Distress and emotional well-being in breast cancer patients prior to radiotherapy: an expectancy-based model

Understanding precursors to distress and emotional well-being (EWB) experienced in anticipation of radiotherapy would facilitate the ability to intervene with this emotional upset (i.e. higher distress, lower EWB). Thus, this study tested an expectancy-based model for explaining emotional upset in breast cancer patients prior to radiotherapy. Women affected by breast cancer (N?=?106) were recruited and participants completed questionnaires prior to commencing radiotherapy. Structural equation modelling was used to test a cross-sectional model, which assessed the ability of dispositional optimism (Life Orientation Test-Revised - two factors), response expectancies (Visual Analog Scale items), medical (type of surgery, cancer stage and chemotherapy history) and demographic (age, race, ethnicity, education and marital status) variables to predict both EWB (Functional Assessment of Chronic Illness Therapy - Emotional Well-being Subscale) and distress (Profile of Mood States - short version). The model represented a good fit to the data accounting for 65% of the variance in EWB and 69% in distress. Significant predictors of emotional upset were pessimism, response expectancies, Latina ethnicity, cancer stage and having had a mastectomy. These variables explained a large portion of emotional upset experienced prior to radiotherapy for breast cancer and are important to consider when aiming to reduce distress and improve EWB in this context.     

THE EFFECTS OF RESPONSE INTERRUPTION AND REDIRECTION (RIRD) AND DIFFERENTIAL REINFORCEMENT ON VOCAL STEREOTYPY AND APPROPRIATE VOCALIZATIONS

The relation between contextually appropriate vocalizations (AV) and vocal stereotypy (VS) has yet to be established within the response interruption and redirection (RIRD) literature. RIRD may promote AV by suppressing VS and/or by functioning as incompatible responses. The occurrence of VS and AV was assessed during baseline, RIRD alone, and RIRD combined with a differential reinforcement system for AV (RIRD + DRI) for a 5‐year‐old child with autism. Results showed an increase in AV once RIRD was implemented and further increases in AV and decreases in stereotypy when the token system of reinforcement for AV was implemented. Copyright © 2012 John Wiley & Sons, Ltd.     

Peer victimization during adolescence: concurrent and prospective impact on symptoms of depression and anxiety

Background: Peer victimization is ubiquitous across schools and cultures, and has the potential for long-lasting effects on the well-being of victims. To date, research has focused on the consequences of peer victimization during childhood but neglected adolescence. Peer relationships and approval become increasingly important during adolescence; thus, peer victimization at this age may have a damaging psychological impact. Methods: Participants were 5030 adolescents aged 11–16 recruited from secondary schools in the UK. Self-report measures of victimization and symptoms of anxiety and depression were administered on three occasions over a 12-month period. Latent growth models examined concurrent and prospective victimization-related elevations in anxiety and depression symptoms above individual-specific growth trajectories. Results: Peer victimization was associated with a concurrent elevation of 0.64 and 0.56 standard deviations in depression and anxiety scores, respectively. There was an independent delayed effect, with additional elevations in depression and anxiety (0.28 and 0.25 standard deviations) six months later. These concurrent and prospective associations were independent of expected symptom trajectories informed by individual risk factors. Conclusions: Adolescent peer victimization was associated with immediate and delayed elevations in anxiety and depression. Early intervention aimed at identifying and supporting victimized adolescents may prevent the development of these disorders.     

Identity and spirituality: a psychosocial exploration of the sense of spiritual self

The authors examined the structure and content of adults' sense of spiritual identity by analyzing semistructured interviews with 13 spiritually devout men and 15 devout women, ages 22 to 72. Individuals' responses to the Role-Related Identity Interview (G. T. Sorell, M. J. Montgomery, & N. A. Busch-Rossnagel, 1997b) were content analyzed and rated on the role-related spiritual identity dimensions of role salience and flexibility. Individuals were categorized as spiritually foreclosed, achieved, or in moratorium, on the basis of their motivational, affective, self-evaluative, and behavioral investments in spiritually defined roles and their reflectiveness about and behavioral changes in role-related spiritual identity. Similarities and differences within and between spiritual identity status groups were observed, suggesting a variety of ways that spiritual identity provides a sense of continuity as well as a domain for adult developmental change.     

Differentiating explanations of attitude-consistent behavior: the role of perspectives and mode of perspective taking

We examined whether participants could differentiate between explanations of attitude-consistent behavior related to EU membership given from two perspectives (EU supporter and EU opponent) by means of three perspective taking modes (the explainer's own perspective, imagined in-group members' perspective, and imagined out-group members' perspective). Participants were presented with explanations provided from different perspectives and perspective taking modes, and they were asked to judge the extent to which they agreed with each explanation, to guess the attitude of the provider of each explanation, and to rate the quality of each explanation in various respects. Participants could not differentiate between explanations given by in-group members and out-group members who imagined the same perspective. They responded more favorably to explanations given from own perspective than from the imagined perspectives. The results suggest that there exists a shared understanding about how both sides should explain attitude-consistent behavior, but this understanding is measurably different from the actual explanations.     

Explaining own and others' behavior in a controversial issue: animal experimentation

The authors investigated how 2 groups with different attitudes toward animal experimentation-researchers who conducted animal experiments and members of animal welfare organizations who protested against animal experiments--made attributions for the behavior of the opposing group. The 2 groups showed an actor--observer effect, mentioning more internal causes for the opponents' behavior and more external causes for their own behavior. Both groups were able to take the other's perspective, resulting in a reversed actor-observer effect. The less involved participants followed the pattern of ratings of the group whose attitudes corresponded to their own. In particular, the participants with a negative attitude toward animal experimentation rated researchers' behavior as more internally caused than did those with a positive attitude. The results illustrated how the participants formed and defended attitudes in a social context.     

Leisure interest patterns and subjective stress in college students

A first study of the Leisure Interests Checklist (LIC) is reported based on a large (N = 670) normative sample of college students. Acceptable reliability was found on the total interest scores, and on both rationally- and factorially-derived LIC subscales. The BAROMAS stress scales were also studied concurrently with the same college students, and normative data are provided from that sample. Interest in very active diversions and Sports on the LIC did correlate with confidence in doing sports on the BAROMAS. Otherwise, the two instruments showed little overlap. Comparisons between ethnic and gender groupings mainly agreed with advance expectations by disclosing culturally conventional differences in response patterns. The LIC appears promising for future use in both applied and research contexts.     

The reductionist ideal in cognitive psychology

I offer support for the view that physicalist theories of cognition don't reduce to neurophysiological theories. On my view, the mind-brain relationship is to be explained in terms of evolutionary forces, some of which tug in the direction of a reductionistic mind-brain relationship, and some of which which tug in the opposite direction. This theory of forces makes possible an anti-reductionist account of the cognitive mind-brain relationship which avoids psychophysical anomalism. This theory thus also responds to the complaint which arguably lies behind the Churchlands' strongest criticisms of anti-reductionism — namely the complaint that anti-reductionists fail to supply principled explanations for the character of the mind-brain relationship. While lending support to anti-reductionism, the view defended here also insures a permanent place for mind-brain reduction as an explanatory ideal analogous to Newtonian inertial motion or Aristotelian natural motion.I wish to thank the Synthese referees for their comments and suggestions. I also wish to thank Steve Bowen, Elise Brenner, and Arthur Fine for helpful discussions and Joseph Owens for his comments on a version of this paper read at the Central Division Meetings of the American Philosophical Association held in Cincinnati in April 1988.