Men’s strategies for preserving emotional well-being in advanced prostate cancer: An interpretative phenomenological analysis

Objective: This study explores men with advanced prostate cancers’ own practices for promoting and maintaining emotional well-being using Interpretative Phenomenological Analysis.

Design: Five men with advanced prostate cancer participated in face-to-face, semi-structured, in-depth interviews.

Results: Within rich narratives of lost and regained well-being, two super-ordinate themes emerged – ‘living with an imminent and uncertain death’ and ‘holding on to life.’ Well-being was threatened by reduced sense of the future, isolation and uncertainty. Yet, the men pursued well-being by managing their emotions, striving for the future whilst enjoying life in the present, taking care of their families and renegotiating purpose. Running through participant’s accounts was a preference for taking action and problem-solving. Sense of purpose, social connectedness, and life engagement were revealed as concepts central to improving well-being, indicating areas which practitioners could explore with men to help them re-establish personal goals and life purpose.

Conclusions: The findings also add weight to the evidence base for the potential value of psychological interventions such as cognitive behaviour therapy and mindfulness in men with prostate cancer.     

Associations of positive and negative life changes with well-being in young and middle-aged adult cancer survivors

Both positive and negative changes are commonly reported by cancer survivors, and both may impact quality of life. Yet few studies have directly compared the associations of positive and negative changes across multiple life domains with multiple aspects of well-being. This study examined positive and negative changes and their conjoint relation to a range of well-being indices. We used correlational and regression analyses of data from 237 young to middle aged (X?=?45.3?years) cancer survivors, several years after treatment. Measures included demographic and medical variables, medical post-cancer positive and negative changes on multiple life domains, and a range of positive and negative adjustment indices. Demographic factors, especially income, related to both positive and negative outcomes. On average, participants reported no change on most life domains, although modest amounts of both positive and negative changes were reported. Negative change, rather than positive change, was closely associated with cancer survivors’ adjustment. Detailed measurement of both positive and negative changes – as well as lack of change – is important to advance understanding of cancer's impact on survivors.     

The psychosocial well-being of a “forgotten” South African community: the case of Ndumo,KwaZulu-Natal

This study investigated the psychosocial well-being of an indigenous cultural community in South Africa, using a sequential explanatory mixed-methods design. Data on life satisfaction and emotional, social and psychological well-being were collected from 521 local residents (48% female) of Ndumo in KwaZulu-Natal, South Africa using the Satisfaction-with-Life Scale and Mental Health Continuum. In addition, interviews were conducted with 20 Ndumo residents (35% female). Findings revealed that community members had above-average levels of psychosocial well-being and exhibited significant resilience towards countering socio-economic under-resourcing, including poverty and unemployment. The community resources found to aid resilient living included being able to live off the land, a pleasant climate, personal safety, hope for a better future, and instrumental, material, and social support from philanthropic organisations.     

Acquired physical disability: Personal meanings in a rural South African setting

This study explored personal meanings attached to acquired physical disabilities in a rural South African community. Informants were seven adults with disability (females?=?4; age range?=?18 to 55 years). They responded to semi-structured face-to-face interviews on the meanings they attached to their physical disabilities acquired during adulthood. Four themes emerged from the thematic analysis: new life style, activity limitations, participation restrictions, and cultural marginalisation. The meanings and accompanying lifestyle changes have implications for personal functioning and social well-being.     

Development and Initial Validation of a General Psychological Well-being Scale (GPWS) in an African Context

This study aimed to develop and validate the General Psychological Well-being Scale (GPWS) in an African sample, based on the empirical overlap between hedonic and eudaimonic facets of well-being as found in previous research. The quantitative cross-sectional study was conducted in three phases: secondary data analysis (n = 2005), pilot study (n = 296) and main study (n = 459). The pilot and main study included the GPWS as well as other psychological well-being measures for criterion-related validity. The pilot study yielded satisfactory psychometric properties. The main study yielded a high, reliable Cronbach alpha of.89 and evidence of construct validity. The GPWS appears to be a unidimensional scale suitable for research use with Setswana-speaking people.     

