Do behavioural self-blame and stigma predict positive health changes in survivors of lung or head and neck cancers?

Survivors of lung or head and neck cancers often change tobacco and alcohol consumption after diagnosis, but few studies have examined other positive health changes (PHCs) or their determinants in these groups. The present study aims to: (a) document PHCs in survivors of lung (n?=?107) or head and neck cancers (n?=?99) and (b) examine behavioural self-blame and stigma as determinants of PHCs. We hypothesised that: (a) survivors would make a variety of PHCs; (b) behavioural self-blame for the disease would positively predict making PHCs; and (c) stigma would negatively predict making PHCs.

Methods: Respondents self-administered measures of PHC, behavioural self-blame, and stigma. Hierarchical multiple regression analysis tested the hypotheses.

Results: More than 65% of respondents reported making PHCs, the most common being changes in diet (25%), exercise (23%) and tobacco consumption (16.5%). Behavioural self-blame significantly predicted PHCs but stigma did not. However, both behavioural self-blame and stigma significantly predicted changes in tobacco consumption.

Conclusions: Many survivors of lung or head and neck cancers engage in PHCs, but those who do not attribute the disease to their behaviour are less likely to do so. Attention to this problem and additional counselling may help people to adopt PHCs.     

Relations between acceptance of multiple sclerosis and positive and negative adjustments

This study examines relations between acceptance as defined in Acceptance and Commitment Therapy (ACT) and adjustment to multiple sclerosis (MS). A first step in this investigation was the development of a measure of acceptance of MS called the MS Acceptance Questionnaire (MSAQ). Consistent with prior findings and theoretical propositions, it was predicted that acceptance would be associated with better adjustment to MS (lower distress and higher positive affect, life satisfaction and marital adjustment and better health). A total of 128 persons with MS completed measures of demographics, illness and adjustment at Time 1 and measures of acceptance and adjustment 12 months later (Time 2). Factor analyses of the MSAQ revealed two factors, action and willingness. Associations between the MSAQ and other validated acceptance measures supported convergent validity. As predicted, after controlling for the effects of initial adjustment and relevant demographic and illness variables, greater acceptance was related to better adjustment, although the action factor emerged as the strongest predictor of better adjustment. This is the first study to examine the role of acceptance (as defined in ACT) in adjusting to MS over time and as such provides a first step for further investigation of acceptance in MS.     

Perinatally acquired HIV infection: Long-term neuropsychological consequences and challenges ahead

Over the past three decades, perinatal HIV infection in the United States has evolved from a fatal disease to a manageable chronic illness. As the majority of youth with perinatal HIV infection age into adolescence and adulthood, management of this stigmatizing, transmittable disease in the backdrop of a cadre of environmental stressors presents challenges beyond those of other chronic illnesses. The neurologic and neuropsychological consequences of this neurotropic virus have important implications for the successful navigation of responsibilities related to increasingly independent living of this aging population. This article will review the neurologic and neuropsychological consequences of perinatal HIV infection and concomitant factors in the era of highly active antiretroviral therapy and will provide an overview of the neuropathology, pathogenesis, neuroimaging findings, and treatment of perinatal HIV infection, as well as recommendations for service provision and future research.     

Expertise differences in a video decision-making task: Speed influences on performance

Video clips of different speeds were used in a simulation of decision-making in Australian football to test the effects on decision accuracy and decision time. Elite and sub-elite and novice Australian footballers watched videos in six speeds (0.75, 1.0, 1.25, 1.5, 1.75 and 2.0 times normal speed). Participants responded by using a mouse-click to indicate where they would pass the ball for that particular video clip. The elite and sub-elite groups also rated each clip for how ‘game-like’ the decision-making felt. The elite group was significantly more accurate than the sub-elite and novice groups, and the sub-elite group was more accurate than the novice group. Within-speed analysis showed the elite group excelled at the faster video speeds. The use of speeded video delineated clear expertise differences between the groups at the 1.5 speed. Elite and sub-elite players identified the 1.25 and 1.5 speeds as most ‘game-like’ for decision-making. These results show that athletes perceive moderately speeded video as more game-like. Speeded video is further speculated to have allowed elite athletes to perform more automatically, with a faster processing efficacy, a key characteristic of elite performance. This study suggests the use of speeded video as a potential new research paradigm to explore expertise and a viable method for future training interventions for decision-making.     

