Psychological distress and coping in nasopharyngeal cancer: an explorative study in Western Europe

Nasopharyngeal carcinoma (NPC) is the head and neck cancer with the greatest impact on patients’ quality of life. The aim of this explorative study is to investigate the psychological distress, coping strategies and quality of life of NPC patients in the post-treatment observation period. Twenty-one patients disease-free for at least two years were assessed with a medical and a psycho-oncological evaluation. Clinically relevant depressive symptoms (CRD) were present in 23.8% of patients and 33.3% reported clinically relevant anxiety symptoms (CRA). Patients with CRD and CRA showed a significantly higher score in the use of hopelessness/helplessness and anxious preoccupation coping strategies and a worse quality of life. Even in the post-treatment period, about a quarter of patients showed CRD and CRA. Results showed that patients with high anxiety or depressive symptoms seem to use dysfunctional coping strategies, such as hopelessness and anxious preoccupation, more than patients with lower levels of anxiety and depression. The use of these styles of coping thus seems to be associated to a higher presence of CRA or CRD symptomatology and to a worse quality of life.     

The Association Between Childhood Gender Atypical Behavior and Adult Psychiatric Symptoms is Moderated by Parenting Style

The association between childhood gender atypical behavior (GAB) i.e. behavior traditionally considered more typical for children of the opposite sex, and adult psychiatric symptoms as well as cold or over-controlling parenting style as a moderator of the association were studied in a sample of 1767 Finnish participants aged 33 to 43 years (M?=?37.5). Participants completed the Gender Identity/Gender Role Questionnaire, the Brief Symptom Inventory 18, and the Measure of Parenting Style. Regression analyses showed that women recalled more GAB than men did, and that participants who recalled more GAB reported significantly more psychiatric symptoms. Negative parenting style was associated with psychiatric symptoms. Structural equation modeling showed that parenting style significantly moderated the association between childhood GAB and adult psychiatric symptoms with positive parenting reducing the association and negative parenting sustaining it.     

Differences in the Psychic Representation of the Body in Bulimic and Anorexic Patients: A Study with the Body Grid

Development and use of a new form of a body grid are reported in the present article by means of comparing body perception and its distortions of 32 anorectic patients with a group of 31 bulimic patients. The body grid allows the users to discriminate the degree of body acceptance and the level of integration and dissociation tendencies of single body parts. With the body grid we are able to identify important differences in body image and “body-experience profiles” of bulimic and anorectic patients. Furthermore, with the body grid some insights into the structure of the body image are depicted in the form of a readily accessible graphic figure, making them useful for therapeutic focusing, treatment, and experience, tasks that rarely have been achieved by conventional methods like questionnaires or so-called projective tests.     

The perception of concurrent sound objects in harmonic complexes impairs gap detection

Since the introduction of the concept of auditory scene analysis, there has been a paucity of work focusing on the theoretical explanation of how attention is allocated within a complex auditory scene. Here we examined signal detection in situations that promote either the fusion of tonal elements into a single sound object or the segregation of a mistuned element (i.e., harmonic) that "popped out" as a separate individuated auditory object and yielded the perception of concurrent sound objects. On each trial, participants indicated whether the incoming complex sound contained a brief gap or not. The gap (i.e., signal) was always inserted in the middle of one of the tonal elements. Our findings were consistent with an object-based account in which perception of two simultaneous auditory objects interfered with signal detection. This effect was observed for a wide range of gap durations and was greater when the mistuned harmonic was perceived as a separate object. These results suggest that attention may be initially shared among concurrent sound objects thereby reducing listeners' ability to process acoustic details belonging to a particular sound object. These findings provide new theoretical insight for our understanding of auditory attention and auditory scene analysis.     

Socially Optimized Learning in a Virtual Environment: Reducing Risky Sexual Behavior Among Men Who Have Sex With Men

A socially optimized learning approach, which integrates diverse theoretical perspectives, places men who have sex with men (MSM) in an interactive virtual environment designed to simulate the emotional, interpersonal, and contextual narrative of an actual sexual encounter while challenging and changing MSM's more automatic patterns of risky responses. MSM assume a character's identity and are scaffolded in their decision‐making and relearning process by supportive, and often humorous, peer coaches who encourage situated learning of self‐regulatory and behavioral skills, and tailor and frame their responses to be responsive to the men's behavioral choices. In a longitudinal design, participants were randomly assigned to receive either an interactive video (IAV) intervention with peer counseling or to a peer‐counseling‐alone control. Compared to the counseling alone, men who also received the IAV reduced risky anal sex behaviors and increased protected anal sex behaviors.