Psychological morbidity, illness representations, and quality of life in female and male patients with obstructive sleep apnea syndrome

Obstructive sleep apnea syndrome (OSAS) is a sleep-related breathing disorder that affects both women and men. The aim of this study was to characterize and investigate the differences in terms of anxiety, depression, illness perception, and quality of life between female and male OSAS patients from a total of 111 patients (33 women and 78 men) who were recently diagnosed with OSAS in an outpatient clinic of a University Hospital in Portugal. They underwent a standardized protocol that included evaluation to assess of psychological morbidity (anxiety and depression - Hospital Anxiety and Depression Scale), illness representations (Brief Illness Perception Questionnaire), and quality of life (Sleep Apnea Quality of Life Index). The most significant differences between female and male OSAS patients result of apnea/hypopnea index (AHI), after controlling for body mass index (p?相似文献   

Ruminations and Flow: Why Do People with a More Harmonious Passion Experience Higher Well-Being?

Research shows that harmonious and obsessive passion are positively and negatively linked to well-being respectively (e.g., Vallerand et al. in J Personal 75:505?C534, 2007; Psychol Sport Exerc 9:373?C392, 2008). The present study investigated the psychological mechanisms underlying the different impact of the two types of passion on well-being. A theoretical model involving passion, ruminations, flow experiences, and well-being was tested. Results showed that the more people have a harmonious passion, the more they tend to experience flow in their favorite activity, which in turn predicts higher well-being. Obsessive passion did not seem to be systematically linked to flow in the favorite activity. In contrast, the more people have an obsessive passion, the more they tend to ruminate about their passionate activity while engaging in another activity, which did not seem to be systematically the case for people with a harmonious passion. These ruminations are negatively related to flow experiences in the other activity, which are positively associated with well-being. Flow and ruminations thus seem to contribute to the understanding of the link between passion and well-being.     

Self as the Target and the Perceiver: A Componential Approach to Self-Enhancement

In this paper, we review the recent literature on the debate over the value of self-enhancement. Past studies fall into two distinct sets, each in the context of a different research tradition. The componential approach to self-enhancement integrates these two divergent perspectives and takes seriously the interplay of self-perception and interpersonal perception. Instead of global indices, the componential approach identifies specific components of person perception. By partitioning the components in self-perception, the componential approach allows for better understanding of the dynamic interactive effects of self-enhancement bias and other components in self-perception on adjustment. We conclude the paper by discussing the emerging attempts to advance a componential approach to examine self-perception in terms of components and outcomes.     

The Use of Propensity Scores in Mediation Analysis

Mediation analysis uses measures of hypothesized mediating variables to test theory for how a treatment achieves effects on outcomes and to improve subsequent treatments by identifying the most efficient treatment components. Most current mediation analysis methods rely on untested distributional and functional form assumptions for valid conclusions, especially regarding the relation between the mediator and outcome variables. Propensity score methods offer an alternative whereby the propensity score is used to compare individuals in the treatment and control groups who would have had the same value of the mediator had they been assigned to the same treatment condition. This article describes the use of propensity score weighting for mediation with a focus on explicating the underlying assumptions. Propensity scores have the potential to offer an alternative estimation procedure for mediation analysis with alternative assumptions from those of standard mediation analysis. The methods are illustrated investigating the mediational effects of an intervention to improve sense of mastery to reduce depression using data from the Job Search Intervention Study (JOBS II). We find significant treatment effects for those individuals who would have improved sense of mastery when in the treatment condition but no effects for those who would not have improved sense of mastery under treatment.     

Effects of training condition on the contribution of specific items to relational processing in baboons (Papio papio)

Relational processing involves learning about the relationship between or among stimuli, transcending the individual stimuli, so that abstract knowledge generalizable to novel situations is acquired. Relational processing has been studied in animals as well as in humans, but little attention has been paid to the contribution of specific items to relational thinking or to the factors that may affect that contribution. This study assessed the intertwined effects of item and relational processing in nonhuman primates. Using a procedure that entailed both expanding and contracting sets of pictorial items, we trained 13 baboons on a two-alternative forced-choice task, in which they had to distinguish horizontal from vertical relational patterns. In Experiment 1, monkeys engaged in item-based processing with a small training set size, and they progressively engaged in relation-based processing as training set size was increased. However, in Experiment 2, overtraining with a small stimulus set promoted the processing of item-based information. These findings underscore similarities in how humans and nonhuman primates process higher-order stimulus relations.     

Spirituality in Occupational Therapy: Do We Practice What We Teach?

This mixed-method study examined the responses of 97 occupational therapists on the subject of spirituality in occupational therapy practice. The inclusion of spirituality into the Occupational Therapy Practice Framework (2008) implies that clinicians address spirituality as a component of client-centered practice. This research revealed a gap between education, theory, and practice as evidenced in the quantitative and qualitative data. Although occupational therapy is intended to be holistic, therapists require a more complete understanding of what spirituality is and what the role of the occupational therapist is when addressing spirituality in evaluation or treatment. The discussion of this research provides information for future occupational therapy educators and educational programs as they seek to incorporate the construct of spirituality into curricula.     

Effect on Comprehension of Preposed versus Postposed Adverbial Phrases

A challenge for psycholinguistics is to describe how linguistic cues influence the construction of the mental representation resulting from the comprehension of a text. In this paper, we will focus on one of these linguistic devices: the sentence-initial positioning of spatial adverbials such as In the park.... Three self-paced reading experiments were conducted to test the ‘Discourse Framing Hypothesis’ according to which preposed adverbials can be seen as frame builders announcing that incoming contents satisfy the same informational criterion specified by the adverbial. Our results indicate that spatial adverbials do not play the same role when they are in sentence-initial and in sentence-final position. These results are discussed in the framework of Zwaan’s Event Indexing Model.