Eine Schule für das Leben mit Schizophrenie

Schizophrenia usually appears in young people at an age when they are about to leave home, i.e. at a life stage which is already difficult without a psychological disorder. The “learning by doing” program of “Pension Bettina”, which is described here, supports the affected persons and their families in the process of detachment from home and coping with the disorder. Special emphasis is laid on the difficult balance between increasing the autonomy of the affected person and providing adequate familial support.     

Family Cohesion and Health-Related Quality of Life of Children with Type 1 Diabetes: The Mediating Role of Parental Adjustment

Despite the increasing number of studies on the health-related quality of life (HRQOL) of children with type 1 diabetes (T1D), little is known about the influence of family and parental factors on this outcome. This study aimed to explore whether family cohesion and children’s HRQOL were connected through three indicators of parental psychological adjustment (parenting stress, depressive symptoms, and anxious symptoms) as well as whether these links varied according to the child’s age. Levels of family cohesion, parenting stress, and depression/anxiety symptoms of parents of children with T1D and parents of healthy children were compared. The sample included 88 child–parent dyads composed of children/adolescents (8–18 years old) with T1D and one of their parents and 121 dyads composed of healthy children/adolescents and one of their parents. The parents completed self-report measures of family cohesion, parenting stress, and emotional adjustment, and the children completed measures of HRQOL. Testing of the hypothesized moderated mediational model showed that higher HRQOL ratings in children were associated with higher levels of cohesion through lower levels of parental stress, regardless of the child’s age. Parents of children with T1D perceived less cohesion and felt more anxiety and stress about parenting tasks compared to parents of healthy children. Our findings suggest that parents of children with T1D are at an increased risk of psychological maladjustment. Moreover, this study highlights the interrelation between family/parental functioning and child adjustment and makes an innovative contribution by identifying a mechanism that may account for the link between family and child variables.     

Moderation of Stimulus Material on the Prediction of IQ with Infants' Performance in the Visual Expectation Paradigm: Do Greebles Make the Task More Challenging?

The objective of this study was to examine the role of the stimulus material for the prediction of later IQ by early learning measures in the Visual Expectation Paradigm (VExP). The VExP was assessed at 9 months using two types of stimuli, Greebles and human faces. Greebles were assumed to be associated with a higher load on working memory in comparison to human faces. IQ was assessed at 3 years and 4 months of age. Sixty‐four children participated at both assessments in this longitudinal study. The results show a moderation of the stimulus material on the prediction of IQ. With Greebles as stimulus material, a significant relationship between infants' learning and IQ was found. There was no relation when infants' learned in the VExP using human faces. Copyright © 2015 John Wiley & Sons, Ltd.     

A self-regulation-based intervention to increase physical activity in cancer patients

The study examined whether a behavior-change intervention focusing on self-regulatory strategies and emphasizing role model support increases physical activity (PA) among insufficiently active (not meeting PA guidelines of 150 min/week) cancer patients. Ambulatory cancer patients [N = 72; 54% female; M = 56 years, SD = 12.34; most with breast or colon cancer (34, 15%)] were enrolled in the MOTIVACTION-study, a 4-week intervention (1-hr counseling, followed by weekly phone calls), with pretest (T1), posttest (T2) and a 10-week follow-up (T3). Participants were randomized to either an exercise or to a stress management intervention (active control). The exercise intervention emphasized self-regulatory strategies (e.g. action- and coping planning and self-monitoring); patients were also encouraged to contact a physically active same-sex role model as a potential exercise partner. The active control condition consisted of coping and relaxation techniques. Sixty-seven patients remained in the study and completed the SQUASH assessment of PA and a measure of perceived stress. PA was validated by Actigraph accelerometry. At T2, 46% of the patients in the exercise group and 19% of stress management patients increased their activity levels to meet PA guidelines (>150 min/week; χ²(1) = 5.51, p = .019). At T3, participants in the exercise intervention maintained their exercise level (46%), but also 31% of the stress management patients met the guidelines. All patients reported reductions in perceived stress. Additional analyses comparing patients in the exercise group by role model contact (63% realized contact) revealed that those who had contact with their role model were significantly more likely to adhere to the recommended guidelines (T2:50%; T3:64%) compared to those who did not have contact with a role model (T2:39%; T3:15%), suggesting the potential of mobilizing role model support to facilitate PA. In sum, cancer patients may not only benefit from an exercise intervention emphasizing self-regulation, but also from stress management, regarding both reducing stress and increasing PA.     

Simultaneous utilization of multiple cues in judgments of learning

There is much evidence that metacognitive judgments, such as people’s predictions of their future memory performance (judgments of learning, JOLs), are inferences based on cues and heuristics. However, relatively little is known about whether and when people integrate multiple cues in one metacognitive judgment or focus on a single cue without integrating further information. The current set of experiments systematically addressed whether and to what degree people integrate multiple extrinsic and intrinsic cues in JOLs. Experiment 1 varied two cues: number of study presentations (1 vs. 2) and font size (18 point vs. 48 point). Results revealed that people integrated both cues in their JOLs. Experiment 2 demonstrated that the two word characteristics concreteness (abstract vs. concrete) and emotionality (neutral vs. emotional) were integrated in JOLs. Experiment 3 showed that people integrated all four cues in their JOLs when manipulated simultaneously. Finally, Experiment 4 confirmed integration of three cues that varied on a continuum rather than in two easily distinguishable levels. These results demonstrate that people have a remarkable capacity to integrate multiple cues in metacognitive judgments. In addition, our findings render an explanation of cue effects on JOLs in terms of demand characteristics implausible.     

Quality of Life of Children and Adolescents with Short Stature: The Twofold Contribution of Physical Growth and Adaptive Height-Related Cognitive Beliefs

This study aimed to examine the health-related quality of life (HrQoL), coping, height-related beliefs, and social support of children/adolescents with short stature, the sociodemographic, clinical, and psychosocial variables associated with HrQoL, and the moderating role of sociodemographic and clinical variables on the associations between psychosocial variables and HrQoL. 114 Portuguese children/adolescents with short stature, aged 8–18 years old, completed the Quality of Life in Short Stature Youth questionnaire and the Satisfaction with Social Support Scale. Regression analyses explained 54% of the variance of HrQoL, with significant main effects of current height deviation and height-related beliefs, and a significant interaction effect between beliefs and diagnosis. Results suggest that a multidisciplinary therapeutic approach, not only focused on hormone treatment to boost physical growth, but also including psychosocial interventions focused on the modification of height-related beliefs, may contribute to improve the HrQoL of pediatric patients with short stature.

     

The material memory of history: Edgar Zilsel’s epistemology of historiography

The paper focuses on the concept of matter and the material in Edgar Zilsel??s considerations about historiographical methods in the context of the Marxist debates on the materialist conception of history in the 1920s and 1930s (Gy?rgy Lukács, Max Adler). It sheds light on Zilsel??s understanding of matter as fluctuating, interfering processes in the lapse of time and the related concept of irreversible laws and relates it to Ernst Mach??s philosophy and to Richard Semon??s theory of mneme. Finally, it shows the practical consequences of the concept of materialism in Edgar Zilsel??s epistemology.