Perceptions of Social Support in Men with AIDS and ARC: Relationships with Distress and Hardiness1

Previous research has suggested that social support may act as a buffer against stress or in other ways may affect physiological adjustment, health, longevity, and sense of well-being. Perceptions of social support in persons newly diagnosed with Acquired Immune Deficiency Syndrome (AIDS) and AIDS-related Complex (ARC) were examined as a part of an ongoing longitudinal study. Social support was examined in terms of emotionally-sustaining and problem-solving types of help, based on Gottlieb's content analysis of informal helping behaviors. Representative examples of each of the four major categories of help were assessed in terms of their perceived desirability, availability, frequency of use, and usefulness if used. These social support data were then examined in relation to other behavioral, cognitive, affective, and medical indices. For persons with AIDS only, increased physical distress was associated with perceiving less availability of support. For both persons with AIDS and ARC, the more available social support was perceived to be, the less hopelessness and depression were reported. While all types of help were rated as desirable by both persons with AIDS and ARC, emotionally-sustaining types of help were rated as more desirable, more available, more frequently used, and more useful when used than were problem-solving types of help. Social support measures were most consistently and strongly correlated with the Commitment subscale of Kobasa's Hardiness Scale.     

Age,Race, and Sex Similarity to Candidates and Voting Preference1

One thousand five hundred and seven voters aged 18 to over 75 from many different geographical areas were presented with pairs of candidates in a simulated mayoral election who differed in sex, race, or age and were asked to “vote.” Results confirmed the conclusions of previous research on undergraduate students (Sigelman & Sigelman, 1982), which found a stronger effect of the age of candidates than of either their sex or their race on voting, and also demonstrated race and sex similarity effects in voting preference. The present study also demonstrated a significant age-similarity effect. Voters over 65 showed a marked “reverse ageism” effect, actively preferring the older of any pair of candidates that differed significantly in age. Complex effects of the race and sex of experimenters on voting preference, interpreted as salience effects, were also obtained. Implications for actual electoral outcomes in the situation of an aging population are discussed.     

Self-centeredness and the adult male perpetrator of child sexual abuse

Self-centeredness has been identified as a quality of the adult male perpetrator of child sexual abuse, but little or no effort has been expended toward defining the concept clearly. In this paper, the research literature on the perpetrator and psychoanalytic writings on narcissism are reviewed for the purpose of developing a comprehensive definition of self-centeredness. Literature related to the social and developmental context of child sexual abuse also is discussed. In the final section of the paper, implications for primary prevention and treatment are drawn.This is a revised version of a paper presented at the Groves Conference on Marriage and the Family, July, 1986, in London, England. Support for the paper was provided through the Minnesota Agricultural Experiment Station and the Faculty Summer Research Fellowship Program, Graduate School, University of Minnesota.     

Couples therapy with gay clients: Issues facing counsellors

Couples therapy is widely practised by a range of different counselling professionals, but, as yet, concentrates on heterosexual clients, to the exclusion of gay people. This paper argues that couples therapy should be more readily available for gay clients. A review of the major issues which need to be addressed by counsellors before embarking on couples therapy with gay men is presented, with illustrative case material. It is concluded that established forms of intervention are effective with gay clients, providing that the specific needs and problems of the gay community are recognized by the counsellor.     

Worlds within worlds: a strategy for using interpretative phenomenological analysis with focus groups

There is increasing interest in applying interpretative phenomenological analysis (IPA) to focus group data and in developing appropriate strategies for doing so. These strategies should exploit the unique features of focus groups, which provide a rich canvas of experiences not seen in individual interviews, while remaining true to the personal, phenomenological perspective of IPA. We present a four-stage approach with specific group focused analytical strategies: looking for “groupness,” clustering reoccurring group interactions, identifying interactional relationships, and incorporating group elements into an analysis. These stages are illustrated with worked examples developed while working with data from focus groups of women with gynaecological cancer discussing a yoga intervention, and explain how these can enrich our understanding of participants’ lived experiences. This approach demonstrates a suggested framework for developing IPA themes from focus group data by analysing and interpreting the group setting. We discuss links to psychological concepts, potential applications and limitations. This empirically based methodology is presented as a practical guide for other researchers grappling with this type of data.     

The Hong Kong version of the Oxford Cognitive Screen (HK-OCS): validation study for Cantonese-speaking chronic stroke survivors

This study reports the validation of the Hong Kong version of Oxford Cognitive Screen (HK-OCS). Seventy Cantonese-speaking healthy individuals participated to establish normative data and 46 chronic stroke survivors were assessed using the HK-OCS, Albert’s Test of Visual Neglect, short test of gestural production, and Hong Kong version of the following assessments: Western Aphasia Battery, MMSE, MoCA, Modified Barthel Index, and Lawton Instrumental Activities of Daily Living scale. The validity of the HK-OCS was appraised by the difference between the two participant groups. Neurologically unimpaired individuals performed significantly better than stroke survivors on the HK-OCS. Positive and significant correlations found between cognitive subtests in the HK-OCS and related assessments indicated good concurrent validity. Excellent intra-rater and inter-rater reliabilities, fair test–retest reliability, and acceptable internal consistency suggested that the HK-OCS had good reliability. Specific HK-OCS subtests including semantics, episodic memory, number writing, and orientation were the best predictors of functional outcomes.     

Does self-efficacy mediate the cross-sectional relationship between perceived quality of health care and self-management of diabetes? Results from Diabetes MILES – Australia

Objective: Quality of health care (QoC) and self-efficacy may affect self-management of diabetes, but such effects are not well understood. We examined the indirect role of diabetes-specific self-efficacy (DSE) and generalised self-efficacy (GSE) in mediating the cross-sectional relationship between self-reported QoC and diabetes self-management.

Design: Diabetes MILES–Australia was a national survey of 3,338 adults with diabetes. We analysed data from 1,624 respondents (age: M = 52.1, SD = 13.9) with type 1 (T1D; n = 680) or type 2 diabetes (T2D; n = 944), who responded to a version of the survey containing key measures.

Main Outcome Measures: self-reported healthy eating, physical activity, self-monitoring of blood glucose frequency, HbA_1c, medication/insulin adherence.

Results: We used Preacher and Hayes’ bootstrapping method, controlling for age, gender and diabetes duration, to test mediation of DSE and GSE on the relationship of QoC with each self-management variable. We found statistically significant but trivial mediation effects of DSE and of GSE on most, but not all, variables (all effect sizes < .06).

Conclusion: Support for mediation was weak, suggesting that relationships amongst these variables are small and that future research might explore other aspects of self-management in diabetes.