively associated with walking. Further, perceived access to supportive environments, though not perceived environmental barriers, was positively associated with walking after controlling for other constructs (p < 0.05). Future research should explore intervention components that target context-specific information about perceived access to supportive environments as part of a broader perspective on intervention development.     

Social support and happiness in immigrant women in Spain

The association between perceived social support and happiness was investigated in women who are members of various associations in Malaga (Spain) that work with immigrant women. Based on the Social Convoy model, the association between sources of support, frequency of support, satisfaction with support, and happiness reported by women were examined. The main social support predictor of happiness was satisfaction with the support received. Thus, the best predictors of happiness were emotional support from the family and instrumental support from the indigenous population and associations. The best predictor of frequency of support was the frequency of informational support received from social services. These results may prove useful for developing lines of action or interventions centred on the social network and the functions that social support can fulfil among immigrant women.     

New frameworks for careers guidance: developing a conceptual model of the interview

Recent research has highlighted limitations in our understanding of the dynamics occurring within the careers guidance interview. A study was conducted of how the client and practitioner engage in the exchange within the interview and how meanings are negotiated and received by each of the participants. The objectives for the study were to examine a sample of guidance interviews in order to: (i) identify which interventions by practitioners are perceived as helpful and unhelpful by clients and practitioners; (ii) establish how helpful and unhelpful interventions relate to change in understanding; and (iii) compare and contrast the identification and commentaries by practitioners and clients. The results showed that practitioners reported significantly more helpful interventions than clients and that there was limited agreement in the identification of interventions. Three thematic categories were derived to group the helpful interventions. This analysis provided the basis for the development of a conceptual model of the interview. Further research to test the model and assess its potential to inform careers guidance training and practice is outlined.