Longitudinal study of quality of life in acquired brain injury: A self- and proxy-report evaluation

Background/ObjectiveAfter an acquired brain injury (ABI), the person remains with several impairments and disabilities that cause a decrease in his/her quality of life (QoL), which could change over time. The objective of the study was to analyse the evolution patterns of QoL in a sample of persons with ABI for one-year as well as the differences in proxy- and self-report versions of a QoL instrument. Method: The sample comprised 402 persons with ABI with ages ranging between 18 and 91 years, whom 36.20% had had the accident recently (i.e., three years or less). Patients, professionals and relatives responded at three evaluation points to the CAVIDACE scale, an ABI-specific QoL tool. Results: ANOVAs showed an improvement in QoL in the two follow-ups; the improvement was especially significant in the period between baseline and six months. The respondent factor did not interact with the evaluation time, but significant differences were found between respondents, with scores of patients higher than that for proxies. Finally, the QoL’s evolution interacts with the time elapsed since injury, showing significant improvements in the most recent group (i.e., three years or less). Conclusions: QoL must be considered from the earliest moments after ABI to obtain more significant improvements.     

Presence of meaning,search for meaning,religiousness, satisfaction with life and depressive symptoms among a diverse Israeli sample

The present study explored the structure and correlates of meaning in life (MIL) among an Israeli sample. The sample consisted of 559 adults. The average age of participants was 48.24 and 61.3% of them were females. Participants provided demographic information and completed measures of MIL, satisfaction with life, and depressive symptoms. The MIL Questionnaire showed a very good fit for the proposed 2-factor model (i.e. presence of meaning, search for meaning) to the data collected from the current sample. Presence of meaning correlated positively with both search for meaning and satisfaction with life, and negatively with depressive symptoms. Search for meaning was positively and weakly tied to satisfaction with life, but was unrelated to depressive symptoms. Religiousness appeared as a significant moderator between the two meaning factors, and between them and life satisfaction. Specifically, as religiousness became stronger: (a) the link between presence of meaning and search for meaning became weaker; (b) the link between presence of meaning and life satisfaction became stronger and (c) the link between search for meaning and life satisfaction became weaker. The findings suggest that there are differential implications of presence search for meaning on the health and well-being, and the important role religiousness plays in this regard.     

Comparative judgments of symbolic and non-symbolic stimuli yield different patterns of reaction times

Are different magnitudes, such as Arabic numerals, length and area, processed by the same system? Answering this question can shed light on the building blocks of our mathematical abilities. A shared representation theory suggested that discriminability of all magnitudes complies with Weber's law. The current work examined this suggestion. We employed comparative judgment tasks to investigate different types of comparisons — conceptual comparison of numbers, physical comparison of numbers and physical comparison of different shapes. We used 8 different size ratios and plotted reaction time as a function of these ratios. Our findings suggest that the relationship between discriminability and size ratio is not always linear, as previously suggested; rather, it is modulated by the type of comparison and the type of stimuli. Hence, we suggest that the representation of magnitude is not as rigid as previously suggested; it changes as a function of task demands and familiarity with the compared stimuli.     

A Study of the SIRS With Severely Traumatized Patients

Clinical research has revealed that traumatized patients often elevate feigning indicators on psychological measures, which raises the possibility that traumatization and concomitant dissociation may lead to misclassifications of malingering. Within the domain of feigned mental disorders, the Structured Interview of Reported Symptoms (SIRS; Rogers, Bagby, &; Dickens, 1992 Rogers, R., Bagby, R. M. and Dickens, S. E. 1992. Structured Interview of Reported Symptoms professional manual, Odessa, FL: Psychological Assessment Resources.  [Google Scholar]) is a well established measure with excellent reliability and validity across clinical and forensic settings. Although recent studies have demonstrated its effectiveness with outpatient posttraumatic stress disorder (PTSD) samples, the SIRS usefulness with severely traumatized patients remains to be investigated. In this study, we recruited traumatized patients for a within-subjects simulation design in which we asked feigners to convincingly portray themselves as examinees claiming total disabilities. When compared to standard instructions, feigned presentations produced substantial effect sizes. Although the standard SIRS classifications produced moderately high sensitivities (M = .82), the false-positive rates were problematic. To minimize false-positives, we constructed a Trauma Index (TI) from 3 primary SIRS scales that appeared unaffected by severe trauma. Implementation of the TI substantially reduced false-positive rates (M = .09).     

The Role of Career Aspiration,Self-Esteem,Body Esteem,and Gender in Predicting Sense of Well-being Among Emerging Adults

During emerging adulthood, one’s sense of well-being undergoes many rapid changes. Although emerging adults often present considerable energy, creativity, and hopefulness, both in higher education classrooms and workplaces, they often experience a decrease in well-being due to experience confusion, stress encounters, and difficulties in transitioning to adulthood. The authors examined four noteworthy key socioemotional factors that may be linked to emerging adults' sense of well-being: career aspiration, self-esteem, body esteem, and gender. Three hundred 20- to 29-year-old university students participated in the study. Results showed that well-being was correlated positively with self-esteem and body esteem, and body esteem was correlated negatively with gender (men scored higher). Regression analyses revealed that for both men and women, self-esteem and body esteem predicted well-being. Nevertheless, when the gender was analyzed separately, career aspiration predicted well-being only for men, whereas body esteem predicted well-being only for women. The study findings illuminates the importance of generating preventive measures in childhood and adolescence, through reinforcing skills such as resilience and self-esteem with the aim of passing through emerging adulthood with as little harm as possible to the sense of well-being.     

