Evaluation of a psychosocial intervention on social support, perceived control, coping strategies, emotional distress, and quality of life of breast cancer patients

The purpose of this research was to demonstrate that a specific psychosocial intervention changes reactions to cancer and quality of life. This study was carried out on 66 patients with a first breast cancer. Patients were randomly divided into two groups: a specific intervention group (G1, 8 sessions) or a support group (G2, 8 sessions). A control group (G3) was composed of patients who refused to participate in psychological intervention. Social support, perceived control, repression of emotions, coping strategies, emotional distress, and quality of life were assessed one week before (T1) and at the end (T2) of the psychological intervention. Results showed that G1 did not have significantly modified quality of life or psychological scores. Patients of G2 had poorer emotional quality of life, use of internal causal attributions, and minimized their illness at T1 as compared to patients of G3. At Time 2 these differences were not observed.     

Clinical Considerations in the Treatment of Substance Use Disorders with Veterans

This article addresses issues associated with the treatment of substance use disorders (SUD) in the U.S. veteran population. First, we examine special considerations regarding the assessment of alcohol and drug use in veterans. Second, we discuss current treatment approaches that have demonstrated efficacy in this population, with special consideration the issue of co-morbidity (especially SUD and Posttraumatic Stress Disorder). Third, we discuss two strategies to coordinate treatment of SUD: stepped care as a way to implement these treatments for SUD alone, and integrated treatment for SUD and co-morbid disorders. Finally, we discuss promising future directions for the treatment of SUD in the veteran population, including examination of mechanisms of behavior change, formal involvement of the veteran’s family in treatment, and use of existing datasets.     

Differing time dependencies of object recognition memory impairments produced by nicotinic and muscarinic cholinergic antagonism in perirhinal cortex

The roles of muscarinic and nicotinic cholinergic receptors in perirhinal cortex in object recognition memory were compared. Rats' discrimination of a novel object preference test (NOP) test was measured after either systemic or local infusion into the perirhinal cortex of the nicotinic receptor antagonist methyllycaconitine (MLA), which targets alpha-7 (α7) amongst other nicotinic receptors or the muscarinic receptor antagonists scopolamine, AFDX-384, and pirenzepine. Methyllycaconitine administered systemically or intraperirhinally before acquisition impaired recognition memory tested after a 24-h, but not a 20-min delay. In contrast, all three muscarinic antagonists produced a similar, unusual pattern of impairment with amnesia after a 20-min delay, but remembrance after a 24-h delay. Thus, the amnesic effects of nicotinic and muscarinic antagonism were doubly dissociated across the 20-min and 24-h delays. The same pattern of shorter-term but not longer-term memory impairment was found for scopolamine whether the object preference test was carried out in a square arena or a Y-maze and whether rats of the Dark Agouti or Lister-hooded strains were used. Coinfusion of MLA and either scopolamine or AFDX-384 produced an impairment profile matching that for MLA. Hence, the antagonists did not act additively when coadministered. These findings establish an important role in recognition memory for both nicotinic and muscarinic cholinergic receptors in perirhinal cortex, and provide a challenge to simple ideas about the role of cholinergic processes in recognition memory: The effects of muscarinic and nicotinic antagonism are neither independent nor additive.     

Religious Social Identity as an Explanatory Factor for Associations Between More Frequent Formal Religious Participation and Psychological Well-Being

Abstract

Guided by social identity theory, this study investigated having a closer identification as a member of one's religious group as an explanatory mechanism for linkages between more frequent formal religious participation and better subjective psychological well-being (more positive affect, less negative affect, and more life satisfaction). Multivariate regression models were estimated based on data from 3,032 respondents, ages 25 to 74, in the 1995 National Survey of Midlife in the U.S. Results provided support for the hypothesis that religious social identity would mediate the associations between more frequent religious service attendance and all three dimensions of subjective psychological well-being examined. These findings contribute to understandings of self, religion, and health while indicating the continued importance of drawing on well-developed social psychological theory in investigations of linkages between religion and mental health.     

