the inventory of recent life experiences for cancer patients (IRLE-C): A decontaminated measure of cancer-based hassles

Abstract

Cancer is recognized to have multifaceted stressful impact on all areas of a patient's life. Researchers commonly use self-report questionnaires, intended to measure stressors objectively. However, the item-content and response-format of such scales often tap physical and mental responses to stress, thereby contaminating prediction of adverse impact. This article reports the development and validation of English and French versions of the Inventory of Recent Life Experiences for Cancer Patients (IRLE-C) which is designed to minimize such “criterion-contamination”. This entailed (1) avoiding items reflecting physical or subjective distress; (2) rating stressors for degree of exposure only; and (3) use of an innocuous scale title. The initial item pool was administered serially to a sample of 100 Francophone breast-cancer and prostate-cancer patients. To guard against inflating reliability and validity estimates through capitalizing on chance, we administered the 30-item final scale to an independent sample of 96 Francophone breast-cancer and prostate-cancer patients undergoing radiation treatment. Following the item-selection step, factorial structure and validity analyses were performed using the combined French-speaking sample (n= 196). Second, we administered the English version of the scale to an English-speaking sample of 127 cancer patients (various cancer sites and stages). The measure showed good internal consistency (.94 and .89 for the Francophone and Anglophone samples respectively) and met criteria for a 2-week test-retest reliability (r= .70 for the item-selection subsample and .80 for the cross-replication sub-sample). Correlations between the IRLE-C and the POMS Total Mood Disturbance were around .60 for both the Francophone and Anglophone samples. Avoiding contamination (through content and format) without losing its relationship to subjective distress, the IRLE-C appears a useful instrument for applying the stress-process model in oncology to establish clear distinctions among stressors, mediators, reactions, and consequences.     

Strategies of text retrieval: a criterion shift account.

This study scrutinized people's ability to apply different strategies to randomly intermixed immediate and delayed test items. In three experiments, participants first read one set of stories. Later, they read more stories, and after each one, answered intermixed questions about that story and one of the earlier ones. The experiments cumulatively manipulated amount of delay, test probe plausibility, probe relation (explicit, paraphrase, inference), and testing procedure (mixed versus uniform delay). Using signal detection response criterion as the index of strategy, we contrasted the single criterion hypothesis, according to which one text retrieval criterion is applied to all test items, and a multiple-criterion hypothesis. The results consistently favoured the multiple-criterion hypothesis. The results also indicated that the presence of immediate and delayed probes mutually influence one another: Less extreme signal detection criteria were adopted under mixed than uniform testing. It was concluded that text retrieval strategy is continually calibrated with reference to the quality of the test probes.     

Conceptual clarity in international collaborations: A point of departure for policy-relevant research on discrimination

A workshop was conducted as part of the International Metropolis Conference held in Vienna, Austria in September 2003. The Metropolis Project is meant to facilitate research in the area of migration that can optimally inform policy. In this context, a workshop was conducted with the objective of discussing how policy-relevant research on discrimination could be conducted internationally. Four broad areas were addressed: ‘key stakeholder’ involvement, obtaining ethical and other forms of approval, international, national and local funding opportunities, and qualitative and quantitative methodology and questionnaire development. Viewpoints represented included those of non-governmental organizations, researchers, health professionals, and policy-makers/implementers. Countries represented in the discussions included Australia, Austria, Canada, Germany, Norway, Sweden, the United Kingdom, and the United States. Key conceptual differences included how best to define discrimination, societal acknowledgement of discrimination, the meaning of ‘race’, ‘racism’, ‘national’, and ‘migrant’, and perceptions of national identity.     

Is egocentric space automatically encoded?

