A self-regulation-based intervention to increase physical activity in cancer patients

The study examined whether a behavior-change intervention focusing on self-regulatory strategies and emphasizing role model support increases physical activity (PA) among insufficiently active (not meeting PA guidelines of 150 min/week) cancer patients. Ambulatory cancer patients [N = 72; 54% female; M = 56 years, SD = 12.34; most with breast or colon cancer (34, 15%)] were enrolled in the MOTIVACTION-study, a 4-week intervention (1-hr counseling, followed by weekly phone calls), with pretest (T1), posttest (T2) and a 10-week follow-up (T3). Participants were randomized to either an exercise or to a stress management intervention (active control). The exercise intervention emphasized self-regulatory strategies (e.g. action- and coping planning and self-monitoring); patients were also encouraged to contact a physically active same-sex role model as a potential exercise partner. The active control condition consisted of coping and relaxation techniques. Sixty-seven patients remained in the study and completed the SQUASH assessment of PA and a measure of perceived stress. PA was validated by Actigraph accelerometry. At T2, 46% of the patients in the exercise group and 19% of stress management patients increased their activity levels to meet PA guidelines (>150 min/week; χ²(1) = 5.51, p = .019). At T3, participants in the exercise intervention maintained their exercise level (46%), but also 31% of the stress management patients met the guidelines. All patients reported reductions in perceived stress. Additional analyses comparing patients in the exercise group by role model contact (63% realized contact) revealed that those who had contact with their role model were significantly more likely to adhere to the recommended guidelines (T2:50%; T3:64%) compared to those who did not have contact with a role model (T2:39%; T3:15%), suggesting the potential of mobilizing role model support to facilitate PA. In sum, cancer patients may not only benefit from an exercise intervention emphasizing self-regulation, but also from stress management, regarding both reducing stress and increasing PA.     

Mental health of Chinese primary care patients with lower urinary tract symptoms

The aim of this study was to evaluate the mental health of Chinese primary care patients with lower urinary tract symptoms (LUTS). This was a cross-sectional observational study. Five hundred and nineteen subjects with LUTS completed a structured questionnaire containing the Depression, Anxiety, and Stress Scale-Short Form, the International Prostate Symptom Score, the adapted International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and questions about socio-demographics. Overall, 17.7% of subjects reported depressive symptoms, 24.3% anxiety symptoms and 9.6% stress symptoms. In males, demographic factors associated with poorer mental health included being not married; clinical factors included higher LUTS severity, weak stream, straining and mixed urinary incontinence. In females, demographic factors associated with poorer mental health included being younger, not married and lower household income; clinical factors included higher LUTS severity, incomplete bladder emptying, urgency and weak stream. Chinese primary care patients with LUTS appear to be an at-risk group for poorer mental health with increased prevalence of anxiety and depressive symptoms and may require routine screening to identify those who may require more tailored interventions to address both their urinary symptoms and psychological distress.     

On-call work and physicians’ turnover intention: the moderating effect of job strain

Physician shortage and turnover are major problems worldwide. On-call duties may be among the risk factors of high turnover rates among physicians. We investigated whether having on-call duties is associated with physicians’ turnover intention and whether job strain variables moderate this association. The present study was a cross-sectional questionnaire study among 3324 (61.6% women) Finnish physicians. The analyses were conducted using analyses of covariance adjusted for age, gender, response format, specialization status and employment sector. The results showed that job strain moderated the association between being on-call and turnover intention. The highest levels of turnover intention were among those who had on-call duties and high level of job strain characterized by high demands and low control opportunities. The lowest levels of turnover intention were among those who were not on-call and who had low strain involving low demands and high control. Also, job demands moderated the association between being on-call and turnover intention; turnover intention levels were higher among those with on-call duties and high demands than those being on-call and low demands. To conclude, working on-call was related to physicians’ turnover intention particularly in those with high job strain. Health care organizations should focus more attention on working arrangements and scheduling of on-call work, provide a suitable working pace and implement means to increase physicians’ participation and control over their job.     

Validation d’une version française de la Dutch Work Addiction Scale (DUWAS)

The main purpose of this study was to validate a questionnaire in French to assess the two dimensions of workaholism, namely excessive and compulsive work (see Schaufeli, Taris, & van Rhenen, 2008), in samples of French-speaking workers. We first translated the short version of the DUWAS (Schaufeli, Shimazu, & Taris, 2009) and then examined the factorial structure of this French version using confirmatory factor analyses. We also tested the convergent validity of the French version of the DUWAS by examining the relationships between workaholism and perceived stress. Data were collected in two samples of French workers from different sectors (n = 411 and n = 254). Theoretical and practical implications of this work are discussed.     

