In God and CAM We Trust. Religious Faith and Use of Complementary and Alternative Medicine (CAM) in a Nationwide Cohort of Women Treated for Early Breast Cancer

Turning to faith in God or a higher spiritual power is a common way of coping with life-threatening disease such as cancer. Little, however, is known about religious faith among cancer patients in secular societies. The present study aimed at exploring the prevalence of religious faith among Danish breast cancer patients and at identifying whether socio-demographic, pre-cancer health status, clinical, and health behavior characteristics, including their use of complementary and alternative medicine (CAM), were associated with their degree of faith. Information on faith in God or a higher spiritual power and use of CAM was provided by a nationwide sample of 3,128 recurrence-free Danish women who had received surgery for early-stage breast cancer 15–16 months earlier. Socio-demographic, clinical, and health status variables were obtained from national longitudinal registries, and health behaviors had been assessed at 3–4 months post-surgery. Of the women, 47.3% reported a high degree of faith (unambiguous believers), 35.9% some degree of faith (ambiguous believers), while the remaining 16.8% were non-believers. Unambiguous believers were more likely than ambiguous believers to experience their faith as having a positive impact on their disease and their disease-related quality-of-life. When compared to non-believers, unambiguous believers were also older, had poorer physical function, and were more frequent users of CAM, and more inclined to believe that their use of CAM would have a beneficial influence on their cancer. Disease- and treatment-related variables were unrelated to faith. While overall religious faith appears equally prevalent among Danish and US breast cancer patients, the majority of Danish breast cancer patients experienced ambiguous faith, whereas the majority of US patients have been found to express unambiguous faith. Our results suggest that future studies may benefit from exploring the role of faith for health behaviors, adherence to conventional treatment, and impact upon quality of life.     

Family Therapy in Norway: Past and Present

This article will describe the development of family therapy in Norway. First, this article will review the main theoretical influences on Norwegian family therapy, followed by a discussion about its international influence in the field. The second section of this article will address psychiatric health care, family counselling, and how systemic thinking and systemic practice have spread to other areas in the fields of health, social work, and pedagogy. Particularly, a special emphasis will be placed on child protection work in Norway. Then, the family therapy union and Norwegian and Scandinavian congresses will be presented. This article will then describe family therapy education and research in Norway. Finally, future developments in the field will be discussed.     

A Dyadic View of Support in Marriage: The Critical Role of Men’s Support Provision

This study examined how sensitive support provision and receipt were related to marital outcomes in a sample of 57 happily married, middle-class couples from the Midwestern U.S. To assess how observed supportive behaviors may be differentially associated with self-reported support satisfaction, marital love, and marital conflict for men and women, we utilized a series of Actor Partner Interdependence Models (APIM). This dyadic approach revealed significant gender differences regarding how the supportive role enacted (i.e., provider versus recipient) contributed considerably to marital outcomes. Specifically, husbands’ sensitive support provision significantly predicted both spouses’ support satisfaction. Additionally, husbands’ sensitive support provision was significantly associated with wives’ marital love. Wives’ reported conflict was predicted by the combination of both providing and receiving sensitive support. For husbands’ outcomes, husbands’ own sensitive support provision was most critically associated with their reporting greater love and less conflict. These findings reveal notable gender differences as men’s ability to provide sensitive support was critical not only to their wives’ marital outcomes, but to their own as well. Our results build upon and extend the literature implicating the importance of examining gender differences in supportive interactions in marriage. Moreover, our findings suggest that simultaneous consideration of spousal support receipt and provision is critical when seeking to understand how support is related to marital outcomes for men and women.     

The Test of Variables of Attention (TOVA): Internal Consistency (Q1 vs. Q2 and Q3 vs. Q4) in Children with Attention Deficit/Hyperactivity Disorder (ADHD)

The internal consistency of the Test of Variables of Attention (TOVA) was examined in a cohort of 6- to 12-year-old children (N = 63) strictly diagnosed with ADHD. The internal consistency of errors of omission (OMM), errors of commission (COM), response time (RT), and response time variability (RTV) of different test conditions (stimulus infrequent condition [Q₁ vs. Q₂] and stimulus frequent condition [Q₃ vs. Q₄]) was assessed via correlation analyses. All TOVA index scores under investigation assessing its internal consistency exhibited statistically significant correlations. All correlations fell in the moderate-high range.     

