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PubMed1978

Psychological and social adjustment of blind subjects and the 16PF.

Determined whether individuals who adapted well or poorly to the loss of their vision could be differentiated on the basis of the Cattell 16PF. Well adjusted individuals were defined as those who displayed minimal depression and high social independence, while poorly adjusted individuals were highly depressed and socially dependent. By the use of discriminant analysis based upon the standard 16PF, 84.5% of highly depressed and 81% of the minimally depressed group were classified accurately. In a second analysis, 75% of socially independent and 73% of socially dependent individuals were classified correctly. Premorbid characteristics of well and poorly adjusted blind Ss were described.

Adaptation, Psychological↗
PubMed2006

Voluntary selection of task sets revealed by functional magnetic resonance imaging.

In everyday life, we have to selectively adapt our behavior to different situations and tasks. In cognitive psychology, such adaptive behavior can be investigated with the task-switching paradigm. However, in contrast to everyday life, in experiments participants are unequivocally told which task to perform. The present functional magnetic resonance imaging (fMRI) study was set out to investigate processes that are relevant when participants can decide by their own which task to perform. The number of tasks to choose from was varied between a forced condition (no choice) and two voluntary selection conditions (two or three choices). We expected to find prolonged reaction times as well as higher activations within the midcingulate cortex for the choice conditions compared to the no-choice condition. The fMRI results revealed a significant activation difference for the choice conditions versus the no-choice condition. For the choice contrast, activation was found in the rostral cingulate zone (RCZ) as well as the superior parietal lobule and the posterior part of the intraparietal sulcus. These activations revealed no selection-specific difference between three and two choices. Finally, a post hoc analysis showed that the activation in the RCZ is not associated with higher task-dependent response conflict when participants can select a task set. Taken together, these findings indicate that distinct brain areas are involved in the voluntary selection of abstract task set information.

Adult↗
PubMed1996

Development and testing of a quality of life model for long-term female cancer survivors.

This research resulted in the evolution of a model depicting the quality of life of long-term female cancer survivors. The foundation for this model's development was Ferrell's (1993) breast cancer model, which incorporates physical, social, psychological and spiritual domains of life. The Ferrell model was adapted following focus-group discussions with 11 long-term female cancer survivors. The adjusted model included new categories, within each of Ferrell's initial domains, that were specific to the focus group participants. Administration of a new instrument, the Long-Term Quality of Life (LTQL), to 187 long-term female cancer survivors produced a final model that included the interaction of all four domains in six major concepts of quality of life. This new model, which reflects the complexity of life in long-term female cancer survivors, may be useful to health professionals in designing interventions to meet the unique needs of these women.

Activities of Daily Living↗
PubMed1997

Psychological consequences of having triplets: a 4-year follow-up study.

OBJECTIVE: To assess the mental health of mothers of triplets and the quality of relationship with the children 4 years after delivery. DESIGN: Prospective follow-up study from delivery, to 4 years. Assessments at home by a psychologist, using semistructured tape-recorded interviews. SETTING: One maternity hospital in Paris, France. PATIENT(S): Eleven consecutive mothers having delivered triplets between October 1988 and February 1990. All except one had conceived after infertility treatment. MAIN OUTCOME MEASURE(S): Evaluation of the mothers' emotional well-being and level of depression measured by the CES-D Scale (Center for Epidemiologic Studies-Depression Scale). Opinion of the mothers about the quality of the relationship with the children. RESULT(S): All mothers reported emotional distress at 4 years, mainly fatigue and stress. Four mothers had a high score of depression and used psychotropic medication. The relationship with the children and difficulties in coping with their aggressive behavior and conflicts were the main reason for psychological distress. Difficulties had not decreased since the previous assessment at 2 years. Four mothers spontaneously expressed regrets about having triplets. CONCLUSION(S): Patients undergoing infertility treatments should receive adequate information about the long-term psychological "cost" of a triplet birth. Infertility treatments should be adapted in order to decrease the risk of triplet pregnancies.

Adaptation, Psychological↗
PubMedDate not supplied

Psychological well-being of refugee children.

Two groups of refugee families participated in a program aimed at preventing children's mental health problems. The program attempted to gain insight into the character and scope of problems of refugee families and to develop and implement a spectrum of interventions that would meet their specific psychological needs. Data about the family situation and the psychosocial adaptation of refugee children to displacement was gathered during detailed structured interviews with the mothers, while the study families were accommodated either in a shelter or with host families. A considerable range of stress-related reactions among displaced children were identified (e.g., sleeping and eating disorders, separation fears, and withdrawal or aggression). Refugee children exhibited a significantly higher incidence of stress reactions if their mothers had difficulty coping with the stress of displacement. The findings also indicated that children in the collective shelter were at greater mental health risk than their peers housed with host families.

