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Biomedical subjects

V L Malcarne

Publications and source records attributed to V L Malcarne.

10 recordsLinked to original sources
PubMed2006

Religious coping and problem-solving by couples faced with prostate cancer.

Religion can be an important resource for people struggling with chronic illness. Problem-solving skills have also been shown to be helpful. This study examined whether turning to religion as a coping resource would be associated with better problem-solving in couples trying to manage challenges associated with prostate cancer. The sample was 101 patients with prostate cancer and their wives. Wives completed the Social Problem-Solving Inventory--Revised at baseline (T1) and 10 weeks later (T2). Patients and their wives also completed a measure that included items on religious coping. These items were used to classify couples into four groups based on whether one or both members engaged in religious coping: (1) husband only, (2) wife only, (3) both husband and wife, and (4) neither husband nor wife. From T1 to T2, wives who used religious coping along with their husbands (group 3) showed a significantly greater reduction in dysfunctional problem-solving (specifically, on impulsive/careless problem-solving) in comparison with wives who used religious coping while their husbands did not (group 2). Findings suggest that when couples share in turning to religion as a source of coping, this may be associated with improved problem-solving, but sole engagement in religious coping by wives may be associated with worse problem-solving.

Adaptation, Psychological↗
PubMed2000

Correlates of distress in children at risk for affective disorder: exploring predictors in the offspring of depressed and nondepressed mothers.

BACKGROUND: Efforts to understand the correlates of psychological distress in children frequently examine possible correlates in samples of children who are selected for high levels of distress. The propose of this study was to compare distress correlates in a sample with depressed mothers, and thus at high-risk for distress, to a low-risk sample. METHODS: Examining data from part of a larger project, the association of children's depressive symptoms and internalizing and externalizing problems to maternal depression level, life stress, verbal ability, and the experience of a traumatic event were examined in a series of regression equations. RESULTS: Results indicated that children's depressive symptoms, rather than internalizing and externalizing problems, tended to be most consistently related to maternal variables, and also suggested that any experience of maternal depressive symptoms was associated with child problems. It was also found that child depressive symptoms were correlated with life events, but only for nondepressed mothers, and that at-risk children with higher levels of verbal ability were significantly less likely to report experiencing depressive symptoms and internalizing problems than were those with lower levels of verbal ability. LIMITATIONS: Because these data are preliminary, further research examining a broader array of variables is important. CONCLUSIONS: These results suggest the need for different models of these processes in different populations of children.

Adult↗
PubMed1998

Concepts of illness in Icelandic children.

OBJECTIVE: To investigate the development of illness concepts among healthy Icelandic children. METHODS: Participants were 68 schoolchildren, 6-7, 10-11, and 14-15 years of age, and their parents. Cognitive developmental level and understanding of physical illness were assessed within a Piagetian framework. In addition, illness experience and illness behaviors (Child Illness Behavior Questionnaire) were assessed. RESULTS: Results were consistent with previous studies in that the development of illness concepts among Icelandic children was consistent with Piaget's theory of cognitive development. No relation was found between illness experience and understanding of illness. A more mature understanding of illness was related to willingness to report the onset of illness. CONCLUSIONS: The results suggest that findings from previous studies may be generalized to a broader population.

Adolescent↗
PubMed1997

College student reasoning about illness and psychological concepts.

Cognitive-developmental reasoning level in dealing with illness and psychological concepts, experiences with physical illness and psychological difficulties, locus of control orientation, and demographic variables were assessed in 101 college students. On average, the students' reasoning about both illness and psychological concepts was in transition from concrete to formal operational levels. However, the students' cognitive-developmental reasoning levels varied across illness and psychological domains and across some concepts within each domain. The reasoning levels for illness concepts were found to be significantly more advanced than the reasoning levels for psychological concepts. Female students' reasoning scores for psychological concepts were significantly higher than those of male students. Descriptive information for locus of control orientation, experience with illness, and psychological problems, as well as associations between variables and comparisons of means, are provided. The study's implications for college health providers in terms of treatment, prevention, and educational strategies are discussed.

Adult↗
PubMed1996

Psychological adjustment to systemic sclerosis.

