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171.
    
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.  相似文献   
172.
    
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.  相似文献   
173.
    
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.  相似文献   
174.
    
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.  相似文献   
175.
    
This study examined the Slovak mutations of three outcome measures for routine practice i.e. the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), the Outcome Questionnaire – 45 (OQ-45), the Outcome Rating Scale (ORS), and one control measure the Symptom Checklist 10 Revised (SCL-10R), with regard to their concordance or differences in outcome classification of pre-post change, when used by the same patients and when the criteria used for establishing recovery and improvement status are based on the same sample. Method: Non-clinical (252) and clinical (202) samples were used for the standardisation of all instruments. A portion of the clinical participants (N?=?140) completed all measures at the end of their treatment. Results: The CORE-OM, and the SCL-10R indicated a higher number of recovered and improved clients. With regard to the pre-post differences as expressed in the effect size, the CORE-OM showed the highest pre-post difference (pre-post effect size .98), followed by the ORS (.87), the SCL-10R (.83) and finally with the OQ-45 (.69). Conclusion: Even very similar instruments developed on the basis of similar theoretical conceptualisations and empirical findings may report different pre-post outcomes.  相似文献   
176.
    
The objective of this study was to investigate the factorial validity and reliability of scores from the Recovery Experience Questionnaire (REQ) in a higher education institution. As part of the measure validation, the relationships of the four recovery dimensions (psychological detachment, relaxation, mastery and control) to other variables in the nomological network (work-home interference, home-work interference and ill health) were investigated. Data was collected from 366 participants (females = 65.3%; white = 80.35%). Confirmatory factor analysis was used to test competing factorial models. The results supported a four-factor structure for the REQ. Relationships with other variables in the nomological network were all theoretically consistent, as expected.  相似文献   
177.
    
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.  相似文献   
178.
Advanced driver assistance systems (ADAS) are taking over an increasing part of the driving task and are supporting the introduction of semi- and fully automated vehicles. As a consequence, a mixed traffic situation is developing where vehicles equipped with automated systems taking over the lateral and longitudinal control of the vehicle will interact with unequipped vehicles (UV) that are not fitted with such automated systems. Different forms of automation are emerging and it appears that regardless of which form is going to become popular on our roads, there is a consensus developing that it will be accompanied by a reduction in time headway (THW). The present simulator study examined whether a ‘contagion’ effect from the short THW held in platoons on the UV drivers would occur. Thirty participants were asked to follow a lead vehicle (LV) on a simulated motorway in three different traffic conditions: surrounding traffic including (1) platoons with short following distance (THW = 0.3 s), (2) large following distance (THW = 1.4 s) or (3) no platoons at all. Participants adapted their driving behaviour by displaying a significant shorter average and minimum THW while driving next to a platoon holding short THWs as when THW was large. They also spent more time keeping a THW below a safety threshold of 1 s. There was no carryover effect from one platoon condition to the other, which can be interpreted as an effect that is not lasting in time. The results of this study point out the importance of examining possibly negative behavioural effects of mixed traffic on UV drivers.  相似文献   
179.
This case study aims to provide evidence for the effectiveness of adapting a particular manualized cognitive behavioral therapy intervention to treat co-occurring posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). This study presents the treatment of a woman who experienced co-occurring mTBI and PTSD following a motor vehicle accident, a dual diagnosis that was established through a flexible assessment approach involving interviews as well as standardized psychological, neuropsychological, and neurobehavioral testing. Treatment planning led to a-priori adaptation of Cognitive Processing Therapy (CPT) to treat both her PTSD symptoms and the sequelae associated with her mTBI. The therapist maintained fidelity to the manualized structure and content of CPT protocol, adapting portions of the treatment to add specific emphasis on issues of identity confusion and role loss in service of addressing these common functional impairments that can accompany mTBI. Discussion focuses on application of CPT for future treatment of comorbid PTSD and TBI amidst complicating factors, including role losses and medical and safety issues. This case study is especially relevant due to the prevalence of co-occurring PTSD and TBI across a variety of populations.  相似文献   
180.
Although cross-sectional studies have shown a reliable association between marital status and subjective well-being, a recent longitudinal study [Lucas et al. 2003, Journal of Personality & Social Psychology 84(3), pp.␣527–539] found no support for the idea that happiness increases after marriage. Instead, participants who got married reported short-term increases followed by complete adaptation back to baseline levels of well-being. However, researchers have criticized this study on two grounds. First, these results contradict cohort-based analyses from a nationally representative sample. Second, these analyses do not control for pre-marriage cohabitation, which could potentially inflate baseline levels of well-being. The original data (plus four additional waves) are reanalyzed to address these concerns. Results confirm that individuals do not get a lasting boost in life satisfaction following marriage.The data used in this paper were made available by the German Institute for Economic Research (DIW). This research was supported by a grant from the Anthony Marchionne Foundation.  相似文献   
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