Changes over time in head and neck cancer patients’ and caregivers’ illness perceptions and relationships with quality of life

Objective: This study investigated changes in illness perceptions from diagnosis to six months later in patients with head and neck cancer (HNC) and their caregivers. The study also examined whether discrepancy in patient and caregiver perceptions at diagnosis predicted patient health-related quality of life (HRQL) at six months.

Design: Forty-two patient–caregiver dyads completed the Brief Illness Perception Questionnaire (Brief IPQ) at diagnosis and again six months later. Patients also completed a HRQL questionnaire at both time points. Analyses were performed using the Actor–Partner Interdependence Model.

Main Outcome Measure: Total patient HRQL assessed by the Functional Assessment of Cancer Therapy (FACT-H&N).

Results: Perceptions of emotional impact and illness concern reduced over time in patients and caregivers. Perceptions of treatment control and identity increased in caregivers only. After controlling for the effects of baseline HRQL, and the individual contribution of patient and caregiver illness perceptions, greater discrepancy in perceptions of timeline, personal control, and illness identity among dyads at diagnosis predicted lower patient HRQL at six-month follow-up.

Conclusion: Patients’ and their caregivers’ perceptions of HNC are dynamic over time. Greater discrepancy between patients’ and caregivers’ illness perceptions at diagnosis predict poorer subsequent patient HRQL.     

Emotion regulation mediates the relationship between personality and sleep quality

Objective: Despite a long history of interest in personality as well as in the mechanisms that regulate sleep, the relationship between personality and sleep is not yet well understood. The purpose of this study was to explore how personality affects sleep.

Design: The present cross-sectional study, based on a sample of 1291 participants with a mean age of 31.16 years (SD = 12.77), investigates the impact of personality styles, assessed by the Personality Adjectives Checklist (PACL), on subjective sleep quality, as well as the possible mediation of this relationship by dispositional emotion regulation (ER) styles.

Results: The dispositional use of suppression was a quite consistent predictor of poor subjective sleep quality for individuals scoring high on Confident, Cooperative or Introversive personality traits, but low on Respectful personality traits. Although a positive relationship between reappraisal and subjective sleep quality was found, there was only little evidence for a relationship between the assessed personality styles and the use of cognitive reappraisal.

Conclusion: The present results indicate that in the evaluation of subjective sleep, the impact of personality and ER processes, such as emotion suppression, should be taken into account.     

Aquinas on Quality

For Kant, Aristotle's categories are arbitrary but brilliant and they do not ultimately correspond to extramental reality. For Aquinas, however, they are rational divisions of extramental being. In this perennial and ongoing dispute, the various positions seem to dissolve upon delving into the particulars of any one category. If, however, the categories are divisions of extramental being, it should be possible to offer plausible accounts of particular categories. I offer Aquinas's unstudied derivation of quality as a test case to see how one could hold, and how Aquinas did hold, to a realism about Aristotle's categories at a highly specific level. Although Aristotle divides quality into four species and some further subspecies, unlike Aquinas, he offers no reasons for these divisions. For Aquinas each accident is a particular mode of existing, that is, it is a particular way that an accident exists in a substance. In the case of quality, this mode of existing follows substantial form and its real extramental causes or effects further divide it into four species. Aquinas's account is both compelling and original, inspired by Aristotle but also un-Aristotelian. The paper concludes by comparing Aquinas's account of quality with the best extant account of Aristotle's quality, namely, Paul Studtmann's.     

Clicking away at co-rumination: co-rumination correlates across different modalities of communication

Co-rumination is associated with positive friendship quality (thought to buffer against anxiety and depression) but paradoxically higher levels of anxiety and depression. With the increasing use of technology for communication among adults, there is little known about co-rumination effects across different modalities of communication. In the current study, we examined co-rumination through four methods (i.e. in person, phone calls, text messaging, and social media) in two separate samples - college students and participants from the community. Classic co-rumination effects were found for in-person communications, and we found that co-rumination by telephone as well as by texting, for a college student sample only, mirrors some of these findings for in-person co-rumination. In studies of co-rumination, evaluation of multiple modes of communication is warranted.     

The Mixed Blessings of Material Progress: Diminishing Returns in the Pursuit of Happiness

The progress of nations is widely believed to enhance the happiness of their people. However, whether progress, as currently defined and derived, is increasing happiness and well-being in rich nations is problematic. The paper explores the relationship between economic growth and human development and the use of subjective measures of both life satisfaction and social quality of life as indicators of progress, noting the complex nature of well-being and the differences between personal and social perspectives. It questions whether widely used, simple measures are adequate, and whether greater happiness should, in any case, be regarded as the ultimate goal of progress.     

