Psychological health in long-term cancer survivorship: an Italian survey on depression and anxiety

Since long-term survivorship is now a reality for an increasingly number of people with a history of cancer, understanding their psychological health can inform health care policy as well as help supporting individual patients. This study was aimed to describe depression and anxiety (i.e. two of the most common psychological symptoms reported in oncology) in a sample of Italian long-term cancer survivors (LTCSs) defined as people who have been free from cancer and cancer treatments for at least five years. Four hundred and four Italian adult LTCSs completed a battery of questionnaires including the Zung Self-rating Depression Scale and the State Anxiety sub-scale of the State-Trait Anxiety Inventory respectively for depression and anxiety assessment. 16.5% of the sample displayed mild depression, 11.1% moderate depression, and 7.1% severe depression. depression was negatively associated with education (p = .017), perceived social support as provided by the family (p = .028), and perceived social support provided by friends (p = .008), and it was positively associated with occupational status (p = .023), presence of health issues (p = .010), and anxiety (p < .001). 8.7 and 15.8% of the sample were respectively possible and probable cases of anxiety. Anxiety was negatively associated with occupational status (p = .038) and it was positively associated with depression (p < .001). These data support ongoing assessment and monitoring of depression and anxiety in LTCSs, and stimulate the development and testing of psychological interventions for such individuals. In addition, they encourage further study on the psychological health of this specific population.     

Motives to Report Stalking Cases to the Police: A Comparison Between a Large City and a Small Town in Italy

This study aimed to analyze the cases reported to police by women who were victims of stalking. The use of police offense records is well known in investigations of victims of this phenomenon as well as other violent crimes (e.g., domestic violence). The objective was to compare the 3 motives (own safety, other safety, change habits) indicated by victims in reporting the cases to police as recorded in case files. For each motive, a comparison was made of the characteristics of victims and stalkers, the nature of the relationship between the victims and stalkers, and the characteristics of the stalking campaign, the stalker’s behaviors, the consequences to the victims, and coping strategies. This information was reported by victims to police in a large city and small town in Italy. The comparison showed that victims in large cities were less prone to report stalking cases to the police than victims in small towns. Differences addressed the duration of the stalking campaign, the behaviors involved, the consequences, and the coping strategies adopted. Police forces could benefit from the results of this research in defining both training courses for police officers and prevention courses for the general population.     

Executive dysfunction affects word list recall performance: Evidence from amyotrophic lateral sclerosis and other neurodegenerative diseases

The Rey Auditory Verbal Learning Test (RAVLT) is widely used in clinical practice to evaluate verbal episodic memory. While there is evidence that RAVLT performance can be influenced by executive dysfunction, the way executive disorders affect the serial position curve (SPC) has not been yet explored. To this aim, we analysed immediate and delayed recall performances of 13 non‐demented amyotrophic lateral sclerosis (ALS) patients with a specific mild executive dysfunction (ALSci) and compared their performances to those of 48 healthy controls (HC) and 13 cognitively normal patients with ALS. Moreover, to control for the impact of a severe dysexecutive syndrome and a genuine episodic memory deficit on the SPC, we enrolled 15 patients with a diagnosis of behavioural variant of frontotemporal dementia (bvFTD) and 18 patients with probable Alzheimer's disease (AD). Results documented that, compared to cognitively normal subjects, ALSci patients had a selective mid‐list impairment for immediate recall scores. The bvFTD group obtained low performances with a selectively increased forgetting rate for terminal items, whereas the AD group showed a disproportionately large memory loss on the primary and middle part of the SPC for immediate recall scores and were severely impaired in the delayed recall trial. These results suggested that subtle executive dysfunctions might influence the recall of mid‐list items, possibly reflecting deficiency in control strategies at retrieval of word lists, whereas severer dysexecutive syndrome might also affect the recall of terminal items possibly due to attention deficit or retroactive interference.     

Personality and its links to quality of life: Mediating effects of emotion regulation and self-efficacy beliefs

We investigated the relationship between personality and quality of life (QoL) considering emotion regulation and self-efficacy beliefs as mediating factors. A total of 409 participants from the French-speaking regions of Switzerland and from France completed questionnaires on personality, emotion regulation, self-efficacy beliefs, and QoL. Our findings revealed that specific personality traits have significant direct and indirect effects on QoL, mediated by emotion regulation and self-efficacy. Particularly, neuroticism was strongly and negatively related to emotion regulation and QoL, but not significantly linked to self-efficacy, whereas extraversion and conscientiousness were positively associated with all variables. This is the first study to demonstrate that both emotion regulation and self-efficacy are important mechanisms that link specific personality traits to QoL, suggesting that they channel and modulate the personality effects. However, more work is needed to understand these relationships in more detail (e.g., how the personality traits concurrently influence each other as well as emotion regulation and self-efficacy).     

THE MAGIC OF PLAY: LOW‐INCOME MOTHERS’ AND FATHERS’ PLAYFULNESS AND CHILDREN'S EMOTION REGULATION AND VOCABULARY SKILLS

Using data from a diverse sample of low‐income families who participated in the Early Head Start Research Evaluation Project (n = 73), we explored the association between mothers’ and fathers’ playfulness with toddlers, toddler's affect during play, and children's language and emotion regulation at prekindergarten. There were two main findings. First, fathers’ playfulness in toddlerhood was associated with children's vocabulary skills in prekindergarten whereas mothers’ playfulness was related to children's emotion regulation. Cross‐parental effects were found only for mothers. The association between mothers’ playfulness and children's vocabulary and emotion regulation was strengthened when fathers engaged in more pretend play and when children were affectively positive during the play. These findings show that playfulness is an important source of variation in the vocabulary and emotion regulation of children growing up in low‐income families. They also point to domain‐specific ways that mothers and fathers promote children's regulatory and vocabulary skills, and highlight the importance of children's positive engagement in play.     

