Attribute Framing and Goal Framing Effects in Health Decisions

Levin, Schneider, and Gaeth (LSG, 1998) have distinguished among three types of framing—risky choice, attribute, and goal framing—to reconcile conflicting findings in the literature. In the research reported here, we focus on attribute and goal framing. LSG propose that positive frames should be more effective than negative frames in the context of attribute framing, and negative frames should be more effective than positive frames in the context of goal framing. We test this framework by manipulating frame valence (positive vs negative) and frame type (attribute vs goal) in a unified context with common procedures. We also argue that the nature of effects in a goal-framing context may depend on the extent to which the research topic has “intrinsic self-relevance” to the population. In the context of medical decision making, we operationalize low intrinsic self-relevance by using student subjects and high intrinsic self-relevance by using patients. As expected, we find complete support for the LSG framework under low intrinsic self-relevance and modified support for the LSG framework under high intrinsic self-relevance. Overall, our research appears to confirm and extend the LSG framework.     

How Do People Process Health Information? Applications in an Age of Individualized Communication

Advances in computer technology have made it possible to customize communication, including health-education materials, to the specific needs and interests of any individual. Studies show that individually tailored health-education materials are more effective than generic materials in promoting changes in a variety of health-related behaviors. Theory and research in information processing provide an explanation for why such materials are effective. This article discusses current research on how individuals process tailored health information, and discusses directions for future research in this area.     

Managing Uncertainty: Obesity Discourses and Physical Education in a Risk Society

This paper considers the role of physicaleducation researchers within current publicconcerns about body shape and weight. UsingUlrich Beck's notion of `risk' it examines howcertainty about children, obesity, exercise andhealth is produced in the contexts of `expert'knowledge and recontextualised in the academicand professional physical education literature.It is argued that the unquestioning acceptanceof the obesity discourses in physical educationhelps to construct anxieties about the body,which are detrimental to students and silencesalternative ways of thinking and doing physicaleducation.     

Expanding Mental Health Services to Older High-Utilizing HMO Patients: A Pilot Study

Background: Expanded mental health benefits were offered to older HMO patients who were high medical utilizers. Outcomes of interest were use of services, subjective well-being, and psychopathology. Methods: Sixty-nine (25 male, 44 female) patients age 55 or above seeking frequent outpatient medical care completed the SF-36 health survey and the revised Symptom Check List (SCL-90-R). Patients were assigned to usual care, health education, or expanded mental health benefit conditions. Results: Patients showed high initial levels of psychopathology and distress. Over the 6 months of the study, patients in the expanded benefits group made a mean of 11.5 visits to mental health professionals versus a mean of 3.4 visits by usual care patients. Patients in the expanded benefits group showed significant improvement in SF-36 General Health and Mental Health well-being scores. Patients in the health education group showed no improvement. Patients in the usual care group showed improvements in Vitality scores. Psychopathology summary scores showed improvement for both usual care and enhanced benefit groups. Conclusions: Mental health treatment may improve well-being and reduce psychopathology in older high-utilizing patients. Creativity will be needed in expanding access to mental health services for this population.     

Counsellors' experiences of working with suicidal clients: An exploratory study

Counselling is increasingly available in a wide variety of contexts, including mental health and psychiatric services. As a consequence, counsellors increasingly work with clients who present with suicidal ideation, expressing either suicidal thought and/or intent in the counselling session. This paper describes an exploratory study that examined the experience of counsellors when working with suicidal clients. The paper considers counsellors' behavioural, cognitive and emotional responses to such suicidal expression, both on a personal and professional level. The research employed semi‐structured interviews. A constant comparative method was used in analysing the transcribed interview text. Results suggest that counsellors experience a range of responses when their clients express suicidal thought, including fear, anxiety, anger and professional impotence. The interviewees also expressed self‐doubts about their professional competence. In addition, they identified the threat of litigation for negligent practice and the lack of confidence in appropriate risk assessment approaches as significant causes for concern. The implications for further research, and practice, are discussed.     

