Psychological intervention with couples coping with breast cancer: A systematic review

Objective: Information about psychological intervention with couples coping with breast cancer is not well-disseminated. This can be explained, at least in part, by the absence of knowledge about the efficacy of this kind of intervention. The aim of the present systematic review is to identify and describe psychological interventions for couples coping with breast cancer and evaluate their efficacy.

Design: Studies identified by a searching multiple literature databases related to health and psychology between 1975 and 2013. Rigorous inclusion and exclusion criteria were utilised.

Results: Of 129 abstracts, 13 were extracted for further analysis and a final ten studies were deemed eligible for inclusion. Data were extracted from each study regarding study sample characteristics, design, results and methodological limitations. The results obtained were mixed in regard to efficacy, although the overwhelming majority of studies (eight studies) found benefits for both women and their partners in some dimensions, such as quality of life, psychological distress, relationship functioning and physical symptoms associated with cancer.

Conclusion: Psychological interventions for couples coping with breast cancer appear to be effective for both women and their partners. However, further studies are needed to evaluate the efficacy of couple-based interventions and, to identify for whom and how they are more effective.     

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Microstructural investigations have been carried out on a fully lamellar Ti₄₉Al₄₇Cr₂Nb₂     

Isolement et solitude au travail : l’exemple des agents d’accueil de parcs urbains. Des effets pathogènes aux processus de régulation et de dégagement

Through action-research case study in the area of “Parks and Gardens”, this paper focused on the relations between “aloneness”, “loneliness” and “solitude” at work and their necessary distinctions. The Socio-Clinical work psychology approach used during the intervention helped to highlight some key elements. While aloneness characterizes a stretched between the subject and its external environment link, loneliness and solitude are defined as intra-subjective process mainly emotional psycho. These last notions remain in any case a test for physical and psychological occupational health. It seems that the outcomes depend largely on the ability of the subject to convert aloneness to solitude. In our case study three valences of aloneness with different level of risk for health, were underline: solitude, as creative aloneness; defensive aloneness; and loneliness. The advantages of this new approach for prevention are discussed in the positioning relative to other work on the subject.     

An adolescent perspective on injury recovery and the return to sport

ObjectivesThe purpose of this investigation was to examine adolescent athletes' injury recovery and return-to-sport experiences. Given previous research highlighting competence, autonomy, and relatedness concerns among returning athletes (Podlog & Eklund, 2006), we sought to examine the extent to which basic psychological needs theory (BPNT: Ryan & Deci, 2007) could be used as framework for interpreting the research findings.DesignA qualitative design was employed in the present investigation.MethodEleven Australian athletes (M age = 15.3) who had incurred a range of severe injuries (e.g., anterior cruciate ligament tears, shoulder dislocations) were interviewed on 2–3 occasions (n = 27 interviews) spanning an 11-month period.ResultsAnalysis of the data revealed the following four key themes: (a) injury stress, (b) coping strategies, (c) experiences with social support, and (d) recovery outcomes. Injury stress provides insights into a range of stressors and strain responses reported by the adolescents across the recovery phases, while the theme on coping highlights the specific strategies used to maintain motivation, reduce uncertainties associated with the injury experience, and to keep focused on future athletic attainment. The third theme, experiences with social support, considers the transactions the adolescents held with members of their social network throughout their recovery. The final theme, recovery outcomes, describes participant perceptions of a successful/unsuccessful recovery and stress-related growth.ConclusionsResults suggest that competence and relatedness issues highlighted in BPNT may be relevant in exploring adolescent athletes' injury experience. Somewhat less evidence for the autonomy dimension of BPNT was apparent in adolescent comments.     

Distinguishing multi-voxel patterns and mean activation: Why, how, and what does it tell us?

The introduction of multi-voxel pattern analysis (MVPA) to the functional magnetic resonance imaging (fMRI) community has brought a deeper appreciation for the diverse forms of information that can be present within fMRI activity. The conclusions drawn from MVPA investigations are frequently influenced by both the ability to decode information from multi-voxel patterns and mean activation levels. In practice, MVPA studies vary widely in why and how they test for differing overall response levels. In this article, I examine the place of univariate information in MVPA investigations. I first discuss the variety of interpretations given to finding univariate response differences. I go on to discuss some of the analysis approaches used to investigate and compare univariate and multivariate sources of information, which can illuminate their respective contributions. It will be important for the MVPA and general fMRI community to continue to discuss and debate these important issues.     

