Depression and medication adherence among breast cancer survivors: bridging the gap with the theory of planned behaviour

Evidence suggests that more depressed breast cancer patients will less likely adhere to treatment plans. This study presents evidence that the theory of planned behaviour mediates the relation between depression and intentions to adhere to treatment plans and between depression and lack of adherence to medication regime. Two hundred and thirteen women undergoing breast cancer treatment participated in this study. Measures of depressive symptoms and planned behaviour variables were collected at the first time point; measures of medication adherence were collected at the second time point. Structural equation models were utilised to fit the data to the proposed models. Depressive symptoms were significantly correlated to both intentions and medication adherence. In support of hypotheses, the relation between depressive symptoms and treatment intention was mediated by attitudes towards health maintenance plans. The relation between depressive symptoms and medication adherence was fully mediated by the planned behaviour process. Conditions under which treatment intentions and perceptions of control in adhering to treatment were most related to medication adherence were elucidated. The results point to avenues for interventions to increase medication adherence among breast cancer patients. Manipulating attitudes and perceptions of control towards treatment plans will potentially serve to increase medication adherence.     

Interpreting semantic clustering effects in free recall

The order in which participants choose to recall words from a studied list of randomly selected words provides insights into how memories of the words are represented, organised, and retrieved. One pervasive finding is that when a pair of semantically related words (e.g., "cat" and "dog") is embedded in the studied list, the related words are often recalled successively. This tendency to successively recall semantically related words is termed semantic clustering (Bousfield, 1953; Bousfield & Sedgewick, 1944; Cofer, Bruce, & Reicher, 1966). Measuring semantic clustering effects requires making assumptions about which words participants consider to be similar in meaning. However, it is often difficult to gain insights into individual participants' internal semantic models, and for this reason researchers typically rely on standardised semantic similarity metrics. Here we use simulations to gain insights into the expected magnitudes of semantic clustering effects given systematic differences between participants' internal similarity models and the similarity metric used to quantify the degree of semantic clustering. Our results provide a number of useful insights into the interpretation of semantic clustering effects in free recall.     

Interparental violence, maternal emotional unavailability and children's cortisol functioning in family contexts

Our goal in the present study was to examine the specificity of pathways among interparental violence, maternal emotional unavailability, and children's cortisol reactivity to emotional stressors within interparental and parent-child relationships. The study also tested whether detrimental family contexts were associated, on average, with hypocortisolism or hypercortisolism responses to stressful family interactions in young children. Participants included 201 toddlers and their mothers who were from impoverished backgrounds and who experienced disproportionate levels of family violence. Assessments of interparental violence were derived from maternal surveys and interviews, whereas maternal emotional unavailability was assessed through maternal reports and observer ratings of caregiving. Salivary cortisol levels were sampled at 3 time points before and after laboratory paradigms designed to elicit children's reactivity to stressful interparental and parent-child contexts. Results indicated that interparental violence and the mother's emotional unavailability were differentially associated with children's adrenocorticol stress reactivity. Furthermore, these family risk contexts predicted lower cortisol change in response to distress. The results are interpreted in the context of risky family and emotional security theory conceptualizations that underscore how family contexts differentially impact children's physiological regulatory capacities.     

Enduring as Lived Experience: Exploring the Essence of Spiritual Resilience for Women in Late Life

The purpose of this study was to explore spirituality and its relationship to resilience for women in late life. Over thirty interviews with six women aged 80 and older provide a dataset allowing for the phenomenological investigation of spiritual resilience. Themes emerged illustrating the components of spiritual resilience. The components of spiritual resilience are having divine support, maintaining purpose, and expressing gratitude. These factors are essential to the women’s resilience and act as mechanisms that promote high levels of subjective well-being and an overall good quality of life. Essentially, participants articulate how their experiences of enduring hardships are informed by spiritual resilience.     