墨家的领导者心理素质思想

领导者心理素质是管理心理学研究的重要内容,先秦墨家的代表作《墨子》一书包含了丰富了领导者心理素质思想。该文拟从领导者的知识结构、道德品质、语言能力、工作态度、为人原则等方面对墨家的领导者心理素质思想作一整理和阐述,并分析其现代意义。     

Outcome effects: The impact of decision process and outcome controllability

An ‘outcome effect’ refers to the phenomenon whereby performance evaluations of decision makers are affected by the outcomes of those decisions. Although some consider such an effect to be a judgmental error, judgment by outcomes may not be dysfunctional when the evaluator does not know how the decision maker chose his or her action. In such situations, outcomes may provide some noisy information about decision quality. We test whether an outcome effect will still occur when the decision methodology and quality are more explicitly identified. Further, we test whether outcome controllability, a previously unexplored moderator variable, will have an impact on the outcome effect. Our first experiment, using undergraduates as subjects, shows that decision quality and controllability have an impact on performance evaluations but that the ubiquitous outcome effect still obtains. These results were replicated with experienced business people, except that controllability only affected their judgments in the case of negative outcomes. Implications of these results are discussed. © 1997 John Wiley & Sons, Ltd.     

Building capacity in neurodevelopment assessment of children in sub-Saharan Africa: A quality assurance model to implement standardized neurodevelopment testing

Compromised neurodevelopment (ND) among infants and children is prevalent in sub-Saharan Africa. Standardized testing of ND is frequently prohibitive in these contexts, as tests require skilled staff for their application. In this paper, we present a quality assurance (QA) model (QualiND) for standardized ND testing, discussing findings and implications from our experience applying the Kaufman Assessment Battery for Children second edition (KABC-II). The QualiND model was implemented within IMPAACT P1104s study, a multisite, prospective study including 615 children affected by HIV. From 2014 to 2016, the QualiND managed 18 testers across 6 sites located in 4 African countries applying the KABC-II in 9 local languages. The QualiND is a multilevel, video-assisted iterative model incorporating remote evaluation, feedback, and supervision roles. Using an ad hoc rubric, videos of test application were evaluated by experienced staff in a centralized QA center. At each study site, testers and supervisors reviewed feedback from videos received via email from the QA center and devised an action plan to address testing errors and deficiencies. There were few instances of invalid tests and few barriers to test completion. Over 97% of KABC-II tests across sites were considered to be valid by the QA center. Overall, the QualiND model was a useful platform for remote supervision to nonspecialist and minimally trained research staff. The QualiND model may be useful to researchers and organizations involved in measuring early child development using standardized tests in low and middle-income countries.     

奏响长者的“生命质量”凯歌

“健康老龄化”的探索中, 指标的定义至关重要。“生命质量”综合了生理、心理、社会、环境等多维度指标, 优于“预期寿命”、“健康预期寿命”等传统概念, 其定义在发展中被广为接受, 强调个体自评的主观性、可塑性和多维度。促进积极心理因素的干预是改善老年生命质量的有效路径。老龄化过程虽必然伴随生理系统衰退, 但心理系统积极参与, 仍能为年长者奏响生命质量的凯歌。     

The relationship between beliefs about emotions and quality of life in irritable bowel syndrome

Suppression of undesirable emotions, as well as beliefs about the unacceptability of experiencing and expressing emotions, have both been shown to be related to poorer health-related outcomes in several clinical groups. Potential models through which these variables relate have yet to be tested in those with irritable bowel syndrome (IBS) and are therefore examined in the current article. Online questionnaires were administered to people with IBS (n = 84) to test a mediation model in which beliefs about the unacceptability of emotions are associated with greater emotional suppression, which in turn relates to increased affective distress and consequently poorer quality of life. An alternate model to test the direction of effect along with two further models using support-seeking as mediators of the same predictor and outcome were also tested. Emotional suppression and affective distress (in that particular order) mediate the relationship between beliefs about emotions and quality of life IBS. The models using support-seeking as mediators of the relationship between beliefs about emotions and the two outcomes were not supported. These findings suggest a role for emotional processing in medically unexplained symptoms and imply the need to address such beliefs about emotions in psychological therapies.