Men’s strategies for preserving emotional well-being in advanced prostate cancer: An interpretative phenomenological analysis

Objective: This study explores men with advanced prostate cancers’ own practices for promoting and maintaining emotional well-being using Interpretative Phenomenological Analysis.

Design: Five men with advanced prostate cancer participated in face-to-face, semi-structured, in-depth interviews.

Results: Within rich narratives of lost and regained well-being, two super-ordinate themes emerged – ‘living with an imminent and uncertain death’ and ‘holding on to life.’ Well-being was threatened by reduced sense of the future, isolation and uncertainty. Yet, the men pursued well-being by managing their emotions, striving for the future whilst enjoying life in the present, taking care of their families and renegotiating purpose. Running through participant’s accounts was a preference for taking action and problem-solving. Sense of purpose, social connectedness, and life engagement were revealed as concepts central to improving well-being, indicating areas which practitioners could explore with men to help them re-establish personal goals and life purpose.

Conclusions: The findings also add weight to the evidence base for the potential value of psychological interventions such as cognitive behaviour therapy and mindfulness in men with prostate cancer.     

Phonological Constraints on the Assembly of Skeletal Structure in Reading

Linguistic research suggests that certain skeletal frames (e.g., CVC) are preferred to others (e.g., VCC). We examine whether such preferences constrain reading in the Stroop task. We demonstrate that CCVC nonwords facilitate naming the color black (/blæk{{\rm /bl{\ae}k}}/, a CCVC frame) relative to CVC controls. Conversely, CCVC items inhibit red (a CVC frame) relative to CVC controls. These results suggest that readers are sensitive to the congruency between the skeletal structure of color names and printed nonwords. However, various frames are not all equally preferred: the color black is named faster with a VCC frame, an infrequent and ill-formed frame, relative to a CVC frame, a frequent and grammatically preferred frame. These findings suggest that the representation of printed words specifies distinct slots for consonants and vowels, and readers are equipped with preferences (either grammatical or statistical) concerning skeletal frames. These conclusions underscore the contribution of linguistic knowledge to skilled reading.     

A Framework of Statistical Tests For Comparing Mean and Covariance Structure Models

Temporal patterning in blood glucose (BG) consistent with fractals—how BG follows a repetitive pattern through resolutions of time—was used to examine 2 different samples of adolescents with Type 1 diabetes (10–14 years). Sample 1 contained 10 adolescents with longtime series for accurate estimations of long-term dependencies associated with fractals. The second contained 94 adolescents measured multiple times daily over a 2-week period corresponding to psychosocial measures. In both samples, temporal dependencies in BG showed patterns consistent with fractals. In the second sample, temporal dependencies were associated with indicators of vigilant regulation including adolescents' higher anxiety, mothers' higher monitoring, and intrusive support. The existence of temporal dependencies in BG moderated the relationship between glycosylated hemoglobin (Hb_A1c) and indicators of low BG risk but not the relationship between Hb_A1c and high BG risk. These results show how a biomedical indicator may be susceptible to metric issues associated with fractals.