Using the criteria defined by Hasher and Zacks [Hasher, L., & Zacks, R. T. (1979). Automatic and effortful processes in memory. Journal of Experimental Psychology: General, 108(3), 356-388], three studies examined the effects of intent of memorization, dual task interference, old age, practice and individual differences on memory for egocentric positions. Results showed that dual task interference and old age slightly influenced memory for egocentric positions. Small but significant individual differences were also observed. However, intent of memorization and practice had no influence on accuracy. The findings demonstrate that encoding of egocentric space works rather automatically but nevertheless requires minimal attentional resources.     

The effect of old age on the learning of supraspan sequences

Two experiments examined age-related differences in sequence learning using computerized versions of the D. O. Hebb (1961) paradigm. In this learning task, the participant executes immediate serial recall of 24 supraspan sequences. Without the participants' knowledge, 1 sequence is presented several times. Repetition leads to improved recall of this repeated sequence relative to random sequences. Results showed a dissociation in age-related learning deficits depending on the nature of the to-be-remembered material. The effect of repetition is similar for younger and older adults with familiar and unfamiliar verbal material (words and pseudowords) but is significantly reduced in older adults when learning is assessed with a visuospatial version of Hebb's supraspan learning task (P. M. Corsi, 1972).     

Manual pointing to remembered targets...but also in a remembered visual context

In this paper we investigated whether visual background information available during target presentation influences manual pointing to remembered targets. Younger and older participants manually pointed with their unseen hands to remembered or visible targets that were presented or not over a structured visible background. The results indicated that a structured visual background biased movement planning processes, but did not influence motor control processes, regardless of the fact that target location and the background were visible or remembered. How one uses visual background information for movement planning is not modified by aging.     

Laterality effects in processing tonal and atonal melodies with affective and nonaffective task instructions

Right-handed university subjects were presented with monaural melodies that either conformed to the rules of the Western tonal system (tonal melodies) or that systematically deviated from it (atonal melodies) while containing similar contours and pitch skips. Subjects were tested under two different task instructions. One group was requested to judge whether each melody sounded correct or not (the nonaffective task); the other group had to judge whether each melody sounded pleasant or not (the affective task). The nonaffective task was found to elicit essentially no ear difference. In contrast, the affective instruction induced opposite and reliable laterality effects, depending on the valence of the response. The pleasant responses were indicative of a left hemisphere predominance and the unpleasant responses of a right hemisphere predominance. The results are consistent with the claim that the left hemisphere is biased toward positive emotions and the right to negative emotions. Moreover, the results suggest that affective appreciation of melodies is dissociable from their nonaffective judgment.     

Cognitive intrusions in a non-clinical population. I. Response style, subjective experience, and appraisal

The present study identified distinctive response styles to unpleasant cognitive intrusions to further understanding of intrusive phenomena similar to those observed in obsessive-compulsive disorder and other anxiety disorders. Response styles were studied among 125 university students who completed a questionnaire describing and evaluating seven cognitive intrusions and inventories of depressive, anxious, and compulsive symptoms. Almost all subjects (99%) reported intrusions and 92% included effortful strategies in response to intrusions in their repertoire. Large differences were observed in the dominant strategy used. Three distinctive dominant response styles were identified including no effortful response (26%) and two effortful styles, attentive thinking (34%), and escape/avoidance (40%). The two groups using effortful strategies were more anxious and reported more difficulty removing intrusions. The group using escape/avoidance strategies reported more sadness, worry, guilt, and disapproval than subjects reporting no effortful response. The attentive thinking group reported more varied forms and more frequently triggered intrusions then the no effortful response group. Within subject analyses support the group comparisons and showed that intrusions eliciting escape/avoidance strategies were evaluated more disapprovingly than thoughts eliciting attentive thinking. The results are discussed in terms of Salkovskis' (Behavior Research and Therapy, 27, 677–682, 1985) formulation of obsessive-compulsive disorder and Borkovec's (Journal of Consulting and Clinical Psychology, 23, 481–482, 1985) and Barlow's (Anxiety and its disorders: The nature and treatment of anxiety and panic, 1988) discussions of worry and generalized anxiety.