Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis.

This research evaluated the relationship between pain and sleep problems, and the role of pain and sleep problems in depression, in a sample of 242 patients who had been diagnosed with definite or classical rheumatoid arthritis (RA). Patients completed the Pain scale of the Arthritis Impact Measurement Scales, the Center for Epidemiological Studies Depression Scale, and self-reports of sleep disturbance at two data waves over a 2-year interval. Cross-sectional multiple regression analysis revealed that the sleep problems variable was independently associated with depression at Time 1. Longitudinal multiple regression analyses demonstrated that prior pain predicted subsequent adverse changes in sleep problems, whereas sleep problems did not affect pain over time, and prior pain and the interaction of high pain and high sleep problems were independently associated with depression from Time 1 to Time 2. These data suggest that pain may exacerbate sleeping difficulty in RA patients, and that both factors may contribute to depression over time.     

Social Psychology of Women and Gender1

A selective overview of work in the field from 1970 to 1985 is presented. Sex comparisons are presented as an extensive research area needing theory-based empiricism. In another major area, gender belief systems, important progress has been made in studying the effects of stereotypes on subsequent behavior. Methodological critiques and advances are discussed. Two sources of research are highlighted: women's experience and theory. Examples are given of research advances stemming from women's experience and a case study is provided of the value of personal experience to the researcher. Theories focusing on individual differences are critiqued. Theory focusing on situational factors such as power and status are highlighted. Sherif s (1982) delineation of the self-system is presented as a major integrated theory. Directions for future work are provided focusing on inclusion of women of color, lesbians, and women from all social strata to understand the varieties of women's experience. A move to knowledge that is “gendered” rather than female-centered is proposed.     

Perceived control and health

Perceived control (PC) is defined as thebelief that one can determine one’s own internal states and behavior, influence one’s environment, and/or bring about desired outcomes. Two important dimensions of PC are delineated: (1) whether the object of control is located in the past or the future and (2) whether the object of control is over outcome, behavior, or process. A variety of constructs and measures of PC (e.g., efficacy, attribution, and locus of control) are discussed in relation to these dimensions and selected studies are reviewed. The issues, controversies, and limits of the research on perceived control and health are addressed in terms of the antecedents and consequences of perceived control. Investigations should clearly conceptualize the object of perceived control, use measures that match the conceptualization, and when attempting to manipulate control, directly measure perceived control. The relation between PC and health outcomes is complex, and different aspects of PC may interact to affect health outcomes.     

Feminist orientation and job-seeking behavior among dual-career couples

This study examined the relationship between feminist orientation and job-seeking behavior in dual-career couples. Initial and final job-seeking decision rules were assessed, as well as choices to simulated incidents about joint job seeking. Feminist orientation was more pronounced in influencing simulated than actual job-seeking behavior. As employment possibilities in the simulations became increasingly constrained, the relationship between feminism and non-traditional behavior attenuated first among men, then among both sexes. In terms of actual behavior, feminist orientation in men, but not in women, was significantly related to the type of job-seeking strategy initially chosen. However, there was no significant relationship between feminist orientation and final job decision for either sex, probably because of situational constraints affecting the final decision.     

The Mediational Role of Perceived Competence in Psychological Adjustment to Rheumatoid Arthritis1

Chronic illnesses such as rheumatoid arthritis (RA) have been linked to poor psychological adjustment, although individual differences in this relationship have been observed. This study examines the role of perceived competence as a mediator between RA and adjustment. Persons with RA (N= 208) were surveyed three times at 6-month intervals concerning several potential antecedents of adjustment (pain, psychosocial impairment, social support, and control beliefs), self-perceived level of competence, and level of adjustment (life satisfaction and depressive symptomatology). Within each observational period strong evidence was obtained for perceived competence as a mediator of adjustment. Longitudinally (across the year) the data were consistent with a mediational model, but strong evidence establishing mediation was not obtained. Implications of these findings, and the importance of examining the role of perceived competence in adaptation to chronic illness, are discussed.     

Reactance,Attribution, Equity,and the Help Recipient1

The relevance of social psychological theory for understanding the helping relationship from the recipient's perspective and for designing efficient and humane helping systems is examined. Negative feelings associated with seeking or receiving help may occur when recipients feel threatened with loss of freedom (reactance), interpret their help-seeking as a sign of inadequacy (attribution), or feel uncomfortably indebted (equity). Studies supporting each of these theories, and a program of research which contrasts helper vs. recipient-initiated assistance, are reviewed. Findings suggest that helper-initiated aid leads to higher utilization of services and better recipient feelings. These results are interpreted as supporting attribution in contrast to reactance theory concepts. A field study in a welfare setting extends laboratory findings, and shows that current practice which requires welfare recipients to initiate requests for service may effect savings via lowered requests for service at the expense of recipients who really need help but are inhibited from requesting it.     

Effect of Diagnosis and Personality on Impression Formation1

Nurses were asked to rate patients differing in diagnosis and personality type. Two diagnosis conditions (psychogenic or physiogenic) were compared across two personality conditions: Mr. Cummings, a hypothetical patient presented to nurse/subjects via audiotape, willingly disclosed information about his illness in a nonemotional manner; while Mr. Lockwood, the second “patient”, disclosed less and was more emotional. Two control conditions were also included: One measured subjects' reactions to the personality type independent of diagnostic label; the second determined nurses' stereotypic reactions to the two diagnostic labels alone. Subjects reacted more favorably to Mr. Cummings than to Mr. Lockwood regardless of Cummings' diagnosis. Nurses' impressions of Mr. Lockwood, on the other hand, varied as a function of his diagnosis.     

Perceived control and health

Perceived control (PC) is defined as thebelief that one can determine one’s own internal states and behavior, influence one’s environment, and/or bring about desired outcomes. Two important dimensions of PC are delineated: (1) whether the object of control is located in the past or the future and (2) whether the object of control is over outcome, behavior, or process. A variety of constructs and measures of PC (e.g., efficacy, attribution, and locus of control) are discussed in relation to these dimensions and selected studies are reviewed. The issues, controversies, and limits of the research on perceived control and health are addressed in terms of the antecedents and consequences of perceived control. Investigations should clearly conceptualize the object of perceived control, use measures that match the conceptualization, and when attempting to manipulate control, directly measure perceived control. The relation between PC and health outcomes is complex, and different aspects of PC may interact to affect health outcomes.     

The Relationship Between Attitudinal and Behavioral Measures of Sex Preference

This study examined the relationship between an attitudal and a behavioral measure of sex preference for offspring. In addition to looking at the relationship between these measures, their relationship to other variables was also investigated. Pregnant women and their spouses (N = 56) responded to a questionnaire measure of sex preference, a behavioral measure of sex preference, Bern's Sex Role Inventory, and the Attitudes Towards Women Scale. The behavioral and questionnaire measures of sex preference were significantly related, indicating that in the area of preferred sex of firstborn children, attitudinal measures appear to be highly related to behavioral measures. Contrary to prediction, androgynous and nonandrogyn-ous persons did not differ significantly on preferred sex of child. However, persons with a more positive attitude toward women's movement ideology showed significantly less male preference than persons with less positive attitudes toward women's movement ideology.