跨文化判断与决策(英文)

本文对判断和决策研究领域所发现的跨文化差异进行了回顾。鉴于大多数判断和决策的跨文化研究都集中于对亚洲和西方文化的比较,本文也主要关注这方面的研究发现。具体来说,本文回顾了在概率判断及信心、风险知觉、冒险行为、消费者行为以及经济判断和决策中所存在的跨文化差异。综述结果表明尽管亚洲人和西方人的判断和决策行为存在很大的跨文化差异,研究也发现了显著的文化内差异。目前关于判断和决策的跨文化差异的研究还相对匮乏,未来还需要更多的研究来进一步了解判断和决策行为的跨文化差别及机制。     

Construing a “Perfect Knight”: A Personal Construct Investigation of Mass Murder

We report three studies in which we examined the structure of interpersonal construct systems. We attempted to identify (a) the degree to which individuals' differentiation in the constructs they used to construe themselves paralleled the differentiation in the constructs they used to construe other and (b) the differences and similarities in the content of constructs used by subjects to construe themselves, liked peers, and disliked peers. In addition, we compared the content of the liked- and disliked-peer constructs with those used by employees construing co-workers in a previous study. Findings indicated that Ziller, Martell, and Morrison's (1977) checklist measure of self differentiation was weakly correlated in the first sample and uncorrelated in the second sample with Crockett's (1965) Role Category Questionnaire (RCQ), a measure of other differentiation. Differentiation scores from the other and self versions of the RCQ were moderately correlated. Content analyses revealed that self constructs were drawn largely from the same pool as those used in describing liked and disliked peers; they were more similar to the liked-peer constructs than the disliked-peer ones, but also drew heavily on the disliked-peer construct pool. Constructs used to describe liked and disliked peers were very similar to those used to describe co-workers but were clearly influenced by context. To account for the findings, we suggest that constructs become meaningful and thus prominent in a particular domain because of their usefulness for the particular construal tasks encountered in that domain.     

Velocity as a Predictor of Performance Satisfaction,Mental Focus,and Goal Revision

In a longitudinal study, the authors examined the role of students' rate of progress, or velocity, in goal‐striving over one semester of a college‐level Introductory Psychology course. At both mid‐course and near end‐of‐course time periods, results demonstrated that velocity uniquely contributed to the prediction of students' performance satisfaction, mental focus, and goal revision, above and beyond the influence of performance‐goal discrepancies and ability. Specifically, velocity demonstrated main effects on performance satisfaction and mental focus. Velocity significantly interacted with goal importance in the prediction of goal revision. The authors call for increased attention to the role of velocity in self‐regulation. Dans une étude longitudinale, les auteurs examinent le rôle du taux de progrès des étudiants ou leur rapiditéà atteindre des buts sur un semestre pour un cours d'introduction à la psychologie en faculté. Deux mesures ont été faites: l'une à la moitié du semestre et l'autre à la fin de ce même semestre. Les résultats montrent que uniquement la rapidité contribue à prédire la satisfaction de la performance des étudiants, la concentration, et la révision de l'objectif quels que soient les écarts entre le but de la performance et les capacités. Plus spécifiquement, la rapidité a des effets importants sur la satisfaction de la performance et la concentration. La rapidité interagit significativement avec l'importance des buts dans le cas où l'on envisage leur révision. Les auteurs soulignent le rôle de la rapidité sur l'auto‐régulation.