Satisfaction profile (SAT-P) in 732 patients: Focus on subjectivity in hrqol assessment

Abstract

A 32-item questionnaire aimed at assessing patient's satisfaction about every day life is presented. In the Satisfaction Profile (SAT-P) patients are asked to evaluate their own satisfaction level on 32 daily life aspects concerning the last month. 732 participants were enrolled into the study: 490 in-patients suffering from different types of chronic diseases (e.g., chronic heart failure, severe respiratory failure, coronary heart disease) and 242 healthy persons of working age. SAT-P validity was confirmed by comparing its scores with the NHP, EPQ and STAI-X2 scores. The factor analysis extracted 5 factors which corresponded to the hypothesised areas (54% of variance explained). Test-retest reliability and internal consistency were confirmed: Pearson's coefficients were ranging from 0.45 to 0.93 and Cronbach's alpha coefficient was 0.92. SAT-P responsiveness, evaluated by comparing baseline and 6 months follow up scores from 45 chronic heart failure patients, resulted to be satisfatory, although further studies are needed. These results, together with the “user-friendly” structure, the brief administration and scoring time, the simple graphic representation, suggest to consider the SAT-P a useful complementary tool in HRQoL assessment. The Italian, English and French versions are available.     

Understanding Motivational Interviewing Effectiveness: Contributions From Rogers' Client-Centered Approach

The object of this article is to gain a better understanding of motivational interviewing (MI) effectiveness using the framework of Rogers' approach. Examining MI's common points and differences with Rogers' client-centered therapy can make it possible to identify some of MI's active ingredients and its underlying process of effectiveness, especially related to MI relational component. In return, MI, a strongly evidence-based approach, could provide empirical basis and support of effectiveness for Rogers' client-centred therapy. The review of literature on Rogers' therapy and MI shows strong links between the two approaches. MI applies most of Rogers' therapy attitudes and techniques such as empathy, acceptance, autonomy support, collaborative style, and confidence in the client's ability to change. The article further presents a review of research data related to the therapeutic effects of each of these attitudes. Finally, implications for clinical practice and further research are discussed. MI and Rogers' client-centered approach have much to offer each other. The strong process and outcome research tradition in MI could bring about evidence on Rogers' therapy effectiveness. Rogers' work provides a testable theoretical basis for the mechanisms of MI effectiveness. Further MI research should operationalize more than just empathy in the relational component.     

Ethnic Minority Women’s Experiences with Intimate Partner Violence: Using Community-Based Participatory Research to Ask the Right Questions

Current definitions, instruments, and processes for measuring intimate partner violence, including sexual assault, are insufficient to detect the nature and scope of violence against all women. To remedy this problem, we recommend the use of community-based participatory research (CBPR) principles to develop culturally informed quantitative instruments that measure ethnic minority women’s experiences of intimate partner violence (IPV). CBPR requires community members and researchers to work equitably together throughout the research process, sharing decision-making and ownership. This paper identifies problems with current measurement approaches and describes the strengths and challenges of the CBPR approach. We argue that this research orientation offers the potential for “flexible standardization” that can provide better estimates of the extent of IPV and sexual assault, and provide communities with the knowledge they need to address these problems in a culturally sensitive manner.     

Diagnosis of cognitive impairment onset in older adults based on limitations in language skills / Diagnóstico del inicio del deterioro cognitivo en mayores a partir de limitaciones en las capacidades lingüísticas

Abstract

Progressive decline in language has been described in neuropsychological studies on Alzheimer’s disease and Mild Cognitive Impairment (MCI). We investigate this decline in its early stages, as well as its manifestations and the linguistic differences between participants at risk of developing MCI and without impairment. Participants were 36 older adults, all aged over 65. They were assessed using 31 subtests grouped into eight areas: fluency, comprehension, oral expression, reading, writing, memory, perceptual organization and processing speed. Our results showed significant differences between participants at risk of developing MCI and without impairment in verbal tests but not in manipulative tests. All participants at risk of developing MCI scored lowest in these eight areas. Our findings illustrate the relevance of investigating language skills in people at risk of developing MCI. Investigating these neuropsychological changes will help design appropriate intervention programmes that affect areas with higher levels of impairment.     