Higher chronic psychological stress is associated with blunted affective responses to strenuous resistance exercise: RPE,pleasure, pain

The aim of this study was to determine whether mental stress moderates perceptions of muscular pain, exertion, pleasure and arousal during a bout of strenuous resistance exercise. Two hundred and ten undergraduate students recruited from resistance exercise classes were screened with the Perceived Stress Scale (PSS). Fifty-seven individuals (age = 20.1 ± 1.2 y) were invited to complete the Undergraduate Stress Questionnaire (USQ), a measure of life event stress, and fitness testing. They later performed a two-phase, acute heavy-resistance exercise protocol: first phase: 10-repetition maximum (RM) leg press test; second phase: six sets at 80–100% of 10-RM. During exercise, participants responded to the Feeling Scale (pleasure), Felt Arousal Scale, Omni-RPE and the Pain Intensity Scale. Affective responses and heart rate were analyzed with a hierarchical linear modeling (HLM) growth curve analysis. USQ moderated the trajectories of affective responses and heart rate during exercise. Higher stress (USQ) levels were significantly related to lower rise in RPE (time², p = .002; time³, p < .001) and heart rate (time², p < .001; time³, p < .001). USQ had a main effect on pleasure and arousal (p values < .001), in which higher levels of stress were related to less affect. Models using the PSS scale produced similar results. PSS, but not USQ, interacted with time to predict pain (time², p = .048; time³, p = .024). Relationships held even after adjusting for covariates, such as depression. Future research should determine if differential responses to exercise by stress have implications for behavioral interventions and mental health outcomes.     

School administrators’ use of collaborative autobiography as a vehicle for reflection on accountability pressures

This research studied accountability pressures faced by five school administrators, and explored collaborative autobiography as a way for administrators to reflect on and address those pressures. The administrators cycled back and forth between reflective writing and group dialogue as they contemplated accountability pressures, their life histories in relationship to the pressures, and their preferred future. The participants reported that the process helped them to better understand accountability pressures and develop strategies for negotiating those pressures.     

Working Through Physical Disability in Psychoanalytic Psychotherapy With an Adolescent Boy

The narcissistic injury that may be caused by physical disability in infancy and the possible familial traumatization may block the integration of the infant's body and self-image, and can consequently hinder the child's identity formation. This article presents how an adolescent boy with cerebral palsy in short-term psychoanalytic psychotherapy works through the mental impact of his physical disability using a story. Transference and countertransference reactions are discussed. The positive impact of short-term psychoanalytic psychotherapy highlights the importance of caring for the mental health of children with physical impairments.     

Links among the Self,Stress, and Psychological Distress during Emerging Adulthood: Comparing Three Theoretical Models

The authors tested three theoretical models linking self, stress, and psychopathological distress in emerging adulthood. The vulnerability model posits that self-concept pathology leads to distress. The scarring model postulates that distress and stress lead to self-concept pathology. The stress generation model stipulates that distress and self-concept pathology lead to the experience of episodic and chronic life stress. Change in ruminative brooding was examined as a potential mechanism in all models. One-hundred and seventy Israeli freshmen (M_[age]?=?23.19, 68% females) were followed up three times over the duration of one year. Distress and six dimensions of the self (self-criticism, self-concept inadequacy, hated sense of self, self-esteem, generalized self-efficacy, and self-concept clarity) were assessed repeatedly. Acute and chronic stresses were measured at Time 2 using the University of California, Los Angeles (UCLA) Stress Interview. Distress prospectively predicted self-concept pathology pertaining to all of the dimensions, except self-concept clarity, which was adversely affected by chronic stress. Change in ruminative brooding mediated scarring for self-criticism, a hated self, and self-concept clarity. Low self-esteem emerged as a powerful chronic stress generator. Self-concept clarity was as the only dimension leading to change in distress. In emerging adulthood, psychological distress and—to a lesser extent—chronic stress might “scar” the self.     

Parental Personality,Relationship Stress,and Child Development: A Stress Generation Perspective

This study aimed to investigate associations among the parental personality dimensions of self‐criticism and dependency, parental relationship stress, and child development from a stress generation perspective. Data from 79 first‐time parents and their children aged 8–13 months, who were followed up in a two‐wave, 1‐year longitudinal study, were analysed within a multilevel structural equation modelling framework in order to account for within‐couple interdependence. Results revealed that, as hypothesised, both parental self‐criticism and dependency were associated with increased levels of relationship stress, which in turn were negatively related to child development. Hence, parental personality features in combination with relationship stress may be an important target in couple and family‐based interventions. Implications for further research on family dynamics and interventions are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Sense of Competence and Beliefs About Parental Roles in Mothers and Fathers as Predictors of Coparenting and Child Engagement in Mother–Father–Infant Triadic Interactions

The aim of this study was to assess the extent to which a sense of competence and beliefs about parental roles in mothers and fathers influence coparenting and child engagement in triadic interactions during the first 2 years of the child's life, after other influential variables such as marital satisfaction and postpartum depression have been controlled for. The sample constituted 69 mother–father–infant families, whose sense of competence, beliefs in parental roles, postpartum depression, and marital satisfaction were assessed in our laboratory at 3, 9, and 18 months with self‐reported questionnaires. Coparenting support and conflict and child engagement were assessed with the Lausanne Trilogue Play. Results show that (i) predictors of coparenting and child engagement are not the same at each time point; (ii) a sense of competence in mothers is positively linked with coparenting support, particularly at 3 months, whereas in fathers, it is negatively linked with support, particularly at 18 months; (iii) discrepancies between mothers and fathers in beliefs about the importance of the mother's role is the main predictor of coparenting conflict at 18 months; and (iv) paternal beliefs about the importance of the father's and mother's roles are the main predictor of child engagement at 18 months. Copyright © 2015 John Wiley & Sons, Ltd.