The psychosocial predictors of long-term distress in partners of patients with acute coronary syndrome

Objective: Partners of acute coronary syndrome (ACS) patients are at risk of experiencing long-term distress and the purpose of this study was to identify its predictors.

Design: Using an observational design, 80 partners of ACS patients completed validated questionnaires at three time points. The predictor variables, marital satisfaction and optimism were assessed three weeks after patient hospital discharge (T1). The outcomes, depressive symptoms and physical health status (from a quality of life scale) were measured 6 (T2) and 12 (T3) months post-discharge, and scores were combined to indicate the long-term response.

Main outcome measures: Depressive symptoms and physical health status.

Results: Partner depressive symptoms increased and physical health status deteriorated over the months following the patients’ ACS. After controlling for demographics, clinical severity of ACS and T1 levels of the outcome variable, partners’ long-term depressive symptoms were predicted by poor marital satisfaction and low optimism at T1, and poor physical health status was predicted by low T1 optimism.

Conclusion: Psychosocial factors are predictors of long-term distress for ACS partners. Partners in an unhappy marriage or with low optimism after ACS are at an increased risk of depression and low physical health status, and should be the target of additional support.     

Cognitive predictors of posttraumatic stress symptoms six months following acute coronary syndrome

This study examined patients’ illness representations assessed shortly after an acute coronary syndrome (ACS) as predictors of posttraumatic stress symptoms six months later. Illness representations were assessed in ACS patients using standard measures at a home visit three weeks after discharge from hospital. Posttraumatic stress symptoms were assessed at the same time, and again six months later. Patients were aged 61 years on average, the majority being men (89.8%) of white European decent (89%). Greater posttraumatic symptoms at six months were associated with beliefs that the illness would last a long time (timeline), that it had an unpredictable time course (timeline – cyclical), greater consequences, less personal and treatment control, poorer illness coherence and stronger negative emotional representations (emotional upset relating to the illness; p?<?0.05). In multiple regression analyses, controlling for demographic, clinical and psychological factors (age, gender, ethnicity, social deprivation, ACS severity, negative affectivity and cardiac symptom recurrence), more intense emotional representations (β?=?0.146, p?=?0.041) and reduced illness coherence (β?=??0.133, p?=?0.029), emerged as independent predictors of posttraumatic symptom severity at six months. There was a near significant effect for personal control (β?=??0.113, p?=?0.058). These results demonstrate the importance of illness representations of ACS in predicting longer-term posttraumatic stress symptoms.     

Construction Of Reality Or Dependent Origination? From Scientific Psychotherapy To Responsible Attention

The term ‘postmodernism’ has carved itself a niche in everyday, and specialised, vocabulary. We understand it as being the new mentality that emerges from the critique of modernity. This transformation, which has been underway since the second half of the twentieth century, undermines the foremost myth of the modern world, that we can discover an objective and stable truth, that is to say independent and lasting. This change is affecting all areas of human knowledge, from philosophy to physics, as well as human practices and experiences. Its origins are to be found in the theories that label themselves critical, starting with Marxism and existentialism, and in further developments such as hermeneutics, symbolic interactionism, post-structuralism, ethnomethodology, deconstructionism, and others. In this article we wish to recover one of the principal ideas of this change of mentality, the idea of ‘construction of reality’ and contrast it with ‘dependent origination’ (Paticcasamuppada) characteristic of the Dharma, a system of liberation from suffering synthesised by Buddha. We are interested in this relationship in the specific field of Psychotherapy, or in the broader field of Integral Psychology. To this end, firstly we inquire how constructivism has made a space for itself in the scientific world; we then address the constructivist features of the Dharma.     

《周易》对中国古代数学的影响

分析中国古代数学史上重要的数学著作可以看出,《周易》往往被古代数学家们视作数学发展最早的源头,而且在一些重要的数学著作中,数学家们运用《周易》中的有关概念表述数学问题,对《周易》中的数学问题及其相关问题进行深入的研究,取得了重要的数学成就。这一切足以表明《周易》对于古代数学发展具有非常重要的影响。     

How Do “Religion” and “Spirituality” Differ? Lay Definitions Among Older Adults

Research and public interest in religion and spirituality is on the rise. Consequently, there is an increasing need for rigorously obtained information on what individuals mean when they use these terms. This study examined how 64 older adults living in three retirement communities (including one Christian‐based community), a relatively understudied population, conceptualize religion and spirituality. Participants defined “religion” and “spirituality,” and their narrative definitions were coded and compared using a framework derived from Hill et al.'s (2000) conceptualization of religion and spirituality. Despite considerable overlap, participants' definitions differed on several dimensions. Participants were more likely to associate religion than spirituality with personal beliefs, community affiliation, and organized practices. Moreover, spirituality appeared to be a more abstract concept than religion, and included nontheistic notions of a higher power.     

Individual Differences in Monitoring Failures of Automation

Subjects included 24 non-pilots who performed simulated flight-related tasks of tracking, fuel-management, and system monitoring. Tracking and fuel management were performed manually, whereas system monitoring was automated. Subjects were required to detect system malfunctions not detected by the automation (automation failures). The reliability of the automation remained constant or varied over time. Subjects detected significantly fewer automation failures in the constant-reliability automation condition than in the variable-reliability condition. Inefficiency in monitoring for automation failure was examined in relation to three individual-difference measures: the Complacency Potential Rating Scale, the Eysenck Personality Inventory (introversion-extraversion), and a modified version of Thayer's Activation-Deactivation Adjective Check List (energetic arousal). These measures were not significantly intercorrelated, suggesting their relative independence. For subjects with high-complacency-potential scores, there was a correlation of - .42 between complacency potential and detection rate of automation failures. Introversion-extraversion was unrelated to monitoring performance. Finally, high energetic-arousal subjects had initially higher detection rates in the constant-reliability condition than did low-arousal subjects. The results suggest a modest relationship between individual differences in complacency potential and energetic-arousal and automation-related monitoring inefficiency.     

Manipulation of visual information does not change the accuracy of distance estimation during a blindfolded walking task

While humans rely on vision during navigation, they are also competent at navigating non-visually. However, non-visual navigation over large distances is not very accurate and can accumulate error. Currently, it is unclear whether this accumulation of error is due to the visual estimate of the distance or to the locomotor production of the distance. In a series of experiments, using a blindfolded walking test, we examine whether enhancing the visual estimate of the distance to a previously seen target, through environmental enrichment, visual imagery, or repeated exposure would improve the accuracy of blindfold navigation across different distances. We also attempt to decrease the visual estimate in order to see if the opposite effect would occur. Our results would indicate that manipulation of the static visual distance estimate did not change the navigation accuracy to any great extent. The only condition that improved accuracy was repeated exposure to the environment through practice. These results suggest that error observed during blindfold navigation may be due to the locomotor production of the distance, rather than the visual process.