Cyberbullying Victimization in Adolescents as Related to Body Esteem,Social Support,and Social Self-Efficacy

ABSTRACT

The authors examined cyberbullying victimization in the context of issues of key importance to youth: body esteem, social support, and social self-efficacy. Research has found that traditional peer-bullying victimization is significantly correlated with low body esteem in Western societies, especially pertaining to weight (R. Puhl & J. Luedicke, 2012 Puhl, R., & Luedicke, J. (2012). Weight-based victimization among adolescents in the school setting: Emotional reactions and coping behaviors. Journal of Youth & Adolescence, 41, 27–40. [Google Scholar]). Studies have also found a relationship among bullying victimization, appearance-related bullying, low body esteem, and psychosocial difficulties among youth (L. E. Park, R. M. Calogero, A.F. Young, & A. Diraddo, 2010 Park, L. E., Calogero, R. M., Young, A. F., & Diraddo, A. (2010). Appearance-Based Rejection Sensitivity predicts Body Dysmorphic Disorder symptoms and cosmetic surgery acceptance. Journal Of Social & Clinical Psychology, 29, 489–509. [Google Scholar]). However, the emergence of cyberbullying, characterized by its own special features (P. K. Smith et al., 2008 Smith, P. K., Mahdavi, J., Carvalho, M., Fisher, S., Russell, S., & Tippett, N. (2008). Cyberbullying: Its nature and impact in secondary school pupils. Journal of Child Psychology and Psychiatry, 49, 376–385. [Google Scholar]), has raised a salient need to explore the relationship between cyber victimization and body esteem, no less important with social framework, because both are key components in adolescents' lives that may be associated with cyberbullying victimization. The authors examined these relationships among 204 Israeli adolescents 14–16 years old. The results indicate a noteworthy prevalence (45%) of cyber victims. Cyber victimization is significantly correlated with low body esteem and low social support and social self-efficacy. Low body esteem and low social support predicted the probability of being a cyber victim. The results extend the knowledge about potential personal and social risk factors for cyber victimization during adolescence. Implications for specific intervention programs are discussed.     

When You and I Share Perspectives: Pronouns Modulate Perspective Taking During Narrative Comprehension

ABSTRACT— Readers mentally simulate the objects and events described in narratives. One common assumption is that readers mentally embody an actor's perspective; alternatively, readers might mentally simulate events from an external "onlooker" perspective. Two experiments examined the role of pronouns in modulating a reader's adopted perspective when comprehending simple event sentences. Experiment 1 demonstrated that readers embody an actor's perspective when the pronoun you or I is used, but take an external perspective when he is used. Experiment 2 , however, found that a short discourse context preceding the event sentence led readers to adopt an external perspective with the pronoun I . These experiments demonstrate that pronoun variation and discourse context mediate the degree of embodiment experienced during narrative comprehension: In all cases, readers mentally simulate objects and events, but they embody an actor's perspective only when directly addressed as the subject of a sentence.     

Probabilistic assignments of sentence relations on the basis of differentially weighted interpretive cues

Recent treatments of comprehension have emphasized the role of surface structure characteristics. In many circumstances, meanings that are inferred on the basis of such cues will not be deterministic. This study investigated a probabilistic system of sentence comprehension. Hebrew-speaking university studients interpreted utterances that varied and balanced the contradictory and complementary effects of three interpretive cues. Sentence interpretations were systematically affected by the relative weights of cues that supported and opposed different interpretations. Adults therefore seemed to deploy a probabilistic strategy of assigning internal relations to a preferred alternative, a greatest composite of component likelihoods. While the present treatment emphasized a syntactic level of processing, it was suggested that the probabilistic strategy could easily accommodate pragmatic and semantic effects as well. The probabilistic strategy implies that given a conflict between interpretive cues, a decision needs to be made between alternative assignments of internal relations. It was therefore suggested that ambiguous and unambiguous utterances typically may be processed in a similar fashion; for both, more than one meaning may be processed at least in part before a single probabilistic interpretation is finally assigned to the utterance.     

Predictors of responses to stress among families coping with poverty-related stress

This study tested how poverty-related stress (PRS), psychological distress, and responses to stress predicted future effortful coping and involuntary stress responses one year later. In addition, we explored age, sex, ethnicity, and parental influences on responses to stress over time. Hierarchical linear modeling analyses conducted with 98 low-income families (300 family members: 136 adults, 82 school-aged children, 82 adolescents) revealed that primary control coping, secondary control coping, disengagement, involuntary engagement, and involuntary disengagement each significantly predicted future use of that response. Primary and secondary control coping also predicted less maladaptive future responses to stress, while involuntary responses to stress undermined the development of adaptive responding. Age, sex, and interactions among PRS and prior coping were also found to predict certain responses to stress. In addition, child subgroup analyses demonstrate the importance of parental modeling of coping and involuntary stress responses, and warmth/nurturance and monitoring practices. Results are discussed with regard to the implications for preventive interventions with families in poverty.