Health Locus of Control (HLOC) and other predictors of Quality of Life (QL) were examined for women with an initial versus recurrent breast cancer diagnosis. Twenty-eight women with an initial breast cancer (IBC) diagnoses and twenty-eight women with recurrent breast cancer (RBC) diagnoses were recruited from doctors' offices and cancer support groups. Correlational analyses were used to assess the relationships between variables. No significant differences were found between women with IBC and RBC on Psychological QL. Doctor HLOC and Psychological QL were related for women with RBC (r = .481, p = .01) and marginally so for women with IBC (r = .329, p = .09). A positive correlation was also found between Doctor HLOC and Functional QL for both women with IBC (r = .464, p = .01) and women with RBC (r = .390, p = .04). After controlling for stage of cancer, women with RBC reported higher Functional QL than did women with IBC. Advanced (stages III or IV) versus early (stages I or II) cancer stage related to lower Functional QL, controlling for initial versus recurrent diagnosis (r = -.283, p = .01). A marginally significant relationship was also found for cancer stage, regardless of initial …

Individuals undergoing forensic neuropsychological evaluation frequently stand to gain in some manner if neurocognitive dysfunction is diagnosed. As a result, neuropsychologists are customarily asked to test for neurocognitive feigning during the assessment. The current study employed an analogue design with a clinical comparison group to examine the utility of the TOCA (Rogers, 1996) as a measure of feigned neurocognitive impairment. Two groups of simulators (one cautioned about the presence of detection strategies and one not cautioned) were compared to clinical and normal control groups. Fourteen scales were developed based on five detection strategies: symptom validity testing, performance curve, magnitude of error, response time, and floor effect. Each was employed during both verbal and nonverbal tasks. Significant differences were revealed among groups when subjected to ANOVA. Classification rates from subsequent utility estimates and discriminant function analyses on the scales ranged from 58.8% to 100%. Combining strategies yielded a classification rate of 95.7%. The effect of cautioning simulators was modest; however, a trend was noted on some scales for cautioned simulators to appear less obviously impaired than noncautioned. Although the results require crossvalidation, preliminary data suggest that the TOCA is a sensitive and specific measure of feigned neurocognitive performance. Strengths and weaknesses …

Rituals are an integral part of society. The focus of research on rituals has been shifting to highlight the effect rituals may produce on individual resilience and ability to function. This study examined the relationships between participation in family rituals and several conceptually related facets of the human experience, including religiosity, openness to experience, and anxiety. Participants responded to questions on an assessment instrument (Family Ritual Questionnaire) designed to measure participation in a broad variety of identified family rituals; they were grouped according to responses on that questionnaire, and the resulting groups were compared on their responses to questionnaires addressing religiosity (Religious Background and Behavior Questionnaire), openness to experience (Revised NEO Personality Inventory Openness to Experiences scale), and anxiety (State-Trait Anxiety Inventory). The four-group classification system did not produce significant differences on measures of religiosity, openness to experience, or trait anxiety. Nor were there any significant differences noted when the groups were examined on the basis of the demographic characteristics of age, gender, separation time from family of origin, or academic status. The demographic descriptive which was associated with specific group differences related to adult composition of family of origin: participants described the adults present in their families of origin, …

This study compared perceived levels of parenting stress between mothers and fathers of children with Attention-Deficit Hyperactivity Disorder (ADHD), children with developmental disabilities, and normally developing children. The relationship of certain demographic variables, such as Socio-economic Status (SES), number of children, years married, parent age, and child age, as well as social support with parenting stress was also examined for mothers and fathers of these three groups. Identification of factors related to parenting stress in fathers was of particular importance for this study, as fathers are often an underrepresented group within parenting research. Identifying effective methods for predicting high levels of parenting stress is important, as stress has been linked to psychological well-being, potential for abuse, and a greater likelihood of poor adjustment for both parent and child. Results from the present study comparing reported stress levels between groups of parents were supportive of previous studies indicating that parents of children with ADHD and developmentally disabilities experience significantly greater parenting stress, specifically with respect to child characteristics. Significant gender differences were also found between mothers and fathers in terms of parent characteristics related to stress. Fathers reported greater stress in the areas of attachment, while mothers reported more parent role …

Semantic clustering has been used as a measure of learning strategies in a number of clinical populations and has been found to be deficient in individuals with Schizophrenia, but less attention has been paid to the dynamic use of this strategy over the course of fixed-order learning trials. In the current study, we examined this pattern of clustering use over trials in a sample of individuals with Schizophrenia, and explored whether the addition of this dynamic information would help us to better predict specific executive deficits. Results suggested that a decrease in semantic clustering across trials was associated with some executive deficits in the predicted manner. Nonetheless, the overall semantic clustering index generally proved more effective for the purposes, suggesting that in this population, the addition of dynamic information in strategy use is not likely to add considerably to clinical prediction and understanding.

