Research concerning distress in couples coping with cancer was integrated using meta-analysis and narrative critical appraisal. Individual levels of distress were determined more by gender than by the role of being the person with cancer versus that person's partner. That is, women reported consistently more distress than men regardless of their role (standardized mean difference = 0.31). The association between patient and partner distress within couples was only moderate (r = .29) but is sufficient to warrant further consideration of the notion that these couples react as an emotional system rather than as individuals. It is noteworthy that this association is not moderated by gender. With a general lack of comparison groups, the question of how much distress can be ascribed to the cancer experience cannot be answered decisively; elevations in distress are probably modest. We critically discuss these results, identify important unanswered questions, and indicate directions for future research. Attention needs to be directed toward factors other than cancer as direct influences of distress in these couples and to mediators and moderators of the cancer experience. 相似文献
Adolescents differ in their degree of Environmental Sensitivity, that is, the ability to perceive and process information about their environment. The present study aimed to investigate the psychometric properties of the Highly Sensitive Child scale (HSC), a self-report measure of Environmental Sensitivity, in two Belgian and UK samples with a total of 3056 adolescents. First, the factor structure, internal consistency, dimensionality, and construct validity of the HSC scale were examined. Second, measurement invariance of the HSC scale across developmental stage, gender, and country was tested. Results supported a bifactor model with a general sensitivity factor and three group factors: Ease of Excitation (EOE), Low Sensory Threshold (LST), and Aesthetic Sensitivity (AES). Cronbach’s alpha and McDonalds’s (hierarchical) omega indicated that the HSC scale is a reliable measure of Environmental Sensitivity, except for AES. Furthermore, AES was associated with different personality traits than EOE and LST. Second, the HSC scale was partially measurement invariant across developmental stage, gender, and country. The results provide important insights in the psychometrics of a first measurement of Environmental Sensitivity in early to late adolescents. Implications for further research are discussed.
Objective: Previous research has focused mostly on abstainer and/or general drinker prototypes. The present studies examined an abstainer, moderate drinker and heavy drinker prototype in relation to drinking behaviour.Design: Two studies among young adults aged 18–25 (paper-and-pencil, cross-sectional, N?=?140; online, prospective, N?=?451) assessed prototype favourability and participants’ perceived similarity to the prototypes. Participants were also categorised into abstainers, moderate, and heavy drinkers.Results: Similarity and favourability had similar sequences in both studies: the moderate drinker and abstainer prototypes were evaluated most favourable and felt similar to; the heavy drinker prototype was rated the least favourable and felt similar to. Importantly, heavy drinking participants felt most similar to the moderate drinker prototype and rated the heavy drinker least desirable. The results suggest a need for research to include other prototypes, such as the moderate drinker, besides the abstainer and heavy drinker.Conclusion: The studies provide insights into the contribution of alternative prototypes (i.e. moderate drinker) into the relationship between prototype perceptions and drinking behaviour. The results suggest tailoring prototype-based interventions according to drinking behaviour. Importantly, realistic perceived similarity to the more favourable moderate drinker prototype may therefore need to be encouraged only after appropriate reductions in heavy drinkers’ alcohol consumption. 相似文献