The regulation of subjective well-being in cancer patients: An analysis of coping effectiveness

Abstract

The hypothesis that individual coping efforts affect subjective well-being in the face of severe chronic disease is examined with questionnaire data from N=332 cancer patients in a one-year longitudinal study. After depicting conceptual and methodological requirements for the analysis of coping effectiveness, the following five coping modes were investigated in the sample: Rumination, search for affiliation, threat minimization, search for information and search for meaning in religion. Results from a series of hierarchical regression analyses yielded findings that questioned the underlying assumption of a general uniform causal direction within coping-adjustment relationships. Threat minimization proved to be the only coping mode that obviously was “effective” in well-being regulation, that is, was revealed to be predictive of well-being changes over time and to be unaffected by prior levels of well-being. It is argued that the problem of causal directionality has to be carefully examined in future studies on coping effectiveness since interindividual differences in coping behaviors might be a consequence rather than the cause of differences in adjustment status.     

Looking up versus looking down: attractiveness‐based organizational biases are moderated by social comparison direction

Organizational decision‐making research demonstrates an abundance of positive biases directed toward attractive individuals. However, recent research suggests that these favorable consequences of attractiveness do not hold when the person being evaluated is of the same sex as the evaluator. In the current study, participants evaluated prospective job candidates and indicated their desire to interact socially with the candidate. Results indicated positive responses toward attractive other‐sex targets but not toward attractive same‐sex targets. This pattern was moderated by participants' social comparison orientation: People who tended to engage in downward (rather than upward) social comparison displayed stronger reactions to attractive comparison targets. They indicated less desire to interact socially with attractive same‐sex job candidates than those who tend to engage in upward social comparison.     

Infant and Toddler Crying,Sleeping and Feeding Problems and Trajectories of Dysregulated Behavior Across Childhood

Infant and toddler regulatory problems (RPs) including crying, sleeping and feeding, are a frequent concern for parents and have been associated with negative behavioral outcomes in early and middle childhood. Uncertain is whether infant and toddler RPs predict stable, trait-like dysregulated behavior across childhood. We addressed this gap in the literature using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). RPs at 6, 15–18, & 24–30 months and childhood dysregulated behavior at 4, 7, 8, & 9.5 years were assessed using mother report. Latent Class Growth Analysis (LCGA) indicated that trajectories of childhood dysregulated behavior were stable over time. All single RPs (i.e., crying, sleeping & feeding problems) were significantly associated with childhood dysregulated behavior. For example, crying problems at 6 months after controlling for confounders (Odds Ratios; 95 % Confidence Intervals): Moderate dysregulated behavior: OR?=?1.50, 95 % CI [1.09 to 2.06], high dysregulated behavior: OR?=?2.13, 95 % CI [1.49 to 3.05] and very high dysregulated behavior: OR?=?2.85, 95 % CI [1.64 to 4.94]. Multiple RPs were especially strongly associated with dysregulated behavior. For example, the RP composite at 15–18 months: 1 RP, very high dysregulated behavior: OR?=?2.79, 95 % CI [2.17 to 3.57], 2 RPs, very high dysregulated behavior: OR?=?3.46, 95 % CI [2.38 to 5.01], 3 RPs, very high dysregulated behavior: OR?=?12.57, 95 % CI [6.38 to 24.74]. These findings suggest that RPs in infants and toddlers predict stable dysregulated behavior trajectories across childhood. Interventions for early RPs could help prevent the development of chronic, highly dysregulated behavior.     

Hamburger Modell der integrierten Versorgung von schwer erkrankten Psychosepatienten

The Hamburg model designates an integrated care model for severely ill patients with psychotic disorders. Based on evidence-based knowledge it was developed in 2005 and implemented in 2006 and is financed since May 2007 via §140 SGB V (German Social Code, book V) as a yearly per patient rate by various health insurances. It comprises comprehensive and long-term treatment within a network of the University Medical Center Hamburg-Eppendorf and private psychiatrists. The treatment model consists of therapeutic assertive community treatment (ACT) and need-adapted inpatient and outpatient care. Since 2012 the model has been extended to the indications of first episode adolescent and young adult patients in the age range of 12–29 years. The present article summarizes the contents of the model, important patient characteristics and results of the long-term treatment.     

Are there ��His�� and ��Her�� Types of Decisions? Exploring Gender Differences in the Confirmation Bias

Research on biased information seeking demonstrates that after decisions, people show a preference for supporting rather than conflicting information (confirmation bias). In a laboratory study (N?=?86 German undergraduates), we examined the interactive effects of different decision types and gender on the confirmation bias. Our study revealed that women showed less confirmation bias when the decision concerned themselves and their mate (interdependent decision) compared to a decision concerning only themselves (independent decision). In contrast, men showed less confirmation bias when they made an independent compared to an interdependent decision. Results were discussed in terms of self-construal differences between men and women leading to different motivations (defense vs. accuracy) during the information seeking depending on the decision type.     

Empower my decisions: The effects of power gestures on confirmatory information processing

Recent research has shown that social power systematically influences information processing in many ways, and can be induced simply via powerful gestures or postures. The current studies investigated the impact of embodied power on confirmatory information processing after decision making. Based upon previous social power research, we hypothesized that individuals who posed in powerful ways (making a clenched fist or sitting in an open, expansive posture) would systematically prefer decision-consistent over decision-inconsistent information; an effect known as selective exposure, or biased assimilation. Four studies consistently indicated that bodily positioning associated with high levels of power induced greater confirmatory tendencies in the evaluation and search stages of a subsequent, decision-relevant information task (Studies 1–4). This tendency is unlikely to be due to mere physical strain (Study 4), and was mediated by differences in experienced decision certainty (Studies 3 and 4); indicating that the embodiment of high power makes people more confident regarding the validity of their decisions. Consequently, high-power posers systematically prefer information that is consistent with their decision preference.