Utilization of Hospital-Based Chaplain Services Among Newly Diagnosed Male Veterans Affairs Colorectal Cancer Patients

The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 % response rate). Multivariable logistic regression examined factors associated with chaplain utilization. Of 918 male respondents, 36 % reported utilizing chaplains. Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1.017; 95 % CI = 0.999–1.035), younger age (age OR = 0.979; 95 % CI = 0.964–0.996), and later cancer stage (early stage OR = 0.743; 95 % CI = 0.559–0.985). Chaplain services are most utilized by younger, sicker patients.     

Depression and pain in night time and daytime functioning of individuals with lupus

The purpose of this study was to investigate the role of pain and depression in night time and daytime functioning of individuals with lupus. A cross-sectional research design was used. Participants were recruited via a mail-out to members of the Lupus Australia Foundation and the Lupus Association of New South Wales. One hundred and fifty-four participants completed a questionnaire package consisting of a Lupus Medical and Symptoms Questionnaire designed by the researchers, the Cardiac Depression Scale and the Pittsburgh Sleep Quality Index. Hierarchical regression analyses revealed that pain principally predicted levels of sleep disturbance, whilst depression and pain (to a lesser extent) together predicted daytime dysfunction. The present results suggested the need for more adequate pain management, particularly at night and psychological interventions to decrease levels of depression that interfere with daily functioning in individuals with lupus.     

An Exploratory Investigation of Three Self-Other Orientation Measures

A new non-verbal, multidimensional approach to self-concept measurement (SOO tasks) was compared to one representative of the traditional verbal measurement approach. Both self-concept measures and an anxiety measure were administered to 25 boys and 23 girls. Correlations between the measures were generally disappointing but typically more positive for the girls. The question of methods variance overshadowing any trait variance common to the self-concept measures was viewed as needing further study, since a non-verbal approach to self-concept measurement could avoid the problems of response set. Some tentative hypotheses regarding the SOO tasks and sex differences in self-concept were discussed.     

Motivation for and commitment to social values: The roles of age and gender

The primary aim of this study was to examine how motives and commitment to social values influence well-being in men and women of different ages. College students and older adults in the community reported on their motivational orientation (intrinsic vs. extrinsic), behavioral commitment to idiographic social values, and their current well-being (satisfaction with life, positive and negative affect). We tested a series of path models with motivational orientation mediating the relationship between commitment to values and well-being. Consistent with self-determination theory, we found that behavioral commitment to intrinsically motivating social values was related to greater life satisfaction and positive affect, whereas being committed to extrinsically motivating values was related to greater negative affect. While age and gender did not moderate these relationships, meaningful age and gender differences emerged across value-based motivations, commitment, and indices of well-being. This work adds to our understanding of how values are a guiding influence for successful navigation of one’s social world.     

A time of change: Behavioral and neural correlates of adolescent sensitivity to appetitive and aversive environmental cues

Adolescence is a developmental period that entails substantial changes in affective and incentive-seeking behavior relative to both childhood and adulthood, including a heightened propensity to engage in risky behaviors and experience persistent negative and labile mood states. This review discusses the emotional and incentive-driven behavioral changes in adolescents and their associated neural mechanisms, focusing on the dynamic interactions between the amygdala, ventral striatum, and prefrontal cortex. Common behavioral changes during adolescence may be associated with a heightened responsiveness to incentives and emotional cues while the capacity to effectively engage in cognitive and emotion regulation is still relatively immature. We highlight empirical work in humans and animals that addresses the interactions between these neural systems in adolescents relative to children and adults, and propose a neurobiological model that may account for the nonlinear changes in adolescent behavior. Finally, we discuss other influences that may contribute to exaggerated reward and emotion processing associated with adolescence, including hormonal fluctuations and the role of the social environment.