Posttraumatic Growth in Individuals With Chronic Illness: The Role of Social Support and Meaning Making

This study aimed to assess the predictive nature of social support, meaning making (presence of meaning and search for meaning), and demographic factors on perceived posttraumatic growth (PTG) in a sample of adults living with chronic illness (N = 110). Regression analyses indicated that presence of meaning and gender served as the strongest predictors, together accounting for 22% of the variance in PTG. Presence of meaning also moderated the relationship between social support and PTG, supporting the unique contribution of meaning making on PTG.     

The quiet passenger: Cognitions,avoidance, and onset among people with driving anxiety

BackgroundAnxiety over driving can have consequences for road safety and individual well-being. This area is under-researched in Australia, despite international research suggesting that most drivers experience some level of anxiety over driving.ObjectivesThis study aimed to contribute to the understanding of driving anxiety by 1) confirming the factor structure of two questionnaires designed to understand the concerns (Driving Cognitions Questionnaire: DCQ) and avoidance behaviours (Driving and Riding Avoidance Scale: DRAS); 2) providing evidence of anxiety manifestations in Australian drivers, and 3) understanding whether these differ according to the initial onset of this anxiety.MethodsA total of 1,600 people (77% females; age ranging from 18 to 89 [M = 27.92; ± 13.49], 75% licenced, 20% learning, 5% unlicenced) in Australia who identified as having “some” level of anxiety over driving, completed an online questionnaire regarding their anxiety.ResultsConfirmatory Factor Analyses showed the two-factor structure of the DRAS (general and traffic avoidance; and weather and riding avoidance) and the two-factor structure of the DCQ (crash-related concerns and social and panic related concerns) best fit the data. The most common anxiety onsets were crash involvement (14%), knowing someone who had been in a crash (9%) and due to criticism from others (9%). While no differences emerged between these groups on avoidance behaviour nor on crash concerns, social and panic concerns were higher for the criticism onset group.ConclusionsThe results demonstrate difference sources of anxiety and provide evidence of the importance of interactions with passengers in determining how a driver feels about the driving task.Practical implicationsAvenues for the reduction or avoidance of anxiety are proposed. These include better awareness and education for drivers regarding the importance of positive interactions and/or well as better journey management to avoid triggers of anxiety.     

Using Force: Australian Newspaper Depictions of Contacts Between the Police and Persons Experiencing Mental Illness

The media creates and sustains knowledge about socially relevant issues such as crime, mental illness, and policing. Past research suggests that while the media portrayal of the police is undoubtedly complex, their portrayal of people experiencing mental illness remains mainly negative. The depiction of their encounters in the mass media is of considerable interest because of the influential role the media has on public opinion and debate; however, there is a lack of current research in this area. This study aimed to examine media items in the major newspapers across Australia between January 2006 and December 2007 (n = 77) to investigate their portrayal of this interface. The dominant themes encountered in the initial analysis depicted people experiencing mental illness as dangerous and a threat to the public, where the mental health system has failed to manage them adequately. Further analyses found that people experiencing mental illness were stigmatised in a third of the media items reviewed and were represented significantly more negatively in these encounters than the police. Implications of these findings and some suggestions regarding possible strategies that could improve socially responsible media reporting and public discourse on mental illness are proposed.     

Loneliness, depression, social support, and quality of life in older chronically ill Appalachians

This study's purpose was to describe loneliness and to examine the relationships between loneliness, depression, social support, and QOL in chronically ill, older Appalachians. In-person interviews were conducted with a convenience sample of 60 older, chronically ill, community-dwelling, and rural adults. Those with dementia or active grief were excluded. The UCLA Loneliness Scale (Russell, Peplau, & Cutrona, 1985), Geriatric Depression Scale (Shiekh & Yesavage, 1986), Katz ADL scale (Katz, Down, & Cash, 1970), MOS Social Support Scale (Sherbourne & Stewart, 1991), and a visual analog scale for Quality of Life (Spitzer et al., 1981) scale were used. Diagnoses were obtained through chart reviews. SPSS was used for data analyses. The majority of the 65% female sample (M age = 75 years) were married and impoverished. Participants' number of chronic illnesses averaged more than 3. Over 88% of participants reported at least 1 area of functional impairment. Loneliness was prevalent with UCLA loneliness scores indicating moderate to high loneliness, ranging from 39 to 62 (possible scores were 20-80). Higher loneliness scores correlated with depression, lower Qol, and lower social support, particularly lower emotional support. This study provides evidence that loneliness is a significant problem for older chronically ill Appalachian adults and that it may be related to low emotional support. Further, it provides evidence that this population may be significantly lonely and may not self-identify as lonely. Screening for loneliness and designing interventions that target the emotional aspects of loneliness could be important in this population.     

Threat(s) and conformity deconstructed: Perceived threat of infectious disease and its implications for conformist attitudes and behavior

Threat has been linked to conformity, but little is known about the specific effects of different kinds of threat. We test the hypothesis that perceived threat of infectious disease exerts a unique influence on conformist attitudes and behavior. Correlational and experimental results support the hypothesis. Individual differences in Perceived Vulnerability to Disease predict conformist attitudes; these effects persist when controlling for individual differences in the Belief in a Dangerous World. Experimentally manipulated salience of disease threat produced stronger conformist attitudes and behavior, compared with control conditions (including a condition in which disease‐irrelevant threats were salient). Additional results suggest that these effects may be especially pronounced in specific domains of normative behavior that are especially pertinent to pathogen transmission. These results have implications for understanding the antecedents of conformity, the psychology of threat, and the social consequences of infectious disease. Copyright © 2011 John Wiley & Sons, Ltd.     