The relationship between an individual's level of spirituality, health locus of control, and participating in wellness activity was investigated. The relationship between spirituality, health locus of control on physical health was also investigated. The research question was based on prior studies that reported people who are more spiritual are healthier. Does their spirituality lead to increased levels of health, or are individual's who are more spiritual more likely to proactively take control of their health and engage in health promoting behaviors? One hundred and fifteen male and female employees completed The Spiritual Involvement and Beliefs Scale (SIBS), a spirituality measure, The Multidimensional Health Locus of Control Scale, a measure of locus of control related to health and healthcare, and The Center for Disease Control's (CDC) Health Risk Appraisal, a self-report measure of participation in health behaviors. Physical measures of health were obtained by obtaining Body Mass Index, blood pressure readings, and a cholesterol screening. The current study looked at level of spirituality (internal, external), level of health locus of control (internal, powerful other, chance) and participation in wellness/health promoting behaviors and health. Correlational analyses were performed on the relationship between spirituality and health locus of control. Hierarchical multiple regressions were …

The relationships among self-labeled sexual orientation, sexual preferences, and sexual behaviors were examined in samples from Taiwan and the USA. Subsamples matched on gender, age, and marital status were created to reduce sexual orientation cell size discrepancies and demographic differences. Sexual orientation self-label, the Kinsey Scale of Sexual Orientation, and a modified version for preference were used to assess participants' sexual orientation, behavior, and preference, respectively. Additional measures included an adaptation of the Early Sexual Experiences Checklist, and the Hopkins Symptom Checklist for psychological distress. For both Taiwan and USA subsamples, heterosexual participants reported significantly greater congruence between sexual orientation identity and preference than did nonheterosexual participants. A high proportion of the Taiwan sample were celibate, precluding analyses of congruence between sexual orientation identity and sexual behavior. Congruence between sexual behavior and preference in the USA sample was negatively correlated with psychological distress. In a cross-cultural comparison between the Taiwan and USA women (n = 176), the two samples reported similar congruence between sexual orientation identity and preference. Exploratory analyses revealed that heterosexual participants' sexual orientation label was more “public, ” (more categories of people who knew the participants' sexual orientation), than was nonheterosexuals' in both Taiwan and the USA. …

There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of …

Although men are more likely to experience traumatic events, the risk of developing Posttraumatic Stress Disorder is at least twice as high in women than in men after exposure to comparable traumas. These findings are more consistent in response to some types of trauma (e.g., assaultive violence) than others (e.g., natural disaster). There has been very little systematic study of the sources of these gender differences. This study began to explore the contribution of gender-related beliefs about appropriate responses to trauma by investigating the impact of victim sex and trauma type as well as participant sex, sex-role orientation, and personal trauma history on attitudes towards victims. Ninety-three male and 179 female students were administered the Bem Sex Role Inventory, the Trauma History Questionnaire, and a vignette measure of attitudes towards victims. Participants evaluated male victims significantly less favorably than female victims, and females had more positive attitudes towards victims than males. Feminine sex-typed and androgynous women rated victims more favorably than masculine sex-typed men and women. The interaction between sex of victim and trauma type was not significant. A positive relation was observed between personal trauma exposure and attitudes towards male victims among male participants only. These findings contribute towards …

The results of neuropsychological tests are often used by clinicians to make important decisions regarding a demented patient's ability to competently and/or independently perform activities of daily living. However, the ecological validity of most neuropsychological instruments has yet to be adequately established. The current study examined the relationship between neuropsychological test performance and functional status in 42 individuals diagnosed with Alzheimer's Disease. A comprehensive battery of cognitive tests was employed in order to assess a wide range of neuropsychological abilities. Functional status was measured through the use of both a performance-based scale of activities of daily living (The Direct Assessment of Functional Status; Loewenstein et al., 1989) as well as by a caregiver/informant-based rating scale (Instrumental Activities of Daily Living; Lawton & Brody, 1969). Findings suggest that neuropsychological functioning is moderately predictive of functional status. Memory performance was the best predictor of functional status in most ADL domains, followed by executive functioning and visuospatial abilities.

