How patients’ representations of cystic fibrosis-related diabetes inform their health behaviours

Background: Although diabetes is a frequent complication of cystic fibrosis (CF), patients’ behaviours tend not to comply with best practice recommendations. Using Leventhal’s Common-Sense Model, we address this issue by exploring patients’ representations of CF-related diabetes (CFRD) to better understand the discrepancy between patients’ expected and observed health behaviours.

Methods: Semi-structured individual interviews were conducted with patients (n = 39) in six CF clinics in Quebec, Canada. These interviews were part of a larger research project on screening and management practices for CFRD.

Results: Illness representations differed between two groups of interviewed patients: (1) one group had either CF without dysglycemia or CF with impaired glucose tolerance; and (2) the other group had CFRD. Both representations were internally consistent and encompassed Leventhal’s five dimensions of illness representation: illness identity, cause, timeline, consequences and control.

Conclusions: Patients require specific information on CFRD. The screening phase could be a crucial time to help patients adjust their representations to fit the reality of CFRD.     

Mindfulness as a moderator of the effect of implicit motivational self-concept on day-to-day behavioral motivation

Drawing from theories regarding the role of awareness in behavioral self-regulation, this research was designed to examine the role of mindfulness as a moderator between implicit motivation and the motivation for day-to-day behavior. We hypothesized that dispositional mindfulness (Brown and Ryan, J Pers Soc Psychol, 84, 822–848, 2003) would act to modify the expression of implicit autonomy orientation in daily behavioral motivation. Using the Implicit Association Test (Greenwald et al. J Pers Soc Psychol, 74, 1464–1480, 1998), Study 1 provided evidence for the reliability and validity of a new measure of implicit autonomy orientation. Using an experience-sampling strategy, Study 2 showed the hypothesized moderating effect, such that implicit autonomy orientation predicted day-to-day motivation only for those lower in dispositional mindfulness. Those higher in mindfulness showed more autonomously motivated behavior regardless of implicit orientation toward autonomy or heteronomy. It also showed that this moderating effect of awareness was specific to mindfulness and was primarily manifest in spontaneous behavior. Discussion focuses on the implications of these findings for dual process theory and research.

High-restrained eaters only overeat when they are also impulsive

Recent work shows that the inability to inhibit basic motor responses (like pressing a button) is related to overeating, weight gain and overweight. In the present study it was tested whether this inability to inhibit motor responses - or impulsivity - can differentiate between successful and unsuccessful restrained eaters. A typical preload and food exposure paradigm was used and it was hypothesized that only the high-restrained eaters that are simultaneously inefficient inhibitors of prepotent motor responses would overeat when confronted with tempting foods. In line with the hypothesis, the data show that overeating follows from an interaction between restraint and impulsivity; high-restrained eaters only overate when they were also impulsive. It is concluded that being restrained per se is not a determinant of overeating. Being a restrained eater only bears the risk of overeating in case of coexisting impulsivity.     

Remembering personal change for better or worse: Retrieval context matters

We investigated how focusing on the details (experience focus) versus self-narrative significance (coherence focus) of valenced transitions informs appraisals and emotions at recall. Participants (N = 302) selected a negative or positive transition and rated their emotion. Two weeks later, they described their event using an experience or coherence focus, then rated emotion, event impact, self-relevance, and memory characteristics. A coherence (vs. experience) focus produced lower negative affect and greater psychological impact, particularly for negative transitions. The negative-coherence group showed the largest decrease in negation emotion over time. A coherence (vs. experience) focus resulted in less perceptual detail, reactivity, and re-experiencing. Positive (vs. negative) events were deemed more central to identity and connected to other events. Mental focus informed psychological impact and negative affect, while event valence influenced self-relevance. These findings remained when event type (interpersonal) was matched across groups. Motives for framing autobiographical memories and implications for adaptive self-reflection are discussed.     

Reappraising Past and Future Transitional Events: The Effects of Mental Focus on Present Perceptions of Personal Impact and Self‐Relevance

This research examined how instructions to focus on the concrete details (experience focus) versus broader life significance (coherence focus) influence present perceptions of transitional impact and self‐relevance for past and future transitional events. Participants (Study 1, N = 119; Study 2, N = 251) selected a past or future transition and wrote about it using either an experiential or coherence focus. Participants then rated the event on transitional impact, self‐relevance, and other phenomenological characteristics. Individuals instructed to use a coherence focus on a past transition reported higher levels of material and psychological impact and rated the event as more self‐relevant, compared to those instructed to use an experiential focus. The manipulation did not influence ratings for future events. Controlling for temporal distance and emotional valence did not alter the findings. Future transitions were regarded as more personally important than past transitions. Appraisals of the impact and self‐relevance of transformative past events (but not future events) are affected by the mental focus adopted at retrieval. The findings are considered in light of essential differences between remembering and forecasting and support the notion that a coherence focus promotes adaptive self‐reflection by affording people the cognitive means with which to reconcile transitional experiences.     

Are students in some college majors more self-determined in their studies than others?

Self-determination theory proposes that the extent to which students’ motivation is self-determined is critical to learning outcomes. Based on occasional research evidence and our perceptions, we hypothesize that college students in certain majors have profiles that are higher in self-determined motivation than students in other majors. Specifically, our primary hypothesis is that students in the social sciences and humanities tend to be more self-determined, whereas students in business-related majors tend to be less self-determined. The results from two studies using large samples and advanced analytical methods support the primary hypotheses. Comparison results were also obtained for other majors (e.g., engineering and natural sciences), and supplemental analyses supported the critical role of self-determined motivation in learning outcomes among students in all majors. Study 2 also found support for two mechanisms for such differences, i.e., the majors’ learning climates and students’ individual differences in autonomous functioning. The current evidence suggests the importance of promoting more humanistic learning environments in certain academic disciplines.     

Painfully bored: the role of negative urgency and history of Non-Suicidal Self-Injury in Self-Administering painful stimuli

Motivation and Emotion - The current study aims to examine the causal effect of boredom on non-suicidal self-injury (NSSI), expanding prior experimental research by including an anger induction to...     

“Transformation Tuesday”: Temporal context and post valence influence the provision of social support on social media

Social network sites (SNSs) such as Facebook have become integral in the development and maintenance of interpersonal relationships. Users of SNSs seek social support and validation, often using posts that illustrate how they have changed over time. The purpose of the present research is to examine how the valence and temporal context of an SNS post affect the likelihood of other users providing social support. Participants viewed hypothetical SNS posts and reported their intentions to provide social support to the users. Results revealed that participants were more likely to provide social support for posts that were positive and included temporal context (i.e., depicted improvement over time; Study 1). Furthermore, this research suggests that visual representations of change over time are needed to elicit social support (Study 2). Results are discussed in terms of their practical implications for SNS users and theoretical implications for the literature on social support and social media.