Impact of health beliefs, quality of life, and the physician-patient relationship on the treatment intentions of inflammatory bowel disease patients.

The research tested a model of treatment decision making in chronic illness that includes health beliefs, quality of life, and relationship with the physician (shared or not). Inflammatory bowel disease patients (N = 218) reported on their physician-patient relationship, general and disease-specific quality of life, and intentions to take a drug, for which perceived benefits and costs were manipulated. For more symptomatic patients, both costs and benefits predicted intentions; however, for less symptomatic patients, costs played a more important role. Physician recommendation predicted intention primarily among those who shared a decision-making relationship with their physician. Overall, the model accounted for 57.8% of the variance in medication-taking intention. Findings suggest that an integrative consideration of relationship factors, health beliefs, and health status may help explain treatment intentions among the chronically ill.     

Struggling To Be Happy — Even When I'm Old

My thesis seeks to reduce what may be a natural human antipathy to ageing and/or the elderly by working with one distinctive and consistently approved feature of some older people. This feature is a bold and cheerful struggle within a self-chosen project. The argument opens by distinguishing short-term gratification from lasting, fulfilling happiness, and showing the link between gratification and dependence. Three kinds of struggle (non-voluntary, part-voluntary and positive) are then outlined and exemplified. Gerontological and anthropological research suggest that attitudes to struggle are fixed early in life, and while in the past they mitigated for or against successful survival, they now influence happiness and coping in later life. I argue that the negative effects of the first two kinds of struggle - which are often misguided, grudging or 'no-win' struggles - are responsible for the rigidity, narcissism and resentment disliked in some older people. Self-respect, contrasted with self-righteousness, is shown to accrue only from the positive (voluntary and congenial) struggle that seems at any age to deflect or compensate for depression, disappointment, loneliness and illness.     

Neurocognitive influences on health behavior in a community sample.

CONTEXT: Dominant models of individual health behavior omit biological variables entirely and are composed almost exclusively of social-cognitive and conative variables. Research from the neurosciences suggests a role for brain function in explaining behaviors that require active self-regulation for consistent performance. However, the association between brain function and health behavior is underexplored. OBJECTIVE: To examine the predictive power of executive function for 2 health risk behaviors and 2 health protective behaviors in healthy adults. DESIGN: A cross-sectional community sample (N = 216) of adults 20-100 years of age were administered a battery of neuropsychological tests and completed self-report questionnaires regarding their health practices. It was hypothesized that poor performance on neuropsychological tests tapping executive function would be associated with poor health behavior tendencies. RESULTS: Errors on the Stroop task were positively associated with health risk behavior and negatively associated with health protective behavior after controlling for demographics, education, and IQ. CONCLUSION: Executive function is associated with health behavior tendencies. If the association is causal, explanatory models of individual health behavior should be revised to account for individual differences in biologically imbued self-regulatory abilities.     

The Role of Attachment Styles and Interpersonal Problems in Suicide‐Related Behaviors

The relationships among adult attachment styles, interpersonal problems, and categories of suicide‐related behaviors (i.e., self‐harm, suicide attempts, and their co‐occurrence) were examined in a predominantly psychiatric sample (N = 406). Both anxious and avoidant attachment styles were associated with interpersonal problems. In turn, specific interpersonal problems differentially mediated the relations between attachment style and type of suicide‐related behaviors. These findings suggest the importance of distinguishing between these groups of behaviors in terms of etiological pathways, maintenance processes, and treatment interventions.     

The Growing Use of Firearms by Suicidal Older Women, 1979–1992: A Research Note

Suicide among older women (65 +) has received very little attention despite increasing numbers of suicides in this population. An examination of national mortality data from the National Center for Health Statistics for the years 1979 through 1992 shows an increasing trend in rates of suicide among older women and a declining trend among women under 65. Over the 14-year period, firearms replaced poisoning as the most prevalent method of suicide by women 65 and over. The results seem consistent with the assertion that the availability, familiarity, and cultural acceptability of firearms may play a role in the choice of suicide method among older women. Although violent death and the use of firearms are generally associated with males in our society, the trends reported here indicate that greater attention to firearm suicides among older women is warranted.     

A “word length effect”for sign language: Further evidence for the role of language in structuring working memory

We report a sign length effect in deaf users of American Sign Language that is analogous to the word length effect for speech. Lists containing long signs (signs that traverse relatively long distances) produced poorer memory performance than did lists of short signs (signs that do not change in location). Further, this length effect was eliminated by articulatory suppression (repetitive motion of the hands), and articulatory suppression produced an overall drop in performance. The pattern of results, together with previous findings (Wilson & Emmorey, 1997), provides evidence for a working memory system for sign language that consists of a phonological storage buffer and an articulatory rehearsal mechanism. This indicates a close equivalence of structure between working memory for sign language and working memory for speech. The implications of this equivalence are discussed.     

The "Social Etymology" of 'Sexual Harassment'

Language does not simply symbolize a situation or object which is already there in advance; it makes possible the existence or the appearance of that situation or object for it is a part of the mechanism whereby that situation or object is created. (Mead 1934, p. 78)