Health Behaviors of Childhood Cancer Survivors: What We’ve Learned

There has been a dramatic increase in the number of childhood cancer survivors due to improved cancer treatments. However, these survivors are at risk for numerous late-effects as a result of their cancer therapy. Engaging in health-protective behaviors and limiting risky health behaviors are vitally important for survivors given their increased risks and physical late-effects. For this paper, we systematically reviewed the literature on childhood cancer survivors’ health behaviors by searching for published data and conference proceedings using computerized databases and references, and summarized these results. We examined the literature describing the prevalence of a variety of health behaviors among survivors, identifying significant covariates, and describing health behavior interventions. Finally, we provided research recommendations and discussed an ongoing study designed to address some of the limitations in the existing literature. The research to date is limited and recommendations for future studies are outlined.     

Self-Healing Aspects of EMDR: The Therapeutic Change Process and Perspectives of Integrated Psychotherapies

Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro 1989a, 1989b, 1995) is an innovative, comprehensive approach to psychotherapy. While EMDR's use of eye movements has attracted a great deal of attention, the efficacy of the EMDR method can be explained parsimoniously in terms of many different types of therapy. Lang's (1985) information processing networks provide a way to understand the Accelerated Information Processing model proposed by Shapiro to explain EMDR. A representative EMDR session is presented to illustrate the integrative components of EMDR's procedural elements and the range of clinical effects. Therapeutic changes seen as a result of self-healing using EMDR are discussed from the perspectives of other psychotherapeutic approaches in order to understand the contribution of EMDR to the psychotherapy integration movement.     

A longitudinal study of relational aggression, physical aggression, and children's social-psychological adjustment

Although great strides have recently been made in our understanding of relational aggression and its consequences, one significant limitation has been the lack of prospective studies. The present research addressed this issue by identifying and assessing groups of relationally aggressive, physically aggressive, relationally plus physically aggressive (co-morbid), and nonaggressive children during their third grade year in elementary school and then reassessing them a year later, during fourth-grade (N = 224, 113 girls). Two aspects of social-psychological adjustment were assessed during both assessment periods including internalizing difficulties (i.e., withdrawal, depression/anxiety, and somatic complaints) and externalizing problems (i.e., aggressive behavior, delinquency). It was revealed that the strongest predictor of future social-psychological adjustment problems and increases in these problems from third to fourth was the combination of relational and physical aggression. Relational aggression also contributed unique information, relative to physical aggression, in the prediction of future maladjustment. Implications of these findings for future research and prevention efforts, particularly for aggressive girls, are discussed.     

Can reading time predict mind wandering in expository text?

Prior research has suggested that episodes of mind wandering not only negatively impact text comprehension but also are associated with fluctuations in reading behavior. However, these studies typically do not account for differences in the fundamental nature of the text itself, namely, whether it is narrative or expository in structure. As much research has supported the idea that these text genres are processed differently, it is of interest to determine whether similar changes in reading patterns are observed when mind wandering in an expository text. The present study examined whether fluctuations in sentence‐by‐sentence reading times were associated with periods of mindless reading during processing of an expository text. Results indicated that although mindless reading did negatively impact learning, probed reading time did not vary as a function of mind wandering. These results suggest that research aimed at studying mind wandering while reading may need to account for text genre.     

Somatic and social: Chinese Americans talk about emotion

Empirical findings suggest that Chinese and Americans differ in the ways that they describe emotional experience, with Chinese using more somatic and social words than Americans. No one, however, has investigated whether this variation is related to differences between Chinese and American conceptions of emotion or to linguistic differences between the English and Chinese languages. Therefore, in two studies, the authors compared the word use of individuals who varied in their orientation to Chinese and American cultures (European Americans [EA], more acculturated Chinese Americans [CA], and less acculturated CA) when they were speaking English during emotional events. Across both studies, less acculturated CA used more somatic (e.g., dizzy) and more social (e.g., friend) words than EA. These findings suggest that even when controlling for language spoken, cultural conceptions of emotion may shape how people talk about emotion.     

