Adaptation to stroke using a model of successful aging

ABSTRACT

The process of adaptation to the physical and psychosocial consequences after stroke is a major challenge for many individuals affected. The aim of this study was to examine if stroke patients within 1 month of admission (n?=?153) and followed up at 1 year (n?=?107) engage in selection, optimization, and compensation (SOC) adaptive strategies and the relationship of these strategies with functional ability, health-related quality of life (HRQOL) and depression 1 year later. Adaptive strategies were measured using a 15-item SOC questionnaire. Internal and external resources were assessed including recovery locus of control, stroke severity, and socio-demographics. Outcome measures were the Stroke Specific Quality of Life Questionnaire (SS-QoL), the Nottingham Extended Activities of Daily Living Scale and the Depression Subscale of the Hospital Anxiety and Depression Scale. Findings indicated that stroke patients engaged in the use of SOC strategies but the use of these strategies were not predictive of HRQOL, functional ability or depression 1 year after stroke. The use of SOC strategies were not age specific and were consistent over time, with the exception of the compensation subscale. Results indicate that SOC strategies may potentially be used in response to loss regulation after stroke and that an individual's initial HRQOL functional ability, levels of depression and socio-economic status that are important factors in determining outcome 1 year after stroke. A stroke-specific measure of SOC may be warranted in order to detect significant differences in determining outcomes for a stroke population.     

Teachers' Gender Stereotypes in South Africa: A Case Study

The study investigated Teachers' gender stereotypes in the Eastern Province of South Africa. Participants were 65 Junior Secondary school teachers (females= 40 and males = 25) who assembled together at a seminar organized by the Department of Education. They completed a ten-statement questionnaire on gender stereotypes that would apply to school boys and girls. Data were analysed by means for differences in proportions endorsing stereotypes in relation to school activities. Gender stereotypes were apparent in the pattern of activities endorsed for males and females.     

Psychological Well-Being and the Metabolic Syndrome in African and Caucasian Women in South Africa

This study explored the association between comprehensive psychological well-being and the metabolic syndrome (MS), as well as whether women without MS markers differ significantly from women with MS (three or more markers) on specific facets of psychological well-being. African (N=102) and Caucasian (N=115) women completed self-report questionnaires on psychological well-being, and biological markers for MS were determined. Results indicated a significant association between comprehensive psychological well-being and the MS in Caucasian women, but not in the case of African women. Caucasian women without MS had higher levels of perceived support from friends and family, environmental mastery, purpose in life, sense of coherence, affect balance and positive relationships than those with MS. African women without MS had higher levels of positive relationships and an optimistic explanatory style, but lower levels of perceived support from family. Further research is indicated.     

The Ways in Which Adolescents Cope and their Relationship to Age,Gender and Specific Religious Variables

This study investigated the roles of age, gender, the importance of religion/spirituality, attending church activities and frequency of prayer on the types of adolescents’ coping strategies. Participants were drawn from ten public high schools. Data on coping strategies, personal variables and religiosity and spirituality were collected using the Adolescent Coping Orientation for Problem Experiences (A-COPE) coping inventory. Scheffé posthoc tests were used to evaluate associations between the coping strategies used by adolescents and the identified personal and faith-oriented variables. Gender and age explained some differences in types of coping strategies preferred. Specifically, females used the developing social support coping strategy more than males; older adolescents used the avoiding problems coping strategy more than younger adolescents. Adolescents for whom religion/spirituality is of lesser importance, obtained a significantly higher mean score for the avoiding problems subscale. Both personal variables (age and gender) as well as one of the faith-oriented variables (importance of religion) were identified as important role players in using developing social support and avoiding problems as coping strategies by adolescents.     

Development of Community Psychology

The growth and development of community psychology in Zambia has been necessitated by many social problems encountered by Zambians be they health, economic or psychological. The work of governmental and nongovernmental organizations at community level has contributed to the development of this sub-field of psychology. Community psychology in Zambia has many challenges to overcome, including the lack of trained manpower and availability of funds. Community psychology has great potential to contribute to the wellbeing of different communities in Zambia.     

Benefits to the Spanish research community of regional content expansion in Web of Science

The regional content expansion of Thomson Reuters (formerly ISI) Web of Science added approximately 1,600 journals to the database with a regional as opposed to international focus. Web of Science coverage has grown to reflect the changing nature of global research publication trends and the additional regional journals provide greater visibility to high quality local studies beyond their traditional boundaries. The cited references indexed from the regional journals represent the influence of those journals on both the global and local research communities. This study analyses the impact of adding Spanish regional journals to Web of Science on the publication and citation patterns of Spanish research. The findings demonstrate a recent increase in research output from Spain and this is explained by more Spanish research being produced rather than due to the indexing of more Spanish journals; indeed it is shown that the majority of Spanish research is not published in Spanish journals. An analysis of Spanish journal citations uncovers a Spanish regional citation network previously undetected and serves as valuable information for evaluators of Spanish journals.     

In- and out-of-school peer groups of immigrant youths

Multiethnic societies typically aim to have immigrant and native youths mix and be friends, preferably in all contexts in which they spend time. Schools and neighbourhoods are the two settings where youths spend the most time with peers during adolescence. The present study explored the in- and out-of-school peer groups of 174 immigrant junior high school pupils (Mean age = 14.39) who attended an integrated school but lived in a segregated neighbourhood. A person-oriented approach was used and cluster analyses were conducted both within and across the two settings. The results show that youths mostly have the same kind of friendship formations in both settings, regardless of the ethnic composition of each setting. In terms of adaptation, the results consistently show that for boys, having only immigrant friends is related to problematic adaptation in both settings. No relationship between peer formations and adaptation was found for girls. The study highlights the importance of considering gender and viewing youths as embedded in systems of multiple settings, in order to achieve true integration.     

The benefits of self-compassion and optimism exercises for individuals vulnerable to depression

The effectiveness of two online exercises intended to help individuals experience (1) self-compassion (n?=?63) and (2) optimism (n?=?55) were compared to a control intervention where participants wrote about an early memory (n?=?70). A battery of tests was completed at 1 week following the exercise period, and at 1-, 3-, and 6-month follow-ups. Both active interventions resulted in significant increases in happiness observable at 6 months and significant decreases in depression sustained up to 3 months. The interventions were examined in relationship to dependency and self-criticism, both related to vulnerability to depression. Individuals high in self-criticism became happier at 1 week and at 1 month in the optimism condition in the repeated measures analysis. A sensitivity test using multi-level modeling failed to replicate this effect. More mature levels of dependence (connectedness) were related to improvements in mood up to 6 months in the self-compassion condition. This study suggests that different personality orientations may show greater gains from particular types of positive psychology interventions.     

Influencing value priorities and increasing well-being: The effects of reflecting on intrinsic values

A four-week experimental study (N?=?113) examined the effects of reflecting on intrinsic values. In the experimental group, participants learned about the distinction between intrinsic (e.g. having close relationships) and extrinsic (e.g. being popular) values, wrote about two personal intrinsic values, and then reflected on these values weekly for four weeks. In the control group, participants completed parallel exercises related to the daily details of their lives. Results revealed that participants in the intrinsic values group experienced greater well-being immediately following the written reflection than participants in the control group. Four weeks later, the more engaged participants felt in the reflection exercises, the more they prioritized intrinsic over extrinsic values and the greater their well-being. These effects occurred only for participants in the intrinsic values condition. The implications for changing value priorities and improving well-being are discussed.