This study tested the relationship between Social Support, Psychological Distress, and Illness Stress in individuals who report cancer as a health condition. This study was based on archival data obtained from the Wave 1 of the Health and Retirement Study (HRS). The HRS provides a nationally representative sample of individuals aged 51 to 61 in 1992 and their spouses. The study sample was limited to cancer patients with a spouse or partner (n = 503). A structural equation modeling analysis procedure was used to test the theoretical models. Measures of social support were limited to variables assessing the participant's satisfaction with social support. Evidence was found for the Stress Prevention and the Support Deterioration models. This is congruent with previous research using measures of social support perception. Both the Stress Prevention and the Support Deterioration models predict a negative relationship between Illness Stress and Social Support. In addition, a univariate analysis of variance was used to test the stress buffering model. Similarly to other studies measuring the individual's degree of integration, or its perception, in the social network, the present research supported the only the Main Effect model and not the Stress Buffering model.

Since there are few studies which address the relationships between racial/ethnic identity and acculturation in the African-American community, the purpose of this study was threefold: 1) explore the relationship between racial identity and African-American acculturation; 2) examine racial and ethnic identity associations; and 3) observe the connections between these cultural constructs and psychological well-being. One hundred ninety-four African-American undergraduates from a predominantly White institution and two historically Black colleges completed measures of these constructs, self-esteem, and depression. The findings indicate a relationship between racial identity and acculturation for three of the four Cross (1971) stages (encounter, immersion-emersion, and internalization). Relinquishing the White frame of reference and achieving inner security with their Blackness coincides with immersion in the eight facets comprising African-American culture. Individuals who do not identify with their race (pre-encounter) less often affiliated with their ethnic group. Conversely, achieving racial identity (internalization) was associated with ethnic identity attachment. Finally, the study's findings suggest that identity development may affect how individuals perceive themselves and feel emotionally, which may depend on identity achievement. Pre-encounter stage scores were associated with reports of higher depression and lower self-esteem; whereas, higher internalization individuals reported higher self-esteem. As for ethnic identity, those who have explored …

This longitudinal study examined factors influencing the relationship between sustained partner violence and depression/suicidality among ethnically diverse, low income, community women. The sample at Wave 1 consisted of 303 African American, 273 Euro-American, and 260 Mexican American women in long term relationships with a household income less that twice the poverty threshold. There were no ethnic differences on frequency of partner violence, depression, or suicidality. The moderate relationship between partner violence and women's depression, confirmed previous findings. Frequency, but not recency, of violence predicted depression and suicidal ideation for African Americans and Mexican Americans, even after controlling for earlier depression or ideation. Recent violence did not predict Euro-American's depression or suicidality after controlling for initial scores. Causal and responsibility attributions for partners' violence did not mediate the relationship between violence and depression or suicidality in any ethnic group. However, African American women's attributions of global effects for violence mediated the relationship of violence on depression and suicidal ideation. Poverty level and marital status moderated the relationship between violence and the number of times women seriously considered and actually attempted suicide. Frequent violence was most lethal among the poorest women and marriage provided the least protection for women in the most …

This study examined the relationship between executive and psychosocial functioning in 45 children and adolescents age 6 to 17 years who had been treated for a brain tumor. Executive functioning deficits can profoundly impact an adult's ability to function successfully in life. The purpose of the study was to evaluate the potential impact of executive functioning deficits on the day-to-day functioning in a pediatric population. The domains of executive functioning assessed included cognitive flexibility, conceptual thinking, sustained attention, and response inhibition. Psychosocial functioning was assessed using both parent and child report. Several significant relationships were found for adolescents ages 15 and older, with effect sizes ranging from medium to large. In particular, cognitive flexibility and conceptual thinking were significantly related to parent report of depression and adaptive functioning. Fewer significant relationships with smaller effect sizes were found for younger children. The results may reflect the developmental emergence of executive functioning abilities and late effects of executive functioning deficits upon psychosocial functioning. The correlational design of this study precludes definitive statements regarding the temporal nature of the relationship. Additional research, including longitudinal research and replicatory studies, will be needed to further investigate the developmental consequences of executive functioning impairment.

