心理健康素质测评系统·中国成年人认知风格问卷的编制

通过对认知风格既往文献的回顾和分析,从临床心理学的角度将认知风格定义为个体在解释生活事件时所偏爱的和习惯化的特征性认知方式,并确定了4个维度：过度概括化、选择性提取、个体化和灾难化。通过开放式问卷调查、参考国内外已有量表、自编项目及专家评定,形成27个项目的认知风格问卷初测版,并分别在大学生样本和非学生样本中进行测试,筛选出在两个样本中都符合心理测量学要求的16个项目,最终形成认知风格问卷正式版。对认知风格问卷正式版进行心理测量学指标考察,结果发现问卷的内部一致性信度、重测信度、结构效度、内容效度、聚合效     

Beliefs about surgery: Development and validation of an instrument to assess cognitive representations about surgery,in the context of a chronic illness

Objectives: Within a trial of medical and surgical treatments for gastro-esophageal reflux disease (GORD), involving randomised arms and preference arms, we tested the applicability of the Beliefs about Medicines Questionnaire (BMQ) and developed and tested the validity of a new Beliefs about Surgery Questionnaire (BSQ). Methods: Patients with GORD (N = 43) were interviewed to elicit their beliefs about medical and surgical treatments. These contributed to the development of BSQ items. The BMQ and BSQ were completed by trial participants at baseline (randomised trial: N = 325; preference trial: N = 414). Factor analysis and discriminant function analysis were used to assess validity. Results: Principal components analysis (PCA) largely replicated the four-factor BMQ structure. PCA of the combined BMQ/BSQ yielded six factors explaining 54.5% variance. BSQ items loaded onto distinct factors, demonstrating divergence from BMQ. As predicted, BMQ/BSQ scores enabled correct classification of 78.5% of participants to medication and surgery groups in the preference trial (χ²(6) = 205.9, p < 0.001) but only 54.5% (no better than chance) in the randomised trial (χ²(6) = 9.4, p = 0.154). Conclusions: The BSQ is a valid measure of perceptions about surgical treatments for GORD. With the BMQ, it provides information that may guide patients’ choices about treatment. This measure may be applicable to other conditions.     

A systematic review and meta-analysis of the Brief Illness Perception Questionnaire

Objective: This paper aims to systematically review the use and performance of the Brief Illness Perception Questionnaire (Brief IPQ).

Design: Electronic databases were searched for papers administering the Brief IPQ published in peer-reviewed journals. Data were extracted from the results for meta-analysis.

Main outcome measures: Use by illness population, country, language and study design. The questionnaire’s concurrent validity, predictive validity, sensitivity to change, discriminant validity and mean scores for different populations were summarised.

Results: The review included 188 papers. The Brief IPQ has been administered to patients from age 8 to over 80, with a wide range of illnesses, in 26 languages from 36 countries. Pooled correlations between illness perceptions and depression, anxiety, blood glucose levels and quality of life were consistent with previous research and theory (range .25–.49 for consequences, identity and emotional representations; ?.12 to ?.27 for personal control). All items were able to predict some outcomes up to one-year follow-up. Each subscale demonstrated sensitivity to change after intervention in randomised controlled trials with the personal control and causal items showing most frequent change.

Conclusions: The Brief IPQ is widely used and has good psychometric properties. More studies should include and analyse the causal item.     

An interview to measure vital exhaustion. I. development and comparison with the maastricht questionnaire

Abstract

This article presents an interview designed to measure vital exhaustion (VE), a state characterized by unusual fatigue, increased irritability and feelings of demoralization, which has been found to be a short-term risk indicator of myocardial infarction (MI). This state can be measured by means of the Maastricht Questionnaire (MQ). However, the MQ was found to have some major shortcomings for the selection of subjects for laboratory or clinical investigations. For this reason we designed an interview to assess VE. To test the hypothesis that the interview registers prodromal feelings of MI, the interview was administered to a sample of 81 males who were hospitalized because of a first myocardial infarction (mean age 55.6 years; sd 6.8) and a sample of 168 healthy males (mean age 54.9 years; sd 6.9). Mean scores of cases and controls differed significantly (7.8; sd 6.0 and 3.6; sd 4.0, respectively; t=5.65; p=.000). Mean scores on the questionnaire discriminated significantly too, but the discriminating power was much lower (t=2.31; p=.02). The article gives detailed instructions on the way in which the interview should be administered and scored.     