OBJECTIVE: To examine the role of demographic, disability, appraisal, and coping variables in predicting psychological adjustment in individuals with systemic sclerosis. METHODS: Two hundred forty-two individuals with systemic sclerosis (SSc; diffuse and limited) were surveyed by mail. Demographics, functional disability, pain, control appraisals, 8 types of coping, and individual psychosocial adjustment were assessed by self-report questionnaires with established reliability and validity. RESULTS: In regression analysis, 3 coping strategies emerged as significant predictors of adjustment: Wishful Thinking, Blaming Self, and Problem-Focused Coping. Self-reports of disability and control appraisals were also significant predictors. Collectively, 46% of the variance in adjustment was explained by these 5 predictor variables. The strongest predictor of overall adjustment was wishful thinking, explaining 22% of the variance in adjustment. CONCLUSIONS: Potentially modifiable appraisal and coping variables, along with disease-related disability, appear to play an important role in predicting adjustment to SSc, while demographic variables explained little of the variability in patient adjustment.

Activities of Daily Living↗
PubMed1995

Cognitive factors in adjustment to cancer: attributions of self-blame and perceptions of control.

We examined attributions of behavioral and characterological self-blame and perceptions of control over disease progression and recurrence as predictors of symptoms of psychological distress in a sample of adult men and women with cancer. Data were obtained near the time of diagnosis and a 4-month follow-up. Initial levels of behavioral and characterological self-blame were unrelated to concurrent psychological distress. Initial characterological self-blame as well as the interaction of characterological and behavioral self-blame was predictive of psychological distress 4 months later. Perceptions of control over cancer recurrence were unrelated to psychological distress near diagnosis or at follow-up, and control beliefs did not function as a mediator of self-blame. Initial levels of psychological distress predicted characterological but not behavioral self-blame at follow-up, suggesting a reciprocal relationship between characterological self-blame and distress.

Adaptation, Psychological↗
PubMed1994

When mom or dad has cancer: markers of psychological distress in cancer patients, spouses, and children.

This study assessed anxiety/depression and stress response symptoms in adult cancer patients (n = 117), spouses (n = 76), and their children (n = 110, ages 6 to 30 years old) near the patients' diagnoses to identify family members at risk for psychological maladjustment. Patients' and family members' distress was related to appraisals of the seriousness and stressfulness of the cancer but not related to objective characteristics of the disease. Patients and spouses did not differ in anxiety/depression or in stress-response symptoms. Both stress-response and anxiety/depression symptoms differed in children as a function of age, sex of child, and sex of patient. Adolescent girls whose mothers had cancer were the most significantly distressed. Implications for understanding the impact of cancer on the family are highlighted.

Adaptation, Psychological↗
PubMed1993

The effects of an instructional audiotape on breast self-examination proficiency.

This study evaluated the effects of a refresher instructional audiotape on breast self-examination (BSE) proficiency 6 months after BSE had been trained to criteria. Subjects (n = 54), who were undergraduate women, were trained in group sessions to perform BSE competently. Subjects were randomly assigned to one of two "maintenance" groups: tape or no tape. Tape-group subjects received a BSE tape at the end of their training session. Subjects in both groups received monthly mailed prompts. At 6 months posttraining, subjects were videotaped in a clinic environment while performing BSE and 10 components of the exam subsequently were evaluated. The results indicated that tape-group subjects showed significantly better performance than controls on four components, including amount of breast area examined. The tape had no effect on BSE frequency. The tape strategy may be valuable in maintaining proficiency once BSE is trained.

Adolescent↗
PubMed1989

What mentally retarded and nonretarded children expect of one another.

Twenty mentally retarded students and nonretarded students matched for chronological age (n = 20) or mental age (n = 16) made judgments about children described as having or not having learning problems. Results showed that students had both positive and negative stereotyped expectations about these children and that there were few differences between the expectations of retarded and nonretarded students. Students' responses to stereotype questions 11 to 18 months later revealed few changes in their stereotypes and no significant differences between stability of retarded and nonretarded students' stereotypes. Results suggest that understanding social relations between retarded and nonretarded children requires consideration of the expectations of both groups.

Adolescent↗