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Bakgrund: Prostatacancer är den vanligaste formen av cancer bland män i Sverige. Att få en cancerdiagnos innebär stress för både patienten och dess partner.Syfte: Syftet med denna studie var att undersöka grad av stressreaktioner i form av undvikande beteende och påträngande tankar hos patienter med prostatacancer och deras partner. Ytterligare ett syfte var att kvalitetssäkra mätinstrumentets formulering och svarsalternativ.Metod: Arbetet var en kvantitativ tvärsnittsstudie. Datainsamlingen gjordes med hjälp av enkät “Impact of Event Scale” (IES) samt en enkät utformad enligt “The Question and Answer Model” (QAM) för att kvalitetssäkra IES. Enkäterna delades ut på kirurg- och onkologmottagningar i Uppsala och Falun under våren 2013. Studiens inklusionskriterier var att de patienter som tillfrågades vid ankomst till mottagningarna hade prostatacancer och en partner (n = 34). 12 respondenter deltog. Data analyserades deskriptivt och med Mann- Whitey-test.Resultat: Det visade sig att patienter (n = 6) med prostatacancer har måttlig grad av stressreaktioner i form av undvikande beteende. Partner (n = 6) till patienter med prostatacancer visade sig ha kraftig grad av stressreaktioner i form av påträngande tankar. Det gick inte att se någon signifikant skillnad mellan patienter och partners grad av stress. Majoriteten av deltagarna i studien (n = 11) var säkra på sina svar i enkät IES.Slutsats: Partners tycks ha en högre grad av stress än patienter med prostatacancer, vilket går i linje med liknande studiers resultat. Interventioner för att nå denna grupp och se till dess behov är önskvärt. Fler studier fodras. Det övergripande resultatet tyder på att mätinstrumentet IES är av god kvalitet och mäter det som är avsett att mätas. / Background: Prostate cancer is the most common form of cancer among men in Sweden.Getting a cancer diagnosis is stressful for both the patient and their partner.Objective: The aim of this study was to investigate the degree of stress responses in the form of avoidance behavior and intrusive thoughts in patients with prostate cancer and their partners. Another purpose was to assure the quality and design of the measuring instrument and its response options.Method: The study had a quantitative cross-sectional design. The data was collected using the questionnaire "Impact of Event Scale" (IES) and by a questionnaire framed according to "The Question and Answer Model" (QAM) to safeguard the quality of the IES. Questionnaires were distributed at surgical and oncology clinics in Uppsala and Falun during the spring of 2013. Inclusion criteria for the study were patients with prostate cancer and their partners (n = 34). 12 respondents participated. The data were analyzed descriptively and with Mann-Whitey test.Results: It was found that patients (n = 6) with prostate cancer have moderate degree of stress responses in the form of avoidance behavior. Partners (n = 6) were found to have strong degree of stress responses in the form of intrusive thoughts. Any significant difference between patients and partners dit not appear. The majority of study participants (n = 11) were confident of their answers in the IES.Conclusion: Partners seem to have a higher level of stress than patients with prostate cancer, which is in line with similar studies' results. Interventions to reach this group and ensure its need is desirable. More studies are lined. The overall results indicate that the measuring instrument IES is of good quality and are measuring the concepts that it indicate to measure.

The main aim of the present study was to better understand the influence of nationality/religious affiliation and degree of religious devoutness on OCD symptoms, more specifically scrupulosity symptoms and beliefs by comparing the Turkish Muslim students with the Canadian Christians who show different degrees of religiosity. To clarify the effect of religiosity on OCD symptomatology, Bible school and Divinity school students were included in the present study as an extreme religious group. Furthermore, the present study was aimed to examine the cross-cultural differences in the prevalence, content, appraisal and control of intrusions, using a structured interview methodology. Religiosity, guilt and scrupulosity scales and interview schedule were adapted into Turkish. The analyses revealed that the psychometric properties of the adapted measurements were satisfactory. Then, the effect of religiosity and religious affiliation on the experience of OCD symptoms, scrupulosity, and OCD relevant beliefs were examined via univariate and multivariate analyses. Results revealed that the effect of religiosity and nationality were significant for general distress. Results also revealed that regardless of nationality, high religious individuals reported higher degree of OCD and scrupulosity symptoms, and dysfunctional obsessive beliefs than low religious ones. The effect of religiosity on OCD and scrupulosity symptoms differed by religious affiliation. High religious Muslim students reported higher degree of compulsions, and fear of God symptoms than high religious Christians. Furthermore, religiosity and nationality affected obsessive beliefs differently. Turkish students reported higher level of perfectionism and intolerance for uncertainty in comparison with Canadian students. These results were supported by subsequent regression analyses. Furthermore, interview data showed that except for the frequency of the intrusions, the content of the intrusions was almost universal, and frequency and distress as a response to intrusions is very low in the normal population. Nationality and degree of religiosity revealed some minor differences in primary and secondary appraisals, and control strategies. These factors were specifically significant for religious and sexual intrusions. Results suggested that the religious affiliation and degree of religiosity may provide content for intrusions, rather being a causal factor. Keywords: Intrusive thoughts, Obsessive-Compulsive Symptoms, Faulty belief domains and appraisal, Religiosity and Religious Affiliation

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Intrusive memories are memories for negative autobiographical events that come to mind without being deliberately recalled (Hackmann, Ehlers, Speckens, & Clark, 2004). Previous research has demonstrated that intrusive memories, and negative reactions to intrusive memories, are an important feature of depression (Starr & Moulds, 2006; Williams & Moulds, 2008b) and contribute to the maintenance of depression longitudinally (Newby & Moulds, 2011c). It has also been established that intrusive memory experience is related to individual differences in cognitive control, specifically in proactive interference resolution (Verwoerd, Wessel, & de Jong, 2009; Verwoerd, Wessel, de Jong, Nieuwenhuis, & Huntjens, 2011). The present thesis aimed to extend upon these existing findings, using the Dual Mechanism of Control theory, which distinguishes between proactive and reactive modes of control (Braver, Gray, & Burgess, 2007). Furthermore, in view of some recent ambiguity of the defining feature of an intrusive memory, as compared to a negative involuntary memory more generally (Kvavilashvili, 2014; Moulds & Krans, 2015), another goal of the thesis was to incorporate a wider focus of involuntary memories, rather than focusing only on traditionally studied intrusive memories. Participants from the student population and local community were tested. Overall, results provide some evidence for a negative involuntary memory related deficit in proactive control, on both a classic and an emotional version of the AX-Continuous Performance Task (AX-CPT). Conversely, there was no link between intrusive or involuntary memory experience and reactive control. A brief mindfulness and self-compassion based intervention, designed to reduce negative reactions to intrusive memories, was also tested. The intervention was successful in reducing intrusive-memory distress, and recommendations for the future development of the intervention are presented.

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