Illness representations and distress in women undergoing screening for familial ovarian cancer

Women with a familial or genetic predisposition to ovarian cancer are at significantly increased risk of developing the disease, and this warrants effective risk management strategies. A clinical trial of ovarian cancer screening (OCS) is being conducted to establish the effectiveness of this risk management strategy. This article reports data from its psychological partner study which aims to evaluate the psychological effects of OCS. Leventhal's Self-Regulatory Model provided the theoretical framework for understanding emotional responses to OCS. The revised Illness Perceptions Questionnaire (IPQ-R) is based on this model and the IPQ-R, adapted to the risk of ovarian cancer, was completed by women (N?=?1999) prior to screening. The original IPQ-R factor structure was not replicated but IPQ-R variables explained 14.70% of the variance in women's ovarian cancer-specific distress after controlling for age, general anxiety and depression. Negative emotional representations of ovarian cancer risk and general anxiety were moderately associated with greater ovarian cancer-specific distress whereas cognitive illness representations were weakly related to ovarian cancer-specific distress. Further analyses of data from the ongoing psychological evaluation are needed to determine the predictive utility of IPQ-R variables in explaining distress during OCS.     

Personal resources at the juncture of culture and life satisfaction

This study investigates cultural group differences (Israeli Arab vs. Jewish) in personal resources and life satisfaction. Arab students evidenced lower levels of life satisfaction, as well as perceived personal resources, when compared to their Jewish counterparts. Furthermore, personal resources mediated the effects of culture on life satisfaction. The role of personal resources at the juncture of culture and life satisfaction was discussed.     

Psychological wellbeing and the diathesis-stress hypothesis model: The role of psychological functioning and quality of relations in promoting subjective well-being in a life events study

Negative life events are associated with poor wellbeing and mental health outcomes. Following a diathesis-stress model, we tested whether psychological functioning and quality of interpersonal relationships moderated the effect of life events on subjective wellbeing. This study comprised data from a young and middle-aged adult sample (n = 364) drawn from an Australian university-student population. Results indicated that life events were associated with negative but not positive wellbeing outcomes. Perceived impact of life events was a stronger predictor of wellbeing than was the number of life events. Psychological functioning and quality of interpersonal relationships were associated with both wellbeing dimensions but only quality of interpersonal relationships moderated the effect of life events on wellbeing. In conclusion, perceived impact of life events was more strongly related to wellbeing than number of life events. Interpersonal relationships moderate the effect of life events with those reporting higher levels of quality of interpersonal relationships reporting less decrement in negative affect following stressful life events.     

Differences in the use of autobiographical memory across the adult lifespan

Current research distinguishes between self, directive and social function of autobiographical memories (AMs). To date, only few studies have investigated these functions across adulthood. The comparison of different age groups requires that the functions of AM are measured in the same way across groups (measurement invariance, MI). Additionally to the average use of AM, the factor variances and factor covariances among the three functions were examined across adulthood. In the present study, 1290 adults (aged between 17 and 93 years) completed the Thinking about Life Experiences Questionnaire (TALE), which measures the overall use of AMs for self, directive and social purposes. The sample was divided into five age groups and partial strong MI was established using multigroup confirmatory factor analysis. The results showed an increase in the factor associations as well as a decrease in the factor mean levels of all three functions across age groups. Both findings could be adequately described by linear functions of age. The factor variances were on most parts equal across age groups. These results strengthen the assumption that—from a lifespan developmental perspective—the use of AM may be aligned with relatively normative developmental tasks in a given society.     

Lecturers' faces fatigue their students: Face identity aftereffects for dynamic and static faces

Face adaptation has been used as a tool to probe our representations for facial identity. It has also been claimed to play a functional role in face processing, perhaps calibrating the visual system towards encountered faces. However, for this to be so, face aftereffects must be observable following adaptation to ecologically valid moving stimuli, not just after prolonged viewing of static images. We adapted our participants to videos, static image sequences or single images of the faces of lecturers who were personally familiar to them. All three stimulus types produced significant, and equivalent, face identity aftereffects, demonstrating that aftereffects are not confined to static images but can occur after exposure to more naturalistic stimuli. It is also further evidence against explanations of face adaptation effects solely in terms of low-level visual processing.