Predicting short and long-term exercise intentions and behaviour in patients with coronary artery disease: A test of protection motivation theory

The purpose of this study was to examine the utility of protection motivation theory (PMT) in the prediction of exercise intentions and behaviour in the year following hospitalisation for coronary artery disease (CAD). Patients with documented CAD (n?=?787), recruited at hospital discharge, completed questionnaires measuring PMT's threat (i.e. perceived severity and vulnerability) and coping (i.e. self-efficacy, response efficacy) appraisal constructs at baseline, 2 and 6 months, and exercise behaviour at baseline, 6 and 12 months post-hospitalisation. Structural equation modelling showed that the PMT model of exercise at 6 months had a good fit with the empirical data. Self-efficacy, response efficacy, and perceived severity predicted exercise intentions, which, in turn predicted exercise behaviour. Overall, the PMT variables accounted for a moderate amount of variance in exercise intentions (23%) and behaviour (20%). In contrast, the PMT model was not reliable for predicting exercise behaviour at 12 months post-hospitalisation. The data provided support for PMT applied to short-term, but not long-term, exercise behaviour among patients with CAD. Health education should concentrate on providing positive coping messages to enhance patients’ confidence regarding exercise and their belief that exercise provides health benefits, as well as realistic information about disease severity.     

The role of attitudes towards the targets of behaviour in predicting and informing prenatal testing choices

Research considering the role of attitudes in prenatal testing choices has commonly focused on the relationship between the attitude towards undergoing testing and actual testing behaviour. In contrast, this study focused on the relationship between testing behaviour and attitudes towards the targets of the behaviour (in this case people with Down syndrome (DS) and having a baby with DS). A cross-sectional, prospective survey of 197 pregnant women measured attitudes towards the targets of prenatal testing along with intentions to use screening and diagnostic testing, and the termination of an affected pregnancy. Screening uptake was established via patient records. Although attitudes towards DS and having a baby with DS were significantly associated with screening uptake and testing and termination intentions, unfavourable attitudes were better than favourable ones at predicting these outcomes. For example, in the quartile of women with the ‘most favourable’ attitude towards people with DS 67% used screening although only 8% said they would terminate an affected pregnancy. Qualitative data suggested that not all women considered personal attitudes towards DS to be relevant to their screening decisions. This finding has implications for the way in which informed choice is currently understood and measured in the prenatal testing context.     

Executive function outcomes of children with traumatic brain injury sustained before three years

Traumatic brain injury (TBI) is a common cause of disability in childhood. While the outcomes of TBI sustained in school years has been heavily researched, very little is known about the impact of TBI in infants and young children. The aim of this study was to investigate the impact of TBI on executive function (EF) in children who sustained a TBI before 3 years of age. A group of 55 children, 19 with a mild TBI, 16 children with a moderate-severe TBI, and 20 uninjured comparison children participated. The EF of children aged 3 to 6 years were compared using child-based measures of attentional control and information processing. Parents completed questionnaires rating their child's EF. Severity groups differed on the child-based EF measure of attentional control with children with TBI performing below the control group. There were no significant group differences for information processing or parent-rated EF. It appears that children who sustain a TBI before the age of 3 years display impairments in some areas of attentional control 3–4 years postinjury. The findings fit with the existing EF literature for older children.     

A psychobiographical analysis of Dambudzo Marechera's personal development through his writings

This study applied psychobiography to explore the personal development of Zimbabwean novelist Dambudzo Marechera – and particularly focus on psychological disintegration. For the evidence, we examined primary and secondary works on his life history with special attention to his literary works. Findings indicate that his early writings were autobiographical in nature, chronicling lived poverty, war and violence experiences. Later writings were somehow surrealistic and unstructured, marking a culmination of significant personal disintegration that started in early childhood. Other ancillary biographical evidence suggests self-perceptions as a cult-like figure, and what appears to be a limited social interest.     

Uncertainty in ethical consumer choice: a conceptual model

The market place has seen significant growth in the demand for ‘ethical’ products and services. Yet, consumers often experience knowledge, evaluation and choice uncertainties in decision‐making processes, particularly in relation to products such as ethical clothing. The authors explore this pertinent form of consumer uncertainty through three qualitative studies of ethical consumers that examine their approaches to clothing consumption. In‐depth interviews and focus groups confirm uncertainty arises; the results also identify the causes and consequences of consumer uncertainty in this context. The causes of uncertainty pertain to issues surrounding complexity, ambiguity, conflict and credibility that give rise to uncertainties that result in delaying purchase decisions, compromising beliefs and negative emotions. This study contributes to literature by offering a holistic understanding of the challenges facing consumers when making ethical choices. Copyright © 2013 John Wiley & Sons, Ltd.     