Adaptation, Psychological↗
PubMed1999

Fabricated trauma exposure: an analysis of cognitive, behavioral, and emotional factors.

The 1995 Oklahoma City bombing was a disaster of unparalleled dimension in the United States. The professional response included the development of systematic clinical and research programs. This article describes the case of a child who, as a participant in a research study, appeared to fabricate a story of bomb-related loss. The research and clinical records of this child were examined and analyzed according to the factors and conditions that might underlie this fabrication. These include issues related to memory and suggestibility, symptom contagion, and mass hysteria. The report describes the role of psychological vulnerability in trauma and this child's coping and adaptation.

Adaptation, Psychological↗
PubMed1984

Adolescent individuation: the culmination of a developmental line.

Viewing adolescence in terms of individuation results in a theoretical conceptualization that departs from classic psychoanalytic drive theory and has specific implications for our understanding of adolescent identity formation. The attainment of ego identity at the close of adolescence is viewed here as a consequence of the progressive developmental line of individuation in which the individual progresses from a state of physical and emotional dependence to a position of psychological autonomy and adult object relationships. The normative, progressive, and adaptive aspects of this process have been deliberately emphasized. This emphasis is intended to promote a view of adolescence that tempers and complements the traditional psychoanalytic view, a view that tends to, at worst, ignore, and at best, undervalue, the significance of autonomous ego development during this developmental stage.

Adaptation, Psychological↗
PubMed1995

Place attachment, isolation, and the power of a window in a hospital environment: a case study.

This paper describes the relevance of the literature on environmental psychology to the coping strategies a leukemia patient used in adapting to psychological and physical isolation on a hospital bone marrow transplant unit and oncology unit. The case study describes the difficulty of place attachment on the isolation unit and its evolution on the oncology unit. The power of a window with a natural view--including a view of a cemetery--was especially evident even as the disease became terminal.

Adult↗
PubMed2006

Psychological adjustment during Army basic training.

This study evaluated changes in depression, anxiety, and stress during Army basic training. During week 1 of training, 139 soldiers from two companies volunteered for participation. In week 8, 93 soldiers were available for retesting. Self-reports of depressive symptoms and perceptions of stressfulness at both assessments fell within the normative range for nonclinical samples, whereas endorsement of anxiety symptoms remained slightly elevated, in the mild range. Women endorsed higher levels of anxiety (F = 8.87, p < 0.01) than did men. No gender or ethnicity differences were noted for changes in psychological distress over time. Regression analyses showed that subjects with the highest levels of initial distress on the anxiety, depression, and stress measures had the most change at the end of 8 weeks of training (r values between 0.61 and 0.39; all p < 0.01). Results suggest that initial levels of psychological distress are slightly elevated for anxiety but most individuals adapt to the stress of basic training, with normal levels of distress by the last week.

Adaptation, Psychological↗
PubMed1997

The psychosocial impact of the diagnosis and treatment of laryngeal cancer.

The diagnosis and treatment of laryngeal cancer involves psychosocial stress for most patients because the disease can be life threatening and treatment is potentially disfiguring. Loss of voice, appearance changes, and functional limitations all pose threats to self image and identity. Since voice is essential to psychological identity, laryngectomy may pose significant short- and long-term adjustment problems. Risk for psychological disturbance and problems at the initiation of treatment and adaptation following treatment can be predicted based on certain patient information. The integration of a multidisciplinary team at the outset of treatment planning is crucial in helping patients adjust to the impact of laryngeal cancer.

Adaptation, Psychological↗
PubMed1997

Pressure ulcers, self-concept and body image in spinal cord injury patients.

The occurrence of pressure ulcers is an important problem for persons with spinal cord injury. Pressure ulcers, though preventable, can engender serious physical and psychological consequences. Living with a spinal cord injury entails the adaptive mechanisms described by Roy (Andrews & Roy, 1991).

Adaptation, Psychological↗
PubMed2003

The psycho-social impact of infertility on young male cancer survivors: a qualitative investigation.

