Objective: Communication of cancer information is an important element of cancer control, but cancer fear may lead to information avoidance, especially when coping is low. We examined the association between cancer fear and cancer information avoidance, and tested whether this was exacerbated by psychosocial stress.Design: Cross-sectional survey of 1258 population-based adults (58–70 years) in England.Main outcome measures: Cancer fear (intensity and frequency), perceived psychosocial stress and cancer information avoidance. Control variables were age, gender, ethnicity, marital status and education.Results: A quarter (24%) of respondents avoided cancer information. Ordinal logistic regression analyses showed main effects of psychosocial stress (OR = 1.17, 95% CI 1.07–1.29) and cancer fear: cancer information avoidance was lowest in those with no cancer fear (13%), followed by those with moderate (24%; OR = 2.15, 95% CI: 1.49–3.12), and high cancer fear (35%; OR = 3.90, 95% CI: 2.65–5.73). In the adjusted model, the interaction between cancer fear and stress was significant (OR = 1.14, 95% CI 1.004–1.29, p < .05): 40% of those with high fear/high stress avoided cancer information compared with 29% with high fear/low stress.Conclusion: Cancer fear and psychosocial stress interact to produce disengagement with cancer-related information, highlighting the importance of affective processes to cancer control efforts. 相似文献
Research on Child and Adolescent Psychopathology - Although research suggests that callous-unemotional (CU) traits are underpinned by deficits in social affiliation and reduced sensitivity to... 相似文献
In most cross-national research on Life Satisfaction (LS) an implicit assumption appears to be that the correlates of LS are the same the world over; ‘one size fits all’. Using data from the World Values Survey (1999–2014), we question this assumption by assessing the effects of differing personal values/life priorities on LS in five world regions: the West, Latin America, the Asian-Confucian region, ex-Communist Eastern Europe, and the Communist countries of China and Vietnam. We indicate that differing values - traditional family values, friendship and leisure values, materialistic values, political values, prosocial and environmental values, and religious values – are endorsed to varying degrees in different parts of the world, and vary in whether they have positive or negative effects on LS. Personal values provide the basis for alternative ‘recipes’ affecting LS. By ‘recipes’ we mean linked set of values, attitudes, behavioural choices and domain satisfactions that have a positive or negative effect on LS. We estimate structural equation models which indicate that differing values-based recipes help to account for large, unexpected differences between mean levels of LS in the five world regions, compared with the levels ‘predicted’ by GDP per capita. In particular, the high priority given to traditional family and religious recipes in Latin America helps to account for unexpectedly high LS in that region. Deficits in prosocial attitudes and behaviours partly account for low LS in ex-Communist Eastern Europe.
There is evidence that subjective health is an important variable in general health outcomes. It can be an indicator of the individual's overall health status, creating a reliable and valid estimate about health. Quality of life (QoL) assessment can be associated with the individuals' subjective assessment of their own health status. The aim of the present study was to investigate variables associated with subjective perception of health in older inpatients. Ninety elderly inpatients over 60 years old were interviewed. The perception of health assessment (healthy/unhealthy) allocated elders in either of two groups. All the elders answered sociodemographic questions, the WHOQOL-100 and the Beck Depression Inventory (BDI). Comparing the group that considered themselves unhealthy to the other group, the former showed a tendency of worse QoL assessments in five out of six domains investigated. Significant differences were found for the physical and level of independence domains, as well as overall QoL. There was a significant association between health perception and lower intensity of depressive symptoms, as well as better QoL perception in the level of independence domain. This study shows the existence of an association between depressive symptoms and health assessment. It also suggests that the independence dimension is important in the elders' perception of their health status. These findings can help identify cause-effect relations between variables in aging studies involving health indicators and bring new intervention proposals for the elderly. 相似文献
We present a new experimental paradigm where choice-induced preference change is measured for alternatives which are never compared directly, but rather confronted with other alternatives in a way which keeps choices predictable without exogenously manipulating them. This implicit-choice design improves on the free-choice paradigm, avoiding the recently criticized selection bias. Rating and ranking spreads in two experiments show that preference-based choices feed back into and alter preferences even if choices are not directly among similarly evaluated alternatives. In agreement with recent brain-imaging evidence, response time measurements for direct choice pairs in our experiments indicate that reappraisal processes are already triggered during decision making, with larger post-choice spreads (sharper attitude change) being associated to quicker decisions. 相似文献
