Cognitions associated with initial medical consultations concerning recurrent breathing difficulties: A community-based study

Abstract

A two-stage community survey identified 568 respondents reporting recurrent breathing difficulties over a one-year period. Subsequent interviews allowed comparison of (i) 21 respondents who had never consulted a doctor about frequent wheezing (i.e., on more than 30 days) or serious breathing difficulties (i.e., disrupting everyday activities) over the past year with (ii) a randomly selected group of 22 who had seen their doctor concerning breathing difficulties in the past year. These groups were found to be similar with respect to demographic and lung function measures. An extended health belief model framework including causal attributions for breathing difficulties and consulting self-efficacy was used to explore cognitions which might distinguish between the two groups. Logistic regression suggested that lower perceived relative severity of symptoms (in relation to other problems). attribution of wheezing to smoking and lower self-efficacy in relation to explaining breathing difficulties to a doctor distinguished between those who did and did not consult. Health education implications. including initiatives to encourage medical help-seeking amongst those with recurrent, frequent or serious breathing difficulties are discussed.     

Delays in seeking cancer diagnosis in relation to beliefs about the curability of cancer in patients with different disease locations

This study is aimed at investigating factors leading to delayed oncologic examinations versus immediate consultation with a physician in patients with various cancers. We analysed the results of a study of patients (n?=?291) reporting for their first oncologic examinations. We conducted structured interviews containing social, demographic and clinical data, the Spielberger State-Trait Anxiety Inventory, the Beck Depression Inventory and Harris and Guten's health appraisal scores. Based on an analysis of decision-making trees, the results indicate that it is possible to predict beliefs regarding the curability of cancer and immediate versus delayed reporting to a physician. Delayed reports may be predicted on the basis of two factors: (1) a belief that cancer is incurable combined with increased state anxiety, ‘good’ or ‘very good’ self-appraisal of health and low depression; and (2) a belief that cancer is incurable accompanied by increased anxiety and depression. The characteristics of patients delaying a visit to the oncologist suggest the existence of three independent factors leading to both considerable (longer than nine months) and minor (up to one month) delays in seeking treatment.     

Beyond personal responsibility: Effects of causal attributions for overweight and obesity on weight-related beliefs,stigma, and policy support

Objective: The objective of this research was to compare the effects of different causal attributions for overweight and obesity, among individuals with overweight and obesity, on weight-related beliefs, stigmatising attitudes and policy support.

Design: In Study 1, an online sample of 95 US adults rated the extent to which they believed various factors caused their own weight status. In Study 2, 125 US adults read one of three randomly assigned online passages attributing obesity to personal responsibility, biology, or the ‘food environment.’ All participants in both studies were overweight or obese.

Main outcome measures: All participants reported beliefs about weight loss, weight-stigmatising attitudes, and support for obesity-related policies.

Results: In Study 1, biological attributions were associated with low weight-malleability beliefs and blame, high policy support, but high internalised weight bias. ‘Food environment’ attributions were not associated with any outcomes, while ‘personal responsibility’ attributions were associated with high prejudice and blame. In Study 2, participants who received information about the food environment reported greater support for food-related policies and greater self-efficacy to lose weight.

Conclusion: Emphasising the role of the food environment in causing obesity may promote food policy support and health behaviours without imposing the negative consequences associated with other attributions.     

Engagement With Self‐Practice/Self‐Reflection as a Professional Development Activity: The Role of Therapist Beliefs

A number of research studies support self‐practice/self‐reflection (SP/SR) as an experiential learning process that facilitates the acquisition of therapeutic skill in a number of cognitive‐behavioural therapy (CBT) competencies and as showing potential as a valuable professional development activity. Engaging therapists to participate in SP/SR programmes is sometimes difficult, and when they are offered the option to participate in SP/SR programmes as part of professional development, relatively few volunteer. This study investigates the role of therapist beliefs about SP/SR as a potential obstacle to engagement. An online survey was developed to assess the strength of 14 commonly held therapist beliefs concerning the consequences of participating voluntarily in a SP/SR programme. Participants were a combined sample of 44 Psychological Wellbeing Practitioners and high‐intensity CBT therapists employed by an Improving Access to Psychological Therapies service in the United Kingdom. Few negative beliefs about SP/SR emerged. The majority of respondents believed SP/SR programmes were relevant to their work situation, but perceived “lack of time” as a significant barrier to participation. Three factors are considered in relation to introducing SP/SR as a workforce professional development activity: (a) The importance of managing therapist perceptions regarding time; (b) SP/SR as a mechanism to increase self‐care and reduce burnout; and (c) The need to focus mental health services' attention on the potential of SP/SR programmes to increase staff morale and improve service delivery.     

The influence of self‐efficacy,subjective norms,and risk perception on behavioral intentions related to the H1N1 flu pandemic: A comparison between Korea and the US

This study examined the extent to which individualism‐collectivism moderates the relative effects of agency control beliefs (i.e., self‐efficacy), social norms (i.e., subjective norms), and risk perception (perceived vulnerability and perceived severity) on behavioral intention to engage in self‐protection behavior in the context of the H1N1 flu pandemic. Using multistage stratified sampling, the present study sampled people from the US (n = 399) and Korea (n = 500), two countries that have been found to be prototypical of individualistic and collectivistic national cultures, respectively. Consistent with the contrast between individualism and collectivism, the results of moderated regression analyses showed that intrapersonal control beliefs (i.e., self‐efficacy) and risk perception (i.e., perceived severity) had stronger effects on behavioral intention in the American sample than in the Korean sample, whereas social norms (i.e., subjective norms) had a stronger predictive power for the Korean sample than for the American sample. Overall, the findings contribute to health and risk studies by specifying which aspects of risk perceptions or beliefs are affected by national culture and how this translates into cross‐national variations in health risk behavioral intention.     

初中生学业错误的实然观与应然观关系研究

运用《初中生学业错误实然观问卷》和《初中生学业错误应然观问卷》调查了453名初中生的学业错误观,结果表明：（1）初中生学业错误的实然观与应然观均表现出显著的年级特征和性别差异;（2）初中生学业错误的应然观对实然观具有显著正向预测效用。     

Effects of two types of career interventions on students with different career coping styles

Research on the efficacy of career interventions often lacks comparative analysis of the effects of different types of interventions. Additionally, little is known about the effects of interventions on diverse clients. Previous studies showed that students display different career coping styles and that these styles are relatively consistent across samples. The present study analyzes the effect of two types of career interventions (a single career information session and a six-week career intervention) on the career adaptability of students with different career coping styles. The study involved 319 students from grade 9 and grade 12 of three Portuguese public schools. Results show that although the interventions were effective for most of the students, the single informative session improved the career curiosity and confidence of only one group of students, whereas the six week career intervention revealed a more robust effect in students with insecure, pessimistic or superficial career coping styles. The theoretical and practical implications of the study are also discussed.