Anxiety and performance in runners: Effects of stress and anxiety on physical performance

Abstract

The aim of this study was to investigate the effects of state and trait anxiety on physical performance under both neutral and stressful conditions. In Study I, 43 male and female track athletes answered the State-Trait Anxiety Inventory and twice underwent ergometric testing in the physiology laboratory after receiving a neutral or a stress-inducing instruction. In Study II, these 43 runners completed the state scale shortly before a test run in a practice session and once again just before the start in an official competition. Results showed a significant increase in self-reported state anxiety under the stress condition in both the laboratory and the field setting. At the same time, the mean physical performance, measured as physiological performance parameters (maximum oxygen intake, physical work capacity) or as running performance, significantly deteriorated under stress. The induced stress affected the heart rate in addition to the mere physical work load, with no sign of compensation occurring during the entire period of ergometric testing. Effects of anxiety on performance were tested by separate 2(trait) × 3(state) ANOVAs for each situation. For both laboratory situations, and for the practice situation as well, no significant relationships, neither linear nor nonlinear, were detected. In the competition situation, however, an inverted-U relationship was found in the low trait-anxious subgroup.     

PTSD, Depressive Symptoms, and Suicidal Ideation in African American Women: A Mediated Model

Although research has shown positive associations among post-traumatic stress disorder (PTSD), depressive symptoms, and suicidal ideation, the nature of these relations is unclear, especially in African American women. This study examined the associations among these comorbid psychological difficulties in a sample of 136 low-income, African American women. Specifically, the goal of this investigation was to ascertain if overall depressive symptoms, as well as both the cognitive-affective and somatic components of depression, mediated the PTSD-suicidal ideation link. Results from bootstrapping analyses revealed that overall depressive symptoms and the cognitive-affective components of depression, but not the somatic components, mediated the PTSD-suicidal ideation link.     

Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women

This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population.     

Perpetrator and victim perceptions of perpetrator's masculinity as a risk factor for violence: A meta-ethnography synthesis

Men are over-represented as both perpetrators and victims of violence. The purpose of this systematic review was to examine the relationship between masculinity and violence from the perspectives of the perpetrators and victims. In order to provide the best available scientific evidence, four databases were searched and a Critical Appraisal Skills Programme tool was used to evaluate 10 studies. A meta-ethnography approach was also employed to synthesize the selected studies. The analysis revealed a number of reciprocal themes that act as risk factors for violence. This included a masculinization process, available resources, ethnic minority identification and alcohol and substance abuse. This review highlights the need for further research exploring different reciprocal themes and their association with masculinity and violence. Further research in this field could help clinicians improve their practice by helping clinicians widen their discussions about the violence committed by some males. Additional investigations could also improve offender treatment programs, which, in turn, could assist offenders by helping them challenge schemas and cognitive distortions that may precipitate their violence.     

Space aliens and nonwords: stimuli for investigating the learning of novel word-meaning pairs.

We describe a set of pictorial and auditory stimuli that we have developed for use in word learning tasks in which the participant learns pairings of novel auditory sound patterns (names) with pictorial depictions of novel objects (referents). The pictorial referents are drawings of "space aliens," consisting of images that are variants of 144 different aliens. The auditory names are possible nonwords of English; the stimulus set consists of over 2,500 nonword stimuli recorded in a single voice, with controlled onsets, varying from one to seven syllables in length. The pictorial and nonword stimuli can also serve as independent stimulus sets for purposes other than word learning. The full set of these stimuli may be downloaded from www.psychonomic.org/archive/.     

Person factors associated with suicidal behavior among African American women and men

This study compared person risk factors among the following groups of low-income, African American adults in an urban, public hospital: (a) suicide attempters and nonattempters, (b) male and female attempters, and (c) all 4 groups (50 female attempters, 50 female nonattempters, 50 male attempters, and 50 male nonattempters). Participants completed psychological distress, aggression, substance use, cognitive processes, religiosity/spirituality, and ethnic identity measures. Compared with nonattempters, attempters reported more psychological distress, aggression, substance use, and maladaptive coping strategies; less religiosity/spirituality; and lower levels of ethnic identity. Male attempters endorsed more substance use than female attempters. No person risk factors differentiated among the 4 groups. Assessment of person risk factors and implementation of commensurate culturally competent interventions are recommended.