Characteristics of patients in routine psycho-oncological care,and changes in outcome variables during and after their treatment

Objective: The primary aim of this study was to determine the characteristics of clients and interventions in routine psycho-oncological care. The secondary aim was to determine the course of symptomatology during and after the psychological interventions.

Design: During a period of nine months, all clients who sought help in one of the seven psycho-oncological care institutes in the Netherlands were approached to participate in the present study (N = 483). Information was gathered with respect to demographic and medical characteristics, and type and duration of the interventions. In addition, depression, anxiety, well-being, quality of life, fatigue and daily function were determined before interventions and three and nine months later.

Results and conclusions: Compared to the Dutch cancer population, patients in psycho-oncological care were more often young and female. Compared to the general Dutch population, they were highly educated and were more likely to have a partner. Clinical levels of depression, anxiety and/or fatigue were found among 83% of the patients. After three months, only 23% had completed their intervention; this figure was 62% after nine months. Symptoms decreased significantly for all outcome variables. An importance difference with randomised controlled trials is the low session frequency and the long intervention time of patients in clinical care.     

In Politics We Trust…or Not? Trusting and Distrusting Demonstrators Compared

This article sheds light on the debate regarding political trust and protest activity. The debate boils down to the question whether trust in politics is positively or negatively related to protest activity. We exploit a dataset encompassing data on about 9,000 demonstrators spread over seven European countries. These demonstrators' trust in their parliaments varies widely, ranging from trustworthy capable, to corrupt incapable. We examine the diverging sociodemographic profiles and motivational dynamics that turn distrusting and trusting citizens into demonstrators. We hypothesize and show that distrusting demonstrators turn their back to institutionalized politics; for them, demonstrating substitutes the party politics they distrust. For trusting demonstrators, demonstrating supplements party politics. Trusting and distrusting demonstrators also differ considerably in terms of motivation. Distrusting demonstrators are stronger motivated to demonstrate than trusting demonstrators. Moreover, while political cynicism amplifies the motivation of distrusting demonstrators, it suppresses the motivation of trusting demonstrators. We conclude that the question to be answered is not so much whether people who engage in protest activity trust or distrust their political elites, but rather who the trusting and distrusting protesters are and why they protest.     

Dealing with austerity measures within armed forces: The Dutch case

This article studies how Dutch military personnel respond to austerity-related discontent. Based on the online survey (N = 579) conducted among military personnel we investigate 4 response strategies to austerity measures applied in the Dutch armed forces: voice (collective protest), exit (leaving the organization), silence (deliberately deciding not to protest), and neglect (engaging in anti-organizational behavior). We focus on how personnel combine these strategies and apply cluster analysis to identify 6 typical response patterns that we label as protesters, escapers, quiescents, conformers, obstructionists and combaters. We investigate how personal characteristics and perception of unique military environment influence the response of military personnel. We conclude that clusters we described are not only distinct in their behavior—their personal characteristics and perceptions differ as well.     

What can the same–different task tell us about the development of magnitude representations?

We examined the development of magnitude representations in children (Exp 1: kindergartners, first-, second- and sixth graders, Exp 2: kindergartners, first-, second- and third graders) using a numerical same-different task with symbolic (i.e. digits) and non-symbolic (i.e. arrays of dots) stimuli. We investigated whether judgments in a same-different task with digits are based upon the numerical value or upon the physical similarity of the digits. In addition, we investigated whether the numerical distance effect decreases with increasing age. Finally, we examined whether the performance in this task is related to general mathematics achievement. Our results reveal that a same-different task with digits is not an appropriate task to study magnitude representations, because already late kindergarteners base their responses on the physical similarity instead of the numerical value of the digits. When decisions cannot be made on the basis of physical similarity, a similar numerical distance effect is present over all age groups. This suggests that the magnitude representation is stable from late kindergarten onwards. The size of the numerical distance effect was not related to mathematical achievement. However, children with a poorer mathematics achievement score seemed to have more difficulties to link a symbol with its corresponding magnitude.     