Dialogue and Synthesis: Developing Consensus in Visitor Research Methodology

ABSTRACT

This brief synthesis presents the main points of agreement between Dawson and Jensen's article, “‘Towards a ‘Contextual Turn’ in Visitor Studies: Evaluating Visitor Segmentation and Identity-Related Motivations” (this issue) and Falk's reply, “Contextualizing Falk's Identity-Related Visitor Motivation Model” (this issue), and it highlights important considerations for future research.     

The Delay Hypothesis: The Manifestation of Media Effects Over Time

A between‐participants experiment (N = 147) tested for the presence of a delayed effect following exposure to an episode of a legal drama that contained false information. Participants were more likely to endorse false beliefs if they were queried two weeks after watching the program rather than immediately following exposure. The relationship between time and false belief endorsement was found to be moderated by perceived reality of the program. Consistent with the delay hypothesis, those who perceived the legal drama to be unrealistic following exposure had significantly higher false belief scores at Time 2.     

Destructive Criticism Revisited: Appraisals,Task Outcomes,and the Moderating Role of Competitiveness

Destructive criticism is negative feedback that is inconsiderate in style and content, which exists at the intersection of performance feedback and interpersonal mistreatment. The current research integrates these literatures with an investigation of the effects of destructive versus constructive criticism from a co‐worker on recipients' relational appraisals, emotions, and task outcomes. Drawing from theorising about cognitive appraisals after personal affronts, we first propose that those who experience destructive criticism are more likely than those who experience constructive criticism to (a) perceive that the feedback‐giver intended to harm them, (b) blame the feedback‐giver, (c) distrust the feedback‐giver, and (d) feel anger. Second, with regard to task‐related outcomes, we extend research on trait moderators of feedback responses to the study of destructive criticism. We draw from feedback intervention theory ( Kluger & DeNisi, 1996 ) regarding how feedback may alter the locus of attention to be either self‐ or task‐focused, and investigate a trait that may shift one's attention to the self after destructive criticism. Specifically, we proposed that trait competitiveness—i.e. a desire to win over others—interacts with type of criticism to predict task‐related outcomes. The results of two experiments—a scenario study and a behavioral experiment—provide support for our arguments.     

Development of a self-theory and measurement scale.

In this study, we examined a theoretical model of self-development and a scale to measure 12 aspects of the self. The theory, called developmental self-theory, proposes a hierarchical arrangement of dimensions of the self. The 12 scales are collectively called the Omnibus Self-Test and measure Self-Esteem, Positive Self-Regard, Moral Self-Concept, Self-Confidence, Self-Reliance, Self-Control, Selfishness, Self-Disclosure, Self-as-Agent, Self-Critical, Self-Identity, and Self-Reflection. Preliminary data on the reliability and validity of the Omnibus Self-Test is reported along with intercorrelations among the scales.     

A comparison of coping strategies in patients with fibromyalgia,chronic neuropathic pain,and pain‐free controls

Patients suffering from chronic pain may benefit from learning adaptive coping strategies. Consensus on efficient strategies for this group of patients is, however, lacking, and previous studies have shown inconsistent results. The present study has examined coping strategies in two distinctly different groups of chronic pain patients and a group of healthy controls. Thirty neuropathic pain (NP) patients, 28 fibromyalgia (FM) patients, and 26 pain‐free healthy controls completed the Coping Strategy Questionnaire (CSQ‐48/27) and rated their daily pain. The results showed that FM and NP patients did not cope differently with pain. The only difference between the groups was that FM patients felt more in control of their pain than NP patients. Both patient groups used more maladaptive/passive coping strategies, but surprisingly also more adaptive/active coping strategies than healthy controls. However, FM patients with high levels of passive strategies felt less in control than FM patients with low levels of passive strategies. This was not seen in NP patients. An important implication for clinical practice is therefore that passive coping strategies should be restructured into active ones, especially for FM patients. Otherwise, the same psychological treatment model can be applied to both groups since they use similar coping styles.