Dorsomedial pallium lesions impair taste aversion learning in goldfish

The present work shows that the dorsomedial telencephalic pallium of teleost fish, proposed as homologous to the amygdala of mammals, is involved in taste aversion learning (TAL). To analyze the behavioral properties of TAL in goldfish, in Experiment 1, we used a delayed procedure similar to that employed with mammals, which consists of the presentation of two flavors on different days, one followed by lithium chloride and the other by saline, both after a 10-min delay. The results showed that goldfish developed a strong aversion to the gustatory stimulus followed by visceral discomfort and that, as in mammals, this learning was rapidly acquired, highly flexible and maintained for a long time. Experiment 2 showed that dorsomedial pallium lesions and the ablation of the telencephalic lobes impaired the acquisition of taste aversion in goldfish, whereas damage to the dorsolateral pallium (hippocampus homologue) or cerebellar corpus did not produce significant changes in this learning. Experiment 3 showed that these TAL deficits were not due to a lesion-related disruption of taste discrimination; goldfish with telencephalon ablation were able to learn to distinguish between the two tested flavors in a differential conditioning procedure. These functional data demonstrate that the dorsomedial pallium in teleosts is, like the amygdala, an essential component of the telencephalon-dependent taste aversion memory system and provide further support concerning the homology between both structures.     

Alcohol-Involved Rapes: Are They More Violent?

Alcohol's psychological, cognitive, and motor effects contribute to rape. Based on theory and past research, we hypothesized that there would be a curvilinear relationship between the quantity of alcohol consumed by perpetrators and how aggressively they behaved. Moderate levels of intoxication encourage aggressiveness; however, extreme levels severely inhibit cognitive and motor capacity. We also hypothesized that victims' alcohol consumption would have a curvilinear relationship to their resistance. These hypotheses were examined with data from 132 college women who had been the victims of attempted or completed rape. Although there was a curvilinear result for perpetrators, the slope of the curve suggested that aggressiveness was worst when no alcohol or the highest levels of alcohol were consumed. There was a negative linear relationship between victims' alcohol consumption and resistance. Difficulties associated with accurately assessing degree of intoxication from survey data are discussed and suggestions are made for improving alcohol measurement in rape research.     

Completeness in Equational Hybrid Propositional Type Theory

Studia Logica - Equational hybrid propositional type theory ( $$\mathsf {EHPTT}$$ ) is a combination of propositional type theory, equational logic and hybrid modal logic. The structures used to...     

The roles of impulsivity,self-regulation,and emotion regulation in the experience of self-disgust

Self-disgust is a distinct self-conscious emotion schema that is characterized by disgust appraisals directed towards the self. Recent studies have demonstrated the negative effects of self-disgust on physical and mental health, but little is known about the psychological characteristics that are associated with self-disgust experiences. The present study assessed the direct and indirect effects of impulsivity, self-regulation, and emotion regulation on self-disgust. Overall, 294 participants (M age?=?21.84 years, SD?=?4.56) completed structured and anonymous measures of trait impulsivity, self-regulation, emotion regulation strategies, and self-disgust. Path analysis showed that non-planning impulsivity and expressive suppression (positively) and cognitive reappraisal and self-regulation (negatively) predicted self-disgust. Intervening variable analysis showed that attentional and non-planning impulsivity had significant indirect effects on self-disgust via emotional regulation strategies and self-regulation. Our findings provide, for the first time, evidence about the association between self-disgust and individual differences in impulsivity, self-regulation, and emotion regulation, and have implications for the psychological phenomena that may lead to self-disgust experiences in non-clinical populations.

     

Seeing double: levels of processing can cause false memory.

Ordinarily, deeper levels of processing in a study session increase the accuracy of later remembering. We modified the standard levels-of-processing procedure by presenting items either once or twice in the study phase, each item being the subject of a semantic, phonemic, or graphemic question. At test, the subjects judged the frequency with which each word had occurred in the study phase. Deeper processing during encoding increased accuracy in judging twice-presented items. However, it also caused an illusion of repetition for items presented only once. The result underlines the importance of thinking of remembering as a process of evaluation and inference, rather than simple retrieval.     

THE EFFECTS OF FRAME OF REFERENCE ON RESPONSES TO QUESTIONS ABOUT SEXUAL ASSAULT VICTIMIZATION AND PERPETRATION

Self-reports of sexual assault are affected by a variety of factors including the number of questions, question phrasing, and context. Participants (307 women, 166 men) were randomly assigned to one of two forms of a questionnaire. One form had the tactics used to obtain forced sex as the initial frame of reference, whereas the other form had the type of sex that was forced as the initial frame of reference. Seventy-five percent of the women who received the tactics-first version reported that they had at least one victimization experience since the age of 14, as compared to 62% of the women who received the type-of-sex-first version. Sixty-nine percent of the men who received the tactics-first version reported that they had at least one perpetration experience since the age of 14, as compared to 36% of the men who received the type-of-sex-first version. These findings have implications for how questionnaires should be designed to maximize reporting of sexual assault incidents.