Impact of Appointment Waiting Time on Attendance Rates at a Clinical Cancer Genetics Service

The increase in demand for clinical cancer genetics services has impacted the ability to provide services timeously. Given limited resources, this often results in extended appointment waiting times. Over the last 3 years, the Cancer Genetics Service at the National Cancer Centre Singapore has continued to experience a steady increase in demand for its service. Nevertheless, significant no-show rates have been reported. This study sought to determine whether an association exists between appointment waiting times and attendance rates. Data was gathered for all participants meeting inclusion criteria. Attendance rates and appointment waiting times were calculated. The relationship between mean waiting times for those who did and did not attend their scheduled appointments was evaluated using Welch’s t test and linear regression model. The results showed a significant difference in mean appointment waiting times between patients who did and did not attend (32.66 versus 43.50 days respectively; p?<?0.0001). Furthermore, patients who waited for longer than 37 days were significantly less likely to attend. No-show rates increased as the waiting time increased, at a rate of 19.60% per 20 days and 21.40% per 30 days. In conclusion, appointment waiting time is a significant predictor for patient attendance. Strategies to ensure patients receive an appointment within the necessary timeframe at the desired setting are important to ensure that individuals at increased cancer risk attend their appointments in order to manage their cancer risks effectively.     

Sleep of Reason: critical reflections on performance arts-based research as psycho-social commentary in expressive arts therapy praxis

This arts-based case study is a critical reflection on how performance art can be used as psycho-social commentary. It is an attempt to amplify arts-based inquiry using critical understandings of diverse and inclusive meaning making in expressive arts praxis and psychology. It examines the use of performance art in the expressive arts to understand psycho-social proximity to and complicity in dehumanization and structural racism. This arts-based research exists in the intersections of culture, race, the arts, and social commentary with the goals of learning how it facilitates awareness of psycho-social justice and how current uncritical expressive arts and psychology praxis and practitioners can perpetuate structural racism and racial trauma. It asserts performance art can be utilized as a catalyst for psycho-social transformation in creative ways.     

Theory of philosophy as a science of the symbolic

This study tries to put the foundations of a theory of reasoning on the ground of philosophy as philosophy: what are the presupposed terms of the philosophical research, and what they are meaning. It intends to separate words from their evident meaning and to receive them as symbolic items. Symbolization is the most important way of proceeding in philosophy. Philosophers are usually not aware of this symbolical process. Thus, the structure of knowing in philosophy is presented as a way of symbolizing. This perspective is open in referring to the traditional problems.     

Ability to Resist Temptations of Technology Use: A Qualitative Analysis of Children's Views on Factors Associated with Delay of Gratification

Excessive technology use among young children remains a public health concern with diverse serious consequences. It is important to find out how children resist the temptation to use technology. Using focus group interviews, the authors explored what factors influence children's ability to delay gratification in using technology. Four specific themes emerged from the interview data: they found (a) fear of punishment, (b) self-directed speech, (c) reinforcement, and (d) parental modeling are effective measures to train children to forgo immediate pleasures of using technology. These findings provided some support for the hypothesis that children's self-control of technology use can be modified and improved. This study suggests methods to leverage and strengthen existing initiatives to promote self-control of technology use for children.     

Holding your flag: The effects of exposure to a regional symbol on people's behavior

Research has shown that exposure to the national flag alters people's behavior and political and intergroup judgments. In several field studies conducted in an area of France with a strong regional identity, we examined the effect of the presence of the regional flag versus the national flag versus no flag on behaviors. Various situations (e.g., money solicitation, implicit helping behavior, food tasting) were tested in Brittany, on the French west Atlantic coast. Car drivers, passersby in the street, and patrons in bakeries were exposed to no flag versus the French flag versus the Brittany flag held by requesters or presented on a product or on a car. Findings showed that the regional flag increased helping behavior dramatically. Other studies also revealed that the presence of the Brittany flag reduced aggressiveness and influenced preference for food products. The power of a flag as a symbol that could increase in‐group membership is discussed.     

Differential correlates of reactive and proactive aggression in Asian adolescents: relations to narcissism, anxiety, schizotypal traits, and peer relations

This study investigated relationship between reactive and proactive aggression, and narcissism, anxiety, schizotypal traits, and interpersonal relations in a sample of 698 Asian adolescents from Grades 7 to 9. Proactive aggression was found to be significantly associated with narcissism, whereas reactive aggression was significantly associated with anxiety, schizotypal traits, and poor interpersonal relations. Study findings provide support from a cross-cultural standpoint for differential correlates of reactive and proactive aggression and represent an initial attempt to illustrate the generalizability of existing findings on the distinction between the two subtypes in an Asian context. Implications for theory building of the reactive-proactive aggression typology are discussed.     