Familial caregivers are providing increasing amounts of care to advanced cancer patients. Increased understanding of caregivers' needs is vital in providing necessary support to lessen caregiver burden and comorbidity. This study examines particular information needs across a variety of specific events in the advanced cancer disease trajectory. A cross-sectional sample of 107 familial caregivers (24 current and 83 bereaved) of people with advanced cancer completed a needs assessment survey along with a measure of health information-seeking behavior. Analyses extend current research by including more specific disease-related events along the advanced cancer trajectory through bereavement. In all information categories, endorsement of wanted information differed across broad stages of Cancer Progression, Treatment, End of Life, and Post-Patient Death. For all information categories, except Dying and Spirituality, greatest information was wanted at the Cancer Progression stage. Information need also differed across specific events within broad stages. The categories of Disease/Medical and Relating to the Patient were the most endorsed at events involving patient care. Spirituality was least endorsed. At patient death, Caregiver Well-being has the highest endorsement. For events thereafter, information on Caregiver Well-being, Spirituality, Future Outlook, and Family and Close Others was most endorsed. Information needs did not differ based on age …

This project investigated the metacognitive strategies used to appraise obsessive thoughts employed by individuals with different anxiety symptoms. Two hundred eighty-seven undergraduate students completed two repertory grids and three anxiety scales. The repertory grids respectively examined the appraisal process of intrusive thoughts both from the perspective of the rater and the rater's imagined average person. Variables quantified from the rep grid related to the construal process of raters' own intrusions, failed to demonstrate robust differences between OCD, non-OCD anxious, and non-anxious individuals. However, it appears that anxious individuals, not just those with OCD, use metacognitive strategies to suppress rigid constructions under perceived social evaluation. Future studies may wish to use related grid variables to explore the relation between obsessions and social anxiety.

Although researchers have studied perceptions regarding sexually abused children, little was known about how other types of abusive events were perceived. This study examined 480 college students' abuse history and perceptions of child, spousal, and elder abuse by varying the respondent, victim, and perpetrator genders. Physical abuse, psychological abuse, and neglect were investigated. Perceptions of abusiveness, seriousness, harm, and responsibility were examined, along with the extent of identification with the victims/perpetrators. Participants viewed spousal abuse as less serious and harmful than other abuse types, especially when perpetrated against a male or by a female. Although able to recognize psychological abuse, students did not fully understand what other abuse types entailed. Individuals also showed a considerable amount of blame toward victims. Results further demonstrated important findings about how ethnic identity/orientation, religious affiliation, and history of abuse related to perceptions of abusive events.

Assessing offenders' risk of future violent behavior continues to be an important yet controversial role of forensic psychologists. A key debate is the relative effectiveness of assessment methods. Specifically, actuarial methods (see Quinsey et al., 1998 for a review) have been compared and contrasted to clinical and structured clinical methods (see e.g. Hart, 1998; Webster et al., 1997). Proponents of each approach argue for its superiority, yet validity studies have made few formal comparisons. In advancing the available research, the present study examines systematically the type of forensic case (i.e., sexual violence versus nonsexual violence) and type of assessment method (i.e., actuarial, structured clinical, and unstructured clinical). As observed by Borum, Otto, and Golding (1993), forensic decision making can also be influenced by the presence of certain extraneous clinical data. To address these issues, psychologists and doctoral students attending the American Psychology Law Society conference were asked to make several ratings regarding the likelihood of future sexual and nonsexual violence based on data derived from actual defendants with known outcomes. Using a mixed factorial design, each of these assessment methods were investigated for its influence on decision-makers regarding likelihood of future violence and sexually violent predator commitments. Finally, the potentially …

Failure to acknowledge their mental illness occurs in approximately half of all psychotic patients. Interest has been recently been refocused on insight (i.e., awareness of mental illness), and its associations with treatment compliance and better prognosis. Researchers have called into question the traditional factor structure of insight, instead viewing and defining it as a multidimensional and continuous construct. While factor analytic research has suggested that insight is an independent feature of psychotic disorders rather than a secondary manifestation of psychotic symptoms, several factor analytic studies have identified only one higher-order factor. Furthermore, a significant amount of the research literature has assessed insight or analyzed its relationships using only a single insight score. The current study evaluated the structural model of insight and assessed the associations between the different proposed dimensions of insight and psychotic symptoms. One hundred and six participants recruited from both inpatient and outpatient settings with a diagnosis of schizophrenia, schizoaffective disorder, psychotic disorder NOS, or bipolar disorder with psychotic features were rated on David's Schedule for Assessing Insight-Expanded Version (SAI-E), Birchwood's Insight Scale (IS), and the Brief Psychiatric Rating Scale (BPRS) or the Positive and Negative Syndrome Scale (PANSS). Structural equation modeling (SEM) was utilized to provide …