Attributional Style and Personality as Predictors of Happiness and Mental Health

This paper contains two studies which set out to examine to what extent attributional style (internal, stable, global) and personality traits predicted happiness and psychiatric symptoms in a normal, non-clinical, population of young people in their early twenties. Two hundred and three participants completed five questionnaires: the Attributional Style Questionnaire (ASQ) (version one & version two), Eysenck Personality Questionnaire, Oxford Happiness Inventory, and Langner 22-Item Measure. Sample 1 (n = 120) completed ASQ version one (in both positive and negative situations) and sample 2 (n = 83) completed ASQ version two (in expanded negative situations). Regressional analysis showed that ASQ (in both versions) was the significant predictor of happiness and mental health accounting for 20% to 38% of variances. The ASQ was significantly associated with extraversion and neuroticism. Further, with happiness and mental health as dependent variables and attributional style, personality traits, and demographic variables as independent variables respectively, extraversion and attributional stability (in positive situations) were the significant predictors of happiness accounting for 59% of the total variance whilst neuroticism and psychoticism were the significant predictors of mental health accounting for 53% of the total variance. The results indicated that optimistic attributional style in positive situations was a stronger predictor of self-reported happiness than mental health and pessimistic attributional style in negative situations was a predictor of both happiness and mental health. Extraverts tended to have optimistic explanatory style for positive outcomes whereas neurotics tended to have pessimistic explanatory style for negative outcomes.     

中国军人心理健康状况的元分析

研究的目的在于深入探讨军人的心理健康状态。通过文献查阅收集了77篇用SCL-90作为测评工具的关于军人心理健康状况的研究,样本量为56164人,根据被试情况把这些研究分为两组,一组为军事应激条件下的军人,另一组为非军事应激条件下的军人,分别对两组研究进行了元分析。研究发现非军事应激条件下军人的心理健康水平与军人常模差不多;军事应激条件下军人的心理健康水平在应激前高于军人常模,应激中低于军人常模,应激后与军人常模差不多。其中城镇驻军的心理健康水平高于高原驻军,高于边防驻军;应激中的心理健康水平低于应激后,低于应激前;地域、人员类别以及应激水平等因素对军人SCL-90得分有显著影响。敏感性分析和发表偏倚显示本研究的稳定性较好,没有发表偏倚。表明中国军人的心理健康状况并非很差;与金华等的地方成人常模和蔡心培的国家军用标准相比,王焕林19662人的军人常模更适合于做军人的比较标准;地域、人员类别以及应激水平等因素对SCL-90得分有显著影响     

The importance of impaired physical health and age in normal cognitive aging

The objective of this study was to investigate the importance of impaired physical health and age in normal cognitive aging. In our cross-sectional, clinical and explorative study, medical and neuropsychological data from 118 voluntary healthy controls aged 26-91 years were collected from five recruitment occasions. Health was assessed according to a criterion reflecting clinical and subclinical severity. The examinations included a clinical investigation, brain neuroimaging, and a comprehensive neuropsychological assessment. Regression analyses showed a significant incidence of clinical and subclinical medical disorders that explained 10.8% of the variation in cognitive performance, while age-related impairment explained 5.6%. Findings of the central nervous system were important but various other medical findings explained about half of the health-related variation. Cognitively demanding tasks were more susceptible to impaired physical health while tasks comprising salient motor- and visual spatial elements were more prone to be impaired by age. Our findings suggest (1) that impaired physical health is more important than chronological age in accounting for cognitive impairment across the adult lifespan, (2) that age and health dissociate with regard to cognitive functions affected, and (3) that selection for so-called "super healthy" elderly people might be justified in cognitive research. Because the prevalent diseases in normal aging are potentially preventable, the present findings promise good prospect for prevention of future cognitive disability among elderly people.