‘It was all intertwined’: Illness representations and self-management in patients with cancer and anxiety/depression

Objective: Cancer and anxiety/depression frequently co-occur, leading to poorer outcomes for these illnesses. However, the majority of existing research investigates how participants view single illnesses alone. This study aimed to explore the content of individuals’ multimorbid representations and how these relate to their coping behaviours and self-management strategies for cancer and anxiety/depression.

Design: A semi-structured qualitative research design with theoretical thematic analysis.

Main Outcome Measures: Multimorbid illness representations, coping behaviours, and self-management strategies.

Results: In interviews with 21 participants multimorbid representations varied, three participants viewed cancer and anxiety/depression as unrelated, five participants were uncertain about the relationship between cancer and anxiety/depression, and the majority of participants perceived cancer and anxiety/depression as related. This third group of participants often described relationships as causal, with representations having both positive and negative influences on coping behaviours and self-management strategies. Representations were shown to change over the course of the cancer experience, with fear of cancer recurrence and the influence of participants’ most challenging illness also discussed.

Conclusions: People hold multimorbid illness representations that can influence self-management. An awareness of these representations by researchers, health professionals, and patients is important for the creation of future interventions that aim to improve and maintain patient wellbeing.     

Gender,Sacrifices, and Variability in Commitment: A Daily Diary Study of Pregnant Heterosexual Cohabitors and their Partners

We use interdependence theory and the inertia model to examine how gender and daily relational sacrifices predict daily variability in relationship commitment across a week in 43 U.S. couples who are unmarried cohabitors expecting their first child together (total of 455 days of data). We examined three variants of daily relational sacrifices: frequency, ease, and awareness for both individuals and partners, and we tested for gender differences. Using an Actor Partner Interdependence Model (APIM), we found that both women and men reported lower variability in commitment when men were perceived as highly aware of the sacrifices made for them. Additionally, women experienced lower variability in commitment when their male partners reported engaging in easier sacrifices. In contrast, women reported higher variability in commitment when they reported greater frequency of sacrifices for their partner. The results can be of practical use for practitioners working with expectant cohabitors and their partners given the unique role gender plays relative to how sacrifices shape variability in daily commitment.     

Clinical Validation of the Swedish Version of the Quality of Life Inventory in Crime Victims with Posttraumatic Stress Disorder and a Nonclinical Sample

The Swedish version of the Quality of Life Inventory (QOLI) was cross-culturally validated with a crime victim sample (N = 53) with posttraumatic stress disorder (PTSD) and a nonclinical group (N = 100) with no lifetime and current psychiatric disorder from the general population in the Stockholm county of Sweden. The QOLI showed excellent internal consistencies in the clinical and the nonclinical sample. In addition, PTSD participants displayed a significantly lower self-perceived quality of life in 13 out of 16 domains of life than the nonclinical individuals. Furthermore, the QOLI was inversely correlated with interview and self-report measures of PTSD symptoms, depression, and anxiety. Overall, the results support the utility of the Swedish QOLI version as a potentially useful measure of self-perceived quality of life in Swedish clinical and nonclinical samples. The results are discussed in relation to the Swedish cross-cultural validation of the QOLI, methodological limitations and future directions.     

An Intentional Model of Emotional Well-Being: The Development and Initial Validation of a Measure of Subjective Well-Being

The major problem with the current emotional well-being scales is that they lack intentionality (being about something), which makes them incongruent with the definition of subjective well-being. A new emotional well-being scale with new affect adjectives has been developed by addressing intentionality. It focuses on individuals’ affective evaluations of their life and has showed good psychometric quality. In the first and second studies, the factor structure of the scale, the Emotional Well-Being Scale, was determined by exploratory and confirmatory factor analyses. Study 3 showed that the scores on the scale were stable in time. The fourth and fifth studies indicated that this new construct did not overlap with personality dimensions of extraversion and neuroticism, with impressive predictive and incremental validity estimates.     

I Matter to My Friend,Therefore I am Happy: Friendship,Mattering, and Happiness

Decades of empirical research have shown that friendship experiences are an essential predictor of happiness. However, what might account for the relationship between friendship and happiness? Two studies investigated perceived mattering (Marshall, J Adolesc 24:473–490, 2001) as a mediator of the association between friendship quality and happiness. Study 1 showed that perceived mattering to one’s best friend mediated the relationship between friendship and happiness. Study 2 replicated the findings of the first study and showed that mattering in friendships accounts for the role of friendship quality in happiness across the three closest friendships of the individual. The results are discussed in terms of the theoretical importance of understanding how friendship is related to happiness.     

Gender stereotypes in management: a comparative study of communist and postcommunist Romania

This study sets out to investigate the changes in the perception of women in leading positions in communist and postcommunist Romania. The study uses a noninvasive paradigm of analyzing the content of obituaries for women and men in leading positions published in a national journal, and shows that the gender gap in management widened during the postcommunist period. In postcommunist Romania, women are perceived as being less able to lead/manage and more relational in their leadership style as compared to men, while in the communist period the gender differences were not significant.     

The Relationships between Ambivalent Sexism and Religiosity among Turkish University Students

This study explored the relationships among hostile sexism (HS), benevolent sexism (BS), and religiosity for men and women in Turkey, where Islam is the predominant religion. 73 male and 93 female university students completed measures of ambivalent sexism and religiosity. Replicating previous work with Christians, religiosity was a significant correlate of BS when HS was controlled, for both men and women. As predicted, and in contrast to previous research with Christians, partial correlations indicated that Muslim religiosity was a significant correlate of HS for men, when BS was controlled, but not for women. Women but not men showed a significant difference between religiosity’s partial correlations with HS and BS. The results were discussed in the light of relevant literature.     

Effects of Illness Representation,Perceived Quality of Information Provided by the Health-Care Professional,and Perceived Social Support on Depressive Symptoms of the Caregivers of Children with Leukemia

The present study examined the effects of illness representation, perceived quality of information provided by the health-care professional, and perceived social support on the depressive symptoms of the caregivers of children with leukemia. The sample was composed of 71 caregivers of children with leukemia living in Turkey. The obtained data were analyzed by path analysis. The results show that caregivers of children with leukemia experience higher levels of depressive symptoms when they have negative illness representation and lower levels of depressive symptoms when they perceive higher levels of social support. Moreover, they perceive higher social support when they perceive high quality of information provided by health-care professionals. It can be suggested that intervention programs which aim to increase caregivers’ social support and change their illness representation in a positive way would be helpful for the caregivers showing depressive symptoms.     

Sex differences in language first appear in gesture

Children differ in how quickly they reach linguistic milestones. Boys typically produce their first multi‐word sentences later than girls do. We ask here whether there are sex differences in children’s gestures that precede, and presage, these sex differences in speech. To explore this question, we observed 22 girls and 18 boys every 4 months as they progressed from one‐word speech to multi‐word speech. We found that boys not only produced speech + speech (S+S) combinations (‘drink juice’) 3 months later than girls, but they also produced gesture + speech (G+S) combinations expressing the same types of semantic relations (‘eat’ + point at cookie) 3 months later than girls. Because G+S combinations are produced earlier than S+S combinations, children’s gestures provide the first sign that boys are likely to lag behind girls in the onset of sentence constructions.