Using the common-sense model to predict risk perception and disease-related worry in individuals at increased risk for venous thrombosis.

OBJECTIVE: This study applied the Common-Sense Model (CSM) to predict risk perception and disease-related worry in 174 individuals with a genetic predisposition to venous thrombosis (thrombophilia). DESIGN: Participants completed an adapted version of the Illness Perception Questionnaire-Revised (IPQ-R) and measures assessing risk perception and worry. RESULTS: Regression analyses revealed that illness perceptions were predictors of risk perception and thrombosis worry. The hypothesis that illness perceptions mediate the relationship between a person's experience of venous thrombosis and perceived risk and thrombosis worry could not be confirmed. CONCLUSIONS: Further research should refine the IPQ-R for populations at risk of a disease and examine the value of the CSM in explaining the relationship between risk perception, worry, and health behavior.     

Illness perceptions and coping explain well-being in patients with Huntington's disease

This study sought to investigate the contribution of illness perceptions and coping mechanisms to the explanation of well-being of patients with Huntington's disease (HD). We investigated the Leventhal et al. assumption of the Self-regulation Model that coping mediates the relationship between illness perceptions and patients’ well-being. Illness perceptions, coping, and well-being in 77 HD patients were assessed with validated questionnaires; motor performance and cognitive performance were assessed with Huntington's disease-specific measures. The assumption that illness perceptions influence HD patients’ well-being via coping was not supported. The results indicate that both coping and illness perceptions made a major contribution to the explanation of variance in HD patients’ psychosocial well-being. Variance in their physical well-being was explained by illness perceptions mainly. The need to conduct further research on the interrelationships between illness perceptions, coping, and well-being in this patient category is discussed.     

A Model of Neutralization Techniques

ABSTRACT

Neutralizations are important explanations for the rise and persistence of deviant behavior. We can find many different and overlapping techniques of neutralizations in the literature, which may be a reason for inconsistent research findings on the use and influence of neutralization techniques. Therefore, by following both a deductive and an inductive approach, this article develops a model that covers these techniques in a logical way. This is a novel approach in studying neutralization techniques. We distinguish four categories of neutralizations: distorting the facts, negating the norm, blaming the circumstances, and hiding behind oneself. Based on a broad inventory of neutralizations that are identified in the literature – something that has not been done before – we operationalized each of the four categories into three techniques, each of which consists of five subtechniques. The resulting model aims to reduce the risk of arbitrariness in the selection of techniques for empirical research and thereby facilitates more consistent future research findings. The model also aims to help better understand how neutralizations work.     

Health-related quality of life in patients with systemic lupus erythematosus and proliferative lupus nephritis

This study investigated the influence of two different treatments for a kidney inflammation (i.e. proliferative lupus nephritis) on health-related quality of life (HRQoL) in patients with the chronic auto-immune disease systemic lupus erythematosus (SLE). One treatment protocol, the National Institutes of Health (NIH) protocol, was characterized by a high dose of cyclophosphamide (CYC, an immunosuppressive drug), and the second treatment, the Euro-Lupus protocol, involved a low-dose CYC. Thirty-two SLE patients were included based on the received treatment for an episode of proliferative lupus nephritis, according to either the Euro-Lupus or the NIH protocol. The two groups were compared on HRQoL as measured by the SF-36 and the SLE Symptom Checklist (SSC). The Euro-Lupus group (N?=?16) tended to show a higher HRQoL than the NIH group (N?=?16) on four of seven scales of the SF-36. In addition, the Euro-Lupus group experienced less burden from nausea or vomiting than the NIH group as assessed by the SSC. Fatigue was the most disturbing symptom in both groups. The most burdensome aspects of treatment were related to chemotherapy (55.2%) and use of prednisone (34.5%). Patients with a low HRQoL and high levels of fatigue were more likely to have low levels of serum complement C4 (i.e. elevated immune activity). In conclusion, patients who are treated according to the Euro-Lupus protocol may experience a higher HRQoL than patients who receive the NIH treatment. However, chemotherapy remains burdensome in the low-dose treatment regimen. Potential interventions to further enhance the HRQoL in SLE patients with proliferative lupus nephritis are discussed.     

Estimating Multilevel Models on Data Streams

Psychometrika - Social scientists are often faced with data that have a nested structure: pupils are nested within schools, employees are nested within companies, or repeated measurements are...     

How perceived changes in the ethical culture of organizations influence the well-being of managers: a two-year longitudinal study

The first aim of this study was to identify long-term patterns of ethical organizational culture based on the perceptions of 368 Finnish managers over a period of two years. The second aim was to investigate whether there is a difference in the long-term occupational well-being (burnout and work engagement) of managers exhibiting different patterns of ethical culture. Based on latent profile analysis, five different patterns of the strength of ethical culture were identified: moderate, high, increasing, decreasing, and low. The results show that managers exhibiting either the low or decreasing pattern of ethical culture experienced significant changes in their well-being over time. Decreasing or permanently low ethical culture was related to increased cynical attitudes towards work, and to decreased work engagement. On the positive side, stably high ethical culture was associated with enduringly high levels of well-being over time. In sum, low or decreasing ethical culture poses a risk to occupational well-being, whereas an organization with a culture that is perceived as permanently strong represents a favourable work environment.     

Reducing color-color interference by optimizing selection for action

Color-color interference refers to the finding that the naming of a target color is hampered by the simultaneous presentation of an incongruent distractor color somewhere else in the visual field. This interference effect has been attributed to an imperfect input selection (selection-for-processing). We test an alternative account in which it is assumed that (a) target and distractor are identified in parallel without mutual interference, (b) the identified target color has to be selected to control the naming response (selection-for-action), and (c) this selection process takes more time and is less accurate in the incongruent condition than in the control conditions. Experiment 1 shows that color-color interference is obtained when a target color, presented at the point of fixation, is flanked by incongruent colors. In Experiments 2 and 3, the central target position is indicated by an additional exogenous selection cue. The results show that an abrupt-onset cue, presented at the central target position 160 ms after the onset of the target and distractors, reduces the interference effect. This finding is interpreted as supporting evidence for a selection-for-action account of color-color interference.