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Biomedical subjects

P Karoly

Publications and source records attributed to P Karoly.

At least 19 recordsLinked to original sources
PubMed2001

Women's pursuit of personal goals in daily life with fibromyalgia: a value-expectancy analysis.

Eighty-nine women with fibromyalgia completed the Life Orientation Test, identified health and social goals, and answered questions from the Goal Systems Assessment Battery (P. Karoly & L. Ruehlman, 1995) about their valuation of, and self-efficiency in attaining, each goal. For 30 days, they responded to palm-top computer interviews about their pain and fatigue and rated their goal effort, goal progress, and pain- and fatigue-related goal barriers. Goal barriers increased and goal efforts and progress decreased on days with greater pain and fatigue; goals valued more highly were pursued more effortfully and successfully; more optimistic individuals were less likely to perceive goal barriers and, on days that were more fatiguing than usual, were less likely to reduce their effort and to retreat from progress in achieving their health goal; and more pessimistic individuals perceived greater goal barriers on days that were less painful than usual.

Achievement↗
PubMed1999

Development and validation of the multidimensional health profile, part I: Psychosocial functioning.

This article describes the development and preliminary validation of the Multidimensional Health Profile, Part I: Psychosocial Functioning (MHP-P), a self-report screening instrument for use in mental health and primary care settings. The MHP-P assesses mental health, life stress, coping skills, and social resources. In Study 1, retest reliability, validity, social desirability response bias, and factor structure were examined in a national sample of men and women (N = 673). In Study 2, the effect of time frame on the retest reliability of the mental health scales was examined in a sample of male and female college students (N = 147). A national sample of men and women (N = 2,411) provided data for additional confirmatory factor analyses and norm development in Study 3.

Journal Article↗
PubMed1998

Fibromyalgia and women's pursuit of personal goals: a daily process analysis.

For 30 days, 50 women with primary fibromyalgia syndrome reported daily progress and effort toward a health-fitness and a social-interpersonal goal and the extent to which their pain and fatigue hindered their accomplishment. They also carried palmtop computers to assess their sleep and their pain, fatigue, and positive and negative mood throughout the day. Analyses of the person-day data set showed that on days during which pain or fatigue increased from morning to evening, participants perceived their goal progress to be more attenuated by pain and fatigue. Unrestorative sleep the night before predicted the following day's effort and progress toward accomplishing health-fitness goals, but not social-interpersonal goals. Finally, participants who reported more progress toward social-interpersonal goals on a given day were more likely to evidence improvements in positive mood across the day, regardless of any changes in pain or fatigue that day.

Adaptation, Psychological↗
PubMed1997

Motivational correlates of self-reported persistent pain in young adults.

OBJECTIVE: We sought to illustrate that personal goals can provide a meaningful context within which to interpret physical pain and that persistent (nonclinical) pain correlates with dysfunctional goal evaluation for young adults. DESIGN: A total of 127 college students reporting either no pain or persistent physical pain completed the Goal System Assessment Battery, a set of questionnaires designed to gauge stable and accessible representations of self-regulated goal pursuit. RESULTS: The results supported the general contention that persons experiencing persistent pain (at subclinical levels) tend to evaluate their important life goals in a "problematic" fashion. Specifically, the presence of persistent pain was associated with lower ratings of self-efficacy, self-monitoring, self-reward, and less positive arousal. CONCLUSIONS: The pattern of goal construal produced by this young and generally healthy group of college students reflects cognitive-motivational dysfunctions possibly presaging pain-schemes in later life.

Adult↗
PubMed1996

Goal-relevant dimensions of hypochondriacal tendencies and their relation to symptom manifestation and psychological distress.

A national sample of 60 male and 61 female adults completed a telephone interview that included measures of hypochondriacal tendencies, psychological distress, and symptom manifestation. They also provided cognitive evaluations for their most important health goal on scales measuring self-efficacy, value, planning, self-reward, self-criticism, self-monitoring, social comparison, and positive and negative goal-based arousal. Health goal cognition significantly predicted hypochondriacal tendencies measured 15 to 30 days after the goal assessment, even after controlling for chronic illness diagnosis. Correlations between goal cognition and hypochondriacal tendencies differed from those observed for psychological distress, and no significant correlations emerged with symptom manifestation. Results support a motivational account of hypochondriacal tendencies and extend previous goals research.

