Zooming into daily life: within-person associations between physical activity and affect in young adults

Objective: Negative affect in daily life is linked to poorer mental and physical health. Activity could serve as an effective, low-cost intervention to improve affect. However, few prior studies have assessed physical activity and affect in everyday life, limiting the ecological validity of prior findings. This study investigates whether daily activity is associated with negative and positive evening affect in young adults.

Design: Young adults (N = 189, Mdn = 23.00) participated in an intensive longitudinal study over 10 consecutive days.

Main Outcome Measures: Participants wore accelerometers to objectively assess moderate-to-vigorous physical activity continuously throughout the day and reported their affect in time-stamped online evening diaries before going to sleep.

Results: On days when participants engaged in more activity than usual, they reported not only less depressed and angry evening affect but also more vigour and serenity in the evening.

Conclusion: Young adults showed both less negative and more positive affect on days with more activity. Physical activity is a promising health promotion strategy for physical and mental well-being.     

Measuring Probabilistic Reasoning: The Construction of a New Scale Applying Item Response Theory

Probabilistic reasoning skills are important in various contexts. The aim of the present study was to develop a new instrument (the Probabilistic Reasoning Scale – PRS) to accurately measure low levels of probabilistic reasoning ability in order to identify people with difficulties in this domain. Item response theory was applied to construct the scale, and to investigate differential item functioning (i.e., whether the items were invariant) across genders, educational levels, and languages. Additionally, we tested the validity of the scale by investigating the relationships between the PRS and several other measures. The results revealed that the items had a low level of difficulty. Nonetheless, the discriminative measures showed that the items can discriminate between individuals with different trait levels, and the test information function showed that the scale accurately assesses low levels of probabilistic reasoning ability. Additionally, through investigating differential item functioning, the measurement equivalence of the scale at the item level was confirmed for gender, educational status, and language (i.e., Italian and English). Concerning validity, the results showed the expected correlations with numerical skills, math‐related attitudes, statistics achievement, IQ, reasoning skills, and risky choices both in the Italian and British samples. In conclusion, the PRS is an ideal instrument for identifying individuals who struggle with basic probabilistic reasoning, and who could be targeted by specific interventions. Copyright © 2017 John Wiley & Sons, Ltd.     

Prenatal diagnosis and management of intrauterine growth restriction: A long‐term prospective study on outcome and maternal stress

This study examines long‐term effects of antenatal management of intrauterine growth restriction (IUGR) on developmental outcome and on maternal coping using a prospective cross‐sectional design. Sixty‐nine families were evaluated using psychological testing and risk questionnaires. The effects of timing of diagnosis (prenatal/perinatal) and of pregnancy management [induction of labor (IL)/conservative management (CM)/none, i.e., diagnosed‐at‐birth (DaB)] on maternal stress were tested at 6 years' postbirth. In general, prenatal management protocols of IUGR were efficient in preventing major disabilities; however, 49% of the variance in maternal stress at 6 years' postbirth could be attributed to the child's presenting behavior and to pregnancy management of IUGR condition. Mothers who received CM treatment reported being more stressed by their child's poor emotional adjustment (ps < .01–.002) and distractibility (p < .029), and to have more difficulty in accepting them (p < .01). Prenatal psychological consultation to better handle stress for parents whose fetus is diagnosed with IUGR is recommended, particularly when pregnancy is managed conservatively and familial–educational resources are low.     

Measuring Care and Justice Moral Orientation: Italian Adaptation and Revision of the MMO-2 Scale

This study presents the Italian adaptation of the Measure of Moral Orientation, second revision (MMO-2). Based on Carol Gilligan’s theory of the Ethics of Care, the MMO-2 was designed to measure two complementary moral stances, namely, Care and Justice. For this study, questionnaire responses from 683 university students were assessed against an Italian-adapted MMO-2 scale. Data were analyzed through exploratory structural equation modeling first as separate scenarios and then as a single model. The final model comprises 4 intercorrelated pairs of latent variables and shows highly satisfactory goodness of fit indices with moderate construct validity and reliability. Strengths, limitations, and directions for the future developments of the MMO-2 are discussed.     

Evil and Justice: An Experiential Personal Construct Approach

George Kelly (1955) made a philosophical assumption that the universe is integral or interconnected. This assumption, often overlooked by scholars, has profound implications for global issues facing the world today, including the perpetration of acts that can be considered evil. I first give an experiential personal construct psychology definition of evil (the perpetration of acts, out of our own woundedness, that harm another's central ways of being). I then discuss the ways that evil acts are manifested: objectifying others, denying connectedness, numbing of inner experiences, and a limited ability to introspect. Using these manifestations of evil, I illustrate the ways that evil acts are being perpetrated against others (e.g., travel bans, border walls) as well as the greater universe (e.g., ignoring climate change, exploiting the natural world). I conclude by discussing steps each person can take to minimize the perpetration of evil in the world today. Some of these actions are public (e.g., political, speaking up); others are more personal (e.g., maintaining an attitude of humility and reverence for the greater world). I advocate that people carefully and thoughtfully consider the implications of each action for all of our fellow humans as well as the entire planet.     

