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Positive Psychological Determinants of Treatment Adherence Among Primary Care PatientsNsamenang, Sheri A., Hirsch, Jameson K. 01 January 2015 (has links)
Patient adherence to medical treatment recommendations can affect disease prognosis, and may be beneficially or deleteriously influenced by psychological factors.AimWe examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of primary care patients.MethodsOne hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale.FindingsIn independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence.ImplicationsTherapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens.
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Pain and Depressive Symptoms in Primary Care Patients: Moderating Role of Positive and Negative AffectHirsch, Jameson K., Sirois, Fuschia M., Chang, Edward C. 24 May 2012 (has links)
No description available.
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Perceived Health in Lung Cancer Patients: The Role of Positive and Negative AffectHirsch, Jameson K., Floyd, Andrea R., Duberstein, Paul R. 01 March 2012 (has links)
Purpose: To examine the association of affective experience and health-related quality of life in lung cancer patients, we hypothesized that negative affect would be positively, and positive affect would be negatively, associated with perceived health.
Methods: A sample of 133 English-speaking lung cancer patients (33% female; mean age = 63.68 years old, SD = 9.37) completed a battery of self-report surveys.
Results: Results of our secondary analysis indicate that trait negative affect was significantly associated with poor physical and social functioning, greater role limitations due to emotional problems, greater bodily pain, and poor general health. Positive affect was significantly associated with adaptive social functioning, fewer emotion-based role limitations, and less severe bodily pain. In a full model, positive affect was significantly associated with greater levels of social functioning and general health, over and above the effects of negative affect.
Conclusions: Reduction of negative affect is an important therapeutic goal, but the ability to maintain positive affect may result in greater perceived health. Indeed, engagement in behaviors that result in greater state positive affect may, over time, result in dispositional changes and enhancement of quality of life.
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Couples Coping With End-Stage Cancer: The Influence of Attachment, Emotional Support, and Positive Meaning on Psychological Adjustment and Each OtherJenick, Marcus, n/a January 2003 (has links)
This thesis was concerned with the psychological adjustment of 67 end-stage cancer patients, and three psychosocial variables considered to influence that adjustment: emotional support from spouse, positive meaning, and working models of attachment. Furthermore, this thesis was also concerned with the psychological adjustment of the patients' spouses, and the influence of emotional support from patient and working models of attachment on their adjustment. It was hypothesised that each of these psychosocial variables would directly influence the psychological adjustment of patients and spouses, measured using the negative affectivity scale of the Positive and Negative Affect Scale (PANAS). Furthermore, it was hypothesised that emotional support would influence positive meaning, and working models of attachment would influence both emotional support and positive meaning. Variables were measured via paper and pencil self-report inventories, with the exception of positive meaning, where verbal responses to an open question were coded. Univariate analyses indicated an association between patients' and spouses' emotional support provided by one another and their psychological adjustment. Univariate results also showed that patients' positive meaning was related to patients' psychological adjustment, and that patients' working models of attachment involving higher levels of attachment anxiety were associated with patients' poorer psychological adjustment. All these individual associations remained statistically significant after three control variables related to the patients' physical condition were taken into account. In addition, univariate analyses indicated that attachment was associated with emotional support, and that emotional support was associated with positive meaning. Following univariate analyses, variables were integrated into one model for patients and another for spouses using path analyses. Results were generally consistent with the prior sets of analyses. However, patients' working models of attachment involving higher levels of attachment anxiety no longer had a direct effect on patients' psychological adjustment to statistically significant levels. Rather, the influence of the working models of attachment on patients' psychological adjustment was mediated by emotional support. In addition, patients' positive meaning no longer had a significant direct effect on patients' psychological adjustment. The insignificant path coefficients between attachment anxiety and psychological adjustment, and between positive meaning and psychological adjustment, were attributed to the large amount of variance in negative affect due to emotional support. In summary, this research indicates that emotional support given and received between patients and spouses is important to the psychological adjustment of each party. Furthermore, emotional support influences patients' ability to construe positive meaning in their illness, although positive meaning does not appear to be as critical to the psychological adjustment of patients as emotional support. Working models of attachment influence the psychological adjustment of patients primarily through their influence on emotional support.
