‘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.     

Seeing is Knowing: On the Predictive Accuracy of Self‐ and Informant Reports for Prosocial and Moral Behaviours

Under certain circumstances, well‐known others (so‐called informants) may possess unique insights into targets' personality traits beyond the targets' self‐views. Specifically, as proposed by the self–other knowledge asymmetry model, an incremental predictive ability of informants is most likely for traits and corresponding behaviours that are clearly visible to others and highly evaluative in nature. In two studies, we provide an empirical test of this proposition and extend prior research to one of the most important domains of interpersonal interaction: prosocial and moral behaviours. Specifically, we investigate the unique predictive power of informant reports in trait Honesty–Humility for fairness in the dictator game and dishonesty in a cheating paradigm. Importantly, while both these classes of behaviour are highly evaluative in nature, only fairness is clearly visible to others. Correspondingly, in line with the self–other knowledge asymmetry model, our results reveal unique predictive accuracy of informant reports for fairness. For dishonesty, by contrast, there was no conclusive evidence for incremental predictive power of informant reports. This implies that informants may indeed provide valuable information beyond targets' self‐reports on trait aspects driving fair behaviour, but that targets themselves are their own best experts when it comes to judging trait aspects driving dishonest behaviour. Copyright © 2017 European Association of Personality Psychology     

Oikonomia,Incarnation and Immediacy: The Figure of the Jew in St John of Damascus

Abstract

This paper investigates the role of oikonomia in the writings of St John of Damascus and how that role is integral to the construction of the figure of the Jew.     

Comparing In-Person,Sona, and Mechanical Turk Measurements of Three Prejudice-Relevant Constructs

Electronic data collection and participant pool management tools give researchers new ways to conduct research. The current study investigated the equivalency of in-person and online administrations of the Right-Wing Authoritarianism, Social Dominance Orientation, and Modern Racism scales across three modalities (administration in person, online through Sona Systems, and online through Mechanical Turk). Results indicate that in-person administration was largely equivalent to the randomly assigned online sample (Sona Systems) in terms of their intercorrelations, mean scores, variability, and reliability. However, the Sona sample consistently responded with strong attitudes for all measures, suggesting that social desirability may be decreased when completing these measures online. In addition, the Mechanical Turk sample differed in many ways from both in-person and Sona administration; although this nonequivalence is at least partially explained by sample demographic differences, other considerations may have exacerbated nonequivalence, including prior exposure to the measures and a desire to respond correctly.     

Sharpen Your Pencils: Preliminary Evidence that Adult Coloring Reduces Depressive Symptoms and Anxiety

Adult coloring books have flooded the market with titles alluding to therapeutic value, yet it is unclear whether they fulfil that promise. Here, we tested whether adult coloring was related to improvements in psychological outcomes. Female university students (n = 104) were randomly assigned to a coloring intervention or a logic-puzzle control group. Participants completed an inventory of psychological measures (depressive symptoms, stress, anxiety, flourishing, resilience, mindfulness) and then participated in a 1-week intervention of either daily coloring or logic-puzzles. Following the intervention, participants again completed the inventory of psychological measures. Coloring participants showed significantly lower levels of depressive symptoms and anxiety after the intervention, but control participants did not. We conclude that daily coloring can improve some negative psychological outcomes and that it may provide an effective, inexpensive, and highly accessible self-help tool for nonclinical samples.     

Thinking about commitment: Accessibility of commitment and prediction of relationship persistence,accommodation, and willingness to sacrifice

Research has demonstrated that more accessible cognitive constructs (e.g., attitudes, stereotypes) are more likely to influence thoughts and behaviors. The current research applies a social cognition framework to the prediction of romantic relationship persistence (i.e., “stay‐leave” behavior), accommodation, and willingness to sacrifice. Conceptualizing commitment as a partially cognitive construct and following from social cognition and attitudinal research, we hypothesized that the accessibility of commitment will moderate the association between commitment and relationship persistence, accommodative responses, and willingness to sacrifice. In Study 1, participants in romantic relationships responded to statements derived from the commitment subscale of the Investment Model Scale. Reaction times to these statements were used as a measure of accessibility of commitment. In addition, participants completed measures of their commitment level. Seven months later, participants were contacted and relationship persistence was assessed. Accessibility of commitment significantly moderated the association between commitment and relationship persistence. Study 2 expanded on the results of the first study by demonstrating that accessibility of commitment also significantly moderated the association between commitment and accommodation and willingness to sacrifice. Taken together, these two studies highlight the usefulness of applying social cognitive concepts to understand close relationships.     