Effects of cognitive impairment on prosodic parameters of speech production planning in multiple sclerosis

Cognitive impairment (CI) affects 40–65% of patients with multiple sclerosis (MS). CI can have a negative impact on a patient's everyday activities, such as engaging in conversations. Speech production planning ability is crucial for successful verbal interactions and thus for preserving social and occupational skills. This study investigates the effect of cognitive-linguistic demand and CI on speech production planning in MS, as reflected in speech prosody. A secondary aim is to explore the clinical potential of prosodic features for the prediction of an individual's cognitive status in MS. A total of 45 subjects, that is 22 healthy controls (HC) and 23 patients in early stages of relapsing-remitting MS, underwent neuropsychological tests probing specific cognitive processes involved in speech production planning. All subjects also performed a read speech task, in which they had to read isolated sentences manipulated as for phonological length. Results show that the speech of MS patients with CI is mainly affected at the temporal level (articulation and speech rate, pause duration). Regression analyses further indicate that rate measures are correlated with working memory scores. In addition, linear discriminant analysis shows the ROC AUC of identifying MS patients with CI is 0.70 (95% confidence interval: 0.68–0.73). Our findings indicate that prosodic planning is deficient in patients with MS-CI and that the scope of planning depends on patients’ cognitive abilities. We discuss how speech-based approaches could be used as an ecological method for the assessment and monitoring of CI in MS.     

Differentiation of self and trait anxiety: A cross‐cultural perspective

Cultural differences are likely to affect the ability to deal with anxiety. We investigated this issue among four cultural groups—Germans and Italians (Europeans living in South Tyrol, Italy), Jews and Arabs (Israelis)—in terms of their levels of differentiation of self, trait anxiety and somatic symptoms. We also examined the relationship of differentiation of self to trait anxiety and somatic symptoms. The sample consisted of 824 students: 387 Israelis (mean age 23.6) and 437 Europeans (mean age 22.3). Israeli participants reported lower levels of trait anxiety than European students. Jewish students reported lower trait anxiety than Arab students (mean difference = ?.14, p < .009), while there was no difference between German and Italian students (mean difference = .03, p > .99). Jews reported a significantly lower level of emotional cutoff than Arabs (mean difference = ?.45, p < .001), and Germans reported a significantly lower level of emotional reactivity than Italians (mean difference = .29, p < .001). Emotional reactivity and I‐position predicted all participants' trait anxiety. On the whole, results point to the importance of examining differentiation of self when trying to reduce trait anxiety, as well as some important cultural differences.     

Religiousness and obsessive-compulsive cognitions and symptoms in an Italian population

Fifty-four individuals with a high degree of religiosity, 47 with a medium degree of religiosity and 64 with low religiosity completed anonymously the Italian versions of well-established measures of obsessive-compulsive (OC) cognitions and symptoms, depression and anxiety. After controlling for anxiety and depression, religious groups scored higher than individuals with a low degree of religiosity on measures of obsessionality, overimportance of thoughts, control of thoughts, perfectionism and responsibility. Moreover, measures of control of thoughts and overimportance of thoughts were associated with OC symptoms only in religious subjects. It is concluded that religion might play a role in obsessive-compulsive disorder phenomenology. Additional research is warranted because it is plausible that only a few aspects of religious teachings (e.g., inflexibility and prohibition) are linked to OC phenomena.     

Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practicePropiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en oncología

Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship.     

How sublexical association strength modulates updating: Cognitive and strategic effects

In the current study, we investigated updating of long-term memory (LTM) associations. Specifically, we examined sublexical associations by manipulating preexisting LTM relations between consonant couplets (in encoding and updating phases), and explicitly instructed participants to engage with a specific strategy for approaching the task (item disjunction, grouping, or none). In two experiments, we used a multistep subject-based memory updating task in which we measured processing response times (RTs; Exp. 1, Exp. 2) and recognition RTs (Exp. 2). For the first time, in both experiments, we found costs in dismantling strong pre-existing associations from LTM and benefits in recreating strong preexisting associations. In addition, we found that control of irrelevant information was more difficult when this belonged to a strong association. Regarding task strategies, we showed that inducing a disjunction strategy enhanced updating, no matter the strength of the association. Results were discussed in the light of updating as a process of dismantling and recreating associations. The role of a specific strategic approach in enhancing the updating was also discussed.