A longitudinal study of psychosocial distress in breast cancer: Prevalence and risk factors

This longitudinal study was conducted among 102 women with non-metastasic breast cancer to identify the time evolution and prevalence of distress at specific times through diagnosis and treatment of disease: preliminary diagnosis, surgery, definitive diagnosis and chemotherapy. Additionally, the study aimed to examine the role of demographic, medical and psychosocial factors on distress. The results indicated that prevalence of distress was higher at initial diagnosis (25%) than the following time points (approximately 17%). The differences inter-individuals in the levels of distress were observed over the four assessments. No relation between distress and demographic and medical factors was found. However, psychosocial aspects were significant risk factors. Patterns of emotional suppression and specific coping responses like helplessness/hopelessness, anxious preoccupation, cognitive avoidance and fatalism were positively related to distress, whereas fighting spirit and perceived social support showed a protective role. Moreover, helplessness/hopelessness and anxious preoccupation jointly predicted 75% of cases and 98% non-cases of distress. Finally, a mediational model between emotional suppression and distress through helplessness/hopelessness was tested. Results support the necessity of routine distress screening all through the illness. Implications of data for psychosocial interventions with breast cancer patients are highlighted.     

Some recommended statistical analytic practices when reliability generalization studies are conducted

Precursors of the reliability generalization (RG) meta‐analytic approach have not established a single preferred analytic method. By means of five real RG examples, we examine how using different statistical methods to integrate coefficients alpha can influence results in RG studies. Specifically, we compare thirteen different statistical models for averaging reliability coefficients and searching for moderator variables that differ in terms of: (a) whether to transform or not the coefficients alpha, and (b) the statistical model assumed, distinguishing between ordinary least squares methods, the fixed‐effect (FE) model, the varying coefficient (VC) model, and several versions of the random‐effects (RE) model. The results obtained with the different methods exhibited important discrepancies, especially regarding moderator analyses. The main criterion for the model choice should be the extent to which the meta‐analyst intends to generalize the results. RE models are the most appropriate when the meta‐analyst aims to generalize to a hypothetical population of past or future studies, while FE and VC models are the most appropriate when the interest focuses on generalizing the results to a population of studies identical to those included in the meta‐analysis. Finally, some guidelines are proposed for selecting the statistical model when conducting an RG study.     

The role of outcome inhibition in interference between outcomes: A contingency‐learning analogue of retrieval‐induced forgetting

Current associative theories of contingency learning assume that inhibitory learning plays a part in the interference between outcomes. However, it is unclear whether this inhibitory learning results in the inhibition of the outcome representation or whether it simply counteracts previous excitatory learning so that the outcome representation is neither activated nor inhibited. Additionally, these models tend to conceptualize inhibition as a relatively transient and cue‐dependent state. However, research on retrieval‐induced forgetting suggests that the inhibition of representations is a real process that can be relatively independent of the retrieval cue used to access the inhibited information. Consistent with this alternative view, we found that interference between outcomes reduces the retrievability of the target outcome even when the outcome is associated with a novel (non‐inhibitory) cue. This result has important theoretical implications for associative models of interference and shows that the empirical facts and theories developed in studies of retrieval‐induced forgetting might be relevant in contingency learning and vice versa.     

Quantification abilities in angelfish (Pterophyllum scalare): the influence of continuous variables

Previous studies investigating quantity discrimination have shown that angelfish are able to select the larger of two groups of conspecifics (shoals). The discrimination limits shown by angelfish were similar to those found for other vertebrates when large (≥4) and small quantities (<4) were presented. However, in these studies, no attempt was made to control for non-numerical features of the stimulus shoals and thus the question whether numerical or some quantitative attributes of the shoals were utilized for making the choices could not be answered. Here, we investigate whether angelfish can discriminate between shoals differing in numerical size using non-numerical attributes. We systematically manipulate density, inter-fish distance, and overall space occupied by the shoals, one factor at a time, and analyse the choices angelfish made between the contrasting stimulus shoals. The stimulus shoals consisted of contrasts between large (10 vs. 5) and small (3 vs. 2) number of conspecifics. We found density to be a sufficient condition for discrimination between large shoals as the test subjects preferred the more dense shoal. Manipulation of inter-fish distance indicated that this variable is not a necessary factor in discrimination at either shoal size contrast. Likewise, we found that the size of space occupied by the contrasted shoals also did not significantly influence discrimination. Sensitivity to the density of large shoals indicates that angelfish can discriminate shoal size using this non-numerical cue. Nevertheless, the factors we examined may represent only a subset of all possible non-numerical features upon which angelfish may base their discrimination. Thus, we suggest that further research is required to clarify whether and under what circumstances angelfish may use numerical or non-numerical features when discriminating between shoals of differing size.     

