On Judgments of Approximately Equal

Although precision is often important in quantitative judgment, sometimes, it is valuable to recognize that two quantities are roughly the same. Fuzzy‐trace theory suggests that approximately equal judgments rely on gist representations (i.e., meaningful fuzzy categories of quantity). We conducted three experiments to investigate approximately equal judgments with number pairs presented in different formats, both with and without semantic content (breast cancer statistics). In each study, the ratio of the smaller divided by larger number predicted approximately equal judgments. Experiment 1 also examined how knowledge of breast cancer, presentation format (frequencies vs. percentages), and differences in gist comprehension of breast cancer information influence fuzzy equality judgments. As predicted by the fuzzy‐trace theory concept of denominator neglect, approximately equal judgments were more sensitive, as measured by signal detection theory (SDT) analyses, when presented as percentages. In both experiments with breast cancer statistics, people were more likely to judge number pairs approximately equal when they were embedded in sentences about breast cancer, and breast cancer knowledge predicted increased perception of equality, when appropriately consistent with reliable sources, and increased judgment sensitivity. In Experiment 2, a simple intervention focusing on gist meaning increased source‐consistent approximately equal judgments, increased SDT judgment sensitivity, and decreased SDT response bias. In Experiment 3, using number pairs devoid of semantic context spanning four orders of magnitude, we further examined ratio similarity. Overall, more knowledgeable judges and those who better understood the gist of meaningful numbers were more likely to judge literally different numbers as “approximately equal” rather than make precise discriminations that were meaningless. Copyright © 2017 John Wiley & Sons, Ltd.     

Does the Broaden-and-Build Theory Explain Reduction in Social Disruption After a Brief Relaxation Intervention for Women With Breast Cancer Undergoing Treatment?

Women with breast cancer experience social disruption during and after treatment. Brief cognitive-behavioral (CBT) and relaxation (RT) interventions may improve social disruption by increasing positive affect. Using the Broaden-and-Build Theory as a framework, this study examined whether short-term CBT- and RT-related increases in positive affect mediate long-term reductions in social disruption in women with breast cancer undergoing treatment (N = 183). This secondary analysis used latent change score and growth models to test 6- and 12-month intervention effects on positive affect and social disruption, respectively; a parallel-process model assessed mediation. RT demonstrated larger reductions in social disruption across 12 months compared to CBT and a health education control. Six-month latent change in positive affect was significant but not driven by condition. There was a significant direct effect linking the latent slopes of positive affect and social disruption but meditation was not observed. These preliminary findings hint at the value of promoting positive affect and inform the development of brief behavioral interventions that aim to augment social functioning among women surviving breast cancer.     

The mediational role of executive functions for the relationship between motor ability and academic performance in pediatric cancer survivors

IntroductionPediatric Cancer Survivors (PCS) bear a high risk for late effects within motor abilities (MAs) and executive functions (EFs). In typically developing children, these domains are interrelated and predictors of academic performance. The current study investigated (i) whether MAs and EFs are also interrelated in PCS, and (ii) whether EFs mediate the relation between MAs and academic performance.Methods78 PCS (7–16 years; M = 11.23; SD = 2.49) participated in this study. Three MAs were assessed: coordination and strength (using the German Motor Test) and endurance (using a cycle ergometer test). EFs were assessed: inhibition and cognitive flexibility (Color-Word Interference Test) and working memory (Block Recall test); and academic performance by questionnaire asking for children’s grade point average.ResultsPearson correlations revealed associations of coordination and strength with EFs and associations of all three MAs with academic performance. A multiple regression model revealed that among the three MAs, coordination was the only significant predictor of EFs (β = 0.42, p = .001). Lastly, mediation analyses revealed that the association of MAs with academic performance was mediated by EFs (indirect effect: β = 0.167, p = .003). Regarding individual motor abilities, this was only true for coordination and strength, but not for endurance.ConclusionResults show that MAs and EFs are interrelated in PCS and that EFs mediate the relationship between coordination and strength with academic performance. This may be important for the design of future physical activity interventions to improve MAs, EFs and academic performance.     