'You get used to it': Working with trauma in a burns unit of a South African children's hospital

I report here on the first stages of my work as a consultant clinical psychologist in a burns unit of a South African children's hospital. I show how the enormous trauma of the work leads inevitably to the adoption of defences on the part of staff against the pain and load of their work. I use the writing of Menzies Lyth and other authors as a basis for understanding staff defences in their daily work. I then describe the process whereby it has become possible to institute a form of group support for the staff. It has been important to think not only of the maladaptive but also of the helpful function of defences, and to recognize the staff's need for continuity and acceptance on the part of the consultant.     

Does Perceived Realism Really Matter in Media Effects?

Memory, perceived realism, and emotional responses to documentary and fictional film excerpts were investigated experimentally using adult participants. Documentary stimuli were perceived as more factual than their fiction counterparts at both semantic and syntactic levels. However, contrary to expectations, memory for visual and verbal information and the intensity of emotional reactions were greater overall for fiction films. Films whose content corresponded to well-known social themes and film genres also had a greater influence on memory and emotions. In general, it appears that perceived factuality does not have as compelling an influence on adults as it does on younger viewers. Results are interpreted in terms of the differences between cinematic attributes of documentary and fiction films and between the cognitive processes activated by these two film genres and by different themes.     

Modality exclusivity norms for 400 nouns: The relationship between perceptual experience and surface word form

We present modality exclusivity norms for 400 randomly selected noun concepts, for which participants provided perceptual strength ratings across five sensory modalities (i.e., hearing, taste, touch, smell, and vision). A comparison with previous norms showed that noun concepts are more multimodal than adjective concepts, as nouns tend to subsume multiple adjectival property concepts (e.g., perceptual experience of the concept baby involves auditory, haptic, olfactory, and visual properties, and hence leads to multimodal perceptual strength). To show the value of these norms, we then used them to test a prediction of the sound symbolism hypothesis: Analysis revealed a systematic relationship between strength of perceptual experience in the referent concept and surface word form, such that distinctive perceptual experience tends to attract distinctive lexical labels. In other words, modality-specific norms of perceptual strength are useful for exploring not just the nature of grounded concepts, but also the nature of form–meaning relationships. These norms will be of benefit to those interested in the representational nature of concepts, the roles of perceptual information in word processing and in grounded cognition more generally, and the relationship between form and meaning in language development and evolution.     

Flexible and fast: Linguistic shortcut affects both shallow and deep conceptual processing

Previous research has shown that people use linguistic distributional information during conceptual processing, and that it is especially useful for shallow tasks and rapid responding. Using two conceptual combination tasks, we showed that this linguistic shortcut extends to the processing of novel stimuli, is used in both successful and unsuccessful conceptual processing, and is evident in both shallow and deep conceptual tasks. Specifically, as predicted by the ECCo theory of conceptual combination, people use the linguistic shortcut as a “quick-and-dirty” guide to whether the concepts are likely to combine into a coherent conceptual representation, in both shallow sensibility judgment and deep interpretation generation tasks. Linguistic distributional frequency predicts both the likelihood and the time course of rejecting a novel word compound as nonsensical or uninterpretable. However, it predicts the time course of successful processing only in shallow sensibility judgment, because the deeper conceptual process of interpretation generation does not allow the linguistic shortcut to suffice. Furthermore, the effects of linguistic distributional frequency are independent of any effects of conventional word frequency. We discuss the utility of the linguistic shortcut as a cognitive triage mechanism that can optimize processing in a limited-resource conceptual system.     

Risk and Protective Factors for Comorbid Posttraumatic Stress Disorder among Homeless Individuals in Treatment for Substance-Related Problems

Homeless individuals undergoing treatment for substance use disorders (SUD) can pose clinical challenges. Posttraumatic stress disorder (PTSD) symptoms have been observed in the most difficult clients. The study sample consisted of 51 homeless individuals, 9 women and 42 men, undergoing consultation for SUD in Montreal. The mean age was 46 years (SD = 7.19). Of the sample, 49% had a potential PTSD diagnosis. Most participants had the following characteristics: an alcoholic parent, a history of an early trauma, and little social support. The participants with a potential PTSD diagnosis were significantly more likely to have had an alcoholic parent, to have experienced an early trauma, and to use more maladaptive coping strategies. The study results and limits are discussed.