Being positive despite illness: The contribution of positivity to the quality of life of cancer patients

Objective: The purpose of this study was to examine the longitudinal relationship between Positivity (POS), defined as a stable disposition to view at experience under a positive outlook, and physical and psychological functioning in a sample of cancer patients immediately after diagnosis and one year later.

Methods: A total of 110 patients (40% males) with pulmonary, colorectal and breast cancer, aged 30–75 (M age = 59.62; SD = 10.33), have been prospectively enrolled between 2012 and 2013, at the S. Andrea Hospital in Rome. All patients were previously aware of their diagnosis. A follow-up one year after diagnosis was conducted. We used structural equation modeling in order to analyse the specific effects of POS on functioning impairment from diagnosis to follow up.

Results: POS was associated with less functioning impairment both at diagnosis and follow-up assessments. Furthermore, POS level at diagnosis continued to be associated with less functioning impairment one year later, after controlling for its stability.

Conclusions: Patients with higher level of POS tended to report less symptoms associated with negative affect such as anxiety and despondency and to preserve their habitual relationships and social roles. POS may act as a basic disposition that sustains patients’ efforts to deal efficaciously with severe illness, by complying with medical treatment and using cognitive strategies that enable individuals to cope with concurrent and prospective challenges of illness.     

Ethnic Identity in Emerging Adults in Sub‐Saharan Africa and the USA,and Its Associations with Psychological Well‐Being

Ethnic identity as a social dimension of identity is argued to be developmentally important for psychological well‐being. However, the relationships between these constructs are mainly examined in Western contexts, amongst dominant–non‐dominant groups. We investigate ethnic identity across the mainstream group of a prototypical Western society (the USA) and several multi‐ethnic sub‐Saharan African countries (Cameroon, Kenya, South Africa, and Zambia), as well as how it relates to psychological well‐being. A total of 1255 university students (61.8% females, M_age = 20.94 years, SD = 2.97) completed a questionnaire with ethnic identity and psychological well‐being measures. Results indicated that ethnic identity was most salient in two different South African ethnocultural samples and least salient in a mainstream US sample. These results suggest that groups that are more exposed to ethnic strain in multicultural societies tend to have more salient ethnic identities. Furthermore, the underlying structure in the ethnic identity psychological well‐being relationship was similar across groups. Copyright © 2015 John Wiley & Sons, Ltd.     

Illness Perception and Well-Being Among Persons with Multiple Sclerosis and Their Caregivers

This study jointly examined illness beliefs held by persons with multiple sclerosis (PwMS) and caregivers in relation to well-being. A group of 68 PwMS and their caregivers completed the Revised Illness Perception Questionnaire, Psychological Well-being Scales, Satisfaction with Life Scale and Positive Affect and Negative Affect Schedule. Findings revealed that PwMS’ well-being was primarily predicted by their own illness beliefs, and that also caregivers’ well-being was primarily predicted by their own beliefs. Across the two groups, well-being was positively associated with their belief that they understood the disease, and inversely associated with their representations of negative emotions. In addition, among PwMS, well-being was inversely associated with the number of symptoms they specifically attributed to their illness, while among caregivers, well-being was positively associated with beliefs that treatment could control the disease. Based on the study findings, psychoeducational and cognitive-behavioral strategies are suggested to promote well-being among PwMS and caregivers.     

Psychosis,symbol, affectivity 2: another perspective on the treatment of psychotic disorder

This is the second of two papers concerning our study into an integrated approach to psychotic disorders conducted at the University Psychiatry Unit of Palermo’s Polyclinic over approximately 15 years; this paper concentrates on the clinical phenomena. The study aimed to find the best possible treatment and to improve the prognosis of this patient group. We have explored the efficacy of a range of psycho-therapeutic (cognitive-behavioural, systemic-relational, psychodynamic, group and others), psycho-pharmaceutical, psychiatric rehabilitative and psycho-educational treatments, with a hermeneutic approach instead of a systematic one. The study’s conclusions, described in the paper, are that all psychotic functions start with a nuclear psychic issue connected to emotional development. We describe how the most significant symptoms of acute psychotic manifestations (delusions and misperceptions) make use of an encrypted psychological meaning that can be decoded through the patient’s symbolic language. This language is a key element in diagnosis and in the choice of treatment. The paper describes how we revised our understanding of psychosis from being a brain disease to being a process aimed at the rearrangement of psychic functioning. Our significant results are described.     