Adaptation, Psychological↗
PubMed1996

Motivational implications of pain: chronicity, psychological distress, and work goal construal in a national sample of adults.

A heterogeneous national sample of adults (mean age = 40 years) employed in management positions was contacted by random digit dialing procedures and interviewed about current pain experience, work-goal cognitions, and psychological status (depression and anxiety). In accord with predictions, persistent pain experience was differentially related to the construal of work-related goals. Specifically, individuals with both persistent and episodic pain (relative to those with no pain) reported lower levels of goal-centered value, self-efficacy, and positive arousal and heightened perceptions of goal-based self-criticism, negative arousal, and conflict between work and nonwork goals. Furthermore, regression analyses revealed that goal cognition accounted for unique variance in depression and anxiety over and above the contribution of pain chronicity.

Adaptation, Psychological↗
PubMed1994

Specificity and generality of motivational components in depression: a personal projects analysis.

Features of depression, as measured by the Beck Depression Inventory (BDI), were distinguished from anxiety, as assessed by the Beck Anxiety Inventory (BAI), and were explored from a goals perspective using the Personal Projects Analysis methodology (B.R. Little, 1983). Depression and anxiety were found to reflect a "negative" appraisal pattern characterized by goals rated high in stress and difficulty, and low in structure, control, perceived skill, and positive outcome expectancy. Depression also revealed distinctive features not found in anxiety (e.g., goals that are perceived as being less visible to important others). A goal-based approach to research and diagnosis is presented, and implications for future research are discussed.

Adult↗
PubMed1993

Hypochondriasis and somatization in college women: a personal projects analysis.

Although the descriptive features of hypochondriasis and somatization have been widely studied, the motivational correlates (goal representations) of individuals manifesting abnormal illness patterns have not been considered. The Personal Projects Analysis method (Little, 1983) was used to contrast the health and nonhealth goals of female undergraduates. Subjects selected 10 goals for evaluation along a series of dimensions. When health pursuits alone were examined, hypochondriasis on the Minnesota Multiphasic Personality Inventory was found to correlate directly with goal appraisal dimensions subsumed by an anxiety-absorption factor and inversely with dimensions characterizing rewardingness, thus suggesting a negativity of health goal construal. Somatizers also pursued more health-related projects than did nonsomatizers; nonhealth goal cognition did not relate as strongly to hypochondriasis. Finally, using discriminant function analysis, goal representations were shown to significantly and substantially differentiate somatizers from nonsomatizers.

Adaptation, Psychological↗
PubMed1992

Recurrent pain in college students.

The authors investigated the prevalence of recurrent pain in a college student sample. Of the 1,564 students surveyed, 467 (29%) indicated that they had experienced recurrent pain at an intensity that was mostly in the mild-to-moderate range. Students who reported having recurrent pain were significantly older and more depressed than students who did not indicate they suffered from recurrent pain. Pain intensity was positively correlated (r = .14) with depression among the students who reported having recurrent pain. Implications of the findings for future research, treatment, and health promotion efforts are discussed.

Adult↗
PubMed1992

Pain-specific beliefs, perceived symptom severity, and adjustment to chronic pain.

Cognitive theories of appraisal argue for the importance of beliefs as determinants of adjustment to stress. The current investigation sought to examine the relation between beliefs about chronic pain and adjustment in a group of chronic pain patients. Patients' belief in themselves as disabled was found to be inversely related to activity level for patients reporting low and medium levels of pain severity. This same belief correlated with professional services utilization and was negatively related to psychological functioning. Believing in a medical cure for pain was also positively related to professional services utilization. Finally, an expressed belief in the appropriateness of solicitous responses from family members was negatively related to psychological functioning for patients reporting relatively low levels of pain. Although these findings support the broad-based hypothesis that the illness-relevant beliefs of chronic pain patients are associated with their multidimensional pain adjustment, they emphasize the importance of beliefs concerning whether or not one is disabled by pain. The findings also highlight the fact that the belief/functioning relation is not always direct and can be moderated by perceived pain severity.

Adaptation, Psychological↗
PubMed1991

Assessing the affective component of chronic pain: development of the Pain Discomfort Scale.