The distribution of repressive coping styles among non-metastatic and metastatic breast cancer patients as compared to non-cancer patients

Abstract

Recent investigations have shown increased disease progression among breast cancer patients with a “repressive” coping style characterized as: passive, conforming, inclined to deny physical symptoms and emotionally unexpressive. The Millon Behavioral Health Inventory (MBHI) scales which delineate three discrete repressive coping styles include the: Introversive, Cooperative and Respectful. Forty-four women recently diagnosed (within four weeks) with non-metastatic (N=32) or metastatic (N=12) breast carcinoma, responded to the MBHI upon admission for treatment of their disease at a cancer treatment unit. All subjects received mastectomy as well as chemotherapy, radiation and/or endocrine therapy. These 44 Cancer patients were compared to 34 control subjects, comprising women who were seen at a colposcopy clinic for follow-up of a suspicious pap smear which was ultimately shown to be benign or consisted of mild dysplasia. Non-metastatic, metastatic and control subjects were compared with respect to coping style and psychological distress. The breast cancer patients were more likely to employ a repressive coping style as compared to non-cancer patients who utilized a “sensitizing” coping strategy predominantly. Cancer patients with the most severe prognosis (metastasis) were the only group within the study to attain a clinically significant mean base rate score on the respectful scale. Results suggest that the incidence of repressive coping styles may be disproportionately high among breast cancer patients.     

Anticipatory nausea and vomiting among cancer patients: A Review

Abstract

Anticipatory nausea and vomiting (ANV), as a side-effect of cancer chemotherapy, is a well recognized phenomenon. The literature is reviewed for data on: prevalence rates, factors contributing to onset and psychological treatments used to attempt a remission in the symptoms. From the available evidence it appears that ANV is a substantial problem with one major review indicating an average combined prevalence of 32%. Although explicable using a conditioning model it has a complex aetiology with emotional and cognitive elements, as well as specific pharmacological factors, playing a role in onset. ANV appears to be responsive to psychologically-based treatment methods, with a good outcome overall. However, more process evaluation is needed in order to understand aetiologic and treatment mechanisms and to determine how best to treat cases of ANV with different aetiologies. It is considered that procedures for identifying and referring patients with ANV should be routinely incorporated into the care of cancer patients receiving repeated cycles of chemotherapy.     

Sex differences in responding to rectal cancer symptoms

Many people who develop cancer symptoms wait inordinate amounts of time before seeking medical attention. Studies have found that symptom appraisal time–the time that passes before the individual concludes that their symptoms could be serious–accounts for most of the total delay time across subjects. It is thus important to understand the individual characteristics associated with slow recognition of dangerous symptoms. In this study, 62 patients (38 males) recently diagnosed with rectal cancer answered questions regarding the development of symptoms as well as their decisions and behaviors prior to seeking help. One subgroup of patients–males with the lowest scores on a measure of trait anxiety–took significantly longer to recognize the seriousness of their symptoms as compared to all other patients. This finding is discussed in the context of recent studies where the interaction of sex and negative affect is related to symptom reporting and other health-related behaviors.     

Psychological adjustment to gynaecological cancer: Patients’ illness representations,coping strategies and mood disturbance

This study examined associations between illness representation dimensions specified by the self-regulation model, coping and mood in recently diagnosed gynaecological cancer patients. Participants were 61 patients recruited from a specialist outpatient gynaecology clinic. Patients completed a survey measuring their cognitive illness representations (IPQ-R), coping strategies (COPE) and mood (POMS-SF). Consistent with research into other illnesses, the study found theoretically congruent cross-sectional associations between illness representations and mood disturbance. Support was found for a possible path whereby higher denial and avoidant coping might mediate the relationships between cyclical timeline and illness coherence representations and more negative mood. There were no mediational relationships for other coping strategies. Mediation of the relationship between illness representations and mood by avoidant coping has important theoretical and practical implications. These are discussed, as are direct relationships between illness representations and mood.     

The psychometric properties of the Greek version of the State-Trait Anxiety Inventory in cancer patients receiving palliative care

Objectives: To validate the Greek version of the State-Trait Anxiety Inventory (STAI) in a sample of cancer patients. Design: The scale was administered twice, with a 3-day interval, to 99 eligible patients with cancer. Together with the Greek version of STAI scale, the patients also completed the anxiety subscale from the Hospital Anxiety and Depression scale (HAD). Observations: Factor analysis yielded a three-factor solution, explaining 47.143% of the variance. Cronbach α for three scales was between 0.729 and 0.852. Inter-scale correlations were moderate-to-high and ranged from 0.282 to 0.563 (p < 0.0005, p < 0.005). The assessment of the relationships among the Greek STAI scales and HAD-Anxiety showed statistically significant correlations between them (r ranged between 0.428 and 0.596, p < 0.0005). The test/retest reliability of scale (Pearson's ‘r’), showed that the coefficient agreement ranged between 0.85 and 0.90 (p < 0.0005). Univariate analysis revealed significant correlations between female gender, metastasis, performance status, chemotherapy, mild opioids and low education level with increased anxiety. Conclusions: These results support that the Greek version of STAI is an instrument with satisfactory psychometric properties, and is a valid research tool for Greek cancer patients.