Unpleasant stimuli differentially modulate inhibitory processes in an emotional Go/NoGo task: an event-related potential study

Threat stimuli typically elicit a psychophysiological response pattern supporting the organism's preparation for active defence. Differently, blood stimuli prompt a distinctive autonomic response pattern and sustained processing, which do not call for clear-cut mobilisation for action. However, the contribution of motor disposition in these response patterns remains unclear. One way to address this issue is to investigate whether threat and blood stimuli differentially affect the active suppression of an ongoing motor activity. Thirty-two undergraduates were presented with threat, mutilation, pleasant, and neutral pictures in an emotional Go/NoGo task. The amplitudes of the NoGo-N2 and NoGo-P3 components of the event-related potentials were analysed as indices of conflict monitoring and inhibition of motor response, respectively. Reaction times to Go trials were significantly faster for threat than for mutilations. The NoGo-N2 was significantly larger to threat than to mutilations, whereas the NoGo-P3amplitude did not differ between the two conditions. These findings suggest that threat stimuli facilitated the execution of a prepotent response and enhanced conflict monitoring when action must be withheld. In contrast, blood stimuli did not either promote action in the Go trials or increase conflict in the NoGo condition, suggesting a response pattern compatible with defensive immobility.     

Rumination and dysphoria: The buffering role of adaptive forms of humor

The current study examines the effects of rumination and humor on individuals’ dysphoria level. Measures of humor (affiliative and self-enhancing), rumination, and depressive symptoms were completed by 303 undergraduate students. Consistent with our hypothesis, both affiliative humor and rumination independently accounted for variance in dysphoria levels. In addition, self-enhancing humor and rumination were independently associated with dysphoria. Moreover, significant interactions between affiliative humor and rumination, and self-enhancing humor and rumination, on dysphoria also emerged. Results indicated that among individuals with high rumination, those with high affiliative and/or self-enhancing humor had significantly lower levels of dysphoria than individuals with low affiliative and/or self-enhancing humor. The combination of low affiliative and/or self-enhancing humor and high rumination led to substantially higher levels of dysphoria than any other combination. Implications for psychotherapy and research in this area are discussed.     

When Male Norms Don��t Fit: Do Traditional Attitudes of Female Colleagues Challenge Men in Non-traditional Occupations?

Our study examined whether traditional attitudes of female colleagues toward the male role negatively impact the psychological health of German men in non-traditional occupations and whether these relationships are mediated by social stressors at work. Traditional attitudes are presented as a threefold concept: Attitudes of female colleagues toward male anti-femininity, status, and toughness were measured. One hundred and thirteen men and 174 of their female colleagues from eastern parts of Germany and working in the healthcare and educational sectors completed hard-copy questionnaires. We used bootstrapped regression models to test for direct effects, controlling for autonomy, working hours, professional tenure, and sector of work. Bootstrapping strategies were also used for the analysis of indirect effects, even considering controls. The attitudes of female colleagues toward male anti-femininity were directly related to heightened depressive moods and lowered job satisfaction. For the attitudes of female colleagues toward male status, or male toughness we found no such direct relationships. Only indirect effects of female colleagues?? attitudes toward male status, or male toughness on men??s job satisfaction through social stressors were found. The study provides theoretical reasoning and empirical evidence for the importance of female colleagues?? attitudes and interpersonal conflicts at work for German men in non-traditional occupations.     

Coronary Intervention Improves Disease Specific Health-Related Quality of Life but Not Individualised Quality of Life: A Potential Response Shift Effect?

To explore potential response shift effects with different quality of life (QoL) instruments in cardiac patients undergoing coronary intervention. Study Design and Setting: Recalibration was assessed with the disease specific health-related quality of life (HRQL) instrument MacNew in combination with a then-test approach. Reconceptualisation and reprioritisation were assessed with the individualised QoL instrument SEIQoL-DW. Significant treatment effects were seen on the MacNew (global Δ: 0.6 ± 1.1, p = 0.004) but not on the SEIQoL-DW (Δ: 3.3 ± 16, p = 0.37) 6 months after coronary intervention. No recalibration effect was found on the MacNew then-test, while with the SEIQOL-DW potential response shift effects of reconceptualisation and reprioritisation were seen. For the first time response shift effects were explored in cardiac patients undergoing coronary intervention. This study confirmed that there is a clinically significant improvement in disease specific HRQL over time following successful coronary interventions. However, no treatment effect was seen for individualised QoL with the SEIQoL-DW. This might be due to reconceptualisation and reprioritisation response effects. Future studies need to focus on exploring response shift effects, and the interrelationship between its different components, captured by different patient reported outcome instruments in larger patient groups undergoing coronary interventions.     

Racial Identity and Body Image Among Black Female College Students Attending Predominately White Colleges

This study examined attitudes about body image and racial identity among Black women at a predominately White college in the United States. We conducted in-depth qualitative interviews with 34 women about their school experiences, family, racial identity, self-esteem, and body image. We found that early childhood influences including family and school environment had profound impacts on their racial identity and body image. Through a qualitative analysis based in grounded theory, we found that participants’ identification with White and/or Black culture produced levels of body satisfaction and a set of beauty ideals that generally corresponded to four racial identity groups: identification with White or Black culture, floating between both, or having a diverse self-identity.