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Preliminary Investigation of the Relationship Between Emotion Processing Variables and Difficulties in Affect Regulation With the Use of Affect Regulation StrategiesRecoskie, Kimberly 14 December 2009 (has links)
A preliminary measure of affect regulation strategies was developed from Parkinson and Totterdell’s (1999) provisional classification of deliberate strategies for improving negative affect. Four broad categories of strategies including Cognitive Engagement, Cognitive Diversion, Behavioural Engagement, and Behavioural Diversion were represented by the measure. Using this measure, relationships between self-reported use of affect regulation strategies and difficulties in emotion regulation and emotion processing variables were investigated. Participants included 186 adults. Participants completed a 20 minute online survey consisting of the measure of affect regulation strategies, the Difficulties in Emotion Regulation Scale (DERS), the Subjective Experience of Emotions Scale (SEE), and a demographic information questionnaire. Weak correlations were found for the majority of the difficulties in emotion regulation and emotion processing subscales and individuals’ self-reported use of affect regulation categories. Results also provide evidence of convergent and discriminant validity for the DERS and SEE.
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Preliminary Investigation of the Relationship Between Emotion Processing Variables and Difficulties in Affect Regulation With the Use of Affect Regulation StrategiesRecoskie, Kimberly 14 December 2009 (has links)
A preliminary measure of affect regulation strategies was developed from Parkinson and Totterdell’s (1999) provisional classification of deliberate strategies for improving negative affect. Four broad categories of strategies including Cognitive Engagement, Cognitive Diversion, Behavioural Engagement, and Behavioural Diversion were represented by the measure. Using this measure, relationships between self-reported use of affect regulation strategies and difficulties in emotion regulation and emotion processing variables were investigated. Participants included 186 adults. Participants completed a 20 minute online survey consisting of the measure of affect regulation strategies, the Difficulties in Emotion Regulation Scale (DERS), the Subjective Experience of Emotions Scale (SEE), and a demographic information questionnaire. Weak correlations were found for the majority of the difficulties in emotion regulation and emotion processing subscales and individuals’ self-reported use of affect regulation categories. Results also provide evidence of convergent and discriminant validity for the DERS and SEE.
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The Effects Of Maternal Acceptance-rejection On Psychological Distress Of Adolescents: The Mediator Roles Of Early Maladaptive SchemasSaritas, Dilek 01 February 2007 (has links) (PDF)
The purpose of the present study was to investigate the relationships between perceived maternal rejection and psychological distress of adolescents. In addition to that, mediator roles of early maladaptive schemas in this relationship were explored. A total of 356 second-grade high school students (198 females and 158 males) were participated in the study. Participants ranged in age from 15 to 18 (M = 16.17, SD= 0.53). Data was collected by a questionnaire packet consisting Demographic data form, Young Schema Questionnaire (YSQ), Parental Acceptance and Rejection Questionnaire (PARQ) , trait part of the State-Trait Anxiety Inventory (STAI-T), trait part of State-Trait Anger Inventory (ANG-T) Positive and Negative Affect Schedule (PANAS). Preceding the main analyses, factor analysis for YSQ was performed. It yielded three higher-order factors for YSQ as Impaired Limits- Exaggerated Standards, Disconnection-Rejection, and Impaired Autonomy-Other Directedness. Following factor analysis, ANOVAs were employed to assess differences between adolescents perceiving high acceptance and high rejection in terms of psychological distress measures (i.e., anger, positive affect, negative affect, and anxiety). It was found that adolescents perceiving high rejection were more likely to experience anger, negative affect, and anxiety than those perceiving high acceptance. In order to test whether Impaired Limits-Exaggerated Standards, Disconnection-Rejection, and Impaired Autonomy-Other Directedness mediate the relationship between perceptions of maternal rejection and adolescents&rsquo / anger, positive affect, negative affect, and anxiety respectively, separate hierarchical regression analyses were conducted as suggested by Baron and Kenny (1986). Mediation analyses revealed in general that both maternal rejection and schema domains had main effects on psychological distress measures. However, none of the schema domains did mediate the relationship between maternal rejection and psychological distress measures except for the disconnection-rejection schema domain. The result revealed that disconnection-rejection schema domain mediated the relationship between maternal rejection and anger. These findings were discussed with reference to the relevant literature. Future research topics were suggested and therapeutic implications of the study were discussed.
