Opening the black box of cancer patients’ quality-of-life change assessments: A think-aloud study examining the cognitive processes underlying responses to transition items     

Elsbeth F. Taminiau-Bloem  Florence J. Van Zuuren  Mechteld R.M. Visser  Carol Tishelman  Carolyn E. Schwartz  Margot A. Koeneman 《Psychology & health》2013,28(11):1414-1428

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Cecilie Th⊘gersen-Ntoumani  Nikos Ntoumanis  Nikitas Nikitaras 《Psychology & health》2013,28(5):535-550

This study used self-determination theory (Deci, E.L., & Ryan, R.M. (2000). The ‘what’ and ‘why’ of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227–268.) to examine predictors of body image concerns and unhealthy weight control behaviours in a sample of 350 Greek adolescent girls. A process model was tested which proposed that perceptions of parental autonomy support and two life goals (health and image) would predict adolescents’ degree of satisfaction of their basic psychological needs. In turn, psychological need satisfaction was hypothesised to negatively predict body image concerns (i.e. drive for thinness and body dissatisfaction) and, indirectly, unhealthy weight control behaviours. The predictions of the model were largely supported indicating that parental autonomy support and adaptive life goals can indirectly impact upon the extent to which female adolescents engage in unhealthy weight control behaviours via facilitating the latter's psychological need satisfaction.  相似文献   

    

Sónia Martins Silva  Carla Crespo  Maria Cristina Canavarro 《Psychology & health》2013,28(11):1323-1341

This longitudinal study examined the role of coping strategies and posttraumatic growth (PTG) on the psychological adjustment to breast cancer trajectory. The participants were 50 women assessed at the time of surgery (T1), during adjuvant treatment (T2) and six months after the end of treatment (T3). Women completed questionnaires assessing coping strategies, PTG and psychological adjustment (psychological quality of life, anxiety and depression). Results showed that the greatest impact of breast cancer on women's adjustment occurred at T1, when patients were significantly more anxious than in the other phases of the disease. The type of surgery and adjuvant treatment did not account for the course of PTG and adjustment. Coping through seeking social support and using cognitive strategies at T1 were linked to psychological quality of life and depression at T3 via PTG dimension of personal resources and skills at T2. Findings emphasise the value of promoting adaptive coping strategies and PTG in order to improve psychological adjustment in breast cancer patients.  相似文献   

    

B. Rueda  A.M. Pérez-García 《Psychology & health》2013,28(10):1152-1170

This study examined whether depressive symptoms mediated the association between coping strategies and quality of life (QoL) in a sample of hypertensive patients, and the prospective contribution of depressive symptoms and coping strategies in the prediction of their QoL. One hundred and fifty patients (50% males and 50% females) with a diagnosis of essential hypertension were recruited from a general hospital. Symptoms of depression, coping and QoL measures (global score and dimensions) were collected at baseline. Sixty-three participants completed the QoL questionnaire again one year later (T2). The results indicated that the relations between emotion coping and QoL (global score, satisfaction and social support) were totally mediated by depressive symptoms. The association between emotion coping and well-being was, however, partially mediated by depressive symptoms. Furthermore, only baseline instrumental coping strategies predicted higher levels of QoL (global score, well-being and social support) at T2. Neither emotion coping nor depressive symptoms were significantly associated with prospective QoL. These findings suggest that depressive symptoms may be a mechanism linking the manner in which patients cope with their hypertension and their QoL. They also emphasise the adaptive role played by instrumental coping responses in the management of hypertension in the long term.  相似文献   

    

Jessica Kelley Morgan  Sarah L. Desmarais  Roger E. Mitchell  Joseph M. Simons-Rudolph 《Military psychology》2013,25(5):434-447

Objective: Military veterans are more likely than civilians to experience trauma and posttraumatic stress disorder (PTSD). Research suggests, however, that some people who experience trauma, including veterans, report posttraumatic growth (PTG), or positive personal changes following adversity. In this study, we tested a comprehensive model of PTG, PTSD, and satisfaction with life in a veteran population, exploring the roles of challenges to core beliefs, types of rumination, sex, and time since event. Method: Data were collected via Amazon’s Mechanical Turk, an online crowdsourcing website, from veterans (N = 197) who had experienced a stressful event within the last 3 years (M = 16.66 months, SD = 12.27 months). Structural equation modeling was used to test an integrated conceptual model of PTG, PTSD, and satisfaction with life. Results: Results showed that challenge to core beliefs was directly associated with both deliberate and intrusive rumination. Deliberate rumination was positively related to PTG; intrusive rumination was positively related to symptoms of PTSD. PTG and PTSD, in turn, mediated the relationship between rumination styles and satisfaction with life; PTG was related to higher satisfaction with life; and PTSD was negatively related to satisfaction with life. Results failed to show differences on any model variables as a function of time since event or sex. Conclusion: Results indicate that the intentional facilitation of PTG may be a complementary and alternative option to the reduction of PTSD symptoms for improving satisfaction with life. Findings suggest that efforts to facilitate PTG should be focused on strategies for promoting deliberate rumination.  相似文献   

