The role of illness perceptions in the attachment-related process of affect regulation

Abstract

Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.     

The effects of rime on auditory recency and the suffix effect

Two experiments are reported that consider the role of rime as the content of Precategorical Acoustic Storage (PAS). It was hypothesised that with auditory presentation of lists the rime component of the final item (the final vowel and, optionally, terminal consonant cluster of a word) was preserved in PAS and this served as a recall cue to identify the final item. Experiment 1 compared recall performance when the terminal or penultimate words rhymed with an irrelevant stimulus suffix. A suffix that shared a rime with the terminal word was found to attenuate the suffix effect, in line with Carr and Miles (1997) and consistent with the use of PAS as a positional code. However, contrary to the hypothesis that PAS information is automatically used to reconstruct the final item, the suffix effect was no greater when the suffix rhymed with the penultimate item than when no relationship existed between the suffix and the final item. Experiment 2 demonstrated that when the terminal and penultimate words shared a rime there was a drop in recall performance for the final item but a corresponding increase in correct recall of the penultimate item. No such changes were observed when the rime was shared between terminal and antepenultimate items. It is suggested that adjacency of identical rimes allows improved reconstruction of item information at the expense of order information.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Inequity/Iniquity: Card on Balancing Injustice and Evil

Card argues that we should not give injustice priority over evil. I agree. But I think Card sets us up for some difficult balances, for example of small evils against middle‐sized injustices. I suggest some ways of staying off the tightrope.     

When to Self-Correct?: A Comparison of Two Procedures on Spelling Performance

We compared the effects of two self-correction procedures on the spelling performance of 5 elementary school students with learning disabilities. Previous studies consistently have demonstrated self-correction to be more effective than traditional approaches to spelling instruction. However, we could find no single-subject design experiments analyzing the procedural details of how or when self-correction should be conducted to be most effective. For 4 days each week students practiced a list of 20 spelling words by listening to an audiotape on which the weekly list was dictated and writing the words. For half of each week's words, students checked and self-corrected after attempting each word; for the other half of the list, the students self-corrected after attempting all 10 words. An alternating treatments design showed self-correction after each word to be more effective for acquisition of new spelling words as measured by end-of-the-week tests for all 5 students, and maintenance of previously studied spelling words as measured by 1-week maintenance tests for 4 of the 5 students.     

Acoustic confusion of digits in memory and recognition

It has been shown that, contrary to current opinion, digits do not confuse arbitrarily and that similar patterns of confusion are observed in memory and auditory recognition tasks. Two alternative measures of stimulus similarity are compared.