The reciprocal cycle of self‐concealment and trust in romantic relationships

We propose that perceived partner concealment, self‐concealment from one's partner (i.e., keeping secrets from one's partner), and trust in one's partner form a reciprocal cycle in romantic relationships. In Study 1, participants in a romantic relationship (N = 94) completed a two‐time point survey within a span of 8 to 10 weeks. Results revealed that perceived partner concealment was associated with a loss of trust in partner, and low trust in partner was associated with an increase in self‐concealment from one's partner. Furthermore, the association between perceived partner concealment and self‐concealment from one's partner was mediated by trust. In Study 2, couples (N = 50) completed daily records for 14 consecutive days. Multilevel analyses indicated that on the days the individuals reported more self‐concealment, their partners reported lower trust in them. Moreover, on the days the partners reported lower trust, the partners also reported higher self‐concealment. These findings suggest that self‐concealment in romantic relationships can create a reciprocal cycle that involves loss of trust and more self‐concealment between partners, which would slowly deteriorate the relationship well‐being. Copyright © 2012 John Wiley & Sons, Ltd.     

Short report: correlates of functional disability with disease activity in elderly patients with rheumatoid arthritis

Rheumatoid arthritis (RA) prevalence increases with age and old people are special patient population. The recognition of functional disability related to RA could be challenging in elderly patients because aging itself and potential co-morbid disease may also cause functional disability. In this study, we aimed to look at the correlation between disease activity and functional disability in elderly RA patients. Elderly RA patients, ≥65 years old at their routine visits were included in the study. The composite ‘disease activity score’ in 28 joints (DAS-28) was used to determine disease activity groups. Health assessment questionnaire (HAQ) scores were calculated to describe the functional disability and compared across the disease activity groups. Two hundred and fifty-eight RA patients with the mean age of 71 ± 5 (65–90) and a total disease duration of 8.4 ± 8.5 (.5–50) years were recruited. The proportion of patients with high and moderate disease activity was 70%. HAQ scores were significantly correlated with disease activity (p < .05). Functional disability estimated by HAQ was correlated with disease activity in elderly patients with RA     

A Measure of Quality of Life in Elderly Tourists

This research enriches our knowledge of the tourist market in relation to the elderly, i.e., those age 65 and older and retired. The purpose of the research is to explore the missing link between travel behaviors of the elderly and how they contribute to Quality of Life (QoL). As a result, this study clarifies elderly tourist motivation and also aims to examine the relationship among motivation, constraints, leisure-life domain satisfaction, and overall life satisfaction by generating theoretical and practical implications related to those behaviors. Using a structural equation modeling approach, the research model identifies the relevant relationships among the constructs. The results reveal that motivation positively influences satisfaction with leisure-life domain. However, travel constraints do not affect leisure-life domain satisfaction. In addition, satisfaction with leisure-life domain is linked to overall life satisfaction among the elderly.     

Effects of decompressive surgery on prognosis and cognitive deficits in herpes simplex encephalitis

Herpes simplex encephalitis (HSE) is a serious viral infection with a high rate of mortality. The most commonly seen complications are behavioral changes, seizures and memory deficits. We report the case of a 37-year-old man with HSE in the right temporal lobe and a severe midline shift who was treated with acyclovir. The patient underwent anterior temporal lobe resection. Although HSE can cause permanent cognitive deficits, in this case, early surgical intervention minimized any deficit, as determined by detailed neuropsychological examination. Surgical decompression is indicated as early as possible in severe cases. This case report emphasizes the effect of surgical decompression for HSE on cognitive function, which has rarely been mentioned before.     

Association of prenatal attachment and early childhood emotional,behavioral, and developmental characteristics: A longitudinal study

This study examines the associations between prenatal attachment and child development, socioemotional behavioral problems, and competence at early childhood. It also inquires whether maternal depression and anxiety at the prenatal period and at early childhood are associated with child outcomes. The study consisted of 83 mothers and their children. Data regarding the prenatal attachment, depression, and anxiety were collected during Weeks 28 to 40 of gestation. When the children were 21 to 31 months old, the Brief Infant and Toddler Social Emotional Assessment (BITSEA) and the Ankara Developmental Screening Inventory (ADSI) were applied to children along with Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI) administered to mothers. Results showed that prenatal attachment scores significantly correlated with BITSEA-Competency subscale scores and ADSI total scores at early childhood, r(83) = 0.246, P = .025, and r(82) = 0.316, P = .004, respectively. Prenatal attachment levels were found to be the predictors of both behavioral and emotional competence and development at early childhood, b = 0.081, t(83) = 2.273, P = .014, and b = 0.281, t(83) = 3.225, P = .002, respectively. In addition, prenatal attachment was shown to be even a stronger predictor of development than was worsening maternal depression at early childhood, b = −0.319, t(83) = 2.140, P = .035. Our results indicate that fostering prenatal attachment may be beneficial for better infant outcomes at early childhood.     

Social Safeness and Psychological Vulnerability in Turkish Youth: The Mediating Role of Life Satisfaction

The present study examined whether life satisfaction mediated social safeness and psychological vulnerability in Turkish youth. The participants included 261 university students who completed a questionnaire package that included the Turkish versions of the Social Safeness and Pleasure Scale, the Satisfaction with Life Scale, and the Psychological Vulnerability Scale. To test the proposed mediation model, authors employed hierarchical regressions. Furthermore, the authors tested mediation model using the Sobel Z-test and bootstrapping method to examine any indirect effects. Consistent with our hypotheses, the results indicated that there was a positive relationship between social safeness and life satisfaction, and a negative relationship between social safeness and psychological vulnerability. The results of the Sobel Z-test and bootstrapping revealed that life satisfaction significantly, yet partially, mediated the relationship between social safeness and psychological vulnerability. The findings highlight the importance of life satisfaction in enhancing perceptions of social safeness and decreasing psychological vulnerability among Turkish college students.