A longitudinal application of three health behaviour models in the context of skin protection behaviour in individuals with occupational skin disease

Occupational skin disease (OSD) is common, associated with poor prognosis and poses a significant burden to the individual and society. We applied the theory of planned behaviour (TPB), the prototype-willingness model (PWM) and the health action process approach (HAPA) to the prediction and explanation of occupationally relevant skin protection behaviour in individuals with OSD. We used a longitudinal design. In this study, 150 individuals participating in a 3-week inpatient tertiary prevention programme completed measures assessing the constructs of the TPB, PWM and HAPA at admission (T?0), discharge (T?1) and once the individual had returned to work and worked for 4 consecutive weeks (T?2) (n?=?117). Intention was measured at T?0 and skin protection behaviour at T?2. Path analysis was used to assess the longitudinal associations of the models' constructs with intention and skin protection behaviour. TPB as well as PWM variables accounted for 30% of variance in behaviour, HAPA variables for 33%. While not all predictions were confirmed by the data, all three models are able to inform us about the formation of skin protection intention and behaviour in individuals with OSD. The findings are discussed in light of future interventions and research.     

Longer term outcome of cognitive-behavioural and psychodynamic psychotherapy in routine mental health care: randomised controlled trial

We investigated the comparative effectiveness of cognitive-behavioural (CBT) and psychodynamic therapy (PDT) under clinically representative conditions as a subtrial of a prior study (Watzke et al., 2010, BJP). A consecutive sample of 147 patients with common mental disorders was randomised to either CBT or PDT in routine mental health care. In a primary per-protocol analysis patients randomised to CBT had a significantly better longer term outcome in the primary outcome symptom severity (General Severity Index of the SCL-14; p=.001; partial η(2)=0.073) as well as in health related quality of life (Mental Component Summary of the SF-8; p=.013; partial η(2)=.041) and concerning interpersonal issues (Inventory of Interpersonal Problems, IIP-C; p=.001; partial η(2)=.070) 6 months after treatment than patients randomised to PDT. These results could be confirmed in intention-to-treat analyses (n=180) suggesting that there was no substantial attrition bias due to drop outs at the follow-up assessment. Thus, the so called equivalence outcome paradox was not replicated in this study.     

Inverse cue priming is not limited to masks with relevant features

Apart from positive priming effects, masked prime stimuli can impair responses to a subsequent target stimulus which shares response-critical features in contrast to a target assigned to the opposite response. This counterintuitive phenomenon is called inverse priming (or negative compatibility effect). Here we examine the generality of this phenomenon beyond priming of motor responses. We used a non-motor cue-priming paradigm to study the underlying mechanism of inverse priming for relevant features masks which include task-relevant stimulus features and for irrelevant masks which omit task-relevant features. We found inverse cue-priming effects with both types of masks. With task-irrelevant masks inverse cue-priming was emphasized in those participants being unable to perceive the prime. The existence of inverse non-motor priming under conditions where simple perceptual interactions between the stimuli are ruled out as the source of inverse priming is at odds with the view that inverse priming reflects motor inhibition. Alternatives are discussed.     

Dentist phobia

This study analyzes so-called hopeless gaggers,i.e., patients in whom dental treatment and wearing of a prosthesis produced a retching or vomiting reaction, in order to investigate the sources and properties of this pathologic reaction. In 35 patients, an anamnestic inquiry, a determination of the reflexogenic zone, a recording of the peripheral pattern of the pathologic reflex, and extinction training were performed. A group of six normal persons served as a comparison group. It was shown that patients, in comparison with normals, had an enlarged receptive field, were sensitive to a broader population of stimuli, and showed precursors and aftereffects of the retching-vomiting not found in normals. This pathologic reaction was the symptom of different Psychopathologie processes, such as specific fear, repugnance-fear-based disturbances, diffuse anxiety, goal-directed behavior, depressive states and, at least in one case, visceral pathology. The various patients differed with respect to properties of the reaction as well as in the sensitivity to the extinction procedure. It is discussed that different integrative nervous processes play a role in the origin and development of the syndrome: activation of unconditional reflexes, activation of classic and instrumental conditional reflexes, activation of such reflexes by an increase of the reactivity level of specific and unspecific structures of the brain, generalization of stimuli,etc.     

Response scales as frames of reference: The impact of frequency range on diagnostic judgements

In social and psychological research, respondents are often asked to report the frequency of a behaviour by checking the appropriate alternative from a list of response categories provided to them. Previous research indicated that respondents extract comparison information from the range of the response alternatives, assuming that the average respondent is represented by values in the middle range of the scale, and that the extremes of the scale represent the extremes of the distribution. Extending this line of research, the present studies demonstrate that the users of a respondent's report are also likely to use the range of the response alternatives as a frame of reference in evaluating the implications of the report. Specifically, subjects are found to draw different conclusions about the respondent's personality (Experiment l ), or the severity of his or her medical condition (Experiment 21, from the same absolute frequency report, depending upon the range of the response scale on which the frequency was checked. Moreover, experienced medical doctors were as likely to be influenced by scale range as first-year medical students, suggesting that the phenomenon is of considerable applied importance. Implications for the use of response alternatives in psychological research and diagnostic judgement are discussed.     

Truth vs. Rorty

In his article 'Is Truth a Goal of Enquiry?' Rorty claims that the difference between truth and justification makes no difference to practice. His argument for this is that assessment of truth and assessment of justification are the same activity. This argument is insufficient, for the difference to practice can be found elsewhere. I shall demonstrate that, and also show in which way this difference manifests itself in utility/risk calculations in which the risk is that a certain justified belief might be false. Since decisions are often based upon such utility/risk calculations, and since these calculations presuppose the difference between truth and justification, the difference between truth and justification does make a difference to practice.     

Therapieabbrüche in der stationären Psychotherapie

This article focuses on the patients’ view of the causes and consequences of premature therapy termination in inpatient psychosomatic setting. In this study, drop-out patients and non-drop-out patients were questioned in semi-structured phone interviews (n=62). The causes of early termination are seen in this study to be connected with an internal, somatic concept of disease, discontent with treatment, and social interaction problems in the hospital. In 80% of the examined cases more than two causes were reported. Consequently, early termination of treatment can be considered as an outcome of multifactorial influences. Furthermore, a group of “inner drop-outs” has been identified within the non-drop-out patients. Despite high discontent, these patients remained in treatment because they often feared possible negative consequences of early treatment termination. Both drop-outs and inner drop-outs scored lower in outcome analysis than the remaining patients. This study points to problem areas that can help identify potential drop-out patients.     

On Different Intuitionistic Calculi and Embeddings from Int to S4

In this paper, we compare several cut-free sequent systems for propositional intuitionistic logic Intwith respect to polynomial simulations. Such calculi can be divided into two classes, namely single-succedent calculi (like Gentzen's LJ) and multi-succedent calculi. We show that the latter allow for more compact proofs than the former. Moreover, for some classes of formulae, the same is true if proofs in single-succedent calculi are directed acyclic graphs (dags) instead of trees. Additionally, we investigate the effect of weakening rules on the structure and length of dag proofs.The second topic of this paper is the effect of different embeddings from Int to S4. We select two different embeddings from the literature and show that translated (propositional) intuitionistic formulae have sometimes exponentially shorter minimal proofs in a cut-free Gentzen system for S4than the original formula in a cut-free single-succedent Gentzen system for Int. Moreover, the length and the structure of proofs of translated formulae crucially depend on the chosen embedding.