The challenge of cross-cultural quality of life assessment

Abstract

As a result of an increased international cooperation in the health care field, the demand for cross-culturally applicable, patient-oriented instruments to assess the need for and to evaluate the outcome of medical interventions has also grown. However, basic problems exist in assessing health-related quality of life—one of the most prominent outcomes—across cultures. Conceptually it is unclear to which extent the quality of life construct is transferable from one cultural context to another. Methodologically, ways to assess the construct have to be sensitive to different cultures and practically, application of quality of life measures may be difficult. The current paper addresses these issues, presenting the current state of the art in cross-cultural development of health-related quality of life assessment instruments as well as a critical review thereof. Examples are provided from internationally active working groups in terms of the translation, psychometric testing and norming of quality of life questionnaires.     

Career counsellors' perceptions of the severity of career decision-making difficulties

Individuals differ in the type and severity of the difficulties they face when making a career decision. Relying on the Gati, Krausz, and Osipow (1996) taxonomy of career decision-making difficulties, we elicited the judgements of 28 career counselling experts about factors that contribute to the perceived severity of the difficulties. Difficulties attributed to an internal or emotional cause were judged as more severe than difficulties attributed to an external or cognitive cause. With respect to the consequences, difficulties that prevent making a decision, or those that require long-term treatment, were judged as more severe than difficulties that may lead to a non-optimal decision, and those that require a short-term treatment. The analysis revealed that the factor that most affected the experts' severity judgements was the expected length of treatment. Treatment priority was affected only partially by severity, reflecting the role of other considerations.     

The relationship between ‘workaholism’, basic needs satisfaction at work and personality

The aim of this study was to examine correlates of ‘workaholism’ components (Work Involvement, Drive, Enjoyment of Work). A cross‐occupational sample of 661 Norwegian employees in six different organizations completed a web‐based survey measuring ‘workaholism’, basic needs satisfaction at work and personality. Needs satisfaction at work was positively related to Enjoyment of Work, and negatively to Drive. Conscientiousness was positively related to all ‘workaholism’ components; Extraversion and Openness to Work Involvement and Enjoyment of Work; and Neuroticism to Drive. Negative relations were found between Neuroticism and Enjoyment of Work, and Agreeableness and Drive. Although the associations were rather weak, the findings give reason to differentiate between enthusiastic and non‐enthusiastic ‘workaholic’ characteristics, which were consistent with predictions taken from central theories on ‘workaholism’. Copyright © 2009 John Wiley & Sons, Ltd.     

Cognitive–motivational antecedents of career decision-making processes in Portuguese high school students: A longitudinal study

In this study we propose an integrated framework of the antecedents of identity development and well/ill-being for high school students (N = 462) in the transition to higher education/job market. One study was conducted to investigate the effects of basic psychological need-satisfaction/frustration (as proposed within self-determination theory) and career decision-making self-efficacy (posited by social cognitive career theory) on the identity dimensions and experienced well/ill-being. Three longitudinal nested models were tested: a need-satisfaction/self-efficacy main effects model, an identity main effects model and a reciprocal main-effects model. The reciprocal effects between the variables were favored by the data. Basic need-satisfaction and career decision making self-efficacy positively predicted proactive exploration and commitment-making, while basic need-frustration predicted both diminished well-being and ill-being. Reciprocally, proactive exploration investments positively predicted whereas ruminative exploration negatively predicted, need-satisfaction and career decision-making self-efficacy. Implications for the design of career interventions are discussed and suggestions for future research proposed.     

The effect of causality orientations and positive competence-enhancing feedback on intrinsic motivation: A test of additive and interactive effects

Based on self-determination theory, this study investigated whether individual differences in autonomy or control causality orientation and positive competence-enhancing feedback have additive or interactive effects on intrinsic motivation. Autonomy- or control-oriented participants provided solutions to an interesting puzzle under conditions of positive competence-enhancing feedback or no feedback. Time spent solving the puzzle during a subsequent free-choice period constituted the dependent measure of intrinsic motivation. Autonomy-oriented individuals spent significantly longer on the puzzle than control-oriented participants regardless of feedback condition. Analogously, positive feedback increased time spent on the puzzle compared to no feedback regardless of causality orientation. Findings indicate that dispositional motivational orientations and feedback provided by social agents can enhance intrinsic motivation but the effects are additive rather than interactive.     

The Family Sanctum: The Promise of Love’s Continuing Enlargement Across the Lifespan

Humanistic psychology acknowledges that spirituality is woven into the very fabric of human existence; however, this article furthers the position that the human striving for love and connection is the very definition of human spirituality. By suggesting that the original human intention to connect re-emerges in each subsequent developmental stage, merely reconfiguring to fit the requirements of current developmental tasks, it argues that the early family is an important arbiter of human spirituality across the lifespan. Finally, this article posits that the experience and expression of spirituality in older age reflects either an unbroken link to the original affectionate connection to (biological or surrogate) family members, or the intentional vitalization of weakly formed early family ties.     

Conceptual Organization and Memory in Nonretarded,Mildly Retarded,and Moderately Retarded Adults

Moderately retarded, mildly retarded, and nonretarded adults learned a list of 12 items from three categories to a criterion of 75% correct recall in a freerecall learning paradigm. Retention was measured 1 week later. The moderately retarded took more trials and had lower retention and clustering scores than the others. The mildly retarded took more trials and had lower retention than the nonretarded. The results violate Murdock's total time hypothesis (Cooper & Pantle, 1967) but support Mandler's (1967) contention that learning is enhanced by the mental capacity for organization.     

Understanding the Mental Health Travails of Custodial Grandparents

Grandcarers are at-risk of poor mental health outcomes. Current knowledge of the support needs of grandcarers is fragmented. To help fill this knowledge gap qualitative analysis was undertaken on 49 interviews conducted with custodial grandparents. The findings reveal that conflicted occupational roles coupled with the complexity of the stressors facing grandcarers both contribute to their social isolation and to their self-doubts about their ability to adequately attend to their grandchildren’s needs. Greater awareness among occupational therapists (OTs) of custodial grandparents’ mental health travails and an increased understanding of key occupational therapy (OT) practice initiatives are central to addressing grandcarers’ mental health travails.     

Quantitative Profile of Family Acceptance of Children Special Need’s Moslem Parents (Case Study at Rumah Terapi Aura)

Abstract

This is a preliminary research in a series of studies constructing a module based on family inclusion model. Having a qualitative method based on a case study approach, the data was taken from observation, questionnaire-based survey, and Focus Group Discussion (FGD). The research was conducted in Rumah Terapi Aura (RTA), a therapy center for the children with special needs, involving 30 moslem parents. The results are a Quantitative Profile and Family Acceptance Aspects. It is concluded that parents and families awareness of acceptance children with special needs are from a lack of knowledge and spiritual understanding of God's destiny.