HOW NOT TO DEFINE SUBSTANCE A COMMENT UPON HOFFMAN AND ROSENKRANTZ

The article is a critical examination of Joshua Hoffman's and Gary Rosenkrantz’ approach to the traditional category of individual substance. On several places they offered an analysis of the concept of a substance in terms of some highly sophisticated notion of generic independence. Though ingenious, and even though it might be extensionally adequate, their account cannot provide an informative analysis of the concept in question, because it exhibits a peculiar kind of circularity. It is shown that one cannot establish, on the basis of their analysis, that a given entity is a substance, if one does not already know that it is one in advance. The circularity of their account is examined in detail, and it is explained how it could have arisen.     

Contextual Influences on Marriage

Abstract— Current proposals to promote and strengthen marriage among low-income populations focus on values and behavioral skills as primary targets of intervention. Marital research that examines contextual influences on marriage calls these emphases into question. Ethnographic and survey research reveal no evidence that populations experiencing higher rates of divorce value healthy marriages any less than other populations do. Longitudinal and observational research reveals two mechanisms through which the environment of a marriage may enhance or constrain effective relationship maintenance. First, some environments contain fewer sources of support and pose more severe challenges than others, presenting marriages in those environments with greater burdens than marriages in more supportive environments are faced with. Second, when demands external to the marriage are relatively high, even couples with adequate coping skills may have difficulty exercising those skills effectively. Together, such findings suggest that successful policies and interventions to strengthen marriages need to acknowledge the environments within which marriages take place.     

A note on particularised qualities and bearer-uniqueness

Many friends of the category of particularised qualities subscribe to the view that particularised qualities have a unique bearer in which they inhere; no such quality then can inhere in two different entities. But it seems that this idea is flawed, for there are apparent counterexamples. An apple's redness is identical with the redness of its skin, though the apple is distinct from its skin. So it seems that a principle of bearer‐uniqueness has to be modified, maybe by excluding certain unwanted cases. However, I argue that the need of a modification is not a direct consequence of the supposed counterexamples. Their dangerous potential for the principle arises if one takes the genitive in expressions of the form ‘a's F‐ness’ to signify the relation of inherence. I propose an alternative view: The genitive signifies a relation which is indeed closely related to inherence, but which is, contrary to inherence itself, partitive. That is, it may hold between a particularised quality and another entity because it holds between the quality and a part of the entity. If one regards the ontologically interesting relation of inherence as non‐partitive, one can still adhere to an unrestricted principle of bearer‐uniqueness.     

Magnitude of force perception errors during static contractions of the knee extensors in healthy young and elderly individuals

The accuracy of force perception during muscular contraction has not been studied extensively, despite its importance in rehabilitation and training. The purpose of this study was to quantify the errors made by healthy young and elderly individuals in their perceptions of force produced at the knee. Four different tasks were used to evaluate the perception of force and the effect of a sensory-motor reference and simultaneous contraction on the accuracy of perception. The absolute errors were similar between groups, with values of 11.9% to 16.3%, depending on the task. The raw perception errors were greater for high levels of force (>50% of the maximal voluntary contraction, or MVC), indicating an overestimation of the forces produced for both groups. At 70% MVC, the sensory-motor reference reduced raw perception errors, and the simultaneous contraction improved the accuracy of force production. Healthy young and elderly individuals had about the same capacity to judge the muscular force of their knee extensors. Therapists involved in the training of active?elderly?individuals should be aware that the accuracy of force perception is not perfect and that these clients have the same ability as young individuals to perceive their knee extension strength.