Distress and Coping Strategies Among Patients with Skin Cancer

Non-melanoma skin cancer (NMSC) is the most common cancer world-wide, yet few studies have investigated the psychosocial implications of this disease. The current study provides an account of the distress experienced by patients with NMSC and the coping strategies they use to deal with the NMSC diagnosis. The results demonstrate that 19 % of the patients experience significant levels of psychological distress. Furthermore, those who engaged in avoidant coping strategies (specifically behavioural avoidance) were more likely to experience distress. These findings highlight the importance of further investigating this patient population, since patients report difficulties adjusting to this disease and its treatment.     

Ungedeckte psychotherapeutische Bedarfe bei Stimulanzienkonsumenten

Background

Despite changes in the regulations concerning outpatient psychotherapy in Germany, relatively few patients with substance use disorders receive this type of treatment.

Objectives

The results of a recent study among stimulant users are taken as an example to illustrate the psychotherapeutic needs of patients with substance use disorders.

Materials and methods

A total of 392 individuals with active use of amphetamine and/or methamphetamine were included using a broad range of recruitment strategies. In a mixed methods approach, qualitative as well as quantitative data were gathered regarding the history of substance use, the motives for use, and traumatic experiences during childhood.

Results

Psychological distress was a frequent motive even at the initiation of stimulant use. About two thirds of the participants (65.1?%) reported at least one form of childhood trauma (sexual, physical or emotional abuse, emotional or physical neglect).

Conclusion

The findings suggest a high need for psychotherapy among patients with substance use disorders. It seems important to further improve the information as well as the training of psychotherapists to work with these clients.     

Self-reported suicidal behavior in Dutch secondary education students

From nearly 10,000 secondary education students in The Netherlands, aged 14-20, data were collected on the prevalence of suicide attempts and recent thoughts about suicide and death. In this sample, 3.3% of the girls and 1.3% of the boys indicated that they had attempted suicide. The youngest students already reported as many attempts as the eldest, which is remarkable. Differences between boys and girls and between various types of schools were not substantial. We also found that 5.2% of the girls and 2.2% of the boys currently had thoughts of suicide. Again, there was no substantial difference as regards sex, type of school, and age. There was, however, a (small) difference between boys and girls concerning thoughts of death--namely, 9.3% of the girls versus 4.8% of the boys.     

Payoff: A neglected factor in reaction time measurement

The aim of this paper is to point out some implications of implicit or explicit payoffs in reaction time experiments. In any psychophysical task the subject is given a set of instructions which define the desired performance, as it were the rules of the game. Instructions may be supplemented by knowledge of results which further define the required performance. When performance admits of being “good” or “bad,” however wide these limits, the instructions may be said to define, explicitly or implicitly, a system of payoffs. In reaction time experiments the subject is instructed, amongst other things, to respond as soon as possible after the stimulus but never before it. These instructions could equally well be represented by a system of payoffs and Figure 1 illustrates the kind of payoff system normally implied in these instructions. If S represents the time at which the physical stimulus occurs the graph shows a fixed penalty for anticipations (response before S), maximum positive score for responses immediately following S declining at an arbitrary rate as a function of elapsed time between S and the response until an unacceptably long time involves a constant maximum penalty. Some experimenters choose to treat very short RT's as anticipations. This is represented by the dashed line in Figure 1, but it should be clear that payoff values are, to a certain extent, arbitrary.