The effect of exposure to the contextual features of the /pt/ cluster was investigated in native-English and native-Polish listeners using behavioral and event-related potential (ERP) methodology. Both groups experience the /pt/ cluster in their languages, but only the Polish group experiences the cluster in the context of word onset examined in the current experiment. The /st/ cluster was used as an experimental control. ERPs were recorded while participants identified the number of syllables in the second word of nonsense word pairs. The results found that only Polish listeners accurately perceived the /pt/ cluster and perception was reflected within a late positive component of the ERP waveform. Furthermore, evidence of discrimination of /pt/ and /p?t/ onsets in the neural signal was found even for non-native listeners who could not perceive the difference. These findings suggest that exposure to phoneme sequences in highly specific contexts may be necessary for accurate perception. 相似文献
Butler et al. (Cognitive Therapy and Research 31:357?C370, 2007) developed the Personality Beliefs Questionnaire-Short Form (PBQ-SF), from an earlier longer version (Beck and Beck 1991), to assess the types of schemata associated with different personality disorders. This study explored the structure of PBQ-SF using Guttman??s Smallest Space Analysis. Participants were 228 students who volunteered for the study. The two facets (each with two subsets) suggested by the analysis to characterize the structure of the personality disorder subscales were Ego Concerns (self-enhancement versus self-protection) and Control Concerns (feelings lack of control versus need for control). Clinical implications of the findings include targeting major dysfunctional thinking, as suggested by the aforementioned two facets and their subsets, in the treatment of personality disorders. 相似文献
Abstract The aim of the present study was to differentially determine quality of life (QOL) in patients with end-stage renal disease (ESRD) after successful kidney transplantation (RT, Group A) compared with ESRD patients on a waiting list for RT (Group B). and with healthy controls (Group C) because opinions vary as to which treatment modality can best assure ESRD patients a high QOL. Groups A, B and C each consisted of 149 persons, matched for age and gender. The Munich Quality of Life Dimensions List (MLDL) was used to measure global aspects of QOL. Distinct aspects of QOL were investigated by the Brief Symptom Inventory (BSI) and the Questionnaire for Social Support (K-22). Groups A and C reported similar QOL. Which was significantly higher than in group B (p < .0001). This was particularly true for the physical and psychological status and daily activities, but not for the social situation. Groups A and B reported similar social support, which was significantly, lower than in group C (p < 006). Both ESRD groups reported higher satisfaction with social support than healthy controls (p < .0001). Successful RT nor only improved distinct aspects of QOL in patients with ESRD, but even put them on par with healthy controls regarding physical and psychological QOL. Lower social support and higher satisfaction with social support in both groups of ESRD patients should be evaluated further. From a clinical viewpoint. the improvement of physical and psychological aspects of QOL in RT patients is impressive; but more attention should be paid to constantly low social support in this group of patients. International multi center longitudinal studies to investigate QOL in ESRD patients under different treatments am necessary. 相似文献
Although he does not provide a general analysis of argumentation, Aristotle is a highly influential source of modern argumentation theory. In his treatises the Topics, the Sophistical Refutations and the Rhetoric, Aristotle presents complementary aspects of a theory of sound arguments that are seen as the most effective means of persuasion. Aristotle’s central notion of a deductive argument (sullogismos) does not include references to an addressee, the situative context or non-verbal aspects of communication, and thus differs from some modern views on argumentation. A deductive argument in the Aristotelian sense is a sequence of intellectual steps where the conclusion follows of necessity from the premises. Aristotle does not relativize or relax this notion but takes other factors into account by providing supplementary theoretical elements. For example, he reflects on acceptable premises (endoxa), the adjustment of rhetorical arguments to the horizon of the audience, methods of finding premises on the basis of argumentative schemes (topoi), the use of non-argumentative means of persuasion, and a framework of implicit discourse rules. Many of these themes are, albeit under a different name, still discussed in modern argumentation theory. 相似文献