Keeping an “I” on PRIDE: Measuring Imitation in Parent-Child Interaction Therapy

In parent–child interaction therapy (PCIT), therapists encourage parents to imitate child behaviors in order to convey approval of the child’s actions and promote the development of linguistic and social–cognitive skills. However, the Dyadic Parent-Child Interaction Coding System (DPICS-IV), used to measure skills taught during PCIT, does not include guidelines for coding parent–child imitation, making it difficult to determine how PCIT affects it. The current study addresses this problem by developing guidelines for coding imitation, which were then used to code DPICS-IV segments from 58 Mexican American families that participated in a past clinical trial. Results suggest that these coding guidelines can be used to reliably measure parent and child imitation. A series of additional analyses supported the construct validity of the codes. Specifically, there was a trend for parent imitation, but not child imitation, to increase more from pre–post treatment in PCIT relative to treatment as usual. In addition, parents who imitate their children were found to have children who imitate them more in return. Finally, improvement in parent imitation, but not child imitation, was significantly related to a decrease in child behavior problems. Further study is needed to determine the optimal frequency of imitation, and findings suggest that additional attention to coaching imitation may be warranted.     

Efficiency and defense motivated ingroup projection: Sources of protoypicality in intergroup relations

Members of higher status groups generalize characteristics of their ingroup to superordinate categories that serve as a frame of reference for comparisons with outgroups (ingroup projection). We propose that the causal process depends on the security of the intergroup context: When intergroup relations are secure, projection derives from a motivation to represent the superordinate category efficiently; when they are insecure, projection is a defense motivated process. Accordingly, we hypothesized that inducing participants to use heuristic vs. systematic information processing (via time pressure, cognitive load, or thoughtfulness instructions) would have differential effects on ingroup projection in secure as compared to insecure intergroup relations. Three experiments manipulated security of the intergroup context and information processing mode in artificial (Studies 1 and 2) or natural (Study 3) groups. We found that time pressure increased ingroup projection in the secure-group condition but decreased it in the insecure-group condition (Study 1), cognitive load increased projection in the secure but not in the insecure condition (Study 2) and thoughtfulness instructions increased projection for high identifiers in the insecure but not in the secure condition (Study 3). Results support the hypothesis that ingroup projection occurs as a cognitive bias in secure intergroup relations but that it is socially motivated by the specific intergroup relation when this relation is insecure.     

Anger, Spiritual Meaning and Support from the Religious Community in Dementia Caregiving

This study explores the relationships between spiritual meaning and social support from the religious community and problem behaviors, anger and depression in 128 dementia caregivers. The results suggest a mediating role of anger in the relationship between the appraisal of problem behaviors and depression. Support from the religious community is directly and negatively associated with anger, but the relationship between spiritual meaning and anger is mediated by caregivers’ appraisals of problem behaviors, suggesting that spiritual beliefs might help caregivers to find meaning in caregiving experiences and thus appraise care recipients’ behavioral problems as less stressful.     

La terapia de conducta en el tratamiento de la anorexia nerviosa ¿eficaz o peligrosa?

RESUMEN

Por el peligro físico que supone y los delicados matices de sus alteraciones, la anorexia nerviosa constituye un verdadero reto para los procedimientos tradicionales en la práctica clínica. El uso reciente de técnicas de terapia de conducta se ha visto también contestado por su supuesta peligrosidad para las personas que padecen esta importante alteración. En este artículo se revisan los principios fundamentales que sustentan este tipo de terapia y sus implicaciones en la salud del enfermo. Al final del artículo se presenta un breve estudio de casos tratados con terapia conductual.     

Memory for emotional words: The role of semantic relatedness,encoding task and affective valence

Emotional stimuli have been repeatedly demonstrated to be better remembered than neutral ones. The aim of the present study was to test whether this advantage in memory is mainly produced by the affective content of the stimuli or it can be rather accounted for by factors such as semantic relatedness or type of encoding task. The valence of the stimuli (positive, negative and neutral words that could be either semantically related or unrelated) as well as the type of encoding task (focused on either familiarity or emotionality) was manipulated. The results revealed an advantage in memory for emotional words (either positive or negative) regardless of semantic relatedness. Importantly, this advantage was modulated by the encoding task, as it was reliable only in the task which focused on emotionality. These findings suggest that congruity with the dimension attended at encoding might contribute to the superiority in memory for emotional words, thus offering us a more complex picture of the underlying mechanisms behind the advantage for emotional information in memory.