Social identity,group processes,and helping in emergencies

Using insights from a review of recent research on social identity approaches to helping, the Chapter sets out four key elements of a social identity approach to helping in emergencies: the salience of social identity, the boundaries of social identity, the contents of social identity, and the strategic interests of social identity. Evidence that illustrates the impact of social identity processes on group size and helping, which has traditionally focused on the inhibition of helping in the presence of others, is then reviewed. Finally, recent developments in the literature on intergroup emotions are considered, and their impact on a social identity approach to helping in emergencies is explored, highlighting the relatively neglected social identity relationship between bystanders and perpetrators. The review concludes by considering the current state of knowledge of a social identity approach to helping in emergencies, and identifies important questions that remain to be addressed.     

“Moving to the beat” improves timing perception

Here, we demonstrate that “moving to the beat” can improve the perception of timing, providing an intriguing explanation as to why we often move when listening to music. In the first experiment, participants heard a series of isochronous beats and identified whether the timing of a final tone after a short silence was consistent with the timing of the preceding sequence. On half of the trials, participants tapped along with the beat, and on half of the trials, they listened without moving. When the final tone occurred later than expected, performance in the movement condition was significantly better than performance in the no-movement condition. Two additional experiments illustrate that this improved performance is due to improved timekeeping, rather than to a shift in strategy. This work contributes to a growing literature on sensorimotor integration by demonstrating body movement’s objective improvement in timekeeping, complementing previous explorations involving subjective tasks.     

When mitigation evidence makes a difference: effects of psychological mitigating evidence on sentencing decisions in capital trials

Little empirical research has addressed the effects of psychological or psychosocial evidence on sentencing decisions. The present study found that death-qualified mock jurors were more likely to sentence a defendant to death without mitigating evidence than in a case with mitigating evidence present. Mock jurors were less likely to assign a death sentence in cases that contained one of the following types of mitigating evidence: The defendant was (i) diagnosed with schizophrenia, not medicated, and suffered from severe delusions and hallucinations, (ii) drug addicted and high at the time of the murder, (iii) diagnosed as borderline mentally retarded during childhood, or (iv) severely physically and verbally abused by his parents during childhood.     

Second to fourth digit ratio and numerical competence in children

The ratio between the 2nd and 4th fingers (2D:4D)-a potential proxy for prenatal testosterone (T) exposure-shows a sex difference, with males usually having lower mean values; the latter potentially indicates higher prenatal T exposure. We studied relations between 2D:4D and competencies in the domains of counting, number knowledge, and visual-number representation in 73 children aged 6-11 years. Significant negative correlations between numerical performance in all of these areas and right and left hand 2D:4D ratios were found for boys but not girls. To the extent that 2D:4D ratios reflects prenatal exposure to T, the implications are (i) high prenatal T may be associated with better performance on some basic numerical measures for boys, and (ii) prenatal exposure to T may affect boys and girls differently with respect to some numerical competencies.     

A personal construct psychology view of relapse: indications for a narrative therapy component to stuttering treatment

Relapse following treatment for stuttering is a common problem for many clients. It has often been suggested that one factor contributing to relapse is the client's difficulty in adjusting to a new role as a fluent speaker. In this tutorial article, we first present a personal construct view of relapse, which suggests that this difficulty may be addressed by increasing the meaningfulness of the fluent speaker role for the speaker. Section 3 proposes that post-treatment success for persons who stutter may be facilitated by the use of a narrative approach to counseling in which the meaningfulness of the fluent speaker role is elaborated. In this approach, clients are guided through a process of deconstructing their stuttering-dominated personal narrative, followed by the reconstruction of an alternative narrative that is more compatible with being a fluent speaker. EDUCATIONAL OBJECTIVES: The reader will (1) learn about a personal construct psychology perspective on resistance and relapse in stuttering therapy, (2) be able to describe a narrative approach to counseling for people who stutter that is directed toward the long-term maintenance of fluent speech and the steps of deconstruction of the dominant stuttering narrative and reconstruction of a new, more fluent personal narrative, and (3) be able to prepare a series of narrative interview questions with which to engage clients in conversations that may facilitate the deconstruction and reconstruction processes.