Pupil diameter measurement errors as a function of gaze direction in corneal reflection eyetrackers

Pupil dilation is a useful, noninvasive technique for measuring the change in cognitive load. Since it is implicit and nonverbal, it is particularly useful with preverbal or nonverbal participants. In cognitive psychology, pupil dilation is most often measured by corneal reflection eye-tracking devices. The present study investigates the effect of gaze position on pupil size estimation by three common eye-tracking systems. The task consisted of a simple object pursuit situation, as a sphere rotated around the display screen. Systematic errors of pupil size estimation were found with all three systems. Implications for task-elicited pupillometry, especially for gaze-contingent studies such as object tracking or reading, are discussed.     

Acceptance of Genetic Counseling and Testing in a Hospital-Based Series of Patients with Gynecological Cancer

Referral of patients with endometrial (EC) and/or ovarian cancer (OC) for genetic counseling is based on age at diagnosis and family history. Many patients with hereditary cancers are missed by following this strategy. We determined acceptance and mutation detection rate of offering genetic counseling and testing to unselected EC and OC patients. Therefore, in 2007, EC and OC patients were invited for genetic counseling and testing. Patients were asked for their reasons to accept or decline. Nineteen out of fifty-two EC patients (36 %) and twenty-two out of thirty-five OC patients (63 %) accepted genetic counseling, mainly to receive risk assessment for themselves and relatives. Counseling was declined mainly because patients did not want more tests or had no relatives for whom it was relevant. Eighteen out of nineteen EC patients (95 %) and twenty out of twenty-two OC patients (91 %) underwent genetic testing. One EC patient carried an MSH6 mutation (mutation detection rate: 6 %). BRCA1/2 mutations were found in two out of twenty OC patients (10 %). Eleven patients (29 %) received surveillance recommendations for themselves and their relatives. Finally, family history recorded by the gynecologist was compared to that taken by the clinical geneticist. Gynecologists reported family history in ten out of forty-one participants (24 %). In conclusion, genetic counseling and testing are acceptable to patients with OC and/or EC. The 10 % BRCA1/2 mutation detection rate and underreporting of family history by gynecologists warrant referral for genetic counseling for all OC patients, followed by BRCA1/2 testing if indicated. We recommend that microsatellite instability and immunohistochemical analysis be performed in all EC patients, followed by genetic counseling if appropriate. These strategies will lead to better cancer prevention in gynecological cancer patients and their relatives.     

Post-response stimulation and the Simon effect: Further evidence of action-effect integration

The recently proposed action-concept view of perceptual-motor behaviour posits that a stimulus which consistently follows a certain response will become associated with that response. Some evidence in favour of this view comes from the finding that the size of the Simon effect can be altered by the inclusion of post-response stimuli. However, only one study has investigated the effects of including same-side in addition to opposite-side post-response stimuli, as well as a neutral Simon condition, and, possibly because of a failure of random assignment, the results from that study were inconclusive. In light of this limitation, a Simon experiment was performed in which the location of post-response stimulation was manipulated within subjects. The results showed that: (1) the Simon effect can both decrease and increase in the presence of post-response stimuli, and (2) the amounts of Simon interference and Simon facilitation are both affected by post-response stimuli, whereas performance on neutral trials is not. These findings provide additional support for the action-concept view and suggest that further research concerning this new approach is warranted.     

A contrast effect between the concurrent production and perception of movement directions

With three experiments, we explored the nature of specific interference between the concurrent production and perception of movements. Participants were asked to move one of their hands in a certain direction while simultaneously trying to identify the direction of an independent and non-biological stimulus motion. Perceived direction of the stimulus was assessed with either above/below judgements (Experiment 1), same/different judgements (Experiment 2), or the adjustment of a line (Experiment 3). The results revealed a form of contrast effect: Perceived directions were repulsed by produced directions. Moreover, the size of the effect was comparable across the three experiments, which points to its robustness and allowed us to control for potential confounds associated with some of the perceptual measures. These results alleviate concerns regarding the interpretation of related findings and demonstrate that effects of this type are not tied to the processing of biological motion, as previously proposed.     

How do job characteristics contribute to burnout? Exploring the distinct mediating roles of perceived autonomy,competence, and relatedness

This study aimed to better understand the psychological mechanisms, referred to in the job demands–resources model as the energetic and motivational processes, that can explain relationships between job demands (role overload and ambiguity), job resources (job control and social support), and burnout (emotional exhaustion, depersonalization, and personal accomplishment). Drawing on self-determination theory, we examined whether psychological resources (perceived autonomy, competence, and relatedness) act as specific mediators between particular job demands and burnout as well as between job resources and burnout. Participants were 356 school board employees. Results of the structural equation analyses provide support for our hypothesized model, which proposes that certain job demands and resources are involved in both the energetic and motivational processes—given their relationships with psychological resources—and that they distinctively predict burnout components. Implications for burnout research and management practices are discussed.