Intensive treatment regimes that are known to have a potential risk of infertility sometimes have to be given to boys who have aggressive malignant disease. Long-term care must therefore include further discussion of these patients' impaired fertility. This study describes the results of a series of semi-structured interviews with 15 young male cancer survivors regarding their experience of receiving feedback on their probable fertility status. All the interviews were conducted by a psychologist formerly uninvolved with their treatment. The interviews were analysed qualitatively using a grounded theory approach. The findings of the study are organised under four headings: (a) Emotional reaction to news of probable infertility. (b) Coping style adopted. (c) Response to the offer of semen analysis. (d) Implications for clinical practice.The results of this thematic analysis are compared to the wider research literature in oncology and health psychology.

Adaptation, Psychological↗
PubMed1992

Locus of control and self-esteem as moderators of stressor-symptom relations in children and adolescents.

Locus of control and self-esteem were examined as moderators of links between negative life events and psychological symptoms in 238 young people 8 to 16 years old. Results indicated that locus of control buffered the effects of stressors on psychological symptoms, and the pattern of buffering did not differ by age or gender. Self-esteem buffered the link between stressors and symptoms, but only for girls. Further analyses with girls only revealed a conjunctive moderation effect of locus of control and self-esteem: When faced with many negative life events, girls who have both an external locus of control and low esteem show the highest psychological maladjustment.

Adaptation, Psychological↗
PubMed1995

Cultural orientation and psychological well-being in Chinese Americans.

Examined cultural orientation in the domains of language proficiency, cultural activity, and social relationship, and its relationship with psychological well-being in a group of 143 Chinese Americans in San Francisco. Four indicators of psychological well-being were utilized, two assessing the experience of distress (depression level and negative affect) and two assessing positive well-being (positive affect and life satisfaction). Domain-specific cultural orientations were found to hold differential relationships with psychological well-being. For instance, bicultural activity orientation predicted the best psychological well-being (regardless as to how it was assessed), but socially separatist individuals experienced less negative affect than assimilated and bicultural respondents. Findings were discussed in the context of the multicultural setting of San Francisco. It is suggested that future research retain separate assessments of domain-specific cultural orientation, examine the contribution of the community's ethnic/cultural composition to its members' cultural orientations (i.e., address the role of person--environment fit) and study their impact on psychological well-being.

Acculturation↗
PubMed1990

College student adult children of alcoholics: psychological resilience or emotional distance?

Recent investigations of Adult Children of Alcoholics (ACOAs) have focused on identifying factors associated with psychological resilience and their role in academic achievement. The present study hypothesized that rather than being associated with psychological resilience, academic achievement more likely would be associated with decreased psychological functioning or emotional distance due to the single-minded pursuit of one particular endeavor. Gender differences in types of problems reported by ACOAs were also hypothesized. In a sample of 419 college students, ACOAs reported more problems than non-ACOAs in areas of interpersonal anxiety, depression, and family problems but not academic skills. There were few gender effects. Results were discussed in terms of the psychological resilience hypothesis.

Achievement↗
PubMed1980

Type A behavior pattern, sex role orientation, and psychological adjustment.

It was argued that the Type A "coronary-prone" behavior pattern is adaptive within the context of a highly masculine sex role orientation, but that it interferes with successful functioning among persons for whom such an orientation is lacking. This interference was expected to predominate in areas of behavior that are interpersonal in nature. Based on this reasoning, it was predicted that the combination of a Type A behavioral style and a sex role orientation low in masculinity would be associated with low social self-esteem, high social anxiety, and depression. Furthermore, because our culture expects women to be more socially adept than men, it was expected that these tendencies toward maladjustment would be more pronounced among women than men. A study of 213 college students yielded results that were consistent with these predictions.

Adaptation, Psychological↗
PubMed1996

Preventive health psychology from a developmental perspective: an extension of protection motivation theory.

Theories of health psychology developed to explain adults' rational decision making were applied to 10-year-old children (n = 112), who had not reached the stage of formal operational thought; 15-year-olds (n = 67); and 20-year-olds (n = 93), extending the protection motivation theory developed by R. W. Rogers (1983). Among the adolescents and young adults, the threat appeals worked only if people believed they could cope effectively with the danger; if they believed they could not cope, higher levels of the threat resulted in decreased intentions to refrain from tobacco use. Although children elaborated and integrated the information about threat severity, personal vulnerability, and response efficacy, the fragility and malleability of the children's beliefs in self-efficacy demonstrated the importance of adding a developmental perspective to theories of preventive health psychology.

Adaptation, Psychological↗