Illness perception in people with chronic obstructive pulmonary disease

Illness perception (IP) concerns how patients evaluate living with a disease. To get a broader understanding of IP in patients with chronic obstructive pulmonary disease (COPD), we investigated whether breathlessness is an important precursor of IP and whether IP in its turn is related to mental health, physical health and global quality of life (QOL). One hundred and fifty‐four patients with COPD participated in a cross‐sectional survey. Participants underwent pulmonary function testing, provided socio‐demographic and clinical information, and completed the following standardized instruments: Brief Illness Perception Questionnaire, Respiratory Quality of Life Questionnaire, Short‐Form 12 Health Survey and the Quality of Life Scale. Multiple regression analyses were performed. A high IP score indicates that a patient believes that his/her illness represents a threat. Participants with a high score on the IP dimensions consequences, identity, concern and emotional representation, experienced more breathlessness. High scores on the IP dimensions consequences, identity and concern were associated with impaired physical health and high scores on the IP dimensions consequences, identity and emotional representation were associated with impaired mental health. Impaired global QOL was associated with high scores on the IP dimensions consequences, identity, concern, coherence and emotional representation. The strength of the associations between breathlessness and physical/mental health and global QOL decreased when certain dimensions of IP were included as predictors, indicating that IP to some extent acts as a mediating factor. These findings may have practical implications of patient counselling by helping COPD patients to cope with their disease by restructuring their personal models of illness.     

Whiteness and Disability: Double Marginalization

Whiteness involves a set of privileges that are lost or removed when a person becomes, or is perceived to be, disabled. For European American women, disability impacts femininity, the part of identity that differentiates them from European American men who hold maximal power and privilege in U.S. society. Disability represents a health issue, a barrier to social participation, and vulnerability to individual and societal abuse. Development of a healthy disability identity allows European American women to negotiate the multicultural situation of being White, women, and disabled.     

Christian Churches and the Prevention of Preadolescent Aggression and Violence in Puerto Rico: Regional Leaders’ Perspective

Journal of Religion and Health - Preadolescents’ involvement in religious congregations may serve as a distal protective factor against aggression. Interviews were conducted to...     

Religion and Spirituality among American Indian,South Asian,Black, Hispanic/Latina,and White Women in the Study on Stress,Spirituality, and Health

Social scientists have increasingly recognized the lack of diversity in survey research on American religion, resulting in a dearth of data on religion and spirituality (R/S) in understudied racial and ethnic groups. At the same time, epidemiological studies have increasingly diversified their racial and ethnic representation, but have collected few R/S measures to date. With a particular focus on American Indian and South Asian women (in addition to Blacks, Hispanic/Latinas, and white women), this study introduces a new effort among religion and epidemiology researchers, the Study on Stress, Spirituality, and Health. This multicohort study provides some of the first estimates of R/S beliefs and practices among American Indians and U.S. South Asians, and offers new insight into salient beliefs and practices of diverse racial/ethnic and religious communities.     

Do Smarter People Employ Better Decision Strategies? The Influence of Intelligence on Adaptive Use of the Recognition Heuristic

Within the adaptive toolbox approach, it has repeatedly been shown that, on average, people tend to adapt their decision strategies to the decision context. Building upon these results, we investigated whether individuals systematically differ in their ability to successfully adapt to the situation when applying the fast‐and‐frugal recognition heuristic (RH). In decisions between recognized and unrecognized choice objects, individuals can base their choices solely on recognition, as predicted by the RH, or they can use further knowledge retrieved from memory. Since intelligence has been conceived as the ability to successfully adapt to different situations, we expected intelligence to influence the degree of adaptive use of the RH. To test this hypothesis, we first re‐analyzed data that referred to a decision domain for which RH‐use is known to perform well. As expected, individual RH‐use increased with general intelligence. Next, we designed an experiment addressing individual RH‐use in two new decision domains, one domain for which RH‐use was less effective than knowledge‐use and another domain for which both strategies were about equally effective. In addition, we tested whether fluid or crystallized intelligence best predicts adaptive use of the RH. RH‐use was found to decrease with fluid but not crystallized intelligence when RH‐use was less effective than use of further knowledge. In contrast, there was no significant association between either type of intelligence and RH‐use when none of the two strategies was optimal. We conclude that adaptive use versus non‐use of the RH is moderated by fluid intelligence. Copyright © 2017 John Wiley & Sons, Ltd.     

Electroencephalogram and heart rate measures of working memory at 5 and 10 months of age

We recorded electroencephalogram (EEG; 6-9 Hz) and heart rate (HR) from infants at 5 and 10 months of age during baseline and performance on the looking A-not-B task of infant working memory (WM). Longitudinal baseline-to-task comparisons revealed WM-related increases in EEG power (all electrodes) and EEG coherence (medial frontal-occipital electrode pairs) at both ages. WM-related decreases in HR were only present at 5 months, and WM-related increases in EEG coherence became more localized by 10 months. Regression analyses revealed that baseline-to-task changes in psychophysiology accounted for variability in WM performance at 10 but not 5 months. HR and EEG power (medial frontal and lateral frontal electrodes) were unique predictors of variability in 10-month WM performance. These findings are discussed in relation to frontal lobe development and represent the first comprehensive longitudinal analysis of age-related changes in the behavioral and psychophysiological correlates of WM.