Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners

Purpose: This study examines the impact of different modes of treatment on depression, anxiety, traumatic stress and quality of life in colorectal cancer patients and their partners. Methods: The sample was comprised of 114 oncology patients and 67 partners. All patients were diagnosed with colorectal cancer. Participants were recruited from an Oncology Hospital in the North of Portugal and had been submitted to three modes of treatment: surgery, surgery plus chemotherapy or surgery followed by radiotherapy. Results: The results showed that patients who received only surgery, as treatment, had lower levels of depression, anxiety and traumatic stress symptoms when compared with patients who received surgery and chemotherapy or surgery plus radiotherapy. Partners of surgical patients presented lower levels of state anxiety and traumatic stress symptoms when compared with the other two groups. Patients with more depression had partners also more depressed. No relationship was found between anxiety and traumatic stress symptoms in patients and partners. Patients who received a diagnosis longer than 12 months had more traumatic stress, intrusion and hypervigilance. Patients with illness recurrence showed more traumatic symptoms. Anxiety and depression were the main predictors of patient’s quality of life. Traumatic stress was a predictor of symptom distress - pain/bowel pattern. Conclusion: This study highlights the importance of providing psychological interventions for cancer patients and their partners. Chemotherapy patients and those diagnosed over a year, as well as their partners, are more at risk

Forgiveness, forbearance, and time: The temporal unfolding of transgression-related interpersonal motivations.

The investigators proposed that transgression-related interpersonal motivations result from 3 psycholog-ical parameters: forbearance (abstinence from avoidance and revenge motivations, and maintenance of benevolence), trend forgiveness (reductions in avoidance and revenge, and increases in benevolence), and temporary forgiveness (transient reductions in avoidance and revenge, and transient increases in benev-olence). In 2 studies, the investigators examined this 3-parameter model. Initial ratings of transgression severity and empathy were directly related to forbearance but not trend forgiveness. Initial responsibility attributions were inversely related to forbearance but directly related to trend forgiveness. When people experienced high empathy and low responsibility attributions, they also tended to experience temporary forgiveness. The distinctiveness of each of these 3 parameters underscores the importance of studying forgiveness temporally. The concept of forgiveness has long been a focus of the world’s religions (McCullough & Worthington, 1999; Rye et al., 2000), but only during the last decade did psychologists develop a sus-tained interest in the topic. Recent work has shed light on the social–psychological precursors to forgiveness (Exline &amp

Feeling Tired?: How Sharing Positive Experiences Can Boost Vitality

Three studies indicated how sharing positive experiences can boost vitality

Psychological perspectives on divine forgiveness: 3. Trait self-control is associated with well-being through seeking divine forgiveness

IntroductionAlthough a majority of the world’s population believes in a Higher Power and subscribes to a religion in which divine forgiveness is emphasized, little work has been done to understand individual differences associated with seeking divine forgiveness.MethodsBuilding on work that suggests trait self-control facilitates well-being, the current study (N = 439, undergraduate students) applies structural equation modeling (SEM) to test whether believers higher (vs. lower) in trait self-control are more likely to seek divine forgiveness, and, in turn, have better psychological health.Results and discussionWe find that people higher in self-control engage in more divine forgiveness seeking (b = 0.16), and seeking divine forgiveness represents one of the pathways associated with psychological health (i.e., seeking is associated with higher well-being, b = 0.21, and lower distress, b = −0.07). Crucially, we operationalize both positive (well-being and flourishing) and negative (depression, anxiety, stress) aspects of psychological health and control for religiosity. These results suggest that for those who believe in God, seeking divine forgiveness may be one mechanism that links individuals’ self-control to good psychological health, and this is not merely an artifact of higher levels of religiosity. Limitations and future directions are discussed

Psychological perspectives on divine forgiveness: seeking divine forgiveness

Seeking divine forgiveness (forgiveness by a Supreme Being or Higher Power) is important because the perception of such forgiveness is associated with psychological well-being This paper is the first to examine a process model of divine forgiveness in which the decision to pursue such forgiveness initiates the process of seeking it. Two studies investigate the likelihood of seeking divine forgiveness. Study 1 (N = 190) introduces and provides discriminant validity for a unidimensional measure divine forgiveness seeking. Convergent validity is provided by demonstrating that seeking divine forgiveness correlates with reported experiences of divine forgiveness both concurrently and six weeks later. Study 2 (N = 390) provides a confirmatory factor analysis of seeking divine forgiveness scale items identified in Study 1 and replicates the concurrent and temporal association with reported experiences of divine forgiveness using a longer time interval (12 weeks). It also documents associations between a person’s image of God, attachment and closeness to God and the likelihood of seeking divine forgiveness. Both studies control for religiosity and Study 2 introduces an additional control for impression management. Together, they provide support for the idea that the decision to pursue divine forgiveness begins the process of seeking such forgiveness. We discuss limitations of the research and outline several paths for additional studies

