A 1-year follow-up of an experimental study of a self-management arthritis programme with an added exercise component of clients with osteoarthritis of the knee

The aim was to assess the self-efficacy and health outcomes of an adopted Arthritis Self-Management Programme (ASMP) among osteoarthritic knee sufferers in Hong Kong at 1 year. An experimental study with 95 participants assigned randomly to the intervention (n=45) or control group (n=50). Seventy-seven (81.1%) participants joined at least one out of three follow-ups in the 12 month period. Participants in the intervention group received a 6-week ASMP with an added exercise component in two general clinics. Outcome measures included arthritis self-efficacy (ASE) and health outcomes including pain and fatigue rating, self-rated health, daily activities limitation and number of unplanned arthritis-related medical consultations. Mean change (12 months minus baseline) and the effect size of the outcome measures were calculated by Mann-Whitney U test and nQuery Advisor 4.0. At 12 months, there were significant reductions of current pain (p=0.0001), pain at night (p=0.001), pain during walking (p=0.01) and number of unplanned arthritis-related medical consultations (p=0.03) and a significant increase in ASE for pain (p=0.01) and other symptoms (p=0.02) and self-rated health (p=0.04) among the intervention group but not for the control group. However, there were similarities in outcome measures of pain while switching from a sitting to a standing position, fatigue rating and physical functional limitation (p=0.15; p=0.22 and p=0.91, respectively) for both groups. Our findings add to the evidence that the modified arthritis empowering programme improved perception of control of osteoarthritis and three health outcomes after 12 months of treatment.     

When Thinking Rationally Increases Biases: The Role of Rational Thinking Style in Escalation of Commitment

This paper reports three studies examining the relationship between the rational thinking style (RTS, i.e. individual differences in relying on a conscious, analytical, and relatively affect‐free information processing system) and decision quality in an escalation situation. In contrast to conventional wisdom that rational thinking increases decision quality, but consistent with the predictions derived from the cognitive dissonance theory, results of Studies 1 and 2 revealed that high scorers in Pacini and Epstein's (1999 ) rationality inventory were more likely to have escalation bias than were low scorers. The results further showed that only the ability component of rationality, not the engagement component, was positively correlated with escalating commitment. Similar patterns of results were obtained for situations when participants were personally responsible for prior decisions (Study 1) and when they were not (Study 2). Results of Study 3 showed that the underlying process responsible for the effect of RTS on the escalating tendency is that RTS increases beliefs in prior decisions, which in turn increases escalation. Implications for our understanding of escalation of commitment, rationality theory, and managerial practices are discussed. Cet article rend compte de 3 études examinant la relation entre le style de pensée rationnelle (RTS i.e. les différences individuelles reposent sur un système de traitement de l’information consciente, analytique et relativement libre d’affects) et la qualité de la décision dans une situation d’escalade d’engagement. Contrairement à l’opinion communément admise pour laquelle la pensée rationnelle accroît la qualité de la décision, mais consistante avec les prédictions découlant de la théorie de la dissonance cognitive, les résultats des études 1 et 2 indiquent que des personnes obtenant un score élevéà l’Inventaire Rationnel‐Expérientiel de Pacini et Esptein (1999) sont plus enclines à tomber dans le piège de l’escalade d’engagement que celles dont le score est bas. D’autres résultats montrent que la capacitéà la rationalité, non celle à l’engagement, est positivement corrélée avec l’escalade d’engagement. Des résultats semblables sont obtenus lors de situations où les participants sont personnellement responsables de leurs décisions antérieures (Etude 1) ou non (Etude 2). Les résultats de l’étude 3 montrent que le processus responsable de l’effet du RTS sur la tendance à s’engager est le suivant: il accroît les croyances dans les décisions antérieures qui augmentent à leur tour l’engagement. Ces résultats nous permettent de mieux comprendre l’escalade d’engagement, la théorie rationnelle et les pratiques managériales.     

Women Experiencing Intimate Partner Violence: Effects of Confiding in Religious Leaders

IPV is the most challenging mental health problem facing clergy. Abused women (n = 476), most of whom are Christians living at home (not in shelters), sought assistance from domestic violence centers. Data obtained from questionnaires demonstrated that confiding in clergy predicts higher self-esteem and reduces the impact of lack of social support on self-esteem, self-efficacy, and life satisfaction. Compassionate clergy counseling can have a positive influence on psychological outcomes of women in abusive relationships.     

What Does Psychological Autopsy Study Tell Us About Charcoal Burning Suicide—A New and Contagious Method in Asia?

Charcoal burning suicides in Hong Kong between 2002–2004 in the 15 to 59‐year‐old age group were investigated using the psychological autopsy method. The psychopathological profiles of charcoal burning suicides (N = 53) were compared against “other suicides” (N = 97). The two groups did not differ significantly in the prevalence of DSM‐IV axis I diagnoses with the exception of schizophrenic spectrum disorder which was less frequently associated with charcoal burning suicides. Score on “neuroticism” in the NEO‐five Factor Inventory (NEO‐FFI) was significantly higher in victims of charcoal burning suicide. There was also a trend toward higher score on “conscientiousness” in the NEO‐FFI among charcoal burners than victims of other suicide.