Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects

Research concerning distress in couples coping with cancer was integrated using meta-analysis and narrative critical appraisal. Individual levels of distress were determined more by gender than by the role of being the person with cancer versus that person's partner. That is, women reported consistently more distress than men regardless of their role (standardized mean difference = 0.31). The association between patient and partner distress within couples was only moderate (r = .29) but is sufficient to warrant further consideration of the notion that these couples react as an emotional system rather than as individuals. It is noteworthy that this association is not moderated by gender. With a general lack of comparison groups, the question of how much distress can be ascribed to the cancer experience cannot be answered decisively; elevations in distress are probably modest. We critically discuss these results, identify important unanswered questions, and indicate directions for future research. Attention needs to be directed toward factors other than cancer as direct influences of distress in these couples and to mediators and moderators of the cancer experience.     

Effects of mimicking: acting prosocially by being emotionally moved

Mimicry is functional for empathy and bonding purposes. Studies on the consequences of mimicry at a behavioral level demonstrated that mimicry increases prosocial behavior. However, these previous studies focused on the mimickee. In the present paper, we investigated whether mimickers also become more helpful due to mimicry. In two studies, we have demonstrated that participants, who mimicked expressions of a person shown on a video, donated more money to a charity than participants who did not mimic. Moreover, the processes by which mimicry and prosocial behavior are related largely remain empirically unexamined in existing literature. The results of Study 2 confirmed our hypothesis that affective empathy mediates the relationship between mimicry and prosocial behavior. This suggests that mimicry created an affective empathic mindset, which activated prosocial behaviors directed toward others. Copyright © 2007 John Wiley & Sons, Ltd.     

Infrastructure flexibility created by standardized gateways: The cases of XML and the ISO container

This article addresses the problem of entrenchment in large technical systems. It explores in what manner standardization could be used as a means to inscribe flexibility into infrastructures and focuses in particular on the role of standardized gateway technologies. Two cases are examined: the Extensible Markup Language (XML) for structured information exchange and the intermodal freight container, also known as the ISO container. The cases indicate that flexibility is a transient characteristic of gateway standards. Where standards do not meet the needs of subsystems and changed circumstances, competing gateways emerge. Flexibility, entrenchment and competition are part of a cyclic movement in gateway evolution. You can read more about her in the Foreword.     

Immigration Policies in Italy: Their Impact on the Lives of First-Generation Moroccan and Egyptian Migrants

This paper analyzes the impact of Italian immigration policies on migrants’ lives. Policies and changes in policies can affect migrants’ capabilities to stabilize themselves in the host country, in terms of legal residence and secure labor conditions, as well as their chances of becoming part of the host society. We argue that, together with border controls, these are crucial ways through which immigration policies may have the postulated effects on the lives of migrants. We use data from 59 in-depth interviews conducted with first-generation Moroccan and Egyptian migrants living in two Italian cities, Turin and Rome, in the period 2011–2013. The results show that Italian immigration policies do not successfully control migration inflow, but effectively hinder the stability of migrants’ legal status and the status transition from temporary residence to permanent residence and subsequent Italian citizenship. In this way, Italian immigration policies largely affect migrants’ capabilities to be part of the host country; this gets in the way of integration, social cohesion, and future migration projects.     

Do adapted vignettes improve medical decision‐making capacity for individuals with Alzheimer's disease?

Medical decision‐making capacity (MDC) is known to decline in individuals with Alzheimer's disease (AD). The vignette method uses hypothetical information as a prerequisite for measuring the capacity to make well‐informed decisions to clinical trials. Our aim was to investigate if adapted vignettes can help individuals with mild AD to assimilate information, make decisions and express them in an understandable way, compared to corresponding decisions based on linguistically more demanding vignettes, as measured by the Swedish Linguistic Instrument for Medical Decision‐making (LIMD). Two vignettes from LIMD were altered linguistically with the aim to facilitate understanding for individuals with AD. An experimental within‐subject design was used to study the influence on MDC of readability (original/adapted vignettes) and content (two different clinical trials). We included 24 patients with mild AD in this prospective study, which read all four vignettes along with a few other tests. This allowed us to investigate the association between MDC and cognitive function. Adapted vignettes did not yield significant differences regarding MDC as compared with original vignettes using a two‐way repeated measures analysis of variance. A difference was found between the two clinical trials where LIMD score was significantly higher for Kidney disease than hypertension vignettes. Our results indicate that adapted vignettes may not improve MDC for individuals with mild AD. MDC was affected by which clinical trial the vignettes regarded, which implies that other factors affecting MDC need to be investigated, like length of text and vocabulary used.     

Postpartum Daily Stress,Relationship Quality,and Depressive Symptoms

This study explored the relationships among daily stresses, specifically interpersonal conflict, the quality of supportive spousal relationships, and the experience of postpartum depressive symptoms. In our sample of 51 women nearly 30% reported symptoms consistent with postpartum depression. Using regression analysis and controlling for depression during pregnancy, results suggested that arguments with family members and the depth of the spousal relationship acted as significant predictors of the severity of reported postpartum depressive symptoms. Results of the regression were in the expected direction, but due to the small sample size, the findings should be interpreted with caution. Post-hoc analyses were conducted separating the women into three groups based on their depression scores. Therapeutic interventions to reduce postpartum depressive symptoms are considered. An erratum to this article can be found at     

The effects of differential training procedures on linked perceptual class formation

When the stimuli in one perceptual class (A') become related to the stimuli in another perceptual class (B'), the two are functioning as a single linked perceptual class. A common linked perceptual class would be the sounds of a person's voice (class A') and the pictures of that person (class B'). Such classes are ubiquitous in real world settings. We describe the effects of a variety of training procedures on the formation of these classes. The results could account for the development of naturally occurring linked perceptual classes. Two perceptual classes (A' and B') were formed in Experiment 1. The endpoints of the A' class were called anchor (Aa) and boundary (Ab) stimuli. Likewise, the anchor and boundary stimuli in the B' class were represented as Ba and Bb. In Experiment 2, the A' and B' classes were linked by the establishment of one of four cross-class conditional discriminations: Aa-->Ba, Aa-->Bb, Ab-->Ba, or Ab-->Bb. Results were greatest after Aa-->Bb training, intermediate after Aa-->Ba and Ab-->Ba training, and lowest after Ab-->Bb training. Class formation was influenced by the interaction of the anchor/boundary values and the sample/comparison functions of the stimuli used in training. Experiment 3 determined whether class formation was influenced by different sets of two cross-class conditional discriminations: Aa-->Ba and Ab-->Bb, or Aa-->Bb and Ab-->Ba. Both conditions produced equivalent results. Similarities were attributable to the use of anchor stimuli as samples and boundary stimuli as comparisons in each training condition. Finally, the results afterjoint Aa-->Ba and Ab-->Bb training were much greater than those produced by summing the results of Aa-->Ba training alone and Ab-->Bb training alone. This same synergy was not observed after joint Aa-->Bb and Ab-->Ba training or either alone.     

Facial disfigurement in patients with head and neck cancer: the role of social self-efficacy.

This study investigated the moderating role of social self-efficacy (i.e., the belief that one is capable of exercising control over the reactions and openness of other people) with respect to the link between facial disfigurement and psychological and n = 76) as well as their physicians. In line with the hypotheses, the results revealed that the degree of facial disfigurement, as judged by patients as well as their physicians, was positively related to psychological distress and distress in reaction to unpleasant behavior of others, but only when patients did not feel self-efficacious in social encounters. Furthermore, social self-efficacy mitigated the positive link between facial disfigurement as judged by patients and social isolation.