Self-Other Perspective and Sexual Attitudes Affect Estimates of Sexual Risk

This study evaluated the effects of self-other perspective, sexual attitudes, and a sexual victimization history on women’s estimates of sexual risk for a set of vignettes describing situations that they may face when interacting socially with men. One hundred and twenty-four women from a medium sized southwestern university in the US were assigned to two different conditions (imagine self vs. an anonymous woman) and asked to rate how risky the situations described were in terms of having an unwanted sexual experience. Results revealed that participants asked to imagine an anonymous woman estimated sexual risk as higher than participants asked to imagine themselves, and that participants reporting liberal sexual attitudes estimated sexual risk as lower than participants reporting more conservative attitudes.     

Religious Fundamentalism as Schema: Influences on Memory for Religious Information

Those with differing levels of religious fundamentalism (RF) may be selective in their memory for religious information. In Study 1, participants read a text about money or sex, with a judgmental or not-judgmental message. Higher RF was associated with more accurate recall and fewer intrusions. In Study 2, participants high or low in RF read texts about sex. High-RF participants had more accurate recall and fewer intrusions. However, high-RF participants had more recognition false alarms to sentences that were not presented. High RF may aid memory for religious information, but also increase familiarity of related but not presented information. Exposure to not-judgmental messages decreased RF scores, suggesting that textual messages can impact responses to fundamentalism scales.     

Seeking help when transgender: Exploring the difference in mental and physical health seeking behaviors between transgender and cisgender individuals in Ireland

Abstract

Background: While there is growing awareness of the need to support the physical and mental wellbeing of transgender people, some may be reluctant to seek help from healthcare professionals. Little is understood about the mechanisms that influence help-seeking behavior in this group.

Aims: This study aimed to compare transgender and cisgender participants in their likelihood to seek help for both physical and mental health conditions, and to explore whether this help-seeking behavior is predicted by a range of sociodemographic and psychological variables.

Methods: 123 participants living in Ireland (cisgender= 67; transgender= 56) completed a questionnaire which included demographic questions, as well as measures of optimism (LOT-R), self-esteem (RSES), psychological distress (GHQ-12), attitudes towards seeking psychological help (ATSPPH-SF), and attitudes towards seeking help for a physical health problem (Attitudes Towards Seeking Medical Help Scale- Action/Intervention subscale). Associations between predictor variables and mental and physical health seeking were explored using correlation analysis and stepwise regressions.

Results: Transgender participants were less likely to seek help for a physical health issue than cisgender participants, but did not differ in mental health help-seeking behaviors. Results suggest that this may be due to differences in optimism, self-esteem and psychological distress. Transgender participants had significantly lower optimism and self-esteem, which were two factors linked to poorer physical health seeking behaviors. Optimism also emerged as a significant predictor in mental health seeking behaviors.

Discussion: The lack of a significant difference for mental health help-seeking between the transgender and cisgender participants is encouraging, as it suggests that there is less stigma surrounding mental illness than expected, however findings also contradict previous findings suggesting that physical health is less stigmatized. This could be due to stigma relating to gender-specific healthcare and suggests that healthcare professionals should acknowledge the specific healthcare needs and concerns among transgender individuals.     

Effects of mixing and cueing simple addition and multiplication

Miller and Paredes (1990) found that both children's and adults' performance of simple addition and multiplication tested in mixed-operation blocks was slower and more susceptible to operation errors (e.g., 6 + 2=12 or 6×2=8) compared to pure-operation blocks; but mixed-operation costs were greater for addition than for multiplication. We pursued the source of these effects in adults (n=96) by examining effects of operation switching and cueing. We replicated the asymmetrical costs of mixing addition and multiplication and demonstrated that these owed, in part, to asymmetrical task switching costs. Operation foreknowledge (a visual cue appearing 2 s before the problem) moderated both mixing and switch costs. This suggests that an asymmetry between addition and multiplication in the utility of preparation contributed to asymmetric mixing costs. Miller and Paredes proposed that the asymmetric costs of mixing operations observed in adults echoed an asymmetry developed in childhood when multiplication is initially learned. This might be correct, but our results raise the possibility that the asymmetry reflects operation-specific costs and interference effects that arise during the experiment.