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The Role Of Attachment Dimensions, Relationship Status, And Gender In The Components Of Subjective Well-beingKankotan, Zeynep Zelal 01 February 2008 (has links) (PDF)
The present study investigated the role of attachment dimensions, relationship status, and gender in subjective well-being. The participants were 389 (288 females, 101 males) volunteered students from the Faculty of Education at Middle East Technical University. Three questionnaires, namely Experiences in Close Relationships Inventory (ECRI) Satisfaction with Life Scale (SWLS), and Positive and Negative Affect Schedule (PANAS) were administered to the students. Three separate stepwise multiple linear regression analyses were conducted to examine the predictive power of the avoidance dimension of attachment, anxiety dimension of attachment, gender (coded as dummy variable), and relationship status (coded as dummy variable) on three components of subjective well-being identified as positive affect, negative affect, and satisfaction with life. Findings revealed that avoidance dimension of attachment, gender, and anxiety dimension of attachment predicted the life satisfaction of university student as measured by Satisfaction with Life Scale. Results also yielded that avoidance dimension of attachment predicted positive affect scores of the students whereas anxiety dimension of attachment predicted negative affect scores of the students as measured by Positive Affect and Negative Affect subscales of Positive and Negative Affect Schedule (PANAS).
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The Antecedents of Politics Perceptions of Organizational Members ¡VA Cross-level Analysis of Both individual and overall levelsChang, Hsin-yi 24 April 2009 (has links)
The study population consisted of 41 institutions from 9 categories which were military, public or private hospital, public or private school, governmental agency, public-operated service industry, public-operated manufacturing industry, privately operated financial service industry, privately operated service industry, privately operated high tech manufacturing industry and privately operated traditional manufacturing industry. The survey started on December 21st2007 and continued until January 11th 2008.We totally sent out 2,133 questionnaires, returned 1,940 questionnaires, the returns-ratio reached 91.0%, eliminated invalid questionnaires were 50, the effective questionnaires were 1,890,effective questionnaires returns-ratio was 88.6%. Data was analyzed by using descriptive statistics, reliability analysis, correlation analysis, exploring factor analysis and level linear model.
The major results of this study are as following:
1.Machiavellianism of organizational members has a significant effect on perceptions of organizational politics.
2.Positive affect of organizational members has a significant effect on perceptions of organizational politics.
3.Negative affect of organizational members has a significant effect on perceptions of organizational politics.
4.The degree of centralization has a significant effect on perceptions of organizational politics.
5.The degree of formalization has no effect on perceptions of organizational politics.
6.Organizational hierarchical Level has no effect on perceptions of organizational politics.
7.Organization size has no effect on perceptions of organizational politics.
8.The degree of centralization has no moderate effect on the relationship between machiavellianism and perceptions of organizational politics.
9.The degree of formalization has no moderate effect on the relationship between machiavellianism and perceptions of organizational politics.
10.Organizational hierarchical Level has no moderate effect on the relationship between machiavellianism and perceptions of organizational politics.
11.Organization size has no moderate effect on the relationship between machiavellianism and perceptions of organizational politics.
12.The degree of centralization has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
13.The degree of formalization has no moderate effect on the relationship between negative affect of organizational members and perceptions of organizational politics.
14.Organization size has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
15.Organizational hierarchical Level has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
16.The degree of centralization has moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
17.The degree of formalization has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
18.Organization size has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
19.Organizational hierarchical Level has no moderate effect on the relationship between positive affect of organizational members and perceptions of organizational politics.
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Validez y confiabilidad de escala de afecto positivo y negativo (SPANAS) en estudiantes universitarios peruanosGargurevich, Rafael, Matos, Lennia 18 March 2015 (has links)
rafael.gargurevich@gmail.com / It was studied the construct validity and the reliability of the SPANAS scale in two samples of university
students from Lima. Through many confirmatory factorial analyses (AFC) it was evaluated the
adjustment of three competing models (one factor, two correlated factors and two orthogonal factors).
This procedure wasreplicated in the two samples of universitary students.After the validity and reliability
analysis were done, it was found that the two correlated factors model was better to represent the scale in
both samples. Furthermore, the Positive and Negative Affect Scale proved to be reliable. In this way we
have evidence ofthe presence oftwo factors which represent the positive and negative affection. / Se ha estudiado la validez de constructo y la confiabilidad de la escala SPANAS en dos muestras de
estudiantes universitarios de Lima. Mediante diversos análisisfactoriales confirmatorios(AFC)se evaluó
el ajuste de tres modelos competidores (un solo factor, dos factores correlacionados y dos factores
ortogonales). Este procedimiento se replicó en las dos muestras de estudiantes universitarios. Luego de
haber realizado los análisis de validez y confiabilidad, se encontró que el modelo de dos factores
correlacionados era el que mejor representó a la escala en ambas muestras. Además, las escalas de afecto
positivo y negativo demostraron ser confiables. De esta manera se tiene evidencia de la presencia de dos
factores que representan al afecto positivo y negativo.
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