Few methods exist to assess the affective or reactive dimension of chronic pain, and there are psychometric and practical limitations on the methods that do exist. The current paper reports on the development and validation of the Pain Discomfort Scale, a 10-item instrument designed to fill the need for a brief and psychometrically sound measure of pain affect. Preliminary evidence supports the reliability and validity of the measure. Its internal consistency and test-retest stability coefficients are high. In addition, the results of both correlational and factor analyses of the PDS with other measures support its distinctiveness (from measures of pain intensity) and construct validity (as indicated by its close association with other measures of pain affect). These results support the use of the PDS in situations where a measure of the affective response to chronic pain is needed.

Affect↗
PubMed1991

Interpersonal and intrapsychic goal-related conflict reported by cigarette smokers, unaided quitters, and relapsers.

Current cigarette smokers not actively trying to cut down (n = 38), recent relapsers (n = 40), and successful self-initiated quitters (n = 36), matched on age, gender, and smoking background, completed questionnaires retrospectively assessing (a) the degree of conflict among important personal goals and the goal of smoking cessation, and (b) the level of perceived social hindrance from significance others vis-à-vis their efforts to quit smoking. Results indicated that unaided quitters, in contrast to current smokers and relapsers, recalled significantly less goal-related interpersonal interference and significantly lower levels of intergoal conflict. The findings are considered to provide support for a social/cognitive perspective on the process of self-managed smoking cessation.

Adolescent↗
PubMed1991

Control beliefs, coping efforts, and adjustment to chronic pain.

This study examined factors hypothesized to influence adaptation to chronic pain in 118 patients who were interviewed to gauge adjustment (psychological functioning, medical services utilization, and activity level) and several widely discussed predictors of adjustment. Control appraisals and the practice of ignoring pain, using coping self-statements, and increasing activities were positively related to psychological functioning. Control appraisals and the practice of diverting attention, ignoring pain, and using coping self-statements also yielded a positive relation to activity level, but only for those patients reporting relatively low levels of pain severity. None of the predictors were related to medical services utilization. Future research is needed to replicate these findings and help clarify when appraisals and coping strategies are most productive among patients with chronic pain.

Adaptation, Psychological↗
PubMed1990

Diabetes self-care goals and their relation to children's metabolic control.

Undertook a goal systems analysis in order to elucidate the nature of diabetic children's cognitive representations of their health-related activities. Using a modified version of Little's (1983) Personal Projects Analysis methodology, youngsters with Type I diabetes were asked to sort health-care goals into self-selected versus imposed categories. Goal dimension differences were compared via t tests, revealing that children make clear evaluative distinctions among types of diabetes-care activities. Factor analyses further revealed distinct conceptualizations for "told to do" versus "want to do" goals. When metabolic control (as measured by glycosolated hemoglobin assays) was regressed on the derived factors for selected and imposed self-care goals, none of the self-selected (want to do) factors, but two of the three imposed (told to do) factors, contributed significantly to variance in HbAlc. Implications and design limitations are discussed.

Adolescent↗
PubMed1989

The subjective experience of acute pain. An assessment of the utility of 10 indices.

Sixty-nine postoperative patients indicated the severity of their pain using eight measures designed to assess pain intensity and two designed to measure pain affect. The utility and validity of the 10 measures were evaluated according to two criteria: (a) the magnitude of the relationship between each scale and a linear combination of the pain measures, and (b) relative rates of incorrect responding. The results indicate that each of the measures of pain intensity is adequately valid. In addition, this sample of patients failed to differentiate pain intensity and pain affect using the present measures, suggesting the need for additional research to explore the validity of the affective measures employed in the study. The 11-point Box Scale (BS-11) of pain intensity demonstrated the strongest relationship to a linear combination of all of the measures employed and was responded to correctly by each subject in the sample. All else being equal, these results suggest that the BS-11 scale may be the most useful clinical index of pain intensity among postoperative patients.

Acute Disease↗
PubMed1987

The development and preliminary validation of an instrument to assess patients' attitudes toward pain.

This paper describes the development and preliminary validation of a questionnaire designed to assess five attitudes considered important in the long-term adjustment of chronic pain patients. The specific subscales of the questionnaire were chosen to represent attitudes believed to influence the ways by which chronic pain patients manage their pain. Following the development of five reliable subscales, correlations of the subscales with self-reported pain behaviors and coping strategies were calculated, providing preliminary support for the concurrent validity of the instrument.

Adaptation, Psychological↗