Psychometric Properties and Factorial Structure of the State Trait Anxiety Inventory-Trait Version (STAI-T) in Caribbean University Students

The study investigated the psychometric properties of the State Trait Anxiety Inventory—Trait Scale (STAI-T: Spielberger, 1983) in a Caribbean university student sample. Participants were 415 undergraduate students (75% female) who completed the State-Trait Anxiety Inventory-Trait Version (STAI-T; Spielberger, 1983), Beck Depression Inventory-II (BDI-II; Beck, Steer, & Brown, 1996), the Zung Self-Rating Depression Scale (SDS; Zung, 1965), the Ego Resiliecy-89 (ER-89; Block, 1989), and the Perceived Stress Scale-Ten Item Version (PSS-10; Cohen et al., 1983). Confirmatory factor analysis (CFA) was conducted to examine the construct validity of the trait anxiety scale in terms of factor structure, convergent, discriminant, and nomological validities. CFA results revealed that a two-factor solution (trait anxiety absent and trait anxiety present) provided significantly better fit than the one-factor model of trait anxiety. There was clear evidence of convergent validity, discriminant validity, and nomological validity of the scale. Results support the psychometric adequacy of the STAI-T for use with Caribbean university students.     

The Impact of Poverty on Women's Psychosocial Well-being: Narratives from Zimbabwean Migrant Women in South Africa

The study investigated the psychosocial impact poverty has had on Zimbabwean migrant women. The sample comprised 7 female participants (3 professional teachers and 4 informal traders) who had migrated to South Africa because of poverty. Their age ranged from 16 to 55 years. In-depth interviews were conducted using an interview guide. Thematic analysis was used to analyse the data. The migrant women's health and well-being were compromised from poverty related experiences while sojourners.     

The Design and Evaluation of a Hope Enhancement Programme for Adults

The study evaluated the effectiveness of a hope enhancement programme for a group of adults and its impact on general psychological well-being. The intervention programme focused on participants' abilities to set feasible goals, planning ways to reach those goals (pathways) and increase determination and motivation (agency) to reach these goals. The workshop-format programme, consisted of six two-hour sessions conducted over five days. A pre and post-test design included an experimental group (n = 8), control group (n = 8) and ‘chat group’ (n = 8). Findings indicated that the programme increased hope levels of the experimental group as indicated by the Hope Scale and the Hopefulness Subscale of the Hunter Opinions and Personal Expectations Scale. Well-being also improved as indicated by a significant increase in sense of coherence along with a positive change in satisfaction with life. Recommendations for future research were made.     

Psychometric Properties of the Short Self-Regulation Questionnaire (SSRQ) in a South African Context

Self-regulation (SR), an important construct within the psychological well-being context, involves the ability to monitor behaviour, to contrast it with reference values and to introduce adjustments where necessary. A lack of validated measures of SR in the South African context has contributed to the current caveat in our knowledge of the potential importance of this construct. This investigation aimed to establish the utility of the Short Self-Regulation Questionnaire (SSRQ; Carey, Neal & Collins, 2004) in a South African context. This short version of the original Self-Regulation Questionnaire (SRQ; Brown, Miller & Lawendowski, 1999) was completed by a group of 385 undergraduate psychology students. Factor analysis produced 7 factors, all of which showed significant positive correlations with other measures of psychological well-being. This first step toward establishing the importance of SR in non-Western cultures reflected positively on the potential use of the SSRQ in large epidemiological studies.     

Gratitude,well-being and psychological distress among South African university students

This study investigated the associations between gratitude, measures of well-being, and indicators of psychological distress (depression and negative emotion) among South African university students. Data were collected from 198 first-year university students (female = 69.70%; mean age = 20.55 years, SD = 1.70 years) using measures of gratitude, flourishing, well-being, depression, and negative emotion. The results showed that gratitude is positively associated with measures of well-being, and inversely related to indicators of psychological distress. University-based support programmes should consider gratitude interventions to support student success.