Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practicePropiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en oncología

Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship.     

Short Form of the Social Anxiety Scale for Adolescents among community and institutionalized Portuguese youths

Background/Objective: Social anxiety is a common issue arising in adolescence that can cause significant impairment and have detrimental consequences for development in the absence of treatment. In this study we examined the factor structure and the psychometric properties of a 12-item short form of the Portuguese-Language Social Anxiety Scale for Adolescents (SAS-A-SF). Method: A community adolescent sample (N = 835) and a young offender sample (N = 244) completed the SAS-A, the Basic Empathy Scale and the Reactive-Proactive Aggression Questionnaire. Confirmatory factor analysis, internal consistency, cross gender and cross sample invariance, convergent and discriminant validity of the SAS-A-SF were analyzed. Results: The confirmatory factor analysis revealed that the 3-factor second-order model obtained the best fit.The results provided evidence that the SAS-A-SF is a psychometrically sound instrument that shows measurement invariance across genders and across samples, good reliability and positive correlations with empathy. Conclusions: The Portuguese version of SAS-A-SF is a useful, time-efficient tool for both researchers and practitioners who need to assess social anxiety, a relevant construct in adolescent psychopathology.     

Trust in the Normative Domain

Abstract

Pessimists about trust in the normative domain believe that (i) forming normative beliefs on the basis of trusting others is problematic, (ii) forming normative beliefs in other ways is not so problematic and (iii) forming non-normative beliefs on the basis of trust is not so problematic. Whilst there is substantial disagreement over the best way of accounting for pessimist ideas about trust, it is widely accepted that the intuitively problematic character of forming normative beliefs on the basis of trust cannot be explained in terms of the idea that trust cannot be a source of normative knowledge. This paper argues that the dismissal of scepticism about trust as a source of normative knowledge is unwarranted. It does so by developing a sceptical explanation of pessimist ideas, arguing that the obvious arguments against the sceptical explanation fail and arguing that the sceptical explanation has the resources to resolve the considerations that present problems for existing explanations.     

面孔二态性对学前儿童信任行为的影响——来自人格标签的解释

面孔二态性是指成熟男性和女性经过青春期第二性征的发展后逐步形成了面孔上的性别特征,男性化与女性化是这一维度的两个水平。本研究探索面孔二态性是否会对学龄前儿童信任行为产生影响,并从幼儿对二态性面孔的人格标签角度来解释。实验1修订信任博弈任务（Trust game）,考察学前儿童信任行为是否会因搭档面孔的二态性（男性化和女性化）而不同,经历负性反馈后被试在下轮游戏中信任选择率是否会下降;实验2让学前儿童选择人格形容词来描述不同性别化的面孔,探讨幼儿对不同二态性面孔是否已形成不同的人格标签。结果表明学前儿童对女性化面孔信任选择率最高;在遭遇负性反馈后的下一轮游戏中,幼儿对他人的信任率显著下降;学前儿童认为女性化面孔更具有积极人格,而更多将男性化面孔与消极人格词汇匹配。由此,二态性面孔影响学前儿童的信任行为,在于他们对二态性面孔已形成不同的人格标签。     

Trust maintenance as a function of construal level and attributions: The case of apologies

When do recipients of an apology (“trustors”) base their decision to trust a perpetrator (a “trustee”) on the attributional information embedded in an apology? Attributions provide a detailed account of the trustee's causal involvement in committing a transgression. We therefore argue that trustors in a low construal level mindset use this information in their trusting decision. However, trustors in a high construal level mindset likely consider all apologies as simple statements of regret, regardless of the attributional information they contain. We find support for this argument in four laboratory experiments. This research nuances the idea that to restore trust by means of an apology, the trustee must only use an effective attribution for a negative outcome. We also present a more realistic understanding of the process leading from apologies to trust than has been offered in previous work by simultaneously considering the role of the trustor and that of the trustee in the trust restoration process.     

Who Is Afraid of the Chinese State? Evidence Calling into Question Political Fear as an Explanation for Overreporting of Political Trust

Public opinion polls show that political trust tends to be higher in authoritarian regimes compared to liberal democracies. Many scholars have argued that respondents may provide false answers out of fear about repercussions by the state, thereby skewing survey results in a positive direction. Using an unobtrusive measure based on affect transfer, we find that adult participants in experiments conducted in China transfer positive affect toward the state onto evaluations of television advertisements upon mere exposure to the name of a central party institution. Participants did not have incentives to lie because they did not associate the advertisements with the state. Furthermore, people who evaluated the ads more positively upon viewing the name of the state also reported more positive levels of trust in government. Together, these findings raise doubt that Chinese misrepresent political trust in surveys out of political fear.     

Instrumental rationality in psychopathy: implications from learning tasks

Whether psychopathic offenders are practically rational has attracted philosophical attention. The problem is relevant in theoretical discussions in moral psychology and in discussions concerning the appropriate social response to the crimes of these individuals. We argue that classical and current experiments concerning the instrumental learning in psychopaths cannot directly support the conclusion that they have impaired instrumental rationality, construed as the ability to transfer motivation by means-ends reasoning. We claim that these experiments appear to show that psychopaths in certain circumstances are not aware of the relevant means for their ends. Moreover, we suggest how further empirical research could help to settle the issue.     

Instrumentalism about practical reason: not by default

Instrumentalism is the view that all requirements of practical reason can be derived from the instrumental principle, that is, from the claim that one ought to take the suitable means to one's ends. Rationalists, by contrast, hold that there are requirements of practical reason that concern the normative acceptability of ends. To the extent that rationalists put forward these requirements in addition to the instrumental principle, rationalism might seem to go beyond instrumentalism in its normative commitments. This is why it is sometimes thought that rationalism is stronger than instrumentalism in a way that entails that instrumentalism is the default view, while rationalists carry the burden of proof. In this paper, I explore and discuss different ways of spelling out this idea. I argue that rationalism is not stronger than instrumentalism in a way that has implications for matters of justification and differences in prima facie defensibility of the two sorts of views.     

How Politicians’ Reelection Efforts Can Reduce Public Trust,Electoral Support,and Policy Approval

Politicians’ desire for reelection motivates them to be responsive to voters’ policy preferences. In the traditional view, voters choose between candidates based on their delivery of favorable outcomes such as ideologically appealing policies or a prospering economy. However, research in psychology shows that, in addition to outcomes, people care about procedural fairness and, particularly, impartial decision‐makers who make decisions without personal motives and interests. This, I argue, confronts politicians with a delicate task: politicians must present voters with favorable policy outcomes but without appearing as if they pursue these policies based on a personal, vote‐maximizing motive for reelection. In four survey experiments, I find support for this argument. Participants were significantly less inclined to trust and vote for politicians and support their policies when political decisions were described as motivated by reelection considerations than when no such motive was present. The findings advance our understanding of how citizens view political representation and have important implications for research on public opinion, legislative behavior, and democratic theory.