Health performance of individuals within the Campbell paradigm

In this paper, we developed a comprehensive health performance measure that formally links individual health attitudes with the likelihood of engaging in a wide variety of health‐related behaviours from various domains such as sustenance, hygiene, and physical exercise. Within what Kaiser, Byrka, and Hartig (2010) call the Campbell paradigm, we equated general health attitude with what a person does to retain or promote his or her health. Thus, health behaviours, on one hand, were expected to form a homogeneous, transitively ordered class of behaviours. On the other hand, the very behavioural class was in turn thought to be the basis from which an individual's health attitude could be directly assessed. A sample of 391 adults provided us with survey data containing different sets of health behaviours as well as variables and personality measures that had been corroborated as health‐behaviour relevant in previous research. We found that self‐reports of 50 behaviours and expressions of appreciation for 20 of these behaviours from various domains formed a transitively ordered class of activities. In contrast to the conventional view in health psychology, in which attitudes are regarded as a psychological cause behind individual behaviour, and in contrast to conventional findings in health psychology, where behaviours appear to fall into numerous sets of more or less distinct domains of health‐enhancing activities (e.g., exercising or avoiding risks), our findings speak of the psychological and formal unity of health behaviour. Inevitably, attitude measures grounded in the Campbell paradigm gauge individual attitudes, and just as much, they measure the health performance of individuals.     

Both Sides of the Coin: Randomization from the Perspectives of Physician-Investigators and Patient-Subjects

Randomization is the “gold standard” design for clinical research trials and is accepted as the best way to reduce bias. Although some controversy remains over this matter, we believe equipoise is the fundamental ethical requirement for conducting a randomized clinical trial. Despite much attention to the ethics of randomization, the moral psychology of this study design has not been explored. This article analyzes the ethical tensions that arise from conducting these studies and examines the moral psychology of this design from the perspectives of physician-investigators and patient-subjects. We conclude with a discussion of the practical implications of this analysis.     

Assessing Professional Boundaries in Clinical Settings: The Development of the Boundaries in Practice Scale

This article reports on the Boundaries in Practice (BIP) Scale developed to measure knowledge, comfort, ethical decision making, and experience. Few instruments used in studies conducted on professional/?client boundaries have been validated. The BIP demonstrated sound face, content and construct validity, and adequate internal consistency reliability. The BIP Scale provides the first reliable and valid means of investigating multiple boundary domains across health disciplines and teams. The sensitivity and complexity of boundary issues and the serious consequences of breaches highlight the importance of a valid and reliable measure in building empirical knowledge in this field.     

Inconsistent parenting and anxiety in the child

Abstract

This study has examined children's estimates of dental anxiety and pain before and after a standard dental treatment session consisting of a local analgesic and drilling procedures. A method of assessing intensity of pain while receiving dental treatment was devised, and measures of the child's uncooperativeness and the dentist's supportive behaviour including treatment time was collected. Results showed that there was an immediate reduction in dental anxiety following exposure to dental procedures for those children referred because of their previous uncooperativeness. The reduction in anxiety was not attributed to supportive behaviour of the dentist. Children referred as unco-operative recorded higher pain intensity to comparison children.     

Progress in the development of a multidimensional measure of fear of failure: The performance failure appraisal inventory (pfai)

Abstract

Measuring fear of failure (FF) is a tremendous challenge for researchers and practitioners because (a) existing measures have demonstrated limited support for the validity of their score interpretations, and (b) existing measures are unidimensional while accumulating evidence suggests that FF is multidimensional. The Performance Failure Appraisal Inventory (PFAI) was developed to measures a set of empirically-derived congnitive-motivational-relational appraisals associated with FF. Results indicated that PFAI scores represented fears of (a) experiencing shame and embarrassment, (b) devaluing one's self-estimate, (c) losing social influence, (d) having an uncertain future, and (e) upsetting important others. Correlations with external measures of achievement goal orientations, trait anxiety, and social desirability were consistent with theoretical predictions. PFAI scores correctly classified 76.5% of participants' perceptions of underachievement.     

Aspects of Safe Attachment in the Recovery from Trauma

Abstract

The attachment capacities of trauma survivors were hypothesized to be positively related to their recovery from traumatic event(s). Recovery from psychological trauma is conceptualized as consisting of multiple criteria, and proceeding through a series of stages. The safe attachment dimension of the Multidimensional Trauma Recovery and Resiliency (MTRR) scale was examined through factor analyses, resulting in four factors or subscales. One hundred and twenty-six participants were rated according to recovery status and on the MTRR scale by clinicians from various clinical settings. Recovery status was positively correlated with the overall Safe Attachment dimension and with each of the four separate subscales. Implications for psychotherapeutic goals are discussed.     

Childhood Adverse Experience: Yes or No? Mothers' Decision-Making Process When Responding to Survey Questions

The aim of this pilot study was to assess how difficult it is for mothers to answer questions regarding adversities their children might have experienced, and to investigate their considerations in the decision-making process. A nonrepresentative community sample of 628 mothers of 6- to 8-year-old children responded to an online survey. The mothers answered questions regarding adversities, rated the acceptability of these questions, and reported on any difficulties they had in responding. Based on the mothers' reports, qualitative analyses were conducted to identify metacategories of arguments. The study highlights the need for increased awareness of the complexity involved in soliciting information about adverse experiences in research and clinical settings, and for caution in interpreting epidemiological results in this field.     

Measurement Equivalence of the Trauma Symptom Checklist-40 for Chemically Dependent African American and Caucasian Women: A Preliminary Study

The Trauma Symptom Checklist-40 (TSC-40) is a brief self-report measure of trauma-related symptoms. Using a confirmatory factor analysis framework, this preliminary study examined whether the TSC-40 provided a good fit for 50 African American and 52 Caucasian economically and educationally disadvantaged women enrolled in a residential treatment program. A 5-factor structure of the TSC-40 appeared to be more applicable for our sample than the original 6-factor model. This 5-factor model includes negative mood, interpersonal problems, sleep disturbance, dissociative-like symptoms, and sexual problems. Equivalent factor structure and factor loadings emerged for the two ethnic and racial groups. Implications pertaining to trauma assessment are discussed.