Forgiveness, forbearance, and time: The temporal unfolding of transgression-related interpersonal motivations

The investigators proposed that transgression-related interpersonal motivations result from 3 psychological parameters: forbearance (abstinence from avoidance and revenge motivations, and maintenance of benevolence), trend forgiveness (reductions in avoidance and revenge, and increases in benevolence), and temporary forgiveness (transient reductions in avoidance and revenge, and transient increases in benevolence). In 2 studies, the investigators examined this 3-parameter model. Initial ratings of transgression severity and empathy were directly related to forbearance but not trend forgiveness. Initial responsibility attributions were inversely related to forbearance but directly related to trend forgiveness. When people experienced high empathy and low responsibility attributions, they also tended to experience temporary forgiveness. The distinctiveness of each of these 3 parameters underscores the importance of studying forgiveness temporally

Prevention effects on trajectories of African American adolescents\u27 exposure to interparental conflict and depressive symptoms.

The present study investigates the trajectory of children\u27s exposure to interparental conflict during adolescence, its effects on adolescents\u27 psychological adjustment, as well as the ability of a family-centered prevention program to alter this trajectory. A total of 331 African American couples with an adolescent or preadolescent child participated in a randomized control trial of the Promoting Strong African American Families program, a newly developed program targeting couple and cocaregiving processes. Using a multi-informant, latent growth curve approach, child exposure to interparental conflict during adolescence was found to be stable over a period of 2 years among families in the control group, but significantly declined among families in the treatment condition. Rates of change were significantly different between intervention and control groups based on parents\u27 report of youth exposure to interparental conflict, but not for child\u27s report. Structural equation models found trajectory parameters of interparental conflict predicted changes in adolescent depressive symptoms, with increasing rates of changes in conflict associated with increases in adolescent internalizing symptoms over the 2-year duration of the study. Finally, a significant indirect effect was identified linking treatment, changes in parents\u27 reports of child exposure to interparental conflict, and adolescent depressive symptoms. The implications for research and intervention are discussed

Attachment, infidelity, and loneliness in college students involved in a romantic relationship: the role of relationship satisfaction, morbidity and prayer for partner

This study examined the mediating effects of relationship satisfaction, prayer for a partner, and morbidity in the relationship between attachment and loneliness, infidelity and loneliness, and psychological morbidity and loneliness, in college students involved in a romantic relationship. Participants were students in an introductory course on family development. This study examined only students (n = 345) who were involved in a romantic relationship. The average age of participants was 19.46 (SD = 1.92) and 25 % were males. Short-form UCLA Loneliness Scale (ULS-8), (Hays and DiMatteo in J Pers Assess 51:69–81, doi:10.1207/s15327752jpa5101_6, 1987); Relationship Satisfaction Scale (Funk and Rogge in J Fam Psychol 21:572–583, doi:10.1037/0893-3200.21.4.572, 2007); Rotterdam Symptom Checklist (De Haes et al. in Measuring the quality of life of cancer patients with the Rotterdam Symptom Checklist (RSCL): a manual, Northern Centre for Healthcare Research, Groningen, 1996); Prayer for Partner Scale, (Fincham et al. in J Pers Soc Psychol 99:649–659, doi:10.1037/a0019628, 2010); Infidelity Scale, (Drigotas et al. in J Pers Soc Psychol 77:509–524, doi:10.1037/0022-3514.77.3.509, 1999); and the Experiences in Close Relationship Scale-short form (Wei et al. in J Couns Psychol 52(4):602–614, doi:10.1037/0022-0167.52.4.602, 2005). Results showed that relationship satisfaction mediated the relationship between avoidance attachment and loneliness and between infidelity and loneliness. Physical morbidity mediated the relationship between anxious attachment and psychological morbidity. Psychological morbidity mediated the relationship between anxious attachment and physical morbidity. The present results expand the literature on attachment by presenting evidence that anxious and avoidant partners experience loneliness differently. Implications for couple’s therapy are addressed. Future research should replicate these results with older samples and married couples.Acknowledgments This research was supported by Grant Number 90FE0022 from the United States Department of Health and Human Services awarded to the last author