Effects of cognitive-behavioural therapy on anxiety,depression and condom use in people with HIV in Mexico City: a pilot study

Anxiety and depression in people living with HIV (PLWH) are negatively associated with healthy sexual behaviours. We pilot-tested a Cognitive-Behavioural Therapy (CBT)-based intervention to reduce anxiety and depression, aimed to increase serostatus disclosure to sexual partners, quality of sexual life (QoSL) and condom use. The study had a single-case experimental design (AB) with follow-up measures. Eleven PLWH with moderate/severe anxiety/depression received six-module CBT intervention delivered in ten one-hour individual weekly sessions. Anxiety, depression, consistent/correct condom use and QoSL were measured. Depression and anxiety decreased after the intervention (depression baseline [BL] Mdn = 21, final [F] Mdn = 3, z = -2.934, p = .003; anxiety BL Mdn = 30, F Mdn = 4, z = -2.941, p = .003). QoSL improved (BL Mdn = 28, F Mdn = 13, z = -2.625, p = .009), along with participants’ ability to use condoms (57.14 vs.100, z = -2.937, p = .003). Effect size was large, changes were maintained at follow-up measurements. The CBT intervention had positive effects in reducing anxiety and depression, which could facilitate the acquisition of healthy sexual behaviours. Further studies are important to clarify the benefits of targeting emotional variables to improve wellbeing and prevention behaviours in PLWH.     

Personality, Meta-Mood Experience, Life Satisfaction, and Anxiety in Australian versus Singaporean Students

This study explores two issues concerning the relationships between personality, meta-mood experience, life satisfaction, and anxiety. First, it explored the incremental value of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness to Experience in predicting the three components of meta-mood experience (that is, attention to feelings, emotional clarity, clarity of feelings and mood repair), after controlling for demographic variables across Australia and Singapore. Second, it explored the incremental value of the three meta-mood experience components in predicting life satisfaction and anxiety, after controlling for demographic variables and personality variables across the two countries. One hundred and eighty nine tertiary students from Australia and 243 tertiary students from Singapore participated in this study. First, hierarchical regression analyses for both samples suggested that Agreeableness and Neuroticism are the two most important personality predictors of meta-mood experience, emotional attention, and emotional repair. Second, hierarchical regression analyses for both samples suggested that emotional repair was a significant predictor for life satisfaction and anxiety, even after controlling for demographic variables and personality variables. These results have implications for therapeutic interventions with life satisfaction versus anxiety. Funding for this research is facilitated partially by a research grant from the National Institute of Education.     

Glucocorticoid-mediated effects of systemic oxytocin upon memory retrieval

During the last decade, a considerable amount of evidence has accumulated to show that oxytocin (OT) is involved with functions other than its classical roles in reproduction-associated processes, such as social recognition, maternal behavior and neuroendocrine regulation of the stress response. It has been shown, for instance, that post-training systemic administration of oxytocin in mice produces an amnestic effect on the step-through inhibitory avoidance. Since it is still unclear how systemic levels of OT may affect CNS memory processes, our aim here was to investigate the hypothesis that systemic OT effects on memory retrieval might be mediated through an oxytocin-induced decrease in glucocorticoid release. In our first experiment, we have found an amnestic effect of i.p. pre-test 0.4 microg/kg of OT upon memory retrieval in the inhibitory avoidance task (IA); this OT dose was shown to (a) significantly decrease plasma corticosterone levels when compared to the saline group, and (b) not to cause any anxiety effects by itself in a plus-maze task. At last, an ineffective-by-itself dose of dexamethasone was able to reverse the amnestic effect of this OT dose. Our results suggest that the amnestic effect of systemically administered oxytocin upon memory retrieval in the inhibitory avoidance task was probably caused by an oxytocin-induced decrease in glucocorticoid release from the adrenal gland.     

Emotional competencies and maladjustment in Singaporean adolescents

This study explores the relationships between four emotional competencies (i.e., intrapersonal skills, interpersonal skills, adaptability skills, and stress management skills) and four factors of maladjustment (i.e., antisocial behavior, anger control problems, emotional distress, and negative self problems) in 217 students from Singapore. Multiple regression findings indicated that stress management skills significantly predicted overall maladjustment, antisocial behavior, anger control problems, emotional distress, and negative self problems. With regard to the three remaining emotional competencies, interpersonal skills significantly predicted negative self problems, while intrapersonal skills and adaptability skills were not predictive of any of the four factors of maladjustment. Implications and limitations of these findings are discussed.