the inventory of recent life experiences for cancer patients (IRLE-C): A decontaminated measure of cancer-based hassles

Abstract

Cancer is recognized to have multifaceted stressful impact on all areas of a patient's life. Researchers commonly use self-report questionnaires, intended to measure stressors objectively. However, the item-content and response-format of such scales often tap physical and mental responses to stress, thereby contaminating prediction of adverse impact. This article reports the development and validation of English and French versions of the Inventory of Recent Life Experiences for Cancer Patients (IRLE-C) which is designed to minimize such “criterion-contamination”. This entailed (1) avoiding items reflecting physical or subjective distress; (2) rating stressors for degree of exposure only; and (3) use of an innocuous scale title. The initial item pool was administered serially to a sample of 100 Francophone breast-cancer and prostate-cancer patients. To guard against inflating reliability and validity estimates through capitalizing on chance, we administered the 30-item final scale to an independent sample of 96 Francophone breast-cancer and prostate-cancer patients undergoing radiation treatment. Following the item-selection step, factorial structure and validity analyses were performed using the combined French-speaking sample (n= 196). Second, we administered the English version of the scale to an English-speaking sample of 127 cancer patients (various cancer sites and stages). The measure showed good internal consistency (.94 and .89 for the Francophone and Anglophone samples respectively) and met criteria for a 2-week test-retest reliability (r= .70 for the item-selection subsample and .80 for the cross-replication sub-sample). Correlations between the IRLE-C and the POMS Total Mood Disturbance were around .60 for both the Francophone and Anglophone samples. Avoiding contamination (through content and format) without losing its relationship to subjective distress, the IRLE-C appears a useful instrument for applying the stress-process model in oncology to establish clear distinctions among stressors, mediators, reactions, and consequences.     

Interaction Effects between Maternal Lifetime Depressive/Anxiety Disorders and Correlates of Children��s Externalizing Symptoms

We investigated the interaction effects between mother??s lifetime depressive/anxiety disorders and psychosocial correlates of 6 to 11 year-old children??s self-reported externalizing symptoms in the Quebec Child Mental Health Survey. A representative subsample of 1,490 Quebec children aged 6 to 11 years was selected from the original sample. We conducted multiple linear regression analyses using externalizing symptoms as reported by children through the Dominic questionnaire and multiple child, family and socioeconomic characteristics. Two variables interacted significantly with mother??s lifetime depressive/anxiety disorders to predict 6 to 11 year-old children??s self-reported externalizing symptoms: physical/sexual abuse and mother??s caring behaviours. Results underline the main contribution of mother-child relationship and stressful events in the association between mother??s lifetime depressive/anxiety disorders and children??s externalizing symptoms. It is suggested to develop preventive intervention programs oriented towards children of lifetime depressed/anxious parents who also report parent-child relational difficulties.     

Psychopathology, childhood trauma, and personality traits in patients with borderline personality disorder and their sisters

The aim of this study was to document and compare adverse childhood experiences, and personality profiles in women with borderline personality disorder (BPD) and their sisters, and to determine how these factors impact current psychopathology. Fifty-six patients with BPD and their sisters were compared on measures assessing psychopathology, personality traits, and childhood adversities. Most sisters showed little evidence of psychopathology. Both groups reported dysfunctional parent-child relationships and a high prevalence of childhood trauma. Subjects with BPD reported experiencing more emotional abuse and intrafamilial sexual abuse, but more similarities than differences between probands and sisters were found. In multilevel analyses, personality traits of affective instability and impulsivity predicted DIB-R scores and SCL-90-R scores, above and beyond trauma. There were few relationships between childhood adversities and other measures of psychopathology. Sensitivity to adverse experiences, as reflected in the development of psychopathology, appears to be influenced by personality trait profiles.     

Individually-tailored, Internet-based treatment for anxiety disorders: A randomized controlled trial

Previous studies on Internet-based treatment with minimal to moderate therapist guidance have shown promising results for a number of specific diagnoses. The aim of this study was to test a new approach to Internet treatment that involves tailoring the treatment according to the patient’s unique characteristics and comorbidities.A total of 54 participants, regardless of specific anxiety diagnosis, were included after an in-person, semi-structured diagnostic interview and randomized to a 10 week treatment program or to a control group. Treatment consisted of a number of individually-prescribed modules in conjunction with online therapist guidance. Significant results were found for all dependent measures both immediately following treatment and at 1 and 2 year intervals. Mean between-group effect size including measures of anxiety, depression and quality of life was Cohen’s d = 0.69 at post-treatment, while the mean within-group effect size was d = 1.15 at post-treatment and d = 1.13 and d = 1.04 at 1 and 2 year follow-up respectively.The tentative conclusion drawn from these results is that tailoring the Internet-based therapy can be a feasible approach in the treatment of anxiety in a homogeneous population.     

Taken with Surprise: Critical Incidents in Teaching

Abstract. This collection of essays tackles thorny questions related to critical incidents in teaching. By using different pedagogical methods and techniques, each author provokes creative thinking about how to address specific concerns common to teaching. The authors demonstrate that the teaching and learning process must make room for – if not celebrate – the surprises that happen not only to the students, but to the teachers as well. The discussion of critical incidents helps to promote reflection on teaching practice and prompt insights into the intricate dynamics shaping the increasingly diverse learning community. Each individual essay is accompanied by reflection questions that can be used to spark conversation among colleagues and/or prompt further personal reflection on teaching and learning.     

Scene perception, gaze behavior, and perceptual learning in virtual environments.

More and more immersive environments are developed to provide support for learning or training purposes. Ecological validity of such environments is usually based on learning performance comparisons between virtual environments and their genuine counterparts. Little is known about learning processes occurring in immersive environments. A new technique is proposed for testing perceptual learning during virtual immersion. This methodology relies upon eye-tracking technologies to analyze gaze behavior recorded in relation to virtual objects' features and tasks' requirements. It is proposed that perceptual learning mechanisms engaged could be detected through eye movements. In this study, nine subjects performed perceptual learning tasks in virtual immersion. Results obtained indicated that perceptual learning influences gaze behavior dynamics. More precisely, analysis revealed that fixation number and variability in fixation duration varied with perceptual learning level. Such findings could contribute in shedding light on learning mechanisms as well as providing additional support for validating virtual learning environments.     

Heterogeneity of Incentives for Physical Activity and Self-Efficacy in Highly Active and Moderately Active Women Exercisers

The purpose of this investigation was to examine whether persons exercising 2 times per week or less versus 3 times per week or more, with intentions to maintain current level of activity form a homogenous group in terms of motivational features. A group of 86 women recruited from local fitness clubs reported on their exercise incentives, self-efficacy, exercise behavior, and exercise intentions. A discriminant function analysis revealed that self-efficacy and incentives for stress reduction and mental health discriminated highly active from moderately active women. The implications of these findings are discussed in terms of stage theory and research in exercise adherence.