Further validation of the Penny Beliefs Scale - Weapons

The Penny Beliefs Scale - Weapons (PBS-W) comprises of 36 items that measure young people’s beliefs about carrying and using weapons. It was designed to facilitate our understanding of weapons carrying and use. The PBS-W has excellent internal reliability (Cronbach’s alpha of .92), extremely good test-retest consistency (ICC = .83) and is significantly positively correlated with self-reported delinquency. In order to further demonstrate the utility of the PBS-W it was compared with other measures that would be expected to be associated with weapons carrying and use. The PBS-W, the Eysenck Personality Questionnaire (EPQ-R-SV), the Maudsley Violence Questionnaire (MVQ), the Barratt Impulsiveness Scale (BIS-11), and the Brief Measure of Sensation Seeking (SS2) were administered to 189 school pupils in South Wales, aged between 16 and 18 years. Results demonstrated that the PBS-W is significantly positively correlated with EPQ Psychoticism (P), violent cognitions, impulsivity, and sensation seeking. Multiple regressions, controlling for gender and impression management (EPQ-Lie), showed that violent cognitions predicted beliefs about carrying and using weapons above and beyond P, sensation seeking and impulsivity. These findings suggest that violent cognitions are the single most powerful predictors of positive beliefs about carrying and using weapons.     

Belief in a just world and social dominance orientation: Evidence for a mediational pathway predicting negative attitudes and discrimination against individuals with mental illness

Prejudice against individuals with mental illness stems from multiple factors, including the personality traits of those harboring the prejudiced attitudes. However, little is known about the personality processes (as opposed to static correlates) leading to negative attitudes and discrimination toward individuals with mental illness. The present research tested a mediational model in which negative attitudes against such people and resulting intentions to discriminate are distally rooted in just-world beliefs, which predispose people toward higher social dominance orientation, a well-known proximal personality predictor of general prejudice. Participants completed measures of behavioral intentions, attitudes toward individuals with mental illness, social dominance orientation, and belief in a just world. The proposed mediational model was supported, and an alternative causal model was not. These results illuminate the personality-process antecedents of attitudes toward individuals with mental illness and provide a foundation for research targeting interventions intended to reduce prejudice and discrimination against this population.     

Parenting style and adolescent smoking cognitions and behaviour

Parenting style and smoking-related cognitions have both successfully predicted adolescent smoking behaviour. Data were collected among 482 Dutch adolescents to examine whether effects of parenting styles (authoritative, permissive, authoritarian, rejecting, neglecting, measured by underlying dimensions support, strict control, and psychological control) on adolescent lifetime smoking were mediated by cognitions (pro-smoking attitude, social norm, self-efficacy, intention) and to study the role of gender in this process. Support was not significantly associated with smoking behaviour. The inverse relation between strict control and smoking was partly mediated by attitude and intention, both associated with increased smoking. Psychological control related directly to increased lifetime smoking. Combinations of dimensions creating the specific styles were not associated with cognitions or behaviour. Maternal and paternal parenting were equally associated with smoking cognitions and behaviour; nor were effects moderated by adolescent gender. Interventions to prevent adolescent smoking initiation should aim at increasing strict control and reducing psychological control.     

The influence of question framing on symptom report and perceived health status

Abstract

Self-reports of symptom experience and subjective ratings of health were obtained from 157 undergraduates. The format of the symptom-report question was varied so that half the participants underlined any symptoms (in a list of 30) they had experienced (endorse condition), whereas the remaining participants crossed out any they had not experienced (exclude condition). Within each of these conditions, half were asked to record symptoms over the last month, and half over the last year. Participants in the exclude condition reported, on average, 70% more symptoms than those in the endorse condition. More symptoms were reported over the last year than the last month. Adjusting for the number of symptoms reported and the perceived seriousness of the symptom set as a whole, participants rated their own state of health more negatively in the endorse than exclude condition. This is consistent with research on the “feature-positive” effect, suggesting that active responses have greater influence on self-perceptions. It is argued that self-report measures of health status must be interpreted in relative, rather than absolute terms, and that attention should be paid to the underlying cognitive processes.     

Trajectories of self-efficacy in persons with chronic illness: An explorative longitudinal study

Background: Self-efficacy is important for changing health behaviour in persons with chronic illness. Longer term trajectories have not been previously explored.

Objective: This study’s objective was to explore the trajectories of self-efficacy in two different groups with chronic illnesses attending a patient education course.

Design: The study design was a longitudinal, comparative cohort study with five time points during a one-year follow-up, using repeated measures analysis of variance.

Setting and participants: Persons with morbid obesity (n = 55) and persons with chronic obstructive pulmonary disease (COPD; n = 56) were recruited at the start of patient education courses in Norway and followed-up four times the following year.

Main outcome measure: The General Self-Efficacy Scale was the main outcome.

Results: Obese persons showed a linear pattern of increasing self-efficacy during the follow-up period, whereas persons with COPD had an initial increase followed by a decrease in self-efficacy. Having paid work was associated with a more positive self-efficacy trajectory.

Conclusion: The results provide support for the currently employed patient education course for morbidly obese persons. In contrast, persons with COPD may need more extensive and/or more frequent support in order to increase and maintain self-efficacy across time.