Three-level meta-analysis of dependent effect sizes

Although dependence in effect sizes is ubiquitous, commonly used meta-analytic methods assume independent effect sizes. We describe and illustrate three-level extensions of a mixed effects meta-analytic model that accounts for various sources of dependence within and across studies, because multilevel extensions of meta-analytic models still are not well known. We also present a three-level model for the common case where, within studies, multiple effect sizes are calculated using the same sample. Whereas this approach is relatively simple and does not require imputing values for the unknown sampling covariances, it has hardly been used, and its performance has not been empirically investigated. Therefore, we set up a simulation study, showing that also in this situation, a three-level approach yields valid results: Estimates of the treatment effects and the corresponding standard errors are unbiased.     

Priming the mental time-line: effects of modality and processing mode

The notion of a mental time-line (i.e., past corresponds to left and future corresponds to right) supports the conceptual metaphor view assuming that abstract concepts like “time” are grounded in cognitively more accessible concepts like “space.” In five experiments, we further investigated the relationship between temporal and spatial representations and examined whether or not the spatial correspondents of time are unintentionally activated. We employed a priming paradigm, in which visual or auditory prime words (i.e., temporal adverbs such as yesterday, tomorrow) preceded a colored square. In all experiments, participants discriminated the color of this square by responding with the left or the right hand. Although the temporal reference of the priming adverb was task irrelevant in Experiment 1, visually presented primes facilitated responses to the square in correspondence with the direction of the mental time-line. This priming effect was absent in Experiments 2, 3, and 5, in which the primes were presented auditorily and the temporal reference of the words could be ignored. The effect, however, emerged when attention was oriented to the temporal content of the auditory prime words in Experiment 4. The results suggest that task demands differentially modulate the activation of the mental time-line within the visual and auditory modality and support a flexible association between conceptual codes.     

Social Anxiety,Social Skills and Expectancy/ Cost of Negative Social Events

Abstract

The aim of the study was to investigate the relationships between social anxiety, social skills and estimated cost as well as expectancy of negative social/non-social events. One hundred and twenty-six students (half males and half females) filled in the Social Phobia and Anxiety Inventory (SPAI), the Social Skills Inventory (SSI), and measures of expectancy and estimated cost of negative social and non-social events. Social anxiety was negatively correlated with self-reported social skills. Further, social anxiety was strongly related to both expectancy and estimated cost of negative social, as opposed to non-social, events. Social skills were related to expectancy, but not to estimated cost of negative social events. Finally, the correlation between social anxiety and expectancy of negative social events disappeared when social control (measured with a subscale of SSI) was partialized out of the relationship, whereas the correlation between social anxiety and estimated cost of negative social events did not. Potential therapeutic implications are discussed.     

Introducing Assertiveness Training in Hungary

Abstract

The preliminary results of an evaluation of a systematic assertiveness training programme (based on a cognitive-behavioural approach) in psychiatric care in Hungary are presented. The method adopted was specific to the Hungarian/Middle-European circumstances since people had difficulty in exercising their personal rights in the past. In groups of “neurotic” patients and comparison subjects three questionnaires (the Rathus-scale (R), the Assertiveness Inventory (AI) and the Uncertainty Questionnaire (UQ)) were administered at the beginning and at the end of the treatment. The training programme consisted of eight sessions with an emphasis on education about assertiveness and on the practice of skills such as saying “no” or standing up for oneself. A statistical analysis indicated significant improvement in the social skills of the participants, while an item analysis showed high internal consistency in all three questionnaires, and a concurrent validity analysis revealed a strong correlation between the Rathus-scale and the Assertiveness Inventory. The results indicate that assertiveness training can be used effectively in mental health care in Hungary.     

The Use of Mental Health Services Among Victims of Partner Violence on College Campuses

The present study investigated the relationship between past victimization of different types of intimate partner violence (IPV; physical, psychological, and sexual) and the likelihood of using mental health services. Results indicate 86% of participants reported experiencing some form of IPV, but only 16% of those victims used mental health services to address emotional problems. The participants reported embarrassment, expense, ineffectiveness, and social stigma as the most prominent barriers to seeking help from a mental health professional. The study also found that participants who experienced physical and psychological IPV, but not sexual IPV, reported using mental health services. Sexual IPV may elicit different barriers in help-seeking behaviors. Implications for college IPV prevention programs and mental health services are discussed.