Emotion processing and regulation in women with morbid obesity who apply for bariatric surgery

Emotional eating, the tendency to eat when experiencing negative affect, is prevalent in morbid obesity and may indicate that ways to deal with emotions are disturbed. Our aim was to compare emotion processing and regulation between 102 women with morbid obesity who apply for bariatric surgery and 102 women from the general population (control group) and to examine in the group with morbid obesity the association of emotion processing and regulation with emotional eating. The group with morbid obesity reported higher scores on difficulty identifying feelings (alexithymia, p?=?0.002) and suppression of emotions (p?=?0.003) than the control group. In the women with morbid obesity, more negative affect and a higher difficulty identifying feelings were correlated with more emotional eating (r?=?0.36 and r?=?0.35, p?相似文献   

A within-subject design of comparison of waiting time of pedestrians before crossing three successive road crossings

This study is a partial replication of the work of Hamed (2001) who found a negative correlation between waiting time of pedestrians before crossing the first and the second stage of a road divided by an island. The innovation of the current study is an addition of testing the waiting time before crossing a third successive crosswalk. The research is based on examining the correlation between the waiting times of pedestrians before each stage of crossing a triple-crossing. The research was conducted in two different types of three successive crossings: (1) with a narrow or (2) with a wide refuge island dividing between the two parts of the main road. We hypothesized that in a narrow island condition the correlation between the waiting time of the first and the second crossings will be negative; a finding that would have replicated Hamed’s finding. However, in a wide island condition, so that the two-stage crossing will be perceived by the pedestrian as two separate units, the correlation between the waiting time in the first and the second crossings would be positive. More than 750 people (of which 54% were female) were observed crossing junctions with a triple-stage crossings in three different locations in the center of Israel (two with wide islands and one with a narrow island). The waiting time before crossing each part of the road was measured by two experienced observers. The mean waiting time beyond individual differences was 6.00, 5.76 and 0.79 s at the first, second and third crossings respectively. Our results are not in line with those of Hamed (2001). At the junction with the narrow island no correlation between the waiting time of the first and the second crossing was found. A positive correlation has been found between the waiting time of the first and the second crossing in the condition of the wide refuge island. In all locations a positive correlation has been found between the waiting times at the second and third crossings. These findings lead to an optional explanation that the width of the refuge island determines the way in which the pedestrian perceives the task of crossing two-stage crossings. These findings support a possible explanation by a newly suggested model – Renewed Patience Model. The implications of the research and other methodological issues are discussed.     

Depressive symptoms in outpatients with heart failure: Importance of inflammatory biomarkers,disease severity and personality

Objective: Depressive symptoms are highly prevalent in heart failure (HF) patients, however the underlying etiology of depression in HF patients remains yet unclear. Hence, the goal is to examine the relative importance of inflammation, disease severity and personality as predictors of depression in HF patients. Design: Depressive symptoms (Hospital Anxiety and Depression Scale, depression subscale) were assessed at baseline and one-year follow-up in 268 HF patients (75.6% men; mean age?=?66.7?±?8.7). Markers of inflammation (TNFα, sTNFr1, sTNFr2, IL-6 and IL-10), disease severity (e.g. New York Heart Association (NYHA) classification) and personality (Type D personality, loneliness) were assessed at baseline. Results: At baseline, NYHA class, body mass index, educational level, Type D personality and loneliness were significantly associated with depression. Higher NYHA class (B?=?2.25; SE?=?.83), higher educational level (B?=?1.41; SE?=?.48), Type D personality (B?=?2.56; SE?=?.60) and loneliness (B?=?.19; SE?=?.05) were also independently associated with higher depression levels at one-year follow-up (all p-values?<?.005). Inflammation, brain natriuretic peptide and left ventricular ejection fraction were not related to depression over time. Conclusions: Personality factors, but not inflammation, were independent concomitants of depressive symptoms in patients with HF. Gaining more insight into the etiology of depression in HF patients is important in order to identify potential targets for novel interventions.     

The eACS: Attentional control in the presence of emotion

We present a questionnaire – The Emotional Attentional Control Scale (eACS) – An adaptation of the original Attentional Control Scale (ACS) that assesses the voluntary control of attention. A low score on the ACS has been associated with high levels of anxiety and depression. As the ACS items are affectively neutral, some people scoring high on the ACS may still show low levels of attentional control (AC) in more emotionally-demanding situations. We propose that the eACS, which focuses on the emotional modulation of AC, may explain additional variance in AC deficits associated with psychopathology.