The thrust of this paper was two-fold, 1) to confirm a 2-factor model of narcissism in women, and 2) to examine the relationship between narcissistic traits in mothers and several variables associated with parenting efficacy. Participants included 193 mother-child dyads. A 2-factor model of narcissism was confirmed in the present sample of mothers, suggesting that narcissistic traits in women may be manifested in distinct Overt and Covert forms. Contrary to expectations, Covert Narcissistic traits in mothers did not significantly correlate with observed parenting behaviors on the PCIA, including Positive Personal Comments (PPC) towards children, Negative Personal Comments (NPC), and Parental Nurturance. However, children's self-reported maternal rejection on the C-PARQ correlated positively with Covert Narcissistic traits in mothers, as did mother's self-reported dysfunctional parenting attitudes on the AAPI-2. Narcissistic traits in mothers correlated most strongly with risk of child physical abuse on the CAPI (r = .70). Results are also presented for the Overt Narcissism factor, which proved to be less stable as a factor. Overall, results emphasize the need for a more comprehensive understanding of narcissism for women, given its potential Implications for children's healthy development and parenting interventions.

Compassion is one of the fundamental experiences which signify human existence. Person perception is the constructive process with which we form an opinion or judgment of another person. Two experiments (N =277) were conducted in this study. Experiment 1 examined the effects of a mindfulness meditation on compassion in a large sample of young adults. Participants (n =76) were randomly assigned to three groups. Participants in group 1 received the mindfulness meditation, group 2 received an alternate version of the mindfulness meditation (self-focus only), and participants in group 3 were asked to complete an attention task and read a geological text. It was hypothesized that mindfulness meditation is significantly associated with the experience of compassion. Results showed that participants in the experimental group 1 experienced significantly higher levels of compassion compared to participants in the control group 3. The participants in group 2 were not different from experimental group 1 or from control group 3. Gender differences in the effects of meditation on compassion were explored. Different measures yielded conflicting evidence for gender differences in experienced compassion. For the second experiment a Solomon four-group experimental design was employed to examine the possible effects of compassion on person perception. Participants (n …

Previous studies have shown that the experience of joy normally accompanies the experience of tenderness or love. Theorists have thus suggested that tenderness is not a distinct emotion, but rather a variety of joy. The present study explored whether it is possible to induce tenderness while inhibiting joy. Participants watched scenes designed to induce different emotions. Results showed that a scene could induce high levels of tenderness and low levels of joy if that scene also induced high levels of sadness. These findings suggest the need to reconsider theoretical assumptions regarding the distinction between tenderness and joy.

Ethnic differences in etiological factors linked to body image dissatisfaction and eating disorders were examined. In addition, the interaction of acculturation and body image dissatisfaction in influencing minority women's relationships with their parents was investigated. Participants consisted of 302 undergraduates from three ethnic groups: Caucasian, Hispanic American, and African American women who were administered self-report measures. Differences were not found between the groups in body image dissatisfaction. Low self-esteem, internalization of the thin ideal, and family emphasis on weight and appearance were all related to more body image dissatisfaction for each of these groups; however, differences in degree of endorsement were also noted between the ethnic groups on these factors. Based on the interaction findings (body image x acculturation) separation from one's mother was found in the area of attitudes and emotions for the Hispanic sample but not for the African American sample on any of the parent scales. Areas for future research and implications for diagnosis and treatment of minority populations are also discussed.

Individuals diagnosed with schizotypal personality disorder (SPD) exhibit patterns of cognitive deficits, neuromotor disturbances, and behavior problems similar to individuals with schizophrenia, and thus SPD is thought to represent one point on the continuum of schizophrenia spectrum disorders (SSDs). Deficits in behavior, cognition, and motor functioning have been implicated as childhood precursors of SSDs and appear to also vary as a function of gender and family history of psychopathology. As such, studies of youth may help in further identification of individuals at risk for SSDs. The current study examined the prospective associations between problem behaviors, neuromotor and neurocognitive functioning, as well as SSD symptoms, at baseline and 2-year follow-up in youth meeting criteria for SPD, other personality disorders, or healthy controls. The neuromotor and neurocognitive measures were able to significantly predict SSD symptoms and behavior problems above and beyond baseline predictors. Overall, the findings provide further support for the role of subcortical motor centers operating together with prefrontal cortical areas in the regulation of higher-order cognitive functioning and in producing the psychiatric features of SSDs. Significant correlations between gender, family history of schizophrenia, and history of head injury with symptoms, behavior, cognition, and motor functioning were also found and highlight …