Internal health locus of control predicts willingness to track health behaviors online and with smartphone applications

Given rising technology use across all demographic groups, digital interventions offer a potential strategy for increasing access to health information and care. Research is lacking on identifying individual differences that impact willingness to use digital interventions, which may affect patient engagement. Health locus of control, the amount of control an individual believes they have over their own health, may predict willingness to use mobile health (mHealth) applications (‘apps’) and online trackers. A cross-sectional study (n = 276) was conducted to assess college students’ health locus of control beliefs and willingness to use health apps and online trackers. Internal and powerful other health locus of control beliefs predicted willingness to use health apps and online trackers while chance health locus of control beliefs did not. Individuals with internal and powerful other health locus of control beliefs are more willing than those with chance health locus of control beliefs to utilize a form of technology to monitor or change health behaviors. Health locus of control is an easy-to-assess patient characteristic providers can measure to identify which patients are more likely to utilize mHealth apps and online trackers.     

Hidden reality: sexual sphere in brain tumor patients

Most reports emphasize that tumors and their treatments affect sexual function. To date, no studies have focused on sexual functioning in patients with brain tumors. Our study’s objective is to describe the sexual sphere of patients with brain tumors and examine the possible differences between patients who reported sexual dysfunctions and those who did not with respect to their psychological and functional status. We tested 46 patients with brain tumors. We used an ad hoc questionnaire to assess patients’ subjective perception of their own sexual sphere. To assess patients’ psychological status, we used the following questionnaires: Hospital Anxiety and Depression Scale; Psychological Distress Inventory; EORTC QLQ-C30; EORTC QLQ-BN20. Fifty-eight percent of patients reported sexual disturbance. Our data showed that a lack of or decrease in sexual desire is the most common sexual problem reported by our patients (56%). Patients with sexual problems reported higher levels of anxiety and depression and a worse self-reported quality of life (QoL) than did those who did not perceive adverse changes in their sexual sphere. In addition, we found that patients with a better performance status (KPS) reported more changes in sexual behaviors than did those who had performance difficulties. Of the patients, 15.2% received information regarding possible changes in the sexual sphere by physicians. Additionally, 10.8 of 15.2% of the patients reported having explicitly requested information from physicians. The study demonstrated a relation between QoL and sexual function. Therefore, it would be important to encourage clinicians to ask questions regarding patients’ sexual issues, thus providing them with an opportunity to expose their difficulties and receive adequate support.     

Identifying the main factors contributing to driving errors and traffic violations – Results from naturalistic driving data

Researchers have identified various factors that likely affect aberrant driving behaviors and therefore crash risk. However, it remains unclear which of these factors poses the greatest risk for either errors or violations under naturalistic driving conditions. This study investigated important variables contributing to driving errors and traffic violations based on naturalistic driving data from the second Strategic Highway Research Program (SHRP 2). In addition, this study identified factors determining the drivers’ willingness to perform common secondary tasks while driving, which have been associated with different degrees of crash risk. Results showed that anger, passenger presence, and persistent individual differences in driver behavior were the main factors associated with committed violations; surprise, high-risk visually distracting secondary tasks, and the driving task demand passing through an interchange were the main factors associated with errors. The willingness to engage in risky secondary tasks while driving appeared to be related to an overall tendency to engage in risky driving behaviors. However, drivers considered the driving context particularly when engaging in visually distracting secondary tasks. This study’s comprehensive approach should be a step towards generating a complete model of the variables that contribute to, or mitigate dangers in traffic.     

A game-to-game investigation of the relation between need-supportive and need-thwarting coaching and moral behavior in soccer

ObjectiveAlthough perceived need-supportive and need-thwarting coaching have received considerable attention, the question whether coach behavior fluctuates from game to game, with resulting associations with players’ moral behavior has not been examined.Design and methodA Belgian sample of soccer players (N = 197; M = 26.57) was followed during five competition games, with players completing measures both prior to and following each game assessing, pre-game and on-game perceived coaching as well as athletes’ moral behavior.ResultsResults of multilevel analyses indicated that there exists substantial variation in perceived need-thwarting and need-supportive coaching behavior from game to game. The game-to-game variation in perceived pre-game need-thwarting coaching behavior related positively to variation in the adoption of an objectifying stance, which, in turn, related to variation in antisocial behavior oriented towards the opponent, the referee, and even their own teammates. Variation in perceived on-game need-supportive and need-thwarting coaching behavior yielded an additional relation to team-related moral outcomes. Finally, supplementary analysis indicated that these effects also held for an objective marker of moral functioning (i.e., number of yellow cards) and that players’ level of competition-contingent pay related to their antisocial behavior via an objectifying stance.ConclusionThe discussion highlights the fluctuating and dynamic nature of motivating coaching behavior, and its association with players’ moral functioning.     

