Manualised health support interventions: Their efficacy in a South African primary healthcare setting

The study examined the implementation efficacy of a stress-reduction intervention for people living with HIV/AIDS by health care workers in the Eastern Cape Province, South Africa. Informants were 20 health care workers drawn from two health facilities. There were 17 females (85%) and 3 males (15%). Participants engaged in a focus group discussion on their experiences using a theory-based manualised stress-reduction support intervention in primary care settings. Thematic content analysis of the data yielded the following themes characterising costs to faithful implementation: departure from manualised instructions and ad hoc improvisation of theoretical concepts; disruptive power dynamics; lack of grounding in community values; and implementation resource limitations. Manualised intervention implementation efficacy by health workers needs customisation to local culture and health service support services.     

The development of a Cognitive Activation Theory of Stress: From limbic structures to behavioral medicine

This paper attempts to argue for a consistent trend in a research spanning more than fifty years, starting in the exciting neuroscience environment in the Anatomical Institute at the University of Oslo, and presently to be found as an active behavioral medicine unit in Bergen. The most comprehensive theoretical result is a systematic and formalized theory of stress, referred to as the Cognitive Activation Theory of Stress, CATS for short ( Ursin & Eriksen, 2004 ). There are many roots, many related issues, and many scientists involved. There is no way to produce a complete story. However, one aspect is beyond discussion, the story started in the Neurophysiology laboratory in Oslo.     

Validation of the Portuguese emotion awareness questionnaire for children and adolescents

This study examined the construct and concurrent validity of the Portuguese version of the Emotion Awareness Questionnaire (EAQ) in 302 children and adolescents (mean age 13 years old). The EAQ is a self-report questionnaire that allows for analysis of how youth experience and understand their own and others’ emotions. Participants completed the EAQ along with questionnaires for Worry and Somatic Complaints. Results confirmed the expected six-factor structure, good psychometric properties, and good concurrent validity. The EAQ is a reliable questionnaire, suitable for examining emotion awareness in Portugal.     

Risk-Taking and Risk-Avoiding Behavior: The Impact of Some Dispositional and Situational Variables

The purpose of this research was to assess the ability of a decision making model to correctly predict subjects' preferences for one of two alternatives; one alternative was highly valued but risky, whereas the other was less valuable but more certain. The model was based on the assumption that an additive relationship exists among self-efficacy, self-worth, and parental expectations in influencing subjects' propensity to take risks. The results suggested that the model did not work as expected. Rather, self-efficacy emerged as the principle variable influencing the risk-taking and risk-avoiding decision-making behaviors of subjects when a variety of resources were involved.     

Validation of the Italian Emotion Awareness Questionnaire for children and adolescents

This study aimed at validating the Emotion Awareness Questionnaire (EAQ, Rieffe et al., 2008) for Italian children and adolescents. Emotion awareness is a prerequisite of emotion regulation including the abilities to monitor and differentiate emotions, locate their antecedents, and value the importance of one's own and others' emotions. The EAQ consists of six scales: Differentiating Emotions, Verbal Sharing of Emotions, Not Hiding Emotions, Bodily Awareness of Emotions, Attending to Others' Emotions, and Analyses of (Own) Emotions. The questionnaire was filled in twice with a one-year time interval. At T1, 420 Italian children and adolescents took part (M = 12.65; SD = 1.41). Additionally, the Somatic Complaints List was administered to examine the concurrent validity of the EAQ. Results confirmed the six-factor structure, showed good psychometric properties of the separate scales and a good concurrent validity, which make the EAQ a reliable instrument to administer emotion awareness in Italian youth.     

Emotion regulation in leader–follower relationships

This study investigates the extent to which leaders and followers express, suppress or fake their emotions during interaction, using a sample of 135 leaders and 207 followers. The respondents completed questionnaires on emotion regulation, the relationship quality between leaders and followers (LMX), job satisfaction, and health complaints. The data indicate that negative emotions such as disappointment, uncertainty, and annoyance are typically suppressed, while positive emotions such as enthusiasm, interest, and calmness are typically expressed or faked. The reported level of emotion regulation was higher for leaders than for followers. Suppressing and faking emotions correlated negatively with the LMX and job satisfaction, and positively with health complaints among both groups. Emotion regulation is thus a prominent and complex facet of leader – follower relationships with possible negative effects for both leaders and followers.     

Patients’ illness schemata of hypertension: The role of beliefs for the choice of treatment

It has long been believed that adult somatic complaints are associated with early family dysfunction. Yet, few studies have examined this hypothesis in community samples, where medically unexplained symptom complaints are estimated to be very common. Given the potential population-wide impact of subthreshold symptom complaints as well as questions about the extent to which findings with patient populations generalize to broader samples of community adults, the present study examines the influence of distal family factors on current adult somatic complaints relative to demographic and other psychosocial predictors. Results based on multiple linear regression analysis indicated that, after controlling for the other variables, family-of-origin functioning did not predict adult somatic complaints. However, self-reported symptoms of current depressed mood and low internal locus of control were significantly linked to somatic complaints (p?=0.001). These results lend support to questions about the generalizability of findings based on psychiatric groups to broader community samples, highlight the robust relationship between contemporaneous attributions of lower internal control, depressed mood, and somatic complaints, and suggest that early family environment may not be the most important focus of attention for health professionals providing care to adults in the community.     

How does it feel? Workplace bullying,emotions and musculoskeletal complaints

The present study examines experienced emotions among self-labelled victims of ongoing workplace bullying and tests whether emotions mediate the relationship between exposure to bullying and health in the form of musculoskeletal complaints. A total of 1,024 employees from a Norwegian public transport company participated in the study, in which 116 self-labelled victims were identified. Ten positive and 10 negative emotions were measured (PANAS). The results showed significant differences in emotional experiences between victims and non-victims regarding all 10 negative emotions and one out of 10 positive emotions. Victims felt less "interested" and more "afraid," "upset," "angry," "guilty," "nervous," "hostile," "frustrated," "ashamed," "scared" and "stressed" than did non-victims. Further, the results pointed to both positive and negative emotions as mediators of the relationship between exposure to bullying and musculoskeletal complaints. In particular the negative emotion "stress" acted as a significant mediator regarding this relationship. Hence, emotions seem to be central to understanding the detrimental effects of bullying on the victims' health.     

Application of a worry reduction intervention in a medically unexplained symptoms-analogue student-sample

Objective: Worry is an important perpetuating factor of Medically Unexplained Symptoms (MUS). Former research has shown that a worry postponement instruction is effective in reducing Subjective Health Complaints (SHC) in non-clinical samples. This study aimed to (1) replicate these findings in a MUS-analogue student-sample and (2) assess alexithymia as a moderator.

Design: The current study had an experimental design with two waves of data collection: pre- and post-intervention.

Main outcome measures: A MUS-analogue student-sample consisting of 114 undergraduate students with high self-reported health worry and a minimum of two doctor visits in the previous year with no current diagnosis for a (chronic or acute) disease were instructed to register their worry frequency and duration eight times per day via an experience sampling-application on their smartphones. The intervention group additionally postponed their worries to a 30-minute period in the evening. SHC were assessed pre- and post-intervention.

Results: The intervention did not have an effect on worry or SHC. Alexithymia did not moderate this effect (p’s > .05).

Conclusion: Our study did not find evidence for the effectiveness of the worry reduction intervention on SHC in a MUS-analogue student-sample. This finding contributes to several previous studies that have found mixed evidence for the effectiveness of the worry reduction intervention on SHC and suggests that the worry intervention may not be effective in all cases.