    

Hadassah Littman-Ovadia  Dina Nir 《The journal of positive psychology》2014,9(2):122-136

This research demonstrates the effectiveness of a brief daily self-applied optimism intervention in an adult normal population. Participants completed Life Orientation Test-Revised, Positive and Negative Affect Scale, Satisfaction with Life Scale, and Burnout Measure scales before, immediately after, and one month after the intervention. At baseline, optimism intervention group (N = 36) and control group (N = 41) were statistically similar on the variables of interest. At post-test, and also one month later, the intervention group demonstrated reduced pessimism, negative affect, and emotional exhaustion, although optimism, positive affect, and life satisfaction did not increase. Higher initial optimism increased the intervention effect for the optimism group, but not for the control group, by diminishing negative affect and emotional exhaustion, and increasing optimism. Sixty-one percent of the activities mentioned by the control group participants focused on duties and work, compared to 28% in the optimism condition. No correlations were found between initial optimism or pessimism, and the type of activities mentioned.  相似文献   

    

László Brassai  Bettina F. Piko  Michael F. Steger 《International journal of psychology》2013,48(3):308-315

Understanding how adolescents achieve meaning in life has important implications for their psychological development. A social cognitive model of meaning development was tested by assessing psychological (self‐efficacy, self‐regulation and social comparison) and parental (parental responsiveness, demandingness, and social support) variables in a sample of 1944 adolescents (aged 15–19 years; 47.8% males) from secondary schools of the Middle Transylvanian Region, Romania. Both psychological and parental factors were significantly related to meaning in life. For both boys and girls, self‐efficacy, self‐regulation, and maternal responsiveness related positively with meaning in life, and paternal demandingness related inversely to meaning in life. However, social comparison related positively to meaning only among boys, and paternal responsiveness related positively to meaning only among girls. Results point to a possible meaning‐supporting role played by social cognitive variables, as well as parental autonomy support. The gender differences observed here suggest that existing theories of meaning development may need to be elaborated to include family of origin and gender.  相似文献   

    

Alia Badri  H. W. Van den Borne  Rik Crutzen 《International journal of psychology》2013,48(5):944-953

This paper presents the personal accounts of Darfuri students studying at Ahfad University for Women in Omdurman, Sudan. Their war‐related exposure, current ongoing life challenges, emotional distress, and coping strategies were explored using a semistructured interview protocol with a sample of 20 students. Through interpretative phenomenological analysis (IPA), the Darfuri students’ stories illustrated that they were exposed to an array of traumatic war events, including personal experiences of parental separation, injury and death of family members, and shortages of essential life‐sustaining supplies in internally displaced camps. Also, they were confronted with myriad current life hassles and urban‐cultural challenges, including being physically distant from their families, and losing the shelter of parents, the encouragement of extended family members, and their rich and familiar social support networks. Urban‐cultural challenges and lack of environmental mastery applied to most Darfuri participants as they relocated to Omdurman city, which included negotiating an unfamiliar transport system, learning the routes and directions to important city landmarks, and insufficient funds for basic hygienic essentials. Emotional distress reactions were coded by forming two distinct lists: directly mentioned by the participant; and observations of emotional manifestation during the interview. Patterns emerged that may be similar to symptoms of mood and anxiety disorders; for example, the DSM‐IV criteria for symptoms of generalized anxiety disorder and major depression. Strong religious practices and beliefs (such as praying and reading the Quran), ability to form interpersonal relationships, availability of social support networks, and a positive future outlook seemed to augment their ability to cope with their subsequent emotional distress owing to war‐related exposures, current ongoing life hassles and urban‐cultural challenges.  相似文献   

    

Kevin C. Luczynski  Gregory P. Hanley 《Journal of applied behavior analysis》2013,46(2):355-368

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Bohdan Farylo  Michele A. Paludi 《The Journal of psychology》2013,147(6):575-580

A number of methodological, statistical, and conceptual problems are inherent in research with the Draw-A-Person Test (DAP). These difficulties invalidate the theoretical position that an individual's gender-role identification is reflected in the sex of the figure drawn. The complexity of these problems affects the evaluation of the DAP and illustrates the need for multiple approaches to its interpretation.  相似文献