The Effect of Physical Activity on Children With ADHD: A Quantitative Review of the Literature

Research on the effects of physical activity on children with attention deficit hyperactivity disorder is promising, yet no attempt has been made to integrate current findings using meta-analytic techniques. Using a meta-regression, the present study examined the effectives of physical activity for children with attention deficit hyperactivity disorder on a number of cognitive, behavioral, and emotional outcomes. From 20 empirical studies, 164 effect sizes quantifying the effectiveness of physical activity for children with attention deficit hyperactivity disorder were extracted from 22 independent samples. Results indicated an overall moderate-to-large effect for physical activity on children with attention deficit hyperactivity disorder, with a significant effect for emotion/mood. Limitations of the study, future directions, and implications for school professionals are discussed.     

Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD

Cognitive Processing Therapy (CPT) is an evidence-based treatment (EBT) for posttraumatic stress disorder (PTSD) which has been validated for female veterans with military-related PTSD. Existing trials have enrolled predominantly White veterans with some studies documenting higher rates of early termination from EBTs among Black females when compared to White females. Data from a previously published randomized clinical trial were used to evaluate the effectiveness of CPT for Black female veterans with military sexual trauma (MST)-related PTSD. Reductions in PTSD symptom severity, number of sessions attended, and early termination rates were compared between Black (n = 20) and White (n = 16) female veterans. A hierarchical linear modeling approach was used, with PTSD symptom severity over the course of treatment and follow-up entered as a level-1 variable and race (Black or White) entered as a level-2 predictor. Piecewise growth curves analyses revealed that both Black and White female veterans experienced significant reductions in PTSD symptom severity over the course of treatment and gains were maintained up to 6 months post-treatment. Race was not found to be a significant predictor of change in the slope of PTSD symptom severity over the course of CPT treatment. Additionally, number of sessions attended and rates of early termination did not significantly differ based on race. Results suggest that CPT was a well-tolerated and effective psychotherapeutic treatment for this sample regardless of racial self-identification.     

Overcoming procrastination: one-year follow-up and predictors of change in a randomized controlled trial of Internet-based cognitive behavior therapy

Procrastination is a common self-regulatory failure that can have a negative impact on well-being and performance. However, few clinical trials have been conducted, and no follow-up has ever been performed. The current study therefore aimed to provide evidence for the long-term benefits and investigate predictors of a positive treatment outcome among patients receiving Internet-based cognitive behavior therapy (ICBT). A total of 150 self-recruited participants were randomized to guided or unguided ICBT. Self-report measures of procrastination, depression, anxiety, and quality of life were distributed at pre-treatment assessment, post-treatment assessment, and one-year follow-up. Mixed effects models were used to investigate the long-term gains, and multiple linear regression for predictors of a positive treatment outcome, using the change score on the Irrational Procrastination Scale as the dependent variable. Intention-to-treat was implemented for all statistical analyses. Large within-group effect sizes for guided and unguided ICBT, Cohen’s d = .97–1.64, were found for self-report measures of procrastination, together with d = .56–.66 for depression and anxiety. Gains were maintained, and, in some cases, improved at follow-up. Guided and unguided ICBT did not differ from each other, mean differences ?.31–1.17, 95% CIs [?2.59–3.22], and none of the predictors were associated with a better result, bs ?1.45–1.61, 95% CIs [?3.14–4.26]. In sum, ICBT could be useful and beneficial in relation to managing procrastination, yielding great benefits up to one year after the treatment period has ended, with comparable results between guided and unguided ICBT.     

Relationships between gender self-esteem,sexual prejudice,and trans prejudice in cisgender heterosexual college students

Our understanding of sexual prejudice, or prejudice against gay men, lesbian women, bisexual people, and other sexual minorities, has improved substantially over the last few decades. Less is known about the factors that predict trans prejudice, or prejudice against trans people. Using the framework of social identity theory, we examined the relationship between gender self-esteem, sexual prejudice toward gay men and lesbian women, and trans prejudice in a sample of 391 self-identified cisgender heterosexual students from a Midwestern university in the United States. Compared to women, men reported more sexual prejudice, trans prejudice, more prejudice toward gay men than lesbian women, and more violence toward, teasing of, and discomfort around trans women than trans men. Whereas both men and women reported more teasing of trans women than of trans men, men reported more discomfort around trans women and women reported more discomfort around trans men. Gender self-esteem significantly predicted sexual prejudice and trans prejudice in men but not women. Consistent with other research, our results indicate that men's sexual prejudice and trans prejudice may be motivated by similar factors, whereas the predictors of women's prejudice may be more specific to the type of prejudice.     

权力和地位对自利行为的影响及其机制

权力和地位对自利行为的影响不同。权力能够降低认知性观点采择水平,进而使个体更加关注自身利益;地位能够提升认知性观点采择水平,进而使个体推测他人思想与感受,考虑他人利益。然而,权力和地位通过认知性观点采择对自利行为的影响可能受到情境性质的调节。今后的研究应该对这些关系和解释进行验证,探索共情性关心的中介作用,以及权力和地位影响认知性观点采择的调节变量;探究权力和地位拥有者对群体内、外他人的自利行为差异;探讨权力和地位的交互作用对自利行为的影响。